Tag Archives: Health

Diet Infographic: Most “Macronutrient Diets” Reduce Weight & Blood Pressure In 6 Months (BMJ)

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From a BMJ Study article (April, 2020):

Compared with usual diet, moderate certainty evidence supports modest weight loss and substantial reductions in systolic and diastolic blood pressure for low carbohydrate (eg, Atkins, Zone), low fat (eg, Ornish), and moderate macronutrient (eg, DASH, Mediterranean) diets at six but not 12 months. Differences between diets are, however, generally trivial to small, implying that people can choose the diet they prefer from among many of the available diets (fig 6) without concern about the magnitude of benefits.

Introduction

The worldwide prevalence of obesity nearly tripled between 1975 and 2018.1 In response, authorities have made dietary recommendations for weight management and cardiovascular risk reduction.23 Diet programmes—some focusing on carbohydrate reduction and others on fat reduction—have been promoted widely by the media and have generated intense debates about their relative merit. Millions of people are trying to lose weight by changing their diet. Thus establishing the effect of dietary macronutrient patterns (carbohydrate reduction v fat reduction v moderate macronutrients) and popular named dietary programmes is important.

Biological and physiological mechanisms have been proposed to explain why some dietary macronutrient patterns and popular dietary programmes should be better than others. A previous network meta-analysis, however, suggested that differences in weight loss between dietary patterns and individual popular named dietary programmes are small and unlikely to be important.4 No systematic review and network meta-analysis has examined the comparative effectiveness of popular dietary programmes for reducing risk factors for cardiovascular disease, an area of continuing controversy.

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New Medical Podcasts: E-Cigarette Deaths, Heart Disease And 10-Weeks To Crush The Curve (NEJM)

New England Journal of Medicine Podcast This WeekFeaturing articles on deaths due to e-cigarette– or vaping-associated lung injury, apixaban for venous thromboembolism in cancer, the management of coronary disease in patients with advanced kidney disease, health-status outcomes in the ISCHEMIA-CKD trial,  and ten weeks to crush the curve. 

Additionally, renin–angiotensin–aldosterone system inhibitors in patients with Covid-19, and teasing the immune system to repair the heart; a review article on the care of patients with diabetic retinopathy; a case report of a man with high blood pressure, renal insufficiency, and hematuria; and Perspective articles on clinical and social risk adjustment, on prediction models, and on medical care during the pandemic.

Coronavirus: “The Patients Left Behind” (Prognosis Podcast)

Prognosis PodcastDoctors are delaying procedures and surgeries in order to save resources like hospital beds and ventilators for Covid-19 patients, and prevent the infection from spreading.

Emma Court reports on the difficult choices doctors are forced to make, and the danger that we’re creating another health care crisis.

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Coronavirus: “Why The U.S. Still Doesn’t Have Enough Tests” (WSJ Podcast)

The Journal WSJ PodcastsTo reopen the economy safely, experts estimate the U.S. will need to administer millions of tests every month.

 WSJ’s Christopher Weaver and Rebecca Ballhaus explain why we are so far from the number of tests needed.

Medical Podcast: “Tension Headache” Can Be Episodic Or Chronic (The BMJ)

The BMJ logoTension-type headaches can be either episodic or chronic. They are rarely disabling or associated with any significant autonomic phenomena, thus patients do not usually seek medical care and usually successfully self-treat. Unlike migraine, there is no significant nausea, no vomiting, and a lack of aggravation by routine physical activity.

In this podcast Mark Green, Professor of Neurology, Anesthesiology and Rehabilitation Medicine, Director of Headache and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, gives a clinical overview of the condition.

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Reopening The Economy: “What The Year Ahead Might Look Like” (NY Times)

The Daily - New York Times podcastDonald G. McNeil Jr., a science and health reporter for The New York Times, discusses how the Coronavirus lockdown might end what it would look like.

While the economy is likely to reopen slowly, there is hope that society will adapt to manage the uncertainty of our new circumstances. Here’s what experts say the next year (or more) will look like.

Medical Podcasts: Are Cardiovascular Patients Avoiding Emergency Rooms During Covid-19?

NEJM Journal WatchCardiovascular consults are way down. Is the threat of COVID-19 infection scaring people away from ED’s?

We caught up with Dr. Comilla Sasson, the American Heart Association’s VP for science and innovation. She’s an emergency physician who teaches at the University of Colorado. She’d traveled to New York City to “help with the response,” and she talked with us from a field hospital that had been set up on a tennis court in Central Park.

She had lots to say about what’s driving patients away from emergency departments these days and what’s likely to happen in medicine (hello, telemedicine!) once the pandemic abates.

Running time: 15 minutes

Health: “Patient One – Saving America’s First Known Coronavirus Patient” (Frontline)

The inside story of how the first confirmed COVID-19 patient in the U.S. was identified and treated in Washington State.

Frontline Coronavirus Pandemic PBSWhen a man returning from Wuhan, China in January 2020 exhibited symptoms of the novel coronavirus, public health officials in the Seattle area were already on alert.

“We had a game plan in place already,” says Dr. George Diaz, who treated patient one when he was admitted to Providence Regional Medical Center in Everett. Yet in spite of the state’s preparedness, it would soon become clear that the virus’s spread was already ahead of efforts to contain it.

“Patient One: Saving America’s First Known Coronavirus Patient” was drawn from FRONTLINE’s reporting for “Coronavirus Pandemic” – veteran science reporter Miles O’Brien and his team’s investigation of the U.S. response to COVID-19.

“Coronavirus Pandemic” premieres Tues., April 21. Stream it on the PBS Video App starting at 7/6c, or watch it on PBS or YouTube at 9/8c. Check local PBS listings.

More here: https://to.pbs.org/2ypGUOw

 

Health News: “Navigating The Coronavirus” – Wall Street Journal (April 17)

From the Wall Street Journal (April 17, 2020):

As the coronavirus pandemic upends work, travel and home life, the rules are shifting for what people can and can’t do in their daily lives. The WSJ is continuously updating advice and information on how to stay safe, healthy and connected, and how to help others.

WSJ Special Section 4.17.20 - Navigating the Coronavirus-

Aid to a Friend Caring for a Coronavirus Patient

“Because I am organized in my job and day-to-day life, I took on my husband’s care thinking I would have it all quickly in hand. But things didn’t turn out that way,” writes Leslie Yazel, whose husband came down with coronavirus-related pneumonia. Here, she offers what she learned about the best ways to help those who are caring for someone with coronavirus.

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