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Obstructive sleep apnea: Evaluation and management
Patients with undiagnosed and untreated obstructive sleep apnea (OSA) are at increased risk for excessive daytime sleepiness, as well as cardiovascular and cerebrovascular complications. This review describes how best to address the symptoms and complications that make OSA a public health concern. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/cecme/cecme-activities/article/obstructive-sleep-apnea-evaluation-management/b511b960cab855040da9165a39ab5eb8.html?tx_ttnews%5BsViewPointer%5D=1.
Patients with undiagnosed and untreated obstructive sleep apnea (OSA) are at increased risk for excessive daytime sleepiness, as well as cardiovascular and cerebrovascular complications. This review describes how best to address the symptoms and complications that make OSA a public health concern. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/cecme/cecme-activities/article/obstructive-sleep-apnea-evaluation-management/b511b960cab855040da9165a39ab5eb8.html?tx_ttnews%5BsViewPointer%5D=1.
Patients with undiagnosed and untreated obstructive sleep apnea (OSA) are at increased risk for excessive daytime sleepiness, as well as cardiovascular and cerebrovascular complications. This review describes how best to address the symptoms and complications that make OSA a public health concern. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/cecme/cecme-activities/article/obstructive-sleep-apnea-evaluation-management/b511b960cab855040da9165a39ab5eb8.html?tx_ttnews%5BsViewPointer%5D=1.
Help overweight/obese patients get physically active
In Active at Any Size, the Weight-control Information Network provides helpful information and strategies for overweight or obese individuals who want to become physically active. The brochure, which is available at http://www.niddk.nih.gov/health-information/health-topics/weight-control/active-at-any-size/Documents/ActiveatAnySize_508.pdf, describes activities to consider and how to overcome barriers to becoming active.
In Active at Any Size, the Weight-control Information Network provides helpful information and strategies for overweight or obese individuals who want to become physically active. The brochure, which is available at http://www.niddk.nih.gov/health-information/health-topics/weight-control/active-at-any-size/Documents/ActiveatAnySize_508.pdf, describes activities to consider and how to overcome barriers to becoming active.
In Active at Any Size, the Weight-control Information Network provides helpful information and strategies for overweight or obese individuals who want to become physically active. The brochure, which is available at http://www.niddk.nih.gov/health-information/health-topics/weight-control/active-at-any-size/Documents/ActiveatAnySize_508.pdf, describes activities to consider and how to overcome barriers to becoming active.
Obstructive sleep apnea often complicates heart failure
An analysis of more than 1000 German heart failure patients found that the majority of patients had sleep-disordered breathing and, in 64% of these patients, the disordered breathing manifested as obstructive sleep apnea. To read the full article, go to Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/esc-obstructive-sleep-apnea-often-complicates-heart-failure/832b078cfb9c416c43d19d59f2e6187b.html.
An analysis of more than 1000 German heart failure patients found that the majority of patients had sleep-disordered breathing and, in 64% of these patients, the disordered breathing manifested as obstructive sleep apnea. To read the full article, go to Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/esc-obstructive-sleep-apnea-often-complicates-heart-failure/832b078cfb9c416c43d19d59f2e6187b.html.
An analysis of more than 1000 German heart failure patients found that the majority of patients had sleep-disordered breathing and, in 64% of these patients, the disordered breathing manifested as obstructive sleep apnea. To read the full article, go to Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/esc-obstructive-sleep-apnea-often-complicates-heart-failure/832b078cfb9c416c43d19d59f2e6187b.html.
Don’t assume your patient’s diabetes is type 2
According to a report from the Centers for Disease Control and Prevention, 90% to 95% of all diabetes cases are type 2, 5% are type 1 (autoimmune), and the rest (about 1% to 5%) are “other types” of diabetes. Due to these disproportionate statistics, clinicians often overlook the possibility of a more unusual diagnosis—say Cushing syndrome or hemochromatosis—especially when a patient is overweight. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/specialty-focus/diabetes/article/be-sure-to-look-for-secondary-diabetes/7ddfc1620dd220036863c760904bb840.html.
According to a report from the Centers for Disease Control and Prevention, 90% to 95% of all diabetes cases are type 2, 5% are type 1 (autoimmune), and the rest (about 1% to 5%) are “other types” of diabetes. Due to these disproportionate statistics, clinicians often overlook the possibility of a more unusual diagnosis—say Cushing syndrome or hemochromatosis—especially when a patient is overweight. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/specialty-focus/diabetes/article/be-sure-to-look-for-secondary-diabetes/7ddfc1620dd220036863c760904bb840.html.
According to a report from the Centers for Disease Control and Prevention, 90% to 95% of all diabetes cases are type 2, 5% are type 1 (autoimmune), and the rest (about 1% to 5%) are “other types” of diabetes. Due to these disproportionate statistics, clinicians often overlook the possibility of a more unusual diagnosis—say Cushing syndrome or hemochromatosis—especially when a patient is overweight. To read the full article, go to Clinician Reviews: http://www.clinicianreviews.com/specialty-focus/diabetes/article/be-sure-to-look-for-secondary-diabetes/7ddfc1620dd220036863c760904bb840.html.
Information for patients who have depression and cancer
Depression and Cancer is a brochure from the National Institute of Mental Health that provides information for individuals who have both conditions. Available at https://www.nimh.nih.gov/health/publications/depression-and-cancer/depression-and-cancer_142115.pdf, this publication describes how cancer can trigger feelings of stress, anger, and sadness that can develop into depression. It also explains how depression is treated in people with cancer, and where patients can obtain additional information.
Depression and Cancer is a brochure from the National Institute of Mental Health that provides information for individuals who have both conditions. Available at https://www.nimh.nih.gov/health/publications/depression-and-cancer/depression-and-cancer_142115.pdf, this publication describes how cancer can trigger feelings of stress, anger, and sadness that can develop into depression. It also explains how depression is treated in people with cancer, and where patients can obtain additional information.
Depression and Cancer is a brochure from the National Institute of Mental Health that provides information for individuals who have both conditions. Available at https://www.nimh.nih.gov/health/publications/depression-and-cancer/depression-and-cancer_142115.pdf, this publication describes how cancer can trigger feelings of stress, anger, and sadness that can develop into depression. It also explains how depression is treated in people with cancer, and where patients can obtain additional information.
This COPD phenotype is linked to a high risk of exacerbations
Researchers performed pulmonary function testing and whole-lung computed tomography (CT) scans of men who smoked—240 of whom had chronic obstructive pulmonary disease (COPD) and 187 who did not. They classified all patients into one of 4 COPD phenotypes and found that those with the “mixed” phenotype had more hospitalizations and more severe dyspnea than those classified as “CT-normal,” “airway-dominant,” or “emphysema-dominant.” To read the full article, go to Family Practice News: http://www.familypracticenews.com/news/news/single-article/ct-findings-identify-copd-phenotype-with-high-risk-for-exacerbations/7f06371d20c52f4b9eca656d62a60066.html.
Researchers performed pulmonary function testing and whole-lung computed tomography (CT) scans of men who smoked—240 of whom had chronic obstructive pulmonary disease (COPD) and 187 who did not. They classified all patients into one of 4 COPD phenotypes and found that those with the “mixed” phenotype had more hospitalizations and more severe dyspnea than those classified as “CT-normal,” “airway-dominant,” or “emphysema-dominant.” To read the full article, go to Family Practice News: http://www.familypracticenews.com/news/news/single-article/ct-findings-identify-copd-phenotype-with-high-risk-for-exacerbations/7f06371d20c52f4b9eca656d62a60066.html.
Researchers performed pulmonary function testing and whole-lung computed tomography (CT) scans of men who smoked—240 of whom had chronic obstructive pulmonary disease (COPD) and 187 who did not. They classified all patients into one of 4 COPD phenotypes and found that those with the “mixed” phenotype had more hospitalizations and more severe dyspnea than those classified as “CT-normal,” “airway-dominant,” or “emphysema-dominant.” To read the full article, go to Family Practice News: http://www.familypracticenews.com/news/news/single-article/ct-findings-identify-copd-phenotype-with-high-risk-for-exacerbations/7f06371d20c52f4b9eca656d62a60066.html.
Resource teaches patients how to use anticoagulants safety
The Agency for Healthcare Research and Quality has published a booklet to educate patients about the safe use of anticoagulant medications. Blood Thinner Pills: Your Guide to Using Them Safely, which is available at http://www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf, covers potential drug interactions, side effects, steps patients can take to reduce their risk of bleeding, and the importance of regular blood testing.
The Agency for Healthcare Research and Quality has published a booklet to educate patients about the safe use of anticoagulant medications. Blood Thinner Pills: Your Guide to Using Them Safely, which is available at http://www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf, covers potential drug interactions, side effects, steps patients can take to reduce their risk of bleeding, and the importance of regular blood testing.
The Agency for Healthcare Research and Quality has published a booklet to educate patients about the safe use of anticoagulant medications. Blood Thinner Pills: Your Guide to Using Them Safely, which is available at http://www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf, covers potential drug interactions, side effects, steps patients can take to reduce their risk of bleeding, and the importance of regular blood testing.
Using light to manage sleep-wake issues in patients with dementia
There’s a high incidence of sleep-wake disturbances among patients with dementia, which can lead to institutionalization. Although research has yet to provide a definitive answer about whether circadian-active light can benefit patients with dementia, a Veterans Affairs pilot study shows promising results. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/sleep-disorders/article/using-light-to-manage-sleep-wake-issues-in-patients-with-dementia/0bfe5c444b4ef312595c55c2585d8e60.html.
There’s a high incidence of sleep-wake disturbances among patients with dementia, which can lead to institutionalization. Although research has yet to provide a definitive answer about whether circadian-active light can benefit patients with dementia, a Veterans Affairs pilot study shows promising results. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/sleep-disorders/article/using-light-to-manage-sleep-wake-issues-in-patients-with-dementia/0bfe5c444b4ef312595c55c2585d8e60.html.
There’s a high incidence of sleep-wake disturbances among patients with dementia, which can lead to institutionalization. Although research has yet to provide a definitive answer about whether circadian-active light can benefit patients with dementia, a Veterans Affairs pilot study shows promising results. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/sleep-disorders/article/using-light-to-manage-sleep-wake-issues-in-patients-with-dementia/0bfe5c444b4ef312595c55c2585d8e60.html.
Teaching patients about various options for losing weight
Understanding Your Weight-loss Options is a brochure from the Obesity Action Coalition designed to help patients who want to lose weight. Available at http://www.obesityaction.org/wp-content/uploads/UYWLO.pdf, the brochure summarizes behavior modification, community-based programs, commercial weight-loss products and programs, physician-supervised weight loss, and bariatric surgery.
Understanding Your Weight-loss Options is a brochure from the Obesity Action Coalition designed to help patients who want to lose weight. Available at http://www.obesityaction.org/wp-content/uploads/UYWLO.pdf, the brochure summarizes behavior modification, community-based programs, commercial weight-loss products and programs, physician-supervised weight loss, and bariatric surgery.
Understanding Your Weight-loss Options is a brochure from the Obesity Action Coalition designed to help patients who want to lose weight. Available at http://www.obesityaction.org/wp-content/uploads/UYWLO.pdf, the brochure summarizes behavior modification, community-based programs, commercial weight-loss products and programs, physician-supervised weight loss, and bariatric surgery.
Accelerated hepatitis A and B immunization program may help high-risk patients
Immunization against hepatitis A and B is of great importance for patients with hepatitis C because concomitant infections are damaging to the liver. Vaccination offers the best protection against hepatitis A and B, particularly among high-risk populations, such as homeless individuals and intravenous drug users. A retrospective study of the medical records of 284 veterans who were receiving treatment for addictive disorders found that most patients (88%) who began an accelerated dosing program for hepatitis A and B vaccination received at least the first 3 injections of the series, thus possibly conferring substantial immunity to hepatitis A and B. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/vaccines/article/accelerated-hepatitis-a-and-b-immunization-in-a-substance-abuse-treatment-program/4beb502484ad80699be3a086fa2e2017.html.
Immunization against hepatitis A and B is of great importance for patients with hepatitis C because concomitant infections are damaging to the liver. Vaccination offers the best protection against hepatitis A and B, particularly among high-risk populations, such as homeless individuals and intravenous drug users. A retrospective study of the medical records of 284 veterans who were receiving treatment for addictive disorders found that most patients (88%) who began an accelerated dosing program for hepatitis A and B vaccination received at least the first 3 injections of the series, thus possibly conferring substantial immunity to hepatitis A and B. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/vaccines/article/accelerated-hepatitis-a-and-b-immunization-in-a-substance-abuse-treatment-program/4beb502484ad80699be3a086fa2e2017.html.
Immunization against hepatitis A and B is of great importance for patients with hepatitis C because concomitant infections are damaging to the liver. Vaccination offers the best protection against hepatitis A and B, particularly among high-risk populations, such as homeless individuals and intravenous drug users. A retrospective study of the medical records of 284 veterans who were receiving treatment for addictive disorders found that most patients (88%) who began an accelerated dosing program for hepatitis A and B vaccination received at least the first 3 injections of the series, thus possibly conferring substantial immunity to hepatitis A and B. To read the full article, go to Federal Practitioner: http://www.fedprac.com/specialty-focus/vaccines/article/accelerated-hepatitis-a-and-b-immunization-in-a-substance-abuse-treatment-program/4beb502484ad80699be3a086fa2e2017.html.