Hepatitis C virus infection linked to cardiovascular death, disease, and stroke

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Patients with hepatitis C virus (HCV) infection face a significantly increased risk of cardiovascular death, subclinical carotid thickening and atherosclerosis, and cerebrocardiovascular events—especially when they also have diabetes and hypertension—according to a systematic review and meta-analysis of 22 studies published in the January issue of Gastroenterology. Read more about what researchers discovered at Family Practice News: http://www.familypracticenews.com/specialty-focus/gastroenterology/single-article-page/hepatitis-c-virus-infection-linked-to-cardiovascular-death-disease-and-stroke/b2a81f04cbda6c9aaa51466f699f3dc9.html.

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Patients with hepatitis C virus (HCV) infection face a significantly increased risk of cardiovascular death, subclinical carotid thickening and atherosclerosis, and cerebrocardiovascular events—especially when they also have diabetes and hypertension—according to a systematic review and meta-analysis of 22 studies published in the January issue of Gastroenterology. Read more about what researchers discovered at Family Practice News: http://www.familypracticenews.com/specialty-focus/gastroenterology/single-article-page/hepatitis-c-virus-infection-linked-to-cardiovascular-death-disease-and-stroke/b2a81f04cbda6c9aaa51466f699f3dc9.html.

Patients with hepatitis C virus (HCV) infection face a significantly increased risk of cardiovascular death, subclinical carotid thickening and atherosclerosis, and cerebrocardiovascular events—especially when they also have diabetes and hypertension—according to a systematic review and meta-analysis of 22 studies published in the January issue of Gastroenterology. Read more about what researchers discovered at Family Practice News: http://www.familypracticenews.com/specialty-focus/gastroenterology/single-article-page/hepatitis-c-virus-infection-linked-to-cardiovascular-death-disease-and-stroke/b2a81f04cbda6c9aaa51466f699f3dc9.html.

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Vegetarianism may protect against heart failure

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Vegetarianism may protect against heart failure

Elderly individuals who consumed a vegan diet were at an adjusted 72% lower risk of prevalent left ventricular diastolic dysfunction (as well as 70% lower risk of left ventricular hypertrophy) than were nonvegetarians in the Adventist Health Study-2. Find out what else this ongoing observational epidemiologic study revealed at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/vegetarianism-may-protect-against-heart-failure/8d9a2e9a1b5d58c16fdab189b70d3295.html.

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Elderly individuals who consumed a vegan diet were at an adjusted 72% lower risk of prevalent left ventricular diastolic dysfunction (as well as 70% lower risk of left ventricular hypertrophy) than were nonvegetarians in the Adventist Health Study-2. Find out what else this ongoing observational epidemiologic study revealed at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/vegetarianism-may-protect-against-heart-failure/8d9a2e9a1b5d58c16fdab189b70d3295.html.

Elderly individuals who consumed a vegan diet were at an adjusted 72% lower risk of prevalent left ventricular diastolic dysfunction (as well as 70% lower risk of left ventricular hypertrophy) than were nonvegetarians in the Adventist Health Study-2. Find out what else this ongoing observational epidemiologic study revealed at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/vegetarianism-may-protect-against-heart-failure/8d9a2e9a1b5d58c16fdab189b70d3295.html.

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Insulin pumps: Beyond basal-bolus

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Insulin pumps: Beyond basal-bolus

Insulin pumps are a major advance in diabetes management, making insulin dosing easier and more accurate, and providing great flexibility, safety, and efficacy for people who need basal-bolus insulin therapy. This article reviews who benefits from a pump and how best to manage patients who have one.  Read the full article at the Cleveland Clinic Journal of Medicine: http://www.ccjm.org/topics/diabetes-endocrinology-metabolism/single-article-page/insulin-pumps-beyond-basal-bolus/dca4da0316f284a0e3b7762b4f2f37ef.html.

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Insulin pumps are a major advance in diabetes management, making insulin dosing easier and more accurate, and providing great flexibility, safety, and efficacy for people who need basal-bolus insulin therapy. This article reviews who benefits from a pump and how best to manage patients who have one.  Read the full article at the Cleveland Clinic Journal of Medicine: http://www.ccjm.org/topics/diabetes-endocrinology-metabolism/single-article-page/insulin-pumps-beyond-basal-bolus/dca4da0316f284a0e3b7762b4f2f37ef.html.

Insulin pumps are a major advance in diabetes management, making insulin dosing easier and more accurate, and providing great flexibility, safety, and efficacy for people who need basal-bolus insulin therapy. This article reviews who benefits from a pump and how best to manage patients who have one.  Read the full article at the Cleveland Clinic Journal of Medicine: http://www.ccjm.org/topics/diabetes-endocrinology-metabolism/single-article-page/insulin-pumps-beyond-basal-bolus/dca4da0316f284a0e3b7762b4f2f37ef.html.

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Which approach is best for treatment-resistant depression?

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Which approach is best for treatment-resistant depression?

This patient handout from the Agency for Healthcare Research and Quality discusses 4 non-pharmacologic treatment options for patients who haven’t responded to 2 or more antidepressants. The handout describes the benefits and side effects of electroconvulsive therapy, vagus nerve stimulation, repetitive transcranial magnetic stimulation, and “talk” therapy. There’s also a section on things to think about when working with a physician to select the best option. http://effectivehealthcare.ahrq.gov/ehc/products/76/1011/ref_dep_cons_fin_to_post.pdf.

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This patient handout from the Agency for Healthcare Research and Quality discusses 4 non-pharmacologic treatment options for patients who haven’t responded to 2 or more antidepressants. The handout describes the benefits and side effects of electroconvulsive therapy, vagus nerve stimulation, repetitive transcranial magnetic stimulation, and “talk” therapy. There’s also a section on things to think about when working with a physician to select the best option. http://effectivehealthcare.ahrq.gov/ehc/products/76/1011/ref_dep_cons_fin_to_post.pdf.

This patient handout from the Agency for Healthcare Research and Quality discusses 4 non-pharmacologic treatment options for patients who haven’t responded to 2 or more antidepressants. The handout describes the benefits and side effects of electroconvulsive therapy, vagus nerve stimulation, repetitive transcranial magnetic stimulation, and “talk” therapy. There’s also a section on things to think about when working with a physician to select the best option. http://effectivehealthcare.ahrq.gov/ehc/products/76/1011/ref_dep_cons_fin_to_post.pdf.

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American Lung Association resource helps patients manage their COPD meds

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American Lung Association resource helps patients manage their COPD meds

It’s easy for patients to become confused by the different medications that are available to manage their chronic obstructive pulmonary disease (COPD). This handout from the American Lung Association (http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/diagnosing-and-treating/managing-your-copd-medications.html) identifies the different COPD medications (eg, bronchodilators, anti-inflammatories, combination drugs) and how each works.

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It’s easy for patients to become confused by the different medications that are available to manage their chronic obstructive pulmonary disease (COPD). This handout from the American Lung Association (http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/diagnosing-and-treating/managing-your-copd-medications.html) identifies the different COPD medications (eg, bronchodilators, anti-inflammatories, combination drugs) and how each works.

It’s easy for patients to become confused by the different medications that are available to manage their chronic obstructive pulmonary disease (COPD). This handout from the American Lung Association (http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/diagnosing-and-treating/managing-your-copd-medications.html) identifies the different COPD medications (eg, bronchodilators, anti-inflammatories, combination drugs) and how each works.

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The new oral anticoagulants: Reasonable alternatives to warfarin

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The new oral anticoagulants: Reasonable alternatives to warfarin

Dabigatran (a direct thrombin inhibitor) and rivaroxaban, apixaban, and edoxaban (direct activated factor X inhibitors) are increasingly being used in clinical practice. Compared with vitamin K antagonists, they are more convenient, do not require laboratory monitoring, have limited drug and food interactions, and have fixed dosages suitable for most patients. This review from the Cleveland Clinic Journal of Medicine summarizes the clinically relevant characteristics of these new oral anticoagulants and provides guidance on their usage: http://www.ccjm.org/current-issue/issue-single-view/the-new-oral-anticoagulants-reasonable-alternatives-to-warfarin/26c19370e96b6f1a068a6c1a2974e737.html.

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Dabigatran (a direct thrombin inhibitor) and rivaroxaban, apixaban, and edoxaban (direct activated factor X inhibitors) are increasingly being used in clinical practice. Compared with vitamin K antagonists, they are more convenient, do not require laboratory monitoring, have limited drug and food interactions, and have fixed dosages suitable for most patients. This review from the Cleveland Clinic Journal of Medicine summarizes the clinically relevant characteristics of these new oral anticoagulants and provides guidance on their usage: http://www.ccjm.org/current-issue/issue-single-view/the-new-oral-anticoagulants-reasonable-alternatives-to-warfarin/26c19370e96b6f1a068a6c1a2974e737.html.

Dabigatran (a direct thrombin inhibitor) and rivaroxaban, apixaban, and edoxaban (direct activated factor X inhibitors) are increasingly being used in clinical practice. Compared with vitamin K antagonists, they are more convenient, do not require laboratory monitoring, have limited drug and food interactions, and have fixed dosages suitable for most patients. This review from the Cleveland Clinic Journal of Medicine summarizes the clinically relevant characteristics of these new oral anticoagulants and provides guidance on their usage: http://www.ccjm.org/current-issue/issue-single-view/the-new-oral-anticoagulants-reasonable-alternatives-to-warfarin/26c19370e96b6f1a068a6c1a2974e737.html.

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8 tips to help patients cope with insomnia

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8 tips to help patients cope with insomnia

Patients who struggle with insomnia may be better able to cope with their condition if they follow some of the tips listed in this patient handout from Neurology Reviews. Resisting naps, exercising earlier in the day, and avoiding the use of certain electronic devices before bedtime are among the tips offered at: http://cdn4.imng.com/fileadmin/qhi/nr/pdfs/53_TIPS_Insomnia_1115.pdf

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Patients who struggle with insomnia may be better able to cope with their condition if they follow some of the tips listed in this patient handout from Neurology Reviews. Resisting naps, exercising earlier in the day, and avoiding the use of certain electronic devices before bedtime are among the tips offered at: http://cdn4.imng.com/fileadmin/qhi/nr/pdfs/53_TIPS_Insomnia_1115.pdf

Patients who struggle with insomnia may be better able to cope with their condition if they follow some of the tips listed in this patient handout from Neurology Reviews. Resisting naps, exercising earlier in the day, and avoiding the use of certain electronic devices before bedtime are among the tips offered at: http://cdn4.imng.com/fileadmin/qhi/nr/pdfs/53_TIPS_Insomnia_1115.pdf

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Talking to patients about excess weight and type 2 diabetes

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Talking to patients about excess weight and type 2 diabetes

A brochure from the Obesity Action Coalition can help reinforce your discussions with patients about their increased risk of type 2 diabetes and other conditions when they suffer from obesity. This brochure lists symptoms that suggest a patient has or is developing type 2 diabetes, and provides a fasting blood sugar chart. The brochure is available at: http://www.obesityaction.org/educational-resources/brochures-and-guides/understanding-excess-weight-and-its-role-in-type-2-diabetes-brohure.

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A brochure from the Obesity Action Coalition can help reinforce your discussions with patients about their increased risk of type 2 diabetes and other conditions when they suffer from obesity. This brochure lists symptoms that suggest a patient has or is developing type 2 diabetes, and provides a fasting blood sugar chart. The brochure is available at: http://www.obesityaction.org/educational-resources/brochures-and-guides/understanding-excess-weight-and-its-role-in-type-2-diabetes-brohure.

A brochure from the Obesity Action Coalition can help reinforce your discussions with patients about their increased risk of type 2 diabetes and other conditions when they suffer from obesity. This brochure lists symptoms that suggest a patient has or is developing type 2 diabetes, and provides a fasting blood sugar chart. The brochure is available at: http://www.obesityaction.org/educational-resources/brochures-and-guides/understanding-excess-weight-and-its-role-in-type-2-diabetes-brohure.

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Proportion of HCV patients with cirrhosis is climbing

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Proportion of HCV patients with cirrhosis is climbing

Despite a decline in the overall prevalence of hepatitis C virus (HCV) in the United States, the number of HCV patients with cirrhosis has risen significantly. Researchers report that the estimated prevalence of cirrhosis in HCV-infected patients has climbed from 6.6% in the early 1990s to more than 17% in the present era. Read more about this study, including the factors contributing to this increase, at Family Practice News. http://www.familypracticenews.com/specialty-focus/infectious-diseases/single-article-page/proportion-of-hcv-patients-in-us-with-cirrhosis-climbing/0a460b7fef6d035236f12b94f8aafc32.html

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Despite a decline in the overall prevalence of hepatitis C virus (HCV) in the United States, the number of HCV patients with cirrhosis has risen significantly. Researchers report that the estimated prevalence of cirrhosis in HCV-infected patients has climbed from 6.6% in the early 1990s to more than 17% in the present era. Read more about this study, including the factors contributing to this increase, at Family Practice News. http://www.familypracticenews.com/specialty-focus/infectious-diseases/single-article-page/proportion-of-hcv-patients-in-us-with-cirrhosis-climbing/0a460b7fef6d035236f12b94f8aafc32.html

Despite a decline in the overall prevalence of hepatitis C virus (HCV) in the United States, the number of HCV patients with cirrhosis has risen significantly. Researchers report that the estimated prevalence of cirrhosis in HCV-infected patients has climbed from 6.6% in the early 1990s to more than 17% in the present era. Read more about this study, including the factors contributing to this increase, at Family Practice News. http://www.familypracticenews.com/specialty-focus/infectious-diseases/single-article-page/proportion-of-hcv-patients-in-us-with-cirrhosis-climbing/0a460b7fef6d035236f12b94f8aafc32.html

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These 3 measures risk stratify acute heart failure

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These 3 measures risk stratify acute heart failure

Three simple, routinely collected measurements together provide insight into the risk faced by community-dwelling patients hospitalized for acute decompensated heart failure, according to data collected from 3620 patients at one US center. The 3 measures are blood urea nitrogen, systolic blood pressure, and serum creatinine.

Using dichotomous cutoffs first calculated a decade ago, these 3 parameters distinguish up to an eight-fold range of postdischarge mortality during the 30 or 90 days following an index hospitalization, and up to a four-fold range of risk for rehospitalization for heart failure during the ensuing 30 or 90 days. More on this study is available at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/aha-three-measures-risk-stratify-acute-heart-failure/db179da4df9d20baa44be88152c1598f.html.

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Three simple, routinely collected measurements together provide insight into the risk faced by community-dwelling patients hospitalized for acute decompensated heart failure, according to data collected from 3620 patients at one US center. The 3 measures are blood urea nitrogen, systolic blood pressure, and serum creatinine.

Using dichotomous cutoffs first calculated a decade ago, these 3 parameters distinguish up to an eight-fold range of postdischarge mortality during the 30 or 90 days following an index hospitalization, and up to a four-fold range of risk for rehospitalization for heart failure during the ensuing 30 or 90 days. More on this study is available at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/aha-three-measures-risk-stratify-acute-heart-failure/db179da4df9d20baa44be88152c1598f.html.

Three simple, routinely collected measurements together provide insight into the risk faced by community-dwelling patients hospitalized for acute decompensated heart failure, according to data collected from 3620 patients at one US center. The 3 measures are blood urea nitrogen, systolic blood pressure, and serum creatinine.

Using dichotomous cutoffs first calculated a decade ago, these 3 parameters distinguish up to an eight-fold range of postdischarge mortality during the 30 or 90 days following an index hospitalization, and up to a four-fold range of risk for rehospitalization for heart failure during the ensuing 30 or 90 days. More on this study is available at Cardiology News: http://www.ecardiologynews.com/specialty-focus/heart-failure/single-article-page/aha-three-measures-risk-stratify-acute-heart-failure/db179da4df9d20baa44be88152c1598f.html.

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