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Medline
Consultantlive.com | Dietary Therapy to Reduce Cardiovascular Disease: What Works, What Doesn't
www.consultantlive.com - 10/31/04
 
PHOTO CLINIC

Emphysematous Pancreatitis in a 61-year-old Man
January 29, 2013

Emphysematous pancreatitis is typically managed with broad-spectrum antibiotics and early surgical debridement. Here, a case that supports more recent evidence for conservative therapy.

Ecchymosis: A Photo Essay
January 28, 2013

This compact slide show provides a range of visual presentations of ecchymosis.

Condylomata Acuminata (Severe External Genital Warts)
January 28, 2013

Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
 
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Obesity
 
LATEST FEATURES
May 1, 2005
Can High-Sugar Foods Be Eaten in a Manner That Supports Health?
High-Sugar Foods More »
April 1, 2005
What Next For This Patient?: Teenage Girl With Constant Headaches
"Headaches" is the chief complaint. Acne was the problem last year for 17-year-old Michelle. Otherwise her history is unremarkable. What's causing these daily headaches? More »
April 1, 2005
Weight Loss Benefits Go Beyond BP Control
How important is control of obesity in the treatment of hypertension? More »
September 1, 2004

Childhood Obesity:

ABSTRACT: To assess a child for overweight, begin by calculating his or her body mass index (BMI). Note that BMI is used differently in children than it is in adults. A child's BMI is plotted on a growth curve that reflects that child's age and gender. This yields a value-BMI-for-age-that provides a consistent measure across age groups.... More »
July 1, 2004
Surgical Treatment of Obesity: Questions Physicians Often Ask About Laparoscopic Adjustable Gastric Banding
Because bariatric surgery has traditionally been associated with a high incidence of complications, it has been used primarily for superobese patients. A large body of evidence suggests that laparoscopic adjustable gastric banding is a much safer procedure that is also very effective. This procedure offers an additional option to patients who might... More »
December 1, 2002
Anxious Woman With Unexplained Weight Loss
A 42-year-old woman complains of anxiety, unexplained weight loss, and palpitations that started about 3 weeks earlier. She denies fever, trauma, and new stress. She has a history of several urinary tract infections for which imaging failed to reveal any predisposing factors; all were successfully treated with medication. The remainder of the... More »
July 1, 2002
Obesity:
Over the past 20 years, obesity has reached epidemic proportions in the United States and throughout the world. The need for effective prevention and treatment is thus more urgent than ever. More »
Showing 151 - 157 of 157 results.
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MULTIMEDIA

Obesity: A Bariatric Surgeon Speaks to Primary Care Physicians
November 2, 2012

Dr. David von Rueden discusses factors that make it difficult for obese patients to lose weight with diet and medication; offers practical guidance about when to broach the subject of weight loss with your patient and what options to suggest; and what your role is after a patient has had bariatric surgery.

Podcast: Bariatric Surgery Bests Medical Therapy Alone in Obese Patients with Diabetes
April 12, 2012

Bariatric surgery nearly cures type 2 diabetes—at least that’s what results of a new study seem to imply. The study, presented at the recent ACC meeting and published in NEJM, found that 42% of patients randomly assigned to the stomach-reducing surgery quickly reached HbA1C targets and remained controlled at 1-year follow-up.

 
Medline
Muscle strength in youth and cardiovascular risk in young adulthood (the European Youth Heart Study)
bjsm.bmj.com - 3/23/13
Background

Whether muscle strength in youth is related to cardiovascular risk later in life independent of cardiorespiratory fitness is unclear.

Methods

We examined the independent association of isometric muscle strength in youth with cardiovascular risk factors in young adulthood using data from the Danish European Youth Heart Study; a population-based prospective cohort study among boys and girls (n=332) followed for up to 12 years. In youth maximal volunta

Coadministration of Glucagon-Like Peptide-1 During Glucagon Infusion in Humans Results in Increased Energy Expenditure and Amelioration of Hyperglycemia
diabetes.diabetesjournals.org - 3/21/13

Glucagon and glucagon-like peptide (GLP)-1 are the primary products of proglucagon processing from the pancreas and gut, respectively. Giving dual agonists with glucagon and GLP-1 activity to diabetic, obese mice causes enhanced weight loss and improves glucose tolerance by reduction of food intake and by increase in energy expenditure (EE). We aimed to observe the effect of a combination of glucagon and GLP-1 on resting EE and glycemia in healthy human volunteers. In a randomized, double-blinded cros

JAMA Network | JAMA | 278.00 Obesity, Not Otherwise Specified
jama.jamanetwork.com - 3/20/13
0. Search. A Piece of My Mind| March 20, 2013. 278.00 Obesity, Not Otherwise Specified. ... As a 50-something primary care physician, mother, wife, and woman of Eastern European descent who loves to cook and eat, I share on many levels the growing
278.00 Obesity, Not Otherwise Specified
jama.jamanetwork.com - 3/20/13
As a 50-something primary care physician, mother,wife, and woman of Eastern European descent who loves to cook and eat, I share on many levels the growing concern about overweight in this country and beyond. While many refer to this immense public health problem as the obesity epidemic, I object to that wordobesityespecially when used to describe individual patients. Calling patients obese defeats many of our aspirations as practitioners and may even
The contribution of molecular epidemiology to the identification of human carcinogens: current status and future perspectives
annonc.oxfordjournals.org - 3/20/13
Background

The use of biological-based markers of exposure, intermediate effect, outcome, and susceptibility has become standard practice in cancer epidemiology, which has contributed to identification of several carcinogenic agents. Nevertheless, with the exception of biological agents, this contribution, in terms of providing sufficiently strong evidence as required by the International Agency for Research on Cancer (IARC) monographs, has been modest.

 Materials and
Bariatric intervention effective at reversing Type 2 diabetes
ebm.bmj.com - 3/19/13

Commentary on: Schauer PR, Kashyap SR, Wolski K, et al.. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 2012;366:1567–, 76.

Context

Obesity is at worldwide epidemic proportions with estimates that over 60% of the population is overweight or

Training practitioners to deliver opportunistic multiple behaviour change counselling in primary care: a cluster randomised trial | BMJ
www.bmj.com - 3/19/13
AbstractObjectives To evaluate the effect of training primary care health professionals in behaviour change counselling on the proportion of patients self reporting change in four risk behaviours (smoking, alcohol use, exercise, and healthy eating).Design Cluster randomised trial with general practices as the unit of randomisation.Setting General practices in Wales.Participants 53 general practitioners and practice nurses from 27 general practices (one each at all but one practice) recruited 1827 patients
The Preliminary Effects of a Primary CareBased Randomized Treatment Trial With Overweight and Obese Young Children and Their Parents
www.jpedhc.org - 3/18/13
Abstract: Introduction: Twenty-three percent of preschoolers are overweight/obese, which puts these children at risk for the development of chronic health comorbidities. The purpose of this randomized control pilot study was to determine the feasibility and preliminary effects of a theoretically based, primary care intervention on the physical outcomes of 60 overweight/obese preschool/early school-aged 4- to 8-year-old children.Methods: After recruitment and baseline assessment, parent-child dyads were ra

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Medline
Consultantlive.com | Dietary Therapy to Reduce Cardiovascular Disease: What Works, What Doesn't
www.consultantlive.com - 10/31/04
ABSTRACT: The principal dietary strategy to reduce low-density lipoprotein cholesterol (LDL-C) levels is to decrease the amount of saturated fat and cholesterol in the diet. Consumption of soluble fibers, plant sterol and stanol esters, nuts, and soy protein further reduces LDL-C levels. Soluble fibers, such as psyllium, lower LDL-C levels by increasing bile acid loss, interrupting enterohepatic circulation of cholesterol, and reducing hepatic cholesterol delivery. Plant stanol and sterol esters, which ar



 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 
 
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