Why Do Children Drink Bottled Water?
Beliefs that bottled water tastes better and is safer, cleaner, and more convenient were more common among black and Latino parents.
Group Therapy After Weight Loss Helps Maintain Improvements in Obstructive Sleep Apnea
General Medicine Summary and Comment
At 1 year, half of patients no longer required continuous positive airway pressure.
Parenteral Nutrition in ICU Patients: What's the Rush?
Hospital Medicine Summary and Comment
Delaying intravenous nutrition for 1 week led to fewer infectious complications, shorter length of stay, and lower hospital costs than did early initiation.
Deficient Conflict-Resolution Circuitry in Bulimia Nervosa
Psychiatry Summary and Comment
Imaging data show diminished self-regulatory control in adolescents with bulimia nervosa when faced with conflicting situations.
By Joel Yager, MD
July 11, 2011
Covering:
Marsh R et al., Am J Psychiatry 2011 June 15
A "Thrifty Gene" Link Between Hoarding and Obesity
Psychiatry Summary and Comment
A genetic polymorphism is associated with hoarding and obesity in patients with obsessive-compulsive disorder.
By Joel Yager, MD
July 11, 2011
Covering:
Timpano KR et al., J Abnorm Psychol 2011 Jun 13
Children: Stay Asleep and Stay Lean
In the first longitudinal study to measure sleep objectively, reduced sleep duration during early childhood increased risk for becoming overweight.
By Martin T. Stein, MD
July 6, 2011
Covering:
Carter PJ et al., BMJ 2011 May 26; 342:d2712
Cappuccio FP and Miller MA., BMJ 2011 May 26; 342:d3306
Nitrous Oxide Facilitates Intravenous Access in Obese Children
IV access was more efficient and comfortable with nitrous oxide than midazolam in children with difficult access.
Evaluation, Treatment, and Prevention of Vitamin D Deficiency
General Medicine Clinical Practice Guideline Watch
Free
A new practice guideline recommends against routinely measuring serum vitamin D levels in adults.
By Allan S. Brett, MD
June 23, 2011
Covering:
Holick MF et al., J Clin Endocrinol Metab 2011 Jun 6
Evaluation, Treatment, and Prevention of Vitamin D Deficiency in Infants and Children
General Medicine Clinical Practice Guideline Watch
Free
Risk factors in children include breast-feeding without vitamin D supplementation, dark skin pigmentation, and maternal vitamin D deficiency.
By Howard Bauchner, MD
June 23, 2011
Covering:
Holick MF et al., J Clin Endocrinol Metab 2011 Jun 6
Playing Video Games Increases Caloric Intake
A 1-hour session increased caloric intake but not hunger in adolescent boys.
Alteplase Dose for Ischemic Stroke in Very Heavy Patients
Neurology Summary and Comment
Free
Despite a low per-kilogram dose, the current 90-mg maximum dose seems effective, according to data from a large, international thrombolysis registry.
Briefly Noted
Standard rituximab dosing better for pemphigus, no rise in cardiovascular risk in psoriasis, weight and psoriasis linked in children, autoimmune testing unnecessary for patients with chronic urticaria
The i-gel Supraglottic Airway Device Seals Better Than the LMA-Unique in Obese Patients
Emergency Medicine Summary and Comment
The i-gel better supports the high pressures needed to achieve ventilation in some obese patients.
BMI and Efficacy of Endocrine Therapy for Premenopausal Breast Cancer
Women's Health Summary and Comment
Free
Efficacy of an aromatase inhibitor plus goserelin was compromised in patients with high body-mass index.
Use of Dietary Botanical Supplements and Teas in U.S. Infants
Nearly 10% of surveyed mothers reported giving botanical remedies to their infants.
Eating Fish to Prevent Preterm Birth: No Need to Go Overboard
Women's Health Summary and Comment
Moderate dietary fish consumption was associated with lower risk for recurrent PTB; greater intake did not provide further protection.
Managing Obesity in Primary Care: The Challenge Continues
A multicomponent primary care obesity intervention for young children did not have a significant effect on body-mass index.
By Martin T. Stein, MD
May 25, 2011
Covering:
Taveras EM et al., Arch Pediatr Adolesc Med 2011 Apr 4
Is Lower Salt Intake Dangerous?
General Medicine Summary and Comment
In a controversial study, low-salt diets were associated with elevated cardiovascular disease mortality.
Calcium, With or Without Vitamin D, Raises Risk for Adverse Cardiovascular Events
General Medicine Summary and Comment
Free
Vascular calcification is one proposed mechanism.
Vitamin D Deficiency and Death?
Infectious Diseases Summary and Comment
In an 11-year observational study among critically ill patients, hypovitaminosis D was a risk factor for positive blood cultures, sepsis, and mortality.
By Thomas Glück, MD
May 11, 2011
Covering:
Braun A et al., Crit Care Med 2011 Apr; 39:671
Vitamin B for PMS?
Women's Health Summary and Comment
Free
Higher dietary intake of thiamine and riboflavin was associated with lower risk for new-onset premenstrual syndrome.
By Anna Wald, MD, MPH
April 28, 2011
Covering:
Chocano-Bedoya PO et al., Am J Clin Nutr 2011 May; 93:1080
Body Dissatisfaction Trumps Weight in Predicting Emotional Distress in Adolescents
Body dissatisfaction but not obesity correlates with emotional distress in adolescents.
An Encouraging Intervention for Obese Children
A parent-centered dietary-modification intervention was more effective than a child-centered activity intervention.
By Howard Bauchner, MD
April 27, 2011
Covering:
Collins CE et al., Pediatrics 2011 Apr; 127:619
Phentermine plus Topiramate for Weight Loss?
General Medicine Summary and Comment
The combination resulted in weight loss but caused substantial side effects.
By Bruce Soloway, MD
April 26, 2011
Covering:
Gadde KM et al., Lancet 2011 Apr 16; 377:1341
Which Vitamin D Supplement Boosts Levels More — D2 or D3 ?
General Medicine Summary and Comment
D3 (cholecalciferol) has the edge.
By Allan S. Brett, MD
April 26, 2011
Covering:
Binkley N et al., J Clin Endocrinol Metab 2011 Apr; 96:981
Heaney RP et al., J Clin Endocrinol Metab 2011 Mar; 96:E447
