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https://www.readbyqxmd.com/read/29038285/metabolic-effects-of-diet-and-exercise-in-patients-with-moderate-to-severe-ckd-a-randomized-clinical-trial
#1
T Alp Ikizler, Cassianne Robinson-Cohen, Charles Ellis, Samuel A E Headley, Katherine Tuttle, Richard J Wood, Elizabeth Elspeth Evans, Charles M Milch, Kelsey Anne Moody, Michael Germain, Chutatip Limkunakul, Aihua Bian, Thomas G Stewart, Jonathan Himmelfarb
CKD is steadily increasing along with obesity worldwide. Furthermore, obesity is a proinflammatory risk factor for progression of CKD and cardiovascular disease. We tested the hypothesis that implementation of caloric restriction and aerobic exercise is feasible and can improve the proinflammatory metabolic milieu in patients with moderate to severe CKD through a pilot, randomized, 2×2 factorial design trial. Of 122 participants consented, 111 were randomized to receive caloric restriction and aerobic exercise, caloric restriction alone, aerobic exercise alone, or usual care...
October 16, 2017: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/29030325/adhd-is-there-an-app-for-that-a-suitability-assessment-of-apps-for-the-parents-of-children-and-young-people-with-adhd
#2
Lauren Powell, Jack Parker, Valerie Harpin
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) is a highly comorbid disorder that can impact significantly on the individual and their family. ADHD is managed via pharmacological and nonpharmacological interventions. Parents also gain support from parent support groups, which may include chat rooms, as well as face-to-face meetings. With the growth of technology use over recent years, parents have access to more resources that ever before. A number of mobile apps have been developed to help parents manage ADHD in their children and young people...
October 13, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28994444/biomarkers-of-monitoring-and-functional-reserve-of-physiological-systems-over-time-in-hiv-expert-opinions-for-effective-secondary-prevention
#3
Massimo Andreoni, Chiara Mussi, Rita Bellagamba, Francesco Di Campli, Vincenzo Montinaro, Claudio Babiloni
HIV-positive individuals are more vulnerable to poor health than HIV-negative individuals. This vulnerability is characterized by a higher risk of several common, age-related health problems, even after adjustment for established risk factors. This expert opinion report aims at identifying the optimal biomarkers for monitoring the structural integrity and function of physiological systems at risk across aging in HIV-seropositive subjects. These biomarkers, readily available locally and relatively cost-effective for clinicians in primary and secondary care, should allow early detection of the first preclinical structural and functional changes in renal, brain, cardiovascular, and skeleton systems or apparatus in HIV subjects across aging (Table 8)...
October 10, 2017: New Microbiologica
https://www.readbyqxmd.com/read/28994200/a-nonpharmacological-approach-to-improve-sleep-quality-in-older-adults
#4
Iris Rawtaer, Rathi Mahendran, Hui Yu Chan, Feng Lei, Ee Heok Kua
OBJECTIVES: Poor sleep quality is highly prevalent among older adults and is associated with poor quality of life, cognitive and physical decline, depression, and increased mortality. Medication options commonly used are not ideal, and alternative treatment strategies are needed. We evaluate a community-based psychosocial intervention program and its effect on sleep quality in older adults. METHOD: Elderly participants aged 60 and above were included. Those with Geriatric Depression Scale and Geriatric Anxiety Inventory scores above 5 and 10, respectively, were excluded...
October 10, 2017: Asia-Pacific Psychiatry: Official Journal of the Pacific Rim College of Psychiatrists
https://www.readbyqxmd.com/read/28992856/cancer-related-fatigue-in-cancer-survivorship
#5
REVIEW
Chidinma C Ebede, Yongchang Jang, Carmen P Escalante
Cancer-related fatigue (CRF) significantly interferes with usual functioning because of the distressing sense of physical, emotional, and cognitive exhaustion. Assessment of CRF is important and should be performed during the initial cancer diagnosis, throughout cancer treatment, and after treatment using a fatigue scoring scale (mild-severe). The general approach to CRF management applies to cancer survivors at all fatigue levels and includes education, counseling, and other strategies. Nonpharmacologic interventions include psychosocial interventions, exercise, yoga, physically based therapy, dietary management, and sleep therapy...
November 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28992823/impact-of-music-therapy-on-dementia-behaviors-a-literature-review
#6
Nora Fakhoury, Nathaniel Wilhelm, Kristen F Sobota, Kelly R Kroustos
Worldwide, dementia is the most important contributor to disability in elderly patients. Treating patients with dementia can be challenging for clinicians because of the numerous behavioral and psychological symptoms of dementia (BPSD). The Dementia Action Alliance and American Geriatrics Society Beers criteria promote nonpharmacological and behavioral treatments as first-line therapy to manage BPSD to avoid adverse events associated with antipsychotic medications. Some of the nonpharmacologic therapies proposed for BPSD include: music therapy (MT), light therapy, acupressure, aromatherapy, massage, and animal-assisted therapy...
October 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28992822/therapy-update-for-insomnia-in-the-elderly
#7
Sum Lam, Lucy O Macina
OBJECTIVE: To offer an update on insomnia in older adults and treatment options. DATA SOURCES: A search of PubMed using the terms "insomnia" and "older adults" was performed. Current guidelines, review articles, and drug database and manufacturer package inserts were utilized to provide relevant information. STUDY SELECTION: All English-language articles from 2012 to February 2017 and their bibliographies were reviewed for relevance. Current guidelines from the American College of Physicians, the American Academy of Sleep Medicine, and the American Geriatrics Society's Beers criteria were reviewed...
October 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/28991649/chronic-obstructive-pulmonary-disease-in-elderly-patients
#8
REVIEW
Felipe Cortopassi, Puncho Gurung, Victor Pinto-Plata
Chronic obstructive pulmonary disease (COPD) is prevalent in the elderly population, with high impact on quality of life, morbidity, and mortality. The diagnosis is usually made based on symptoms and spirometry values that support the presence of airflow obstruction. However, the condition is frequently underdiagnosed. COPD is associated with premature aging and several other medical conditions that can partially explain its underdiagnosis and management. There are several pharmacologic and nonpharmacologic interventions proven to be effective in ameliorating the symptoms of COPD...
November 2017: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/28987039/reduction-in-pain-after-use-of-bioceramic-undershirt-for-patients-with-fibromyalgia
#9
(no author information available yet)
Context • The treatment of pain in fibromyalgia (FM) has centered on pharmacotherapy and nonpharmacological treatment. The nondrug treatments for FM include the effects of far infrared radiation (FIR). Currently, FIR-emitting heat lamps and garments made of filaments (fibers) impregnated with FIR-emitting nanoparticles are being used to deliver thermal radiation effects. Objective • The study intended to determine the benefits of a fabric coated with bioceramics for reducing pain in women with FM. Design • The research team designed a randomized, controlled pilot study...
September 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28985172/treating-raynaud-phenomenon-beyond-staying-warm
#10
REVIEW
Samantha C Shapiro, Fredrick M Wigley
Raynaud phenomenon is an overactive vascular response to cold and emotional stress that results in cutaneous color changes and sensory symptoms in the digits. It can be idiopathic (primary) or secondary to another condition; the latter can be more severe and more apt to lead to ischemic complications such as digital ulceration and even loss of digits. If nonpharmacologic interventions prove inadequate, then vasodilator agents are used.
October 2017: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/28984649/orthostatic-hypotension-for-the-cardiologist
#11
Philip L Mar, Satish R Raj
PURPOSE OF REVIEW: Orthostatic hypotension is a phenomenon commonly encountered in a cardiologist's clinical practice that has significant diagnostic and prognostic value for a cardiologist. Given the mounting evidence associating cardiovascular morbidity and mortality with orthostatic hypotension, cardiologists will play an increasing role in treating and managing patients with orthostatic hypotension. RECENT FINDINGS: The American College of Cardiology, American Heart Association, and Heart Rhythm Society recently published consensus guidelines on the diagnosis, treatment, and management of syncope and their instigators, including orthostatic hypotension...
October 4, 2017: Current Opinion in Cardiology
https://www.readbyqxmd.com/read/28978497/attention-deficit-hyperactivity-disorder-is-there-an-app-for-that-suitability-assessment-of-apps-for-children-and-young-people-with-adhd
#12
Lauren Powell, Jack Parker, Naomi Robertson, Valerie Harpin
BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) is a complex highly comorbid disorder, which can have a huge impact on those with ADHD, their family, and the community around them. ADHD is currently managed using pharmacological and nonpharmacological interventions. However, with advances in technology and an increase in the use of mobile apps, managing ADHD can be augmented using apps specifically designed for this population. However, little is known regarding the suitability and usability of currently available apps...
October 4, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28978209/treatment-and-managed-care-issues-of-atopic-dermatitis
#13
Danielle Ezzo
The specific cause of atopic dermatitis (AD) is not known. It is a multifactorial disease involving environmental agents, immune dysregulation, genetic predisposition, and defects in skin barrier function. Patients are typically classified as having mild, moderate, or severe disease. Most patients with AD can control their symptoms with various combinations of moisturizers, conventional prescription therapies, and lifestyle modifications, while patients with more severe disease may require adjunctive treatment with phototherapy, biologic treatments, or systemic immunosuppressants...
June 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28978208/overview-of-atopic-dermatitis
#14
Carmela Avena-Woods
Atopic dermatitis (AD), also known as atopic eczema, is a chronic relapsing inflammatory skin condition. Incidence of AD has increased 2- to 3-fold in industrialized nations, impacting approximately 15% to 20% of children and 1% to 3% of adults worldwide. AD has a wide-ranging impact on a patient's quality of life and the burden from direct and indirect costs (approximately $37.7 billion in out-of-pocket costs) is shared by the families and caregivers of patients with AD. This article reviews the epidemiology, burden of disease, pathophysiology, and diagnostic criteria important for early diagnosis and treatment...
June 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28973709/distinguishing-depressive-symptoms-from-similar-cancer-related-somatic-symptoms-implications-for-assessment-and-management-of-major-depression-after-breast-cancer
#15
REVIEW
Lora M A Thompson, Margarita Bobonis Babilonia
Prevalence rates of major depressive disorder (MDD) following breast cancer diagnosis are estimated to be ~5% to >20%, and these rates range from slightly below to somewhat above the expected prevalence rate for MDD in the general population of women in the United States. Women with a history of MDD are at increased risk for recurrence of MDD after breast cancer and need to be monitored closely. To properly diagnose and treat MDD, healthcare providers must be able to recognize depressive symptoms and distinguish them from similar somatic symptoms that are associated with breast cancer and breast cancer treatment...
October 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28966960/seeking-optimal-management-for-radioactive-iodine-therapy-induced-adverse-effects
#16
REVIEW
Andreas Charalambous
Radioactive iodine therapy (RAIT) is one of the important treatment modalities in the management of differentiated thyroid cancer (DTC). RAIT with iodine-131 has long been used in the management of DTC for the ablation of residual thyroid or treatment of its metastases. Despite being reasonably safe, radioiodine therapy is not always without side effects. Even relatively low administered activities of RAIT used for remnant ablation have been associated with the more clinically significant side effects of sialadenitis, xerostomia, salivary gland pain and swelling, dry eyes, excessive tearing, or alterations in taste in as many as 25% of patients...
October 2017: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28960446/a-systematic-review-of-non-pharmacological-treatments-for-apathy-in-dementia
#17
REVIEW
Christos Theleritis, Kostas Siarkos, Anastasios A Politis, Everina Katirtzoglou, Antonios Politis
OBJECTIVE: Apathy is one of the most frequent neuropsychiatric symptoms encountered in dementia. Early diagnosis and timely treatment of apathy in dementia are crucial because apathy has been associated with poor disease outcome, reduced daily functioning, and caregiver distress. DESIGN: Extensive electronic search from the databases included in the National Library of Medicine as well as PsychInfo and Google Scholar for studies which have investigated the effect of non-pharmacological treatments of apathy in dementia...
September 29, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28957881/practical-approaches-to-managing-cancer-patients-with-weight-loss
#18
Egidio Del Fabbro, Tamara A Orr, Susan M Stella
PURPOSE OF REVIEW: Poor appetite and weight loss are a source of family conflict, psychological distress, and associated with poor tolerance to chemotherapy, impaired quality of life, and decreased survival. Despite clinicians' concern about the effect of cachexia on their patients, few oncological professional organizations provide guidelines for the treatment of cancer-related weight loss. RECENT FINDINGS: Recent publications indicate there is an unmet need for addressing cachexia in patients with cancer...
September 27, 2017: Current Opinion in Supportive and Palliative Care
https://www.readbyqxmd.com/read/28947117/making-a-measurable-difference-in-advanced-huntington-disease-care
#19
Carol Brown Moskowitz, Ashwini K Rao
Neurologists' role in the care of people with advanced Huntington disease (HD) (total functional capacity <7), often limited by a lack of clinical research to support good practice, includes the following: (1) provide comprehensive health records to an interdisciplinary care staff before admission to a more intense care setting (home health services, day program, assisted living, group home, long-term skilled nursing facility, palliative care); (2) consult with and refer to rehabilitation (occupational therapy, physical therapy, speech and language pathology), behavioral and psychiatric professionals for problem-solving strategies, which must be reviewed with direct care staff before implementation; (3) encourage and support qualitative and quantitative interdisciplinary research studies, and randomized controlled studies of nonpharmacologic interventions; and (4) assist in the development of meaningful measures to further document what works to provide a good quality of life for the patient and family and a comfortable thoughtful approach to a good death...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/28947111/medical-treatment-of-behavioral-manifestations-of-huntington-disease
#20
Erik van Duijn
Almost all patients with Huntington disease (HD) show some form of behavioral changes during the disease progression. These behavioral manifestations may already be present before cognitive or motor symptoms become apparent, and vary from subtle anxiety to severe psychosis and suicide attempts. These behavioral manifestations are related to both psychologic factors, like the burden of having a severe disease, and biologic factors that are related to the disease itself. In this chapter, both nonpharmacologic and pharmacologic interventions are discussed...
2017: Handbook of Clinical Neurology
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