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ChronicDisease

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37

Guidelines, polypharmacy, and drug-drug interactions in patients with multimorbidity

Polypharmacy, defined as the chronic co-prescription of several drugs, is often the consequence of the application of disease specific guidelines, targeting disease specific goals, to patients with multiple chronic diseases. One common consequence of polypharmacy is the high rate of adverse drug reactions, mainly from drug-drug interactions (the ability of a drug to modify the action or effect of another drug administered successively or simultaneously).1 The risk of a drug-drug interaction in any particular patient increases with the number of co-existing diseases and the number of drugs prescribed.2  
feeds.bmj.com
over 4 years ago
Www.bmj
0
17

Should vitamin D supplements be recommended to prevent chronic diseases?

Do not recommend vitamin D supplements to prevent chronic disease because clear evidence of benefit does not currently exist and adverse effects cannot be excluded  
feeds.bmj.com
over 4 years ago
Www.bmj
0
11

Chronic disease causes more visits to emergency departments while visits for injuries fall, US study finds

The mix of patients seeking care in emergency departments in California has shifted, a new study shows, as the proportion of visits by patients needing care for injuries fell slightly while the proportion seeking care for non-injury diagnoses rose significantly.  
feeds.bmj.com
over 4 years ago
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2

New pathway reveals how immune system is regulated; gives hope for chronic diseases

Researchers from the University of Birmingham have identified an important new way in which our immune systems are regulated, and hope that understanding it will help tackle the debilitating...  
medicalnewstoday.com
over 4 years ago
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0
3

Partner caregivers of veterans with brain injuries may be at risk for chronic disease

Researchers found link between certain feelings and inflammationBlame and anger associated with the grief of caring for a loved one with a traumatic-brain injury (TBI)...  
medicalnewstoday.com
over 4 years ago
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0
19

Journal club: Chronic disease management for tobacco dependence

Stream Journal club: Chronic disease management for tobacco dependence by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 4 years ago
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0
4

Qualcomm Life & Chronic Illness Management

Rick Valencia, SVP and General Manager of Qualcomm Life, joins Pat Salber (@docweighsin) for a conversation about technology enabled chronic illness manageme...  
youtube.com
over 4 years ago
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0
0

Qualcomm Life & Chronic Illness Management - YouTube

Rick Valencia, SVP and General Manager of Qualcomm Life, joins Pat Salber (@docweighsin) for a conversation about technology enabled chronic illness manageme...  
youtube.com
over 4 years ago
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0
7

Yoga for epilepsy | Cochrane

Epilepsy is a disorder in which recurrent seizures are caused by abnormal electrical discharges in the brain. Most seizures can be controlled by antiepileptic drugs but sometimes seizures develop which are resistant to those drugs. People may also wish to try non-drug treatments such as yoga. Between 25% and 40% of people with epilepsy treated with AED have uncontrolled seizure, experience adverse effect from medication, suffer from stigmatisation and have a higher degree of psychiatric disorders as compared with people with other chronic illnesses. For those who have epilepsy and related problems it is important to develop, evaluate, and implement a complementary treatment model in the everyday treatment of epilepsy.  
cochrane.org
over 4 years ago
Www.bmj
0
7

Time to consider the risks of caesarean delivery for long term child health

Jan Blustein and Jianmeng Liu examine the evidence linking caesarean delivery with childhood chronic disease and say that guidelines on delivery should be reviewed with these risks in mind  
feeds.bmj.com
over 4 years ago
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3

Podcast Time! Upper Gastrointestinal Bleeds

PEM Currents, the Pediatric Emergency Medicine podcast returns today with an episode focusing on upper GI bleeds. Serious UGI bleeds – you know, the ones with shock, massive transfusions and more – are fortunately rare in the Pediatric Emergency Department. However, there is a growing population of patients with chronic diseases that can lead to portal hypertension, varies and other causes of bleeding from the upper GI tract.  
pemcincinnati.com
over 4 years ago
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1
7

Type 1 Diabetes Mellitus Differential Diagnoses

Type 1 diabetes is a chronic illness characterized by the body’s inability to produce insulin due to the autoimmune destruction of the beta cells in the pancreas. Onset most often occurs in childhood, but the disease can also develop in adults in their late 30s and early 40s.  
emedicine.medscape.com
over 4 years ago
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1
4

Find Stats on Chronic Diseases of Aging and Medical Innovation at Newly Designed Silver Book® Site - Press Release Rocket

The Silver Book® site includes data on cancer, diabetes, heart disease, vision loss, and other diseases and conditions. It also has stats on the impact of an aging population and the value of medical innovation and research.  
pressreleaserocket.net
over 4 years ago
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8

Chronic Illness and Disease Health Rant

Whether you have digestive issues, arthritis, heart disease, diabetes, joint problems, or any of the thousands of conditions out there... here's a short and ...  
youtube.com
over 4 years ago
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0

Exercise therapy for fatigue in multiple sclerosis | Cochrane

Multiple sclerosis (MS) is a chronic disease affecting over 1.3 million people globally. MS is characterized by diffuse damage to the central nervous system, leading to a wide range of different physical and cognitive (mental processes) symptoms. One of the most prominent and disabling symptoms of MS is fatigue. Currently, there is no effective medicine to reduce fatigue in people with MS. Treatment with exercise may be a way to reduce fatigue either directly by changing how the body works, for example hormonal function, or indirectly through improved physical activity and general health.  
cochrane.org
over 4 years ago
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0
4

Insurance Expansion Means Boom in Chronic Illness Diagnoses

Under the ACA, 1.5 million more may be diagnosed with hypertension, high cholesterol, or diabetes; with more detection comes further demand on the workforce and higher costs, at least initially.  
medscape.com
about 4 years ago
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Multiple Chronic Conditions Up Risk for Memory Decline

The new findings emphasize the importance of preventing or treating chronic diseases to help aging adults maintain their cognitive health, researchers say.  
medscape.com
about 4 years ago
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0

Guideline recommended treatments in complex patients with multimorbidity

Multimorbidity is an increasing problem for both clinicians and patients. Aging populations, the increased complexity of managing chronic illness, and the tendency of guidelines to focus on a single disease have created a “perfect storm” of treatment burden. Consider the following patient: “Mrs S is a 79 year old woman with osteoporosis, osteoarthritis, type 2 diabetes mellitus, hypertension, and chronic obstructive pulmonary disease who takes 12 separate drugs in 19 doses five times during a typical day. A drug review revealed three drug-disease interactions, nine drug-drug interactions, and eight potential drug-food interactions.” With this hypothetical case, a decade ago one study showed that the application of multiple guidelines to a patient with multimorbidity creates three problems1: firstly, as comorbidity is a common reason for exclusion in clinical trials it is not known whether treatment effects in patients with multimorbidity are equivalent to those in patients with single diseases.2 3 Secondly, the application of multiple disease oriented guidelines bears the risks of potentially harmful interactions between diseases and treatments.4 5 Thirdly, an uncritical application of multiple guidelines adds to the burden of …  
feeds.bmj.com
about 4 years ago
Preview
0
1

Guideline recommended treatments in complex patients with multimorbidity

Multimorbidity is an increasing problem for both clinicians and patients. Aging populations, the increased complexity of managing chronic illness, and the tendency of guidelines to focus on a single disease have created a “perfect storm” of treatment burden. Consider the following patient: “Mrs S is a 79 year old woman with osteoporosis, osteoarthritis, type 2 diabetes mellitus, hypertension, and chronic obstructive pulmonary disease who takes 12 separate drugs in 19 doses five times during a typical day. A drug review revealed three drug-disease interactions, nine drug-drug interactions, and eight potential drug-food interactions.” With this hypothetical case, a decade ago one study showed that the application of multiple guidelines to a patient with multimorbidity creates three problems1: firstly, as comorbidity is a common reason for exclusion in clinical trials it is not known whether treatment effects in patients with multimorbidity are equivalent to those in patients with single diseases.2 3 Secondly, the application of multiple disease oriented guidelines bears the risks of potentially harmful interactions between diseases and treatments.4 5 Thirdly, an uncritical application of multiple guidelines adds to the burden of …  
feeds.bmj.com
about 4 years ago
Preview
0
0

Guideline recommended treatments in complex patients with multimorbidity

Multimorbidity is an increasing problem for both clinicians and patients. Aging populations, the increased complexity of managing chronic illness, and the tendency of guidelines to focus on a single disease have created a “perfect storm” of treatment burden. Consider the following patient: “Mrs S is a 79 year old woman with osteoporosis, osteoarthritis, type 2 diabetes mellitus, hypertension, and chronic obstructive pulmonary disease who takes 12 separate drugs in 19 doses five times during a typical day. A drug review revealed three drug-disease interactions, nine drug-drug interactions, and eight potential drug-food interactions.” With this hypothetical case, a decade ago one study showed that the application of multiple guidelines to a patient with multimorbidity creates three problems1: firstly, as comorbidity is a common reason for exclusion in clinical trials it is not known whether treatment effects in patients with multimorbidity are equivalent to those in patients with single diseases.2 3 Secondly, the application of multiple disease oriented guidelines bears the risks of potentially harmful interactions between diseases and treatments.4 5 Thirdly, an uncritical application of multiple guidelines adds to the burden of …  
feeds.bmj.com
about 4 years ago