Men who rested for at least two or three minutes between weight-lifting sets instead of just one minute may achieve greater strength and muscle growth, UK researchers reported in Experimental Physiology. Longer rest periods were linked to increases in myofibrillar protein synthesis while shorter rests may impair the muscle growth process, the study found.
Radiologists are well-positioned to advance team-based care and lead quality improvement efforts, Dr. Emily Sedgwick wrote in the Journal of the American College of Radiology, describing the experience of her institution. A radiologist volunteered to head the Baylor College of Medicine's health care quality improvement initiative after problems had arisen, and the doctor convened a conference on the topic that nearly all attendees said was relevant to their work. Two months later, 65% of attendees said they had made changes to their clinical practice as a result.
Tools are being developed to help radiologists manage the influx of data and images that accompanies referred patients and sift through extraneous information to identify the clinically relevant issues. The PowerShare Network facilitates data exchange to optimize care and avoid redundant imaging, while Clinical Guidance and ACR Assist provide clinical decision support.
A study in Endocrine Practice showed that inpatients with hypoglycemia had higher peak insulin drip rates, insulin glargine doses and model for end-stage liver disease scores, as well as longer hospital stays, than those without hypoglycemia. The findings, based on 164 patients who received either an intensive or moderate insulin therapy while hospitalized after liver transplantation, revealed that patients on intensive insulin therapy had more hypoglycemic events than patients in the moderate insulin therapy group.
Individuals with the most favorable adiposity alleles for a given body mass index had a lower risk of developing type 2 diabetes, heart disease and hypertension, compared with those who had the fewest favorable alleles, according to a study in Diabetes. UK researchers analyzed data on 164,609 individuals from the UK Biobank and other studies and found that the 50% of people with the most favorable adiposity alleles had higher BMIs and body fat percentages than the 50% with the fewest favorable alleles.
A survey found many nurses are using smartphones for patient care. Nurses report using their phones to look up drug interactions and other clinical data and to access information about diseases and disorders.
A standardized process of follow-up phone calls and clinician assessments that was developed by advanced oncology nurses in Kentucky may improve adherence to oral cancer therapies and help identify patients in need of support, according to a study presented at a meeting of the Oncology Nursing Society. Adherence was found in 82% of 162 patients on the first follow-up call and in 86% on the second, while interventions that focused on toxicity or patient concerns were conducted in 17% of the cases.
A report from the Stanford Center on Longevity concludes that scammers can use appeals to the emotions of older investors to undercut their judgement and encourage them to make risky financial decisions.
A study in Health Affairs based on Medicare cost reports showed seven of the 10 most profitable US hospitals were nonprofits, including the top four on the list. The top-performing hospitals do better because they have more power to negotiate higher reimbursements from insurers, study authors said.
The CMS has published a fact sheet detailing how the proposed Advancing Care Information program will replace meaningful use next year. The proposal is "designed to simplify requirements, support patient care, and be flexible to meet the needs of physician practices," and also "emphasizes measures that support improved patient engagement and connectivity and reduces reporting burden," according to the fact sheet.
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