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Monday, June 18, 2012

Almost half of Americans did not receive routine preventive care before 2010, study finds

Los Angeles Times graphic by Mel Melcon
Though preventive medicine is considered a cornerstone in improving health, nearly half of Americans did not receive routine preventive care before 2010, a report by the Centers for Disease Control and Preventionhas found.

The findings show “there are large disparities by demographics, geography, and health care coverage and access” when it comes to receiving preventive clinical services, said CDC Director Dr. Thomas Frieden.

The analysis looked at “how many people with vascular heart disease were prescribed aspirin or antiplatelet therapy to prevent heart disease (just 46 percent) and how many adults with hypertension had their blood pressure under control (just 43 percent). Only 28 percent of adults between 18 and 64 had received the seasonal influenza vaccine. Only 7.6 percent of tobacco users were prescribed tobacco cessation medication,” reports Eryn Brown for the Los Angeles Times.

When it came to cholesterol testing the results were more positive, with 70 percent of men and women considered at risk receiving screening in the last five years. Preventive care to manage diabetes was also more readily accessible.

The goal of the study was to establish a baseline of preventive care before the implementation of the Affordable Care Act, which “gave 54 million Americans at least one new free preventive service through private health insurance plans,” Brown reports. (Read more)
Los Angeles Times graphic by Mel Melcon
Though preventive medicine is considered a cornerstone in improving health, nearly half of Americans did not receive routine preventive care before 2010, a report by the Centers for Disease Control and Preventionhas found.

The findings show “there are large disparities by demographics, geography, and health care coverage and access” when it comes to receiving preventive clinical services, said CDC Director Dr. Thomas Frieden.

The analysis looked at “how many people with vascular heart disease were prescribed aspirin or antiplatelet therapy to prevent heart disease (just 46 percent) and how many adults with hypertension had their blood pressure under control (just 43 percent). Only 28 percent of adults between 18 and 64 had received the seasonal influenza vaccine. Only 7.6 percent of tobacco users were prescribed tobacco cessation medication,” reports Eryn Brown for the Los Angeles Times.

When it came to cholesterol testing the results were more positive, with 70 percent of men and women considered at risk receiving screening in the last five years. Preventive care to manage diabetes was also more readily accessible.

The goal of the study was to establish a baseline of preventive care before the implementation of the Affordable Care Act, which “gave 54 million Americans at least one new free preventive service through private health insurance plans,” Brown reports. (Read more)
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States with helmet laws have far fewer motorcycle-related deaths; Kentucky doesn't require bikers to wear protective headgear

Petersburg (Tex.) Volunteer Fire Dept. photo
“Fewer motorcyclists die in states that require helmets, and the costs to society are lower too,” reports Mike Stobbe for The Associated Press. About five times as many no-helmet biker deaths occur in states with less restrictive laws.

Kentucky once had a helmet law for motorcyclists, but repealed it several years ago. Nationwide, 20 states had universal motorcycle helmet laws in 2010, but Michigan has since reversed course and allowed helmets to be optional for riders over 21.

The study, conducted by the Centers for Disease Control and Prevention, looked at 14,283 motorcycle-related deaths from 2008 to 2010. Of those, 6,027 bikers did not wear a helmet. “Only about 12 percent of those deaths occurred in the 20 states that required everyone on motorbikes to wear helmets,” Stobbe reports.

The study also found that helmet use saved $3 billion in U.S. medical expenses. Another $1.4 billion could have been saved if all states had helmet laws, the CDC concluded. Motorcycles account for about 3 percent of vehicles on the road, but 14 percent of deaths caused by traffic accidents. (Read more)
Petersburg (Tex.) Volunteer Fire Dept. photo
“Fewer motorcyclists die in states that require helmets, and the costs to society are lower too,” reports Mike Stobbe for The Associated Press. About five times as many no-helmet biker deaths occur in states with less restrictive laws.

Kentucky once had a helmet law for motorcyclists, but repealed it several years ago. Nationwide, 20 states had universal motorcycle helmet laws in 2010, but Michigan has since reversed course and allowed helmets to be optional for riders over 21.

The study, conducted by the Centers for Disease Control and Prevention, looked at 14,283 motorcycle-related deaths from 2008 to 2010. Of those, 6,027 bikers did not wear a helmet. “Only about 12 percent of those deaths occurred in the 20 states that required everyone on motorbikes to wear helmets,” Stobbe reports.

The study also found that helmet use saved $3 billion in U.S. medical expenses. Another $1.4 billion could have been saved if all states had helmet laws, the CDC concluded. Motorcycles account for about 3 percent of vehicles on the road, but 14 percent of deaths caused by traffic accidents. (Read more)
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Lexington physician will lead American Medical Association

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A Kentucky physician has been chosen to head the American Medical Association.

Dr. Ardis Hoven of Lexington, an infectious-disease specialist, ran unopposed and will be the AMA's 168th president and the third woman to hold the position.

"The honor here is that I've been given a large responsibility, of which I'm very aware," she said. "We have the opportunity to take medicine, to take health care, to a better place."

Hoven was at the forefront in battling the first wave of the AIDS epidemic, reports Cheryl Truman of the Lexington Herald-Leader.

Hoven, a Cincinnati native, was president of the Kentucky Medical Association from 1993-94 and was elected to the AMA Board of Trustees in 2005. (Read more)
Add caption
A Kentucky physician has been chosen to head the American Medical Association.

Dr. Ardis Hoven of Lexington, an infectious-disease specialist, ran unopposed and will be the AMA's 168th president and the third woman to hold the position.

"The honor here is that I've been given a large responsibility, of which I'm very aware," she said. "We have the opportunity to take medicine, to take health care, to a better place."

Hoven was at the forefront in battling the first wave of the AIDS epidemic, reports Cheryl Truman of the Lexington Herald-Leader.

Hoven, a Cincinnati native, was president of the Kentucky Medical Association from 1993-94 and was elected to the AMA Board of Trustees in 2005. (Read more)
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New resource guide and school curriculum aimed at expanding farm-to-school programs in Kentucky

A resource guide and school curriculum are the latest efforts to expand farm-to-school programs in Kentucky. With fewer than 30 percent of Kentuckians consuming the recommended amounts of fruits and vegetables every day, farm to school is a “win-win for students, school food service, farmers and local economies,” said Elaine Russell, coordinator for Kentucky Obesity Prevention Program and chairwoman of the Kentucky Farm-to-School Task Force.

The guide includes advice from Kentuckians who have already participated in projects; resources to connect farmers and school food service directors, how to follow procurement rules; recipes; a produce calculator; funding sources; and how to get kids to eat their vegetables.

The curriculum helps students recognize the sources of the food they eat and explains how eating locally-grown food can improve their diet and nutrition.

The undertaking is a joint effort between the Kentucky Department for Public Health the state Department of Agriculture the state Department of Education and the University of Kentucky. The new resources will be presented to school food service personnel June 19 at the Kentucky School Nutrition Association’s conference at the Northern Kentucky Convention Center in Covington. (Read more)

A resource guide and school curriculum are the latest efforts to expand farm-to-school programs in Kentucky. With fewer than 30 percent of Kentuckians consuming the recommended amounts of fruits and vegetables every day, farm to school is a “win-win for students, school food service, farmers and local economies,” said Elaine Russell, coordinator for Kentucky Obesity Prevention Program and chairwoman of the Kentucky Farm-to-School Task Force.

The guide includes advice from Kentuckians who have already participated in projects; resources to connect farmers and school food service directors, how to follow procurement rules; recipes; a produce calculator; funding sources; and how to get kids to eat their vegetables.

The curriculum helps students recognize the sources of the food they eat and explains how eating locally-grown food can improve their diet and nutrition.

The undertaking is a joint effort between the Kentucky Department for Public Health the state Department of Agriculture the state Department of Education and the University of Kentucky. The new resources will be presented to school food service personnel June 19 at the Kentucky School Nutrition Association’s conference at the Northern Kentucky Convention Center in Covington. (Read more)

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Feline heart disease and pimobendan

Hambrook LE, Bennett PF. Effect of pimobendan on the clinical outcome and survival of cats with non-taurine responsive dilated cardiomyopathy. J Feline Med Surg 2012;14:233-239.
MP900433140 
Dilated cardiomyopathy (DCM) is an uncommon form of cardiac disease in cats that can lead to congestive heart failure (CHF), aortic thromboembolism (ATE), arrhythmias, and sudden death. Taurine deficiency was found to be a major cause of feline DCM in 1987. Subsequent supplementation with taurine of cat foods has significantly reduced, yet not eliminated the incidence of feline DCM. This study looked at the effect of pimobendan on the median survival time (MST) of cats with non-taurine responsive dilated cardiomyopathy. Thirty-two client owned cats were divided into pimobendan (n=16) and non-pimobendan (n=16) treatment groups. All the cats received standard treatment of frusemide, taurine, and benazepril or enalapril. The MST of the pimobendan group (49 days, range 1 to > 502 days) was four times as long as the non-pimobendan group (12 days, 1 to 244 days). Pimobendan therapy appears to improve the survival time of cats with non-taurine responsive DCM. Pimobendan therapy was not associated with adverse effects in the cats. Hypothermia and fractional shortening (FS) of <20% were associated with a poor prognosis in cats. [VT]

See also: MacGregor JM, Rush JE, Laste NJ, et al. Use of pimobendan in 170 cats (2006–2010). J Vet Cardiol 2011;13:251-260.

More on cat health:
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Hambrook LE, Bennett PF. Effect of pimobendan on the clinical outcome and survival of cats with non-taurine responsive dilated cardiomyopathy. J Feline Med Surg 2012;14:233-239.
MP900433140 
Dilated cardiomyopathy (DCM) is an uncommon form of cardiac disease in cats that can lead to congestive heart failure (CHF), aortic thromboembolism (ATE), arrhythmias, and sudden death. Taurine deficiency was found to be a major cause of feline DCM in 1987. Subsequent supplementation with taurine of cat foods has significantly reduced, yet not eliminated the incidence of feline DCM. This study looked at the effect of pimobendan on the median survival time (MST) of cats with non-taurine responsive dilated cardiomyopathy. Thirty-two client owned cats were divided into pimobendan (n=16) and non-pimobendan (n=16) treatment groups. All the cats received standard treatment of frusemide, taurine, and benazepril or enalapril. The MST of the pimobendan group (49 days, range 1 to > 502 days) was four times as long as the non-pimobendan group (12 days, 1 to 244 days). Pimobendan therapy appears to improve the survival time of cats with non-taurine responsive DCM. Pimobendan therapy was not associated with adverse effects in the cats. Hypothermia and fractional shortening (FS) of <20% were associated with a poor prognosis in cats. [VT]

See also: MacGregor JM, Rush JE, Laste NJ, et al. Use of pimobendan in 170 cats (2006–2010). J Vet Cardiol 2011;13:251-260.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+

Read More


Thursday, June 14, 2012

Feline obesity: activity levels & feeding frequency

Deng P, Grant RW, Swanson KS. Physical activity level of adult cats with varied feeding frequency. Br J Nutr 2011;106 Suppl 1:S166-169.
 
There are more than a few reasons for obesity in cats, not the least of which are low activity levels and overconsumption of food. These researchers investigated the effect that frequency of feeding had on the activity level of cats to answer the question: Will feeding more frequently increase activity levels? Twelve healthy adult cats were fed 2 meals per day for one month and then 4 meals per day for another month. The amount of food provided was sufficient to maintain the cats’ current body weight. Activity levels were measured with activity monitors on the cats’ collars. Daily average activity levels were not different when the cats were fed more frequently – back to the drawing board! [MK]

See also: German AJ. The growing problem of obesity in dogs and cats. J Nutr 2006;136:1940S-1946S. [Free full text article]

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+

Deng P, Grant RW, Swanson KS. Physical activity level of adult cats with varied feeding frequency. Br J Nutr 2011;106 Suppl 1:S166-169.
 
There are more than a few reasons for obesity in cats, not the least of which are low activity levels and overconsumption of food. These researchers investigated the effect that frequency of feeding had on the activity level of cats to answer the question: Will feeding more frequently increase activity levels? Twelve healthy adult cats were fed 2 meals per day for one month and then 4 meals per day for another month. The amount of food provided was sufficient to maintain the cats’ current body weight. Activity levels were measured with activity monitors on the cats’ collars. Daily average activity levels were not different when the cats were fed more frequently – back to the drawing board! [MK]

See also: German AJ. The growing problem of obesity in dogs and cats. J Nutr 2006;136:1940S-1946S. [Free full text article]

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News Weekly
Join us on Google+

Read More


Wednesday, June 13, 2012

Rural health care is a notch below care in urban areas, but its costs are lower and its emergency rooms are faster, study finds

A national study has found a narrow gap between the quality of health care in rural and urban settings, but it does recognize the "significant differences" differences between urban and rural care.

The report is an update to "Rural Relevance Under Healthcare Reform: A Tracking Study," by iVantage Health Analytics, and evaluates performance measures across physician, outpatient, hospital and emergency room settings. According to a press release, the report reveals that in Medicare could save about $7.2 billion if costs per patient were the same in rural and urban settings. The report also finds that for rural patients, physician payments are 18 percent lower and hospital payments are 2 percent lower than in urban areas, but outpatient payments are 14 percent higher. The overall cost per Medicare patient is 3.7 percent lower for rural patients.

Rural emergency care is faster overall than urban emergency room care, with rural patients seeing a doctor 30 percent faster (once the patient gets to the hospital, we should add). This results in fewer hospital admissions. The full report can be accessed here.
A national study has found a narrow gap between the quality of health care in rural and urban settings, but it does recognize the "significant differences" differences between urban and rural care.

The report is an update to "Rural Relevance Under Healthcare Reform: A Tracking Study," by iVantage Health Analytics, and evaluates performance measures across physician, outpatient, hospital and emergency room settings. According to a press release, the report reveals that in Medicare could save about $7.2 billion if costs per patient were the same in rural and urban settings. The report also finds that for rural patients, physician payments are 18 percent lower and hospital payments are 2 percent lower than in urban areas, but outpatient payments are 14 percent higher. The overall cost per Medicare patient is 3.7 percent lower for rural patients.

Rural emergency care is faster overall than urban emergency room care, with rural patients seeing a doctor 30 percent faster (once the patient gets to the hospital, we should add). This results in fewer hospital admissions. The full report can be accessed here.
Read More