Obesity

GOLDEN, Colo. -- Practice makes better bariatric surgery, with fewer complications and quicker hospital stays, according to investigators here.

NEW YORK -- Survivors of childhood acute lymphoblastic leukemia, particularly those treated with cranial radiotherapy, tend to lead a dangerously sedentary lifestyle as adults, found researchers here.

BOSTON -- Obesity tends to spread widely through a person's social and family ties, even as far as a friend's friend's friend, researchers found.

BOSTON -- Soft drinks, whether diet or regular, are associated with substantially increased risk of metabolic syndrome among middle-age adults, according to a large community-based study.

BOSTON -- Obesity's link to multiple myeloma has received new corroboration from an analysis of data from two large studies of health care professionals.

BIRMINGHAM, Ala.-- Combining two classes of renin inhibition led to significantly lowered blood pressures than did treatment with either alone.

BOSTON -- Simply by reducing insulin-like signaling within the brains of mice, the creatures developed risk factors for diabetes but become long-lived, investigators here reported.

SYDNEY, Australia -- Calorie for calorie, weight loss may be easier if diets are high in foods with a low glycemic index, such as lentils, according to a systematic literature review.

MIDDLESBROUGH, England -- High-quality data are lacking to assess dietary advice for patients newly diagnosed with diabetes, but evidence does show that exercise improves glycemic control.

BALTIMORE -- Regular bedside visits from a six-foot-tall robot with a flat screen monitor for a face resulted in shorter lengths of stay following laparoscopic gastric bypasses, researchers here reported.

CARDIFF, Wales -- Men who drank at least a pint of milk daily were more than 60% less likely to develop metabolic syndrome than men who drank less milk, researchers reported here.

MATSUMOTO, Japan -- Among patients in their 60s and older, fast walking is better than moderate strolling to improve systolic blood pressure and flexibility, researchers here have found.

NOTTINGHAM, England -- A "fat tax" on unhealthy food could reduce cardiovascular disease -- but only if it was very carefully targeted, researchers here said.

QUEBEC CITY, Quebec -- Folic acid supplementation of white flour and cereal products in Canada reduced neural-tube defects by 46%, researchers reported.

RICHMOND, Va. -- Longer is better when it comes to treatment for hepatitis C, researchers here said.

BALTIMORE -- An astonishing doubling in American obesity took place in the two decades after the nation's bicentennial, epidemiologists reported.

BOSTON -- Incretin-based therapies offer an alternative to hypoglycemic agents for type 2 diabetes with little if any weight gain, a meta-analysis showed.

PHILADELPHIA -- Half of otherwise healthy children and adolescents in the northeastern United States don't get enough vitamin D, researchers found.

BOSTON -- A lack of fruit and fish in teenagers' diets may keep them from attaining full lung capacity and set them up for later respiratory problems, researchers here said.

NEEDLES, Calif. -- The temperature climbed toward a life-threatening 120degrees here today, with forecasters predicting that dangerous heat may stretch from coast-to-coast by next week. When temperatures rise so do health risks.

WASHINGTON -- For those who eat to combat stress, researchers here may have made a dream come true -- an injection that makes fat melt away, at least in mice.

GENEVA -- Airline travel that lasts four hours or longer is associated with a one in 6,000 absolute risk of developing venous thromboembolism, according to the World Health Organization.

abstract: Tuberculous pericarditis, while relatively rare in the United States, is an important cause of pericardial disease in countries where tuberculosis is prevalent. Patients are most likely to present with chronic disease--effusive and/or constrictive. Those with effusive pericarditis often present with tamponade. Patients with constrictive pericarditis exhibit features of systemic and pulmonary venous congestion. An elevated level of adenosine deaminase in pericardial fluid is a good marker for tuberculosis. The presence of granulomas or case-ation necrosis in pericardial tissue confirms the diagnosis. If treatment of effusive tuberculous pericarditis is delayed, constrictive or effusive-constrictive disease usually develops, resulting in a high mortality risk. In addition to a standard antituberculosis regimen, treatment of tuberculous pericarditis may include adjuvant therapy with corticosteroids, pericardiocentesis, and/or pericardiectomy. (J Respir Dis. 2007;28(7):278-282)

At a routine blood pressure check, a 63-year-old woman has 2 readings of 165/100 mm Hg. The patient has had essential hypertension since age 41 years. For more than a decade, it was easily controlled with a b-blocker; however, in recent years, her blood pressure has been more variable, with occasional readings of higher than 150/90 mm Hg.

Heart failure is prevalent in both primary care and cardiology practices. It develops in about 1 in 5 persons during their lifetime and in about 1 in 8 of those who have not sustained a myocardial infarction (MI). Heart failure is also the leading cause of hospitalization in the elderly.

Your Observations About the Man With the Tripod Sign

Lp(a) is a fascinating variant of low-density lipoprotein (LDL). It is basically an LDL molecule that has been modified by the covalent addition of apoprotein(a). Elevated levels of Lp(a) correlate with increased risk of acute coronary syndromes, cerebrovascular accident, peripheral arterial disease, and coronary mortality. This Q&A session answers some curiosities about Lipoprotein(a).

The diagnostic criteria for major depression are anhedonia, depressed mood, feelings of worthlessness or inappropriate guilt, inability to concentrate, fatigue, insomnia or hypersomnia, psychomotor agitation or retardation, significant weight loss or gain, and recurrent thoughts of death or suicide. Five or more of these symptoms must be present for at least 2 weeks, and one of them must be anhedonia or depressed mood. Conditions that can present with depression include dysthymia, bipolar disorder, cyclothymia, and adjustment disorder. Depression may also result from substance abuse or from the physiological conditions associated with a medical disorder, such as spinal or head injury, AIDS, or cancer.

A Photo Quiz to Hone Dermatologic Skills

Photo quiz