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Weight Loss Camp: Prevent Childhood Obesity Consequences

admin — Sat, 11 Feb 2012 20:33:47 +0000

Almost one third of children in America are overweight or obese. Some parents not only take no action to get their child’s weight under control, by sending them to weight loss camps for example, but go to further measures to reassure the child that being overweight is ok. If your child is “fluffy” or “has more to love,” there are some things you should know about their future, potentially dangerous, health outcomes.
First of all, the psychological effects of teasing, bullying, and self esteem can be so extreme for children. Depression is usually a side effect of childhood obesity. You can build your child up as much as you can, but you cannot control what other children say. This is most likely the reason for parents that praise their children who are overweight, but there are much healthier and effective solutions.
Think about your child’s heart. Younger and younger people are having problems with cholesterol and hypertension, due to the decreasing age of obesity onset. Problems like insulin resistance and type 2 diabetes are more likely to occur in people who were obese as children, even if they lose weight and adapt a healthy lifestyle later in life. That being said, if you have an obese child, they are far more likely to continue this unhealthy lifestyle into adulthood and may be set up for weight-management failure at a young age.
Breathing problems occur too. Many children have issues developmentally due to obesity and inactivity that result in sleep apnea and asthma. Children with sleep apnea can awaken up to 15 times an hour! There is no way your child can get the recommended amount of sleep waking up that many times. Another rising problem associated with childhood obesity is non alcoholic cirrhosis. Children develop a fatty liver due to overconsumption of calories, mainly fructose (High- fructose corn syrup). It is a phenomenon that doctors were baffled by when young children were developing diseases associated with aged alcoholics!
Another negative side effect of childhood obesity that is normally not recognized as such is skeletal problems. When a child is extremely overweight, growth and development of the skeletal structure is compromised and there is a chance of deformations. Joint pain is also more prevalent with all the weight on their joints. Overweight kids also have more of an issue with balance, so they tend to break bones more. This is a problem, because healing is complicated. Splints and casts are less effective and can cause skin problems due to abnormally large limbs. Treatment usually involves surgery (rods, pins, etc.), which leaves room for post-surgery infection.
It may be hard to approach the situation of childhood obesity, since we all love our children and don’t want them to feel like there is something wrong with them. But if you don’t help them combat this problem now, it will only escalate into worse problems. So get some help if diet and exercise don’t work- perhaps they would benefit from a structured weight loss camp, such as Camp Shane for children and teens. It is not ok for your child to be morbidly obese at a young age.

The Kjellstrand Lecture: The Deadly Delay – Part III: The Killer Weekend

admin — Wed, 18 Jan 2012 18:18:36 +0000

The NEJM recently published a widely acclaimed study on the elevated death rates of 32,065 hemodialysis patients on Monday and Tuesday after the long “killer weekend.” This is considered one of the most important medical studies Slide09 in the field of nephrology in 2011. The Renal Fellow Network does an annual survey on the most important clinical developments each year and then publishes the results in a top ten posting. This year, the NEJM elevated mortality with the long interdialytic interval article was rated as the third most important study in 2011. (here)
Long Interdialytic Interval and Mortality among Patients Receiving Hemodialysis
BACKGROUND: Patients with end-stage renal disease requiring dialysis have limited tolerance of metabolic and volume-related deviations from normal ranges; in addition, the prevalence of cardiovascular disease is high among such patients. Given these problems, we hypothesized that a long interdialytic interval is associated with adverse events in patients receiving hemodialysis.
CONCLUSIONS: The long (2-day) interdialytic interval is a time of heightened risk among patients receiving hemodialysis. (Funded by the National Institutes of Health.)
Slide21However, these were not new and groundbreaking results. The issue of increased deaths with the long interdialytic interval is a well known phenomenon that has been ignored by nephrology for more than a decade. A.J. Bleyer et al, studied the records of 375,482 dialysis patient deaths in the USRDS from 1977 to 1997, a twenty year study period. This study showed direct evidence of an increased risk of death from hemodialyis after the long interdialytic interval which was not found in PD patients. PD patients deaths are evenly distributed among each day of the week. Likewise, non cardiac deaths in hemodialysis patients are not elevated on Monday or Tuesday.
Sudden and cardiac death rates in hemodialysis patients
The results from the entire USRDS database indicated a nonrandom distribution of cardiac deaths for HD patients. Figures 1 and 2 demonstrate that although cardiac and noncardiac deaths for PD patients are rather evenly distributed throughout the week, cardiac deaths in HD patients occur most frequently on Monday, with the next most common day of death being Tuesday. In addition, noncardiac deaths for HD patients are evenly distributed throughout the week.
Data from the CMAS were then used to identify the most likely dialysis schedule. MWF HD patients were much more likely to die a cardiac death on Monday than other days of the week. Wednesday and Friday—the other dialysis days—were the next most common days of cardiac death. Deaths from noncardiac causes were evenly distributed. Patients on a TTS dialysis schedule were more likely to die from a cardiac cause on Tuesday than other days, although these changes were not as prominent.
A second study by Karnik, et al in 2001 confirmed these results among a study group of more than Slide22 77,000 patients.
Cardiac arrest and sudden death in dialysis units.
BACKGROUND: For patients with end-stage renal disease and their providers, dialysis unit-based cardiac arrest is the most feared complication of hemodialysis. However, relatively little is known regarding its frequency or epidemiology, or whether a fraction of these events could be prevented.
METHODS: To explore clinical correlates of dialysis unit-based cardiac arrest, 400 reported arrests over a nine-month period from October 1998 through June 1999 were reviewed in detail. Clinical characteristics of patients who suffered cardiac arrest were compared with a nationally representative cohort of> 77,000 hemodialysis patients dialyzed at Fresenius Medical Care North America-affiliated facilities.
Slide27In my opinion, the most astounding revelation of the NEJM long interdialytic article of 2011 is that there has not been any change in therapy since two much larger studies were published over a decade prior to its publication showing exactly the same results. Mortality among American dialysis patients has flatlined for over twenty years as more and more patients flatline more often on Monday and Tuesday from preventable cardiac deaths. It has puzzled me greatly why this NEJM article made such headline news around the world and fostered surveys declaring this “news” the third most important clinical study of 2011 when in many ways, it was inferior to the prior studies in terms of patient numbers and years of study.
Perhaps we will never know the impetus behind this study and the inordinate attention it received, but we do know that in the year of the bundle going into effect, this study has led many to recommend PD more often instead of looking at alternative HD modalities such as every other day dialysis and daily dialysis. The cost differential for PD vs daily HD points to PD as the most “cost effective” therapies if only considering clinic expenses alone. However, if you consider survival and total patient expenditures including hospitalization and pharmaceuticals, daily HD is the most cost effective and best survival strategy for dialysis patients with PD having equal survival to in-center conventional hemodialysis. (here)
Slide28Dr Kjellstrand calculated the number of lives in the last ten years from 2001 to 2011 that could have been saved from what we knew then on the long dialysis weekend excessive deaths. During the time that the FHN study was conceived, planned, implemented and reported, over 10,400 lives a year could have been saved instead of waiting ten years for the publication of the FHN and the long interdialytic weekend mortality studies, both in the NEJM. Sadly, despite all of these studies on the long killer weekend, the best that the academic nephrologists can recommend with confidence to America is that we need to study this issue further before making a commitment to more frequent hemodialysis schedules. How many more years will we see over 10,000 patients needlessly lose their lives year after year after year. This is now a ten year debate that has yet to see any action to eliminate to date. When will we end the killer weekend?
Slides courtesy of Dr. Carl Kjellstrand.

The Importance of Medical Journals

admin — Wed, 18 Jan 2012 17:38:31 +0000

Medicine journals exist to provide doctors, students and the public with up to date information on medical technology and medical practices. A journal of medicine will include article that cover the advances in medicine, medical care and medical technology. A medicine journal will provide information and articles on topics ranging from eating
disorders, to nursing, to neurobiology. A journal of medicine will publish original papers about recent case reports and practices. If you are looking to have one of your papers published these medicine journals will provide you with very specific guidelines on how to format your paper for publishing. If you submit your work to a journal of medicine and they like or approve of it then they may publish it in one of their journals. Medical journals seek to publish original and important articles and research of a variety of different medical topics. A medicine journal will also publish article that are related to the legal, economical, historical, environmental, and political aspects of medicine. A journal of medicine is of interest to doctors in all fields of medicine, students, and any who simply has an interest in medical technology and practices. A medicine journal will allow doctors and physicians to stay up to date and informed on medical research and technology, especially in fields that they do not get to practice in everyday. There are journals of medicine that target specific areas of medicine such as the Journal of Pediatrics for pediatric medicine. The American Journal of Medicine provides individuals with access to peer reviewed articles and original clinical research. The Journal of the American Medical Association began being published in 1883 and is now the most widely circulated medical journal in the world. This journal seeks to promote the science of medicine and the continuous advances made in medical technology. This journal has approximately 3,500 readers throughout over forty different countries. There are also popular medicine journals in other countries, such as the British Medical Journal, which seeks to provide doctors with information and research that will help them improve their practice. It has become very important that doctors and physicians stay up to date on medicine journals. They will provide medical practitioners with new and valuable information. There are journals of medicine that appeal to every area of medicine and they teach medical practitioners about the newest breakthroughs in medical research and technology. This information can help improve the work of doctors and physicians as well as make their practice prosperous. Reading about a new procedure that was completed successfully may give other doctors and physicians the courage and drive to try that procedure also. This wealth of knowledge is what has kept the medical industry improving throughout history and is responsible for many of the breakthroughs in modern medicine and medical technology. As long as doctors continue to share their knowledge, research and findings with other medical practitioners, this information can be repeated and improved upon. As a result the field of medicine will continue to improve and lives will continue to be saved.

Professional Certificate Grads

admin — Wed, 18 Jan 2012 17:29:12 +0000

3 p.m., Jan. 17, 2012–The University of Delaware’s Division of Professional and Continuing Studies announces that 85 students earned professional development certificates through programs offered in fall 2011. Students commuted from as far away as New York, New Jersey, Maryland, Pennsylvania and Sussex County, Del., to participate in the programs.
UD’s professional development certificate programs include popular and growing fields such as project management, clinical trials management and business analysis.
Also, by completing UD’s Project Management or Business Analyst certificate programs, students were able to meet official education requirements to pursue professional designations in those fields.
Spring professional development certificates begin in February. Those interested are invited to attend an information session on Thursday, Jan. 19, at 6 p.m., at the Doubletree Hotel in Wilmington.
Certificate programs discussed at the information session will be: Advanced Project Management, Business Analyst, Clinical Trials Management, Health Care Risk Management and Patient Safety, Lean Six Sigma Green Belt, Paralegal, Project Management and Strategic Human Resource Management.
For more information, call 302-831-7600 or visit the division’s certificate program information website.
3 p.m., Jan. 17, 2012–The University of Delaware’s Division of Professional and Continuing Studies announces that 85 students earned professional development certificates through programs offered in fall 2011. Students commuted from as far away as New York, New Jersey, Maryland, Pennsylvania and Sussex County, Del., to participate in the programs.
UD’s professional development certificate programs include popular and growing fields such as project management, clinical trials management and business analysis.
Also, by completing UD’s Project Management or Business Analyst certificate programs, students were able to meet official education requirements to pursue professional designations in those fields.
Spring professional development certificates begin in February. Those interested are invited to attend an information session on Thursday, Jan. 19, at 6 p.m., at the Doubletree Hotel in Wilmington.
Certificate programs discussed at the information session will be: Advanced Project Management, Business Analyst, Clinical Trials Management, Health Care Risk Management and Patient Safety, Lean Six Sigma Green Belt, Paralegal, Project Management and Strategic Human Resource Management.
For more information, call 302-831-7600 or visit the division’s certificate program information website.

Thinking About Being a Clinical Research Associate?

admin — Wed, 18 Jan 2012 17:15:20 +0000

Clinical research associates are necessary to the contribution of every clinical trial study. Due to this, there are more clinical research associate educational programs that are making their way to the forefront. Additionally, it is only right that there will be more clinical research associate jobs that make their way to the surface. Clinical research associates either work directly for the research staff or clinical research associates are hired
independently as a freelancer. If you want to be a clinical research associate, you should fully prepare yourself for what will come along with the territory. As a clinical research associate, You will be responsible for making sure that the proper standard of protocol is being met at all terms of the clinical trial study, and you are to ensure that the scheduled methods are being executed in the manner in which they should, when they should, review the data that has been recorded, and you must make sure that you are in constant communication with the researchers by any means, including the various on site visits that you will make. Obviously, clinical research associates have a certain level of skill and education if they hold the position of a clinical trial study as clinical research associate. Clinical research associates generally have to have obtained a degree in the Life Sciences and have had proper training as to what meets the standards of clinical trials. as a clinical research associate, they have to always see to it that the best interests of the humans that are participating in the clinical trial are at the center of the research study.1. Now that you know a little about the basics that clinical research associates are to consume, you are probably most interested in the average salary that you can make as a clinical research associate. It is important to conduct the necessary research in order to make the true determination, but there is an average median to which clinical research associates make. On average, clinical research associates are expected to make any where from the late 50s to the early 60s, in today’s current job market. This is always subject to change as the times progress.

2. Clinical research associates are in need of in today’s society, but you have to go out and find those opportunities. This may even mean that you have to relocate in order to achiever your goal to become a clinical research associate. It is quite possible that you must reach a point where you will find an opportunity to be a clinical research associate, but not in the field in which you would like. The most successful clinical research associates do not wait for their dreams to fall out onto their laps, instead they take the proactive approach and chase their dreams.

More on the Useless Ontario School Trans-Fat Ban

admin — Wed, 18 Jan 2012 16:59:49 +0000

So did you think I was being too harsh on Ontario’s Premier Mr. McGuinty with my criticism of his school trans-fat ban?
Turns out, I was being too easy.
Someone pointed me to one of the pieces that the CTV had done on the ban and sent me both the link to the video and some screen captures and asked for my thoughts.
That picture at the top of this blog, those are the foods that Dalton McGuinty tells a bunch of students will,
“Give us energy, help us stay awake in class. Right?”
Well they sure would “Give us energy”.
The muffins…they look to me like a commercially baked cranberry (let’s assume low-fat) and some kind of a raisin bran version. They also look to me about the size of a small cake. If we use Tim Horton’s nutritional information as a yardstick, the raisin muffin likely has in the neighbourhood of 390 calories (the equivalent number of calories as 1 litre of Coca Cola) and 790mg of sodium (2/3rds of your child’s daily requirement). The low-fat cranberry one’s not a heck of a lot better with 290 calories and 750mg of sodium. They also contain on average 8 teaspoons of added sugar.
The Quaker Oatmeal to Go? 220 calories and 5 teaspoons of sugar. Roughly identical numbers to a bar of Hershey’s Milk Chocolate.
The Special K bar? 90 calories, one third of them directly from sugar. Pretty much an identical breakdown to a 100 calorie Kit-Kat bar, and as my friend Julie from It Must Have Been Something I Ate once wrote the Special K bar,
“contains gram for gram more sugar and less fibre than Famous Amos Chocolate Chip Cookies”
I won’t knock the apples or the raisins. Both have in the neighborhood of 50 or so calories.
Brilliant choices Dalton!
Some folks in the comments section over at the CTV blog where my blog is often picked up were really quite upset with my criticisms.
One individual wrote,
“Oh please. We’ve got to start somewhere, don’t we? These people who want all or nothing solutions bother me.”
and another wrote,
“It is unfortunate that a medical professional would share such a negative and limited view. Healthy adults begin with healthy kids and youth. Schools are an ideal place to support and promote healthy choices.”
Would you like to see what your schools promote as lunch time choices?
Remember, this so-called at least do something solution of banning trans-fats will not in fact change menus, it’ll just require the use of foods and oils that are trans fat free.
Below are some other screen captures from that very same CTV story showing a school cafeteria working doling out of an enormous mound of onion rings to go with a cheeseburger with it’s huge refined flour bun and a giant spinning tower of pizza.
So for those folks who were upset with me, do you honestly think that removing trans-fats from the obscenely unhealthy foods being served to our children in schools is going to make a difference or shouldn’t we be removing in fact the obscenely unhealthy foods? Also, in our ever growing epidemic of childhood obesity, do you think that providing our children “snacks” that have the caloric equivalent and nutritional benefits of chocolate bars, cookies and litres of soft drinks is a good idea?
Again, I’ve got to reiterate. Firstly if Mr. McGuinty truly feels that trans-fats are unhealthy enough to remove from our schools then he should be fighting to remove them from the Province. Regarding the kids whose health he feels is too important to ignore, what percentage of foods do they eat in school versus foods they bring to school or buy off school grounds? Secondly, to discuss the removal of trans-fats as part of a strategy to reduce childhood obesity is at best misguided and at worst the willful manipulation of public sentiment by preying on people’s fears and love of their children for personal political gain. While I will often champion small changes in the fight against obesity, this one has no scientific legs and frankly I would have hoped, an insult to the intelligence of the voting public.

Get Your Process Service Done Right By a “Denver Process Server”.

admin — Sat, 07 Jan 2012 12:29:41 +0000

Process serving is a field that requires organization, determination and reliability. So if you’re looking for one, you won’t want to go with the first person you find. You will need to find someone who has references and credibility. Rocky Mountain Legal Service has proudly served papers hundreds of thousands of legal papers for several thousand of attorneys in the Denver area since 1989, including Denver Property Management and
Denver Eviction Attorneys
Rocky Mountain Legal Service uses the latest technologies to get the job done, including mobile notary, instant feedback, photo service, mobile internet, and accepting all forms of Internet payment like paypal. They do these things to keep all clients up date and provide the fullest service possible. If you have any doubts, shop around. You’ll see that Rocky Mountain Legal Service provides prompt service, and makes sure that the job gets done no matter what it takes–even if it requires making more than one return trip.
With so many services, and such a great history, there is no reason to look further. Our job is to make things as easy for you as possible. We look forward to earning your business.

Medical Science To HEAL

admin — Sat, 07 Jan 2012 12:23:50 +0000

The key goal of the origin of medical science is to heal. All the practices of medical science all contribute to the healing of any living, breathing organism- from human beings to the animals that are at the heart of nature. Scientific medicine is about keeping the body healthy. And this means that there are practices that must be carried out to maintain a person’s good health, prevent them from any potential jeopardy to the state of their health, and if a person’s health has been jeopardized, that means treating them so that they may achieve a healthy state once again. There are several approaches that are taken in the field of medical science in order to ensure the goal of healing. In order to offer this great state of health, health care professionals have to perform the necessary tests to make sure that their efforts are going to help you, not make matters worse for the individual. Therefore, part of medical science is to conduct clinical trials to perfect and test their treatment options.
1. Another aspect that is vastly important to medical science is health science. This aspect relates to the food and drink that we consume. This data is collected, then researched since it is a large contributor to the state of our health. This is a way in which the medical science industry can understand how it is that we function, and the potential health risks that we are subject to assume. These research studies allows medical professionals to offer us the health care that we need to survive.
2. A key component to the assistance that is necessary to meet the ultimate goal of medical science to heal is the medical technology that has been created throughout the years. This has made it much easier for medical professionals to be able to detect any health problems or any potential health risks. Medical technology serves as the tools for more accurate, less time consuming diagnosis so that the medical science industry is able to help more abundantly and more effectively. There are also several tools that have been provided as a result of medical technology that offers its patients additional options for the receipt of the medical training that they need.
3. Part of the goal of healing that is necessary to medical science also incorporates the medical procedure, surgery. The core of medical surgery is to treat a patient from disease or injury. Proper technique and skill is used in order to obtain this goal. Surgery has been said to be one of the leading ways in which the field of medical science has been able to provide healing.

Clinical Trial Jobs

admin — Sat, 07 Jan 2012 12:18:10 +0000

research on jobs in the canada clinical research research clinical about clinical research what is clinical research

Clinical Trials Hindered By Red Tape MDs

admin — Sat, 07 Jan 2012 12:07:49 +0000

Red tape is hampering clinical trials in Canada and other countries, the Canadian Medical Association Journal says.
Clinical trials are used to test new drugs and surgical treatments against old ones, and to see whether an existing drug or treatment can
have other uses.
“There is no question that research participants need protection,” Dr. Paul Hébert, editor in chief, and his co-authors wrote in an editorial in Monday’s issue of the CMAJ.
“But regulations have grown so burdensome that they are overwhelming the very things they are meant to support and safeguard. Consequently, clinical research has been substantially decreased among industrialized countries.”
For example, the Canadian Cancer Research Alliance reported a decrease of 20 per cent in 2008 in the number of patients with cancer recruited into clinical trials.
“We’re at risk of losing something that Canada’s been very good at,” said Joseph Pater, vice-president of clinical and translational research at Cancer Care Ontario.
Since Europe brought in new regulations in 2004, the largest cancer research network saw a drop to seven new trials in 2005, from 38 in 2001, with an estimated 85 per cent increase in the cost of running individual trials, the Journal’s editorial noted.
Simpler rules
Research trials increasingly cross national borders, it said, so simpler rules are needed to:
Ensure patient safety.
Collect information accurately and reliably.
Provide fair and balanced information to research participants before they consent.
One of the current monitoring approaches, known as Good Clinical Practice Guidelines, runs to several hundred pages of quality assurance checks and balances that are based on limited evidence, the editorial argues.
“Instead of developing and adopting proper, study-specific standards, we have institutionalized ineffective monitoring for all clinical research, including lower-risk academic studies. International bodies, regulatory authorities, the academic community and major granting agencies can work together to fix the system,” the authors wrote.
Opportunity for patients
The increasingly bureaucratic rules get in the way of making medical progress that improves the health of patients, agreed Dr. Salim Yusuf, a professor of medicine at McMaster University in Hamilton who conducts clinical trials in cardiology.
“Ten or 15 years back, you have [a] one- or two-page consent,” said Yusuf. “Now it’s a 14-, 15-page consent. And imagine a patient coming in with a heart attack and you’re trying to test a potentially useful new drug. To give them a 14-page consent is just, it’s meaningless.”
The danger of the bureaucratic guidelines is few good quality studies will be done, patients’ health will suffer and fewer investigators will go into this important field of science, he added.
“Doing trials in a country like Canada does offer patients the opportunity to participate and get access to medicines that are not available for them through the health system, so reduction in trials unfortunately does have that consequence,” said Dr. Catriona McMahon, vice-president of medical affairs at AstraZeneca Canada Inc. in Mississauga.
Since Canada has fewer patients per location compared to China, Brazil and India, both McMahon and Yusuf pointed to cost and efficiency issues here.
There is a move in Europe to simplify the process for academic studies, Yusuf said. It would help if Canada and the U.S. did the same, he said.
Currently, ethical reviews are done at an institutional level, but they do not have the authority and expertise to protect patients enrolled at other sites, the editorial writers said.