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Coaching Patients Saves Lives and Money (video)

The Coaching On Achieving Cardiovascular Health (COACH) Program has been proven to improve biomedical and lifestyle cardiovascular disease (CVD) risk factors. The objective of this study was to evaluate the long-term impact of The COACH Program on overall survival, hospital utilization, and costs from the perspective of a private health insurer (payor), in patients with […]

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elderly couple to the marathon in the park

The Call for a Physical Activity Vital Sign in Clinical Practice

According to the Bureau of Labor Statistics, the most common shared occupational health risk is sedentary behavior. Physical inactivity increases the relative risk of coronary artery disease, stroke, hypertension, and osteoporosis by 45%, 60%, 30%, and 59%, respectively. Epidemiologic data suggest that physical inactivity is associated with an increased risk of 25 chronic diseases. Because approximately 90% […]

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A biopsychosocial model of irritable bowel syndrome pathophysiology. Irritable bowel syndrome is thought to be a multifactorial disorder, deriving from a potential multitude of etiopathogenic factors, including environmental, psychologic, and physiologic factors. This model highlights the complex, often bidirectional interplay of these factors in the experience of irritable bowel syndrome symptoms.

Irritable Bowel Syndrome: Combating a Common Complaint (video)

Irritable bowel syndrome is the most common functional gastrointestinal disorder, manifesting as abdominal pain/discomfort and altered bowel function.  Despite affecting as many as 20% of adults, a lack of understanding of etiopathogenesis and evaluation strategies results in diagnostic uncertainty. In the August 2015 issue of The American Journal of Medicine, Sayuk and Gyawali detail modern […]

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CME: Advances in the Management of Obesity

The American Journal of Medicine is offering a new continuing medical education course: Advances in the Management of Patients with Obesity. The course is based upon highlights from the 2013 Obesity Society Annual Meeting. Program Overview ObesityWeek 2013 was held on November 11–16, in Atlanta, GA and presented important data for the successful management of […]

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food

Treat or Eat: Food Insecurity, Cost-related Medication Underuse, and Unmet Needs

Cost-related medication underuse and food insecurity are common among chronically ill adults, with 1/3 of patients reporting one or both. Abstract Background Adults with chronic disease are often unable to meet medication and food needs, but no study has examined the relationship between cost-related medication underuse and food insecurity in a nationally representative sample. We […]

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Psychiatric Comorbidity and Other Psychological Factors in Patients with “Chronic Lyme Disease”

This study found that misdiagnosis of Lyme disease was common, resulting in repeated and unnecessary antibiotic treatment. Psychiatric comorbidity and other psychological factors were associated with functional outcomes. Abstract Background There is no evidence of current or previous Borrelia burgdorferi infection in most patients evaluated at university-based Lyme disease referral centers. Instead, psychological factors likely […]

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