Workplace Suicide Rates Rise Sharply – NPR

Jobs with greatest risk include law enforcement, firefighting and protective services, such as private detectives and security guards. The suicide rate for the group was 1.5 per million workers per year over the study period. The vast majority of these suicides (84 percent) involved firearms. Easy access to guns for some and the high stress in these jobs may both play roles in the workers’ decisions about suicide.

via Workplace Suicide Rates Rise Sharply : Shots – Health News : NPR.

The Far-Reaching Effects of a Fall – NYTimes.com

Statistics among older people are indeed daunting. Dr. Laurence Z. Rubenstein, chairman of geriatrics at the University of Oklahoma College of Medicine, reports that those 65 and older constitute about 13 percent of the population but account for three-fourths of all deaths caused by falls. About 40 percent in this age group fall at least once a year; one in 40 of them ends up in the hospital, after which only half are still alive a year later.

via The Far-Reaching Effects of a Fall – NYTimes.com.

More Bad News for Niacin

More Bad News for Niacin: Health After 50.

 


Health After 50

 

More Bad News for Niacin

 

Comments (0)

 

Are you currently taking niacin to improve your cholesterol levels? If so, a conversation with your doctor may be warranted to determine whether you should continue taking niacin.

 

The reason for reconsidering niacin is twofold: First, a new study claims that the drug doesn’t help lower heart attack or stroke risk and may instead cause serious side effects. Second, studies haven’t been able to show that raising “good” HDL (high-density lipoprotein) cholesterol — one of the effects of niacin — has a benefit for people who already have heart disease.

 

For years, doctors have speculated on whether taking niacin to raise levels of HDL cholesterol could lower the risk of a heart attack, stroke or other cardiac events. The latest results from the recent HPS2-THRIVE trial, published by the New England Journal of Medicine, have answered with a resounding “no.”

 

This isn’t the first time niacin has been given the thumbs-down — past trials have reached similar conclusions, most notably the AIM-HIGH study of more than 3,400 patients on statin therapy. Researchers stopped that trial early in 2011 because of the apparent lack of benefit from niacin, along with reports of adverse events.

 

Dr. James L. Weiss, professor of cardiology at Johns Hopkins weighs in: “Higher HDL levels are associated with better heart outcomes, but that doesn’t mean they directly cause these better outcomes — an important distinction.

 

“Another way to look at it: Low HDL levels may be linked to an increased heart disease risk, but raising them with niacin doesn’t seem to reduce that risk. Still, it makes sense that you’d want more HDL cholesterol in your body.

 

“You can naturally increase levels by eating healthier foods, exercising regularly and quitting smoking. In the end, good health outcomes stem from making good lifestyle choices. For patients who stand to benefit from drug therapy, current guidelines recommend statins alone as the most effective therapy for reducing cardiovascular risk and suggest niacin for only selected high-risk patients for whom benefits outweigh risks.”

 

Posted in Heart Health on March 6, 2015

 


 

Medical Disclaimer: This information is not intended to substitute for the advice of a physician. Click here for additional information: Health After 50 Disclaimer

Ultrasound of the Week | UOTW #36

Ultrasound of the Week | UOTW #36.

Emergency physicians can be trained to identify these lesions with good accuracy. A study by Kerwin et al found that after a brief,  30 minute training module, median percentages correct improved from 67% to 87% when reviewing pre-recorded clips.

I’m at a loss to explain why I like looking at ultrasounds.  I guess I’m simply fascinated that some people can actually know and understand what they’ looking at.  My physician in the family says it’s a matter of numbers.  The more you look at, the better you get.

Underwriters will find the answer and pearl section more useful.