Highlights
Patients lost greater body weight (15.3%) over 12 months with a behavioral weight management program vs. standard care (2.3%).
Health coach utilization was high with patients averaging 28.3 health coaching appointments over 12 months.
This behavioral weight management program should be evaluated for reducing risk of endometrial cancer recurrence.
Objective: Describe firefighter body composition and cardiovascular health as a function of age. Methods: 217 male firefighters with 1922 distinct evaluations over 23-years were included in this retrospective analysis. The firefighters had their height, mass, six-site skin-fold, blood pressure, and resting heart rate measured annually. Linear mixed models were used to analyze the effect of age. Significance was set to P < 0.05. Results: With each 1-year increase in age, mass (0.42 kg, P < 0.001), body mass index (0.13 kg m À2 , P < 0.001), body fat percentage (0.18%, P < 0.001), fat mass (0.25 kg, P < 0.001), and fat free mass (0.15 kg, P < 0.001) increased. Systolic blood pressure (À0.09 mm Hg, P ¼ 0.263), diastolic blood pressure (0.05 mm Hg, P ¼ 0.308), and resting heart rate (0.07 beats min À1 , P ¼ 0.291) did not change. Conclusions: Interventions to maintain healthy body composition are critical to reduce sudden cardiovascular related death risk.
Background: Verification of appropriate placement of newly replaced gastrostomy tubes is essential prior to use to avoid potentially serious adverse events.Problem: A lack of standardized guidance regarding effective and practical means to verify placement exists. Aspiration or drainage of gastric-like contents is one mean suggested to help determine placement, yet when returns are minimal, this becomes challenging.
Materials, Method, Intervention:Oral ingestion or the instillation of a colored beverage prior to tube replacement was used in a midwestern healthcare clinical setting to enhance returns in both volume and color via the newly replaced gastrostomy tube. A retrospective review of this practice was conducted, which included 176 gastric tube replacements over 4 years.Results: A significant increase in volume of returns via the newly replaced tube was noted (P < .001) and a strong correlation of color to the ingested or consumed beverage was found with 95% of returns reflecting color tinting of the beverage or in many cases, strong color change to that of the beverage color.
Conclusion:Presented is a simple, cost-effective method that has shown to be clinically useful in assessing placement of newly replaced gastrostomy tubes that may be useful in other practices and settings.
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