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Addressing alcohol reduction realistically NEW YORK (UPI) -- Every year when New Year's rolls around, many resolve to change their drinking habits, but unrealistic goals can lead to failure, a U.S. non-profit group says. Alcohol expert Kenneth Anderson of The HAMS Harm Reduction Network says the key elements to successful behavioral change are: -- Setting realistic goals. -- Detailed planning. -- Getting accurate information. -- Behavior monitoring. -- Getting support. Anderson says rigid, black-and-white, all-or-nothing thinking often leads people to set unrealistic goals like quitting alcohol for life on the spur of the moment. This frequently backfires and leads people to drink more than ever once they fall off the wagon. What is far more successful is for each person to choose the goal best suited to him or her as an individual -- safer drinking, reduced drinking or quitting. The HAMS Harm Reduction Network offers a toolbox of techniques to help people change their drinking including: -- A cost-benefit analysis to help you decide if your best goal is safer drinking, reduced drinking or quitting. -- Risk ranking worksheets. -- Planning work sheets. -- Behavior charting worksheets. -- Harm reduction support groups. Copyright 2009 by United Press International
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Doctors retool for an aging America SAN FRANCISCO (UPI) -- U.S. physicians need to learn how to better care for the nation's fastest growing demographic group -- aging patients, a study suggests. Dr. C. Seth Landefeld of the University of California, San Francisco, The Institute of Medicine's report "Retooling for an Aging America" concluded the healthcare workforce is not prepared to deliver the best care to the growing population of patients age 60 and older. Landefeld and colleagues seek to help close the predicted knowledge gap through a series "Care of the Aging Patient: From Evidence to Action" aimed at translating published evidence into daily practice or -- if evidence does not exist -- providing recommendations with a rationale and a potential research agenda. "Although physicians are knowledgeable about the pathophysiology, diagnosis and management of organ-specific diseases such as cataract, coronary artery disease and pneumonia, many geriatric syndromes are not straightforward and do not fit the conventional paradigm of disease," Landefeld says in a statement. "Are physicians ready for these challenges? How can physicians prepare to meet the needs of patients as they age?" The articles, published in the Journal of the American Medical Association, explore the course of aging -- from the first hints of frailty to the progressive restrictions resulting from a steady decline. Copyright 2009 by United Press International
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Pharmacists can improve diabetes care BUFFALO, N.Y. (UPI) -- Enhancing a diabetes patient's access to care via collaborative physician-pharmacist relationships can yield lower blood glucose levels, U.S. researchers say. Erin Slazak, an assistant professor of pharmacy practice at the University at Buffalo, says the study of 50 patients with type 2 diabetes demonstrated in just six months clinical pharmacists, in collaboration with primary care providers, were able to achieve a significant reduction in patients' hemoglobin A1C measurement, which measures excess glucose in the blood. Patients referred had been identified as having difficulty controlling their blood sugar. Pharmacists spent an initial one-hour appointment with each patient, working up detailed health records including dietary information and all medications and disease conditions. After that, patients could call or make appointments with pharmacists at will. "We did extensive education with patients about how to manage their conditions," Slazak says in a statement. "We were instrumental in getting some to start insulin." For patients in the initial stages of administering insulin, it was common to be contacted once every few days. The pharmacists made suggestions to physicians about changes in medications, dosages or lifestyle that might be beneficial to their patients. The study, published in the Journal of the American Pharmacists Association, finds the clinical improvements resulted in monthly costs per patient dropping by approximately $212 even though there were nominal increases in the cost of medications prescribed. Copyright 2009 by United Press International
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Study: Soap superior to hand sanitizers OTTAWA (UPI) -- A University of Ottawa researcher has found liquid and foam hand sanitizers are inefficient if not backed up with regular soap-and-water hand-washing. Microbiologist Jason Tetro conducted a test on schoolchildren at the request of the Canadian Broadcasting Corp. in which swabs of their hands for bacterial culture were taken before they used hand sanitizer and then after they had used it. He said while many sanitizers claim to kill 99.9 percent of germs, results seen using three brands ranged from 46 percent fewer bacteria to 60.4 percent. "It was very obvious which ones were washing their hands and which ones weren't. You could see, practically, the dirt and oil buildup on their hands," Tetro told the Ottawa Citizen. "The caveat to all that is that you should be washing your hands eight to 12 times a day," or the sanitizer won't work well." He noted the test found the students who play sports and got dirty outdoors were more likely to wash their hands with soap than the more sedentary students, the report said. Copyright 2009 by United Press International
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Happy New Year! ArcaMax wishes you and yours and safe and happy new year. Look forward to new features and even more great content in 2010! To start the new year off right, visit the Health & Fitness feature for help with eating right, a simple exercise regimen, and more. -- From the ArcaMax editors
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