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News From The June Issue Of CHEST
PULMONARY HYPERTENSION: A CASE OF MISTAKEN IDENTITY?
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New Study Shows Coaching To Patient Activation Levels Improves Disease Management Outcomes
People with chronic health conditions who receive coaching tailored to their level of health activation showed significant improvements in clinical outcomes, and experienced fewer hospitalizations and visits to the emergency room than those coached using traditional methods, according to a study published in the June issue of The American Journal of Managed Care.
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Exploring Mobility For Disabled Children
If your child needs to use a wheelchair, whether temporarily following illness or surgery or for longer-term disability, it is important they feel confident to move about safely. At this year"s national Mobility Roadshow that takes place at Kemble Airfield near Cirencester on 4, 5 and 6 June the Association of Wheelchair Children will be holding wheelchair skills workshops for children. In half hour sessions they will teach practical skills - ascending and descending kerbs, slopes, negotiating roads, moving backwards and forwards - empowering them with the ability to assess risk and to move safely and confidently about their homes and neighbourhoods. These sessions are equally useful for parents and carers.
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Diet To Reduce Mild Hyperoxaluria In Patients With Idiopathic Calcium Oxalate Stone Formation: A Pilot Study

UroToday.com - You pass what you eat! If you eat wisely, passage shouldn"t be painful. This may be especially true for stone formers. To be sure, high fluid intake resulting in a urine output of > 2 liters per day is key; however, what is eaten also plays a role. In this study among 56 hyperoxaluric patients on a low oxalate diet, the institution of a low salt (4-5 grams/day), low animal protein (approximately 20 grams per day vs. a norm of 50 grams per day), and normal calcium diet over a 3 month period, resulted in a statistically significant drop in 24 hour urine calcium (364 to 263 mg/d) and oxalate (50 to 35 mg/d). Sodium also dropped (238 to 118 mmol/d) and the patients had a 2 kilogram fall in body weight; both of these changes were likewise statistically significant. None of these changes occurred in a group of patients just instructed on a low oxalate diet. Hypothetical explanations for the beneficial effects include: low oxalate intake, less oxalate intestinal absorption (e.g. less fat in the diet leaves more calcium to bind oxalate in the gut), and theoretically less endogenous oxalate production (e.g. due to lower intake of certain amino acids and carbohydrates). Unfortunately, supersaturation data for calcium oxalate was not supplied; likewise, there is no long term follow-up to show that these presumed beneficial effects translated into fewer future stone episodes for these patients. These data will be necessary before this diet can be widely adopted, but in the mean time, it seems like a relatively simple and palatable way to go. Nouvenne A, Meschi T, Guerra A, Allegri F, Prati B, Fiaccadori E, Maggiore U, Borghi L Urology. 2009 Apr;73(4):725-30, 730.e1. doi: 10.1016/j.urology.2008.11.006 Reported by UroToday.com Medical Editor Ralph V. Clayman, MD UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice. To access the latest urology news releases from UroToday, go to: www.urotoday.com Copyright © 2009 - UroToday


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