Can A New Molecular Test Enhance MRSA Detection?

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By Brian McCurdy, Associate Editor
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SureScripts notes that the process will be guided by both HIPAA regulations and state privacy rules, and will follow rigorous processes for authentication and confidentiality. Peltz says privacy is always a concern and while the company has made assurances, the project is ongoing. SureScripts says the pharmacies participating in the project include Ahold (Giant and Stop & Shop), Albertsons (Sav-On and Osco), Brooks-Eckerd, CVS, Duane Reed, Kerr Drug, Longs Drugs, Rite Aid, Safeway and Walgreens. Study Finds Increased Risk Factors For Diabetes Among Middle School Students By Brian McCurdy, Associate Editor Not only is diabetes prevalence on the rise in the general population, a new study indicates that children have an array of alarming risk factors for developing type 2 diabetes. The study, which was recently published in Diabetes Care, examined blood glucose drawn from 1,740 eighth-grade students from 12 schools. Many students exhibited risk factors for diabetes. These risk factors included impaired fasting glucose of 100 mg/dl in 40.5 percent of students and a fasting insulin value of 30 µU/ml in 36.2 percent of the students, according to the study. Researchers also noted that 49 percent of the students in the study had a body mass index (BMI) in the 85th percentile. Fasting glucose and fasting insulin values increased in accordance with higher BMI, notes the study. Researchers found fasting glucose was highest in Hispanic and Native American students. Kathleen Satterfield, DPM, attributes the increased prevalence of risk factors for diabetes in children to sedentary lifestyles, diet and genetic predisposition. For the Hispanic and Native American children with a higher prevalence, she calls their genetic predisposition an “unfair one-two punch.” For Mexican children in Texas, Dr. Satterfield says genetic factors are sometimes combined with the poverty that leads to poor dietary options. Dr. Satterfield notes that foods that are available for these kids are full of carbohydrates and fat while few fresh fruits or vegetables are available. “In San Antonio, it is the delicious but deadly diet of pure carbs—tortillas, flour or corn filled with beans, cheese, pork and all cooked in lard. It may be delicious but this is why we see kids in the first grade who weigh 100 pounds and already have type 2 diabetes,” posits Dr. Satterfield, a Clinical Associate Professor at the University of Texas Health Science Center at San Antonio. What Can Schools Do To Prevent Diabetes? Dr. Satterfield recalls that Robert Trevino, MD, discovered many inner city elementary school children in San Antonio who already had type 2 diabetes or its precursor, impaired glucose tolerance. She says Dr. Trevino began an educational program in which kids earned points by exhibiting good habits, such as exercise and health knowledge, and then could “spend” points on items like toys, clothes or school supplies. In her own childhood, Dr. Satterfield recalls the days before TV remote controls when kids had to walk across the room to change the channel. “There was no computer to entice us to spend hours surfing the Internet or playing games,” she recalls. “We had physical education classes. We also did not have vending machines in school. We did not have elevators in our schools. We walked to school.” Dr. Satterfield notes that Lawrence Harkless, DPM, is committed to changing the attitude in schools in Texas. Most schools in the state had eliminated physical education, calling it expendable. She says Dr. Harkless, as the Chairman of the Texas Diabetes Council, has made it his mission to get kids moving again. Dr. Satterfield feels kids could get healthier if they were motivated to exercise or participate in sports, or make healthy dietary choices. “Sure, we all go for the Coke and HoHos if given the choice but we have to be shown that maybe a Diet Coke and dried fruit are not so bad either,” she says. In Brief A track on pediatrics will be one of the featured events of the Midwest Podiatry Conference, which will be held at the end of this month in Chicago. The DuVries Memorial Pediatrics Track on April 27 will feature various pediatric topics, including abnormal gait, open and closed forefoot fractures, adductory deformities, the Ponseti Method, diagnostic ultrasound and skin conditions, according to conference organizers.

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