Evidence regarding the effect of dietary niacin intake on the risk of mortality among patients with nonalcoholic fatty liver disease (NAFLD) is scarce.Objective To examine the association of dietary niacin intake with all-cause mortality and cardiovascular disease (CVD) mortality among individuals with NAFLD.Design, Setting, and Participants This cohort study used data from the National Health and Nutrition… Continue reading Dietary #Niacin Intake and Mortality Among Individuals With Nonalcoholic #Fatty #Liver Disease
Undiagnosed #Cirrhosis and Hepatic #Encephalopathy in a National Cohort of Veterans With #Dementia
Dementia and hepatic encephalopathy (HE) are challenging to distinguish clinically. Undiagnosed cirrhosis in a patient with dementia can lead to missed opportunities to treat HE.Objective To examine the prevalence and risk factors of undiagnosed cirrhosis and therefore possible HE in veterans with dementia.Design, Setting, and Participants A retrospective cohort study was conducted between 2009 and 2019 using… Continue reading Undiagnosed #Cirrhosis and Hepatic #Encephalopathy in a National Cohort of Veterans With #Dementia
#Dietary inflammatory index and MRI-detected #knee structural change and pain: a 10.7-year follow-up study
To determine whether the dietary inflammatory index (DII®) scores were associated with knee structural changes and pain over a 10.7-year follow-up.MethodsThis study utilised data from a prospective population-based cohort study (mean age 63 years, 51% female) in which 1,099, 875, 768 and 566 participants completed assessments at baseline, 2.6, 5.1 and 10.7 years, respectively. T1-weighted and T2-weighted… Continue reading #Dietary inflammatory index and MRI-detected #knee structural change and pain: a 10.7-year follow-up study
The relationship between playing #musical instruments and #cognitive trajectories: Analysis from a UK ageing cohort
The accumulation of age-associated cognitive deficits can lead to Mild Cognitive Impairment (MCI) and dementia. This is a major public health issue for the modern ageing population, as it impairs health, independence and overall quality of life. Keeping the brain active during life has been associated with an increased cognitive reserve, therefore reducing the risk… Continue reading The relationship between playing #musical instruments and #cognitive trajectories: Analysis from a UK ageing cohort
ACG Clinical Guideline: #Alcohol-Associated #Liver Disease
Alcohol-associated liver disease (ALD) is the most common cause of advanced hepatic disease and frequent indication for liver transplantation worldwide. With harmful alcohol use as the primary risk factor, increasing alcohol use over the past decade has resulted in rapid growth of the ALD-related healthcare burden. The spectrum of ALD ranges from early asymptomatic liver… Continue reading ACG Clinical Guideline: #Alcohol-Associated #Liver Disease
#Autopsy findings in cases of fatal #COVID-19 #vaccine -induced #myocarditis
COVID-19 vaccines have been linked to myocarditis, which, in some circumstances, can be fatal. This systematic review aims to investigate potential causal links between COVID-19 vaccines and death from myocarditis using post-mortem analysis. We performed a systematic review of all published autopsy reports involving COVID-19 vaccination-induced myocarditis through 3 July 2023. All autopsy studies that… Continue reading #Autopsy findings in cases of fatal #COVID-19 #vaccine -induced #myocarditis
Hypo- and hyper- #thyroidism: algorithm for screening and diagnosis
Screening, diagnosing, and managing hypothyroidism: ATA/AACE guidelines recommend screening for all patients with symptoms of hypothyroidism. For patients whoare asymptomatic, recommendations vary widely. However, a thyroid-stimulating hormone (TSH) test is generallyrecommended for patients ≥50–60 years old, especially women. Guidelines also state that there is compelling evidence to support screening in patients with: Hypothyroidism: algorithm for… Continue reading Hypo- and hyper- #thyroidism: algorithm for screening and diagnosis
Association Between Electronic Diary–Rated #Sleep, Mood, Energy, and #Stress With Incident #Headache in a Community-Based Sample
The aim of this study was to examine the diurnal links between average and changes in average levels of prospectively rated mood, sleep, energy, and stress as predictors of incident headache in a community-based sample.MethodsThis observational study included structured clinical diagnostic assessment of both headache syndromes and mental disorders and electronic diaries that were administered… Continue reading Association Between Electronic Diary–Rated #Sleep, Mood, Energy, and #Stress With Incident #Headache in a Community-Based Sample
Do interventions for mood improve #inflammatory biomarkers in inflammatory #bowel disease?: A systematic review and meta-analysis
BackgroundPsychoneuroimmunological mechanisms and the gut-brain axis appear relevant to disease activity and progression in Inflammatory Bowel Disease (IBD). A recent review showed no effect of psychological therapies on self-reported disease activity in IBD. This meta-analysis aims to establish whether interventions targeting mood outcomes (e.g., depression, anxiety and stress) impact inflammation levels in IBD and possible… Continue reading Do interventions for mood improve #inflammatory biomarkers in inflammatory #bowel disease?: A systematic review and meta-analysis