Opinion Makers is an exclusive MedPage Today video series, presenting leaders from all areas of medicine, offering their views on current topics in clinical care, research, and policy.
In this video, Loralei Thornburg, MD, associate professor, obstetrics and gynecology at University of Rochester Medical Center in Rochester, N.Y. discusses the various incision options that obstetricians are faced with when dealing with an obese patient who requires a cesarean section, and which types of incisions are associated with the least amount of complications and best patient outcomes.

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A vaginal delivery is safer for moms who are obese, but they tend to have C-sections more often due to other indications like a big baby. Premier Health’s Dr. David McKenna talks more about obesity and pregnancy. Find more answers to frequently asked questions about obesity and pregnancy at http://buff.ly/2q6MhvD

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A diet high in refined carbohydrates may lead to an increased risk for new-onset depression in postmenopausal women, according to a study published in The American Journal of Clinical Nutrition.

The study by James Gangwisch, PhD, and colleagues in the Department of Psychiatry at Columbia University Medical Center looked at the dietary glycemic index, glycemic load, types of carbohydrates consumed, and depression in data from more than 70,000 postmenopausal women who participated in the National Institutes of Health’s Women’s Health Initiative Observational Study between 1994 and 1998.

Consumption of carbohydrates increases blood sugar levels to varying degrees, depending on the type of food ingested. The more highly refined the carbohydrate, the higher its score on the glycemic index (GI) scale. The GI scale, which goes from 0-100, measures the amount of sugar found in the blood after eating. Refined foods such as white bread, white rice, and soda trigger a hormonal response in the body to reduce blood sugar levels. This response also may cause or exacerbate mood changes, fatigue, and other symptoms of depression.

The investigators found that progressively higher dietary GI scores and consumption of added sugars and refined grains were associated with increased risk of new-onset depression in post-menopausal women. Greater consumption of dietary fiber, whole grains, vegetables, and non-juice fruits was associated with decreased risk. This suggests that dietary interventions could serve as treatments and preventive measures for depression. Further study is needed to examine the potential of this novel option for treatment and prevention and to see if similar results are found in the broader population.
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LIVESTREAM RECORDING
March 14, 2019

“Hypertension Guidelines”

Houston Methodist DeBakey Heart & Vascular Center, Grand Rounds Conference featuring Robert Phillips, MD as he discusses “Hypertension Guidelines”.

Introductions: Dipan Shah, MD
Speaker: Robert Phillips, MD

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HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER
GRAND ROUNDS

STATEMENT OF NEED
This program is designed, in light of reviewing quality data retrieved from weekly evaluations, to provide physicians, faculty, fellows and residents access to topics in current basic and clinical research to improve patient care.

TARGET AUDIENCE
The target audience for this activity is: Cardiology and Cardiovascular Surgery Physicians, Fellows, Residents, NPs,
PAs, Nurses, Radiologic Technologists, Sonographers and Research Coordinators.

EDUCATIONAL OBJECTIVES
At the conclusion of this activity, the participant should be able to:
• Discuss updates on diagnosis, treatment and management of cardiovascular disease.
• Integrate data and available technique in order to reach appropriate treatment decisions.
• Describe research models, methods and statistical tools.
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A working group of Johns Hopkins Medicine cardiologists, including Dr. Erin Michos, American Heart Association (AHA) and American College of Cardiology (ACC) colleagues have released updated guidelines for clinicians and patients on the primary prevention of cardiovascular disease. These new recommendations were presented at the 2019 ACC 68th Annual Scientific Session and Expo on March 17, 2019 and published in the journal Circulation.

Meet Dr. Michos – http://www.hopkinsmedicine.org/erin-michos
Learn more about the Johns Hopkins Heart and Vascular Institute – http://www.hopkinsmedicine.org/heart

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