PLUS: To improve digital well-being, put down your phone and talk to people, Mental health and the relentless YouTuber life, Parenting in the age of screens: Here's what the expert's do.
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In This Issue: 19 July 2018

In-Depth Articles
Recommended Resource
In the News
Diagnosed with Hypertension? Think Aldosteronism
By Dr Linda Calabresi
GP and Medical Editor
All newly-diagnosed hypertensive patients should be screened for primary aldosteronism before they are started on treatment, Australian experts suggest in the latest issue of the MJA.

“Primary aldosteronism is common, specifically treatable, and associated with significant cardiovascular morbidity and mortality,” say researchers Dr Jun Yang, Professor Peter Fuller and Professor Michael Stowasser.

They refer to a recent systematic review of over 30 studies, that found among a cohort of people with severe or resistant hypertension (systolic BP >180mmHg and diastolic BP >110), 16.4% were found to have primary aldosteronism.

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Teenagers, Smart Phones and ADHD

Teenagers who are constantly checking their phones are more likely to develop ADHD symptoms than their less social-media-engaged peers, US researchers say.

In what the study authors say is the first longitudinal study investigating the issue, researchers found that the frequency of digital media use among over 2500 non-ADHD 15-and 16-year-olds was significantly associated with the subsequent development of ADHD symptoms over a two-year period of follow up.

A high frequency of media activity – most commonly checking their smart phone was associated with an 10% increased likelihood of developing inattentive and hyperactive-impulsive symptoms in this teenage cohort. Associations were significantly stronger in boys and participants with more mental health symptoms, such as depressive symptoms and delinquent behaviours.

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Management of Stroke

Interview with Dr. Jason Wenderoth (3 mins)

Diet for Gout
This resource is from the Mayo clinic in the States which has an excellent reputation for providing accurate, practical and evidence-based patient information.
Essentially it is the low-purine diet recommended for people with elevated serum uric acid, who have had gout.

The recommendations include lifestyle factors as well as highlighting foods that should be eaten rather than simply a list of what should be avoided.

People who have had an episode of this acute inflammatory condition are usually highly motivated to avoid a repeat performance and will often be seeking out this information. But there is also another cohort of patients who might be interested in these recommendations – those people who are found to have high serum uric acid levels but have not had gout. They don’t warrant treatment but the ‘let’s wait and see’ approach can sometimes seem like pointing out the Damocles sword above their head.

Providing this resource, enables the patient to assume some control over their arthritic destiny, with many of the recommendations, such as weight loss and decreased alcohol intake also having more widespread health benefits.

Click here for more information.

In The News
To Improve Digital Well-Being, Put Down Your Phone and Talk to People

Apple and Google recently announced features in their forthcoming mobile operating systems designed to “reduce interruptions and manage screen time.” Android and iOS users alike will soon be able to guard their sleep against digital temptations, easily activate “Do Not Disturb” mode when needed, and get prompted to stop when they have used their favorite apps beyond a personally chosen time limit.....Read More>>

Mental Health and The Relentless YouTuber Life

Jacques Slade was spending a week at the beach recently, away from the internet and his responsibilities as a full-time YouTube creator, where he's about to reach 1 million subscribers. It was supposed to be a time to relax and enjoy life. But being stress free, even on vacation, doesn't come easily for him. Slade, who makes videos about sneakers and technology, said he couldn't fully enjoy it because he was worried about not having anything to post on YouTube when he returned. "I don't have content for the next four or five days," Slade worried. "What's that gonna do to me? What's that gonna do to my bottom line? When I come back, are people still gonna watch my videos?"....Read More>>

Parenting In The Age of Screens: Here's What The Expert's Do

Parents today struggle to set screen time guidelines. One big reason is a lack of role models. Grandma doesn't have any tried-and-true sayings about iPad time. This stuff is just too new. But many experts on kids and media are also parents themselves. So when I was interviewing dozens of them for my book The Art of Screen Time, I asked them how they made screen time rules at home.....Read More>>

Notes and Resources from Seminars

The Annual Women's & Children's Health Update 2018
Healthed newsletters are for health professionals only

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