February 2016

Monday, February 29, 2016

Zika Tied to Disorder That Can Cause Paralysis

But researchers found that nearly two-thirds of study cases walked again within 3 months

From: http://www.webmd.com/news/20160229/zika-virus-tied-to-rare-disorder-that-can-cause-paralysis?src=RSS_PUBLIC

Hawaii faces challenges fighting dengue outbreak

As Zika threatens to spread, Hawaii is having trouble battling another mosquito-borne virus

From: http://www.cbsnews.com/news/hawaii-faces-challenges-fighting-dengue-outbreak/

FDA: Listeria found at cheese plant with mislabeled products

Records obtained by CBS News show cheese at Castle Cheese was stored in an un-refrigerated room; and Listeria was found ten times

From: http://www.cbsnews.com/news/fda-records-show-listeria-found-at-cheese-plant-with-mislabeled-products/

FDA Orders 'Black Box' Warning Label on Essure Long-Acting Contraceptive

Agency says device remains 'appropriate' for many women but also cites reports of serious complications

From: http://www.webmd.com/sex/birth-control/news/20160229/fda-orders-black-box-warning-label-on-essure-long-acting-contraceptive?src=RSS_PUBLIC

Daylight Saving Time Tied to Spike in Stroke Risk

But overall increase was only 8 percent higher in the first two days after a clock change, researchers said

From: http://www.webmd.com/stroke/news/20160229/daylight-saving-time-tied-to-brief-spike-in-stroke-risk?src=RSS_PUBLIC

Mayo Clinic Minute: How Pets Can Improve Your Health

From: Mayo Clinic http://www.youtube.com/watch?v=VRzshbXZyrY

Baby in "his last days" receives life-saving heart transplant

A new heart arrived for 7-month-old Lincoln Seay just in time, doctors and family say

From: http://www.cbsnews.com/news/baby-in-his-last-days-receives-life-saving-heart-transplant/

Could daylight saving time increase your risk of stroke?

New research explores relationship between the time change and a serious health problem

From: http://www.cbsnews.com/news/could-daylight-saving-time-increase-your-risk-of-stroke/

Another Reason for Teens to Eat Their Vegetables

From: Mayo Clinic http://www.youtube.com/watch?v=yhxxCEYBlGY

'Female Libido' Pill May Not Be Worth It: Report

Addyi carries host of serious side effects without delivering much more sexual satisfaction, review suggests

From: http://www.webmd.com/sexual-conditions/news/20160229/female-libido-pill-may-not-be-worth-it-researchers?src=RSS_PUBLIC

ADA asks lawmakers to help combat prescription opioid abuse

As part of its efforts to reduce prescription opioid abuse, the Association is urging lawmakers to pass the Comprehensive Addiction and Recovery Act of 2016.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/ada-asks-lawmakers-to-help-combat-prescription-opioid-abuse

Mayo Clinic Minute: Guidelines - Do They Apply to You?

From: Mayo Clinic http://www.youtube.com/watch?v=xTLj7WuOp28

Agriculture Secretary Vilsack Announces $18 Million Available to Support Research and Teaching at Historically Black Land-Grant Universities

WASHINGTON, Feb. 29, 2016 - Agriculture Secretary Vilsack today announced $18 million in grants will be available to strengthen research and teaching at historically black land-grant universities during a meeting with the 1890’s Council in Washington. The grants are available through the 1890 Institution Research, Extension, and Teaching Capacity Building Grants program administered by USDA’s National Institute of Food and Agriculture (NIFA).

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/02/0054.xml&contentidonly=true

USDA Improves the WIC Shopping Experience to Better Serve our Nation’s Low-Income, New and Expecting Mothers and Their Young Children

WASHINGTON, Feb. 29, 2016 – Today, Agriculture Secretary Tom Vilsack announced a major step to make it easier for participants in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) to access nutritious foods. The WIC Electronic Benefit Transfer (EBT) Final Rule will improve the shopping experience for WIC participants by requiring states to transition from paper benefits to EBT systems by Oct. 1, 2020, as required by the Healthy, Hunger-Free Kids Act of 2010.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/02/0053.xml&contentidonly=true

Mislabeled painkillers "a fatal overdose waiting to happen"

Officials warn of opioid painkillers spiked with potentially lethal doses of fentanyl

From: http://www.cbsnews.com/news/mislabeled-painkillers-a-fatal-overdose-waiting-to-happen/

The hottest trend in plastic surgery

A new report looks at the fastest-growing cosmetic procedures in the U.S.

From: http://www.cbsnews.com/news/the-hot-new-trend-in-plastic-surgery/

Can You Exercise With Atrial Fibrillation?

Your heart needs exercise, even when you're living with AFib. A few simple tips from WebMD can help you do it safely.

From: http://www.webmd.com/heart-disease/atrial-fibrillation/features/exercises-heart-health?src=RSS_PUBLIC

Diabetes-Friendly Breakfast Ideas

Start your day off on the right foot with these healthy breakfast recipes.

From: http://www.webmd.com/diabetes/features/diabetes-eating-well?src=RSS_PUBLIC

Neuroscience can help you live a healthier life

Follow me at @srinipillay

Healthy behaviors clearly make sense from a rational standpoint, but they can be a drag — and difficult to maintain. For example, there are few people who doubt the beneficial effects of exercise, yet one study found that close to 75% of people either do not exercise at all or exercise only seldomly. Eating healthily is also important, yet more than a third of all adults are obese. It’s not because we’re ignorant or because we aren’t motivated to adopt healthy behaviors. It’s just very difficult to stay the course.

Here are some strategies to help you develop and maintain healthy behaviors.

Combat stress

In an ideal world, it would be great to be able to reflect on each choice prior to making it. Yet, under stress, our brains tend to be reflexive rather than reflective. When we are reflexive, we tend to go back to old habits that are the established “default” pathways in our brains. For example, excessive sugar consumption is a risk factor for obesity, yet sugar also decreases the stress hormone cortisol, which is why people may get hooked on it. In general, stress prompts habit behavior in humans, so dealing first and foremost with stress is probably advisable when you’re looking to make lasting changes. Luckily, your brain can change throughout life. This means that decreasing stress could ultimately help your brain become less vulnerable to habit.

People tend to focus on themselves when stressed, but a recent study showed that helping others may significantly decrease the negative effect of stress on your body. This may be due to the protective anti-stress effects of the hormone oxytocin. Another study affirmed these findings by showing that helping others may help you live longer.

Also, people who find meaning in their adversity and focus on the benefits of their hard times deal much more effectively with stress. To that end, what could you learn from the stressors in your life now? How could they make things better? For example, people who lose a dear friend may learn to appreciate others more. Those who’ve had financial difficulties may learn to save more effectively. Looking for the silver lining in a cloud can be more than just a “fake” refocusing of your mind. If you do it authentically, it can reduce the negative impact of stress.

Set meaningful goals

Setting goals can help you think more clearly and stay motivated, yet for many people, this approach does not work. A recent study provided an explanation for why this may be. Beyond your conscious goals, there are many unconscious goals also competing for attention. For example, while weight loss may be your conscious goal, stress relief may be your unconscious goal. While healthy eating may be your conscious goal, this may take a back seat to resolving relationship difficulties. All around, goals are selfish. It’s every goal for itself in the human brain. If your health-related goal doesn’t have special preference, it may fail you. It helps to attach a “priority tag” to the goals that are most important to you.

To do this, you need to delve a little more deeply — that is, ask yourself why your goal matters to you. Things like looking good, living longer, enjoying life, avoiding dementia, and understanding that being unhealthy-but-wealthy is suboptimal for you may all help your goal gain priority. To make changes for the better, your health-related goals should be the goals above all other goals. When you elevate their importance by thinking of them in ways like these, they will beat out other goals in your brain.

Design intentions that your brain will respond to

Finally, your brain responds to two types of intentions — goal and implementation intentions. Goal intentions are broad and non-specific. Implementation intentions are quite specific. Studies show that breaking all goal intentions into more specific intentions can go a long way. For instance, rather than just planning to work out, specify the time and place, or even the change you are seeking in pounds. When you spell things out for your brain, it can access that goal more readily than when you are vague and non-specific.

Habits are a powerful force that make change difficult. Yet, decreasing stress, attaching a priority tag to your goal, and being more specific will prepare your brain more adequately for the changes that will support your life.

The post Neuroscience can help you live a healthier life appeared first on Harvard Health Blog.

From: Srini Pillay, MD http://www.health.harvard.edu/blog/neuroscience-can-help-you-live-a-healthier-life-201602299210

More Americans Opting for Butt Implants, Lifts

New data on plastic surgery trends also finds men increasingly undergoing breast reductions

From: http://www.webmd.com/beauty/treatments/20160226/more-americans-opting-for-butt-implants-lifts?src=RSS_PUBLIC

Urinary Incontinence Risk Up After Vaginal Birth

But the risks that come with an elective C-section must be considered as well, experts say

From: http://www.webmd.com/baby/news/20160226/urinary-incontinence-risk-rises-slightly-after-vaginal-birth-study-finds?src=RSS_PUBLIC

Skinny asthma inhaler fits in a wallet

Bloom, a super-thin, credit-card-size asthma inhaler, will be submitted for FDA approval later this year

From: http://www.cbsnews.com/news/skinny-asthma-inhaler-bloom-fits-in-a-wallet/

Saturday, February 27, 2016

Zika virus forces female athletes to consider sitting out Olympics

With Brazil being the epicenter of the Zika virus, some female athletes are saying they may not compete at the Olympics there this summer

From: http://www.cbsnews.com/videos/zika-virus-forces-female-athletes-to-consider-sitting-out-olympics/

Meet Karen Newcomer-Aney, M.D. - Mayo Clinic Sports Medicine

From: Mayo Clinic http://www.youtube.com/watch?v=iHEgec9bzbM

CDC investigates sexual transmission cases of Zika

The CDC is investigating over a dozen cases of Zika virus that may have been spread through sex

From: http://www.cbsnews.com/videos/cdc-investigates-sexual-transmission-cases-of-zika/

Red flags in emails months before Flint water crisis

Red flags were popping up in Michigan Gov. Rick Snyder’s inbox for months about the polluted drinking water in Flint, long before the lead contamination problems became public

From: http://www.cbsnews.com/videos/red-flags-in-emails-months-before-flint-water-crisis/

Fast food: Tips for choosing healthier options

From: http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fast-food/art-20047179

Friday, February 26, 2016

Heart Health Challenge: 30 Minutes of Exercise

From: Mayo Clinic http://www.youtube.com/watch?v=9u9LSGgckyA

Baby born with microcephaly in U.S. after mother's travels

On Friday, the CDC reported that a woman who contracted the Zika virus abroad gave birth to a baby with microcephaly in the U.S.

From: http://www.cbsnews.com/videos/baby-born-with-microcephaly-in-u-s-after-mothers-travels/

Emails reveal governor's officials flagged early on Flint water

Problems began to surface in Flint, Michigan when the city switched its water source from Lake Huron to the polluted Flint River

From: http://www.cbsnews.com/videos/emails-reveal-governors-officials-flagged-early-on-flint-water/

Baby born in U.S. with brain damage linked to Zika

Officials update on pregnant women in the U.S. who have had the Zika virus liked to microcephaly

From: http://www.cbsnews.com/news/baby-born-in-united-states-with-brain-damage-linked-to-zika/

Heart Health Challenge: Feeding Your Heart Health

From: Mayo Clinic http://www.youtube.com/watch?v=Btip28k3UtQ

Harris grants application deadline April 8

The application deadline for the 2016 ADA Foundation’s Samuel Harris Fund for Children’s Dental Health grant program is April 8.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/harris-grants-application-deadline-april-8

Newlywed dies after mistaking cancer pain for pulled muscle

Friends and family of the U.K. woman have set up a foundation in her name to fight skin cancer

From: http://www.cbsnews.com/news/newlywed-dies-after-mistaking-cancer-pain-for-pulled-muscle/

Baby thrives after heart procedure before birth

A California baby's rare heart condition could have been fatal, but doctors were able to intervene before little Grayson was even born

From: http://www.cbsnews.com/videos/baby-thrives-after-heart-procedure-before-birth/

Rare heart procedure saves tiny newborn's life

Twenty-two weeks into his mother's pregnancy, doctors discovered baby Grayson Davila had a rare heart condition

From: http://www.cbsnews.com/news/rare-heart-procedure-saves-tiny-newborns-life/

Pregnant Travelers, Tough Choices on Zika Testing

Pregnant women who recently traveled to areas where the Zika virus is being spread by mosquitoes are facing a dilemma -- whether or not to get a blood test to check for the infection. WebMD has the details.

From: http://www.webmd.com/news/20160226/pregnant-travelers-zika-tests?src=RSS_PUBLIC

4 Types of Pancreatic Cancer Identified: Study

Scientists say there are four types of pancreatic cancer, a discovery that could lead to new treatment opportunities. WebMD has the details.

From: http://www.webmd.com/cancer/pancreatic-cancer/news/20160226/pancreatic-cancer-types?src=RSS_PUBLIC

Surgeons Perform First U.S. Uterus Transplant

'Life-enhancing' procedure offers womb-less women a chance at pregnancy

From: http://www.webmd.com/women/news/20160226/surgeons-perform-first-us-uterus-transplant?src=RSS_PUBLIC

Is there a sleeping pill, car crash connection?

A new study looks at what happens in older Americans who took Ambien

From: http://www.cbsnews.com/news/is-there-a-sleeping-pill-car-crash-connection/

Mayo Clinic Minute: Where to Avoid Multitasking

From: Mayo Clinic http://www.youtube.com/watch?v=qxEwTPgTbzg

Transgender Kids: Support Key to Emotional Health

Study did not find higher depression levels when parents backed children's choice

From: http://www.webmd.com/children/news/20160226/for-transgender-kids-support-is-key-to-emotional-well-being?src=RSS_PUBLIC

Pot Habit Early in Life May Alter Brain

Regular marijuana users who started smoking before 16 had marked differences on MRI scans

From: http://www.webmd.com/mental-health/addiction/news/20160226/pot-habit-early-in-life-may-alter-brain-study-suggests?src=RSS_PUBLIC

USDA Invests $25 Million in High-Priority Watersheds to Improve Water Quality

WASHINGTON, Feb. 26, 2016 – Agriculture Secretary Tom Vilsack today announced an investment of $25 million targeted to help agriculture producers improve water quality in high-priority streams and rivers across the country. Through the National Water Quality Initiative (NWQI), USDA's Natural Resources Conservation Service (NRCS) will help agricultural producers in 187 priority watersheds apply conservation measures that contribute to cleaner water downstream.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/02/0052.xml&contentidonly=true

HIPAA clarification allows patients to receive health information through unsecure email

The federal government clarified that the Health Insurance Portability and Accountability Act that requires covered dentists to use unsecure email to send information to a patient as long as the patient requested it be sent that way.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/hipaa-clarification-allows-patients-to-receive-health-information-through-unsecure-email

Oklahoma Mission of Mercy event breaks its own record

This year’s Oklahoma Mission of Mission event provided more than $1.7 million in donated dental care, a record, surpassing last year’s total of $1.5 million.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/oklahoma-mission-of-mercy-event-breaks-its-own-record

Cranberry Juice for Urinary Tract Infection?

Specialist says grocery-store varieties aren't strong enough for the job

From: http://www.webmd.com/women/news/20160225/cranberry-juice-for-urinary-tract-infection?src=RSS_PUBLIC

"Truly stunning" findings on transgender kids' health

Small study looks at how transgender children who are allowed to live openly compare to other kids when it comes to mental health

From: http://www.cbsnews.com/news/transgender-kids-mental-health/

Vitamin D and physical function: Is more better?

The popularity of vitamin D has been surging in recent years, largely because of the growing list of its proposed health benefits. But not all of the claims are backed by evidence. For example, there have been suggestions that vitamin D can help you

reduce your risk of arthritis
prevent heart disease
improve your brain function and lessen your risk of dementia
improve your immune function and lessen the risk of immune disorders.

These are difficult claims to prove — or disprove. Most of them come from studies linking a low intake of vitamin D or a low level in the blood with an increased risk of disease or death. But, it’s possible that people with low intake or blood levels of vitamin D levels also smoke more, exercise less, or have other explanations for their higher rates of disease and death.

While it’s not at all clear that vitamin D can deliver these health benefits, getting enough vitamin D is important, especially for maintaining bone health. Severe deficiency of vitamin D can cause osteomalacia, which means “soft bones.” (In children, abnormal bone development due to vitamin D deficiency is called rickets.) Low levels of vitamin D can also contribute to osteoporosis: vitamin D is needed to promote calcium absorption in the gut, and calcium is essential in building and remodeling bone.

Can vitamin D also improve physical function?

To explore the possibility that vitamin D might provide yet another health benefit, researchers recently published a study to determine whether taking a high dose vitamin D supplement might help stave off a decline in physical function in older adults. Researchers enrolled 200 people who were at least age 70 and who had reported a fall in the past. Some were given a low dose of vitamin D, while others received higher doses. After a year, the researchers assessed the participants’ physical function (by measures of walking speed, ability to stand up repeatedly from a sitting position, and balance). The results were no better in those treated with higher doses of vitamin D than in those on lower doses. In addition, those receiving the higher doses reported significantly more falls. There was no clear explanation for this unexpected finding.

While this study casts doubt on vitamin D as a panacea for failing physical function among elderly adults, it’s still possible that it might help certain people — for example, perhaps younger adults who’ve never fallen before would see more benefit. Or, a longer period of follow-up might reveal other benefits associated with taking high-dose vitamin D supplements.

Please stand by

While we know vitamin D is an essential part of a healthy diet and supplements might be helpful for those who don’t get enough, we need more research to back up some of its proposed benefits. In the meantime, it seems reasonable to choose a balanced diet that contains the recommended daily amount of vitamin D for your age and gender. Sun exposure (perhaps as little as 10-15 minutes a day) may also increase blood levels of vitamin D because UVB radiation from the sun converts precursors of vitamin D in the skin.

Talk to your doctor about whether to have a blood test to confirm that you’re getting enough vitamin D. And read the reports about the health benefits of this vitamin (and other vitamins and supplements) with a skeptical eye. There is considerable uncertainty about what vitamin D can do for you — and, as demonstrated in this latest research, one thing is clear: more is not always better.

The post Vitamin D and physical function: Is more better? appeared first on Harvard Health Blog.

From: Robert Shmerling, M.D. http://www.health.harvard.edu/blog/vitamin-d-and-physical-function-is-more-better-201602269206

Live. Work. Play: Simintha’s Diabetes Story

Working for the American Diabetes Association® means making a difference for millions of people and working toward a future free of diabetes and all its burdens.

We all have a story to share. Some of us live with type 1 or type 2 diabetes, gestational diabetes or prediabetes. Others have loved ones with the disease or have lost someone to the fight.

The following are personal stories from the Association’s staff about why we are so committed to the mission to prevent and cure diabetes and to improve the lives of all people affected by diabetes.

Simintha Esson
National Director, Corporate Alliances
Home Office (Alexandria, Va.)

On Wednesday, March 5, 2014, my father lost his fight to type 2 diabetes. When I received the call, my world was immediately turned upside down. I felt like I had been destroyed! The painful numbness of hurt filled my soul and I was beside myself with guilt, anger and confusion.

My father was affected by this disease for more than two decades. But unlike with other illnesses, he seemed just fine. There were no clear physical signs that my dad’s body was being demolished each day by this silent killer called diabetes. It wasn’t until about nine years ago that the snowball hit and everything started to change. He lost sensation in his limbs and developed other major complications to the point that, while only in his mid-40s, he could not walk.

The remaining five years of his life were spent in and out of assisted living homes and emergency rooms. I hate diabetes because it took my dad from me way too soon! He was only 52 and I still needed him. I miss him every day! Every time I need some advice or I want to share things about my day or just hear him call me “a big knuckle head,” my heart breaks because I will never have those moments with him again.

I’ll be honest. Before I began working at the American Diabetes Association’s Chicago office in 2008, I had no clue how to help my dad. We unknowingly replaced sugary foods with foods that were high in sodium and saturated fat, none of which were good for my dad. We had no clue these foods were not good choices for him. I think this is a common mistake people make when they don’t have access to diabetes education.

I know working with the Association helped extend my dad’s days because of the information and resources I got here and shared with him. Our visits changed from me bringing him some fried chicken to me bringing him pears, which he loved.

After I lost my dad, I decided to run the Chicago Marathon in his honor. I ran those 26.2 miles not only to honor him and raise funds for the Association, but also to inspire others who are going through the same situation. I strongly believe that if more people understood this disease, they could do something about it before it’s too late.

Every day that I work here and hear the stories and meet the people in the community who are going through similar situations, I am renewed. My dad used to tell me he was proud of me and the work I do here. His words drive me every day. I share my story with you not because I want pity, but because I want action.

Together, we can all make a difference. Stop Diabetes®!

To learn more about nationwide employment opportunities and life at the Association, please visit diabetes.org/careers.

From: American Diabetes Association http://diabetesstopshere.org/2016/02/26/siminthas-diabetes-story/

Alzheimer's treatments: What's on the horizon?

From: http://www.mayoclinic.org/alzheimers-treatments/art-20047780

Thursday, February 25, 2016

Cleveland Clinic performs first U.S. uterus transplant

Experimental treatment might be an option for thousands of women unable to have children because they were born without a uterus or lost it to disease

From: http://www.cbsnews.com/news/cleveland-clinic-performs-first-us-uterus-transplant/

The promise of precision medicine

Dr. Francis Collins, Director of the National Institutes of Health, is leading efforts to gather a one-million-person database of health and genetic information which could lead to more targeted, personalized treatments

From: http://www.cbsnews.com/videos/the-promise-of-precision-medicine/

New study examines hearts of NBA players

Heart problems account for three-quarters of sports-related deaths in young athletes

From: http://www.cbsnews.com/videos/new-study-examines-hearts-of-nba-players/

New study of NBA player's hearts could save lives of athletes

Heart problems account for three-quarters of sports-related deaths in young athletes; but new study could change that

From: http://www.cbsnews.com/news/new-study-of-nba-players-hearts-could-save-lives-of-us-athletes/

Could too much exercise be toxic?

Exercising too hard for too long may cause structural changes to the heart, new research suggests

From: http://www.cbsnews.com/news/high-levels-of-intense-exercise-could-be-toxic-study/

Precision medicine aims to revolutionize health care

Ambitious plan for a one-million-person health database could help unravel secrets of cancer and other diseases

From: http://www.cbsnews.com/news/presidents-precision-medicine-initiative-is-propelling-forward/

1 in 3 Americans Drinks Sugary Soda or Juice Daily

These beverages linked to greater risk of obesity, type 2 diabetes, researchers say

From: http://www.webmd.com/diet/20160225/1-in-3-americans-drinks-sugary-soda-or-juice-daily-cdc?src=RSS_PUBLIC

Zika's Effect on Fetus May Be Worse Than Thought

But some scientists say link is still inconclusive

From: http://www.webmd.com/news/20160225/report-suggests-zikas-effect-on-fetus-may-be-even-deadlier-than-thought?src=RSS_PUBLIC

Science & Stories – Depression and Bipolar Disorder 2016

From: Mayo Clinic http://www.youtube.com/watch?v=NEtqlp3Y44I

The latest ways to relieve the burden of decision-making at life’s end

My dear friend Pam and her mother Nancy sat across from me at the restaurant table. “I’m so sorry about Glenn,” I said. Glenn was a generous and funny man who adored Nancy and their four daughters, and was incredibly kind to me when I was a constant fixture at their house during my middle and high school years. He died at 81, after a difficult health battle.

What made things slightly easier, explained Nancy, was that Glenn had already decided what he wanted at the very end. Glenn had signed a Durable Do Not Resuscitate Order (DDNR), a doctor’s order that allows you to refuse CPR in case your heart stops beating or your breathing stops. It’s usually for people who are near the end of their lives or have an illness that won’t improve, and it takes the burden of decision-making off family members.

And now a relatively new initiative takes DDNRs even further.

The POLST

Like the DDNR, the POLST form (Physician’s Orders for Life-Sustaining Treatment) turns your health care preferences into a medical order that must be followed by doctors, hospital staffers, and paramedics. The POLST provides instructions for treatments beyond CPR, such as pain medicine, antibiotics, and nutrition, and it’s for use both inside and outside of the hospital setting. “There used to be no such thing as a medical order that follows you home. That’s where the POLST comes into play. It specifically tells medical providers what to do or not do,” says Dr. Justin Sanders, an attending physician in palliative care at Harvard-affiliated Dana-Farber Cancer Institute.

The POLST is not a legal document; it’s a medical order signed by you, your physician, and a witness.

Considerations

Many states are just developing their POLST forms, and may call them by another name, such as a MOLST (Medical Orders for Life-Sustaining Treatment), POST (Physician Orders for Scope of Treatment), or a MOST (Medical Orders for Scope of Treatment).

But the POLST isn’t perfect. An editorial published in JAMA on January 19 raises the question of whether POLSTs are effective, citing studies that suggest POLSTs may not always be interpreted accurately by medical personnel.

Another issue: POLSTs can dictate very specific treatment that’s based on a person’s needs when he or she signs the form with the doctor. But there’s nothing in place to revisit the POLST when a person’s physical status changes. Foreseeing future medical treatment needs may be difficult, and having a medical order that must be followed, even if it’s become irrelevant, may be a problem.

Advance directives

It may help to have other documents in place that spell out your wishes — not just medical orders, but legal documents that also fall under the umbrella term of an advance directive. These include:

A living will, a legal document that formalizes your treatment preferences if you’re unable to make your own health care decisions. There’s no standard form; each living will is drafted by an attorney, and legal language for these wills varies from state to state. A living will may be simple, stating that you don’t wish to be on life support; or it may be very detailed, mentioning your wishes in different situations, such as if you need dialysis, antibiotics, or any life-sustaining treatments. The document must be signed by you, two witnesses, and a notary public. A living will is not a medical order that paramedics will likely follow in an emergency; there may not be time to read or interpret it.
A health care proxy or surrogate, a legal document that names the person who’ll make your health care decisions if you lack the capacity to make them. This document is sometimes called a durable power of attorney for health care. It must be signed by you, two witnesses, and a notary public. Depending on the state, the proxy may be named in a living will. Whom should you appoint? “Make it someone who’ll have the strength to carry out your wishes. That can be a friend as well as a family member,” says Dr. Sanders.

Dr. Sanders feels that completing a health care proxy and speaking openly with that person about the care you want is the most important thing you can do to receive treatment consistent with your wishes.

Ultimately, this can make things easier on your loved ones when the time comes. I’ll bet Glenn and his family would agree.

The post The latest ways to relieve the burden of decision-making at life’s end appeared first on Harvard Health Blog.

From: Heidi Godman http://www.health.harvard.edu/blog/the-latest-ways-to-relieve-the-burden-of-decision-making-at-lifes-end-201602259196

Can two combs explain genomics? Watch JADA video to see how

How will genomics enhance patient care in the future? What initiatives should ADA consider supporting in the emerging discipline of genomics in dentistry?

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/can-two-combs-explain-genomics-watch-jada-video-to-see-how

San Francisco officials vote to give condoms to middle schoolers

Health official said in a letter that San Francisco has among the highest rates of chlamydia, gonorrhea and syphilis of any city in the U.S.

From: http://www.cbsnews.com/news/san-francisco-officials-vote-to-give-condoms-to-middle-schoolers/

Can talcum powder really cause cancer?

In the wake of big court verdict, a look at what scientific research says about the possible link between talc and ovarian cancer

From: http://www.cbsnews.com/news/johnson-johnson-verdict-can-talcum-powder-really-cause-cancer/

Hospital warns patients of possible HIV, hepatitis exposure

Warning from Shore Medical Center in N.J. comes after ex-employee was charged with drug tampering, theft and drug possession

From: http://www.cbsnews.com/news/shore-medical-center-in-new-jersey-warns-patients-of-possible-hiv-hepatitis-exposure/

The flu vaccine is 59% effective -- is that good enough?

The Centers for Disease Control and Prevention says this year's vaccine was 59% effective

From: http://www.cbsnews.com/videos/the-flu-vaccine-is-59-effective-is-that-good-enough/

Is too much exercise bad for your heart?

Research finds that long, intense exercise can lead to heart abnormalities

From: http://www.cbsnews.com/videos/is-too-much-exercise-bad-for-your-heart/

Study finds change in Colo. ER rates after pot legalization

Doctors review marijuana-related emergency-room visits from state's first year of recreational pot sales

From: http://www.cbsnews.com/news/colorado-marijuana-complaints-tourists-emergency-rooms-new-england-journal-of-medicine/

3 pregnant women diagnosed with Zika in Florida

The virus, which has been linked to birth defects, has now been confirmed in 32 people in the state

From: http://www.cbsnews.com/news/3-pregnant-women-diagnosed-with-zika-in-florida/

Mayo Clinic Minute: What Heart Sounds Tell Us

From: Mayo Clinic http://www.youtube.com/watch?v=UG2uLZVlxtw

Heart Health Challenge: Mind Your Salt

From: Mayo Clinic http://www.youtube.com/watch?v=Or2OBGxh_uI

Are Women the Key to Unlocking Alzheimer’s?

Not only are women more likely to get Alzheimer’s than men, but recent studies suggest the disease does its work more swiftly in women, causing them to decline faster -- and farther -- than men do, at least in the beginning. WebMD has the details.

From: http://www.webmd.com/news/breaking-news/confronting-alzheimers/20160225/alzheimers-women?src=RSS_PUBLIC

Alzheimer's Risk: Do You Want to Know?

If a test could tell whether you’ll get Alzheimer’s disease someday, would you want to know? And if so, what would you do with that knowledge? Learn more from WebMD.

From: http://www.webmd.com/news/breaking-news/confronting-alzheimers/20160225/alzheimers-risk?src=RSS_PUBLIC

New Treatments for Alzheimer's Disease

Researchers are testing over 100 potential Alzheimer’s drugs in people. Experts tell WebMD which meds are showing promise.

From: http://www.webmd.com/news/breaking-news/confronting-alzheimers/20160225/alzheimers-treatments?src=RSS_PUBLIC

'Preemie' Babies May Face Long-Term Anesthesia Risks

Study tracked higher rate of complications up to age 22

From: http://www.webmd.com/baby/news/20160225/preemie-babies-may-face-long-term-anesthesia-risks?src=RSS_PUBLIC

‘Complete dentist’ Dr. Peter E. Dawson recipient of ADA Distinguished Service Award

The ADA Board of Trustees announced that Dr. Peter E. Dawson will receive the ADA Distinguished Service Award at ADA 2016 – America’s Dental Meeting this October in Denver.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/complete-dentist-dr-peter-e-dawson-recipient-of-ada-distinguished-service-award

Flu Season Continues to Be Mild: CDC

But, infections expected to increase and peak some time in March

From: http://www.webmd.com/cold-and-flu/news/20160224/flu-season-continues-to-be-mild-cdc?src=RSS_PUBLIC

Ebola May Leave Lasting Neurological Problems

Six months after active illness, headaches, memory loss, depression were still being reported

From: http://www.webmd.com/news/20160224/ebola-may-leave-lasting-neurological-problems?src=RSS_PUBLIC

'Pot Tourists' Linked to Surge in Colorado ER Visits

Many out-of-state users overindulge with marijuana, particularly the edible version, researcher says

From: http://www.webmd.com/mental-health/addiction/news/20160224/pot-tourists-linked-to-surge-in-colorado-er-visits?src=RSS_PUBLIC

Video captures e-cigarette exploding in man's pocket

The Kentucky man is recovering from second-degree burns

From: http://www.cbsnews.com/videos/video-captures-e-cigarette-exploding-in-mans-pocket/

Nurse accused of assisting surgery while drunk

Veterans hospital nurse acknowledged drinking as many as five beers before assisting in an emergency operation

From: http://www.cbsnews.com/news/nurse-accused-of-assisting-surgery-while-drunk/

Mother fights to carry late daughter's frozen eggs

She hopes to give birth to a grandchild

From: http://www.cbsnews.com/videos/mother-fights-to-carry-late-daughters-frozen-eggs/

Johnson & Johnson fights $72M cancer claim verdict

Lawyers say the award is the first of its type

From: http://www.cbsnews.com/videos/johnson-johnson-fights-72m-cancer-claim-verdict/

Join our #AsktheRD Twitter Chat — March 9 at 7 p.m. ET!

Knowing what to eat can be confusing. Everywhere you turn, there is news about what is or isn’t good for you. But a few evidence-based tips have weathered the fad diets and withstood the test of time. This is why the American Diabetes Association® is committed to highlighting the best choices, so you’ll know what to focus on for meals and snacks.

And with March being National Nutrition Month®, it’s the perfect time to find delicious ways to eat well! The Association is excited to host an #AskTheRD Twitter chat on this very topic Wednesday, March 9 at 7 p.m. ET—featuring a nutrition expert with experience in diabetes management.

Our Associate Director of Nutrition, Sloane Mendelsohn, MS, RD, LDN, will offer tips to eat right with diabetes. This is a chance to learn about the Association’s dietary recommendations and have your own questions answered live!

To participate, just log on to Twitter, follow @AmDiabetesAssn and follow #AskTheRD. Watch for updates throughout March 9—we’ll be answering questions that are tagged #AskTheRD.

From: American Diabetes Association http://diabetesstopshere.org/2016/02/25/twitter-chat-march-9/

Living with Diabetes in College: Deanelle

For young adults living with diabetes, preparing for college can be a difficult time. Managing diabetes while trying to make sense of a new world, social network and expectations can be especially challenging. You’re not alone! There are many resources in place to help support this transition.

The following are stories shared by College Diabetes Network (CDN) Students, involved in CDN’s Student Advisory Committee (SAC), about their experiences heading off to college, and navigating life on campus, with diabetes.

The College Diabetes Network provides programs for young adults with diabetes to help make their college experience safer and more successful. The American Diabetes Association is working with CDN to help further this goal.

Name and Age: Deanelle, 17

School: University of North Carolina (UNC, Chapel Hill), Class of 2018

I was diagnosed with type 1 diabetes in November 2002 and I’ve been interested in diabetes education and advocacy ever since. I enjoy forming lasting friendships with other people affected by diabetes—and now I get to do so in college.

One of my first such experiences was at the American Diabetes Association’s Camp Carolina Trails in King, North Carolina. Attending camp was the first time I met a large group of people with diabetes. It was a special experience for me because I learned not only how to better manage my diabetes, but also how to have a positive mental attitude when facing the obstacles that happen in my life. Last year I actually returned as a counselor!

I’ve been blessed with opportunities like these and an exceptional transition into college. My parents and health care team helped me by being supportive of my health needs and by understanding how excited I was. My health care team helped by telling me about their own experiences in college and making sure that I understood what immunizations or other health information I needed to give to the university. My family was there every step of the way before I left for college and they occasionally call me to check up on me or to ask me how my day is going.

When looking into colleges and universities, I did not research UNC’s health services and accommodations because I knew the faculty advisor of Heels and Hearts, UNC’s CDN chapter. I felt comfortable coming to UNC because I knew this advisor would answer all my questions. These services were helpful because they allowed me to excuse myself during an exam if my blood glucose was low and to get special dietary accommodations.

I choose to tell my roommate and college professors about my diabetes because it will ultimately be safer this way. It’s safer because you do not know what will happen when managing your diabetes. At one moment you could be fine, and the next moment you could be experiencing hypoglycemia or hyperglycemia. But honestly, sometimes I get nervous about telling them simply because I do not want them to worry about me; I don’t want to add the stress.

When I did tell my professors, I was happy to find out they are well educated in type 1 diabetes. I also answer my roommates’ questions so I can debunk the misconceptions they might have about diabetes.

When talking to friends about diabetes, I usually tell them about my faulty pancreas. Then I talk about the significance of the pancreas and describe what happened to mine. I tell them about what I have to do to self-manage, including checking my blood glucose, counting carbohydrates, being aware of my body, checking my feet for cuts or bruises, visiting my endocrinologist and being prepared for the off days with diabetes when everything seems to be going wrong.

I would like to raise significant awareness about diabetes with my CDN chapter because it is a great way to reach other students living with diabetes. I also want to teach others about the disease. I am a strong advocate of education because it may save someone’s life. I am on the UNC Mock Trial team, and whenever we leave the state for a competition my friends ask me if I have my insulin. This simple reminder can help save my life.

Before heading off to college, I wish I knew better stress-management techniques because being stressed out effects self-management and your performance in class. It can also affect your interactions with friends, which in turn could also affect your diabetes. Exercise is important for me because it helps with stress and blood glucose control. But trying to fit it into my schedule is very difficult. In high school I played sports, so I was very active and kept to a strict schedule. College gets strenuous and stressful at times; the best way to clear my head is to get some exercise.

My advice to incoming freshman and high school seniors? Ask a lot of questions and do not be afraid to share that you have diabetes. Especially because diabetes is a large part of who you are. By telling others and being comfortable with it, you stress less and also put yourself in the best position to succeed in college.

It takes a team to effectively manage your diabetes—and your life.

The College Diabetes Network (CDN) is a 501c3 non-profit organization, whose mission is to use the power of peers, access to resources, and grassroots leadership to fill the gaps experienced by young adults with diabetes and make their college experience safer and more successful. CDN’s vision is to empower young adults with diabetes to thrive in all of their personal, healthcare, and scholastic endeavors. CDN has over 80 campuses with 60+ affiliated chapters. Sign-up for more information here.

Diabetes Forecast magazine and the College Diabetes Network recently published a “Thrive Guide for Young Adults” with tips for doing college with diabetes. Visit diabetesforecast.org and diabetes.org for more information.

From: American Diabetes Association http://diabetesstopshere.org/2016/02/25/diabetes-in-college-deanelle/

A brain cancer survivor uses music help him heal

Angel Reynoso woke up in a hospital room on his 30th birthday

From: http://www.cbsnews.com/videos/a-brain-cancer-survivor-uses-music-help-him-heal/

Brain cancer survivor thrives on music as therapy

Angel Reynoso spent his 30th birthday in the hospital after brain surgery; today, he's in remission, and music is helping him heal

From: http://www.cbsnews.com/news/brain-cancer-survivor-singer-music-is-my-main-form-of-therapy/

Wednesday, February 24, 2016

Video shows police saving man from heroin overdose

Police in Upper Darby, Pennsylvania saved a man who was shooting up heroin on a public bus from an overdose

From: http://www.cbsnews.com/videos/video-shows-police-saving-man-from-heroin-overdose/

Probe: HealthCare.gov "passive" on heading off fraud

Government Accountability Office stops short of alleging widespread cheating in President Barack Obama's signature program

From: http://www.cbsnews.com/news/probe-obamacare-healthcare-gov-passive-on-heading-off-fraud/

Active Mind, Body May Not Help Curb Alzheimer's

Study suggests that, for most people, this kind of lifestyle does not curb markers of disease in the brain

From: http://www.webmd.com/alzheimers/news/20160224/active-mind-body-may-only-do-so-much-against-alzheimers?src=RSS_PUBLIC

Brain Cancer Common, Deadly in Teens, Young Adults

But types of tumors start to vary as people age, researchers add

From: http://www.webmd.com/children/news/20160224/brain-cancers-both-common-and-deadly-among-teens-young-adults-report?src=RSS_PUBLIC

It’s a family affair at ADA annual meetings

When dentist Dr. Maria Burmaster thinks about the ADA’s annual meetings, she thinks about family.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/its-a-family-affair-at-ada-annual-meetings

Mayor in upstate New York calls for supervised heroin injection site

Proposal to consider allowing heroin users to shoot up under medical supervision has divided drug policy experts

From: http://www.cbsnews.com/news/new-york-mayor-calls-for-supervised-heroin-injection-site/

Exercise + Schoolwork = Better test scores?

A new study finds children may do better at math and spelling if physical activity is part of the lesson plan

From: http://www.cbsnews.com/news/exercise-schoolwork-better-test-scores/

$72M Awarded in Johnson & Johnson Baby Powder Case

From: http://www.webmd.com/cancer/news/20160224/talcum-powder-cancer-verdict?src=RSS_PUBLIC

Salmonella Outbreak Linked to Alfalfa Sprouts: CDC

Alfalfa Sprouts Likely Cause of Salmonella Outbreak: CDC

From: http://www.webmd.com/food-recipes/food-poisoning/20160224/alfalfa-sprouts-salmonella?src=RSS_PUBLIC

Where do higher periodontitis rates prevail?

CDC identifies top 10 states in study

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/where-do-higher-periodontitis-rates-prevail

ADA launches one-stop new dentist Web portal

The ADA launched this month a new Web portal, ADA.org/newdentist, designed to provide a one-stop shop for new dentists seeking information.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/ada-launches-new-onestop-new-dentist-web-portal

Baby gorilla born after a rare C-section at British zoo

An adorable baby gorilla was delivered through a rare operation

From: http://www.cbsnews.com/news/baby-gorilla-born-in-british-zoo-after-a-rare-caesarean-section/

Gaps in care for women's "biggest health threat"

Heart disease is the number one killer for women, but study shows women are "understudied, underdiagnosed and undertreated"

From: http://www.cbsnews.com/news/american-heart-association-study-heart-disease-care-women-gender-gap/

Salmonella outbreak linked to alfalfa sprouts

Health officials urge consumers not to eat alfalfa sprouts produced by Sweetwater Farms at this time

From: http://www.cbsnews.com/news/salmonella-outbreak-linked-to-alfalfa-sprouts/

Exercise + Classwork May = Better Math Scores

Dutch study also found bringing exercise to the classroom boosted spelling grades

From: http://www.webmd.com/parenting/news/20160224/exercise-43-classwork-may-61-better-math-scores?src=RSS_PUBLIC

March JADA: Noncitizens in the U.S. foregoing dental care

Noncitizens and naturalized citizens in the U.S. had a lower rate of dental service use and are more likely to have had tooth extraction when compared with U.S.-born citizens in a study published in the March issue of The Journal of the American Dental Association.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/march-jada-noncitizens-in-the-us-foregoing-dental-care

Dentists have 100 days to enroll in Medicare or opt out

Dentists who prescribe Part D covered drugs to Medicare beneficiaries have about three months to enroll in Medicare or opt out.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/dentists-have-100-days-to-enroll-in-medicare-or-opt-out

"Never give up": Teen with rare disorder inspires team

Tristan Wilmott plays JV basketball even though he's only 3-foot-5, and when he scores, "the crowd goes wild"

From: http://www.cbsnews.com/news/new-hampshire-teen-with-rare-disorder-inspires-basketball-team/

Maine woman puts up road signs, finds a kidney

"I'm still amazed at the number of people that don't even know me but are willing to give me a piece of their body to save me," Linda Deming says

From: http://www.cbsnews.com/news/maine-woman-puts-up-road-signs-finds-a-kidney/

Women’s heart disease symptoms often overlooked, study shows

Heart disease is the number one cause of death in women, affecting more than six million women every year

From: http://www.cbsnews.com/videos/womens-heart-disease-symptoms-often-overlooked-study-shows/

Mayo Clinic Minute: Standing Desk Tips

From: Mayo Clinic http://www.youtube.com/watch?v=BjyhmguQ1ak

A stronger heart may keep your brain young

You probably know that regular exercise offers a wealth of benefits for your body, like staving off excess weight and chronic illnesses like heart disease and diabetes. But mounting evidence suggests that exercise is also good for your brain. A study published in the journal Neurology links better cardiovascular fitness to improved thinking skills in older adults.

The findings add to our understanding of how exercise benefits the brain, which seems to stem from several possible mechanisms, says Dr. John Ratey, associate clinical professor of psychiatry at Harvard Medical School and author of Spark: The Revolutionary New Science of Exercise and the Brain. “It’s not just about delivering more oxygen to the brain, although that’s part of it,” he says. Having a fit, healthy cardiovascular system also protects against vascular dementia, which happens when blood vessels feeding the brain become blocked or narrowed, leading to memory and other cognitive problems.

But exercise also stimulates the growth of new blood vessels in the brain, as well as the growth and survival of new brain cells, says Dr. Ratey. Brain imaging studies suggest that key brain areas responsible for thinking and memory are larger in people who exercise than in those who don’t.

Fit body, younger brain?

The new study included 877 adults with an average age of 65. To assess their cardiovascular fitness, researchers used a standard measure known as VO2 max, which is defined as the maximum amount of oxygen your body can use while you’re exercising as hard as you can. (The V stands for volume, usually measured in milliliters of oxygen per kilogram of body weight per minute. O2 is for oxygen, and max is for maximum.) The participants also took a variety of tests to gauge their thinking skills, memory, and executive function (a category of mental skills used to manage time, plan and organize, and remember details).

When researchers divided the participants into four groups based on their VO2 max values, they found striking differences in executive function between those with the highest and lowest levels. In fact, the test score differences corresponded to an age difference of seven years, they estimated. They saw similar trends for both memory and overall thinking ability, corresponding to age differences of six and four years, respectively.

Better brain connectivity and activation

In a study published last year in Neuroimage, participants underwent functional MRI testing, which tracks the changes that take place when a region of the brain responds during various tasks. The researchers found stronger connections between different regions of the brain in people with higher levels of cardiorespiratory fitness. Earlier research also correlated fitness levels with activation in the brain’s frontal lobe — the part of the brain responsible for executive function.

Together, these findings suggest that exercise may help keep your brain young, or at least slow down the normal decline in age-related thinking skills. The government’s Physical Activity Guidelines for Americans are more than adequate for that purpose, says Dr. Ratey. For all adults, the weekly goals are:

Two hours and 30 minutes of moderate-intensity aerobic activity, like brisk walking OR one hour and 15 minutes of vigorous-intensity activity, like jogging.
Muscle-strengthening activities on two or more days per week.

The post A stronger heart may keep your brain young appeared first on Harvard Health Blog.

From: Julie Corliss http://www.health.harvard.edu/blog/a-stronger-heart-may-keep-your-brain-young-201602249182

Brochures revised to help patients and dentists

The Association has revised two best-selling patient education brochures that are available from the ADA Catalog.

From: http://www.ada.org/en/publications/ada-news/2016-archive/february/brochures-revised-to-help-patients-and-dentists

Threats from Zika virus and sexual transmission

The number of cases in the U.S. is over 100, covering 24 states and Washington, D.C.

From: http://www.cbsnews.com/videos/threats-from-zika-virus-and-sexual-transmission/

Johnson & Johnson ordered to pay $72M over cancer death

Alabama woman died from ovarian cancer, which she said was caused by using baby powder and other products containing talcum

From: http://www.cbsnews.com/news/johnson-johnson-ordered-to-pay-72-million-over-cancer-death/

Cosmetic surgery: What to know beforehand

Considering cosmetic surgery? Here's help deciding whether surgery is right for you.

From: http://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/cosmetic-surgery/art-20048303

Child development: Know what's ahead

From: http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/child-development/art-20045155

Tuesday, February 23, 2016

CDC investigates more U.S. Zika cases possibly transmitted sexually

The new cases include two pregnant women, notable since Zika has been linked to microcephaly in newborns

From: http://www.cbsnews.com/news/centers-of-disease-control-investigates-whether-14-united-states-zika-cases-were-sexually/

Baby gorilla born by rare C-section

An adorable baby gorilla was delivered via caesarian section at Bristol Zoo Gardens in the U.K. after vets feared she might not survive

From: http://www.cbsnews.com/videos/baby-gorilla-born-by-rare-c-section/

Nerve Block Technique Might Help Chronic Back Pain

Small study found half of patients still getting pain relief a year out from treatment

From: http://www.webmd.com/back-pain/news/20160223/nerve-block-technique-might-help-ease-chronic-back-pain?src=RSS_PUBLIC

TX Hospitals Develop Rapid Test for Zika Virus

But it will only be available at hospitals that developed it for now, research team says

From: http://www.webmd.com/news/20160223/texas-hospitals-develop-rapid-test-for-zika-virus-detection?src=RSS_PUBLIC

Do Genes Link Headaches, Irritable Bowel Syndrome?

Study finds evidence of shared DNA, but more research is needed

From: http://www.webmd.com/migraines-headaches/news/20160223/do-genes-link-headaches-irritable-bowel-syndrome?src=RSS_PUBLIC

CDC: Half of black gay men will be diagnosed with HIV

For the first time ever, health officials release alarming projections of lifetime risk of HIV infection in the U.S.

From: http://www.cbsnews.com/news/half-of-black-gay-men-will-be-diagnosed-with-hiv-cdc/

Twin sisters defy the odds with multiple sets of twins

Identical twin sisters in Utah each gave birth to a set of twins - and then they did it again

From: http://www.cbsnews.com/videos/twin-sisters-defy-the-odds-with-multiple-sets-of-twins/

Identical twin sisters give birth to twins - twice

Utah sisters and their growing brood defy the odds

From: http://www.cbsnews.com/news/identical-twin-sisters-give-birth-to-twins-twice/

Could air pollution be making us fat?

A study looks at whether extreme air pollution in Beijing could have an impact on weight gain

From: http://www.cbsnews.com/news/could-air-pollution-be-making-us-fat/

Changes to Your Diet

WebMD shows you changes in your diet that can affect your irritable bowel syndrome (IBS) with diarrhea.

From: http://www.webmd.com/ibs/features/ibs-d-diet?src=RSS_PUBLIC

CDC Researchers Join Hunt for Zika Clues in Brazil

Teams of U.S. and Brazilian scientists will investigate virus' link to severe brain defect in newborns

From: http://www.webmd.com/news/20160223/cdc-researchers-join-hunt-for-zika-clues-in-brazil?src=RSS_PUBLIC

Could Adults' Expectations Up Kids' ADHD Rates?

Rates of disorder have risen alongside increasing academic demands, researchers say

From: http://www.webmd.com/add-adhd/childhood-adhd/news/20160223/could-adults-expectations-drive-up-adhd-diagnoses-in-kids?src=RSS_PUBLIC

Mayo Clinic Minute: Flu Shot Update

From: Mayo Clinic http://www.youtube.com/watch?v=g-rZohLYBxM

Fact Sheet: USDA Investments in Rural Opportunity

Since 2009, USDA’s partnership with America's rural communities has supported the emergence of a more vibrant, diverse rural economy led by makers, creators and innovators. Under the leadership of President Obama and Agriculture Secretary Tom Vilsack, USDA has made significant and transformative investments in housing, community facilities, businesses and infrastructure that have empowered rural America to continue leading the way – strengthening our nation’s economy, small towns and rural communities.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/02/0051.xml&contentidonly=true

Vaginal Ring Offers Some Protection Against HIV

Use of the new device cut infection rates between 27 percent and 56 percent in African women

From: http://www.webmd.com/hiv-aids/news/20160222/vaginal-ring-offers-some-protection-against-hiv-study-says?src=RSS_PUBLIC

More American Women Opting for Mastectomy

Rate went up 36 percent between 2005 and 2013, researchers say

From: http://www.webmd.com/women/news/20160222/more-american-women-opting-for-mastectomy-study-finds?src=RSS_PUBLIC

Parent Depression, Anxiety and Kids' Fussy Eating

If mom or dad had mental health issues, children were pickier about what they ate, study finds

From: http://www.webmd.com/children/news/20160223/parents-depression-anxiety-may-contribute-to-kids-fussy-eating?src=RSS_PUBLIC

USDA Awards Loans to Boost Rural Economic Development in Five States

WASHINGTON, Feb. 23, 2016 –As part of the U.S. Department of Agriculture's (USDA) ongoing efforts to boost opportunity in rural communities, Agriculture Secretary Tom Vilsack today awarded six low-interest loans to local governments and community organizations that will spur rural economic development in five states. Secretary Vilsack announced the awards at the Legislative Conference of the National Association of Counties during a seminar with the White House Rural Council.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/02/0050.xml&contentidonly=true

High-Impact Exercise Strengthens Men's Bones

Long-term jogging or tennis may help males avoid osteoporosis

From: http://www.webmd.com/men/news/20160222/high-impact-exercise-strengthens-mens-bones-researchers-say?src=RSS_PUBLIC

Snickers, Milky Way and other Mars candy bars recalled

Chocolate maker Mars recalls chocolate bars in 55 countries after problem is found

From: http://www.cbsnews.com/news/snickers-milky-way-mars-candy-bars-recalled/

The biggest distractions that cause car crashes

Video shot inside cars reveals what was distracting drivers seconds before an accident; some distractions more dangerous than others

From: http://www.cbsnews.com/news/biggest-distractions-that-cause-car-crashes/

Steroid May Be Safe, Effective Gout Treatment

Doctor says this appears to offer options for pain management

From: http://www.webmd.com/arthritis/news/20160223/steroid-may-be-safe-effective-gout-treatment-study-finds?src=RSS_PUBLIC

Obama Asks Congress for $1.9 Billion to Fight Zika

Money would go toward mosquito-control programs, vaccine development and tests to better spot the virus

From: http://www.webmd.com/news/20160222/obama-asks-congress-for-19-billion-to-battle-zika-virus?src=RSS_PUBLIC

Lung Cancer Survivors May Get Too Many PET Scans

Study finds using costly test as first option for follow-up may not improve survival

From: http://www.webmd.com/lung-cancer/news/20160222/lung-cancer-survivors-may-be-getting-too-many-pet-scans?src=RSS_PUBLIC

In Texas, a race to find a vaccine for Zika

One doctor says scientists have learned more about the virus in the last two months than they have in almost 70 years

From: http://www.cbsnews.com/news/zika-virus-vaccine-lab-university-of-texas-medical-branch-galveston/

How artificial hearts could one day make transplants history

Companies are working on creating a permanent artificial heart that could last for decades and one day make donor hearts unnecessary

From: http://www.cbsnews.com/news/heart-disease-number-one-killer-artificial-eliminate-need-for-human-transplants/

4 ways to protect your family from mosquitoes

.Follow me at @drClaire

The news about the Zika virus possibly causing microcephaly in infants has everyone talking about — and worried about — mosquitoes. It’s not just the Zika virus that can be spread by mosquitoes; these insects also spread other illnesses, such as malaria, dengue, chikungunya, yellow fever, West Nile virus, eastern equine encephalitis, and Japanese encephalitis.

It should be said that most people who are bitten by mosquitoes don’t get sick with anything. But if you are living in or traveling to an area where these illnesses are prevalent, it’s important to know the four best ways to protect yourself and your family:

Choose your clothes wisely. Lightweight long sleeves and long pants are your best bet; spraying clothing with insect repellent may help even more.
Create barriers between you and the mosquitoes. Staying inside, in air-conditioned buildings or buildings with good screens that don’t let in mosquitoes, is one way to do that. You can also use mosquito netting; you can use it around beds and also around baby strollers. Spraying the netting with insect repellent is a good idea.
Watch out for standing water. That’s where mosquitoes breed. If you can empty it out, do that. If you can’t, don’t hang out near it.
Use insect repellents. The most effective one is DEET (N, N-diethyl-meta-toluamide). Mosquitoes don’t like how it smells, so they stay away from it. The higher the percentage of DEET in the repellent, the longer the protection: 10% protects for a couple of hours, 20% about twice that.

How to use insect repellent effectively and safely

DEET does have side effects. The most common one is skin irritation, and it’s important not to use it on areas with scratches, cuts, or rashes. If ingested, it can cause nausea or vomiting. Ingesting large amounts of it, or using high percentages for long periods of time, can lead to neurologic problems such as seizures, but this is very rare.

The American Academy of Pediatrics says that percentages up to 30% are safe in children — but you shouldn’t use it on babies younger than 2 months old. For best protection, the Centers for Disease Control and Prevention recommends using at least 20%.

There are other insect repellent options, too:

Oil of lemon eucalyptus (or PMD, the man-made version), which can be very effective and is safe. It shouldn’t be used on children under 3 years old, however — it’s not well-studied enough.
Picaridin, which can be very effective against mosquitoes (but not so much against ticks — so keep that in mind if you need protection against both). It can cause mild skin irritation or irritation of the eyes if you get some there.
2-undecanone (IBI-246), a chemical naturally found in various plants. It can protect for up to 4-5 hours and is nontoxic.
IR-3535, which is the active ingredient in Avon insect repellents (and some others as well). It lasts for about 2 hours. It can cause eye irritation if you spray it there by accident, but is otherwise very safe.

The Environmental Protection Agency has a great tool to help you find the insect repellent that works best for your particular situation. No matter what you use:

Make sure a grownup does the spraying.
Never spray directly on the face; spray it on your hands and use your hands to apply it to the face (and then wash your hands!)
Always spray in an open area, to limit how much you end up breathing in.
Reapply if truly needed, but do so sparingly.
When you come home at the end of the day, wash everyone up well with soap and water — and be sure to wash any sprayed clothing before it’s worn again.

To learn more about mosquito-borne diseases and how to protect yourself, visit the website of the Centers for Disease Control and Prevention.

The post 4 ways to protect your family from mosquitoes appeared first on Harvard Health Blog.

From: Claire McCarthy, MD http://www.health.harvard.edu/blog/4-ways-to-protect-your-family-from-mosquitoes-201602239272

Heart Irregularities and Pregnancy Complication

Study might help identify which women could develop high blood pressure while expecting

From: http://www.webmd.com/baby/news/20160222/heart-irregularities-may-be-linked-to-pregnancy-complication?src=RSS_PUBLIC

Racial disparities persist in some types of cancer

Three decades since a government report called health disparities an affront to American ideals, care for many still lags

From: http://www.cbsnews.com/news/racial-disparities-persist-in-cancer-rates/

Sleep during pregnancy: Follow these tips

From: http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/sleep-during-pregnancy/art-20043827

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