09/19/16

Monday, September 19, 2016

Kellogg recalls some Eggo waffles over listeria scare

About 10,000 cases of Kellogg Eggo Nutri-Grain Whole Wheat Waffles are being recalled because they could be contaminated with the bacteria listeria

From: http://www.cbsnews.com/news/kellogg-recalls-some-eggo-waffles-over-listeria-scare/

Husband in real-life "Fault in Our Stars" couple dies

25-year-old Dalton Prager died from cystic fibrosis, while his wife is in hospice care with the same disease

From: http://www.cbsnews.com/news/husband-in-real-life-fault-in-our-stars-couple-dies/

Vasectomy May Not Raise Prostate Cancer Risk After All

Large study challenges previous research linking the procedure to slightly higher chance of disease

From: http://www.webmd.com/prostate-cancer/news/20160919/vasectomy-may-not-raise-prostate-cancer-risk-after-all?src=RSS_PUBLIC

FDA OKs 1st Drug to Treat Duchenne Muscular Dystrophy

Exondys 51 seems to fill unmet need for devastating childhood disease, agency says

From: http://www.webmd.com/children/news/20160919/fda-oks-1st-drug-to-treat-duchenne-muscular-dystrophy?src=RSS_PUBLIC

CDC: Too Many Antibiotics Still Being Prescribed in U.S.

United Nations to discuss duel problems -- overuse and lack of access

From: http://www.webmd.com/news/20160919/cdc-too-many-antibiotics-still-being-prescribed-in-us?src=RSS_PUBLIC

Doctors warn against codeine for kids

Pediatricians say children should not be given medications with codeine for pain relief. Don Champion reports on the risks and the alternatives.

From: http://www.cbsnews.com/videos/doctors-warn-against-codeine-for-kids/

First drug approved for Duchenne muscular dystrophy

The FDA approved Exondys 51 for a rare and deadly form of muscular dystrophy

From: http://www.cbsnews.com/news/new-muscular-dystrophy-drug-exondys-51-by-sarepta-therapeutics-fda-approved/

CDC: Aerial spraying is helping curb Zika in Miami

Health officials lift part of their travel advisory and credit aerial pesticide spraying with killing mosquitoes that transmit the virus

From: http://www.cbsnews.com/news/cdc-aerial-spraying-naled-helped-curb-zika-in-miami/

Carrot-Stick Approach: A Way to Get Folks to Eat More Veggies, Fruits

Study of financial incentives for healthful eating also banned payments for sugary foods, sodas

From: http://www.webmd.com/diet/news/20160919/carrot-stick-approach-a-way-to-get-folks-to-eat-more-veggies-fruits?src=RSS_PUBLIC

CDC Ends Zika Travel Advisory for Miami Neighborhood

Pregnant women still urged to protect themselves from mosquito bites

From: http://www.webmd.com/news/20160919/cdc-ends-zika-travel-advisory-for-miami-neighborhood?src=RSS_PUBLIC

USDA Announces Nearly $13 Million in Funding for Four Tribal Projects in Minnesota

RED LAKE, Minn., Sept. 19, 2016 – U.S. Secretary of Agriculture Tom Vilsack today announced funding to help the Red Lake Band of Chippewa Indians with infrastructure for four essential community facilities, ranging from public safety to health care and including funds to construct a new chemical dependency treatment center in wake of the rural opioid epidemic. Funding is provided through USDA’s Community Facilities program.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/09/0200.xml&contentidonly=true

What Is Kratom? Why Does the DEA Want to Ban It?

But the Drug Enforcement Administration (DEA) is moving to ban the sale of kratom as of Sept. 30, citing an “imminent hazard to public safety.”

From: http://www.webmd.com/mental-health/addiction/news/20160919/what-is-kratom-dea-ban?src=RSS_PUBLIC

USDA Funds 18 Distance Learning and Telemedicine Projects in 16 States

WASHINGTON, Sept. 19, 2016 – Agriculture Secretary Tom Vilsack today announced that USDA is investing in 18 projects in 16 states to use communications technology to expand access to health care, substance misuse treatment and advanced educational opportunities.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/09/0201.xml&contentidonly=true

USDA Unveils New $328 Million Restoration Strategy for Gulf-area Agricultural Lands

CARRIERE, Miss., Sept. 19, 2016 – U.S. Department of Agriculture (USDA) Under Secretary for Natural Resources and Environment Robert Bonnie today announced a new three-year, $328 million restoration strategy to improve water quality and help coastal ecosystems heal following the Deepwater Horizon oil spill. The strategy will guide how USDA will steer conservation efforts on private lands in priority areas of the Gulf of Mexico region.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/09/0202.xml&contentidonly=true

Pediatricians warn against codeine in kids' prescriptions

The drug can cause dangerous side effects, including breathing problems and even deaths, doctors say

From: http://www.cbsnews.com/news/pediatricians-warn-against-codeine-in-kids-prescriptions/

Suicide can strike children as young as 5, study warns

While the overall risk is low, researchers say prevention efforts are needed for youngsters at risk

From: http://www.cbsnews.com/news/suicide-can-strike-children-as-young-as-5-study/

Tips for Interpreting ICD Tracings

From: Mayo Clinic http://www.youtube.com/watch?v=VbQqIVGux1M

Suicide Can Strike Children as Young as 5: Study

Overall numbers are low, but researchers say prevention efforts are needed

From: http://www.webmd.com/parenting/news/20160919/suicide-can-strike-children-as-young-as-5-study?src=RSS_PUBLIC

Internet addiction could signal other problems

Some college students addicted to their devices had additional mental health problems

From: http://www.cbsnews.com/news/internet-addiction-could-signal-other-mental-health-problems/

First child dies by legal euthanasia

Belgium is the only country that allows terminally ill minors of any age assistance in dying

From: http://www.cbsnews.com/news/child-dies-by-euthanasia-in-belgium-where-assistance-in-dying-is-legal/

For College Freshmen, Four-Legged Friends Chase Away Homesickness

Dog therapy helps boost students' life satisfaction, researchers say

From: http://www.webmd.com/parenting/news/20160919/for-college-freshmen-four-legged-friends-chase-away-homesickness?src=RSS_PUBLIC

Codeine Not Safe for Kids, Pediatricians Warn

How it is metabolized is too unpredictable, could cause death, report finds

From: http://www.webmd.com/children/news/20160919/codeine-not-safe-for-kids-pediatricians-warn?src=RSS_PUBLIC

'Baby-Led' Weaning Doesn't Raise Choking Risk: Study

But only give softened 'finger foods' to infants and watch them while they eat, researcher says

From: http://www.webmd.com/parenting/baby/news/20160919/baby-led-weaning-doesnt-raise-choking-risk-study?src=RSS_PUBLIC

Agriculture Secretary Vilsack Announces New Local Initiatives to Address the Rural Opioid Epidemic

WASHINGTON, Sept. 19, 2016, Agriculture Secretary Tom Vilsack announced new USDA initiatives to strengthen outreach and education resources at the local level to combat the rural opioid epidemic, including an expanded series of state-led opioid awareness events and increased access to information in USDA local offices.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/09/0199.xml&contentidonly=true

Internet Addiction May Be Red Flag for Other Mental Health Issues: Study

Over-reliance on the Web might be linked to depression, anxiety and impulsivity, researchers report

From: http://www.webmd.com/mental-health/news/20160918/internet-addiction-may-be-red-flag-for-other-mental-health-issues-study?src=RSS_PUBLIC

Mayo Clinic Minute: Early onset Alzheimer's disease

From: Mayo Clinic http://www.youtube.com/watch?v=ay_ItBM3BCM

Industry Watch - A-dec names new chief operating officer

A-dec announced in August the promotion of Marv Nelson to executive vice president and chief operating officer of A-dec.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/industry-watch-adec-names-new-chief-operating-officer

Opening General Session and Mountain Mixer highlights of first day of ADA 2016

Dental professionals can open their experience at ADA 2016 – America's Dental Meeting with two programs that bookend the opening day.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/opening-general-session-and-mountain-mixer-highlights-of-first-day-of-ada-2016

Industry Watch – Henry Schein provides 3,000 hygiene kits to American Cancer Society Hope Lodge Facilities

Henry Schein announced this summer that it would donate 3,000 kits containing toothbrushes, toothpaste, mouthwash and other hygiene products to American Cancer Society Hope Lodge Facilities, a program providing free temporary housing for cancer patients and their loved ones.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/industry-watch-henry-schein-provides-3000-hygiene-kits

Snapshots of American Dentistry — September 19, 2016

Accredited advanced dental education programs

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/snapshots-of-american-dentistry

Join bone marrow registry to potentially save life

Qualified dental professionals can register as potentially life-saving bone marrow donors and learn how to offer their patients the same opportunity at ADA 2016 – America's Dental Meeting.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/join-bone-marrow-registry-to-potentially-save-life

Applications for four ADA Foundation grants near deadline

The ADA Foundation is accepting applications for programs that provide funding to improve the oral health of the public.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/applications-for-four-ada-foundation-grant

Just the Facts — September 19, 2016

Supply of dentists

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/just-the-facts-september-19-2016

Industry Watch – Digital Dental elects new president and CEO

Digital Dental announced that it appointed Corey Tisthammer as president and CEO effective July 25.

From: http://www.ada.org/en/publications/ada-news/2016-archive/september/industry-watch-digital-dental-elects-new-president-and-ceo

Florida doctor infected by Zika describes struggle

Wynwood, the Miami neighborhood that reported Florida's first local Zika transmission, is about to get the all-clear, as it has gone 45 days without reporting a new infection. However, the Zika zone in nearby Miami Beach is expanding after a new cluster of cases. David Begnaud reports.

From: http://www.cbsnews.com/videos/florida-doctor-infected-by-zika-describes-struggle/

Sepsis: When infection overwhelms

When I was a doctor in training I was involved in a very sad case, the unexpected death of a patient, a woman in her fifties who had diabetes.* She had been seen in the clinic and diagnosed with pneumonia only two days before her passing. The diagnosis was correct, as well as the prescribed antibiotics. But she had been sent home, and her condition deteriorated quickly. By the time her family brought her into the emergency room, she was in septic shock.

What is sepsis?

What does it mean to be in septic shock? Sepsis is when the body’s response to a serious infection gets out of control. As the illness progresses, the cells of the immune system release a cascade of chemicals that eventually cause massive inflammation and can lead to organ malfunction, shock (“septic shock”), and death. The death rate from sepsis can range from 25%50%.

Generally, infections of the lungs (like pneumonia), urinary tract, abdomen, and skin are more likely to cause sepsis, and certain bacteria are the most common culprits.

Who is most likely to develop sepsis?

Some people are more likely to develop sepsis: those older than 65, infants younger than one year, and anyone with a weakened immune system are all particularly susceptible. The immune system can be weakened by certain medications, such as steroids, chemotherapy, or drugs to prevent transplant organ rejection; many chronic diseases such as diabetes, heart failure, and kidney failure hinder the immune system as well. This makes it easier for germs to multiply, and infections can quickly become overwhelming,

In the case of our patient above, she had a lung infection with a strain of bacteria called pneumococcus, which commonly causes pneumonia. She also had a weakened immune system due to diabetes, and she had declined the pneumonia vaccine. These factors made her very vulnerable to sepsis, and she should have been admitted to the hospital from the clinic for more aggressive treatment and closer monitoring, rather than sent home.

Since this case almost two decades ago, I have seen multiple patients who developed sepsis. Each case is very different, but they are all pretty much seared into my memory. (And, for the record, no one under my immediate care has died.) Sepsis is an emergency. People with infections or even early sepsis often first seek the help of their primary care doctors, so I am very interested in preventing it when possible, and recognizing it quickly when it does happen.

Early recognition and treatment of sepsis are critical

The Centers for Disease Control and Prevention recently published an analysis of several hundred cases of septic shock, from 2012 to 2015. The CDC partnered with the New York State Department of Health and Emerging Infections Program to examine the records of 246 adults and 79 children diagnosed with sepsis to see what factors contributed, and how it could have been prevented.

One huge factor is whether people had been properly vaccinated, and specifically whether they had gotten a pneumonia vaccine. The CDC authors state: “pneumonia is the most common infection causing sepsis, and vaccination is an important and highly effective prevention strategy.” Appropriate vaccination can prevent the worst infections from starting in the first place.

Another key finding in the CDC study was that approximately 72% of these patients had had contact with the healthcare system in the days prior to their illness. Many of these patients had chronic health problems, and so would be in medical offices or hospitals more often than healthy people. But, the report suggests that contact with the medical system itself could pose a risk for infections (and therefore sepsis), for example from hospital-acquired infections of intravenous lines and urinary catheters. Another important finding was that there may have been opportunities for providers to intervene earlier in the infections. With sepsis, early recognition and treatment is essential; once septic shock sets in, the risk of dying from sepsis increases greatly. Prevention efforts such as appropriate vaccination and minimizing hospital-acquired infection are important, and early and urgent recognition of sepsis is critical.

The CDC authors recommend that family members of susceptible patients should know the common symptoms of sepsis. These can include fevers, shaking chills, flushed skin, racing heartbeat, and confusion, among other things. As the illness progresses, the blood pressure drops dangerously low, and organs can stop functioning correctly. This can take hours or days, depending on the individual. If sepsis is at all suspected, the patient should be brought to medical attention as quickly as possible. Remember, sepsis is a medical emergency and rapid treatment can make all the difference in whether or not a person recovers.

Yes, this example is based on a real case. But*: All patient and clinical details have been altered to protect privacy. In addition, I trained over a decade ago, and my training spanned eleven years, four states, and six hospitals.

The post Sepsis: When infection overwhelms appeared first on Harvard Health Blog.

From: Monique Tello, MD, MPH http://www.health.harvard.edu/blog/sepsis-when-infection-overwhelms-2016091910359

Preventive Cardiology: Cardiac Rehabilitation

From: Mayo Clinic http://www.youtube.com/watch?v=3stF-jk7heA

Monday, September 19, 2016

What is sepsis?

Who is most likely to develop sepsis?

Early recognition and treatment of sepsis are critical

*Yes, this example is based on a real case. But: All patient and clinical details have been altered to protect privacy. In addition, I trained over a decade ago, and my training spanned eleven years, four states, and six hospitals.

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Yes, this example is based on a real case. But*: All patient and clinical details have been altered to protect privacy. In addition, I trained over a decade ago, and my training spanned eleven years, four states, and six hospitals.