The drug is already approved in the U.S., and may be a promising option for some women with hard-to-treat breast cancer
From: http://www.cbsnews.com/news/breast-cancer-drug-xeloda-can-extend-lives-landmark-study/
Wednesday, May 31, 2017
"The Bachelorette" and relationship therapy for one
"You are creating a new model of an intimate relationship in the therapy office," one counselor explains, "then take that kind of experience out into the world and repeat it"
From: http://www.cbsnews.com/news/the-bachelorette-rachel-lindsay-and-relationship-therapy-for-one/
From: http://www.cbsnews.com/news/the-bachelorette-rachel-lindsay-and-relationship-therapy-for-one/
Iowa's GOP senators say a full Obamacare repeal is unlikely
The comments by Sens. Chuck Grassley and Joni Ernst come as the GOP-controlled Senate moves forward on its plan to dismantle the health care law
From: http://www.cbsnews.com/news/iowas-gop-senators-say-a-full-obamacare-repeal-is-unlikely/
From: http://www.cbsnews.com/news/iowas-gop-senators-say-a-full-obamacare-repeal-is-unlikely/
Drugmakers accused of fueling devastating opiate crisis
In filing lawsuit, Ohio Attorney General says pharmaceutical firms "knew they were wrong, but they did it anyway"
From: http://www.cbsnews.com/news/drugmakers-accused-of-fueling-devastating-opiate-crisis/
From: http://www.cbsnews.com/news/drugmakers-accused-of-fueling-devastating-opiate-crisis/
Breast surgeon who maimed patients gets 15 years
One victim described the doctor as a "monster" who performed unnecessary surgeries
From: http://www.cbsnews.com/news/british-breast-surgeon-who-maimed-patients-gets-15-years/
From: http://www.cbsnews.com/news/british-breast-surgeon-who-maimed-patients-gets-15-years/
Olivia Newton-John's breast cancer return sparks questions
Recurrence "reinforces that breast cancer is potentially a systemic or whole body disease from the get-go," UCLA expert says
From: http://www.cbsnews.com/news/olivia-newton-john-breast-cancer-return-raises-questions-about-recurrence/
From: http://www.cbsnews.com/news/olivia-newton-john-breast-cancer-return-raises-questions-about-recurrence/
Reliving Communist past helps East German dementia patients
Reminders from bygone days can trigger memories once thought lost in patients with Alzheimer's
From: http://www.cbsnews.com/news/reliving-communist-past-helps-east-german-dementia-patients/
From: http://www.cbsnews.com/news/reliving-communist-past-helps-east-german-dementia-patients/
Eat only every other day and lose weight?
The alternate-day fasting thing is very popular right now. This gist of it is, basically, feast and famine. You starve one day, then feast the next. Proponents claim that this approach will lead to weight loss, as well as a number of other benefits.
As a physician researcher, this annoys and alarms me. I preach sensible intake of real foods as part of a lifelong approach to health. I also depend on scientific evidence to guide my counseling. So, I welcomed this yearlong study comparing alternate-day fasting with more common calorie restriction.
Some data on alternate-day fasting
Researchers divided 100 obese study volunteers (mostly African-American women, without other major medical issues) into three groups:
- one group followed an alternate fasting plan, which meant on the fasting day they would eat only 25% of their caloric needs and on the non-fasting day they’d eat a little bit more (125% of their caloric needs per day)
- a second group ate 75% of their caloric needs per day, every day
- a third group ate the way they typically did, for six months.
The two diet groups received counseling as well as all foods provided. This “weight loss” period was followed by another six months of “weight maintenance” and observations.
Both diet groups lost about 5.5% of their body weight (12 pounds) by month six, and both regained about 1.8% (four pounds) by month 12, and had significant improvements in blood pressure, blood sugar, insulin, and inflammatory proteins when compared to the people who ate their normal diets.
At the end of the 12 months, there was only one difference between the two diet groups: the alternate fasting day group had a significant elevation in low density lipoprotein (LDL), an increase of 11.5 mg/dl as compared to the daily calorie restriction group. LDL is known as a risk factor for heart attacks and strokes, so that’s not good.
And how would this work in real life?
This was a very small study to begin with, and, more importantly, there was a fairly significant dropout rate. Only 69% of subjects stayed to the end, which decreases the power of the findings. Twelve people quit the alternate-day fasting group, with almost half citing dissatisfaction with the diet. By comparison, 10 people quit the daily calorie restriction group, and none cited dissatisfaction with diet, only personal reasons and scheduling conflicts (eight quit the control group for the same reasons).
It’s not surprising that people disliked alternate-day fasting. Previous studies have reported that people felt uncomfortably hungry and irritable on fasting days, and that they didn’t get accustomed to these discomforts. Interestingly, in this study, over time people in the fasting group ate more on fasting days and less on feasting days. So basically by the end of the study they were eating similarly to the calorie restriction group.
The authors note more limitations. The control group did not receive food, counseling, or the same attention from the study personnel, potential factors that could affect their results, besides how they ate. And this study can’t tell us about the potential benefits for people who have high blood pressure, high cholesterol, or diabetes because the study didn’t include individuals with those conditions.
The bottom line
Usually at this point we say something like “more studies of this approach are needed,” but I won’t. There’s already plenty of evidence supporting a common-sense lifestyle approach to weight loss: ample intake of fruits and veggies, healthy fats, lean proteins, and plenty of exercise. From apples to zucchini, there are over a hundred “real” foods you can eat endlessly, enjoy, and yes, still lose weight.
I would advise against spending any more money on fad diet books. Or processed carbs, for that matter. Rather, hit the fresh or frozen produce aisle, or farmer’s market, and go crazy. Then go exercise. Do that, say, for the rest of your life, and you will be fine. No one got fat eating broccoli, folks. (That said, if you tend to binge or stress-eat sugary or starchy foods, and you feel like you can’t control your habit, talk to your doctor, because that is a separate issue to be addressed.)
Sources
Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese Adults: A Randomized Clinical Trial. JAMA Internal Medicine, Published online May 1, 2017.
Alternate-day fasting in nonobese subjects: effects on body weight, body composition, and energy metabolism. American Journal of Clinical Nutrition, January 2005.
The post Eat only every other day and lose weight? appeared first on Harvard Health Blog.
From: Monique Tello, MD, MPH http://www.health.harvard.edu/blog/eat-only-every-other-day-and-lose-weight-2017053111791
Premenstrual dysphoria disorder: It’s biology, not a behavior choice
Almost all women have some mild premenstrual symptoms that signal the imminent arrival of their period every month. These symptoms are typically just an annoyance and don’t cause any distress.
But for some women, these symptoms are much more significant. About 20% of menstruating women suffer from premenstrual syndrome, or PMS. Women with PMS have mostly physical symptoms and some minor mood disturbances caused by the changing hormone levels in the second half (or luteal phase) of the menstrual cycle. These hormone-induced symptoms can cause significant physical distress in the days leading up to menstruation.
PMDD: More than PMS
Sometimes — in about 5% to 8% of menstruating women — debilitating mood changes accompany these premenstrual physical symptoms. Globally this is often referred to as severe PMS, but in the United States this combination of physical symptoms and mood disturbances is called premenstrual dysphoria disorder, or PMDD.
Unfortunately, women with PMDD are often misdiagnosed. Sometimes they go undiagnosed, being told they are just hormonal and need to get over it. And sometimes they are overdiagnosed. Unfortunately, it is all too common for women with PMDD to be incorrectly diagnosed with bipolar disorder.
What causes PMDD?
Broadly speaking, if you have PMDD, you have an increased sensitivity to your reproductive hormones during the two weeks before your period starts. This sensitivity leads to alterations in the brain chemicals and neurologic pathways that control your mood and your general sense of well-being. Exactly what that sensitivity is and what causes it has not been well understood. And treatment options have been limited.
Fortunately, progress is being made with some exciting new discoveries. Researchers at the National Institutes of Health (NIH) have found that women with PMDD have an altered gene complex that processes the body’s response to hormones and stressors. This is a very important discovery, as it establishes a biological basis for the mood disturbances of PMDD. Not only is this validation for women who live with PMDD, but it also has tremendous implications for new and improved treatment options.
And more recently, Dr. Peter Schmidt, one of the lead researchers on the NIH study, published data that support the working theory that it is the changes in hormone levels, not just the hormones themselves, that trigger the symptoms of PMDD.
Getting the diagnosis right
There are no tests to diagnose PMDD. The diagnosis is made entirely on the type and timing of symptoms.
To make the diagnosis of PMDD, symptoms must be present only in the week or two before your period, and they must subside within a few days of starting your period as quickly as they come on. The type of symptoms are also important. Specifically, to meet the criteria for PMDD you must experience at least one of the following:
- feeling very irritable or angry
- feeling very down or depressed
- feeling very anxious, stressed, or tense
- avoiding your usual activities
In addition to these four core mood symptoms, any one of the following symptoms (to make a total of five) are needed to confirm PMDD:
- difficulty concentrating
- feeling tired and very low in energy level
- binge eating or having a really strong, specific food craving
- sleeping too much or having trouble falling asleep
- feeling overwhelmed or out of control
- unpleasant physical symptoms, especially breast tenderness, bloating, body aches, and weight gain
If you experience any of these symptoms apart from the two weeks before your period, you don’t have PMDD. Instead, it is likely that you have another underlying mood disorder. With the other mood disorders like major depression, bipolar disorder, and generalized anxiety disorder, you may have good days and bad days with your symptoms but they are not predictable. Your symptoms will occur randomly throughout the month, not just in the two weeks before your period. You may, however, notice an increase in symptoms before your period. This is known as a premenstrual exacerbation. It is very important to get the diagnosis right because the treatments are often very different for PMDD from the other mood disorders.
5 things you should do if you think you have PMDD
- Track your symptoms. This is essential to getting the right diagnosis. You should record how you are feeling every day for at least two cycles, making note of the days you bleed. Try using a period tracker app like Clue to help you collect this information.
- Educate yourself. It is important for you to understand as much as you can about PMDD. Unfortunately, much of the medical profession is undereducated about PMDD. You will need to be an advocate for your health. You can look to the Gia Allemand Foundation and the Center for Women’s Mental Health at Massachusetts General Hospital for information and guidance.
- Reach out to peer support groups. Remember, you are not alone. It is important to connect with others who have PMDD. Hearing other women’s stories and struggles can help you cope with your diagnosis. Try PMDD Moms or PMDD Safehouse.
- Start with lifestyle changes. The first step in managing the symptoms of PMDD starts with improving your overall health and wellness. Eating a well-balanced diet, getting regular exercise, and adequate sleep are essential. Consider introducing some mind-body practice like yoga or meditation to help manage stress.
- Talk to your doctor. It is very important that you discuss your symptoms and concerns with your doctor. Consider tracking your symptoms before your visit. If you don’t feel that your doctor is taking your complaints seriously, you should not hesitate to get another opinion. Do not give up until you get the help you deserve.
The post Premenstrual dysphoria disorder: It’s biology, not a behavior choice appeared first on Harvard Health Blog.
From: Andrea Chisholm, MD http://www.health.harvard.edu/blog/premenstrual-dysphoria-disorder-its-biology-not-a-behavior-choice-2017053011768
Signs a child is drowning can be easy to miss
A water safety expert says drowning can happen quickly and without the telltale signs you might expect
From: http://www.cbsnews.com/news/how-to-spot-signs-of-a-child-drowning/
From: http://www.cbsnews.com/news/how-to-spot-signs-of-a-child-drowning/
State of Mind Episode 5: Out of the depths
Vito Randazzo has been suffering from severe depression for 18 years, and after nothing else worked, he turned to deep brain stimulation for help
From: http://www.cbsnews.com/news/depression-neurosurgery-dbs-mental-health-uncharted-state-of-mind-episode-5/
From: http://www.cbsnews.com/news/depression-neurosurgery-dbs-mental-health-uncharted-state-of-mind-episode-5/
Mayo Clinic Minute - Treatment for hair loss in women
From: Mayo Clinic https://www.youtube.com/watch?v=5qXhi7NZcrQ
Wellness Wednesday: Add a bridge to your march
From: Mayo Clinic https://www.youtube.com/watch?v=C2-9EptJeqw
The Whole Truth About Whole Fruits
Why it's often better to skip the smoothie
From: http://www.webmd.com/food-recipes/news/20170531/the-whole-truth-about-whole-fruits?src=RSS_PUBLIC
The danger for kids who know snack food brand names
When a preschooler recognizes popular cola, candy, fast food and chip brands and logos, a more serious issue may lurk
From: http://www.cbsnews.com/news/kids-who-know-snack-food-brands-overweight-obesity-risk/
From: http://www.cbsnews.com/news/kids-who-know-snack-food-brands-overweight-obesity-risk/
Quitting Hormone Replacement Therapy for Menopause
WebMD looks at when, why, and how to quit hormone replacement therapy for menopause.
From: http://www.webmd.com/menopause/features/quitting-hormone-replacement-therapy?src=RSS_PUBLIC
Can You Change Your Gut Bacteria?
WebMD explores probiotics and prebiotics, and what they can and can't do for health.
From: http://www.webmd.com/digestive-disorders/news/20170531/can-you-change-your-gut-bacteria?src=RSS_PUBLIC
Popular skin cancer treatment not right for all patients
Even after decades of use, there are questions about the long-term effects of superficial radiation therapy (SRT)
From: http://www.cbsnews.com/news/skin-cancer-non-melanoma-srt-superficial-radiation-therapy/
From: http://www.cbsnews.com/news/skin-cancer-non-melanoma-srt-superficial-radiation-therapy/
1 in 4 Nursing Home Residents Has Antibiotic-Resistant Bacteria
More infection-prevention education and policies are needed, study findings suggest
From: http://www.webmd.com/healthy-aging/news/20170530/1-in-4-nursing-home-residents-has-antibiotic-resistant-bacteria?src=RSS_PUBLIC
Does Dad Time With Infants Boost Babies' IQ?
Positive interactions during first few months could enhance thinking skills at age 2, study suggests
From: http://www.webmd.com/parenting/baby/news/20170530/does-dad-time-with-infants-boost-babies-iq?src=RSS_PUBLIC
Can a Senior Have the Arteries of a 20-Year-Old?
It's possible, but hard work in today's 'Western' culture, study finds
From: http://www.webmd.com/heart-disease/news/20170530/can-a-70-year-old-have-the-arteries-of-a-20-year-old?src=RSS_PUBLIC
Seventieth World Health Assembly update, 30 May 2017
Delegates at the World Health Assembly today came to agreement on vector control, a number of issues related to noncommunicable diseases, as well as chemicals management and WHO reporting on the Sustainable Development Goals.
Delegates welcomed the strategic approach proposed in the Global Vector Control Response (GVCR) 2017-2030. The response aims to prevent epidemics of vector-borne diseases in all countries, reduce the incidence of these diseases by at least 60% and cut mortality rates by at least 75% by 2030.
From: http://www.who.int/entity/mediacentre/news/releases/2017/vector-control-ncds-cancer/en/index.html
Delegates welcomed the strategic approach proposed in the Global Vector Control Response (GVCR) 2017-2030. The response aims to prevent epidemics of vector-borne diseases in all countries, reduce the incidence of these diseases by at least 60% and cut mortality rates by at least 75% by 2030.
From: http://www.who.int/entity/mediacentre/news/releases/2017/vector-control-ncds-cancer/en/index.html
Behind the prescription meds listed in Tiger Woods' police report
Dr. Tara Narula joins "CBS This Morning" to describe the four medications listed in the police report for Tiger Woods' arrest.
From: http://www.cbsnews.com/videos/behind-the-prescription-meds-listed-in-tiger-woods-police-report/
From: http://www.cbsnews.com/videos/behind-the-prescription-meds-listed-in-tiger-woods-police-report/
Premenstrual dysphoria disorder: It’s biology, not a behavior choice
Almost all women have some mild premenstrual symptoms that signal the imminent arrival of their period every month. These symptoms are typically just an annoyance and don’t cause any distress.
But for some women, these symptoms are much more significant. About 20% of menstruating women suffer from premenstrual syndrome, or PMS. Women with PMS have mostly physical symptoms and some minor mood disturbances caused by the changing hormone levels in the second half (or luteal phase) of the menstrual cycle. These hormone-induced symptoms can cause significant physical distress in the days leading up to menstruation.
PMDD: More than PMS
Sometimes — in about 5% to 8% of menstruating women — debilitating mood changes accompany these premenstrual physical symptoms. Globally this is often referred to as severe PMS, but in the United States this combination of physical symptoms and mood disturbances is called premenstrual dysphoria disorder, or PMDD.
Unfortunately, women with PMDD are often misdiagnosed. Sometimes they go undiagnosed, being told they are just hormonal and need to get over it. And sometimes they are overdiagnosed. Unfortunately, it is all too common for women with PMDD to be incorrectly diagnosed with bipolar disorder.
What causes PMDD?
Broadly speaking, if you have PMDD, you have an increased sensitivity to your reproductive hormones during the two weeks before your period starts. This sensitivity leads to alterations in the brain chemicals and neurologic pathways that control your mood and your general sense of well-being. Exactly what that sensitivity is and what causes it has not been well understood. And treatment options have been limited.
Fortunately, progress is being made with some exciting new discoveries. Researchers at the National Institutes of Health (NIH) have found that women with PMDD have an altered gene complex that processes the body’s response to hormones and stressors. This is a very important discovery, as it establishes a biological basis for the mood disturbances of PMDD. Not only is this validation for women who live with PMDD, but it also has tremendous implications for new and improved treatment options.
And more recently, Dr. Peter Schmidt, one of the lead researchers on the NIH study, published data that support the working theory that it is the changes in hormone levels, not just the hormones themselves, that trigger the symptoms of PMDD.
Getting the diagnosis right
There are no tests to diagnose PMDD. The diagnosis is made entirely on the type and timing of symptoms.
To make the diagnosis of PMDD, symptoms must be present only in the week or two before your period, and they must subside within a few days of starting your period as quickly as they come on. The type of symptoms are also important. Specifically, to meet the criteria for PMDD you must experience at least one of the following:
- feeling very irritable or angry
- feeling very down or depressed
- feeling very anxious, stressed, or tense
- avoiding your usual activities
In addition to these four core mood symptoms, any one of the following symptoms (to make a total of five) are needed to confirm PMDD:
- difficulty concentrating
- feeling tired and very low in energy level
- binge eating or having a really strong, specific food craving
- sleeping too much or having trouble falling asleep
- feeling overwhelmed or out of control
- unpleasant physical symptoms, especially breast tenderness, bloating, body aches, and weight gain
If you experience any of these symptoms apart from the two weeks before your period, you don’t have PMDD. Instead, it is likely that you have another underlying mood disorder. With the other mood disorders like major depression, bipolar disorder, and generalized anxiety disorder, you may have good days and bad days with your symptoms but they are not predictable. Your symptoms will occur randomly throughout the month, not just in the two weeks before your period. You may, however, notice an increase in symptoms before your period. This is known as a premenstrual exacerbation. It is very important to get the diagnosis right because the treatments are often very different for PMDD from the other mood disorders.
5 things you should do if you think you have PMDD
- Track your symptoms. This is essential to getting the right diagnosis. You should record how you are feeling every day for at least two cycles, making note of the days you bleed. Try using a period tracker app like Clue to help you collect this information.
- Educate yourself. It is important for you to understand as much as you can about PMDD. Unfortunately, much of the medical profession is undereducated about PMDD. You will need to be an advocate for your health. You can look to the Gia Allemand Foundation and the Center for Women’s Mental Health at Massachusetts General Hospital for information and guidance.
- Reach out to peer support groups. Remember, you are not alone. It is important to connect with others who have PMDD. Hearing other women’s stories and struggles can help you cope with your diagnosis. Try PMDD Moms or PMDD Safehouse.
- Start with lifestyle changes. The first step in managing the symptoms of PMDD starts with improving your overall health and wellness. Eating a well-balanced diet, getting regular exercise, and adequate sleep are essential. Consider introducing some mind-body practice like yoga or meditation to help manage stress.
- Talk to your doctor. It is very important that you discuss your symptoms and concerns with your doctor. Consider tracking your symptoms before your visit. If you don’t feel that your doctor is taking your complaints seriously, you should not hesitate to get another opinion. Do not give up until you get the help you deserve.
The post Premenstrual dysphoria disorder: It’s biology, not a behavior choice appeared first on Harvard Health Blog.
From: Andrea Chisholm, MD http://www.health.harvard.edu/blog/premenstrual-dysphoria-disorder-its-biology-not-a-behavior-choice-2017053011768
Tuesday, May 30, 2017
¿Tiene estos factores de riesgo para melanoma?
From: Mayo Clinic https://www.youtube.com/watch?v=C9KVcBWkI7o
U.S. Teen Births Hit Historic Low: CDC
More older women having children, study finds
From: http://teens.webmd.com/girls/news/20170530/us-teen-births-hit-historic-low-in-2014-cdc?src=RSS_PUBLIC
Connecting communities with oral health: CDHC students in New Mexico
ADA initiative trains Navajo community health workers oral health curriculum
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/cdhc-students-in-new-mexico
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/cdhc-students-in-new-mexico
Teen graduates high school after beating leukemia twice
After being diagnosed with leukemia, Ethan Tepera beat the odds – and helped others
From: http://www.cbsnews.com/news/texas-leukemia-teen-graduates-high-school/
From: http://www.cbsnews.com/news/texas-leukemia-teen-graduates-high-school/
Tuesday Tips: How plant-based foods help fight cancer
From: Mayo Clinic https://www.youtube.com/watch?v=6NBPfjL58hE
Can People 'Sniff' Out Illness in Others?
Study suggests humans use vision and smell to detect infection more than thought
From: http://www.webmd.com/a-to-z-guides/news/20170530/can-people-sniff-out-illness-in-others?src=RSS_PUBLIC
Costs of ER Treatments a Mystery to Many Docs
Just 4 in 10 could accurately estimate charges for patients, study finds
From: http://www.webmd.com/health-insurance/news/20170530/costs-of-er-treatments-a-mystery-to-many-docs?src=RSS_PUBLIC
AAP says juice a no-no for babies
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/aap-says-juice-a-no-no-for-babies
A baker's mission to make bread better
Chad Robertson uses freshly-milled flour at his San Francisco bakery which, according to scientists, preserves more nutrients
From: http://www.cbsnews.com/news/real-food-nutritious-bread-freshly-milled/
From: http://www.cbsnews.com/news/real-food-nutritious-bread-freshly-milled/
Trying to heal stroke damage with stem cells
From: Mayo Clinic https://www.youtube.com/watch?v=nj2tfbt4TMQ
New York City hospital center settles $387,200 HIPAA breach
Washington — The federal government in May settled a potential violation of the Health Insurance Portability and Accountability Act with a New York City hospital that reportedly disclosed sensitive health information to a patient’s employer.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/new-york-city-hospital-center-settles-387200-hipaa-breach
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/new-york-city-hospital-center-settles-387200-hipaa-breach
Teen birth rate hits historic low
There are likely a few reasons behind why fewer teenagers are having babies
From: http://www.cbsnews.com/news/teen-birth-rate-pregnancy-hits-historic-low-in-us/
From: http://www.cbsnews.com/news/teen-birth-rate-pregnancy-hits-historic-low-in-us/
FDA approves expanded uses for immunotherapy
The FDA expanded the approved uses for an immunotherapy drug that has successfully treated certain lung cancers and melanoma. The treatment that triggers the body's own defense system to fight cancer was used by former President Jimmy Carter, who reported a few months later he was cancer-free. Dr. David Agus joins "CBS This Morning" to discuss the cancer treatment.
From: http://www.cbsnews.com/videos/fda-approves-expanded-uses-for-immunotherapy/
From: http://www.cbsnews.com/videos/fda-approves-expanded-uses-for-immunotherapy/
Premenstrual dysphoria disorder: It’s biology, not a behavior choice
Almost all women have some mild premenstrual symptoms that signal the imminent arrival of their period every month. These symptoms are typically just an annoyance and don’t cause any distress.
But for some women, these symptoms are much more significant. About 20% of menstruating women suffer from premenstrual syndrome, or PMS. Women with PMS have mostly physical symptoms and some minor mood disturbances caused by the changing hormone levels in the second half (or luteal phase) of the menstrual cycle. These hormone-induced symptoms can cause significant physical distress in the days leading up to menstruation.
PMDD: More than PMS
Sometimes — in about 5% to 8% of menstruating women — debilitating mood changes accompany these premenstrual physical symptoms. Globally this is often referred to as severe PMS, but in the United States this combination of physical symptoms and mood disturbances is called premenstrual dysphoria disorder, or PMDD.
Unfortunately, women with PMDD are often misdiagnosed. Sometimes they go undiagnosed, being told they are just hormonal and need to get over it. And sometimes they are overdiagnosed. Unfortunately, it is all too common for women with PMDD to be incorrectly diagnosed with bipolar disorder.
What causes PMDD?
Broadly speaking, if you have PMDD, you have an increased sensitivity to your reproductive hormones during the two weeks before your period starts. This sensitivity leads to alterations in the brain chemicals and neurologic pathways that control your mood and your general sense of well-being. Exactly what that sensitivity is and what causes it has not been well understood. And treatment options have been limited.
Fortunately, progress is being made with some exciting new discoveries. Researchers at the National Institutes of Health (NIH) have found that women with PMDD have an altered gene complex that processes the body’s response to hormones and stressors. This is a very important discovery, as it establishes a biological basis for the mood disturbances of PMDD. Not only is this validation for women who live with PMDD, but it also has tremendous implications for new and improved treatment options.
And more recently, Dr. Peter Schmidt, one of the lead researchers on the NIH study, published data that support the working theory that it is the changes in hormone levels, not just the hormones themselves, that trigger the symptoms of PMDD.
Getting the diagnosis right
There are no tests to diagnose PMDD. The diagnosis is made entirely on the type and timing of symptoms.
To make the diagnosis of PMDD, symptoms must be present only in the week or two before your period, and they must subside within a few days of starting your period as quickly as they come on. The type of symptoms are also important. Specifically, to meet the criteria for PMDD you must experience at least one of the following:
- feeling very irritable or angry
- feeling very down or depressed
- feeling very anxious, stressed, or tense
- avoiding your usual activities
In addition to these four core mood symptoms, any one of the following symptoms (to make a total of five) are needed to confirm PMDD:
- difficulty concentrating
- feeling tired and very low in energy level
- binge eating or having a really strong, specific food craving
- sleeping too much or having trouble falling asleep
- feeling overwhelmed or out of control
- unpleasant physical symptoms, especially breast tenderness, bloating, body aches, and weight gain
If you experience any of these symptoms apart from the two weeks before your period, you don’t have PMDD. Instead, it is likely that you have another underlying mood disorder. With the other mood disorders like major depression, bipolar disorder, and generalized anxiety disorder, you may have good days and bad days with your symptoms but they are not predictable. Your symptoms will occur randomly throughout the month, not just in the two weeks before your period. You may, however, notice an increase in symptoms before your period. This is known as a premenstrual exacerbation. It is very important to get the diagnosis right because the treatments are often very different for PMDD from the other mood disorders.
5 things you should do if you think you have PMDD
- Track your symptoms. This is essential to getting the right diagnosis. You should record how you are feeling every day for at least two cycles, making note of the days you bleed. Try using a period tracker app like Clue to help you collect this information.
- Educate yourself. It is important for you to understand as much as you can about PMDD. Unfortunately, much of the medical profession is undereducated about PMDD. You will need to be an advocate for your health. You can look to the Gia Allemand Foundation and the Center for Women’s Mental Health at Massachusetts General Hospital for information and guidance.
- Reach out to peer support groups. Remember, you are not alone. It is important to connect with others who have PMDD. Hearing other women’s stories and struggles can help you cope with your diagnosis. Try PMDD Moms or PMDD Safehouse.
- Start with lifestyle changes. The first step in managing the symptoms of PMDD starts with improving your overall health and wellness. Eating a well-balanced diet, getting regular exercise, and adequate sleep are essential. Consider introducing some mind-body practice like yoga or meditation to help manage stress.
- Talk to your doctor. It is very important that you discuss your symptoms and concerns with your doctor. Consider tracking your symptoms before your visit. If you don’t feel that your doctor is taking your complaints seriously, you should not hesitate to get another opinion. Do not give up until you get the help you deserve.
The post Premenstrual dysphoria disorder: It’s biology, not a behavior choice appeared first on Harvard Health Blog.
From: Andrea Chisholm, MD http://www.health.harvard.edu/blog/premenstrual-dysphoria-disorder-its-biology-not-a-behavior-choice-2017053011768
World No Tobacco Day 2017: Beating tobacco for health, prosperity, the environment and national development
World No Tobacco Day 2017: Beating tobacco for health, prosperity, the environment and national development
From: http://www.who.int/entity/mediacentre/news/releases/2017/no-tobacco-day/en/index.html
From: http://www.who.int/entity/mediacentre/news/releases/2017/no-tobacco-day/en/index.html
Seventieth World Health Assembly update, 29 May 2017
Delegates at the World Health Assembly have reached new agreements on dementia; immunization; refugee and migrant health; substandard and falsified medical products, and the world drug problem.
From: http://www.who.int/entity/mediacentre/news/releases/2017/dementia-immunization-refuguees/en/index.html
From: http://www.who.int/entity/mediacentre/news/releases/2017/dementia-immunization-refuguees/en/index.html
Monday, May 29, 2017
Injured Afghanistan vet undergoes experimental amputation
Dr. Matthew Carty amputated Brandon Korona's leg using a new procedure that could reinvent the science of amputations
From: http://www.cbsnews.com/news/afghanistan-vet-injured-by-land-mine-undergoes-experimental-amputation/
From: http://www.cbsnews.com/news/afghanistan-vet-injured-by-land-mine-undergoes-experimental-amputation/
Doctors keep close tabs on children of Zika-positive moms
Florida's rainy season is ramping up, and so is the threat of mosquitoes carrying the virus
From: http://www.cbsnews.com/news/zika-virus-threat-zika-positive-mom-yessica-flores-baby-checkup/
From: http://www.cbsnews.com/news/zika-virus-threat-zika-positive-mom-yessica-flores-baby-checkup/
Doctor: After 20-foot fall, man "brought back from the dead"
"I was meant to survive. I was meant to carry on," says a Maryland man whose recovery is being called a miracle
From: http://www.cbsnews.com/news/tj-scanlon-technically-dead-maryland-man-recovering-from-fall/
From: http://www.cbsnews.com/news/tj-scanlon-technically-dead-maryland-man-recovering-from-fall/
"Smartphone thumb" is plaguing more people, doctors say
A condition that doctors used to only see in factory workers is becoming more common thanks to too much texting
From: http://www.cbsnews.com/news/smartphone-thumb-texting-tendinitis-plaguing-more-people/
From: http://www.cbsnews.com/news/smartphone-thumb-texting-tendinitis-plaguing-more-people/
Children of Zika-positive moms closely monitored after birth
Florida's rainy season is ramping up, and so is the threat of mosquitoes carrying the Zika virus. More than 5,000 people in the U.S. have reported having Zika since last year. Most people caught it overseas, but nearly all 224 locally-transmitted cases in 2016 happened in Florida. Manuel Bojorquez reports.
From: http://www.cbsnews.com/videos/children-of-zika-positive-moms-closely-monitored-after-birth/
From: http://www.cbsnews.com/videos/children-of-zika-positive-moms-closely-monitored-after-birth/
WHO: Healthier, fairer, safer: the global health journey 2007-2017
From: World Health Organization https://www.youtube.com/watch?v=Hmg1v5ATXzk
WHO: Public health prizes 2017
From: World Health Organization https://www.youtube.com/watch?v=g2LoyLPGviY
OMS : Remise des prix 2017 pour la santé publique
From: World Health Organization https://www.youtube.com/watch?v=busRZaha5ww
Sunday, May 28, 2017
Promising Results for Drug for Psoriatic Arthritis
Psoriatic arthritis causes painful joint swelling, but new medication Taltz might help
From: http://www.webmd.com/arthritis/psoriatic-arthritis/news/20170526/promising-results-for-drug-to-fight-arthritis-linked-to-psoriasis?src=RSS_PUBLIC
Marijuana compound claims reduction in seizures caused by epilepsy
A study published this week in the New England Journal of Medicine claims that drugs made from a marijuana compound can reduce seizures in kids who have severe epilepsy. CBS News chief medical correspondent Dr. Jon LaPook reports.
From: http://www.cbsnews.com/videos/marijuana-compound-claims-reduction-in-seizures-caused-by-epilepsy/
From: http://www.cbsnews.com/videos/marijuana-compound-claims-reduction-in-seizures-caused-by-epilepsy/
Drugs made from a marijuana compound offer new hope to kids with severe epilepsy
A study of 120 children found those who were given CBD along with their standard medications had a nearly 40 percent reduction in the frequency of seizures
From: http://www.cbsnews.com/news/drugs-made-from-a-marijuana-compound-offer-new-hope-to-kids-with-severe-epilepsy/
From: http://www.cbsnews.com/news/drugs-made-from-a-marijuana-compound-offer-new-hope-to-kids-with-severe-epilepsy/
Saturday, May 27, 2017
Morning Rounds: New fruit juice guidance, bacteria-lined clothing
Dr. Jon LaPook and Dr. Tara Narula join "CBS This Morning: Saturday" to discuss the new recommendations for how much fruit juice kids should be having and a breathable workout suit lined with live bacteria which reacts to body heat and sweat to adjust ventilation accordingly.
From: http://www.cbsnews.com/videos/morning-rounds-new-fruit-juice-guidance-bacteria-lined-clothing/
From: http://www.cbsnews.com/videos/morning-rounds-new-fruit-juice-guidance-bacteria-lined-clothing/
Marijuana study offers hope for some epileptic children
A study published this week in the New England Journal of Medicine showed that the use of cannabidial, which is derived from marijuana and does not induce a high, was successful in decreasing seizures in children who suffer from a complex epilepsy disorder. Dr. Jon LaPook reports.
From: http://www.cbsnews.com/videos/marijuana-study-offers-hope-for-some-epileptic-children/
From: http://www.cbsnews.com/videos/marijuana-study-offers-hope-for-some-epileptic-children/
WHO: World Health +Social Good live at WHA70 - 26 MAY 2017
From: World Health Organization https://www.youtube.com/watch?v=ff5hVFXwDcM
How one Texas county is trying to stop the spread of Zika
Fifteen pregnant women in Cameron County, Texas, have tested positive for Zika virus so far this year. Dr. Jon LaPook reports on how county authorities are working to stop the spread through mosquito control and public education.
From: http://www.cbsnews.com/videos/how-one-texas-county-is-trying-to-stop-the-spread-of-zika/
From: http://www.cbsnews.com/videos/how-one-texas-county-is-trying-to-stop-the-spread-of-zika/
Texas county still on "high alert" over Zika virus
Cameron County is increasing its efforts at mosquito control and public education, and sharing what it's learned
From: http://www.cbsnews.com/news/texas-tries-zika-education-with-state-on-high-alert-about-virus/
From: http://www.cbsnews.com/news/texas-tries-zika-education-with-state-on-high-alert-about-virus/
Vertigo dizziness is scary, but common
Some patients may need repeated treatments for vertigo to relieve symptoms, but new guidelines say expensive tests and drugs aren't needed
From: http://www.cbsnews.com/news/vertigo-dizziness-is-scary-but-common/
From: http://www.cbsnews.com/news/vertigo-dizziness-is-scary-but-common/
New guidance for treating vertigo
Millions of Americans suffer from vertigo each year, and it can be disabling. But the condition can be treated -- usually without drugs or expensive tests. CBS News' Meg Oliver reports.
From: http://www.cbsnews.com/videos/new-guidance-for-treating-vertigo/
From: http://www.cbsnews.com/videos/new-guidance-for-treating-vertigo/
How to combat seasonal allergies
Around 26 million Americans find themselves sneezing and wheezing every year due to seasonal allergies. We spent $2.7 billion on non-prescription allergy remedies last year alone. Dr. Tara Narula joins "CBS This Morning" to discuss how allergies work and what might be causing an increase in allergy-sufferers.
From: http://www.cbsnews.com/videos/how-to-combat-seasonal-allergies/
From: http://www.cbsnews.com/videos/how-to-combat-seasonal-allergies/
Kidneys from diabetic donors may help organ shortage
People who received kidneys from non-living donors with diabetes were less likely to die than those who stayed on the wait-list
From: http://www.cbsnews.com/news/kidneys-from-diabetes-patients-may-be-organ-donation-source/
From: http://www.cbsnews.com/news/kidneys-from-diabetes-patients-may-be-organ-donation-source/
Morning Rounds: Fighting seasonal allergies
Americans spent $2.7 billion last year on non-prescription allergy remedies, and there are some other steps you can take
From: http://www.cbsnews.com/news/morning-rounds-seasonal-allergies/
From: http://www.cbsnews.com/news/morning-rounds-seasonal-allergies/
Kindergartners asked to tattle on parents who don't vaccinate
In Germany, officials want kids to squeal on parents if they haven't followed the laws on vaccines
From: http://www.cbsnews.com/news/kindergartners-asked-to-tattle-on-parents-who-dont-vaccine-in-germany/
From: http://www.cbsnews.com/news/kindergartners-asked-to-tattle-on-parents-who-dont-vaccine-in-germany/
Could a Century-Old Drug Ease Autism Symptoms?
Small study produced positive results with the sleeping sickness medication suramin, but more research needed
From: http://www.webmd.com/brain/autism/news/20170526/could-a-century-old-drug-help-ease-autism-symptoms?src=RSS_PUBLIC
Experts sound alarm on autism's "worryingly high" suicide rate
Suicide in people with autism is poorly understood and under-researched, say experts
From: http://www.cbsnews.com/news/autisms-high-suicide-rate-spurs-expert-summit/
From: http://www.cbsnews.com/news/autisms-high-suicide-rate-spurs-expert-summit/
Poll: Most older Americans want Medicare to cover long-term care
The poll found 56 percent think the federal government should make a major effort to help people cover the costs of long-term care
From: http://www.cbsnews.com/news/poll-most-older-americans-want-medicare-to-cover-long-term-care/
From: http://www.cbsnews.com/news/poll-most-older-americans-want-medicare-to-cover-long-term-care/
Physician Modified Fenestrated Endografts: Technical Aspects and Outcomes
From: Mayo Clinic https://www.youtube.com/watch?v=-y2cX9js3p8
Premenstrual dysphoria disorder: It’s biology, not a behavior choice
Almost all women have some mild premenstrual symptoms that signal the imminent arrival of their period every month. These symptoms are typically just an annoyance and don’t cause any distress.
But for some women, these symptoms are much more significant. About 20% of menstruating women suffer from premenstrual syndrome, or PMS. Women with PMS have mostly physical symptoms and some minor mood disturbances caused by the changing hormone levels in the second half (or luteal phase) of the menstrual cycle. These hormone-induced symptoms can cause significant physical distress in the days leading up to menstruation.
PMDD: More than PMS
Sometimes — in about 5% to 8% of menstruating women — debilitating mood changes accompany these premenstrual physical symptoms. Globally this is often referred to as severe PMS, but in the United States this combination of physical symptoms and mood disturbances is called premenstrual dysphoria disorder, or PMDD.
Unfortunately, women with PMDD are often misdiagnosed. Sometimes they go undiagnosed, being told they are just hormonal and need to get over it. And sometimes they are overdiagnosed. Unfortunately, it is all too common for women with PMDD to be incorrectly diagnosed with bipolar disorder.
What causes PMDD?
Broadly speaking, if you have PMDD, you have an increased sensitivity to your reproductive hormones during the two weeks before your period starts. This sensitivity leads to alterations in the brain chemicals and neurologic pathways that control your mood and your general sense of well-being. Exactly what that sensitivity is and what causes it has not been well understood. And treatment options have been limited.
Fortunately, progress is being made with some exciting new discoveries. Researchers at the National Institutes of Health (NIH) have found that women with PMDD have an altered gene complex that processes the body’s response to hormones and stressors. This is a very important discovery, as it establishes a biological basis for the mood disturbances of PMDD. Not only is this validation for women who live with PMDD, but it also has tremendous implications for new and improved treatment options.
And more recently, Dr. Peter Schmidt, one of the lead researchers on the NIH study, published data that support the working theory that it is the changes in hormone levels, not just the hormones themselves, that trigger the symptoms of PMDD.
Getting the diagnosis right
There are no tests to diagnose PMDD. The diagnosis is made entirely on the type and timing of symptoms.
To make the diagnosis of PMDD, symptoms must be present only in the week or two before your period, and they must subside within a few days of starting your period as quickly as they come on. The type of symptoms are also important. Specifically, to meet the criteria for PMDD you must experience at least one of the following:
- feeling very irritable or angry
- feeling very down or depressed
- feeling very anxious, stressed, or tense
- avoiding your usual activities
In addition to these four core mood symptoms, any one of the following symptoms (to make a total of five) are needed to confirm PMDD:
- difficulty concentrating
- feeling tired and very low in energy level
- binge eating or having a really strong, specific food craving
- sleeping too much or having trouble falling asleep
- feeling overwhelmed or out of control
- unpleasant physical symptoms, especially breast tenderness, bloating, body aches, and weight gain
If you experience any of these symptoms apart from the two weeks before your period, you don’t have PMDD. Instead, it is likely that you have another underlying mood disorder. With the other mood disorders like major depression, bipolar disorder, and generalized anxiety disorder, you may have good days and bad days with your symptoms but they are not predictable. Your symptoms will occur randomly throughout the month, not just in the two weeks before your period. You may, however, notice an increase in symptoms before your period. This is known as a premenstrual exacerbation. It is very important to get the diagnosis right because the treatments are often very different for PMDD from the other mood disorders.
5 things you should do if you think you have PMDD
- Track your symptoms. This is essential to getting the right diagnosis. You should record how you are feeling every day for at least two cycles, making note of the days you bleed. Try using a period tracker app like Clue to help you collect this information.
- Educate yourself. It is important for you to understand as much as you can about PMDD. Unfortunately, much of the medical profession is undereducated about PMDD. You will need to be an advocate for your health. You can look to the Gia Allemand Foundation and the Center for Women’s Mental Health at Massachusetts General Hospital for information and guidance.
- Reach out to peer support groups. Remember, you are not alone. It is important to connect with others who have PMDD. Hearing other women’s stories and struggles can help you cope with your diagnosis. Try PMDD Moms or PMDD Safehouse.
- Start with lifestyle changes. The first step in managing the symptoms of PMDD starts with improving your overall health and wellness. Eating a well-balanced diet, getting regular exercise, and adequate sleep are essential. Consider introducing some mind-body practice like yoga or meditation to help manage stress.
- Talk to your doctor. It is very important that you discuss your symptoms and concerns with your doctor. Consider tracking your symptoms before your visit. If you don’t feel that your doctor is taking your complaints seriously, you should not hesitate to get another opinion. Do not give up until you get the help you deserve.
The post Premenstrual dysphoria disorder: It’s biology, not a behavior choice appeared first on Harvard Health Blog.
From: Andrea Chisholm, MD http://www.health.harvard.edu/blog/premenstrual-dysphoria-disorder-its-biology-not-a-behavior-choice-2017052611768
Adults Who Exercise May Gain 9 'Biological' Years
Regular jogging and other pursuits delay cellular aging, study finds
From: http://www.webmd.com/fitness-exercise/news/20170526/adults-who-love-exercise-may-gain-9-biological-years?src=RSS_PUBLIC
'Baby Boxes' May Help Prevent SIDS in Newborns
The innovative take-home gift helped curb the dangerous practice of bed-sharing, study found
From: http://www.webmd.com/baby/news/20170526/hospital-baby-boxes-may-help-prevent-sids-in-newborns?src=RSS_PUBLIC
Pharmacogenomics Research at Mayo Clinic
From: Mayo Clinic https://www.youtube.com/watch?v=XBe4jvvbpQc
Comments sought on proposed change in calculating CE time, credits
The Commission for Continuing Education Provider Recognition is seeking comments through July 21 on a proposal to reduce the minimum length of CE courses and the increments in which how CE credits are awarded under the ADA Continuing Education Recognition Program.
From: By Kimber Solana http://www.ada.org/en/publications/ada-news/2017-archive/may/comments-sought-on-propose-change-in-calculating-ce-time-credits
From: By Kimber Solana http://www.ada.org/en/publications/ada-news/2017-archive/may/comments-sought-on-propose-change-in-calculating-ce-time-credits
‘Extraordinarily gifted’ Dr. Patricia Blanton recipient of Distinguished Service Award
Charleston, S.C. — Dr. Patricia L. Blanton said being a woman in dentistry has never exposed her to prejudice or biases.
Rather, she has seen what she called “the pervasive bigotry of low expectations,” and encourages all her students to do the best they can and surpass those expectations.
Surpassing expectations has defined Dr. Blanton’s life, and for that the ADA Board of Trustees will bestow upon her the ADA Distinguished Service Award at ADA 2017 – America’s Dental Meeting this October for Dr. Blanton’s lifelong devotion to advancing the art and science of dentistry.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/extraordinarily-gifted-dr-patricia-blanton-recipient-of-distinguished-service-award
Rather, she has seen what she called “the pervasive bigotry of low expectations,” and encourages all her students to do the best they can and surpass those expectations.
Surpassing expectations has defined Dr. Blanton’s life, and for that the ADA Board of Trustees will bestow upon her the ADA Distinguished Service Award at ADA 2017 – America’s Dental Meeting this October for Dr. Blanton’s lifelong devotion to advancing the art and science of dentistry.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/extraordinarily-gifted-dr-patricia-blanton-recipient-of-distinguished-service-award
Washington state enacts legislation to protect patient-dentist relationship
A new law in Washington confirms dentists' rights to contract with third parties for business support and reaffirms existing state law that prohibits unlicensed persons and non-professional entities from interfering with a licensed dentist's independent judgment on patient care.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/washington-state-enacts-legislation-to-protect-patient-dentist-relationship
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/washington-state-enacts-legislation-to-protect-patient-dentist-relationship
Seventieth World Health Assembly update, 26 May 2017
World Health Assembly focused on implementation of the International Health Regulations, and improving the prevention, diagnosis and treatment of sepsis.
From: http://www.who.int/entity/mediacentre/news/releases/2017/wha-70/en/index.html
From: http://www.who.int/entity/mediacentre/news/releases/2017/wha-70/en/index.html
Friday, May 26, 2017
Safe summer grilling tips
Follow me on Twitter @RobShmerling
It’s nearly June and the start of the summer season is upon us in New England. That means taking advantage of the warm weather to hit the beach or a hiking trail, and of course, it’s the season of the backyard barbeque.
Grilling is a great way to enjoy tasty outdoor meals. However, research has found that two harmful chemicals can form during the grilling process. Heterocyclic amines form when proteins (amino acids and creatine) found in meat are cooked over high heat, such as grilling or broiling. Polycyclic aromatic hydrocarbons (PAHs) form when fat and juices from meat drip down to the heat source of the grill, resulting in smoke. The smoke contains PAHs. As the smoke rises up past the food, the PAH compounds can be deposited on the surface of the meat.
How strong is the cancer-grilling link?
In 2007, The World Cancer Research Fund released its expert review Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective. It recommended that people avoid eating burned or charred foods frequently or in large quantities. And that makes sense, because epidemiological studies (using questionnaires about diet) suggest a link between eating a lot of overcooked, fried, and grilled meats and certain types of cancer.
Four steps toward healthier grilling
Step one: make veggies the main attraction. Kebabs are a great way to increase vegetable intake. Try skewers of colorful bell peppers, onions, and small pieces of chicken or lean meat. Smaller pieces of meat take less time on the grill. You can add fruit (such as pineapple, papaya, and/or mango) to skewers, too.
Step two: if you’re grilling meat, prep it first. Trim all visible fat. If you’re grilling chicken, remove the skin before cooking. Visible fat chars easily, especially when flames “lick” the food. Marinate fish and chicken. Marinades cut down on the smoke that sticks to the surface of the meat. Thin marinades are best, especially if they contain vinegar and/or lemon. Thicker, commercially prepared marinades have more of a tendency to char, possibly increasing exposure to carcinogenic compounds. If you’re using a marinade that contains honey, sugar, or tomato products, apply it in the last minute or two of grilling to avoid burning or charring.
Step three: limit the time food is on the grill. Precook meat in the microwave on high for 60 to 90 seconds, then discard the juices. Less juice will drip down to the heat source, which is the source of PAHs. You’ll also cut down on cooking time, thereby reducing potential exposure to chemicals formed in the grilling process. Don’t grill frozen meat; thaw it first to reduce the amount of time needed to cook it. Avoid charring or overcooking meats. Cut off and throw away any parts that become charred.
Step four: keep smoke to a minimum because that’s where PAHs are concentrated. Avoid “smashing” or flattening burgers while they are cooking on the grill. This leads to higher levels of dripping juices and more unwanted smoke. Grill burgers at a lower heat and flip them once per minute until cooked. Researchers at Livermore National Laboratory in California determined that frequent flipping prevents juices from dripping down to the heat surface, leading to less smoke. In addition:
- Food should be at least six inches from the heat source — more if possible.
- Grill fish and chicken on top of a piece of aluminum foil that has a few small holes. This barrier will keep juices from dripping down and creating additional smoke.
Other safety tips
Paying attention to how you cook meat is important, but there are other ways to make grilling safer.
- Keep uncooked meat, poultry, and seafood separate from vegetables and other foods. The USDA has other tips for safe food preparation.
- Keep your grill bristle-free. While it’s uncommon, there have been reports of internal injury following accidental consumption of stray grill cleaning bristles. Replace your grill cleaning brush each year, and after you use a brush to clean the grill rack, wipe it down with a towel.
The post Safe summer grilling tips appeared first on Harvard Health Blog.
From: Robert H. Shmerling, MD http://www.health.harvard.edu/blog/safe-summer-grilling-tips-2017052611805
WHO: World Health +Social Good live at WHA70 - 25 MAY 2017
From: World Health Organization https://www.youtube.com/watch?v=NSSxh64FQso
The importance of a good night's sleep
A new study underscores how important it is to get a good night's sleep, especially if you have several common health problems. Dr. Tara Narula has more.
From: http://www.cbsnews.com/videos/the-importance-of-a-good-nights-sleep/
From: http://www.cbsnews.com/videos/the-importance-of-a-good-nights-sleep/
Mom's video of child paralyzed after tick bite goes viral
The viral video of the Oregon 3-year-old who suffered tick paralysis has been viewed 21 million times
From: http://www.cbsnews.com/news/moms-video-of-paralyzed-child-after-tick-bite/
From: http://www.cbsnews.com/news/moms-video-of-paralyzed-child-after-tick-bite/
Alzheimer's Deaths Jump 55 Percent: CDC
More patients also dying at home, with the caregiving burden falling on loved ones
From: http://www.webmd.com/alzheimers/news/20170525/alzheimers-deaths-jump-55-percent-cdc?src=RSS_PUBLIC
Recall: Graco Car Seats
Children’s products company Graco recalls more than 25,000 car seats after harness webbing fails to meet federal requirements for strength.
From: http://www.webmd.com/children/news/20170525/recall-graco-car-seats?src=RSS_PUBLIC
Mayo Clinic Minute: Levothyroxine overload?
From: Mayo Clinic https://www.youtube.com/watch?v=9EJRGpTjNdo
Thursday, May 25, 2017
Haywire Immune Cells May Help Cause Baldness
Cells that fight inflammation also play role in hair growth, mice study finds
From: http://www.webmd.com/skin-problems-and-treatments/hair-loss/news/20170525/haywire-immune-cells-may-help-cause-baldness?src=RSS_PUBLIC
Do Daughters Bring Out a Dad's 'Softer Side'?
Study found men raising toddlers were more responsive, emotional with girls than boys
From: http://www.webmd.com/parenting/news/20170525/do-daughters-bring-out-a-dads-softer-side?src=RSS_PUBLIC
Enticing visitors to western Nebraska with CE credits — and the solar eclipse
From: By Kimber Solana http://www.ada.org/en/publications/ada-news/2017-archive/may/enticing-visitors-to-western-nebraska-with-ce-credits-and-the-solar-eclipse
Study: Compound in pot helps kids with epilepsy
Study shows cannabidiol, a chemical found in pot, can ease life-threatening seizures in children with a rare and devastating form of epilepsy
From: http://www.cbsnews.com/news/marijuana-cannabidiol-compound-in-pot-may-help-kids-with-epilepsy/
From: http://www.cbsnews.com/news/marijuana-cannabidiol-compound-in-pot-may-help-kids-with-epilepsy/
Alzheimer's deaths are skyrocketing
"This is a tidal wave of Alzheimer's disease that is now upon us," and experts say caregivers need more support than ever
From: http://www.cbsnews.com/news/alzheimers-disease-death-rates-rise/
From: http://www.cbsnews.com/news/alzheimers-disease-death-rates-rise/
Less than 6 hours of sleep could raise serious risk
Cardiologist Dr. Tara Narula discusses how this can impact more than a third of the U.S. adult population
From: http://www.cbsnews.com/news/sleep-study-less-than-six-hours-doubles-death-risk-metabolic-syndrome/
From: http://www.cbsnews.com/news/sleep-study-less-than-six-hours-doubles-death-risk-metabolic-syndrome/
Study: Compound in pot helps kids with epilepsy
Study shows cannabidiol, a chemical found in pot, can ease life-threatening seizures in children with a rare and devastating form of epilepsy
From: http://www.cbsnews.com/news/marijuana-cannabidiol-compound-in-pot-may-help-kids-with-epilepsy/
From: http://www.cbsnews.com/news/marijuana-cannabidiol-compound-in-pot-may-help-kids-with-epilepsy/
Alzheimer's deaths are skyrocketing
"This is a tidal wave of Alzheimer's disease that is now upon us," and experts say caregivers need more support than ever
From: http://www.cbsnews.com/news/alzheimers-disease-death-rates-rise/
From: http://www.cbsnews.com/news/alzheimers-disease-death-rates-rise/
Differences seen in how dads treat sons, daughters
New research "raises interesting questions" about the ways fathers interact with boys and girls
From: http://www.cbsnews.com/news/study-finds-striking-differences-in-how-dads-treat-sons-daughters/
From: http://www.cbsnews.com/news/study-finds-striking-differences-in-how-dads-treat-sons-daughters/
Top Beach Hazards: How to Stay Safe on the Sand
WebMD looks at top beach hazards such as rip currents, jellyfish, sunburn and sting rays.
From: http://www.webmd.com/skin-problems-and-treatments/news/20170525/top-beach-hazards-2017?src=RSS_PUBLIC
Mitch McConnell says he's unsure how to get a majority to pass GOP health bill
Under a special budget procedure, Senate Republicans would only need a majority to pass a bill to repeal and replace Obamacare rather than a supermajority
From: http://www.cbsnews.com/news/mitch-mcconnell-says-hes-unsure-how-to-get-a-majority-to-pass-gop-health-bill/
From: http://www.cbsnews.com/news/mitch-mcconnell-says-hes-unsure-how-to-get-a-majority-to-pass-gop-health-bill/
Sextuplets born to couple trying to conceive for 17 years
A Virginia hospital says its staff has successfully delivered sextuplets and the three boys and three girls are thriving
From: http://www.cbsnews.com/news/sextuplets-born-to-couple-trying-to-conceive-for-17-years/
From: http://www.cbsnews.com/news/sextuplets-born-to-couple-trying-to-conceive-for-17-years/
Of all the flavors in the world, we choose salty — and that’s not good
While the adjective salty can be used in today’s slang to describe one’s personality, it also pertains to our food. It’s saturated in it. And that’s not good.
Salt: The good, the bad, and the too much
Sodium is an essential part of our diet. It helps nerves and muscles function as well as hold onto water. Sodium in the blood is what keeps it viscous, but too much sodium means your body could retain too much liquid. This surge in volume increases blood pressure, which is the root of many serious ailments including heart and kidney disease. Experts estimate that we could save 280,000 lives in the United States if we lowered the average daily sodium intake by 40% for the next 10 years. And that’s just because lowering blood pressure protects the heart.
The average American consumes 3,409 milligrams of sodium each day, according to a new report from the Centers for Disease Control and Prevention. That’s way above the amount we should be getting per day: 1,150 mg. It means we’re ingesting 1.5 teaspoons of salt each day, when we really need only a third of that. And most of that sodium comes from prepared and processed foods — 75%, actually. Salt helps to preserve and add flavor to food, which is great when you want that strawberry Pop-Tart to taste the same whether you eat it the day after you buy it or a month after. But the CDC recently published a list of the 10 most sodium-dense foods in our diets. You know what’s at the top? Yeast bread, pizza, and sandwiches. The good stuff, the convenient stuff, the stuff like Pop-Tarts.
Dialing back the sodium
Cutting back on sodium in our prepared foods has been made easier by the increase in packaged food companies’ creating reduced-sodium versions of them, like low-sodium chicken broth. While that sounds simple, sodium lurks in some unexpected places. Kathy McManus, director of the Department of Nutrition at Brigham Health/Brigham and Women’s Hospital, says there are some ways to cut back on sneaky salt.
McManus says a good way to reduce the amount of sodium you eat is to focus on natural and whole foods. Preparing your own food, while sometimes inconvenient, can cut down on a lot of the sodium you consume. For instance, a frozen dinner of Marie Callender’s Vermont White Cheddar Mac and Cheese contains more sodium in one meal than you’re supposed to have in an entire day. But it’s not that hard to prepare a decadent mac and cheese yourself with Barilla pasta, your own white cheddar cheese, and a little cream. The sodium count comes out to around 715 mg. That is much more manageable when watching your sodium intake. It’s less convenient, but it works.
Buying low-sodium products and then adding salt to them is still better than buying the regular version. Cooking techniques can also help compensate for flavor lost when cutting back on salt. McManus suggests playing around with grilling or stir-frying with healthy oils to change the flavor. You can also add fresh or dried herbs to enhance taste. Over time, your taste buds will adjust. Your palate will change. You’ll be less accustomed to salt and less desensitized to it, so a little bit will travel farther in terms of flavor.
Restaurants remain at the top of the list for sodium-dense meals. Looking at the menu online ahead of time can help you prepare and research your options, but so can keying in on words that indicate healthier options. Look for baked, grilled, or steamed as a description for lean meats like fish or poultry. Keep an eye out for sides that are prepared simply, like vegetables. Avoid soups or pastas with sauces. Put salad dressing on the side, and definitely avoid the bread basket.
Top 10 high sodium foods
Nutrition is not a one-size-fits-all kind of science, but it does get us thinking about what we eat and how it affects us. You could never cut sodium completely out of your diet, nor would you want to, but you can be more aware of the sodium in the foods you eat. To see the complete list of high-sodium foods, check out the table below.
| Rank | Food type | Sodium per serving |
| 1 | Yeast breads (rolls, bagels, English muffins, etc.) | 264 mg |
| 2 | Pizza | 640 mg, 1 slice cheese pizza |
| 3 | Sandwiches | 1,633 mg, roast beef with cheese |
| 4 | Cold cuts and cured meats | 362 mg, 1 slice lunch meat |
| 5 | Soups | 471 mg, tomato soup |
| 6 | Burritos and tacos | 985 mg, with beans |
| 7 | Savory snacks (i.e. chips and popcorn) | 760 mg, 10 pretzels |
| 8 | Chicken, whole pieces | 146 mg |
| 9 | Cheese | 174 mg, 1 slice cheddar cheese |
| 10 | Eggs and omelets | 88 mg, 1 scrambled egg |
(Source: USDA list of sodium levels per food)
The post Of all the flavors in the world, we choose salty — and that’s not good appeared first on Harvard Health Blog.
From: Celia Smoak Spell http://www.health.harvard.edu/blog/of-all-the-flavors-in-the-world-we-choose-salty-and-thats-not-good-2017052511732
Mayo Clinic Minute: Living near nature linked to better health
From: Mayo Clinic https://www.youtube.com/watch?v=FgHyMXgy6Gk
CBO: 23 Million Would Lose Insurance Under Bill
While premiums may lower over the long-term, many Americans would face much higher out-of-pocket costs
From: http://www.webmd.com/health-insurance/news/20170524/cbo-23-million-would-lose-health-insurance-under-house-health-care-bill?src=RSS_PUBLIC
ADA and dental organizations to consolidate annual meetings
To maximize the impact of the meeting experience, six dental professional organizations, including the ADA, are collaborating to combine three dental conferences in 2019 and two in 2020.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-and-dental-organizations-to-consolidate-annual-meetings
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-and-dental-organizations-to-consolidate-annual-meetings
ADA weighs in on ideas for future NIDCR research efforts
The ADA has provided input for a National Institute of Dental and Craniofacial Research initiative that seeks ideas from the public for future workshops and research efforts.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-weighs-in-on-ideas-for-future-nidcr-research-efforts
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-weighs-in-on-ideas-for-future-nidcr-research-efforts
Dental Quality Alliance convenes conference to address quality improvement
Kevin Larsen, M.D., delivered an analogy during his keynote speech. Imagine driving a car without a dashboard and without a speedometer for a year, he said. At the end of the year, the government sends a warning letter telling you that you were driving too fast.
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/dental-quality-alliance-convenes-conference-to-address-quality-improvement
From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/may/dental-quality-alliance-convenes-conference-to-address-quality-improvement
June JADA: Reduce income inequality, improve oral health
As U.S. society becomes more unequal in terms of income, the health, including the oral health, of the whole population is worse off, according to research published in the June issue of The Journal of the American Dental Association.
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/june-jada-reduce-income-inequality-improve-oral-health
From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/may/june-jada-reduce-income-inequality-improve-oral-health
Optimized web presence raises perio practice's profile
In marketing his Santa Ana, California-based dental practice, Dr. James Mata's approach has gone from "let your fingers do the walking" to let Googlebots do the crawling.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/optimized-web-presence-raises-perio-practices-profile
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/optimized-web-presence-raises-perio-practices-profile
Thick Middle May Raise Risk of Some Cancers
Where fat is carried is as strong a predictor as BMI, research suggests
From: http://www.webmd.com/cancer/news/20170524/thick-middle-may-raise-risk-of-some-cancers?src=RSS_PUBLIC
WHO: Appointment of Dr Tedros Adhanom Ghebreyesus as new WHO Director-General
From: World Health Organization https://www.youtube.com/watch?v=5oUdOYARcRA
CBO: 23 million more without health insurance over next decade under House-passed bill
This estimate of the American Health Care Act (AHCA) projects that 1 million fewer people would lose their health insurance over the next 10 years than had been previously estimated
From: http://www.cbsnews.com/news/cbo-23-million-without-health-insurance-over-next-decade-under-house-passed-bill/
From: http://www.cbsnews.com/news/cbo-23-million-without-health-insurance-over-next-decade-under-house-passed-bill/
Compound in Pot Eases Severe Form of Epilepsy
Cannabidiol not associated with the 'high' of marijuana, researchers report
From: http://www.webmd.com/epilepsy/news/20170524/compound-in-pot-eases-severe-form-of-epilepsy?src=RSS_PUBLIC
Sleepless Nights Could Pose Heart Risk Dangers
Less than 6 hours a night doubled chances of dying from heart disease, stroke, study suggests
From: http://www.webmd.com/sleep-disorders/news/20170524/sleepless-nights-could-pose-heart-risk-dangers?src=RSS_PUBLIC
Blood Test for Pancreatic Cancer Shows Promise
Scientists aim for earlier detection, when tumors are treatable
From: http://www.webmd.com/cancer/pancreatic-cancer/news/20170524/blood-test-for-pancreatic-cancer-shows-early-promise?src=RSS_PUBLIC
FDA OKs First Cancer Drug by Genetic Type
Keytruda is targeted to specific cancers with specific DNA that can arise in multiple sites
From: http://www.webmd.com/cancer/news/20170524/fda-oks-first-cancer-drug-by-genetic-type-not-organ-of-origin?src=RSS_PUBLIC
Trump’s 2018 budget could hurt oral health access, research
President Trump on May 23 released his budget for fiscal year 2018, which contains cuts to many programs vital to the nation’s safety net, including the Children’s Health Insurance Program, Medicaid and other federal support programs.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/trump-releases-2018-budget-proposed-cuts-could-negatively-impact-oral-health-access-research
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/trump-releases-2018-budget-proposed-cuts-could-negatively-impact-oral-health-access-research
Wednesday, May 24, 2017
What Is Coercive Control in an Abusive Relationship?
omestic abuse is not limited to battered women’s syndrome. Some people use menacing psychological methods to absolutely rule over their partners. It’s called coercive control. Learn the warning signs and what to do if you suspect it.
From: http://www.webmd.com/women/features/what-is-coercive-control?src=RSS_PUBLIC
Alliance of the ADA gathers for spring conference
The Alliance of the ADA held its annual spring conference April 27-29 in Salt Lake City, Utah, where members networked and attended classes on office marketing, service opportunities, practice management and more.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/alliance-of-the-ada-gathers-for-spring-conference
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/alliance-of-the-ada-gathers-for-spring-conference
One cancer is linked to highest suicide risk
The disease is serious but "what's not out there is that patients with early stage disease are highly curable"
From: http://www.cbsnews.com/news/cancer-and-suicide-higher-rates/
From: http://www.cbsnews.com/news/cancer-and-suicide-higher-rates/
"We can't live in fear": Helping kids cope with terrorism
After the deadly bombing at an Ariana Grande concert in Manchester, England, many children and teens -- and their parents -- are struggling to deal with fear. Pat Anderson, the clinical director of Families First, offered some guidance to CBS Indianapolis station WTTV.
From: http://www.cbsnews.com/videos/we-cant-live-in-fear-helping-kids-cope-with-terrorism/
From: http://www.cbsnews.com/videos/we-cant-live-in-fear-helping-kids-cope-with-terrorism/
Helping ease kids' fears after Manchester attack
Mental health experts say it's important for parents to encourage teens to follow through with their plans
From: http://www.cbsnews.com/news/helping-ease-kids-fears-after-manchester-terror-attack/
From: http://www.cbsnews.com/news/helping-ease-kids-fears-after-manchester-terror-attack/
ADA, Partnership for Medicaid ask Senate to remain committed to Medicaid
As the U.S. Senate considers health care reform legislation, the Partnership for Medicaid is encouraging legislators to focus on ways to enhance and improve the Medicaid program.
From: By Jennifer Garvin http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-partnership-for-medicaid-ask-senate-to-remain-committed-to-medicaid
From: By Jennifer Garvin http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-partnership-for-medicaid-ask-senate-to-remain-committed-to-medicaid
Penn Dental Medicine unveils new dental clinic
The new Edward & Shirley Shils Clinic is part of a $37 million, two-year renovation of the school’s Evans Building.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/penn-dental-medicine-unveils-new-dental-clinic
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/penn-dental-medicine-unveils-new-dental-clinic
Studies Spotlight Diet, Supplements for Knee Pain
Could fiber or chondroitin ease arthritis?
From: http://www.webmd.com/osteoarthritis/news/20170523/studies-spotlight-diet-supplements-for-knee-pain?src=RSS_PUBLIC
Run for your (long) life
“Researchers find that running can add three years to your life!” shout the headlines. And yes, a new study did find that cardiovascular exercise, including running, can decrease the risk of death, and potentially prolong life. But there’s more: the authors not only include analyses of piles of data, but also an exhaustive review of just about every other study of cardiovascular fitness and mortality out there. They cite (and discuss) almost 70 reference articles!
By popular demand…
Their newest study came about due to demand. The authors had previously published data from over 55,000 people followed for over 15 years, and found that running was associated with a 45% reduced risk of death from heart attacks and strokes, as well as a 30% reduced risk of death from anything. This benefit was seen even with as little as five to 10 minutes a day of running, even at paces as slow as six miles per hour, and after accounting for age, sex, weight, and other health risk variables (like high blood pressure, diabetes, smoking, and alcohol consumption).
These findings made sense, as other studies had found that in addition to reducing the risk of cardiovascular disease, running also lowered the chances of developing cancer and neurologic diseases (such as Alzheimer’s and Parkinson’s). But there were questions:
- People demanded to know, was there any such thing as too much running?
- The original data set consisted of mostly college-educated, middle-class adult males. What about other populations?
- What about other cardiovascular exercise, such as walking, cycling, or other sports? Any benefits from those?
- The authors themselves point out that in the original study, running was based on self-report. Would their findings hold up if they looked at more objective measures of fitness?
The latest on running and longevity
So, the authors went back to their own data pool, and others. They found, again, that running just about any amount increased people’s lives by about three years; put another way, running for an hour provided seven hours of life benefit.
This benefit topped off at about 4.5 hours of running per week, so the people who ran more than that didn’t live any longer. They didn’t live any shorter, either: there was no risk associated with running longer or farther. They looked at other large studies, and saw that similar results had been found for women and other ethnic groups, as well. And, while other physical activities like walking and cycling offer some benefit, it’s less than running.
How can we explain these findings? The authors hypothesize that running is a particularly effective way to increase our cardiorespiratory fitness level, which is typically measured in metabolic equivalents (METs), like in a treadmill stress test. The authors had treadmill stress test data, and they found that a lower MET measurement (a lower fitness level) was associated with 16% of all deaths — more than high blood pressure, smoking, obesity, high cholesterol, and diabetes.
The takeaways from all these data are…
The lower our fitness level, the higher our risk of death, from just about any cause. Just being inactive accounts for approximately 9% of deaths worldwide (the fourth leading cause of death, by the way, after smoking, diabetes, and high blood pressure). This has been shown time and again. In this current study, even five minutes of running a day was beneficial.
The higher our fitness level, the lower our risk of death. The authors suggest that doctors should “measure” fitness levels, either self-reported physical activity or objectively measured cardiopulmonary fitness during routine physical exams. Fitness levels should be considered just as much as vital signs and the other things we currently measure, like body mass index and blood pressure.
So, lace up and get out there! Can’t run? Again, benefits are seen with just about ANY physical activity. Find something that you enjoy and get moving!
Sources
Running as a Key Lifestyle Medicine for Longevity. Progress in Cardiovascular Diseases, March 2017.
Leisure-Time Running Reduces All-Cause and Cardiovascular Mortality Risk. Journal of the American College of Cardiology, August 2014.
World Health Organization. Global Heart Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Geneva, Switzerland; 2009.
The post Run for your (long) life appeared first on Harvard Health Blog.
From: Monique Tello, MD, MPH http://www.health.harvard.edu/blog/run-long-life-2017052411722
Wellness Wednesdays: Half roll back with oblique twist
From: Mayo Clinic https://www.youtube.com/watch?v=R4OWjRD_oIU
Chocolate linked to lower risk for heart condition
People who ate chocolate a few times a week had significantly lower risk, according to a large new study
From: http://www.cbsnews.com/news/chocolate-linked-to-lower-risk-for-atrial-fibrillation-heart-health/
From: http://www.cbsnews.com/news/chocolate-linked-to-lower-risk-for-atrial-fibrillation-heart-health/
WHO: World Health +Social Good live at WHA70 - 23 MAY 2017
From: World Health Organization https://www.youtube.com/watch?v=4veIWqRQTOY
Could Chocolate Prevent an Irregular Heartbeat?
13-year study finds lower odds for atrial fibrillation in people eating moderate amounts of the treat
From: http://www.webmd.com/heart-disease/atrial-fibrillation/news/20170523/could-chocolate-guard-against-an-irregular-heartbeat?src=RSS_PUBLIC
Suicide Risk Rises After Lung Cancer Diagnosis
Doctors, loved ones need to be on the lookout for distress and depression, cancer specialist says
From: http://www.webmd.com/lung-cancer/news/20170523/suicide-risk-quadruples-after-lung-cancer-diagnosis?src=RSS_PUBLIC
Mental health: Overcoming the stigma of mental illness
From: http://www.mayoclinic.com/diseases-conditions/mental-illness/in-depth/mental-health/art-20046477
Stroke rehabilitation: What to expect as you recover
From: http://www.mayoclinic.com/diseases-conditions/stroke/in-depth/stroke-rehabilitation/art-20045172
Tuesday, May 23, 2017
Report finds link between daily glass of alcohol and breast cancer
The report reviewed data on more than 12 million women from dozens of studies conducted around the world and found that just one small glass of wine, beer or other alcohol daily was associated with an increased risk of breast cancer. Dr. Jon Lapook reports.
From: http://www.cbsnews.com/videos/report-finds-link-between-daily-glass-of-alcohol-and-breast-cancer/
From: http://www.cbsnews.com/videos/report-finds-link-between-daily-glass-of-alcohol-and-breast-cancer/
Best and worst states for kids' car safety
Two factors are linked to more motor vehicle fatalities among children
From: http://www.cbsnews.com/news/child-deaths-car-crashes-best-and-worst-states/
From: http://www.cbsnews.com/news/child-deaths-car-crashes-best-and-worst-states/
Mayo Clinic Champion Spotlight: Lung cancer advocate – Linda Wortman
From: Mayo Clinic https://www.youtube.com/watch?v=mJuJfM-eIfw
Checking Patient History May Curb Opioid Abuse
Sharpest declines seen in states like New York with strict rules for doctors
From: http://www.webmd.com/pain-management/news/20170523/checking-patients-drug-history-may-help-curb-opioid-abuse?src=RSS_PUBLIC
ADA launches JADA+ Scan on osseointegration
The family of JADA+ Scans and Specialty Scans has grown to nine quarterly digital newsletters with the launch of the JADA+ Scan — Osseointegration.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-launches-jada-scan-on-osseointegration
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-launches-jada-scan-on-osseointegration
FTC announces crack down on tech support scams
The Federal Trade Commission, along with federal, state and international law enforcement partners, May 12 announced, "Operation Tech Trap," a new initiative to crack down on technology support scams.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ftc-announces-crack-down-on-tech-support-scams
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ftc-announces-crack-down-on-tech-support-scams
OCR meets with health care groups, receives input on Sec. 1557
The ADA was one of several health organizations invited to a May 17 stakeholder meeting with the U.S. Health and Human Services Office for Civil Rights.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ocr-meets-with-health-care-groups-receives-input-on-sec-1557
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ocr-meets-with-health-care-groups-receives-input-on-sec-1557
Why one Ohio coroner ran out of room for bodies
Last year, a record 3,050 Ohio residents died from fatal drug overdoses -- most of them were heroin or painkiller-related deaths
From: http://www.cbsnews.com/news/ohio-coroner-runs-out-of-room-for-bodies-spike-in-opioid-deaths/
From: http://www.cbsnews.com/news/ohio-coroner-runs-out-of-room-for-bodies-spike-in-opioid-deaths/
This social media site ranked worst for mental health
New research looks at the positive and negative effects of major social media platforms on young people's health
From: http://www.cbsnews.com/news/instagram-snapchat-social-media-worst-for-mental-health/
From: http://www.cbsnews.com/news/instagram-snapchat-social-media-worst-for-mental-health/
World Health Assembly elects Dr Tedros Adhanom Ghebreyesus as new WHO Director-General
World Health Assembly elects Dr Tedros Adhanom Ghebreyesus as new WHO Director-General
From: http://www.who.int/entity/mediacentre/news/releases/2017/director-general-elect/en/index.html
From: http://www.who.int/entity/mediacentre/news/releases/2017/director-general-elect/en/index.html
Man's death tied to California botulism outbreak
The outbreak linked to contaminated nacho-cheese dip sold at a Northern California gas station has left at least nine others hospitalized
From: http://www.cbsnews.com/news/california-botulism-outbreak-death/
From: http://www.cbsnews.com/news/california-botulism-outbreak-death/
At tech companies, egg freezing benefits are all the rage
Facebook started the trend; now more than a dozen tech firms offer benefits that pay for female staff to put their eggs on ice
From: http://www.cbsnews.com/news/tech-egg-freezing-benefits-are-all-the-rage/
From: http://www.cbsnews.com/news/tech-egg-freezing-benefits-are-all-the-rage/
Paramedic Career at Mayo Clinic – Dylan Hurless
From: Mayo Clinic https://www.youtube.com/watch?v=NaYzJK9DZdo
Paramedic Jobs at Mayo Clinic – Kathy Lamont
From: Mayo Clinic https://www.youtube.com/watch?v=HM-UYaDPLm4
Paramedic Career at Mayo Clinic – Belissa Ho
From: Mayo Clinic https://www.youtube.com/watch?v=a3rDXein1sE
Secretary of Agriculture Sonny Perdue’s Message to USDA Staff Regarding FY2018 Budget
From: USDA https://www.youtube.com/watch?v=9N96WdQVvPk
Выступление профессора В. И. Скворцовой
From: World Health Organization https://www.youtube.com/watch?v=JvUam0zVN40
New recommendation: No fruit juice for children under a year
Follow me on Twitter @drClaire
Juice. Many people think of it as a healthy drink, something that should be part of a child’s diet. But it turns out that it’s not necessarily healthy at all — and doesn’t need to be part of a child’s diet. In fact, the American Academy of Pediatrics just came out with the recommendation that children under a year should drink no juice at all. This is a change from the previous recommendation, which was that children shouldn’t have juice before six months of age.
This recommendation may seem surprising, but here’s why experts aren’t wild about juice:
- It doesn’t have much nutritional value. Yes, there are some vitamins in it, and the ascorbic acid in some juices can help the body absorb iron. But children are always better off eating the fruit (or vegetable) itself instead of the juice. It’s healthier and has fiber the body needs.
- It can lead to cavities, especially when children carry around bottles or sippy cups and drink little bits all the time. When children do this, there is cavity-causing sugar in the mouth all the time.
- It can lead to overweight. Our bodies are designed to eat our calories, not drink them; we don’t get filled up by juice, no matter how many calories of it we drink.
- It can lead to diarrhea, especially in toddlers.
- It can actually interfere with the absorption of some medications.
It’s true that juice is healthier than, say, soda. But when it comes to overweight and cavities, juice isn’t all that different. The point is simply that children don’t need it. Water and unsweetened milk (or fortified alternative milks for those with allergies or lactose intolerance) are the only beverages a child really needs. And as I said above, the better way to get whatever nutrition a juice might offer is to eat fruits and vegetables instead.
After a year, it’s okay to give a child juice, with some caveats:
- Keep it to one serving a day. For children younger than 7, a serving is 4 ounces; for 7 to 18, it’s 8 ounces.
- Make sure it’s 100% juice. There are a lot of fruit “drinks” out there that have lots of sugar and little or no juice. Read labels carefully.
- Make sure that any juice you give your child is pasteurized, for safety.
- Don’t give juice in a sippy cup or bottle! This is very important for preventing cavities. If you’re going to give that one serving of juice, have it be something your child sits and drinks from an open cup and finishes in one sitting, not something he or she carries around (or that you stick in the diaper bag for outings). If you want to bring something along, have it be a reusable water bottle.
These are guidelines — and with any guideline, there may be exceptions (if your child is on an iron supplement, for example, your doctor may want you to give it with orange juice). If you have questions about this recommendation, or anything else about what your child should eat or drink, talk to your pediatrician.
The post New recommendation: No fruit juice for children under a year appeared first on Harvard Health Blog.
From: Claire McCarthy, MD http://www.health.harvard.edu/blog/new-recommendation-no-fruit-juice-children-year-2017052311786
3 Lifestyle Factors Can Lower Breast Cancer Odds
Stay trim, exercise and cut back on drinking, review findings suggest
From: http://www.webmd.com/breast-cancer/news/20170523/3-key-lifestyle-factors-can-lower-breast-cancer-odds?src=RSS_PUBLIC
Mayo Clinic Minute: Four keys to healthful snacking
From: Mayo Clinic https://www.youtube.com/watch?v=ZISp-IJK50U
Tuesday Tips: Prep for healthy eating all week
From: Mayo Clinic https://www.youtube.com/watch?v=lhOFTWJV-wM
Study: Breast cancer risk increases with even one drink
New report on breast cancer prevention dives into other lifestyle factors, too
From: http://www.cbsnews.com/news/drinking-breast-cancer-risk-factor-alcohol-diet/
From: http://www.cbsnews.com/news/drinking-breast-cancer-risk-factor-alcohol-diet/
Monday, May 22, 2017
No fruit juice before child's first birthday, new guidance suggests
The American Academy of Pediatrics is putting more stringent guidelines on fruit juice for children. The association recommends that instead of juice, parents feed their kids whole fruits. Dr. Jon LaPook has more.
From: http://www.cbsnews.com/videos/no-fruit-juice-before-childs-first-birthday-new-guidance-suggests/
From: http://www.cbsnews.com/videos/no-fruit-juice-before-childs-first-birthday-new-guidance-suggests/
Mayo Clinic Center for Innovation: Thinking Differently Speaker Series, Elisabeth Rosenthal, M.D.
From: Mayo Clinic https://www.youtube.com/watch?v=82LTklvSwj0
Study: ‘Healthy Old’ May Not Need Statins
But specialists cite research flaws, limitations
From: http://www.webmd.com/cholesterol-management/news/20170522/study-casts-doubt-on-need-for-statins-in-the-healthy-old?src=RSS_PUBLIC
Seventieth World Health Assembly opens in Geneva
In her final opening address to the World Health Assembly as Director-General, Dr Margaret Chan offered some advice to delegates "as you continue to shape the future of this Organization".
From: http://www.who.int/entity/mediacentre/news/releases/2017/seventieth-world-assembly/en/index.html
From: http://www.who.int/entity/mediacentre/news/releases/2017/seventieth-world-assembly/en/index.html
Gender confirmation surgeries on the rise in the U.S.
For members of the transgender community, these procedures can be life-saving, advocates say
From: http://www.cbsnews.com/news/gender-confirmation-surgeries-on-the-rise-in-the-u-s/
From: http://www.cbsnews.com/news/gender-confirmation-surgeries-on-the-rise-in-the-u-s/
Mayo Clinic: Neurofibromatosis Clinic Arizona
From: Mayo Clinic https://www.youtube.com/watch?v=2-jN1oaXLbw
Could 'Safer' Filtered Cigarettes Be More Deadly?
New report suggests they're tied to rising rates of an aggressive lung cancer
From: http://www.webmd.com/smoking-cessation/news/20170522/could-safer-filtered-cigarettes-be-more-deadly?src=RSS_PUBLIC
Botulism Outbreak Caused by Nacho Cheese Sauce
California Botulism Outbreak Caused by Nacho Cheese Sauce Seizures of Fentanyl-Containing Drugs More Than Double: DEA
From: http://www.webmd.com/food-recipes/food-poisoning/news/20170522/health-highlights-may-22-2017?src=RSS_PUBLIC
Cut Calories, Lengthen Life Span?
Study found middle-aged adults who reduced their intake showed slower biological aging
From: http://www.webmd.com/healthy-aging/news/20170522/cut-calories-lengthen-life-span?src=RSS_PUBLIC
Antibiotics Fail in 1 in 4 Adult Pneumonia Cases
Patients typically helped by other means, but levels of drug resistance are concerning, researchers say
From: http://www.webmd.com/cold-and-flu/news/20170521/first-try-antibiotics-now-fail-in-1-in-4-adult-pneumonia-cases?src=RSS_PUBLIC
That famous map of tastes on the tongue is all wrong
A leading scientist explains the origins of the popular myth that you taste sweet, salty, sour and bitter on different areas of your tongue
From: http://www.cbsnews.com/news/tongue-taste-buds-map-all-wrong/
From: http://www.cbsnews.com/news/tongue-taste-buds-map-all-wrong/
Mayo Clinic School of Medicine Commencement 2017
From: Mayo Clinic https://www.youtube.com/watch?v=orR429LwLQc
Nathan and Curtis Hot Dogs recalled
A company is recalling more than 200,000 pounds of Nathan and Curtis hot dogs after metal objects were found in the packages.
From: http://www.webmd.com/food-recipes/food-poisoning/news/20170522/nathan-and-curtis-hot-dogs-recall?src=RSS_PUBLIC
Doctors' advice about fruit juice for kids
The American Academy of Pediatrics is out with new guidelines about when young children should start drinking fruit juice, and just how much is healthy. Meg Oliver has details.
From: http://www.cbsnews.com/videos/doctors-advice-about-fruit-juice-for-kids/
From: http://www.cbsnews.com/videos/doctors-advice-about-fruit-juice-for-kids/
Aggressive treatment for sepsis can save lives
Every additional hour it takes to give antibiotics and perform other key steps increases odds of death by 4 percent, according to a new study
From: http://www.cbsnews.com/news/sepsis-syndrome-aggressive-treatment-saves-lives/
From: http://www.cbsnews.com/news/sepsis-syndrome-aggressive-treatment-saves-lives/
Overweight kids face higher depression risk later
Ask your child if he or she is being bullied or "fat-shamed" at school, one expert advises parents
From: http://www.cbsnews.com/news/overweight-obese-children-higher-risk-depression-as-adults/
From: http://www.cbsnews.com/news/overweight-obese-children-higher-risk-depression-as-adults/
WHO: Speech by Dr Veronika Skvortsova, President of the 70th World Health Assembly - (English)
From: World Health Organization https://www.youtube.com/watch?v=oBu3Ri8Sh2A
WHO: Dr Margaret Chan, address to the Seventieth World Health Assembly
From: World Health Organization https://www.youtube.com/watch?v=m3j8dJm8a9c
Mayo Clinic Minute: Do you have these melanoma risk factors?
From: Mayo Clinic https://www.youtube.com/watch?v=0k4ktYx3Wp4
A spoonful of motivation helps the medicine go down
We have all done it. We are prescribed a medication to help us, but we don’t take it as directed, or at all. Sometimes we don’t even fill the prescription.
Why? Things get in the way of getting to the pharmacy. One last phone call at work or one more math problem with your child. Or we begin to feel better and stop taking the medicine. Or we don’t understand the instructions. Or we are not convinced the medication will work. Or there are side effects we do not like. Or the medication is too expensive.
Or any of a hundred other reasons.
Adherence is how well we follow the recommendations from our health provider. Medication adherence ranges, but the track record isn’t good, with the average rate about 50%.
What are the consequences of non-adherence? Disease progresses. Medications are wasted and become less effective in the long term. Hospitalization risk increases. As a society, the potential financial cost of non-adherence is $100 billion per year. As the late former Surgeon General C. Everett Koop said, “Drugs don’t work in patients who don’t take them.”
Partner with your provider to maximize motivation
While there are many factors that influence adherence, motivation plays an important role. Increasing motivation to stick with a medication regimen requires work by both the patient and the provider.
Think about your current and future life goals and how this medication can help you reach these goals. Clearly communicate these goals to your provider and encourage your provider to help connect taking your medication correctly to your life goals and values. Explain your schedule and activities, and ask him or her to help find a medication regimen that fits your lifestyle as closely as possible, to make adherence as easy as possible.
Ask direct questions about the medication, including how often to take it (fewer doses are better!), potential side effects, and cost. Repeat the answers back to ensure you’re clear on the instructions. At your next visit, talk about how you are doing with taking your medications. Don’t be afraid to bring up any barriers that prevent you from taking them regularly and correctly, including cost.
Other tips for sticking with your medications
There are several ways to increase motivation to take medication as prescribed.
- Think about why you are taking the medication in the first place. Will it help reduce pain so you can return to work? Prolong your life so you can spend time with your grandchildren? Find ways to remind yourself of why it is important and visualize the results of success! Put a picture of your family next to your medicine.
- Track progress in a journal. Use a sticker chart and reward yourself (a movie, a special purchase) regularly and often.
- Take your medication at a similar time each day. Perhaps you can combine taking the medication with other regular, daily activities that are already part of your routine (for example, brushing your teeth), so taking the medication becomes “automatic.”
- Use a medication planner/pill box. Send yourself email and text reminders.
- Enlist family and friends to help with these strategies.
So, develop a plan to increase your motivation to take your medications as prescribed, and find strategies to be successful. Your life goals will thank you!
Sources
Medication adherence: WHO cares? Mayo Clinic Proceedings, April 2011.
Adherence to medication. New England Journal of Medicine, August 2005.
Adherence to Long-Term Therapies: Evidence for Action. Geneva, Switzerland, World Health Organization, 2003.
The post A spoonful of motivation helps the medicine go down appeared first on Harvard Health Blog.
From: David R. Topor, PhD, MS-HPEd http://www.health.harvard.edu/blog/a-spoonful-of-motivation-helps-the-medicine-go-down-2017052211727
Transgender Surgeries Up 20 Percent in 2 Years
Plastic surgeons' group identifies top transition treatments
From: http://www.webmd.com/a-to-z-guides/news/20170522/us-transgender-surgeries-up-20-percent-in-2-years?src=RSS_PUBLIC
No Fruit Juice Before Age 1, Pediatricians Say
Plus, they support limits for older kids and doing away with sippy cups for toddlers
From: http://www.webmd.com/parenting/news/20170522/no-fruit-juice-before-age-1-pediatricians-say?src=RSS_PUBLIC
Minimally Invasive, Scarless Brain Surgery
From: Mayo Clinic https://www.youtube.com/watch?v=ugVhPbLFLUk
ADA, others urge HHS to ensure deeming rule is implemented
The ADA is one of 51 organizations asking the U.S. Department of Health and Human Services to ensure that the final rule on tobacco products is implemented in accordance with its provisions following the Food and Drug Administration's decision to delay enforcement of the rule.
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-others-urge-hhs-to-ensure-deeming-rule-is-implemented
From: http://www.ada.org/en/publications/ada-news/2017-archive/may/ada-others-urge-hhs-to-ensure-deeming-rule-is-implemented
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