June 2017

Friday, June 30, 2017

Pregnant or trying? Don't let Zika guard down

While cases of the birth defect-causing virus have dropped sharply from last year's peak, Zika hasn't disappeared from the region, experts warn

From: http://www.cbsnews.com/news/science-says-pregnant-or-trying-dont-let-zika-guard-down/

Rat Lungworm: A Nasty Parasite With an Uglier Name

A finds that nearly a quarter of rats that researchers tested in Florida carried a nasty parasite called the rat lungworm, which can infect humans.

From: http://www.webmd.com/a-to-z-guides/news/20170630/rat-lungworm-nasty-parasite?src=RSS_PUBLIC

Some Pharmacies Deny Teens 'Morning After' Pill

'Mystery shopper' study found druggists refusing sales, despite FDA's removal of age limit for the contraceptive

From: http://www.webmd.com/sex/birth-control/news/20170630/some-pharmacies-deny-teens-morning-after-pill?src=RSS_PUBLIC

Teen birth rate drops again to all-time low, CDC says

New government data looks at trends in birth across the United States

From: http://www.cbsnews.com/news/teen-birth-rate-drops-again-to-all-time-low-cdc/

Backlash after councilman asks city to ignore drug overdose calls

"We need to put a fear about overdosing in Middletown,"City Council member Dan Picard said

From: http://www.cbsnews.com/news/councilman-asks-if-city-can-stop-responding-to-overdoses/

Teen Birth Rate Drops Again to All-Time Low: CDC

Preterm deliveries and births to older moms are up, report finds

From: http://www.webmd.com/infertility-and-reproduction/news/20170630/teen-birth-rate-drops-again-to-all-time-low-cdc?src=RSS_PUBLIC

What’s Lurking In Your Pool Water?

There is danger, and a lot of urine, in swimming pool water

From: http://www.webmd.com/children/news/20170630/danger-and-pee-lurk-in-swimming-pools?src=RSS_PUBLIC

ADA House opens in nation's capital

The ADA celebrated the grand opening of the ADA House at 137 C Street in the District's Capitol Hill neighborhood in June.

From: http://www.ada.org/en/publications/ada-news/2017-archive/june/ada-house-opens-in-nations-capital

Student Ethics Video Contest spurs creativity

The ADA Council on Ethics, Bylaws and Judicial Affairs is accepting entries for the 2017 Student Ethics Video Contest.

From: http://www.ada.org/en/publications/ada-news/2017-archive/june/student-ethics-video-contest-spurs-creativity

Heart transplant survivor dies after giving birth to first child

The couple spent six hours with their newborn before she started to experience complications

From: http://www.cbsnews.com/news/megan-johnson-heart-transplant-survivor-dies-after-giving-birth/

Studies shed light on teen mental health after concussions

Two new studies look at depression in young athletes in the months and years after head injury

From: http://www.cbsnews.com/news/concussion-studies-shed-light-on-teen-athlete-mental-health-depression/

Trendy new mom practice led to infant's infection

Doctors traced the infection to unlikely source

From: http://www.cbsnews.com/news/new-mom-pregnancy-placenta-pills-led-to-infant-infection/

Working on addiction in the workplace

When unaddressed, alcohol and other drug use disorders in the workplace are costly and dangerous for organizations, as well as individuals. There are many good examples of successful programs and resources available that can help, and with over 22 million Americans currently in recovery from alcohol and other drug use disorders, creating a drug-free workplace is entirely possible.

More than 70% of individuals with alcohol or illicit drug use continue to maintain employment, as many employees with alcohol or other drug problems can continue to remain “functioning.” Companies and organizations can no longer ignore the realities and repercussions of alcohol and other drugs in the workplace.

“Functioning” employees are costly in many ways

Addiction costs American businesses and organizations an average of $81 billion in lost profits every year. This is due to losses in productivity, high turnover rates, theft in the workplace, increases in absenteeism, utilization of sick time, and decreases in quality of work. Out of the 70% of employees that engage in substance use and maintain employment, over 42% report feeling a decrease in productivity as a result. Although job losses directly related to alcohol or other drug use are usually associated with more persistent and severe levels of substance use disorders, the use of these substances negatively impacts individual job attendance and performance long before lob loss occurs.

In addition, alcohol and other drug use increases the number of occupational injuries and fatalities, and affects the health and well-being of the employees. In emergency room visits for workplace related injuries, breathalyzer tests detected alcohol in 16% of cases. Over 10% of workplace fatalities involve alcohol. A subtler but just as important effect is the lethargy and short-term residual cognitive impairments that can follow a night of heavy drinking. This can increase the risk of injury for employees and their colleagues.

Beyond detriment to the bottom line of the organization and the health of employees, alcohol and other drug use can affect the attitudes and culture of an organization, lower morale, and decrease motivation, engagement, and trust.

Steps toward a drug-free work environment

There are many ways in which employers can create a drug-free work environment. Employers can educate themselves and employees on not only identifying the signs and symptoms of alcohol and drug use, but also the necessary steps to take when one suspects that a coworker may need help. Through education and clear drug-free workplace policies, employers can aim to increase awareness and clarify expectations.

Developing an employee drug testing program is another way to help create a drug-free work environment. Currently, over 50% of organizations require pre-employment drug screenings for all new hires, especially in high-risk industries such as mining, construction, and public safety. State laws generally allow organizations to randomly drug test employees once hired, however states have varying rules regarding these practices.

Employee Assistance Programs (EAPs) have been found to be highly effective resources for addressing addiction issues, but many organizations, especially smaller ones, do not have these programs available. EAP programs work to encourage and support addiction treatment and recovery through confidential assessments, short-term counseling, and resource referrals.

And it is worth it

Treatment for addiction, facilitated within or by the workplace, has been shown to be successful in increasing employees’ legal, mental, and social functioning, as well as decreasing absenteeism rates, workplace conflict, and productivity problems upon return from treatment. Investing in employee treatment yields high returns, with an estimated gain of 23% among employees with an income of $45,000 per year or an estimated gain of 64% for employees earning $60,000 per year.

With this ever-growing public health crisis, more and more lives are being affected both inside and outside of the workplace. Organizational involvement is now more important than ever. This involvement by employers is rapidly transforming to be less about punishing employee misconduct, and more focused on finding creative ways to provide education and resources for employees, to support them in seeking out lifesaving treatment for themselves or a loved one. Taking steps to address addiction is truly an opportunity to humanize the workplace and help reduce suffering and avoid painful, sometimes deadly, consequences.

The post Working on addiction in the workplace appeared first on Harvard Health Blog.

From: John F. Kelly, PhD http://www.health.harvard.edu/blog/working-on-addiction-in-the-workplace-2017063011941

Trump says Congress should repeal Obamacare now, replace it later

The president said after the election that Obamacare would be repealed and replaced "simultaneously" so millions wouldn't lose coverage

From: http://www.cbsnews.com/news/trump-says-congress-should-repeal-obamacare-now-replace-it-later/

Brain-eating amoeba detected in water system

The Centers for Disease Control and Prevention says residents who use the water system should not let water go up the nose when bathing or swimming in small pools

From: http://www.cbsnews.com/news/brain-eating-amoeba-detected-in-louisiana-water-system/

Thursday, June 29, 2017

Medicaid cuts in Senate bill could have dire effects at Ohio opioid clinic

CBS News has learned that Senate Republicans, hoping to win support for the Obamacare replacement, have added another $45 billion for the treatment of opioid addiction. However, that is just a fraction of what Medicaid currently covers. So, what happens if Medicaid is cut drastically? Adriana Diaz reports.

From: http://www.cbsnews.com/videos/medicaid-cuts-in-senate-bill-could-have-dire-effects-at-ohio-opioid-clinic/

Cuts in Senate bill could have dire effects on opioid crisis

Proposal in the Senate rolls back Medicaid expansion, and that could potentially cut one treatment center's Medicaid funding by 75 percent

From: http://www.cbsnews.com/news/medicaid-cuts-in-senate-bill-could-have-dire-effects-at-ohio-opioid-clinic/

Laurie Hernandez on grandmother’s battle with Alzheimer’s

The Olympic gymnast and gold medal winner shares her family's story to bring awareness to the memory-robbing disease

From: http://www.cbsnews.com/news/olympic-gymnast-laurie-hernandez-on-her-grandmothers-battle-with-alzheimers/

GOP races to strike health care deal ahead of Friday deadline

Senate GOP leaders are trying to reach an agreement on a revised bill by Friday so that it can be scored by the CBO over the July 4 break

From: http://www.cbsnews.com/news/gop-races-for-health-care-deal-ahead-of-friday-deadline/

Know the Signs of 'Dry Drowning' and 'Secondary Drowning'

How to recognize the warning signs of "dry drowning" and "secondary drowning," which can happen hours after your child has left the pool.

From: http://www.webmd.com/children/features/secondary-drowning-dry-drowning?src=RSS_PUBLIC

Making Mayo's Recipes Turkey Burgers

From: Mayo Clinic https://www.youtube.com/watch?v=xLR-l2EJfDA

Mayo Clinic Minute: 4 tips for safer picnics

From: Mayo Clinic https://www.youtube.com/watch?v=TYH9AWJHLA0

From: http://www.ada.org/en/publications/ada-news/2017-archive/july

Melanoma Biopsy Results Can Differ, Worrying Patients

Doctor discovers skin cancer evaluations aren't always as clear-cut as many might think

From: http://www.webmd.com/cancer/news/20170629/melanoma-biopsies-can-differ-worrying-patients?src=RSS_PUBLIC

House Subcommittee on Health passes Action for Dental Health bill

The House's Energy and Commerce's Subcommittee on Health June 29 unanimously passed the Action for Dental Health Act of 2017.

From: By Jennifer Garvin http://www.ada.org/en/publications/ada-news/2017-archive/june/house-subcommittee-on-health-passes-action-for-dental-health-bill

Will 24-hour shifts for new doctors help or harm patients?

New doctors will be allowed to work 24 hours straight; some feel the rule will enhance training, while others worry about patient safety

From: http://www.cbsnews.com/news/first-year-doctors-will-be-able-to-work-24-hours-under-new-rules/

Fireworks injuries send thousands to the ER

"Before you light that, think about the value of your life," says one man who was severely injured when fireworks blew up in his face. The CPSC warns that 11,000 Americans are hospitalized with fireworks injuries each year. CBS News' Meg Oliver reports.

From: http://www.cbsnews.com/videos/fireworks-injuries-send-thousands-to-the-er/

America’s dangerous love for fireworks

Americans shoot off almost one pound of fireworks each year for every man, woman and child – and the number of injuries is rising, too

From: http://www.cbsnews.com/news/fireworks-safety-americas-dangerous-love-for-pyrotechnics/

Rand Paul says splitting up health care bill could improve chances of Obamacare repeal

The Kentucky senator was among the first few Senate Republicans to come out against the Better Care Reconciliation Act (BCRA) last week

From: http://www.cbsnews.com/news/rand-paul-says-splitting-up-health-care-bill-could-improve-chances-of-obamacare-repeal/

Poorer sleep may increase suicidal thoughts

Sleep may be an important treatment target in suicide prevention, study author said

From: http://www.cbsnews.com/news/poorer-sleep-may-increase-suicidal-thoughts/

Census of Agriculture PSA - Be Counted

From: USDA https://www.youtube.com/watch?v=qq1vAa1qXiE

Live Through This: Telling the stories of suicide survivors

Since 2010, photographer Dese'Rae Stage has focused her lens on an issue that's often treated like a dirty word: suicide

From: http://www.cbsnews.com/pictures/live-through-this-telling-the-stories-of-suicide-survivors/

Vaccine patch seems as effective as flu shot

Dissolvable microneedle skin patch could be a painless new way to protect against flu, early study suggests

From: http://www.cbsnews.com/news/flu-patch-as-effective-as-flu-shot-vaccine-study-suggests/

Obamacare linked to "extraordinary reduction" in deadly heart condition

Other studies have shown a decrease in death when health care coverage is expanded, but not to this extent, say experts

From: http://www.cbsnews.com/news/obamacare-health-care-linked-to-reduction-in-cardiac-arrest-heart-condition-oregon/

24-hour shifts for new doctors raise safety concerns

Doctors fresh out of medical school can work a 24-hour shift starting this weekend. But this is raising concerns about patient safety. Dr. Tara Narula reports on what this means for patients and doctors.

From: http://www.cbsnews.com/videos/24-hour-shifts-for-new-doctors-raise-safety-concerns/

$45 billion added to health care bill for opioid treatment

The additional funds and new language comes as GOP leadership aims for a bill revision by Friday

From: http://www.cbsnews.com/news/health-care-bill-45-billion-more-in-opioid-money/

Dr. Mary Jo Kasten discusses Zika travel

From: Mayo Clinic https://www.youtube.com/watch?v=onJFrH4tbiA

111 Patients Have Died Under CA Right-to-Die Law

From: http://www.webmd.com/a-to-z-guides/news/20170629/111-patients-have-died-under-california-right-to-die?src=RSS_PUBLIC

Yes, I’ve tried that too: When well-intentioned advice hurts

There’s a certain response I have come to expect whenever I share with someone that I suffer from chronic pain. “You should try acupuncture or yoga,” the person will say, often without asking me first if I have actually tried either.

I have learned to take such suggestions with a grain of salt, seeing them for what they are: a well-meaning, if usually uninformed, attempt to help me get better. But it’s hard not to feel slighted by these responses, even if the underlying intentions are sincere. When the hair-trigger reaction to me sharing my medical issues is usually to automatically recommend some supplement, diet, or exercise regimen I should try, I begin to feel my pain is being undermined by an assumption that I haven’t worked hard enough to defeat it.

For the record, I have tried acupuncture… many times. In fact, I am fortunate that my health insurance completely covers up to 20 visits to the acupuncturist per year, a benefit of which I take full advantage. My insurance also covers chiropractic and osteopathic care, and I make sure to max out my annual allotted visits. Many are not so lucky, as these services are often not covered by insurance and can be too cost-prohibitive to pay for out of pocket. Chances are if a treatment option exists and if I can afford it, then yes, I’ve tried that too.

There is a myth that when people have persistent medical conditions, that it’s the result of having an unhealthy lifestyle. As for me, I am a nonsmoking vegetarian who eschews caffeine and sugary soft drinks in favor of filtered water and fresh fruit. I barely drink alcohol and stay out of the high afternoon sun. I always wear my seatbelt. Before pain became a daily reality for me, I was an avid hiker and swimmer who enjoyed cross-country skiing, rock climbing, rollerblading, dancing, and riding my bike for miles. And not only did I go to yoga class on a weekly basis, but I was a star pupil, famed for pretzeling my body into positions even the instructor couldn’t accurately imitate. Nowadays though, my physicians have advised me against practicing yoga, as it often causes more bodily damage because I have connective tissue disease (and in fact, yoga may be one of the culprits that incited my chronic pain).

Disease doesn’t always follow a necessarily linear or logical path, or at least one that is plainly detectable. In my case, chronic pain became the fallout of an accumulation of issues that began even before birth: a club foot defect that required several surgeries in infancy, and left me with a stunted left leg that led to structural malalignment in my body that — combined with connective tissue disorder — set the stage for premature deterioration in my body. But worse than the way my body was punishing me for something I couldn’t control, is having to deal with society’s constant questioning of the validity of that pain.

Anyone who suffers from chronic debilitating illness for any length of time can attest to the lengths they have gone to quell it. In my chronic pain support group we share long lists of medications and procedures (ranging from things like injections to major surgeries) we have tried. We have often sought consultations from countless health care providers that run the gamut from traditional to holistic in our desperate search for solutions. We compare notes on diets we have undergone, from gluten-free to vegan to the carnivorous “paleo” diet. We offer opinions on what supplements and herbal formulas are legitimate and what amounts to snake oil. Overall, most of us have stitched together a network of treatment protocols, prescription drugs, and caring providers that help us manage the pain as best we can and in some cases, even restore some of our functionality. However, none of us has found a miracle cure, something that reverts us to our former healthier and pain-free selves — that is, for those of us who ever had such selves in the first place.

While I think there is value in proposing solutions, I would advise that those with chronic pain sufferers in their lives resist the urge to make recommendations. Rather, take the time to listen and empathize. That alone might be more healing than any drug or diet.

The post Yes, I’ve tried that too: When well-intentioned advice hurts appeared first on Harvard Health Blog.

From: Laura Kiesel http://www.health.harvard.edu/blog/yes-ive-tried-well-intentioned-advice-hurts-2017062911886

Pollution levels considered safe can shorten lifespans, study shows

Researchers studied 60 million senior citizens and found that their long-term exposure to certain air pollutants increased risk of premature death

From: http://www.cbsnews.com/news/air-pollution-levels-long-term-exposure-risk-premature-death-study/

Photographer celebrates life – and second chances

Since 2010, Dese'Rae Stage has taken a snapshot of America to talk about an issue that's often treated like a dirty word: Suicide

From: http://www.cbsnews.com/news/photographer-celebrates-life-and-second-chances/

Flu vaccine skin patch could someday replace shots

Researchers have developed a painless skin patch for administering the flu vaccine, and testing shows it works as well as a traditional flu shot. CBS News' Don Champion reports.

From: http://www.cbsnews.com/videos/flu-vaccine-skin-patch-could-someday-replace-shots/

2 new cases of human plague reported

Two women were hospitalized with life-threatening infection; here's how it spreads

From: http://www.cbsnews.com/news/two-new-cases-of-human-plague-in-new-mexico/

Senate GOP leaders aim for revised health bill by Friday

The lack of consensus on how to change the bill is making achieving that goal challenging

From: http://www.cbsnews.com/news/senate-gop-leaders-aim-for-revised-health-bill-by-friday/

Polls: Majority disapprove of Senate health care bill

Senate Majority Leader Mitch McConnell decided Tuesday to delay a vote on the bill until after the July 4 recess

From: http://www.cbsnews.com/news/poll-majority-disapprove-of-senate-health-care-bill/

Eye Injury a July Fourth Safety Reminder

The case of a man who lost sight in one eye is a good reminder to wear eye protection before you light any fireworks this weekend.

From: http://www.webmd.com/eye-health/news/20170628/july-fourth-safety-reminder-eye-injury?src=RSS_PUBLIC

New mom's health scare shines light on blood clot condition

"Please let my experience serve as a reminder to always listen to what your body is telling you"

From: http://www.cbsnews.com/news/new-moms-health-scare-shines-light-on-blood-clot-condition/

Brain Stimulation Doesn’t Beat Meds For Depression

Novel treatment may need to be tailored to each patient, mental health expert says

From: http://www.webmd.com/depression/news/20170628/electric-brain-stimulation-no-better-than-meds-for-depression-study?src=RSS_PUBLIC

Dirty Air Raises Death Risk for U.S. Seniors

Research suggests blacks, men and the poor are especially vulnerable

From: http://www.webmd.com/healthy-aging/news/20170628/even-at-low-levels-dirty-air-raises-death-risk-for-us-seniors?src=RSS_PUBLIC

Calif. officials reveal how many took life-ending drugs under new law

The state data comes six months after a 2016 law made the option legal in the nation's most populous state

From: http://www.cbsnews.com/news/111-terminally-ill-chose-to-end-lives-under-new-california-law/

Legionnaire's disease bacteria found at Florida health club

Water samples from an LA Fitness club in Orlando tested positive for the bacteria, and another nearby gym is also being tested

From: http://www.cbsnews.com/news/legionnaires-disease-bacteria-found-at-florida-la-fitness-health-club/

American pets alarmingly overweight, study shows

A new study shows one out of three cats and dogs in America are overweight or obese. Busy lifestyles and unhealthy diets are wreaking havoc on our pets - and while porky animals may look cute, the extra fat can cause life-threatening conditions. Don Dahler reports.

From: http://www.cbsnews.com/videos/american-pets-alarmingly-overweight-study-shows/

Mom who shared son's hospital bill speaks out on GOP health bill

A tweet from a New Jersey mom put a very young face on the fight over the Senate health care bill. Alison Chandra shared a photo of a $231,000 medical bill for her 2-year-old son, Ethan, and was surprised to find out how much their story resonated with others. Mireya Villarreal reports.

From: http://www.cbsnews.com/videos/mom-who-shared-sons-hospital-bill-speaks-out-on-gop-health-bill/

FDA aims to increase generic drug options

"No patient should be priced out of the medicines they need"

From: http://www.cbsnews.com/news/fda-to-help-increase-generic-prescription-drugs-on-market/

Poor Sleep May Worsen Suicidal Thoughts

Treating insomnia might help improve emotional well-being, researchers suggest

From: http://www.webmd.com/sleep-disorders/news/20170628/poor-sleep-may-worsen-suicidal-thoughts?src=RSS_PUBLIC

3 ways to help stop the opioid epidemic

Taking these steps might cut opioid-related deaths by a third, new research suggests

From: http://www.cbsnews.com/news/3-ways-to-stop-the-opioid-epidemic-painkiller-addiction/

Aspirin a Day to Keep Pregnancy Problems Away?

Odds of preeclampsia dropped 62 percent for high-risk women who took a daily pill, study finds

From: http://www.webmd.com/baby/news/20170628/aspirin-a-day-to-keep-pregnancy-problems-away?src=RSS_PUBLIC

Heartburn Meds Don't Raise Alzheimer's Risk: Study

New research debunks other studies suggesting that medications used to treat ulcers, reflux cause mental decline

From: http://www.webmd.com/mental-health/news/20170628/heartburn-meds-dont-raise-alzheimers-risk-study?src=RSS_PUBLIC

Master opening for 20th anniversary ERS WMV

From: USDA https://www.youtube.com/watch?v=QRUZIFuCUG8

ERS Panel meeting part 2

From: USDA https://www.youtube.com/watch?v=y2xUAGq9UEM

TNT Red, White & Blue Smoke Fireworks Recalled

The U.S. Consumer Product Safety Commission and American Promotional Events are recalling fireworks because they could explode unexpectedly after being lit.

From: http://www.webmd.com/a-to-z-guides/news/20170628/tnt-red-white-blue-smoke-fireworks-recalled?src=RSS_PUBLIC

$100K grant will expand treatment for poor in Indiana

For almost six years, many underserved residents of Indianapolis' poverty-stricken east side have relied on the Indiana University Student Outreach Clinic for dental care.

From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/june/100k-grant-will-expand-treatment-for-poor-in-indiana

Dentist to participate in Ironman World Championship

A Colorado dentist will Oct. 14 participate in what some call the globe's most difficult sporting event: the World Ironman Championship.

From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/june/dentist-to-participate-in-ironman-world-championship

July JADA addresses dental exams for children with autism

Desensitization protocols, such as repeated visits, could help many children with autism spectrum disorder receive needed dental care, suggests a study featured on the cover the July issue of The Journal of the American Dental Association.

From: By Michelle Manchir http://www.ada.org/en/publications/ada-news/2017-archive/june/july-jada-addresses-dental-exams-for-children-with-autism

Court: Business violated Americans with Disabilities Act with inaccessible website

For what is believed to be the first time, a court has ruled that failure to make a website accessible to people with disabilities violated the Americans with Disabilities Act.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/court-business-violated-americans-with-disabilities-act-with-inaccessible-website

Wednesday, June 28, 2017

Photographer celebrates life – and second chances

Pollution levels considered safe can shorten lifespans, study shows

Live Through This: Telling the stories of suicide survivors

Eye Injury a July Fourth Safety Reminder

The case of a man who lost sight in one eye is a good reminder to wear eye protection before you light any fireworks this weekend.

From: http://www.webmd.com/eye-health/news/20170628/july-fourth-safety-reminder-eye-injury?src=RSS_PUBLIC

Brain Stimulation Doesn’t Beat Meds For Depression

Novel treatment may need to be tailored to each patient, mental health expert says

From: http://www.webmd.com/depression/news/20170628/electric-brain-stimulation-no-better-than-meds-for-depression-study?src=RSS_PUBLIC

Dirty Air Raises Death Risk for U.S. Seniors

Research suggests blacks, men and the poor are especially vulnerable

From: http://www.webmd.com/healthy-aging/news/20170628/even-at-low-levels-dirty-air-raises-death-risk-for-us-seniors?src=RSS_PUBLIC

Poor Sleep May Worsen Suicidal Thoughts

Treating insomnia might help improve emotional well-being, researchers suggest

From: http://www.webmd.com/sleep-disorders/news/20170628/poor-sleep-may-worsen-suicidal-thoughts?src=RSS_PUBLIC

Flu vaccine skin patch could someday replace shots

Senate GOP leaders aim for revised health bill by Friday

The lack of consensus on how to change the bill is making achieving that goal challenging

From: http://www.cbsnews.com/news/senate-gop-leaders-aim-for-revised-health-bill-by-friday/

Two new cases of human plague reported

Two women were hospitalized with the life-threatening infection; here's how it spreads

From: http://www.cbsnews.com/news/two-new-cases-of-human-plague-in-new-mexico/

ADA publications honored with eight EXCEL awards

The ADA News, Dental Practice Success and Product Development and Sales each earned EXCEL Awards from Association Media & Publishing, a trade group for association publishing.

From: By Kelly Soderlund http://www.ada.org/en/publications/ada-news/2017-archive/june/ada-publications-honored-with-eight-excel-awards

New mom's health scare shines light on blood clot condition

"Please let my experience serve as a reminder to always listen to what your body is telling you"

From: http://www.cbsnews.com/news/new-moms-health-scare-shines-light-on-blood-clot-condition/

Legionnaire's disease bacteria found at Florida health club

FDA aims to increase generic drug options

"No patient should be priced out of the medicines they need"

From: http://www.cbsnews.com/news/fda-to-help-increase-generic-prescription-drugs-on-market/

Aspirin a Day to Keep Pregnancy Problems Away?

Odds of preeclampsia dropped 62 percent for high-risk women who took a daily pill, study finds

From: http://www.webmd.com/baby/news/20170628/aspirin-a-day-to-keep-pregnancy-problems-away?src=RSS_PUBLIC

Heartburn Meds Don't Raise Alzheimer's Risk: Study

New research debunks other studies suggesting that medications used to treat ulcers, reflux cause mental decline

From: http://www.webmd.com/mental-health/news/20170628/heartburn-meds-dont-raise-alzheimers-risk-study?src=RSS_PUBLIC

Master opening for 20th anniversary ERS WMV

From: USDA https://www.youtube.com/watch?v=QRUZIFuCUG8

ERS Panel meeting part 2

From: USDA https://www.youtube.com/watch?v=y2xUAGq9UEM

TNT Red, White & Blue Smoke Fireworks Recalled

The U.S. Consumer Product Safety Commission and American Promotional Events are recalling fireworks because they could explode unexpectedly after being lit.

From: http://www.webmd.com/a-to-z-guides/news/20170628/tnt-red-white-blue-smoke-fireworks-recalled?src=RSS_PUBLIC

Two More Plague Cases in New Mexico

From: http://www.webmd.com/a-to-z-guides/news/20170628/health-highlights-june-28-2017?src=RSS_PUBLIC

3 ways to help stop the opioid epidemic

Taking these steps might cut opioid-related deaths by a third, new research suggests

From: http://www.cbsnews.com/news/3-ways-to-stop-the-opioid-epidemic-painkiller-addiction/

Calif. officials reveal how many took life-ending drugs under new law

Poll: Majority disapprove of Senate health care bill

Wellness Wednesday: Single leg heel toe raises

From: Mayo Clinic https://www.youtube.com/watch?v=pO3wDu6U6AE

Realtor's recovery from paralyzing spinal injury: Bonne's story

From: Mayo Clinic https://www.youtube.com/watch?v=iEyN5fW2S3k

Fainting: Frightening, but seldom serious

One minute you’re feeling a bit woozy; the next thing you know, you’re flat on your back wondering what happened. No matter what you call it — swooning, passing out, or fainting —the experience is surprisingly common. About a third of people say they’ve fainted at least once.

Although often harmless, fainting can cause injuries and sometimes signals a problem with the heart or circulatory system.

“Witnessing a faint can be scary, because it can look like the person has died,” says Harvard professor Dr. Lewis A. Lipsitz, director of the Division of Gerontology at Beth Israel Deaconess Medical Center and the Institute for Aging Research at Hebrew SeniorLife in Boston. If it’s really a faint, the person will regain consciousness quickly; if not, call 911. Here’s the lowdown on the most common reasons people pass out.

The “common faint” (vasovagal syncope)

These faints are caused by excessive stimulation of the vagus nerve, the part of the nervous system that regulates blood pressure and heart rate. In response to some trigger, the blood vessels in your legs relax and the heart rate slows, making it difficult for blood to return to the heart. Blood pressure drops, and down you go.

Sometimes, the trigger for vasovagal syncope is a strong emotion, such as a response to bad news, the sight of blood, or a feeling of panic or claustrophobia. This type of faint can also occur when you have a bad coughing spell or strain to have a bowel movement, or even if you’ve been standing for a long time. Vasovagal syncope tends to be more common in people under 35. With age, the nervous system doesn’t react as quickly, so these types of faints occur less frequently.

Low blood pressure when standing upright (orthostatic hypotension)

The classic example is a 70-something person who’s been ill (and therefore not eating or drinking normally) and who faints right after getting out of bed in the morning. Older people are more prone to abnormalities in blood pressure regulation because of age, medications, or disease, explains Dr. Lipsitz.

With age, blood vessels tend to stiffen, and the body’s system for monitoring blood pressure becomes less sensitive. Older people are more likely to take drugs that can worsen orthostatic hypotension, such as beta blockers (which reduce the heart rate) and alpha blockers (which can reduce blood pressure; they’re used in men to treat an enlarged prostate). Older folks are more prone to dehydration, as the sense of thirst diminishes over the years. Also, diseases such as diabetes, cancer, and Parkinson’s (all of which are more common with age) may cause orthostatic hypotension.

Abnormal heart rate

If your heart rate is very fast, your blood pressure may fall, and fainting may follow. A number of different heart conditions — from problems with the heart’s electrical system to defective valves — can trigger palpitations, a feeling that your heart is fluttering, racing, or missing a beat. Conversely, a very slow heart rate can also cause you to faint. This condition is usually caused by electrical abnormalities in the heart or heart damage from a heart attack or other disease. Thyroid problems and certain medications can also lead to an abnormally slow or fast heart rate.

Finding the underlying cause

If a young, healthy person faints after an obvious vasovagal trigger, there’s not always a need to see a doctor. But if you faint for the first time after age 40, see a doctor to explore all the potential causes. He or she should check your blood pressure (both sitting and standing, if orthostatic hypotension is suspected) and do an electrocardiogram (ECG), a test that checks for electrical problems with the heart.

If you have any type of heart disease — including a previous heart attack, a rhythm disorder such as atrial fibrillation, a narrow or leaking heart valve, or heart failure — fainting may foretell a more serious problem and may require more extensive testing, says Dr. Lipsitz.

The post Fainting: Frightening, but seldom serious appeared first on Harvard Health Blog.

From: Julie Corliss http://www.health.harvard.edu/blog/fainting-frightening-seldom-serious-2017062811894

DQA to address oral health needs of children, pregnant women

The Dental Quality Alliance's latest project is to improve the access to and quality of care for pregnant women, children and their families.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/dqa-to-address-oral-health-needs-of-children-pregnant-women

American pets alarmingly overweight, study shows

Are our pets joining America's obesity epidemic?

While porky animals may look cute, the extra fat can cause life-threatening conditions

From: http://www.cbsnews.com/news/american-pets-getting-fatter-study-finds/

Vaccine patch seems as effective as flu shot

Bye-Bye Flu Shot, Hello Patch?

Early results look promising for dissolvable microneedle vaccine

From: http://www.webmd.com/cold-and-flu/news/20170627/bye-bye-flu-shot-hello-patch?src=RSS_PUBLIC

Mom who shared son's hospital bill speaks out on GOP health bill

Mom who shared son's hospital bill says gov't isn't looking out for Americans

Ali Chandra shared a photo of a $231,000 medical bill for her 2-year-old son, Ethan, and was surprised to see it strike such a chord with the American public

From: http://www.cbsnews.com/news/mom-who-shared-sons-hospital-bill-gop-health-care-bill-obamacare/

Regenerative Medicine lab to address neuro-degenerative conditions

From: Mayo Clinic https://www.youtube.com/watch?v=FgzCsISy900

Tuesday, June 27, 2017

Maine confirms its first case of measles in 20 years

Officials say the case is related to travel and they are working with clinicians to identify potentially exposed individuals

From: http://www.cbsnews.com/news/maine-confirms-first-case-measles-20-years/

Complaints about side effects from cosmetics on the rise

Complaints about side effects from cosmetics more than doubled in 2016. Most of the products that were the target of complaints are still on store shelves. Dr. Tara Narula weighs in on how consumers can protect themselves.

From: http://www.cbsnews.com/videos/complaints-about-side-effects-from-cosmetics-on-the-rise/

Senate leaders delay vote on health care bill

Republicans couldn't come up with enough votes from their own party to pass their alternative to Obamacare. Moderates felt the bill is too harsh, while conservatives say it doesn't go far enough. Nancy Cordes reports.

From: http://www.cbsnews.com/videos/senate-leaders-delay-vote-on-health-care-bill/

Innovations in Neuroscience – 2017 Mayo Clinic Community Leadership Forum

From: Mayo Clinic https://www.youtube.com/watch?v=yeWBjkB3S5M

Hypertrophic Cardiomyopathy and Genetics

From: Mayo Clinic https://www.youtube.com/watch?v=lC2s24gVnTw

Trump tells GOP senators if health care bill fails, he won't like it, "and that's OK"

The president invited all Republican senators to a meeting at the White House to discuss health care

From: http://www.cbsnews.com/news/trump-tells-gop-senators-if-they-dont-pass-health-care-he-wont-like-it-and-thats-ok/

Judge orders egg executives in salmonella case to start serving jail sentences

Austin "Jack" DeCoster and his son, Peter DeCoster, have been sentenced to serve three months in prison

From: http://www.cbsnews.com/news/austin-jack-peter-decoster-executives-salmonella-case-must-report-to-prison/

Senate GOP Leaders Delay Vote on Health Reform Bill

Proposal to replace Obamacare would leave 22 million more uninsured by 2026: CBO

From: http://www.webmd.com/health-insurance/news/20170627/senate-gop-leaders-delay-vote-on-health-reform-bill?src=RSS_PUBLIC

Boy's hospital bill goes viral amid health care debate

"It seems fitting that, with the #TrumpCare debate raging, I got this bill in the mail today," mom of sick child said on Twitter

From: http://www.cbsnews.com/news/boston-mom-hospital-bill-tweet-trends-amid-health-care-debate/

Mayo Clinic Minute: Why coconut oil is bad for your heart

From: Mayo Clinic https://www.youtube.com/watch?v=WaVRVE6LmSU

E-Cigarettes Lead to 'Real' Thing for Teens: Study

But one public health expert questions whether the reported association is valid

From: http://www.webmd.com/smoking-cessation/news/20170627/e-cigarettes-lead-to-real-thing-for-teens-study?src=RSS_PUBLIC

Some GOP Senators Balk at Health Reform Bill

Proposal to replace Obamacare would leave 22 million more uninsured by 2026: CBO

From: http://www.webmd.com/health-insurance/news/20170627/some-gop-senators-balk-at-health-reform-bill?src=RSS_PUBLIC

Dental Office Design Competition deadline Aug. 21

The young patients at Small to Tall Pediatric Dentistry in Olympia, Washington, are treated to a treehouse in the waiting room. It is one of the unique design elements of the practice, and because of those characteristics owners Drs. Benjamin Ruder and Scott Rowley were one of the winners of the 2016 Dental Office Design Competition sponsored by the ADA, ADA Business Resources and Wells Fargo Practice Finance.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/dental-office-design-competition-deadline-aug-21

Women in dentistry an expanding focus of ADA 2017

The rising prevalence of women in the dental profession is not lost on the ADA Committee on Annual Meetings, which has scheduled a number of leading female speakers at ADA 2017 – America's Dental Meeting.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/women-in-dentistry-an-expanding-focus-of-ada-2017

Weed killer chemical to be listed as potentially cancerous

California lawmakers took a major step in light of concerns about the popular weed killer Roundup, but Monsanto insists it is safe

From: http://www.cbsnews.com/news/monsanto-roundup-weed-killer-glyphosate-potential-cancer-chemical/

"He's a toddler at 3 days old": Mom gives birth to 14.4-pound baby

Nurses in the delivery room marveled at the newborn, who's about the size of a typical 4- to 5-month-old

From: http://www.cbsnews.com/news/hes-a-toddler-at-3-days-old-mom-gives-birth-to-14-pound-baby/

Recall: Chicken Bites Sold at Target

Overhill Farms Inc. of Vernon, CA, is recalling about 54,630 pounds of frozen chicken bites from its Yummy Spoonfuls and Overhill Farms brands.

From: http://www.webmd.com/children/news/20170627/chicken-bites-recall-target?src=RSS_PUBLIC

Medical Grand Rounds - The Hereditary Hemochromatosis Clinic at Mayo Clinic

From: Mayo Clinic https://www.youtube.com/watch?v=rg33GknIqK0

Joint United Nations statement on ending discrimination in health care settings

The joint UN statement on ending discrimination in health care settings calls for health workers to fulfil their responsibilities, but also to have their rights protected.

From: http://www.who.int/entity/mediacentre/news/statements/2017/discrimination-in-health-care/en/index.html

Few Upsets in U.S. News Top Kids' Hospitals List

U.S. News & World Report's 11th annual ranking of the best pediatric hospitals has few surprises, with Boston Children's Hospital in first place for the third straight year.

From: http://www.webmd.com/children/news/20170627/us-news-top-kids-hospitals-list?src=RSS_PUBLIC

What Medicaid cuts may mean to breast cancer patients

Could Tennessee's 2005 Medicaid cuts forecast what might happen if the proposed replacement for Obamacare becomes law?

From: http://www.cbsnews.com/news/medicaid-cuts-linked-to-delayed-breast-cancer-diagnosis-senate-gop-health-care/

Increasing reports of side effects from cosmetics

New report sheds light on the ugly side of the beauty industry

From: http://www.cbsnews.com/news/increasing-number-of-side-effects-from-cosmetics-study/

Ryan says he "would not bet against" McConnell on health care bill

The House speaker said that they're waiting to see what the Senate can produce before assessing where House Republicans stand

From: http://www.cbsnews.com/news/paul-ryan-says-i-would-not-bet-against-mitch-mcconnell-on-health-care-bill/

New Dentist Conference offers customized CE — and Zen

This October's New Dentist Conference has a wealth of continuing education courses tailor-made for new dentists, with topics including everything from restorations to Zen.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/new-dentist-conference-offers-customized-ce-and-zen

Reports of adverse reactions to cosmetics have doubled, study finds

A lack of government oversight creates problems in tracking the growing number of potentially dangerous reactions to cosmetics. A new study says reports of adverse reactions to cosmetics and personal care products more than doubled to nearly 1,600 complaints between 2015 and 2016. Dr. Tara Narula joins "CBS This Morning" to discuss how to avoid potentially harmful products and how to report an adverse incident.

From: http://www.cbsnews.com/videos/reports-of-adverse-reactions-to-cosmetics-have-doubled-study-finds/

Could colleagues save you if your heart stops at work?

New findings reveal how many employees know what to do for someone suffering cardiac arrest

From: http://www.cbsnews.com/news/cardiac-arrest-at-work-are-colleagues-ready-to-save-you-cpr-aed/

4 ways to avoid mistakes with liquid medicines

Follow me on Twitter @drClaire

Measuring liquid medication should be easy, right? You just pour out the amount you need.

It turns out, though, that it’s not so easy — and that lots of parents and caregivers do it wrong. In a study just published in the journal Pediatrics in which parents were asked to measure out some liquid doses, 84% made at least one measuring error, and 29% made a large error, measuring at least twice the prescribed dose.

So the next time you measure out some acetaminophen or amoxicillin, here are four must-dos to be sure you do it right:

1. Don’t use a spoon. Even if it says “1 teaspoon,” don’t reach for your silverware drawer. Spoons can be different sizes. Measuring spoons, the kind used for cooking and baking, are better — but unless there is an exact fill line on them, it’s easy to measure too much or too little. What you should use is a medication syringe that is widely available in pharmacies (often for free with your medication, if you ask).

2. Know your units. This is crucial, and where many people mess up. Is the dose in mL (milliliters), cc (cubic centimeters, which is the same as mL), teaspoons, tablespoons, or ounces? Unfortunately, doctors use all of these. Experts are pushing for all dosing to be in mL so that it’s standard, but for the time being it’s important to double-check and make sure you know what you are dealing with.

As most medication syringes are in mL, it’s also a good idea to be familiar with the mL in teaspoons, tablespoons, and ounces:

1 teaspoon = 5 mL
1 tablespoon = 15 mL
1 ounce = 30 mL

3. Check your math. The researchers also found that errors happened when people had to do some math to figure out a measurement, such as when a dose was 7 mL but they only had a 5 mL syringe. They found it worked out better if the parent had a 10 mL syringe… but if you do have to divide up the dose into two portions, double-check that you are doing it right. There’s nothing like the sleep deprivation involved in having an ill child to mess up your ability to add correctly.

Another thing to watch for: placement of decimal points. For example, if a parent gives 5 mL when the dose is .5 mL, that’s giving 10 times the dose. Doctors are encouraged to write 0.5 mL rather than .5 mL to draw attention to that decimal point, but not all of them do, and not all parents realize it’s there.

4. Get in the habit of clarifying the dose when you get or pick up the prescription. Just take that extra moment and ask, “So exactly how much do I give?” Ask for a syringe. (You can even ask to have someone mark the dose on the syringe.) Make sure there isn’t a hidden decimal point there somewhere, too. It takes less than a minute to do. If you make it a habit to ask every time, it could make all the difference — and help keep your child healthy and safe.

The post 4 ways to avoid mistakes with liquid medicines appeared first on Harvard Health Blog.

From: Claire McCarthy, MD http://www.health.harvard.edu/blog/4-ways-avoid-mistakes-liquid-medicines-2017062711971

Could Shift Work Damage Your DNA?

Small study raises questions about daytime sleep and cell damage

From: http://www.webmd.com/sleep-disorders/news/20170627/could-shift-work-damage-your-dna?src=RSS_PUBLIC

Stress May Hasten Death in Heart Patients

Doctors should assess mental health at routine cardiac visits, study authors say

From: http://www.webmd.com/heart-disease/news/20170626/persistent-stress-may-hasten-death-in-heart-patients?src=RSS_PUBLIC

Study: Health insurance saves lives

As the debate continues about repealing and replacing the Affordable Care Act, new research shows having health insurance saves lives. CBS News' Nikki Battiste has more about the study.

From: http://www.cbsnews.com/videos/study-health-insurance-saves-lives/

Poor FDA regulation causes adverse health effects for consumers

Adverse effects from cosmetic products have doubled in recent years. Dr. Arielle Nagler joins CBSN to discuss what's behind the recent spike.

From: http://www.cbsnews.com/videos/poor-fda-regulation-causes-adverse-health-effects-for-consumers/

Senate GOP health care bill: Whip count so far

The bill is in jeopardy - at least 3 senators suggested they may vote no on a procedural motion this week

From: http://www.cbsnews.com/news/senate-gop-health-care-bill-vote/

Drinking water in North Carolina being tested for toxic substance

At a plant 80 miles upstream from Wilmington, North Carolina, a substance called GenX is manufactured by DuPont and Chemours. Company officials recently revealed that the chemical has been released into the river for nearly four decades.

From: http://www.cbsnews.com/videos/drinking-water-in-north-carolina-being-tested-for-toxic-substance/

CBO projects Senate health bill would drive up number of uninsured

Sen. John McCain said he's staying on the fence after congressional number crunchers determined that the Senate GOP health care bill would result in 22 million more Americans going without coverage by 2026. According to the CBO, the biggest drop in coverage would come in 2018, when 15 million more people would be uninsured. Nancy Cordes reports.

From: http://www.cbsnews.com/videos/cbo-projects-senate-health-bill-would-drive-up-number-of-uninsured/

Pharmacy co-owner gets 9 years for role in deadly outbreak

Hundreds of cases of fungal meningitis were traced to unsanitary conditions in preparing doses of steroids at New England Compounding Center. In March, Barry Cadden was convicted on conspiracy and fraud charges, but not on acts of second degree murder related to racketeering. Jim Axelrod has more.

From: http://www.cbsnews.com/videos/pharmacy-co-owner-gets-9-years-for-role-in-deadly-outbreak/

Does health insurance coverage really save lives?

22M people could lose insurance under Senate Republican bill; what does that mean for Americans' health and well-being?

From: http://www.cbsnews.com/news/health-insurance-saves-lives-study-says/

CBO: 22 million more would be without health insurance over next decade under Senate bill

Senate GOP leaders are aiming for a floor vote later this week despite the fact that they don't have enough support

From: http://www.cbsnews.com/news/cbo-score-senate-gop-health-care-bill/

Health insurance saves lives, study finds

New research published in the Annals of Internal Medicine finds that people are more likely to die if they don't have health insurance. Nikki Battiste reports.

From: http://www.cbsnews.com/videos/health-insurance-saves-lives-study-finds/

On her third heart

At age 24 Amy Silverstein developed a life-threatening condition and received a heart transplant. She survived with that heart, and wrote an acclaimed book, "Sick Girl," but 25 years later it, too, began to fail. She is now on her third heart, and has written a moving new book, "My Glory Was I Had Such Friends," about how her family and friends' support kept her alive. Lee Cowan reports.

From: http://www.cbsnews.com/videos/on-her-third-heart/

What are the odds of surviving a 25-foot fall?

After teen's fall from an amusement park ride this weekend, questions arise about the chances of surviving the drop

From: http://www.cbsnews.com/news/six-flags-amusement-park-ride-fall-what-are-the-odds-of-surviving/

Infectious Diseases A-Z: Sexually transmitted infections on the rise

From: Mayo Clinic https://www.youtube.com/watch?v=Qs4xNRXbdBU

Mayo Clinic Minute: A hand surgeon's advice on knuckle cracking

From: Mayo Clinic https://www.youtube.com/watch?v=Kx7dEFjKM0s

Doctor charged in opioid deaths of patients

Regan Nichols has been charged with five second-degree murder counts in connection to the overdose deaths of at least five patients

From: http://www.cbsnews.com/news/regan-nichols-oklahoma-doctor-charged-in-opioid-deaths-of-patients/

Congress this week: Health care, Russian meddling, immigration

Besides health care vote, the Senate holds hearing on Russian meddling in European elections and House takes up immigration bills

From: http://www.cbsnews.com/news/congress-this-week-health-care-russian-meddling-immigration/

Cholera outbreak is claiming lives - Dr Nipunie Rajapakse

From: Mayo Clinic https://www.youtube.com/watch?v=uEWcZG5hDp4

Verdict form raises questions about case of pharma exec tied to deadly outbreak

Cadden's New England Compounding Center produced tainted steroids that killed 64 people and made hundreds more sick

From: http://www.cbsnews.com/news/barry-cadden-sentencing-new-england-compounding-center-possible-judge-mistake/

Dr. Waldemar E. Wysokinski – Vascular Medicine, Mayo Clinic

From: Mayo Clinic https://www.youtube.com/watch?v=3VObVVChdoU

Paying too much for Rx drugs? Here's unlikely culprit

Pharmacy benefit managers are under new scrutiny for their role in Rx price hikes -- here’s what you need to know.

From: http://www.cbsnews.com/news/drug-prices-rising-pharmacy-benefit-managers-middle-man/

N.C. drinking water tainted with chemical byproduct for decades?

Company has been releasing a potentially cancer-causing substance into Cape Fear River for 37 years - and a loophole in law suggests it's perfectly legal

From: http://www.cbsnews.com/news/wilmington-nc-cape-fear-river-water-tainted-genx-dupont-chemours/

Shopping for sunscreen: Are all brands equal?

Last week in the playground another mom remarked that she had just ordered all her sunscreen from Europe: “They have much better ingredients. I ordered one with Tinosorb.” This conversation ironically occurred on the same day that I was asked to write this post and I realized that my sunscreen knowledge was a bit passé. As I started to research sunscreen ingredients — in both medical journals and blogs — I discovered why Americans are compelled to go to international markets to find the “best” products.

What is indisputable is the need to protect skin from both UVA and UVB — the type of cancer-causing rays that reach the Earth’s surface. But to ensure you are using a sunscreen that protects from both forms of UV rays, it is important to understand sunscreen labeling in the US. The SPF number is primarily a measure of protection against UVB, whereas the “broad spectrum” label designates UVA coverage. When purchasing a sunscreen, the American Academy of Dermatology recommends selecting one with an SPF of at least 30, with broad-spectrum coverage, and that is water resistant. Although it seems straightforward, just under half of the products marketed on Amazon fall short.

How do you choose?

So now the hard part: selecting a good sunscreen. There are two types of products, organic filters (or chemical blockers) and inorganic filters (or physical blockers). The physical blockers are fairly straightforward as there are two common ingredients, zinc oxide and titanium dioxide. You may associate these products with a white appearance, common in the 1980s, but newer formulations are more cosmetically acceptable. One drawback to the newer formulations is that the titanium-based products offer less UVA protection. That’s not true of the newer zinc-based products. So, bottom line, zinc-based sunscreens offer excellent protection against both UVA and UVB rays, and there are a number of nice products available on the US market.

Chemical blockers are much harder to navigate given the number of filters available, and chemical sunscreens are often marketed as combination products. One of the more common filters is oxybenzone, which protects against both UVA and UVB, and is common in the US market. This ingredient is controversial for two reasons. Of all the chemical filters, it’s the one most likely to cause an allergic reaction. That said, the rate of reaction is actually very low given the number of individuals who use products containing it.

Oxybenzone also has an estrogen effect (meaning it can act like an estrogen cream). The estrogen controversy stems from animal studies, but humans would have to apply large quantities in order to achieve the same effects. The product has been used in this country since the 1970s without any reports of harmful side effects in humans. Other chemical products include salicylates (e.g. octisalate, homosalate, and trolamine salicylate), which are weak UVB absorbers so they need to be combined with other filters; cinnamates, which are potent UVB absorbers; and avobenzone, which is a UVA absorber but can become ineffective in the presence of certain other ingredients.

Sunscreen envy: New ingredients not yet available in the US

There are new ingredients in the pipeline awaiting FDA approval, and yes, these are the ones available in Europe. You may wonder why these effective filters are not available here. The reason is how sunscreens are regulated. In the US, sunscreens are regulated as over-the-counter drugs, whereas in Europe they are classified as cosmetics and not held to the same regulatory standards. There is one newer filter available in the US called Ecamsule (Mexoryl SX), which is a UVA absorber and is available from Amazon as a combination product. Tinosorb is one of the filters awaiting approval and protects against both UVA and UVB.

So, who needs sunscreen?

The easy answer is everyone, but light-skinned individuals are more susceptible to the harmful effects of UV rays. Certain individuals with underlying conditions, such as compromised immune systems, are even more prone to cancer formation. Keep in mind that you can use a great sunscreen, but if you don’t apply it correctly then you are not getting adequate protection, and most people only apply 25% of the recommended amount. It is recommended to apply the following amounts to different areas of the body: 1 teaspoon to the face, head, and neck; 1 teaspoon to each arm and forearm; 2 teaspoons to the front and back of the trunk; and 2 teaspoons to each thigh and leg. And don’t forget to reapply every 2 hours or after getting wet.

One last important point: make sure to check expiration dates and if a bottle doesn’t have one, mark the date of purchase and discard after three years.

The post Shopping for sunscreen: Are all brands equal? appeared first on Harvard Health Blog.

From: Emily S. Ruiz, MD, MPH http://www.health.harvard.edu/blog/shopping-for-sunscreen-are-all-brands-equal-2017062611947

Dr. Randall R. DeMartino - Vascular Surgery, Mayo Clinic

From: Mayo Clinic https://www.youtube.com/watch?v=kYx9bJtAAak

ADA offers input during HHS meeting with Sec. Tom Price

The ADA was one of several health organizations with a seat at the table during a June 22 stakeholder meeting with the U.S. Department of Health and Human Services.

From: By Jennifer Garvin http://www.ada.org/en/publications/ada-news/2017-archive/june/ada-offers-input-during-hhs-meeting-with-sec-tom-price

Appellate court upholds ruling that Texas code violated First Amendment

The 5th U.S. Circuit Court of Appeals affirmed June 19 an opinion by a federal district court in Texas, saying certain dental advertising restrictions enforced by the Texas State Board of Dental Examiners violated dentists' First Amendment rights to engage in commercial speech.

From: By Jennifer Garvin http://www.ada.org/en/publications/ada-news/2017-archive/june/appellate-court-upholds-ruling-that-texas-code-violated-free-speech-in-dental-advertising

Dentists can help fight against tickborne diseases

Tickborne diseases are on the rise and prevention should be on everyone's minds during the summer, according to the Centers for Disease Control and Prevention.

From: By David Burger http://www.ada.org/en/publications/ada-news/2017-archive/june/dentists-can-help-fight-against-tickborne-diseases

New FTC resource assists dentists in COPPA compliance

The Federal Trade Commission has a new online resource available to assist businesses that operate websites and online services in complying with the Children's Online Privacy Protection Act.

From: http://www.ada.org/en/publications/ada-news/2017-archive/june/new-ftc-resource-assists-dentists-in-coppa-compliance

Recall: Hummus With Pine Nuts

House of Thaller recalls hummus with pine nut topping over listeria concerns.

From: http://www.webmd.com/food-recipes/news/20170621/recall-hummus-with-pine-nuts?src=RSS_PUBLIC

Is an HIV Cure Possible?

Babies who got antiretroviral drug therapy within hours of birth and stayed HIV-negative for months or years may offer a clue to treating newly diagnosed adults.

From: http://www.webmd.com/hiv-aids/features/hiv-cure-in-reach?src=RSS_PUBLIC

Could You Raise a 'No-Diaper' Baby?

Physician couple found it's possible, but daycare workers and babysitters may not want to give it a go

From: http://www.webmd.com/parenting/baby/news/20170621/could-you-raise-a-no-diaper-baby?src=RSS_PUBLIC

Monday, June 26, 2017

Study: Health insurance saves lives

Poor FDA regulation causes adverse health effects for consumers

Pharmacy co-owner gets 9 years for role in deadly outbreak

Does health insurance coverage really save lives?

22M people could lose insurance under Senate Republican bill; what does that mean for Americans' health and well-being?

From: http://www.cbsnews.com/news/health-insurance-saves-lives-study-says/

Drinking water in North Carolina being tested for toxic substance

CBO projects Senate health bill would drive up number of uninsured

CBO: 22 million more would be without health insurance over next decade under Senate bill

Senate GOP leaders are aiming for a floor vote later this week despite the fact that they don't have enough support

From: http://www.cbsnews.com/news/cbo-score-senate-gop-health-care-bill/

Health insurance saves lives, study finds

On her third heart

What are the odds of surviving a 25-foot fall?

CBO: Senate Health Bill Leaves 22M More Uninsured

A report from the Congressional Budget Office says the Senate health insurance replacement for Obamacare would leave 22M more people uninsured.

From: http://www.webmd.com/health-insurance/news/20170626/cbo-report-senate-health-bill?src=RSS_PUBLIC

Major medical groups oppose Senate health bill

Pediatricians, psychiatrists, OB-GYNs and the American Lung Association are among those concerned the GOP plan would harm patients

From: http://www.cbsnews.com/news/doctors-health-organizations-reject-senate-health-bill/

Doctor charged in opioid deaths of patients

Senate GOP health care bill: Whip count so far

The bill is already in jeopardy, with five Senate Republicans having announced their opposition

From: http://www.cbsnews.com/news/senate-gop-health-care-bill-vote/

Verdict form raises questions about case of pharma exec tied to deadly outbreak

Paying too much for Rx drugs? Here's unlikely culprit

N.C. drinking water tainted with chemical byproduct for decades?

WHO: Q&A - The ethics of public health surveillance

From: World Health Organization https://www.youtube.com/watch?v=9o0d-Nv4A00

$100K grant will expand treatment for poor in Indiana

Dentist to participate in Ironman World Championship

A Colorado dentist will Oct. 14 participate in what some call the globe's most difficult sporting event: the World Ironman Championship.

From: http://www.ada.org/en/publications/ada-news/2017-archive/june/dentist-to-participate-in-ironman-world-championship

July JADA addresses dental exams for children with autism

Heart to heart

Amy Silverstein, who received a heart transplant at age 24, found herself with a failing heart again 25 years later. Her new book tells how a new donor, and her family and friends' support, kept her alive

From: http://www.cbsnews.com/news/heart-to-heart-my-glory-was-i-had-such-friends/

Infectious Diseases A-Z: Sexually transmitted infections on the rise

From: Mayo Clinic https://www.youtube.com/watch?v=Qs4xNRXbdBU

Mayo Clinic Minute: A hand surgeon's advice on knuckle cracking

From: Mayo Clinic https://www.youtube.com/watch?v=Kx7dEFjKM0s

Study Highlights the Beauty Industry's Ugly Side

Cosmetics, personal care products get little regulatory scrutiny

From: http://www.webmd.com/beauty/news/20170626/study-highlights-the-beauty-industrys-ugly-side?src=RSS_PUBLIC

Cholera outbreak is claiming lives - Dr Nipunie Rajapakse

From: Mayo Clinic https://www.youtube.com/watch?v=uEWcZG5hDp4

What are the odds of surviving a 25-foot fall?

After a teen's fall off an amusement park ride this weekend, questions arise about the chances of surviving the drop

From: http://www.cbsnews.com/news/six-flags-amusement-park-ride-fall-what-are-the-odds-of-surviving/

Childhood Poverty May Predict Heart Failure Later

Income inequalities when young appear to have lifelong effects, research suggests

From: http://www.webmd.com/heart-disease/heart-failure/news/20170626/childhood-poverty-may-predict-heart-failure-later?src=RSS_PUBLIC

Dr. Waldemar E. Wysokinski – Vascular Medicine, Mayo Clinic

From: Mayo Clinic https://www.youtube.com/watch?v=3VObVVChdoU

Dentist to participate in Ironman World Championship

$100K grant will expand treatment for poor in Indiana

Verdict form raises questions about case of pharma exec tied to deadly outbreak

Shopping for sunscreen: Are all brands equal?

How do you choose?

Sunscreen envy: New ingredients not yet available in the US

So, who needs sunscreen?

One last important point: make sure to check expiration dates and if a bottle doesn’t have one, mark the date of purchase and discard after three years.

The post Shopping for sunscreen: Are all brands equal? appeared first on Harvard Health Blog.

From: Emily S. Ruiz, MD, MPH http://www.health.harvard.edu/blog/shopping-for-sunscreen-are-all-brands-equal-2017062611947

When Is an Opioid Safe to Take?

Doctors say it can treat intense pain, but patients should stay on the drug for shortest time possible

From: http://www.webmd.com/pain-management/news/20170626/when-is-an-opioid-safe-to-take?src=RSS_PUBLIC

Dr. Randall R. DeMartino - Vascular Surgery, Mayo Clinic

From: Mayo Clinic https://www.youtube.com/watch?v=kYx9bJtAAak

Medicaid Cuts Tied to Higher Breast Cancer Risk

Tennessee's 2005 Medicaid rollback could forecast what might happen if GOP health plans become law, some say

From: http://www.webmd.com/breast-cancer/news/20170626/medicaid-cuts-tied-to-higher-breast-cancer-risk?src=RSS_PUBLIC

July JADA addresses dental exams for children with autism

N.C. drinking water tainted with chemical byproduct for decades?

Senate GOP health care bill: Whip count so far

The bill is already in jeopardy, with five Senate Republicans having announced their opposition

From: http://www.cbsnews.com/news/senate-gop-health-care-bill-vote/

WHO: Q&A - The ethics of public health surveillance

From: World Health Organization https://www.youtube.com/watch?v=9o0d-Nv4A00

Sunday, June 25, 2017

Heart to heart

On her third heart

Doctor charged in opioid deaths of patients

Statement from UNICEF Executive Director Anthony Lake and WHO Director-General Margaret Chan on the cholera outbreak in Yemen as suspected cases exceed 200,000

The rapidly spreading cholera outbreak in Yemen has exceeded 200,000 suspected cases, increasing at an average of 5,000 a day. We are now facing the worst cholera outbreak in the world.

From: http://www.who.int/entity/mediacentre/news/statements/2017/Cholera-Yemen/en/index.html

Secretary Perdue hosts Trilateral Agriculture Meetings

From: USDA https://www.youtube.com/watch?v=4XrCdvaLp9Y

Friday, June 23, 2017

Doctor in rural Tennessee worries about health care bill's effects

One in five Tennesseans rely on Medicaid, including half of Tennessee children living in small towns and rural areas. One estimate says 37 more Tennessee hospitals risk major cuts or closure under the Senate health care bill. Mark Strassmann reports.

From: http://www.cbsnews.com/videos/doctor-in-rural-tennessee-worries-about-health-care-bills-effects/

Nearly 100 patients died waiting for care at LA VA hospital, report finds

A new report by the Veterans Affairs inspector general shows that 43 percent of the 225 patients who died between October 2014 and August 2015 at the Los Angeles VA facility were waiting for appointments or needed tests they never got. However, the report does not conclude these patients "died as a result of delayed consults." Mireya Villarreal reports.

From: http://www.cbsnews.com/videos/nearly-100-patients-died-waiting-for-care-at-la-va-hospital-report-finds/

Rural Tennessee doctor fears proposed Medicaid cuts

One estimate says 37 more Tennessee hospitals risk major cuts or closure under the Senate health care bill

From: http://www.cbsnews.com/news/doctor-in-rural-tennessee-fears-for-medicaid-cuts/

Keep your pet safe from summer health hazards

The warmer weather brings with it health risks for pets. Here's how to keep them safe

From: http://www.cbsnews.com/media/keep-your-pet-safe-from-these-summer-health-hazards/

Major medical groups oppose Senate health bill

Pediatricians, psychiatrists, OB-GYNs and the American Lung Association are among those concerned the GOP plan would harm their patients

From: http://www.cbsnews.com/news/doctors-health-organizations-reject-senate-health-bill/

Heller becomes 5th Senate Republican to oppose GOP health care bill

Four Senate Republicans announced their current opposition to the legislation on Thursday, hours after its release

From: http://www.cbsnews.com/news/dean-heller-becomes-5th-senate-republican-to-oppose-gop-health-care-bill/

Wallpaper May Breed Toxins: Study

Fungus on the walls might contribute to 'sick building syndrome,' researchers say

From: http://www.webmd.com/allergies/news/20170623/wallpaper-may-breed-toxins-study?src=RSS_PUBLIC

Recall: Britax B-Safe 35 Car Seat Chest Clip

Chest clips for more than 100 models of Britax Child Safety cars seats are being recalled over concerns a tab could break and create a choking hazard for infants.

From: http://www.webmd.com/children/news/20170623/recall-britax-car-seat-chest-clip?src=RSS_PUBLIC

Fish Eaters Find Less Rheumatoid Arthritis Pain

Study suggests most fish may play role in controlling symptoms

From: http://www.webmd.com/rheumatoid-arthritis/news/20170623/fish-eaters-find-less-rheumatoid-arthritis-pain?src=RSS_PUBLIC

Fewer U.S. Kids Binge Drinking

But 1 in 7 still had excess alcohol at least once in past month, study finds

From: http://teens.webmd.com/news/20170623/fewer-us-kids-binge-drinking?src=RSS_PUBLIC

3 steps that may help guard against dementia

Making these lifestyle changes could help delay or slow down the progression of cognitive decline, research suggests

From: http://www.cbsnews.com/news/diet-exercise-brain-health-guard-against-dementia/

Is Your Smartphone Giving You Carpal Tunnel?

Maybe, especially for folks who spend more than 5 hours a day on their devices, study says

From: http://www.webmd.com/pain-management/carpal-tunnel/news/20170623/is-your-smartphone-giving-you-carpal-tunnel?src=RSS_PUBLIC

GOP health care plan faces opposition

The Senate GOP health care bill needs support from at least 50 of the 52 Republican Senators in order to pass, but some are raising concerns. Politico health reporter Jennifer Haberkorn joins CBSN a day after the draft was released with the details.

From: http://www.cbsnews.com/videos/gop-health-care-plan-faces-opposition/

Burns from hot pavement, cars up due to heat wave

As temperatures near 120 degrees in the Southwest, people are at risk of suffering contact burns

From: http://www.cbsnews.com/news/burns-from-hot-pavement-cars-heat-wave-phoenix-arizona/

Mayo Clinic Minute - Optimism improves women's health

From: Mayo Clinic https://www.youtube.com/watch?v=kEIAxiRPR1M

Court: Business violated Americans with Disabilities Act with inaccessible website

Women, doctors don't put enough focus on heart disease, study finds

Heart disease is the number one killer of women, but a new survey by the Journal of the American College of Cardiology found it's not a top priority for women or their doctors. Cardiovascular disease causes 400,000 deaths a year, which is more than all cancers combined. Cardiologist Dr. Tara Narula joins "CBS This Morning" to discuss the findings.

From: http://www.cbsnews.com/videos/women-doctors-dont-put-enough-focus-on-heart-disease-study-finds/

Guided Exercise May Help Chronic Fatigue Patients: Study

Little by little, patients step up activity levels as an expert coaches via phone or online video

From: http://www.webmd.com/chronic-fatigue-syndrome/news/20170622/guided-exercise-may-help-chronic-fatigue-patients-study?src=RSS_PUBLIC

Legalized Pot May Lead to More Traffic Crashes

But auto accident deaths aren't on the rise in states where recreational pot is allowed, researchers say

From: http://www.webmd.com/a-to-z-guides/news/20170622/legalized-pot-may-lead-to-more-traffic-crashes?src=RSS_PUBLIC

Lifestyle change: “I know what to do, I just need to do it…but how?”

I hear this nearly every day in my primary care clinic. Many of my patients are overweight or obese, which mirrors the national trend: two out of three adults in the US are overweight or obese. Many of these folks suffer from medical issues such as low back, hip, knee, and foot pain; asthma; obstructive sleep apnea; fatty liver; type 2 diabetes; high blood pressure; high cholesterol; or depression. We know that these conditions often improve with weight loss. So, I often recommend weight loss as a first step in treatment, and the usual approach is through lifestyle change.

Lifestyle change programs for weight loss have been extensively studied, and across the board, those that incorporate diet and exercise are very effective — if people can stick to the program.

And that is exactly my patients’ lament. They know they’re suffering, they know that weight loss can help, and they know all about diet and exercise, but many have trouble sticking to the program. Why is this, and what can I do to help?

A recent study examined what things hinder or help people to stick to a lifestyle change program. The authors scoured the research literature for high-quality studies. What’s really important about the studies included is that they did not look at actual weight loss, only at lifestyle change success or failure.

Research found that these steps can help you live more healthfully

Set realistic expectations and focus on health, not the scale. When you have a lot of weight to lose and the pounds are coming off slowly, it’s hard to stay motivated. At the same time, people who weren’t expecting to lose a lot of weight tended to be more successful. In addition, harboring negative attitudes and assumptions about obesity, and feeling embarrassed about one’s weight, were associated with quitting. We can benefit when we let go of self-judgment and focus on our overall health, as well as develop smaller, more realistic goals.
Study your mood and food. Stress, depression, anger, poor coping skills, using food as a reward, and seeking comfort in food can derail a person’s commitment to eating more healthfully. Treating underlying psychological problems and learning how to better manage stress can be essential to our success. Doctors who don’t address these issues are doing their patients a disservice. There are many approaches to improving behavioral health barriers, and a plan should be tailored to the individual.
Put the oxygen mask on yourself first. Attention to the needs of family above self and pressures from home or work were also associated with quitting a program. I’m highlighting this because it’s the number one thing I hear from my patients: they have responsibilities at home and/or at work, and they have “no time for me.” Listen: when you’re on an airplane, the flight attendant gives that spiel, “If you’re traveling with children, and the oxygen masks come down, put the mask on yourself first.” Why? Because if you’re going unconscious, you can’t help anyone. It can sound like a cliché but it’s a fact. If you’re not taking good care of yourself, you can’t take good care of others. When we’re taking the time to prepare healthier meals or get some exercise, it doesn’t just benefit you, it benefits every person you care about and your ability to do your job, whatever it is.
Even though you ain’t got money. Economic issues were cited as a barrier, as was lack of knowledge about nutrition and physical activity. Many of us believe that eating healthy costs a lot of money, or that we need expensive equipment or a gym membership in order to exercise. Education and experimentation with cheaper fresh, frozen, and canned produce, as well as a home exercise plan, can help dispel those myths. Produce in the refrigerator aisle is often flash-frozen at the peak of freshness, and a lot less expensive. At our house, we buy pounds of frozen mixed berries, chopped greens, and cubed squash at the local bulk grocery chain. Workouts like running, walking, hiking, or Rocky-style calisthenics can be enjoyed for free. Or, you can exercise at home using a mat, or a simple manual exercise bike.

Willpower isn’t the problem

While lifestyle changes including diet and exercise can work, many people struggle to stick to a program, and it’s not for lack of willpower. Many factors can get in the way, but with a little work you can figure out what those are. Your doctor can help you figure out ways to overcome the barriers to healthy living. Tell your doctor what’s working or not working for you. Ask about resources, possibly including life coaches, therapists, and/or nutritionists, who can help you be successful with your lifestyle change program.

Sources

National Institute of Diabetes and Digestive and Kidney Diseases, Overweight and Obesity Statistics.

Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, August 2014.

Lifestyle interventions for weight loss in adults with severe obesity: a systematic review. Clinical Obesity, October 2016.

Management of obesity. The Lancet, February 2016.

Obesity as a Risk Factor for Low Back Pain: A Meta-Analysis. Clinical Spine Surgery, November 2016.

Is body mass index associated with patellofemoral pain and patellofemoral osteoarthritis? A systematic review and meta-regression and analysis. British Journal of Sports Medicine, May 2017.

Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature. Surgery for Obesity and Related Diseases, January 2017.

Foot pain severity is associated with the ratio of visceral to subcutaneous fat mass, fat-mass index and depression in women. Rheumatology International, May 2017.

Co-morbidities in severe asthma: Clinical impact and management. Respirology, March 2017.

Bariatric Surgery or Non-Surgical Weight Loss for Obstructive Sleep Apnoea? A Systematic Review and Comparison of Meta-analyses. Obesity Surgery, July 2015.

Effect of Weight Loss, Diet, Exercise, and Bariatric Surgery on Nonalcoholic Fatty Liver Disease. Clinics in Liver Disease, May 2016.

Treatment of metabolic syndrome. Expert Review of Cardiovascular Therapy, March 2004.

Overweight and Obesity Associated with Higher Depression Prevalence in Adults: A Systematic Review and Meta-Analysis. Journal of the American College of Nutrition, April 2017.

Determinants of adherence to lifestyle intervention in adults with obesity: a systematic review. Clinical Obesity, March 2017.

The post Lifestyle change: “I know what to do, I just need to do it…but how?” appeared first on Harvard Health Blog.

From: Monique Tello, MD, MPH http://www.health.harvard.edu/blog/lifestyle-change-i-know-what-to-do-i-just-need-to-do-itbut-how-2017062311880

Thursday, June 22, 2017

Making Mayo's Recipes: 2 dinners with roasted peppers

From: Mayo Clinic https://www.youtube.com/watch?v=SvDlbuRYD9o

Study finds many American women unaware of risk for heart disease

Heart disease kills more American women than cancer, yet many don't discuss the dangers with their doctors. A new report found that 74 percent of women reported having at least one risk factor for heart disease, but only 16 percent were told by their doctor that they were at risk. Mireya Villarreal reports.

From: http://www.cbsnews.com/videos/study-finds-many-american-women-unaware-of-risk-for-heart-disease/

Woman speaks out about suffering heart attack at 40

New study found that 74 percent of women reported having at least one risk factor for heart disease; Only 16 percent were told by their doctor that they were at risk

From: http://www.cbsnews.com/news/heart-disease-in-women-dangers-risk-study/

Senate Republicans roll out their alternative to Obamacare

Four Senate Republicans quickly announced their opposition to the health care bill, and others appear skeptical. On Facebook, former President Obama called the GOP plan "a massive transfer of wealth from middle class and poor families to the richest people in America." Nancy Cordes reports.

From: http://www.cbsnews.com/videos/senate-republicans-roll-out-their-alternative-to-obamacare/