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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

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/

Mayo Clinic Minute: SkinSafe app

From: Mayo Clinic https://www.youtube.com/watch?v=2GXCMBIYl0Y

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/

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

1. 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.
2. 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.
3. 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.
4. 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.
5. 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

A New Future for Cystic Fibrosis

From: Mayo Clinic https://www.youtube.com/watch?v=JoAceYLK6g8

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

‘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

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

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