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Tuesday, June 27, 2017
Maine confirms its first case of measles in 20 years
From: http://www.cbsnews.com/news/maine-confirms-first-case-measles-20-years/
Complaints about side effects from cosmetics on the rise
From: http://www.cbsnews.com/videos/complaints-about-side-effects-from-cosmetics-on-the-rise/
Senate leaders delay vote on health care bill
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"
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
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
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
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
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
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
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
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
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
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
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
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
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?
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
From: http://www.cbsnews.com/videos/study-health-insurance-saves-lives/
Poor FDA regulation causes adverse health effects for consumers
From: http://www.cbsnews.com/videos/poor-fda-regulation-causes-adverse-health-effects-for-consumers/
Senate GOP health care bill: Whip count so far
From: http://www.cbsnews.com/news/senate-gop-health-care-bill-vote/
Drinking water in North Carolina being tested for toxic substance
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
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
From: http://www.cbsnews.com/videos/pharmacy-co-owner-gets-9-years-for-role-in-deadly-outbreak/
Does health insurance coverage really save lives?
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
From: http://www.cbsnews.com/news/cbo-score-senate-gop-health-care-bill/
Health insurance saves lives, study finds
From: http://www.cbsnews.com/videos/health-insurance-saves-lives-study-finds/
On her third heart
From: http://www.cbsnews.com/videos/on-her-third-heart/
What are the odds of surviving a 25-foot fall?
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
From: http://www.cbsnews.com/news/regan-nichols-oklahoma-doctor-charged-in-opioid-deaths-of-patients/
Congress this week: Health care, Russian meddling, immigration
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
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
From: http://www.cbsnews.com/news/drug-prices-rising-pharmacy-benefit-managers-middle-man/
N.C. drinking water tainted with chemical byproduct for decades?
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
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
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
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
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