Friday, November 20, 2009

Health Tips for November 20

Health Tip: Recovering From C-Section

Cesarean section is a surgical alternative to vaginal birth. After this surgery, the new mom needs time to recover.

The American Congress of Obstetricians and Gynecologists offers this list of what moms who have delivered by cesarean can expect:

  • You'll have an incision in your abdomen, which may feel sore for a few weeks. Your doctor may give you pain medication to help you feel better.
  • Typically, you'll need to stay in the hospital from two to four days.
  • When you go home, it's important to take it easy and limit activity for as long as your doctor recommends.
  • Minor abdominal cramping usually is normal, particularly for breast-feeding moms.
  • Discharge or some bleeding may occur for four to six weeks after the surgery.

Health Tip: Symptoms of Postpartum Depression

Welcoming a new baby is a happy and exciting time, but it's also full of stress. Postpartum depression affects many new moms, and it's important to recognize the signs and seek treatment.

The American Academy of Family Physicians lists these warning signs of postpartum depression:

  • Persistent feelings of sadness and crying.
  • Having little desire to eat.
  • Significant weight gain or loss.
  • Irritability, anxiety and restlessness.
  • Inability to find pleasure or interest in life.
  • Feeling exhausted or having no motivation to get things done.
  • Insomnia.
  • Feelings of hopelessness, worthlessness or guilt.
  • Having little interest in your newborn.

Thursday, November 19, 2009

Health Headlines - November 19

Computer Simulation Mimics Cat Brain

Researchers say they've created a computer simulation of a cat's cerebral cortex, which could prove an important step in efforts to develop computers that "think" like brains.

The simulation -- which uses 147,456 processors and 144 terabytes of main memory -- doesn't mean the computer thinks like a cat, but it does provide a model of how thoughts form in the brain and how a cat brain's one billion neurons and 10 trillion synapses work together, the Associated Press reported.

The research, by an IBM team, was presented at a supercomputer conference in Portland, Ore.

Previously, the same scientists simulated the full brain of a rat, 40 percent of a mouse's brain, and 1 percent of a human's cerebral cortex, the AP reported.

The ability to make computers think like brains could lead to major advances in various fields, including medicine and economics.

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Hyper-Resistant Bacteria Major Health Threat: Experts

New, hyper-resistant bacteria that are emerging because of continued overuse and misuse of antibiotics pose a serious global health threat, experts warned at a European conference.

"Some bacteria are becoming resistant to all treatments, forcing us to use older, toxic antibiotics or combinations of drugs that we are only familiar with on paper," Dominique Monnet, a European Center for Diseases Prevention and Control specialist on the issue, told Agence France Presse.

The problem is particularly serious in southern and eastern Europe, where antibiotic use is higher than anywhere else.

Monnet and a colleague surveyed about 100 European intensive care doctors and found that in the last six months more than half had treated at least one patient with a bacterial infection that was totally or almost totally resistant to antibiotics.

"Without effective antibiotics, modern medical treatments such as operations, transplants and intensive care will become impossible," warned ECDC director Zsuzsanna Jakab, AFP reported.

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Mini Pump Improves Heart Failure Patients' Survival: Study

A miniature heart pump improved survival among severe heart failure patients, say researchers who conducted the first trial of this kind of new-generation device as a permanent treatment.

The HeartMate II pushes blood continuously instead of simulating a heartbeat, which is what older pumps do, the Associated Press reported. Last year, the HeartMate II was approved for short-term use in patients awaiting a heart transplant.

This study tested the device as a permanent therapy in severe heart failure patients who weren't candidates for a heart transplant. After two years, 46 percent of patients who received the new pump were alive without having suffered a stroke or a device failure, compared with 11 percent of patients who received an older pump.

The study, sponsored by California-based device maker Thoratec Corp., was published in the New England Journal of Medicine and presented at an American Heart Association conference.

The HeartMate II costs $80,000 while surgery to implant the device and the related hospital stay is about $45,000, the AP reported.

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RockHard Dietary Supplement Recalled: FDA

A dietary supplement called "RockHard Weekend" has been recalled because it poses a potential health hazard, says the U.S. Food and Drug Administration.

The FDA said the product might contain sulfoaildenafil, an analogue of sildenafil, which is approved to treat erectile dysfunction. Sulfoaildenafil can interact with some prescription drugs and lower blood pressure to dangerous levels, United Press International reported.

The voluntary recall by RockHard Laboratories of Atlanta includes "RockHard Weekend" in blister packs with an expiration of "10/11," "3/12" or "8/12"; in three-count bottles with an expiration date of "09/12," and in eight-count bottles with an expiration date of "06/12."

For more information, consumers can contact RockHard Laboratories at 800-562-0543.

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Microsoft Co-Founder Diagnosed With Lymphoma

Microsoft co-founder Paul Allen, 56, has been diagnosed with non-Hodgkin's lymphoma, according to an email sent by his sister to employees of Allen's investment company, Vulcan.

"Paul is feeling O.K. and remains upbeat," Jody Allen, Vulcan's chief executive, wrote in the message, The New York Times reported. "He continues to work and he has no plans to change his role at Vulcan. His health comes first, though, and we'll be sure that nothing intrudes on that."

The diagnosis of diffuse large B-cell lymphoma was made this month. It's a relatively common form of lymphoma.

In 1983, Paul Allen was diagnosed with Hodgkin's disease and left Microsoft to undergo radiation therapy and a bone marrow transplant. He never returned to day-to-day operations at Microsoft, but his stock in the company made him the 17th richest man in the United States, The Times reported.

Health Tips for November 19

Health Tip: Thinking About Organ Donation?

Being an organ donor means you agree to allow your healthy organs and tissues to be donated upon your death to others who need transplants.

In most cases, you can fill out an organ donor card or simply sign the back of your driver's license to make your wishes known, says the National Women's Health Information Center.

Anyone under age 18 must have the consent of a parent or guardian to become a donor, notes the center.

Organs and tissues that may be donated include bone marrow, bones, kidneys, heart, liver, lungs, pancreas, intestines and skin.

Being an organ donor will not affect in any way the medical care that may be used to save your life in an emergency, the center says.

Health Tip: Manage Pain Without Drugs

Pain-relieving medications offer relief for many people with sudden or chronic pain. But these drugs have their own risks and potential side effects.

The U.S. National Library of Medicine offers this list of pain-relieving alternatives to medication:

  • Applying heat.
  • Applying ice or a cold compress.
  • Massaging the area.
  • Getting sufficient rest.
  • Using relaxation techniques.
  • Using biofeedback, which teaches you how to gain partial control over certain physiological processes, including blood pressure and heart rate.

Wednesday, November 18, 2009

Health Headlines - November 18

Microsoft Co-Founder Diagnosed With Lymphoma

Microsoft co-founder Paul Allen, 56, has been diagnosed with non-Hodgkin's lymphoma, according to an email sent by his sister to employees of Allen's investment company, Vulcan.

"Paul is feeling O.K. and remains upbeat," Jody Allen, Vulcan's chief executive, wrote in the message, The New York Times reported. "He continues to work and he has no plans to change his role at Vulcan. His health comes first, though, and we'll be sure that nothing intrudes on that."

The diagnosis of diffuse large B-cell lymphoma was made this month. It's a relatively common form of lymphoma.

In 1983, Paul Allen was diagnosed with Hodgkin's disease and left Microsoft to undergo radiation therapy and a bone marrow transplant. He never returned to day-to-day operations at Microsoft, but his stock in the company made him the 17th richest man in the United States, The Times reported.

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Ketamine Affects Memory: Study

Regular use of the drug ketamine can cause memory problems, say English researchers who conducted memory and psychological tests on 120 users and non-users.

Those who frequently used the drug -- dubbed Special K -- performed significantly worse when asked to recall names, conversations and patterns. Performance on the tests was even worse when the University College London researchers conducted a follow-up a year later, BBC News reported.

The study appears in the journal Addiction.

Ketamine, which is popular among club goers, acts as a stimulant and induces hallucinations. Previous studies have suggested the drug could cause bladder and kidney damage, BBC News reported.

Lead researcher Dr. Celia Morgan said "many young people who use this drug may be largely unaware of its damaging properties and its potential for addiction. We need to ensure that users are informed of the potentially negative consequences of heavy ketamine use."

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Critics Question Drug Price Increases

The wholesale prices of brand-name prescription drugs in the United States increased by about 9 percent in the last year, a sharp contrast to the 1.3 percent decrease in the Consumer Price Index.

Critics say drug companies are trying to establish a higher base price before Congress passes legislation to slow drug spending, but drug makers say they have valid business reasons for the price increases, The New York Times reported.

With the increases, the average yearly cost for a brand-name prescription drug taken daily has increased by about $200 to more than $2,000, according to Stephen W. Schondelmeyer, a professor of pharmaceutical economics at the University of Minnesota.

"When we have major legislation anticipated, we see a run-up in price increases," he told The Times.

Drug companies claim the price increases are necessary to maintain the profits they need to invest in research and development of new drugs.

"Price adjustments for our products have no connection to health care reform," Merck spokesman Ron Rogers told The Times.

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Brain Scans Detect Hypnosis Effects

The effects of hypnosis can be seen on brain scans, say English researchers.

They found that hypnotized volunteers had decreased activity in the parts of the brain associated with daydreaming or allowing the mind to wander. But the same effect wasn't seen in people who weren't susceptible to being hypnotized, BBC News reported.

"This shows that the changes were due to hypnosis and not just simple relaxation. Our study shows hypnosis is real," said study leader Dr William McGeown, a lecturer in the department of psychology at Hull University.

The study appears in the journal Consciousness and Cognition.

The findings show that hypnosis can work by "priming" a person to respond more effectively to suggestions but does not prove that people being hypnotized are in an actual "trance," Dr. Michael Heap, a clinical forensic psychologist in Sheffield, told BBC News.

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Little Impact So Far From Electronic Medical Records: Study

Electronic health records have done little so far to improve the cost and quality of patient care, say U.S. researchers who compared 3,000 hospitals at various stages in the adoption of computerized health records.

"The way electronic medical records are used now has not yet had a real impact on the quality or cost of health care," said study leader Dr. Ashish K. Jha, an assistant professor at the Harvard School of Public Health, The New York Times reported.

The findings were to be presented Monday at a conference in Boston.

It's believed that widespread use of electronic medical records instead of paper records will improve health care and could save the U.S. health care system as much as $100 billion a year, The Times reported.

The findings of this study aren't surprising because only a few hospitals are using the full capabilities of computerized health records, said Dr. Karen Bell, senior vice president for health information technology services at the nonprofit group Masspro.

"There will be no clear answers on the overall payoff from the wider use of electronic health records until we get further along, five years or more," Bell toldThe Times. "But that doesn't mean we shouldn't go forward."

Health Tips for November 18

Health Tip: Make Your Home Fall-Proof

Falls in the home can lead to serious injury, including the all-too-common broken hip.

The American Academy of Orthopaedic Surgeons offers these suggestions to minimize the risk of falling:

  • Keep stairs clear and well-lit, and make sure there are handrails on both sides. Also, there should be no loose rugs, carpets or boards.
  • Make sure there's a slip-resistant rug outside the shower, with handrails and non-skid strips on the shower/tub floor.
  • In the bedroom, make sure there is clear and easy access to the door. Also, keep a lamp or flashlight near the bed.
  • Install a night light in the hallway, making that late-night trip to the bathroom safer.
  • Make sure furniture and decorations don't block walkways.
  • Keep all cords neat and out of the way, and all rugs or carpets firmly attached to the floor.

Health Tip: Protect Your Eyes

Eye protection may be required on the job, but don't forget to protect your eyes at home, too.

The U.S. National Safety Council says you should always wear protective eye gear when you:

  • Work on do-it-yourself projects around the house or on your car.
  • Cook with ingredients that could splash into the eye and cause burns or injury.
  • Work with chemicals such as pesticides, fertilizers, drain cleaners or cleaning sprays.
  • Play sports such as tennis, racquetball or baseball.
  • Do yard work, such as mowing the lawn, trimming plants or cutting weeds.

Tuesday, November 17, 2009

Health Headlines - November 17

Critics Question Drug Price Increases

The wholesale prices of brand-name prescription drugs in the United States increased by about 9 percent in the last year, a sharp contrast to the 1.3 percent decrease in the Consumer Price Index.

Critics say drug companies are trying to establish a higher base price before Congress passes legislation to slow drug spending, but drug makers say they have valid business reasons for the price increases, The New York Times reported.

With the increases, the average yearly cost for a brand-name prescription drug taken daily has increased by about $200 to more than $2,000, according to Stephen W. Schondelmeyer, a professor of pharmaceutical economics at the University of Minnesota.

"When we have major legislation anticipated, we see a run-up in price increases," he told The Times.

Drug companies claim the price increases are necessary to maintain the profits they need to invest in research and development of new drugs.

"Price adjustments for our products have no connection to health care reform," Merck spokesman Ron Rogers told The Times.

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Brain Scans Detect Hypnosis Effects

The effects of hypnosis can be seen on brain scans, say English researchers.

They found that hypnotized volunteers had decreased activity in the parts of the brain associated with daydreaming or allowing the mind to wander. But the same effect wasn't seen in people who weren't susceptible to being hypnotized, BBC News reported.

"This shows that the changes were due to hypnosis and not just simple relaxation. Our study shows hypnosis is real," said study leader Dr William McGeown, a lecturer in the department of psychology at Hull University.

The study appears in the journal Consciousness and Cognition.

The findings show that hypnosis can work by "priming" a person to respond more effectively to suggestions but does not prove that people being hypnotized are in an actual "trance," Dr. Michael Heap, a clinical forensic psychologist in Sheffield, told BBC News.

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Little Impact So Far From Electronic Medical Records: Study

Electronic health records have done little so far to improve the cost and quality of patient care, say U.S. researchers who compared 3,000 hospitals at various stages in the adoption of computerized health records.

"The way electronic medical records are used now has not yet had a real impact on the quality or cost of health care," said study leader Dr. Ashish K. Jha, an assistant professor at the Harvard School of Public Health, The New York Times reported.

The findings were to be presented Monday at a conference in Boston.

It's believed that widespread use of electronic medical records instead of paper records will improve health care and could save the U.S. health care system as much as $100 billion a year, The Times reported.

The findings of this study aren't surprising because only a few hospitals are using the full capabilities of computerized health records, said Dr. Karen Bell, senior vice president for health information technology services at the nonprofit group Masspro.

"There will be no clear answers on the overall payoff from the wider use of electronic health records until we get further along, five years or more," Bell toldThe Times. "But that doesn't mean we shouldn't go forward."

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FDA Warns of Steel Particles in Genzyme Drugs

Doctors should watch out for bits of steel, rubber and fiber in five drugs made by Genzyme Corp., the U.S. Food and Drug Administration warned Friday.

The FDA said contaminants were believed to be in less than 1 percent of the drugs, and that it had received no reports of adverse events, Dow Jones reported. The medicines are Cerezyme, Fabrazyme, Myozyme, Aldurazyme and Thyrogen.

The drugs, used to treat rare diseases, will remain on the market because few alternative treatments exist, the FDA said. In explaining the decision, the agency said it "carefully considered the potential for serious adverse events from foreign particle contamination," Dow Jones said. But the FDA said it is "acutely aware of the critical need for patients to have continued access to these important products."

Quality reports submitted by Genzyme alerted the FDA to the problem. Possible adverse effects could include damage to blood vessels or anaphylactic and allergic reactions, the agency said.

Medical personnel should carefully examine the products, which come in liquid and powder form, Dow Jones said

Anyone noticing a problem with drugs should call the agency at 1-800-FDA-1088, report problems via fax at 1-800-FDA-0178 or fill out a form online at: http://www.fda.gov/medwatch/report/hcp.htm.

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Disease Prevention Important to Americans: Poll

Nearly three-quarters (71 percent) of Americans favor increased spending on disease prevention, and 70 percent believe investing in prevention will save, rather than cost, money, according to a national poll released Friday by Trust for America's Health and the Robert Wood Johnson Foundation.

The findings from the survey of 1,008 respondents shows that disease prevention is one of the most popular components of health reform, according to the groups.

"This poll shows that Americans strongly favor specific proposals that focus on keeping Americans healthier in the first place instead of only treating them after theyve become sick," Jeff Levi, executive director of TFAH, said in a news release.

"Investing in proven prevention programs and policy changes that make it easier for all Americans to make healthier choices is essential for building a healthier America, Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation, said in the release.

Among the other poll findings:

  • 82 percent of respondents support a proposal to ensure that public health workers are well- trained, have up-to-date laboratories and are adequately equipped to communicate with the public about health threats.
  • 72 percent support creation of a public health investment fund that would dedicate annual funding to prevention, including improving nutrition and physical activity in schools and communities, expanding access to immunizations, and testing new approaches to staying healthy so people can make informed decisions about how to be healthy and prevent disease.
  • 58 percent of respondents back establishment of an independent preventive services task force to review scientific evidence and cost-effectiveness of prevention programs, recommend ways to improve prevention programs, and provide local community health services with key information to help people make healthier choices.

Health Tips for November 17

Health Tip: Remedy a Hammer Toe

A hammer toe occurs when a toe bends over in a hammer-like or claw-like shape. Most common in the second toe, the condition can affect any toe.

A person can be born with a hammer toe, or it can develop over time, particularly from wearing shoes that are too small.

Early treatment may prevent the need for surgery. The U.S. National Library of Medicine offers this list of other potential treatment options:

  • Splinting the toe, which seems to work best for mild cases or among children.
  • Using foot manipulation, also an effective remedy for children.
  • Wearing properly fitted shoes that don't squeeze the toes.
  • Wearing a protective pad or using a corrective foot device.
  • Exercising the toes. Speak to your doctor about what may work for you.

Health Tip: Treating an Ingrown Toenail

An ingrown toenail occurs when the nail grows into the skin. It can be quite painful and become infected, so it's important to take prompt care of an ingrown toenail as soon as it's recognized.

The American Academy of Orthopaedic Surgeons offers these suggestions:

  • Soak the foot in warm water three or four times each day.
  • When not soaking, make sure the foot is clean and dry.
  • Wear open-toed sandals or similar while the condition heals. Otherwise, opt for comfortable shoes that don't squeeze the toes.
  • Carefully wedge a small piece of clean cotton or waxed dental floss between the skin and the toenail. Be sure to change this packing daily.
  • Use an over-the-counter pain reliever such as ibuprofen or acetaminophen.
  • You should start to see improvement within two or three days. If you don't, contact your doctor.

Monday, November 16, 2009

Health Headlines - November 16

Drug companies to fight neglected diseases

Officials at U.S. drug companies and non-profit organizations say they plan to develop new drugs for "neglected" diseases.

The search for drugs to fight hard-to-treat diseases such as malaria, tuberculosis and dengue fever had been largely abandoned a decade ago but concern about rapidly rising rates for the diseases has caused an about-face.

An article published in Chemical & Engineering News describes how public-private partnerships among drug companies, non-profits and philanthropists are attempting to address the problems involved not only in producing drugs to treat the diseases but their distribution.

Challenges include who will pay for the drugs and how the drugs will be transported. The article reports the drug companies can expect to profit little from these ventures.

However, a growing number of companies now see it as good business and are excited about a steady stream of new drug candidates, the article notes.

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Listeria causes illness at much lower dose

Pregnant women may get ill from Listeria at lower doses than previously thought, U.S. researchers found.

The risk of fetal or infant mortality among pregnant women who consume food containing 1 million cells of the food-borne pathogen Listeria monocytogenes in soft cheeses and other food is estimated at about 50 percent, suggesting five stillbirths potentially could occur when 10 pregnant women are exposed to that amount.

A previous risk assessment estimated more than 10 trillion cells would result in stillbirths to 50 percent of pregnant women exposed, researchers said.

"We're not saying there's a new epidemic here, we're suggesting we've come up with a more accurate method of measuring the risk and how this deadly bacteria impacts humans, especially the most medically vulnerable among us," study co-author Mary Alice Smith of the University of Georgia said in a statement.

When estimates are extrapolated from data in tests on laboratory animals, the results showed "Listeriosis is likely occurring from exposure to lower doses than previously estimated," Smith said.

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CDC: 35 child H1N1 deaths in one week

Federal health officials said that 35 flu-related pediatric deaths were confirmed during the week ending Nov. 7, 2009.

Officials of the Centers for Disease Control and Prevention in Atlanta said Friday that overall flu activity in the United Sates remained very high last week.

Visits to doctors for symptoms of influenza-like illness nationally had decreased the week ending Nov. 1 over the week before. This is the second week of national decreases in influenza-like illness after four consecutive weeks of sharp increases.

All regions but one showed declines in influenza-like illness. However, Region I -- Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont -- continued to show sharp increases in influenza-like illness activity, the CDC report said.

Hospitalization rates continue to be highest in younger populations with the highest hospitalization rate reported in children ages infant to age 4.

Since April, CDC has received reports of 156 laboratory-confirmed pediatric H1N1 deaths, one influenza B death, and another 23 pediatric deaths that were laboratory confirmed as influenza, but the flu virus subtype was not determined.

Thursday, CDC officials said they estimated 540 children died from the pandemic in the first six months. While the smaller number of pediatric deaths are laboratory confirmed, the CDC is also using modeling to estimate the number of H1N1 deaths that occur outside the hospital where testing is not possible.

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Statins may reduce severe H1N1 death risk

U.S. researchers are studying statins, drugs that lower cholesterol, as a way to reduce H1N1 virus-related deaths.

Dr. Gordon Bernard, a critical care pulmonologist, said the statins may reduce flu-related deaths in the intensive care unit by as much as half.

"We know from studying infections that it's not always the bacteria that will kill you, but your own reaction to the bacteria can deal a lethal blow. We're learning that statins have an impact on the immune system and can dampen down that deleterious component of the immune response," Bernard said in a statement.

"Statins are extraordinarily efficient at lowering cholesterol by 30 percent to 50 percent. Like so many drugs, including aspirin, it has many additional potential benefits, which were initially unrecognized."

Bernard said he hopes to enroll patients in Vanderbilt's intensive care units, who present with suspected H1N1 infection and randomize them into two groups. One group will receive the statin rosuvastatin, Crestor, every day for the duration of their hospital stay, and the other group will receive a placebo.

"Once a person with suspected H1N1 reaches the intensive care unit, their mortality can be 20 percent or higher, statins offer the potential to reduce it to 10 percent," Bernard said.

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Statins may decrease gallstones risk

Swiss researchers have linked long-term statin use -- a class of drugs that lower cholesterol -- with decreased risk of gallstones that require surgery.

Dr. Michael Bodmer of University Hospital in Basel, Switzerland, and colleagues conducted a long-term observational study involving a total of 27,035 gallstone surgery patients and 106,531 matched controls and identified 2,396 patients and 8,868 controls using statins.

The researchers found that compared with non-use, recent statin use did not reduce risk a great deal, but the odds ratio started to decrease after five prescriptions -- about 18 months of treatment.

"The risk estimate was consistent across age and sex groups. Adjustment for important risk factors for gallstone disease did not materially alter the results," the researchers said in a statement."

The study, published in the Journal of the American Medical Association, suggested taking statins decreased cholesterol biosynthesis in the liver and may therefore have lowered the risk of cholesterol gallstones.

Health Tips for November 16

Health Tip: Pack Your Child's Lunch

Between helping with homework, making dinner, and the nightly bedtime routine, it's difficult to find the time to pack a healthy lunch each day for your child.

The Nemours Foundation says it's worth the effort. It offers these benefits of packing your child's lunch:

  • Improved control over your child's eating habits.
  • Better food variety for your child.
  • Cost savings from making the meals yourself, instead of paying someone else.
  • Preparing your child's meals gives you both satisfaction, and is a small way to show your love.

Health Tip: Sources of Childhood Stress

Kids often get stressed, even without the pressures of adult life. Just as in adults, stress needs to be addressed in children.

The Nemours Foundation lists these possible sources of childhood stress:

  • Being involved in too many activities in and out of school.
  • Having insufficient play time.
  • Having parents who frequently fight and don't get along.
  • Having an ill relative.
  • Seeing frightening images on TV, such as about war, terrorism or natural disasters.
  • Losing a loved one.

Sunday, November 15, 2009

Health Headlines - November 15

Web site says how human milk saves infants

A Web site by the University of California, San Diego Medical Center offers information on how to provide human milk to premature and underweight infants.

Dr. Jae Kim, medical director of the Supporting Premature Infant Nutrition Program at UC San Diego Medical Center, said infants born prematurely sometimes develop the infection necrotizing enercolitis, the most common life-threatening gastrointestinal emergency in newborns.

Necrotizing enercolitis causes intense inflammation and acute intestinal necrosis or death, compromising 1 percent to 5 percent of all neonatal intensive care unit admissions and affecting 10 percent of infants born at less than 3 pounds.

"One of the goals of this Web site is to help fellow hospitals adapt our model of human milk nutrition in their own neonatal intensive care units," Kim said in a statement.

"Since the implementation of our feeding protocols, we have seen rates of human milk feeding go up by 15 percent. We'd love to see this become a nationwide trend."

Before the program started, the rate of necrotizing enercolitis at UC San Diego Medical Center was 5.8 percent; last year it was less than 1 percent, Kim said.

The Web site is at: http://health.ucsd.edu/women/spin/.

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Drug company warns of contamination

Tiny pieces of steel, non-latex rubber and fiber-like material have been found in some medications made by Genzyme Corp., U.S. regulators say.

Genzyme reported the particle contamination in less than1 percent of the affected drugs, the Food and Drug Administration said Friday.

The medications are used to treat rare, serious and life-threatening genetic diseases, the Cambridge, Mass., biotech company said.

Intravenous administration of the contaminated drugs could cause damage to blood vessels and severe allergic reactions.

The contaminated products are marketed by Genzyme under the names Cerezyme, Fabrayzme, Myozyme, Aldurazyme and Thyrogen.

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Doctors gauge patients' religious views

U.S. sociologists find religion plays a greater role in medical decisions involving seriously ill children, especially when difficult decisions must be made.

Researchers Elaine Howard Ecklund of Rice University in Houston, Wendy Cadge of Brandeis University in Waltham, Mass., and Nicholas Short of Baylor College of Medicine in Houston interviewed 30 doctors at top-tier U.S. medical centers and found pediatricians and pediatric oncologists had differing views on religion and spirituality.

"Pediatric oncologists are more likely than the pediatricians interviewed to see the religion or spirituality of patients as relevant to their professional jurisdictions," the authors said in a statement. However, "the majority of the physicians interviewed see religion and spirituality as most relevant in difficult medical decision-making situations, in particular those made about end-of-life care."

The researchers concluded the physicians surveyed saw religion and spirituality as both a barrier and a bridge to medical care. It was a barrier when it impeded their work or care of children -- especially care of children who are Jehovah's Witnesses, Orthodox Jews or members of religious traditions that have existed in some tension with biomedicine, the researchers said.

The study is published in Social Problems.

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Classroom no haven from bullying in school

Many assume bullying in school occurs mostly in unsupervised locations like lunchrooms, but a lot of it occurs in classrooms, U.S. researchers found.

Lead researchers H. Wesley Perkins at Hobart and William Smith Colleges in Geneva, N.Y., and colleagues used anonymous online surveys conducted with more than 10,000 middle-school students.

Their research found that within the most recent month, 43 percent had been physically bullied; 51 percent teased in an unfriendly way; 50 percent called hurtful names; 31 percent excluded from a group to hurt their feelings; 28 percent had belongings taken or broken; 39 percent had an unkind rumor spread about them; and 21 percent were threatened to be hurt.

One out of four students had skipped recess, not gone to the bathroom, lunch or a class, pretended to be sick, went home or avoided a hallway to get away from a bully, the researchers said.

Fifty percent to 57 percent of bullying occurred in the classroom, lunchroom and hallways.

"These findings show that it is erroneous to think of the classroom as a safe haven from bullying and to think that more remote or less monitored areas of school are necessarily the greatest risk for students," Perkins said in a statement.

The findings were presented at the American Public Health Association's 137th annual meeting & exposition in Philadelphia.

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Anti-psychotics overused for dementia

Anti-psychotic drugs contribute to the deaths of hundreds of dementia patients each year, a British study found.

Researchers found about 180,000 people with dementia are prescribed anti-psychotic medications every year in Britain, the BBC said. This includes people in hospitals, nursing homes and their own homes.

The drugs, developed to help schizophrenics, are used to control aggressive behavior.

Sube Banerjee of King's College London, who headed the review, said only about 36,000 patients benefit from the drugs. He recommended they be given for no more than three months at a time.

In at least 1,800 cases, the drugs contribute to deaths, Banerjee said.

The government has said steps will be taken to reduce the number of prescriptions given for the drugs. They include giving patients other forms of treatment like counseling, more training for healthcare workers, information sessions for family members and stricter controls on prescriptions.

A new national dementia director will be named to monitor how the drugs are used.

Health Tips for November 15

Health Tip: Dealing With Peripheral Artery Disease

Peripheral artery disease (PAD) raises the risk of a stroke or heart attack. But PAD can be managed by making certain lifestyle changes, notably getting enough physical activity.

The American Heart Association offers these suggestions:

  • Get regular exercise, at least three times a week. Activities should exercise the legs.
  • Stick to a healthy diet that's low in unhealthy fats and cholesterol.
  • Quit smoking.
  • Take medications prescribed by your doctor. They may include medications to thin the blood, control high blood pressure, and lower "bad" cholesterol.

Health Tip: Eat a Heart-Healthy Diet

Heart disease is a leading cause of death in the United States, but you can reduce your risk by eating a heart-healthy diet.

The National Women's Health Information Center offers these suggestions:

  • Eat plenty of fruits, vegetables and whole-grain foods.
  • Opt for low-fat or no-fat dairy products.
  • Choose lean, healthy proteins, such as chicken or turkey without the skin, fish, nuts and beans.
  • Limit your intake of saturated and trans fats, found in many forms of butter, fatty meats, fast food, desserts and creamy condiments such as mayonnaise.
  • Reduce cholesterol in your diet, found in organ meats, pork and sausage, and whole-fat dairy products.
  • Avoid foods that are high in salt (sodium) and sugar.

Saturday, November 14, 2009

Health Headlines - November 14

FDA Warns of Steel Particles in Genzyme Drugs

Doctors should watch out for bits of steel, rubber and fiber in five drugs made by Genzyme Corp., the U.S. Food and Drug Administration warned Friday.

The FDA said contaminants were believed to be in less than 1 percent of the drugs, and that it had received no reports of adverse events, Dow Jones reported. The medicines are Cerezyme, Fabrazyme, Myozyme, Aldurazyme and Thyrogen.

The drugs, used to treat rare diseases, will remain on the market because few alternative treatments exist, the FDA said. In explaining the decision, the agency said it "carefully considered the potential for serious adverse events from foreign particle contamination," Dow Jones said. But the FDA said it is "acutely aware of the critical need for patients to have continued access to these important products."

Quality reports submitted by Genzyme alerted the FDA to the problem. Possible adverse effects could include damage to blood vessels or anaphylactic and allergic reactions, the agency said.

Medical personnel should carefully examine the products, which come in liquid and powder form, Dow Jones said

Anyone noticing a problem with drugs should call the agency at 1-800-FDA-1088, report problems via fax at 1-800-FDA-0178 or fill out a form online at: http://www.fda.gov/medwatch/report/hcp.htm.

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Disease Prevention Important to Americans: Poll

Nearly three-quarters (71 percent) of Americans favor increased spending on disease prevention, and 70 percent believe investing in prevention will save, rather than cost, money, according to a national poll released Friday by Trust for America's Health and the Robert Wood Johnson Foundation.

The findings from the survey of 1,008 respondents shows that disease prevention is one of the most popular components of health reform, according to the groups.

"This poll shows that Americans strongly favor specific proposals that focus on keeping Americans healthier in the first place instead of only treating them after theyve become sick," Jeff Levi, executive director of TFAH, said in a news release.

"Investing in proven prevention programs and policy changes that make it easier for all Americans to make healthier choices is essential for building a healthier America, Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation, said in the release.

Among the other poll findings:

  • 82 percent of respondents support a proposal to ensure that public health workers are well- trained, have up-to-date laboratories and are adequately equipped to communicate with the public about health threats.
  • 72 percent support creation of a public health investment fund that would dedicate annual funding to prevention, including improving nutrition and physical activity in schools and communities, expanding access to immunizations, and testing new approaches to staying healthy so people can make informed decisions about how to be healthy and prevent disease.
  • 58 percent of respondents back establishment of an independent preventive services task force to review scientific evidence and cost-effectiveness of prevention programs, recommend ways to improve prevention programs, and provide local community health services with key information to help people make healthier choices.

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Foodborne Illnesses Can Cause Long-Term Problems

Foodborne infections can have long-lasting health effects that can be as serious as kidney failure, paralysis, seizure, mental disability or death, according to the Center for Foodborne Illness Research & Prevention.

Children are especially at risk because their developing immune systems don't have the same ability as adult immune systems to fight foodborne pathogens. In addition, children's stomachs don't produce the same volume of acids as adult digestive systems, the Los Angeles Times reported.

It's believed that the long-term effects of foodborne infections cause more disability, doctor visits and hospitalizations than the immediate symptoms, such as stomach cramps and bloody diarrhea.

In a report released Thursday, the Center for Foodborne Illness Research & Prevention listed the main causes of foodborne illness in the United States and the possible long-term effects:

  • Salmonella: arthritis, eye irritation and painful urination.
  • Campylobacter: paralysis, arthritis.
  • E. coli O157:H7: kidney problems, including kidney failure, high blood pressure, gallstones, irritable bowel syndrome, narrowed gastrointestinal passages and neurological problems, such as seizures.
  • Listeria monocytogenes: miscarriage, premature infant death or stillbirth in pregnant women. Surviving infants may have mental retardation, hearing loss or brain damage. In adults, listeriosis can cause cardiorespiratory failure and neurological problems, such as seizures and impaired consciousness.

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Texting Linked to Shoulder Pain: Study

Too much text-messaging may cause shoulder damage, say U.S. researchers who determined the association is stronger in males than in females.

The study of 138 college students found a link between higher numbers of text messages and shoulder discomfort, the Los Angeles Times reported.

More research is needed, but it may be wise to monitor musculoskeletal symptoms among people who spend a lot of time using hand-held devices, said study lead author Judith Gold, an assistant professor of epidemiology at the College of Health Professions and Social Work at Temple University in Philadelphia, and colleagues.

"Looking around our campus, you see every student on their cellphones, typing away," Gold said in a news release, the Times reported. "It's the age group that texts the most, so it's important to know what the health effects may be to learn whether it will cause long-term damage."

The study was presented at the annual meeting of the American Public Health Association.

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FDA Can't Expect All Drug Risk Info in Web Ads: Experts

The U.S. Food and Drug Administration can't expect online drug ads to contain all the required risk information, drug and advertising experts said at an FDA meeting Thursday.

The two-day (Thursday and Friday) session, convened by the FDA in order to get input on how it should regulate drug ads on the Internet, has attracted several hundred drug, advertising and social media specialists, Dow Jones Newswiresreported.

The drug industry lobby group Pharmaceutical Research and Manufacturers of America suggested that the FDA create a universal logo that would indicate a Web site displays accurate information about drug risks.

But some at the meeting questioned how the FDA could guarantee the accuracy of information when Web sites are often updated daily or even hourly, Dow Jonesreported.

It's believed the FDA won't release any drug industry Web ad guidelines or regulations for at least a year.

Health Tips for November 14

Health Tip: Signs That You Might Be Malnourished

You know that it's important to eat a healthy, balanced diet with all the nutrients that your body needs. A poor diet lacking in essential vitamins and minerals can lead to serious health problems.

Here are warning signs of serious malnutrition that warrant a visit with your doctor and prompt treatment:

  • Losing consciousness or fainting.
  • Lack of menstrual periods in pre-menopausal women.
  • Stunted growth in children.
  • Sudden loss of hair.

Health Tip: Dietary Needs of Aging Women

As women age, their dietary needs change. A healthy diet is always important, but even more so as women get older.

The American College of Obstetricians and Gynecologists suggests women should consume:

  • At least 1,500 milligrams daily of calcium, which may be found in dairy products and leafy green vegetables, or dietary supplements.
  • Eight milligrams of daily iron -- needed to help produce red blood cells. Healthy sources of iron include fortified breakfast cereals, spinach and beans.
  • Limited intake of saturated and trans fats.
  • Limited intake of salt (sodium) and added sugars.
  • Plenty of fiber.

Friday, November 13, 2009

Health Headlines - November 13

FDA Can't Expect All Drug Risk Info in Web Ads: Experts

The U.S. Food and Drug Administration can't expect online drug ads to contain all the required risk information, drug and advertising experts said at an FDA meeting Thursday.

The two-day (Thursday and Friday) session, convened by the FDA in order to get input on how it should regulate drug ads on the Internet, has attracted several hundred drug, advertising and social media specialists, Dow Jones Newswiresreported.

The drug industry lobby group Pharmaceutical Research and Manufacturers of America suggested that the FDA create a universal logo that would indicate a Web site displays accurate information about drug risks.

But some at the meeting questioned how the FDA could guarantee the accuracy of information when Web sites are often updated daily or even hourly, Dow Jonesreported.

It's believed the FDA won't release any drug industry Web ad guidelines or regulations for at least a year.

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Nearly $1 Billion a Year Spent on Blood Thinners in U.S.: Report

In 2007, nearly $900 million was spent in the United States on outpatient prescriptions for blood thinning (anticoagulant) drugs, according to a federal government report released Thursday.

Anticoagulants are used to help prevent blood clots, which can cause heart attacks, strokes and pulmonary embolisms.

About 4.2 million Americans age 18 and older used an anticoagulant in 2007, according to the latest News and Numbers from the Agency for Healthcare Research and Quality.

The average cost and out-of-pocket payment for a brand name anticoagulant was $65 and $29, respectively, compared with $18 and $7, respectively, for generic anticoagulants.

Among the other findings:

  • Less than 1 percent of Americans younger than 65 used an anticoagulant in 2007, compared with 6 percent of those ages 65 to 74 and about 10 percent of those 75 and older.
  • Among patients who used blood thinners, 74 percent had a heart-related condition, 40 percent had undergone surgery that year, and 30 percent had cancer or diabetes.
  • Of the nearly 28 million anticoagulant prescriptions filled by pharmacists in 2007, 19.3 million were for generics and 8.5 million were for brand-name drugs.

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Scientists Manage to Neutralize Cancer Protein

A method of neutralizing a protein believed to play an important role in leukemia and other cancers could lead to new treatments, say U.S. researchers.

The Dana-Farber Cancer Institute team made their breakthrough by examining the structure of a protein called Notch and identifying a potential weak spot. They then developed a peptide that disrupts Notch, BBC News reported.

Tests in mice showed use of the peptide limited cancer growth by reducing activity of genes both directly and indirectly controlled by Notch.

The study appears in the journal Nature.

Previous attempts at neutralizing Notch had failed, leading scientists to conclude nothing could be done to disrupt the protein, BBC News reported.

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Researchers Developing Method to Re-Grow Breasts

Australian researchers are testing a technique that may lead to the ability to re-grow breasts in women who've had a mastectomy, offering them an alternative to breast implants.

The procedure involves implanting a chamber beneath the skin and connecting a blood vessel to fat tissue in order to help it grow. The idea is to use a biodegradable chamber that dissolves inside the body after it fills with fat tissue, a process that would take about 24 months, CBS News reported.

So far, tests have been limited to pigs, but the team at the Bernard O'Brien Institute of Microsurgery in Melbourne plans clinical trials on women who have lost breasts to cancer.

"We are starting what is called a prototype in the next three to six months -- a proof of principle trial with about five to six women, just to demonstrate that the body can re-grow its own fat supply in the breast," Dr. Phillip Marzella told Sky News, CBS News reported.

The procedure may be ready for use within three years.

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200 Million Children Have Stunted Growth: UNICEF

Stunted growth affects nearly 200 million children who don't have enough to eat, says a UNICEF report released Wednesday.

The agency said more than 90 percent of children with stunted growth are in Africa and Asia, the Associated Press reported. Last year, the rate of stunted growth in Africa was about 34 percent and 30 percent in Asia.

UNICEF also said that undernutrition is linked to more than a third of all deaths in children under 5. Without proper nutrition, children aren't able to fight off diseases and complications.

"Unless attention is paid to addressing the causes of child and maternal undernutrition today, the costs will be considerably higher tomorrow," UNICEF executive director Ann M. Veneman said in a news release, the AP reported.

UNICEF said wider use of programs to provide vitamin A supplementation and promote breast-feeding could cut the death rate in children by up to 15 percent.

"With more than 1 billion people suffering from malnutrition and hunger, international leadership and urgent action are needed," Veneman said.

Health Tips for November 13

Health Tip: Create Baby's Bedtime Routine

Babies are never too young to benefit from a bedtime routine, the U.S. National Library of Medicine says.

The agency offers these suggestions for developing bedtime habits from the start:

  • Don't give your baby a bottle in bed. Make sure the last bottle of the day is given a sufficient amount of time before bed.
  • Enjoy quiet relaxation time with your baby.
  • Put baby to bed when sleepy, but not when he or she is actually asleep. This way, baby gets used to falling asleep alone.
  • When baby cries, speak in a soothing tone. Or rub baby's back until calm. But don't pick baby up.
  • Avoid turning lights on when you feed baby in the middle of the night.
  • Whatever your routine, make sure you're consistent, and try to ensure that both of you enjoy it.
  • Don't sleep in the same bed with a baby that's 12 months or younger. This may increase the risk of sudden infant death syndrome (SIDS).

Health Tip: Putting Baby to Bed

Newborn babies shouldn't be expected to sleep through the night. Their bodies are so tiny that they should be awakened if they haven't eaten for at least five hours, the Nemours Foundation says.

But there are things that new parents can do to help ensure a safe night's rest for their little one. The foundation offers these suggestions:

  • Put baby to sleep on his or her back to reduce the risk of sudden infant death syndrome (SIDS).
  • Don't let baby sleep with plush bedding, blankets or pillows.
  • Remove stuffed animals from baby's crib when it's bedtime.
  • Each night, alternate which side of his or her head your baby sleeps on, to prevent development of a "flat spot" on a favored side of the head.

Thursday, November 12, 2009

Health Headlines - November 12

200 Million Children Have Stunted Growth: UNICEF

Stunted growth affects nearly 200 million children who don't have enough to eat, says a UNICEF report released Wednesday.

The agency said more than 90 percent of children with stunted growth are in Africa and Asia, the Associated Press reported. Last year, the rate of stunted growth in Africa was about 34 percent and 30 percent in Asia.

UNICEF also said that undernutrition is linked to more than a third of all deaths in children under 5. Without proper nutrition, children aren't able to fight off diseases and complications.

"Unless attention is paid to addressing the causes of child and maternal undernutrition today, the costs will be considerably higher tomorrow," UNICEF executive director Ann M. Veneman said in a news release, the AP reported.

UNICEF said wider use of programs to provide vitamin A supplementation and promote breast-feeding could cut the death rate in children by up to 15 percent.

"With more than 1 billion people suffering from malnutrition and hunger, international leadership and urgent action are needed," Veneman said.

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FDA to Consider Rules for Online Drug Ads

Drug makers want the U.S. Food and Drug Administration to make it easier for them to market their products online.

Under current regulations for traditional media, drug ads must include a detailed list of possible side effects. That rule has severely limited their ability to advertise drugs on the Web, according to pharmaceutical companies.

In response to those concerns, the FDA will hold a two-day meeting beginning Thursday to consider developing rules for online drug advertising, the Associated Press reported.

At the meeting, the Pharmaceutical Research and Manufacturers of America will suggest the FDA develop a logo that could be used in ads in place of lengthy statements about drug risks. Clicking on the logo would take users to a full listing of a drug's risks.

The FDA likely won't release final regulations until 2011, the AP reported.

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FDA Approves Glaxo Swine Flu Vaccine

A swine flu vaccine made by British drug maker GlaxoSmithKline is now approved for use in the United States.

In a news release, the company said that the U.S. Food and Drug Administration had approved the unadjuvanted influenza A (H1N1) pandemic vaccine, Agence France Presse reported.

"The United States Department of Health and Human Services has placed an order to fill 7.6 million doses of unadjuvanted H1N1 pandemic vaccine from GSK, which will contribute to the approximately 250 million doses secured by the U.S. government," the company said.

The makeup of the GSK swine flu vaccine approved for use in the United States is different than that of Pandermix, the company's drug recently approved in Europe to treat swine flu, AFP reported.

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Ricin Antitoxin First to Go Into Production: U.K. Scientists

British scientists say their antitoxin against the deadly poison ricin is the first to move into production and should be available within a few years.

They said the antidote can protect against death when given up to 24 hours after exposure to ricin, which is about 1,000 times more toxic than cyanide and could be used in a bio-terror attack, BBC News reported.

To produce the antitoxin, an inactive form of ricin is injected into sheep, which triggers the production of antibodies. The antibodies are harvested from the sheep to create a freeze-dried product that can be reconstituted with water and injected into patients.

"In the past there has been lots of research carried out using different methods. But this is the first [antitoxin] that has been moved into production," Dr. Jane Holley, of the Defence Science and Technology Laboratory, told BBC News. "It is anticipated that a product will be available for use in the next couple of years."

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Genes Linked to Melanoma Patients' Survival

Genes that may predict survival and help determine treatment options for patients with advanced melanoma have been identified by U.S. researchers.

A team at New York University's Langone Medical Center studied 38 patients whose melanomas had recurred after being surgically removed and pinpointed 266 associated with shorter or longer survival, United Press International reported.

"We found that patients who survived longer had gene activity consistent with an immune response," said study senior author Dr. Nina Bhardwaj. "Patients who didn't survive as long didn't have an up-regulation of those genes, but tended to have higher levels of genes associated with cell proliferation, suggesting that if your cells are growing more actively, the tumor is going to grow faster."

Bhardwaj noted that if doctors knew more about "what was happening in those patients, within the tumor itself, perhaps we'd be able to help them in terms of what therapy they might go on," UPI reported.

The study was published online in the journal Proceedings of the National Academy of Sciences.