Health and Medical News and Resources

General interest items edited by Janice Flahiff

[News release] Are temper, anxiety, homework trouble medical issues? Many parents don’t realize it

From the 18 May 2015 University of Michigan news release

Just half of parents of school-aged children would discuss anxiety or temper tantrums that seemed worse than peers

ANN ARBOR, Mich. — Parents often bring their school-aged children to check-ups or sick visits armed with questions. What should he put on that rash? What about her cough that won’t go away?

But when children’s temper tantrums or mood swings are beyond the norm, or they are overwhelmed by homework organization, do parents speak up?

Today’s University of Michigan C.S. Mott Children’s Hospital National Poll on Children’s Health finds that many parents of children age 5-17 wouldn’t discuss behavioral or emotional issues that could be signs of potential health problems with their doctors. While more than 60 percent of parents definitely would talk to the doctor if their child was extremely sad for more than a month, only half would discuss temper tantrums that seemed worse than peers or if their child seemed more worried or anxious than normal. Just 37 percent would tell the doctor if their child had trouble organizing homework.

The most common reason for not sharing these details with their children’s doctors? Nearly half of parents believed that these simply were not medical problems. Another 40 percent of parents say they would rather handle it themselves and about 30 percent would rather speak to someone other than a doctor.

“Behavioral health and emotional health are closely tied to a child’s physical health, well-being and development, but our findings suggest that we are often missing the boat in catching issues early,” says Sarah J. Clark, M.P.H., associate director of the National Poll on Children’s Health and associate research scientist in the University of Michigan Department of Pediatrics.

May 22, 2015 Posted by | Medical and Health Research News, Psychology | , , , , , , , , , | Leave a comment

[News release] Patients seek greater ownership of health-care decisions

From the 18 May 2015 EurkAlert

Study finds doctors must make great effort to provide patients more useful information to help them make medical choices

Patients faced with a choice of surgical options want to engage their physicians and take a more active role in decision-making, according to a study (abstract 567) released at Digestive Disease Week® (DDW) 2015. Further, those physicians must provide better support tools to help patients participate in the decision-making process. The study found that patients consult multiple sources (Internet, family, friends, doctors, etc.) and say that while doctors provide the most believable information, it was also the least helpful.

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May 22, 2015 Posted by | health care | , , , , , | Leave a comment

[News release

From the 19 May 2015 SHEA news release

New research finds that misdiagnoses lead to increased risk of incorrect antibiotic use, threatening patient outcomes and antimicrobial efficacy, while increasing healthcare costs. The study was published online today in Infection Control & Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America.

 

“Antibiotic therapies are used for approximately 56 percent of inpatients in U.S. hospitals, but are found to be inappropriate in nearly half of these cases, and many of these failures are connected with inaccurate diagnoses,” said Greg Filice, MD, lead author of the study. “The findings suggest that antimicrobial stewardship programs could be more impactful if they were designed to help providers make accurate initial diagnoses and to know when antibiotics can be safely withheld.”

Additionally, researchers found that overall, only 58 percent of patients received a correct diagnosis, indicating that diagnostic errors were more prevalent in this study than in previous studies unrelated to antimicrobial use. The most common incorrect diagnoses identified by researchers were pneumonia, cystitis, urinary tract infections, kidney infections and urosepsis.

Contributing factors which the researchers said may lead to inaccurate diagnosis and inappropriate antibiotic use include:

  • Healthcare workers (HCWs) relying on intuitive processes, instead of analytical processes which are more reliable, safe and effective.
  • HCWs experiencing fatigue, sleep deprivation and/or cognitive overload more prevalent in inpatient settings.
  • HCWs receiving patients with a previous diagnosis from another provider.
  • Lack of clinical experience and minimal personal experience with adverse drug effects.

 

 

May 22, 2015 Posted by | health care, Medical and Health Research News | , , , , | Leave a comment

[News release] Printing 3-D Graphene Structures for Tissue Engineering

From the 19 May 2015 McCormick Northwestern news release

People have tried to print graphene before,” Shah said. “But it’s been a mostly polymer composite with graphene making up less than 20 percent of the volume.”

With a volume so meager, those inks are unable to maintain many of graphene’s celebrated properties. But adding higher volumes of graphene flakes to the mix in these ink systems typically results in printed structures too brittle and fragile to manipulate. Shah’s ink is the best of both worlds. At 60-70 percent graphene, it preserves the material’s unique properties, including its electrical conductivity. And it’s flexible and robust enough to print robust macroscopic structures. The ink’s secret lies in its formulation: the graphene flakes are mixed with a biocompatible elastomer and quickly evaporating solvents.

“It’s a liquid ink,” Shah explained. “After the ink is extruded, one of the solvents in the system evaporates right away, causing the structure to solidify nearly instantly. The presence of the other solvents and the interaction with the specific polymer binder chosen also has a significant contribution to its resulting flexibility and properties. Because it holds its shape, we are able to build larger, well-defined objects.”

Supported by a Google Gift and a McCormick Research Catalyst Award, the research is described in the paper “Three-dimensional printing of high-content graphene scaffolds for electronic and biomedical applications,” published in the April 2015 issue of ACS Nano. Jakus is the paper’s first author. Mark Hersam, the Bette and Neison Harris Chair in Teaching Excellence, professor of materials science and engineering at McCormick, served as coauthor.

The 3-D printed graphene scaffold appeared on the cover of ACS Nano.

The 3-D printed graphene scaffold appeared on the cover of ACS Nano.

An expert in biomaterials, Shah said 3-D printed graphene scaffolds could play a role in tissue engineering and regenerative medicine as well as in electronic devices. Her team populated one of the scaffolds with stem cells to surprising results. Not only did the cells survive, they divided, proliferated, and morphed into neuron-like cells.

“That’s without any additional growth factors or signaling that people usually have to use to induce differentiation into neuron-like cells,” Shah said. “If we could just use a material without needing to incorporate other more expensive or complex agents, that would be ideal.”

The printed graphene structure is also flexible and strong enough to be easily sutured to existing tissues, so it could be used for biodegradable sensors and medical implants. Shah said the biocompatible elastomer and graphene’s electrical conductivity most likely contributed to the scaffold’s biological success.

“Cells conduct electricity inherently — especially neurons,” Shah said. “So if they’re on a substrate that can help conduct that signal, they’re able to communicate over wider distances.”

 

May 22, 2015 Posted by | Medical and Health Research News | , , , , | Leave a comment

[News release] Gun Violence Restraining Orders: A Promising Strategy to Reduce Gun Violence in the U.S.

From the 20 May 2015 Johns Hopkins University press release

Law would give family members and law enforcement tool to temporarily remove guns from someone believed dangerous

Gun violence restraining orders (GVROs) are a promising strategy for reducing firearm homicide and suicide in the United States, and should be considered by states seeking to address gun violence, researchers from the Johns Hopkins Center for Gun Policy and Research at the Johns Hopkins Bloomberg School of Public Health and the University of California, Davis, argue in a new report.

The article is being published online in Behavioral Sciences and the Law on May 20.

GVROs allow family members and intimate partners who believe a relative’s dangerous behavior may lead to violence to request an order from a civil court authorizing law enforcement to remove any guns in the individual’s possession, and to prohibit new gun purchases for the duration of the order. Three states have laws that authorize law enforcement to remove guns from someone identified as dangerous: Indiana, Connecticut and Texas. In 2014, California became the first state in the nation to allow family members and intimate partners to directly petition a judge to temporarily remove firearms from a family member if they believe there is a substantial likelihood that the family member is a significant danger to himself or herself or others in the near future. The law, passed by the California legislature, takes effect Jan. 1, 2016.

May 22, 2015 Posted by | Public Health | , , , , | Leave a comment

[News release] New music strategy shows 70 per cent increase in exercise adherence

From the 20 May 2015 University Health Network (Toronto) news release

The use of personalized music playlists with tempo-pace synchronization increases adherence to cardiac rehab by almost 70 per cent—according to a study published in Sports Medicine –Open.

“Cardiac rehab has been proven to improve long-term survival for someone who’s had a heart event by 20 per cent,” said Dr. David Alter, Senior Scientist, Toronto Rehab, University Health Network, and Institute for Clinical Evaluative Sciences. “Our challenge is there is a high drop-out rate for these programs and suboptimal adherence to the self-management of physical activity.”

In Dr. Alter’s study, each research subject’s personalized playlist was the music genre they enjoyed with tempos that matched their pre-determined walking or running pace.

“The music tempo-pace synchronization helps cue the person to take their next step or stride and helps regulate, maintain and reinforce their prescribed exercise pace,” explained Dr. Alter, who is also Research Chair in Cardiovascular Prevention and Metabolic Rehabilitation at Toronto Rehab, UHN.

May 22, 2015 Posted by | Medical and Health Research News | , , , , , , , | Leave a comment

[News release] Infections can affect your IQ

From the 21 May 2015 Aarhaus news release

New research shows that infections can impair your cognitive ability measured on an IQ scale. The study is the largest of its kind to date, and it shows a clear correlation between infection levels and impaired cognition.

“Infections can affect the brain directly, but also through peripheral inflammation, which affects the brain and our mental capacity. Infections have previously been associated with both depression and schizophrenia, and it has also been proven to affect the cognitive ability of patients suffering from dementia. This is the first major study to suggest that infections can also affect the brain and the cognitive ability in healthy individuals.”

“We can see that the brain is affected by all types of infections. Therefore, it is important that more research is conducted into the mechanisms which lie behind the connection between a person’s immune system and mental health,” says Michael Eriksen Benrós.

He hopes that learning more about this connection will help to prevent the impairment of people’s mental health and improve future treatment.

May 22, 2015 Posted by | Psychiatry | , , , , | Leave a comment

[News article] The Darker Side of the ‘Love Hormone’

From the 21 May 2015 Discover article

Oxytocin in Humans

In our own species, oxytocin has been shown to inhibit men already in relationships from approaching other attractive women; enhance activation of the brain’s reward systems when they see their partner’s face compared to other attractive women and help couples deal positively with conflict.

Along with other functions, mainly in the formation of mother-infant bonding, the rosy glow of the “love hormone” seems to know no bounds – and its potential application for helping to cement and maintain loving relationships is clear. Its effects on facilitating social interaction have made it an appealing possible therapeutic tool in patients who struggle with social situations and communication, including in autism, schizophrenia and mood or anxiety disorders.

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Even better, it is very easy to use. All the human studies on it use intranasal sprays to boost oxytocin levels. These sprays are readily available, including through the internet, and appear safe to use, at least in the short term – no one yet knows whether there is any long-term harm.

Adverse Effects

In the past few years, however, concerns expressed by some researchers have begun to rein in the enthusiasm about the potential applications of oxytocin as a therapeutic tool.

Recent studies are showing that the positive effects can be much weaker – or even detrimental – in those that need it the most. In contrast to socially competent or secure individuals, exposure can reduce cooperativeness and trust in those prone to social anxiety. It also increases inclination for violencetowards intimate partners. Although this is seen only in people who tend to be more aggressive in general, these would be the same people who might have most to gain from such a treatment, were it available.

These apparently paradoxical effects are hard to explain, particularly since the brain mechanisms responsible are still poorly understood. But a new study may help to provide the answer. A team from the University of Birmingham decided to tackle the issue by comparing studies on the effects of oxytocin with those of alcohol and were struck by the incredible similarities between the two compounds.

Alcohol and Oxytocin

Like oxytocin, alcohol can have helpful effects in social situations. It increases generosity, fosters bonding within groups and suppresses the action of neural inhibitions on social behavior, including fear, anxiety and stress.

But, of course, acute alcohol consumption also comes with significant downsides. Aside from the health implications of chronic use, it interferes with recognition of emotional facial expression, influences moral judgementsand increases risk-taking and aggression. And as with oxytocin, the increase in aggression is limited to those who have an existing disposition to it.

The researchers argue that the striking similarities in behavioral outcome tell us something about the biological mechanisms involved. Although oxytocin and alcohol target different brain receptors, activation of these receptors appear to produce analogous physiological effects. Indeed, they also note similarities with how other compounds work, including benzodiazepines, which are commonly used to treat anxiety. Our understanding of how one chemical elicits its effects might thus help us to understand the action of the others.

But, if this new interpretation is correct, it may presage further bad press for the love hormone. It may be that the darkening clouds that threaten to tarnish its reputation are only just beginning to gather. At the very least, it should give us cause for careful evaluation before we rush into using it as a remedy.

May 22, 2015 Posted by | Uncategorized | , , , , | Leave a comment

[Reblog] How you can help people make safer (chemically related) choices every day

From the 20 May 2015 post at Our Planet, Our Home – EPA’s Blog About our World

…Safer Choice is our label for safer chemical-based products, like all-purpose cleaners, laundry detergents, degreasers, and many others.  Each day, consumers, custodians, cleaning staffs, and others use these products, and families, building occupants, and visitors are exposed to them.  The Safer Choice program ensures that labeled products—and every ingredient in them—meet the program’s stringent health and environmental criteria—and perform well, too.

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So how can you help people make safer choices?

Related Web site

    Household Products Database (US Department of Health and Human Services)
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This database links over 14,000 consumer brands to health effects from Material Safety Data Sheets (MSDS) provided by manufacturers and allows scientists and consumers to research products based on chemical ingredients. The database is designed to help answer the following typical questions:

  • What are the chemical ingredients and their percentage in specific brands?
  • Which products contain specific chemical ingredients?
  • Who manufactures a specific brand? How do I contact this manufacturer?
  • What are the acute and chronic effects of chemical ingredients in a specific brand?
  • What other information is available about chemicals in the toxicology-related databases of the National Library of Medicine?

 

 

May 22, 2015 Posted by | Consumer Health | , , , , , , , , | Leave a comment

   

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