• Anti-Inflammatory Diets Improve Inflammation

    Anti-Inflammatory Diets Improve Inflammation

    A CNN review article noted that anti-inflammatory diets improve inflammation. This is important for medical conditions that also have inflammation attached to it. For instance, rheumatoid arthritis, diabetes or chronic kidney disease all carry inflammation with them. But according to a 2019 study more than 50% of … [Read More...]

  • Ultraprocessed Food Leads to Premature Aging

    Ultraprocessed Food Leads to Premature Aging

    An article in the medical journal “Medical News Today” found that ultraprocessed food leads to premature aging. What are ultraprocessed foods? The NOVA Food Classification System explains what ultraprocessed foods (UPFs) are and what other ones are not. Examples of ultraprocessed foods are: fatty, sweet, savory … [Read More...]

  • Vital Information about Cholesterol Drugs

    Vital Information about Cholesterol Drugs

    Most people know about statins to treat high cholesterol, but they do not have vital information about cholesterol drugs. Recently an article appeared in CNN, which was very informative. In the following I will review what is new about cholesterol lowering drugs. PCSK9 inhibitors, which are monoclonal … [Read More...]

  • Common Chemicals Affecting your Health

    Common Chemicals Affecting your Health

    There are common chemicals affecting your health that have been known since the 1950’s. They have the name PFAS, which stands for perfluoroalkyl and polyfluoroalkyl substances. There was a review article recently in CNN describing the complexity of PFAS, the toxicity, and what you can do to improve your risk. People … [Read More...]

  • Cardiovascular Risk Markers Predict Heart Attacks and Strokes

    Cardiovascular Risk Markers Predict Heart Attacks and Strokes

    An article in The New England Journal of Medicine stated that cardiovascular risk markers predict heart attacks and strokes. A summary of this study was also published by NBC News. 30-year follow-up of the Women’s Health Study This is based on a 30-year follow-up study of the Women’s Health Study. In the beginning … [Read More...]

  • Red Meat and Processed Meat Can Become a Cause of Diabetes

    Red Meat and Processed Meat Can Become a Cause of Diabetes

    A clinical study at the end of 2023 showed that red meat and processed meat can become a cause of diabetes. The authors published the results of this study in The American Journal of Clinical Nutrition on December 2023. Results of the study Notably, the study consisted of several pooled studies. To emphasize, … [Read More...]

    Jan
    01
    2006

    Plastic Surgery For Men

    Makeover TV shows are very common, but it is usually women who are featured in them.
    The fact that males are not talking as much about makeovers, Botox, Restylane and face lifts does not mean that cosmetic surgery is a topic only reserved for women. In 2004 1.2 million procedures were performed on men according to statistics from the American Society of Plastic Surgeons. The number of surgical procedures rose by 16% from 2000, and in 2004 there was also a 43% increase in minimally invasive treatments for men.
    The reasons for this shift of attention may have several reasons. Men feel that there is more pressure on them to look vibrant, youthful and energetic. There is a lot more exposure of plastic surgery in the news media. Information about cosmetic surgery is also disseminated on the Internet.
    An executive who has experience and skills and looks tired and old may be at a disadvantage on the career ladder, observes Dr. Lorne Tarshis, a Toronto plastic surgeon. If drooping eyelids convey the look of defeat and tiredness, it is not likely a reflection of how the patient really feels. As a result, men in this category will often opt for a blepharoplasty. Women are more willing to talk about plastic surgery to their doctor. Men are more reluctant than women to go to the doctor’s office and ask about procedures. They are more likely to get their information on the net and walk into the office of the plastic surgeon with their minds made up. Dr. Arie Benchetrit, a plastic surgeon from Pointe Claire, Quebec finds that men are more pragmatic, whereas women are more open to discuss options. Men are looking for “natural” results, meaning in this case, that they want to look great but they don’t want people to know why they look great. As a result they prefer less dramatic procedures. It does not mean that men are less nervous or anxious about their appearance than women, but mostly they won’t talk about it, because admitting vulnerability in a competitive context goes against male culture.
    Plastic Surgery For Men

    Before (above) and after (below) blepharoplastyDr. A. Carruthers from Vancouver reports that some patients with facial wasting as a result of HIV benefit from cosmetic fillers like restylane and silicone oil. Some of them were well enough to work. Their condition was stable, they felt fine, but they were sent home and told to go on disability because they looked too sick to be seen in the workplace. “Getting their faces back” had an immense emotional impact on those patients, who no longer felt stigmatized. Dr. Carruthers reported that in the past cosmetic surgery was looked at with skepticism. When Sigmund Freud heard that someone wanted to undergo a cosmetic procedure, he responded by prescribing psychoanalysis. But times have changed. Cosmetic procedures are more about well being, and the word “vain” is a four-letter word.

    More on cosmetic surgery: http://nethealthbook.com/dermatology-skin-disease/cosmetic-surgery/

    Reference: The Medical Post, December 20, 2005, page 31

    Last edited October 30, 2014

    Jan
    01
    2006

    Colon Cancer Associated with H. Pylori

    The prevalence of Helicobacter pylori has been identified as a risk for the development of stomach cancer. Infection with this microbe has come under more scrutiny, as patients who are seropositive to H. pylori are more likely to develop colorectal cancer than those patients who are seronegative. The green colored bacteria on this image are H. pylori in the gastrointestinal tract.

    Dr. Akio Inui from Kagoshima University in Japan has investigated the relationship of this microbe in the development of colon cancer by analyzing data from 332 patients who were screened by virtual colonoscopy (high-resolution colonoscopy) and serological testing for H. pylori. Of the patient group 42 % with H. pylori antibodies had tubular adenomas (precancerous colon cancer lesions) but only 19% of the negative group had colonic cancers. The researchers concluded that more investigations and long-term prospective studies are needed to explore the biological basis of Helicobacter infection and colon cancer.

    Colon Cancer Associated with H. Pylori

    Colon Cancer Associated with H. Pylori

    In the meantime it is important to eradicate infection in order to prevent stomach and colon cancers.

    More info on gastritis and H. pylori: http://nethealthbook.com/digestive-system-and-gastrointestinal-disorders/gastritis/

    More info on colon cancer: http://nethealthbook.com/cancer-overview/colon-cancer/

    Reference: Int. J. Cancer 2005; 117: 1058-1059

    Last edited October 30, 2014

    Jan
    01
    2006

    Prevent Foot Problems In Diabetics

    Diabetes has reached epidemic proportions in North America. Two million Canadians (about 20 million in the US) have diabetes, and the number is expected to rise dramatically. At one time or another about 15-20% of patients with diabetes will need hospitalization with a diabetic foot complication. The conditions, which are of concern, are diabetic foot ulcers, severe infection and circulation problems in fingers and feet (peripheral circulation). Health budgets are stretched, as the cost of treating a single foot ulcer has been estimated at $2,183, so the total cost over the lifetime of current diabetics will exceed $650 million (about 6.5 billion $ in the US). Foot ulcers appear like a small item considering the fact that the need for amputation of a lower extremity is the next severe problem that can arise. The average patient who undergoes a below knee amputation will spend 84 days in hospital and another 38 days in rehabilitation.
    To prevent the development of foot ulcers, it is important to screen diabetic patients for predisposing factors like the loss of protective sensation in the feet (diabetic neuropathy) as well as structural changes resulting in areas of increased pressure. A study conducted in southwestern Ontario found that only 15% of patients with type 2 diabetes were screened to identify those at risk for foot ulcers. Screening is the first step, after which a podiatrist will have to take over. Footwear prescribed by a podiatrist can be an avenue of prevention, but ongoing podiatric care as well. The small number of diabetic foot screenings shows that podiatric medicine has not been used as a tool to recognize and treat diabetic foot problems.

    Prevent Foot Problems In Diabetics

    Prevent Foot Problems In Diabetics

    The proactive approach of seeking the input of a podiatrist early will translate into significant benefits for the patient with type 2 diabetes.

    More information on complications of diabetes:  http://nethealthbook.com/hormones/diabetes/complications-diabetes/

    Reference: Parkhurst Exchange, December 2005, page 162

    Last edited October 30, 2014

    Jan
    01
    2006

    Face Transplants For Disfigured Patients

    Patients with severe burns to their face have been treated with skin transplants in order to help them cope with common body functions which the average person takes for granted, like opening and closing of eyelids or breathing. Patients have to undergo numerous skin grafts, where skin is transplanted from other body areas. The process can take years, as multiple surgeries are needed. Facial skin is also more tender and pliable, making it different from the type of skin in other areas of the body, and plastic surgeons are working to make the facial appearance of the patient less mask-like. The journey to recovery becomes a long and difficult one, which can be likened to an emotional roller coaster: there is surgery and the time to heal, after which more surgery is required.
    The possibility of a face transplant sounded like a futuristic item till a short time ago, but French doctors have used new techniques to restore the facial features of a 38-year-old woman, whose face had been mauled by a dog. The partial transplant was done using the mouth, nose and chin of a brain dead donor.
    Maria Siemionow, the director of plastic-surgery research at the Cleveland Clinic states, that facial transplant can only be considered as a treatment for severely disfigured patients who have exhausted all conventional options. The procedure itself remains controversial and risky. It involves harvesting the face from a brain-dead organ donor in a 4 to 6 hour surgery. In the following 10 to 15 hour procedure the face is draped over the bones and muscles of the recipient. Following surgery the transplant patients needs to take medication to prevent the rejection of the transplant. Even though the risk is not any different than the risk, which goes along with a kidney transplant, there is the possibility of transplant rejection and of side effects from immunosuppressants. Patients, who take this medication that will cost about $2000 per month, are more susceptible to infection, cancer, metabolic disorders, and liver and kidney damage. The psychological impact on the patient will also be significant, as there could be a feeling of having a different identity. Dr. James Zins, chairman for plastic surgery at the Cleveland Clinic, insists that there are no races to be won and the approach to this new option should be methodical and slow.

    Face Transplants For Disfigured Patients

    Before and after face transplant

    Not all potential candidates for the surgery are willing to take the risk of life-long immuno-suppressants and it is only a consideration for physical as well as psychologically suitable patients who are willing to take the risk of receiving a new face after devastating accidents.

    Reference: December 12, 2005 issue of Newsweek, pages 60-61

    Last edited December 6, 2012

    Dec
    01
    2005

    Jetlag Helped By Bright Lights and Melatonin

    The effects of long distance travel can be unpleasant: once several time zones are crossed, people are struggling to adjust to a different wake-sleep pattern, and what is know as the “circadian rhythm” has to readjust.
    Eating light meals, avoiding alcohol during travel and drinking plenty of water are the suggestions, which are frequently heard. The other suggestion for travelers is adjusting their sleep times before the trip, namely going to sleep one hour earlier for each hour of time difference when traveling east. This method alone is not always practical, especially when a sudden trip with time differences of more than 8 hours are involved.
    Previous research has also shown that light box therapy works and that melatonin is a useful tool in people with jet lag.
    Dr. Charmane Eastman (PhD) from Rush University Medical Center has authored a study that shows that light therapy in combination with melatonin works better than light therapy alone. Dr Eastman and colleagues studied 44 healthy adults who were divided into three groups. The first group received placebo (meaning” fake” pills), the second group took 0.5 mg melatonin, and the third group received 3.0 mg melatonin. All three groups were given three days of advancing sleep-dark period with a wake time one hour earlier each morning. They also got bright light on awakening, namely four 30-minute bright-light pulses alternating with 30 minutes of room light. There were significantly larger phase advancements with 0.5 mg or 3.0 mg of melatonin, as opposed to placebo. A slightly larger shift was obtained with the 3.0 mg dose of melatonin as compared to 0.5 mg, but this difference was too small to be statistically significant.
    Jetlag Helped By Bright Lights and Melatonin

    Jetlag Helped By Bright Lights and Melatonin

    The researchers concluded, that afternoon melatonin, morning intermittent bright lights and a gradually advancing sleep schedule was able to advance the circadian rhythm almost an hour a day. It was also found, that the lower dose of melatonin would be adequate, and as melatonin is pretty harmless compared to most drugs prescribed, people should not be afraid to use it (even the higher dose) to cope with jet lag.

    Reference: The Medical Post, November 22, 2005, page 49

    Last edited December 6, 2012

    Dec
    01
    2005

    Food Habits Related To Asthma

    High quality dietary data have made it possible for a research team in North Carolina to address how a diet rich in meat, salt, starches (=refined carbohydrate) and fat can have an impact on respiratory problems and asthma.
    Stephanie London and her team examined the data of 52,535 people between the ages of 45 and 74 years of age. A baseline examination was started in 1993, and follow-ups were done in 1999. All of the participants lived in Singapore. After adjustments were made for age, gender, smoking and education. It was observed that dietary habits could make a difference to respiratory health. Two eating patterns emerged: one group gravitated towards dim sum, meat and noodle dishes, whereas the other group favored fruit, vegetables and soy products. The “meat and dim sum” group had a 1.43 times higher risk of developing breathing problem, new-onset cough and phlegm formation. There was also a link to chronic respiratory disease and asthma.

    The researchers concluded also, that the habits observed in the Singapore study are very much in keeping with dietary habits in western countries, where one group consumes foods high in starch, fat, meat and sodium and a second group has a more health conscious approach preferring, vegetables, fruit, legumes, fish, poultry and whole grains.
    As a result the same recommendations are applicable to in western countries: stick to food choices with a low glycemic index and skip the noodle dishes. Stay away from trans fats and limit the saturated fats, which means turning away from deep-fried foods and limiting meat intake. Choose fish, vegetables and legumes, and avoid the high sodium content, which is common in many premixed and prepared foods. If you are doing the cooking, go easy on salt, and ban the saltshaker from the dining table.

    Food Habits Related To Asthma

    Food Habits Related To Asthma

    A lot has been said about good food habits and a reduction in cancers and heart disease. What is new is the fact that food habits also have an impact on the health of our respiratory system.

    More on inflammation as a cause of arthritis, asthma, cardiovascular disease and cancer: http://nethealthbook.com/about/overview/

    Reference: Am J Respir Crit Care Med 2005

    Last edited October 29, 2014

    Dec
    01
    2005

    Hospital Cafeterias Need Healthier Food

    Cafeterias and fast food restaurants have come under scrutiny for offering food choices that are not compatible with healthy living. In a place where healthcare is the prime concern, like in the cafeteria of a hospital, one should hope that promoting good health should be the norm.
    A U.S. wide survey tells another story: hospitals are falling short of providing meals that are healthy and heart-friendly. There are some trends, such as the availability of fresh fruit and wholegrain products, but the overall picture points to an urgent need for improvement. The survey was conducted by the Physicians Committee for Responsible Medicine (PCRM, for short). This advocacy group for ethical and preventive medicine distributed questionnaires, inquired about sample menus as well as recipes for one of the “healthiest menu items available from the hospital’s main eating establishment”. It turned out that sixty-two percent of the “healthiest entrée” choices derived more than 30% of calories from fat, and a few derived more than 50% of calories from fat.

    Although at least 80% of responding hospitals offered wholegrain products, sugar-free snacks and fresh fruit, less than a third offered a daily salad bar. Artery-clogging fats in hospital food also prevailed. Fried chicken was the top selling item in 24% of the hospital cafeterias and hamburgers in 12% of the surveyed cafeterias. Other top sellers included pizza, enchiladas and meatloaf. Less than one third offered non-dairy options or soymilk.
    The recommendations to promote more health conscious food were very much common-sense: food services should offer daily salad bars, use fresh rather than canned vegetables, incorporate organic ingredients and hearty vegetarian soups daily. Fatty or cholesterol-laden add-ons such as bacon, mayonnaise, croutons and sour cream should be optional. Beans should also be offered as well as healthy items from other countries’ cuisines.

    Hospital Cafeterias Need Healthier Food

    Hospital Cafeterias Need Healthier Food

    In the meantime it is up to the consumer to be prudent in making the better choices. This may involve turning a cold shoulder to cafeteria food and seek healthier choices elsewhere. For the visitor it may mean that bringing a brown bag or a take-away with a salad would be more appropriate than bringing a bunch of flowers for a loved one in the hospital.

    More on processed foods: https://www.askdrray.com/caution-processed-food-ahead/

    Reference: The Medical Post, October 25, 2005, page 15

    Last edited October 29, 2014

    Dec
    01
    2005

    Lycopene For Bone Health

    The tomato pigment Lycopene in the diet has been demonstrated to be a beneficial agent in reducing age-related diseases, cardio-vascular disease and even prostate cancer. A new aspect has now been investigated.
    Consuming more lycopene in the diet is of significant benefit to post-menopausal women, as it reduces oxidative stress and bone turnover. The findings come from head researcher Erin Collins from the University of Toronto. The study results also suggest, that dietary lycopene is readily absorbed, particularly in combination with vitamin C. These results are encouraging, as lycopene may be one of the main agents important for the prevention of osteoporosis.” We found that women who consumed more tomato products on a daily basis had a lower bone turnover and lower oxidative stress than women of the same age group who did not consume as much”, reports Ms. Collins. The participants of the research project were between 50 and 60 years. Lycopene levels in the blood were analyzed, and a seven-day food record was completed. The lowest quartile of estimated lycopene intake was 1.8 mg per day, and the highest was 8 mg per day. Lab tests also showed that higher levels of lycopene were associated with a lower level of protein oxidation and cross-linked N-telopeptides of type I collagen, for short NTx. The latter one is a marker of bone turnover. The intake of vitamin C appeared to work together with lycopene, but it only showed to have a correlation, if 500 mg per day or more of vitamin C was consumed. The effect was not observed among the volunteers who consumed less than 500 mg per day of vitamin C.
    An intervention study will begin shortly, which will be the first of its kind. It will assess the bone parameters in women treated with different doses of lycopene pills.

    Lycopene For Bone Health

    Lycopene For Bone Health

    It is likely that follow-up studies will confirm initial findings, and dietary lycopene could become a simple, inexpensive way of helping to prevent osteoporosis.

    More information about osteoporosis: http://nethealthbook.com/arthritis/osteoporosis/

    Reference: The Medical Post, October 11, 2005, page 8

    Last edited October 29, 2014

    Dec
    01
    2005

    Focused Radiation Improves Breast Cancer Cures

    Surgery for breast cancer in past years often involved the removal of the entire breast (=mastectomy). The cancer patient often dreaded this procedure because of the physical and psychological impact. With early-stage breast cancer the removal of the breast lump proved to be the more acceptable choice (=lumpectomy). There was however the question, whether any treatment after the surgical procedure would make a difference in the long-term cure.
    Dr. Martin Keisch, a radiation oncologist at Mount Sinai Comprehensive Cancer Center in Miami Beach, Florida reports about his experience with a specific radiation therapy called balloon brachytherapy. He led a study with 43 women with early-stage breast cancer who underwent the procedure following lumpectomy. None of them had a cancer relapse over the next four years. Importantly, there were also no serious long-term side effects. The cosmetic results were rated good to excellent by 85 % of the women.

    Focused Radiation Improves Breast Cancer Cures

    Focused Radiation Improves Breast Cancer Cures

    The brachytherapy system, called the MammoSite Radiation Therapy System, is approved for use in the U.S. and Canada.

    More information on breast cancer: http://nethealthbook.com/cancer-overview/breast-cancer/

    Reference: The Medical Post, November 22, 2005, page 48

    Last edited October 29, 2014

    Nov
    01
    2005

    More Is Not Always Better In Exercise

    Physical activity and good nutrition are the keys for a healthy immune system. Dr. David Nieman, PhD, from the Appalachian State University of Boone, N.C. has found that exercise and nutrition play a strong role in boosting immunity. His past research showed that women who walked briskly for 30 to 45 minutes five days for 12 to 15 weeks had colds half as often as inactive women. This is true even for the aging population, where immunity tends to decline; some research has shown that fit elderly people have better-preserved immune systems.
    It is tempting to conclude, that more exercise would lead to even better benefits, but the research results are quite different. Exercising for too long (beyond 90 minutes) appears to cause a steep drop in immune function that can last up to 24 hours. In the 1987 Los Angeles Marathon, Dr. Nieman surveyed 2,311 runners and found those who raced were six times more likely to get sick afterward compared with those who dropped out of the race for non-medical reasons. Runners who trained more than 96 km per week during the two months before a race doubled their chances for sickness compared with those who trained less than 36 km per week.
    In lab tests on marathon runners who ran on a treadmill for 90 minutes to 3 hours at 80% aerobic capacity, the level of immune cells had decreased (neutrophils, monocytes, natural killer cells, T cells and B cells). All these players in the immune system leave the blood and concentrate on the effort to do repairs and maintenance on the muscles. As a result the front line soldiers are unavailable for defense when viruses are present.

    More Is Not Always Better In Exercise

    More Is Not Always Better In Exercise

    The best strategies for active as well as not-so-active individuals remain similar.
    -Minimize life stresses-mental and emotional.
    -Avoid over training and chronic fatigue.
    -Curb exercise if you have a fever or systemic infection.
    -Eat a well-balanced diet with adequate energy.

    More about fitness: http://nethealthbook.com/health-nutrition-and-fitness/fitness/

    Reference: The Medical Post, October 11, 2005, page 19

    Last edited October 29, 2014