Category Archives: Health

Brain Health: “Package Of Lifestyle Changes” (Brisk Exercise, Healthy Diet & Sleep, Cognitive Training) Helps Prevent Dementia

From a Wall Street Journal online article:

How Likely is Dementia - Source The Lancet, Gill Livingston, et al.
How Likely Is Dementia?

Dementia is a complicated disease that has multiple causes and risk factors, some of which remain unknown. Nevertheless, there is increasing evidence that people—even those who inherit genes that put them at greater risk of developing Alzheimer’s in later life—can improve their chances by adopting lifestyle changes.

“It’s not just about running three times a week,” says Sarah Lenz Lock, executive director of AARP’s Global Council on Brain Health. “Instead, it’s about a package of behaviors, including aerobic exercise, strength training, a healthy diet, sleep and cognitive training.”

When it comes to battling dementia, the unfortunate news is this: Medications have proven ineffective at curing or stopping the disease and its most common form, Alzheimer’s disease. But that isn’t the end of the story. According to a recent wave of scientific studies, we have more control over our cognitive health than is commonly known. We just have to take certain steps—ideally, early and often—to live a healthier lifestyle.

In fact, according to a recent report commissioned by the Lancet, a medical journal, around 35% of dementia cases might be prevented if people do things including exercising and engaging in cognitively stimulating activities. “When people ask me how to prevent dementia, they often want a simple answer, such as vitamins, dietary supplements or the latest hyped idea,” says Eric Larson, a physician at Kaiser Permanente in Seattle and one of a group of scientists who helped prepare the report. “I tell them they can take many common-sense actions that promote health throughout life.”

To read more: https://www.wsj.com/articles/what-science-tells-us-about-preventing-dementia-11574004600

To Improve Healthcare: A New, Unbiased “Health Information Agency” Would Transform System

From a HealthAffairs.org online article:

Health Information AgencyThis proposed agency could work like a seal of approval, like the Energy Star program run by the Environmental Protection Agency, for new software, apps, and vendors that will be handling sensitive health information. Just like dishwashers evaluated by Consumer Reports, apps that handle personal health information should have a similar unbiased review process.   

The US health care system is finally at a tipping point of much needed and overdue modernization. While it promises a brave new world of streamlined and improved health care, we are facing nothing short of a revolutionary transformation that is based on a tsunami of readily accessible health information and digital tools.

Currently, there is no federal agency, public-private collaboration, or private industry mechanism that is prepared to handle the ensuing activity in its entirety. We need to get a handle on how best to protect our private health care data while also making sure that information is allowed to flow as freely as necessary to improve our delivery system and population’s health. We need a dedicated team of experts who speak the language of both information technology and public policy. We need a new federal agency that has jurisdiction and dedicated staff to oversee health information and the technology that will simplify and operationalize the information.

To read more: https://www.healthaffairs.org/do/10.1377/hblog20191108.972878/full/?utm_campaign=HASU&utm_medium=email&utm_content=Association+Health+Plans%3B+HIV+Preventive+Recommendations%3B+Improper+Medicaid+Enrollment+Following+Expansion%3B+Health+Reform+On+The+Campaign+Trail%3B+Frequent+Emergency+Department+Users&utm_source=Newsletter

Heart Disease: Stents, Bypass Surgery Provide No Benefits To Stable Patients In Large Funded Trial

From a Stanford Medicine online release:

Stent in Coronary Artery“For patients with severe but stable heart disease who don’t want to undergo these invasive procedures, these results are very reassuring,” said David Maron, MD, clinical professor of medicine and director of preventive cardiology at the Stanford School of Medicine, and co-chair of the trial, called ISCHEMIA, for International Study of Comparative Health Effectiveness with Medical and Invasive Approaches. 

“The results don’t suggest they should undergo procedures in order to prevent cardiac events,” added Maron, who is also chief of the Stanford Prevention Research Center.

Patients with severe but stable heart disease who are treated with medications and lifestyle advice alone are no more at risk of a heart attack or death than those who undergo invasive surgical procedures, according to a large, federally-funded clinical trial led by researchers at the Stanford School of Medicine and New York University’s medical school.

The trial did show, however, that among patients with coronary artery disease who also had symptoms of angina — chest pain caused by restricted blood flow to the heart — treatment with invasive procedures, such as stents or bypass surgery, was more effective at relieving symptoms and improving quality of life.

To read more: http://med.stanford.edu/news/all-news/2019/11/invasive-heart-treatments-not-always-needed.html

Health Reports: CDC Finds That 35,000 Americans Die Of Antibiotic-Resistant Infections Each Year

CDC Antibiotic Resistance Threats in the United States 2019More than 2.8 million antibiotic-resistant infections occur in the United States each year, and more than 35,000 people die as a result. In addition, nearly 223,900 people in the United States required hospital care for C. difficile and at least 12,800 people died in 2017.

Germs continue to spread and develop new types of resistance, and progress may be undermined by some community-associated infections that are on the rise. More action is needed to address antibiotic resistance. While the development of new treatments is one of these key actions, such investments must be coupled with dedicated efforts toward preventing infections in the first place, slowing the development of resistance through better antibiotic use, and stopping the spread of resistance when it does develop to protect American lives now and in the future.

CDC’s Antibiotic Resistance Threats in the United States, 2019 (2019 AR Threats Report) includes updated national death and infection estimates that underscore the continued threat of antibiotic resistance in the United States. New CDC data show that while the burden of antibiotic-resistance threats in the United States was greater than initially understood, deaths are decreasing since the 2013 report. This suggests that U.S. efforts—preventing infections, stopping spread of bacteria and fungi, and improving use of antibiotics in humans, animals, and the environment—are working, especially in hospitals. Vaccination, where possible, has also shown to be an effective tool of preventing infections, including those that can be resistant, in the community.

To read the report: https://www.cdc.gov/drugresistance/pdf/threats-report/2019-ar-threats-report-508.pdf

Podcasts: “Intitute For Clinical And Economic Review” (ICER) Is Helping To Lower Drug Prices (WSJ)

Wall Street Journal PodcastsAn obscure think tank in Boston is getting drug companies to lower their prices – using something called a QALY. WSJ’s Denise Roland explains what a QALY is, and why it’s controversial.

Exercise Studies: Older Adults’ “Fragmented Physical Exercise” Linked To Higher Death Rates

From a National Institute On Aging release:

Baltimore Longitudinal Study of Aging Studies
Baltimore Longitudinal Study of Aging Studies

Fragmented physical activity, but not total daily activity, was significantly associated with death, the researchers found. For each 10% higher degree of activity fragmentation, mortality risk was 49% greater. The duration of physical activity also mattered: Participants who frequently engaged in short bouts of activity of less than five minutes were more likely to die than those whose activity bouts lasted five minutes or longer. These associations held after adjusting for age, sex, body mass index and other factors.

Daily physical activity, which benefits health and quality of life, typically decreases in older adults. A new study shows that higher fragmentation of that activity — more transitions from activity to sedentariness — may be a better indicator of risk of death than a person’s overall level of physical activity.

Researchers from the Johns Hopkins Bloomberg School of Public Health, Baltimore, analyzed data from the NIA-supported Baltimore Longitudinal Study of Aging (BLSA), looking at a week’s worth of minute-by-minute physical activity for 548 healthy participants age 65 and older (average age, 76).

To read more: https://www.nia.nih.gov/news/fragmented-physical-activity-linked-higher-risk-death-older-adults

Medical Podcasts: New Stanford Hospital Uses Technology To Stay “Future-Proofed”

From a Stanford Medicine online article:

Stanford Medicine“A simple example would be copper and fiber wires. When you’re putting wires in a new facility, it’s easier to put in many more than you need that moment because putting them in 5 years from now or 10 years from now is quite hard. Something like 85 percent of our copper wires and fiber optic cables are dark right now because we know we’re going to need them in the future.”

When you consider the fast pace of technological advances today, you wonder how do you go about building a new hospital and keep the technology relevant for 10, 20 or even 50 years?  I put that question to Stanford Health Care’s technology wiz Gary Fritz. He told me:

“We try to do something we call future-proof the hospital. We tried to make design decisions and technology decisions that allow us to move to the current or the next generation technology as easily as possible.”

 

Healthy Diet Podcasts: “Are Probiotics Safe for Your Immune System?” (Scientific American)

From a Scientific American online release:

Nutrition Diva Health Diet PodcastOne of the immune system’s jobs is to protect us from harmful bacterial. And the beneficial organisms that we refer to as probiotics contribute to this effort in a number of ways. In the gut, a robust population of beneficial bacteria can help crowd out harmful bacteria, making it harder for them to thrive. In addition, probiotic bacteria can influence the activity of our own immune cells, regulating inflammation, barrier function, and cell-to-cell signaling. 

One way to foster healthy intestinal bacteria is to eat more of the foods these bugs like to eat—namely, fiber.  Increasing your intake of plant fibers from vegetables, fruits, legumes, whole grains, nuts, and seeds is like filling a bird-feeder with the kind of seeds that the beautiful songbirds you want attract like best. If you feed them, they will come!

And if we want to attract a lot of different types of songbirds—er, bacteria—then we want to put out a variety of foods. That means you don’t just want to get all your fiber from a single source, such as a fiber supplement. You want to get it fiber from lots of different kinds of vegetables, fruits, legumes, grains, nuts and seeds.

To read more: https://www.scientificamerican.com/article/are-probiotics-safe-for-your-immune-system/?utm_source=newsletter&utm_medium=email&utm_campaign=weekly-review&utm_content=link&utm_term=2019-11-13_top-stories&spMailingID=60991971&spUserID=MjUxMzc4MzQ1MzMyS0&spJobID=1761811419&spReportId=MTc2MTgxMTQxOQS2

 

Top New Science Podcasts: 3D Printer Advances, Gut Microbes Linked To Liver Disease (Nature Magazine)

Nature PodcastHear this week’s science news, with Nick Howe and Shamini Bundell. This week, a new 3D printer allows quick shifting between many materials, and understanding the link between gut microbes and liver disease.

In this episode:

00:46 A new dimension for 3D printers

A new nozzle lets a 3D printer switch between materials at a rapid rate, opening the door to a range of applications. Research Article: Skylar-Scott et al.News and Views: How to print multi-material devices in one go

08:07 Research Highlights

The slippery secrets of ice, and cells wrapping up their nuclei. Research Highlight: Viscous water holds the secret to an ice skater’s smooth glideResearch Highlight: Super-thin layer of ‘bubble wrap’ cushions a cell’s nucleus

10:17 Linking bacteria to liver disease

Researchers have isolated a bacterial strain that appears to play an important role in alcoholic liver disease. Research paper: Duan et al.News and Views: Microbial clues to a liver disease

17:10 News Chat

‘Megaconstellations’ of satellites concern astronomers, and a report on the gender gap in chemistry. News: SpaceX launch highlights threat to astronomy from ‘megaconstellations’News: Huge study documents gender gap in chemistry publishing

Trends In Healthy Living: Copenhagen, Denmark Is The “Global Exemplar Of Bicycle Culture”

From a New York Times online article:

Copenhagen Cyclists Betina Garcia for The New York TimesCopenhagen’s legendary bicycle setup has been propelled by all of these aspirations, but the critical element is the simplest: People here eagerly use their bicycles — in any weather, carrying the young, the infirm, the elderly and the dead — because it is typically the easiest way to get around.

Copenhagen’s status as a global exemplar of bicycle culture owes to the accommodating flatness of the terrain and the lack of a Danish auto industry, which might have hijacked the policy levers. Trouble also played a role.

Nearly half of all journeys to school and work in Copenhagen take place on bicycles. And people like it that way.

The global oil shock of the 1970s lifted the price of gasoline, making driving exorbitantly costly. A dismal economy in the 1980s brought the city to the brink of bankruptcy, depriving it of finance to build roads, and making bicycle lanes an appealingly thrifty alternative.

To read more: https://www.nytimes.com/2019/11/09/world/europe/biking-copenhagen.html