Category Archives: Health

Health Studies: Chronic Inflammation Reduced By Exercise, Lowering Risk Of Cardiovascular Disease

From a Harvard news online release:

Massachusetts General Hospital“This study identifies a new molecular connection between exercise and inflammation that takes place in the bone marrow and highlights a previously unappreciated role of leptin in exercise-mediated cardiovascular protection,” said Michelle Olive, program officer at the National Heart, Lung, and Blood Institute Division of Cardiovascular Sciences. “This work adds a new piece to the puzzle of how sedentary lifestyles affect cardiovascular health and underscores the importance of following physical-activity guidelines.”

Scientists at Harvard-affiliated Massachusetts General Hospital (MGH) have identified a previously unknown biological pathway that promotes chronic inflammation and may help explain why sedentary people have an increased risk for heart disease and strokes.

In a study to be published in the November issue of Nature Medicine, MGH scientists and colleagues at several other institutions found that regular exercise blocks this pathway. This discovery could aid the development of new therapies to prevent cardiovascular disease.

To read more: https://news.harvard.edu/gazette/story/2019/11/exercise-found-to-block-chronic-inflammation-in-mice/

Health Studies: People With Depression (Genetic) Reduce Depressive Episodes With Exercise

From a MD Magazine online release:

Benefits of ExerciseThe investigators discovered that patients with a higher genetic risk for depression were more likely to be diagnosed with depression over the next 2 years. However, more physically active patients at baseline were less likely to depression, even after they accounted for genetic risks.

Increasing physical activity could pay dividends for people with a high risk of developing depression.

A team from Massachusetts General Hospital (MGH) recently discovered that several hours of weekly exercise result in a decreased chance to be diagnosed with a new episode of depression, even in patients with a higher genetic risk of developing Major Depressive Disorder (MDD).

The team examined the genomic and electronic health record (EHR) data of approximately 8000 patients in the Partners Healthcare Biobank, which represents the first study to show how physical activity influences depression despite genetic risk.

To read more: https://www.mdmag.com/medical-news/physical-activity-epressive-episode?eKey=bWljaGFlbDkyNjUxQHlhaG9vLmNvbQ==&utm_medium=email&utm_campaign=MDMagSS%20Daily%20Clinical%20eNews%20Sponsored%20Article%2011-5-19%20copy&utm_content=MDMagSS%20Daily%20Clinical%20eNews%20Sponsored%20Article%2011-5-19%20copy+CID_7326ad4f0f2426afa568130acb5dabae&utm_source=CM%20MDMag&utm_term=Physical%20Activity%20Reduces%20Odds%20of%20Depressive%20Episode

Health Care System: Life-Saving Drug Shortages At U.S. Hospitals Reach “Unfathomable” Levels

From a Becker’s Hospital Review online release:

Massachusetts General Hospital“This is the fourth time in the last two years we’ve had to activate our hospital’s emergency operations plan for a major drug shortage,” Dr. Biddinger told NBC News. “It’s almost unfathomable in modern medicine. I never thought we would get to a point in the U.S. healthcare system where we wouldn’t have essential medicines to be able to treat patients.”

Drug shortages are increasing and lasting longer, according to an FDA report published Oct. 29. Of 163 drugs running low in 2013-17, over 62 percent were due to manufacturing or product quality problems.

Hospitals nationwide are facing shortages of crucial, lifesaving drugs, with 116 drugs currently running low, according to the FDA and cited by NBC News.

Boston-based Massachusetts General Hospital is a prime example, getting as close as two weeks away from canceling a lifesaving cardiac surgery due to a lack of herapin, a blood-thinner, according to Paul Biddinger, MD, chief of the division of emergency preparedness at Massachusetts General Hospital.

To read more: https://www.beckershospitalreview.com/pharmacy/it-s-almost-unfathomable-in-modern-medicine-us-hospitals-running-low-on-lifesaving-drugs.html?oly_enc_id=9129H5611090H0N

Medical Research: Single Gene Therapy Treatment For Multiple Age-Related Diseases Seen (Harvard)

From a Harvard news online release:

Harvard Medical School“The results we saw were stunning and suggest that holistically addressing aging via gene therapy could be more effective than the piecemeal approach that currently exists,” said first author Noah Davidsohn, a former research scientist at the Wyss Institute and HMS who is now chief technology officer of Rejuvenate Bio. “Everyone wants to stay as healthy as possible for as long as possible, and this study is a first step toward reducing the suffering caused by debilitating diseases.”

New research from the Wyss Institute for Biologically Inspired Engineering at Harvard University and Harvard Medical School (HMS) suggests that it may be possible someday to tend to multiple ailments with one treatment.

The study was conducted in the lab of Wyss core faculty member George Church as part of Davidsohn’s postdoctoral research into the genetics of aging. Davidsohn, Church, and their co-authors homed in on three genes that had been shown to confer increased health and lifespan benefits in mice that were genetically engineered to overexpress them: FGF21, sTGFβR2, and αKlotho. They hypothesized that providing extra copies of those genes to nonengineered mice via gene therapy would similarly combat age-related diseases and bring health benefits.

To read more: https://news.harvard.edu/gazette/story/2019/11/researchers-able-to-improve-reverse-age-related-diseases-in-mice/?utm_source=SilverpopMailing&utm_medium=email&utm_campaign=Daily%20Gazette%2020191105%20(1)

Chronic Pain: Cornell To Study Behavioral Change (Physical Exercise), Non-Drug Treatments For Pain

From a Cornell University news release:

Weill Cornell Medicine“Another behavior change is physical exercise,” Pillemer said. “A paradox of pain is that exercise helps reduce it, but it’s difficult for people in pain to think about exercising. So they don’t exercise, they get more sedentary and the pain increases; it’s a vicious circle. So how do you get people to actually change their behavior?”

More than 100 million Americans suffer from chronic pain – outnumbering those affected by heart disease, diabetes and cancer combined.

To develop innovative approaches to pain management, a team of behavioral and social science researchers on Cornell’s Ithaca campus, clinical researchers at Weill Cornell Medicine and computer scientists at Cornell Tech has received a five-year, $3 million grant from the National Institute on Aging, part of the National Institutes of Health (NIH).

To read more: http://news.cornell.edu/stories/2019/10/nih-grant-will-fund-non-pharmacological-pain-research

New Mental Health Books: “The Great Pretender” By Susannah Cahalan Looks At “Madness” In Society

Psychiatry, as a distinct branch of medicine, has come far in its short life span. (The term psychiatrist is less than 150 years old.) The field has rejected the famously horrific practices of the recent past—the lobotomies, forced sterilizations, human warehousing. Today’s psychiatric practitioners boast a varied arsenal of effective drugs and have largely dropped the unscientific trappings of psychoanalytic psychobabble, the “schizophrenogenic mothers” of yesteryear who had been thought to have somehow triggered insanity in their unwitting offspring. Two decades into the 21st century, psychiatry now views severe mental illnesses as legitimate brain diseases. Despite all these advancements, however, the field still relies solely on self-reported symptoms and observable signs for diagnosis. Though the American Psychiatry Association reassures us that psychiatrists are uniquely qualified to “assess both the mental and physical aspects of psychological problems,” they are, like all of medicine, limited by the tools at hand. There are not, as of this writing, any consistent objective measures that can render a definitive psychiatric diagnosis.

Sleep Studies: Increase In Preventable Diseases Tied To Disrupted “Circadian Rhythms” (Harvard)

From a Sleep Review Magazine online article:

Nighttime EatingWhen people are awake during the night, their behaviors are often mismatched with their internal body clocks. This can lead to nighttime eating, which can influence the way the body processes sugar and could lead to a higher risk in diabetes. “What happens when food is eaten when you normally should be fasting?” Scheer asked the audience. “What happens is that your glucose tolerance goes out the window….So your glucose levels after a meal are much higher.” This can increase people’s risk for diabetes.

Frank Scheer, PhD, professor of medicine at Harvard Medical School and director of the medical chronobiology program at Brigham and Women’s Hospital in Boston, says disruption of the body’s circadian rhythms may be one major reason why more Americans are living with preventable diseases. During his keynote talk at the 2019 AAST annual meeting in St. Louis, he outlined how recent research supports the hypothesis that higher rates of shiftwork and other forms of nighttime disruption could be contributing to increased rates of obesity, diabetes, and other common ailments.

To read more: http://www.sleepreviewmag.com/2019/10/circadian-rhythm-disruption-increase-preventable-diseases/

Top Science Podcasts: Measles Wipes Out Immune System Memory, Black Holes (Science Magazine)

scimag_pc_logo_120_120 (2)Measles is a dangerous infection that can kill. As many as 100,000 people die from the disease each year. For those who survive infection, the virus leaves a lasting mark—it appears to wipe out the immune system’s memory. News Intern Eva Fredrick joins host Sarah Crespi to talk about a pair of studies that looked at how this happens in children’s immune systems.

In our second segment this week, Sarah talks with Todd Thompson, of Ohio State University in Columbus, about his effort to find a small black hole in a binary pair with a red giant star. Usually black holes are detected because they are accruing matter and as the matter interacts with the black hole, x-rays are released. Without this flashy signal, black hole detection gets much harder. Astronomers must look for the gravitational influence of the black holes on nearby stars—which is easier to spot when the black hole is massive. Thompson talks with Sarah about a new approach to finding small, noninteracting black holes.

https://www.sciencemag.org/podcast/how-measles-wipes-out-immune-memory-and-detecting-small-black-holes

Health Care Costs: $250+ Per Visit “Facility Fees” Increasingly Charged By Medical Practices

From a New York Times online article:

Facility FeeFor new patients, whose visits entail more work than those of established patients, facility fees typically range from $131 to $322 per visit; for established patients, they are slightly lower. In surgical centers and free-standing emergency rooms, the facility fee can be thousands of dollars.

A facility fee is an additional charge that some medical practices can add to the cost of each doctor visit. The additional charge usually comes as a surprise because, unlike an exam or a test or treatment, the facility fee is not tied directly to hands-on care.

The purpose of the facility fee is to compensate hospitals for the expense of maintaining the physical premises. Hospital-owned, off-campus medical practices are also allowed to charge the facility fee to cover specific regulatory requirements, such as building codes, disaster preparedness, equipment redundancy and other items that are largely invisible to patients.

To read more: https://www.nytimes.com/2019/11/01/well/live/why-was-my-doctor-visit-suddenly-so-expensive.html