Tag Archives: Health

Sleep Studies: Even Low-Levels Of Light At Night Causes Diabetes In Elderly

From a Sleep Medicine online release (January 2020):

Sleep Medicine January 2020Our findings suggest that LAN (low-level light at night) exposure increases the incidence of diabetes in a general elderly population. Further research involving a large cohort with new-onset diabetes is warranted to elucidate these findings.

Highlights

  • Humans are commonly exposed to light at night.
  • Higher light exposure at night was significantly associated with higher incidence rate of diabetes.
  • The association was consistent in the analysis using the cut-off values of LAN as 3 and 5 lux.
  • Strengths include large samples adjusting a number of confounders.

The circadian timing system, located within the suprachiasmatic nucleus of the hypothalamus, controls fundamental energy homeostasis. Clock gene mutations induce obesity in mice, and the disruption of internal circadian rhythms decreases daily energy expenditures and leptin levels in humans. Light information received by the brain influences human circadian timing and metabolism; low-level light at night (LAN) significantly increased body mass and led to prediabetes in mice. In humans, bedroom LAN affected obesity parameters; however, the association between LAN and the incidence of diabetes in humans has not been studied.

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Health Infographics: The Most Common Types Of Cancer In U.S. By Gender

The Most Common Types of Cancer in the U.S. American Cancer Socieaty 2020

Cardiovascular disease remains the leading cause of death worldwide among middle-aged adults. However, deaths from cancer are catching up in high-income countries according to a study recently published in the medical journal The Lancet. Researchers calculated that cancer kills about twice as many people as cardiovascular disease in more developed countries. Globally, cancer could become the leading cause of death in just a few decades, the study said.

Medical Lectures: “Living Donor Liver Transplants” (UCSF Medical School)

Nationally, there are approximately 18,000 patients on the liver transplant list. Annually, about 6,000 patients receive a liver transplant. Because of the organ shortage, many patients waiting for liver transplants die on the list or become too sick to undergo transplant. Dr. John Roberts offers these solutions: expanded criteria donors, split livers and living donors. Recorded on 10/30/2019. 

More from: Organ Failure and Replacement: Why Organs Fail and What Therapies are Available for Organ Replacement (https://www.uctv.tv/organ-failure-rep…)

Studies: Steep Increase In “Early-Onset Colorectal Cancer”; First Screening At Age 45 Suggested (JAMA)

From a JAMA Network Open online release (Jan 31, 2020):

JAMA Network OPEN LogoSteep incidence increases between 49 and 50 years of age are consistent with previously undetected colorectal cancers diagnosed via screening uptake at 50 years. These cancers are not reflected in observed rates of colorectal cancer in the SEER registries among individuals younger than 50 years. Hence, using observed incidence rates from 45 to 49 years of age alone to assess potential outcomes of earlier screening may underestimate cancer prevention benefits.

Colorectal Cancer Incidence Rates per 100000 30 - 60 Years of age 2000-2016 JAMA

Early-onset colorectal cancer (EOCRC) incidence rates are increasing, and controversy exists regarding whether average-risk screening should begin at 45 or 50 years of age.1 In 2018, the American Cancer Society recommended that average-risk screening start at 45 years of age.2 Others recommend screening at 50 years of age, although the US Multi-Society Task Force on Colorectal Cancer recommends screening African American individuals at age 45 years of age owing to higher incidence, mortality, and earlier-onset disease.36 The American Cancer Society decision incorporated modeling studies that used updated incidence and mortality data encompassing time periods of increasing EOCRC incidence rates; modeling compared life-years gained by initiating screening at 45 vs 50 years.

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Health: “What Are Hernias & How Are They Repaired?”

Think of a hernia like a bulge in a damaged tire. The inner tube or soft tissue is normally contained by the abdominal wall, and if there is a leak or weak spot the soft tissue like fat or intestines can protrude through. Having a hernia will eventually require surgery to repair, and there are several different ways surgeons go about it.

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Studies: Irregular Sleep Disrupts Pancreatic “Circadian Rhythms”, Leading To Type 2 Diabetes

From a Technology Networks online article:

Technology NetworksBy comparing the pancreatic cells of type 2 diabetic human donors with those of healthy people, researchers at the University of Geneva (UNIGE) and at the University Hospitals of Geneva (HUG), Switzerland, were able to demonstrate, for the first time, that the pancreatic islet cells derived from the Type 2 Diabetic human donors bear compromised circadian oscillators.

The disruption of the circadian clocks was concomitant with the perturbation of hormone secretion. Moreover, using clock modulator molecule dubbed Nobiletin, extracted from lemon peel, the researchers succeeded in “repairing” the disrupted cellular clocks and in partial restoring of the islet cell function. These results, published in the Proceedings of the National Academy of Sciences of the United States, provide a first insight into innovative approach for diabetes care.

PNAS Pancreatic Islets from type 2 diabetes

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The circadian clock system (from Latin “circa diem”, about a day) allows the organisms to anticipate periodical changes of geophysical time, and to adjust to these changes. Nearly all the cells in our body comprise molecular clocks that regulate and synchronize metabolic functions to a 24-hour cycle of day-night changes.

Today, increasing evidence show that disturbances in our internal clocks stemming from frequent time zone changes, irregular working schedules or ageing, have a significant impact on the development of metabolic diseases in human beings, including type-2 diabetes. Such disturbances seem to prevent the proper functioning of the cells in the pancreatic islet that secrete insulin and glucagon, the hormones that regulate blood sugar levels.

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Studies: Heart Surgery Patients Can Be Safely Discharged In 3 Days

From a News-Medical.net online release:

Northwestern Medicine logo“Patients can go home after a shorter length of stay in the hospital without increased risk of complications and rehospitalizations,” said Dr. Malaisrie. “Because we found no detrimental effect of accelerated discharge, both patients and physicians should not be averse to discharging patients when medically ready.”

Dr. Malaisrie anticipates that the Northwestern Medicine cardiac ERAS program will result in faster recoveries, reduced complications, decreased time in the hospital, lower costs, and improved patient/family satisfaction. In the future, the researchers plan to closely examine both traditional clinical endpoints and patient-reported outcomes from the program.

“Expectations for recovery after cardiac surgery are being reset in the current era,” he said. “What does this mean for patients? It means that prolonged or taxing recovery is no longer required. Patients should know that recovery from heart surgery is not only quicker, but also better with ERAS programs.”

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Excerpts: Chip Walter On The “Search For The Aging Cure” (“Immortality, Inc.”)

From a LitHub online article by Chip Walter, 69:

Immortality Inc Chip Walter bookAnd what if older neurons were replaced wholesale with new stem cells? They might scramble different sectors of the brain by destroying the new connections between the originals. Fiddle with those, and who knew what mayhem might follow? Memories, learning, and other cerebral functions that the brain had grown accustomed to might simply vanish. On the other hand, in the case of a disease like Alzheimer’s, maybe new memories would be better than no memories at all.

Robert Hariri’s views on human health began to take an unusual turn a little more than 25 years ago, when he was working as a neurosurgeon and trauma doctor at the New York Hospital-Cornell Medical Center. Day after day, he watched patients come into the emergency room with severe brain injuries, and it was a painful thing to witness.

He never forgot the case of a woman who had arrived after a senseless automobile accident. She was young, and the injury was bad. Every time he spoke with the family, the big questions they asked were: “How will she be? Will she come back? Could she be a mother to her children again?” It broke his heart.

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William J. (Chip) Walter Jr. (born May 23, 1951) is an author, journalist, National Geographic Fellow, educator, filmmaker and former CNN bureau chief. He has written five mainstream science books between 1991 and 2019. Walter was one of the original employees at Cable News Network when it went on the air June 1, 1980 and later became its youngest bureau chief when he created CNN’s first Southeast Bureau in 1981 before heading up the network’s San Francisco Bureau in 1982. He has written and produced several PBS science documentaries, served as an adjunct professor at Carnegie Mellon University in three different departments, worked with UNICEF on the issue of childhood trauma, spoken at Harvard, Xerox PARC, Carnegie Mellon University and the Chautauqua Institution. One of his three original screenplays was produced and released under the title Sunset Grill in 1993 starring Peter Weller, Lori Singer and Stacy Keach. In 2015 his feature story for National Geographic Magazine explored the origins of human art and symbolic thinking.

From Wikipedia

Healthcare Podcasts: “Cityblock” Seeks To Keep People Out Of Hospital

This week on Prognosis, we look at one startup that’s trying to redesign care for some of the most vulnerable patients, taking into account the complex realities of their lives. The company is trying to improve care for people and communities the medical system often fails – and it believes that fixing those failures will not only make people healthier, it will also save money.

In America, poverty is linked to shorter lifespans. The wealthiest 1% of Americans live more than a decade longer than the poorest 1%, and the longevity gap has expanded in recent years. The medical community is increasingly examining the role that poverty and difficult social circumstances play in illness. Some people are asking whether the health care system could do more to address the things that influence people’s health beyond their medical care.

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