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The Healthy Flap: March 4, 2013

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Journaling Key to Weight LossCharmaine Jackson lost half her body weight

These are my healthy news health headlines for February 21st through March 4th:

  • Journaling helps woman lose half her body weight
    Charmaine Jackson can tell you what she ate on any date for the past five years.She can tell you how much she exercised, what kind of mood she was in, how much water she drank — even if she watched television while mindlessly munching away.

    All she has to do is flip through the pages of her 14 journals.

    The reason she began her daily record keeping was simple — she wanted to lose weight and keep it off.

    It may sound extreme, but it paid off. Since she began keeping journals, Jackson is half the person she used to be — going from 260 to 130 pounds.

    “(Journaling has) really helped me get an idea of what my behaviors are, what my patterns are, how I can make change for myself for good,” she said. “You wouldn’t see it unless you look at it over time and you really get a chance to see this worked and why.”

  • Exercise, less sitting time, linked to better sleep
    Insomniacs looking for a good night’s sleep may want to hit the treadmill, take a walk or play a game of golf or tennis because a new report released on Monday shows exercise promotes good sleep and the more vigorous the workout the better.Just 10 minutes of exercise a day could make a difference in the duration and quality of sleep, the survey by the non-profit National Sleep Foundation showed.

    “We found that exercise and great sleep go together, hand in hand,” Max Hirshkowitz, a sleep researcher and the chair of the poll task force, said in an interview.

  • Doctors report first cure of HIV in a child -For the first time, doctors are reporting that they have cured a child of HIV, the virus that causes AIDS.The landmark finding will help scientists better understand the nature of HIV, doctors say, and could potentially help countless HIV-positive babies in developing countries.

    “I’m sort of holding my breath that this child’s virus doesn’t come back in the future,” says Hannah Gay, an associate professor of pediatrics at the University of Mississippi Medical Center, who treated the child, a 2½-year-old Mississippi girl. “I’m certainly very hopeful that it will produce studies that will show us a way to cure other babies in the future.”

  • What Housework Has to Do With Waistlines
    One reason so many American women are overweight may be that we are vacuuming and doing laundry less often, according to a new study that, while scrupulously even-handed, is likely to stir controversy and emotions.The study, published this month in PLoS One, is a follow-up to an influential 2011 report which used data from the U.S. Bureau of Labor Statistics to determine that, during the past 50 years, most American workers began sitting down on the job. Physical activity at work, such as walking or lifting, almost vanished, according to the data, with workers now spending most of their time seated before a computer or talking on the phone. Consequently, the authors found, the average American worker was burning almost 150 fewer calories daily at work than his or her employed parents had, a change that had materially contributed to the rise in obesity during the same time frame, especially among men, the authors concluded.
  • Doctor Groups Issue List of Overused Medical Tests
    In an effort to change entrenched medical practices, 17 major medical specialty groups recommended on Thursday that doctors greatly reduce their use of 90 widely used but largely unnecessary tests and treatments.This list of “don’ts” builds on 45 recommendations made last April, under a broad initiative by the American Board of Internal Medicine Foundation, in partnership with the magazine Consumer Reports.

    “As you look through the lists, a lot of these were mea culpas,” said Dr. Eric Topol, chief academic officer of Scripps Health, a health care provider in San Diego. Dr. Topol was not involved in creating the new recommendations. “The literature had supported these recommendations, but until now they were not sanctioned as no-no’s by the professional groups,” he said.

    Some of the recommendations reinforce existing guidelines, but others aggressively go after procedures that have little evidence of benefit and may cause harm, yet are still practiced on a daily basis.

    For example, the American Society of Echocardiography recommended against using echocardiograms before or during surgery for patients with no history or symptoms of heart disease; doctors routinely perform this test. The Society of Nuclear Medicine and Molecular Imaging urged physicians not to perform routine annual stress testing using a nuclear heart scan after coronary artery surgery. This is also a routine test, and it exposes the patient to radiation equivalent to 2,000 chest X-rays.

  • Smoking cessation in old age: Less heart attacks and strokes within five years
    Professor Hermann Brenner and colleagues analyzed the data of 8.807 individuals aged between 50 and 74 years using data of Saarland citizens. “We were able to show that the risk of smokers for cardiovascular diseases is more than twice that of non-smokers. However, former smokers are affected at almost the same low rate as people of the same age who never smoked,” says Brenner. “Moreover, smokers are affected at a significantly younger age than individuals who have never smoked or have stopped smoking.”
  • Study disputes long-term medical savings from bariatric surgery
    In the span of 15 years, the number of bariatric surgeries performed in the United States has grown more than 16-fold to roughly 220,000 per year, gaining cachet as a near-panacea for obesity.Despite the daunting price tag, mounting research has boosted hopes that the stomach-stapling operations could reduce the nation’s healthcare bill by weaning patients off the costly drugs and frequent doctor visits that come with chronic obesity-related diseases like diabetes and arthritis.

    But a new study has found that the surgery does not reduce patients’ medical costs over the six years after they are wheeled out of the operating room.

  • The Benefits of Exercising Outdoors
    While the allure of the gym – climate-controlled, convenient and predictable – is obvious, especially in winter, emerging science suggests there are benefits to exercising outdoors that can’t be replicated on a treadmill, a recumbent bicycle or a track.You stride differently when running outdoors, for one thing. Generally, studies find, people flex their ankles more when they run outside. They also, at least occasionally, run downhill, a movement that isn’t easily done on a treadmill and that stresses muscles differently than running on flat or uphill terrain. Outdoor exercise tends, too, to be more strenuous than the indoor version. In studies comparing the exertion of running on a treadmill and the exertion of running outside, treadmill runners expended less energy to cover the same distance as those striding across the ground outside, primarily because indoor exercisers face no wind resistance or changes in terrain, no matter how subtle.

    The same dynamic has been shown to apply to cycling, where wind drag can result in much greater energy demands during 25 miles of outdoor cycling than the same distance on a stationary bike. That means if you have limited time and want to burn as many calories as possible, you should hit the road instead of the gym.

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The Healthy Flap: February 19, 2013

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Cigarette Warning Graphic

These are my healthy links for February 19th:

  • California’s Tobacco Control Program generates huge health care savings, study shows -Over a span of nearly 20 years, California’s tobacco control program cost $2.4 billion and reduced health care costs by $134 billion, according to a new study by UC San Francisco (UCSF).Additionally, the study — covering the beginning of the program in 1989 to 2008 — found that the state program helped lead to some 6.8 billion fewer packs of cigarettes being sold that would have been worth $28.5 billion in sales to cigarette companies.
  • When to Retire a Running Shoe -Ryan Hall, one of the world’s best distance runners, used to pride himself on wearing his running shoes into nubs. No more. Now he assiduously replaces his shoes after running about 200 miles in them. He goes through two pairs a month.“I know that my shoes could probably handle a couple of hundred more miles before they are worn out, but my health is so important to me that I like to always make sure my equipment is fresh,” he said.Of course Mr. Hall, sponsored by Asics, does not have to pay for his shoes. Most of the rest of us do, and at around $100 a pair they aren’t cheap. Yet we are warned constantly to replace them often, because running in threadbare shoes may lead to injuries that can take months to heal.

    So here’s a simple question: How do you know when your shoes are ready for those discard bins in gyms? And if you do get injured, is it fair to blame your shoes?

  • States worry about rate shock during shift to new health law -Less than a year before Americans will be required to have insurance under President Obama’s healthcare law, many of its backers are growing increasingly anxious that premiums could jump, driven up by the legislation itself.Higher premiums could undermine a core promise of the Affordable Care Act: to make basic health protections available to all Americans for the first time. Major rate increases also threaten to cause a backlash just as the law is supposed to deliver many key benefits Obama promised when he signed it in 2010.”The single biggest issue we face now is affordability,” said Jill Zorn, senior program officer at the Universal Health Care Foundation of Connecticut, a consumer advocacy group that championed the new law.
  • It’s official: The feds will run most Obamacare exchanges -Friday was a very important day for health policy days. It was the last day for states to tell the federal government whether they wanted any part in running the Affordable Care Act  health exchanges come 2014.
    The federal government did not get many takers. Some of the most closely watched states, including Florida and New Jersey, decided to leave the entire task to the federal government. All told, the federal government will run 26 of the state health exchanges. It  also will partner with seven states, where state and federal officials take joint responsibility for the marketplace. Seventeen states and the District of Columbia will take on the task themselves. Here’s what that looks like in map form, via the Kaiser Family Foundation. 
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The Healthy Flap: February 13, 2013

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Katherine Bouton

These are my health links for February 5th through February 13th:

  • Straining to Hear and Fend Off Dementia -At a party the other night, a fund-raiser for a literary magazine, I found myself in conversation with a well-known author whose work I greatly admire. I use the term “conversation” loosely. I couldn’t hear a word he said. But worse, the effort I was making to hear was using up so much brain power that I completely forgot the titles of his books.A senior moment? Maybe. (I’m 65.) But for me, it’s complicated by the fact that I have severe hearing loss, only somewhat eased by a hearing aid and cochlear implant.Dr. Frank Lin, an otolaryngologist and epidemiologist at Johns Hopkins School of Medicine, describes this phenomenon as “cognitive load.” Cognitive overload is the way it feels. Essentially, the brain is so preoccupied with translating the sounds into words that it seems to have no processing power left to search through the storerooms of memory for a response.
  • Fitness May Lower Dementia Risk -Being physically fit in midlife is associated with a lower risk of dementia in old age, a new study reports.Between 1971 and 2009, 19,458 healthy adults younger than age 65 took a treadmill fitness test as part of a broader health examination. Researchers followed the subjects through their Medicare records for an average of 24 years.After adjusting for age, smoking, diabetes, cholesterol and other health factors, the researchers found that compared with those in the lowest 20 percent for fitness in midlife, those in the highest 20 percent had a 36 percent reduced risk of dementia.

    The reason for the association is unclear, but it was independent of cardiovascular and cerebrovascular risk factors for dementia, suggesting that both vascular and nonvascular mechanisms may be involved.

  • Getting the Right Dose of Exercise -A common concern about exercise is that if you don’t do it almost every day, you won’t achieve much health benefit. But a commendable new study suggests otherwise, showing that a fairly leisurely approach to scheduling workouts may actually be more beneficial than working out almost daily.For the new study, published this month in Exercise & Science in Sports & Medicine, researchers at the University of Alabama at Birmingham gathered 72 older, sedentary women and randomly assigned them to one of three exercise groups.One group began lifting weights once a week and performing an endurance-style workout, like jogging or bike riding, on another day.

    Another group lifted weights twice a week and jogged or rode an exercise bike twice a week.

  • Government says it recovers billions in health fraud crackdown -The federal government recovered a record $4.2 billion in the last fiscal year from medical providers and others who fraudulently billed government healthcare programs such as Medicare, the Obama administration announced Monday.The 2012 tally – which surpassed the $4.1 billion the government reclaimed the previous fiscal year – extends a years-long trend and reflects efforts by the Obama administration to crack down on healthcare fraud.The president’s healthcare law includes new initiatives to weed out fraudulent medical providers and bar them from receiving Medicare reimbursements.
  • Does fluoride lower your child’s IQ? Dr. Joseph Mercola says yes on the Huffington Post. Don’t trust him. -So there I was last Sunday, filling my son’s sippy cup with tap water, when my friend told me about a Huffington Post article making the parenting rounds-the one titled “Harvard Study Confirms Fluoride Reduces Children’s IQ.” I set down my Brita pitcher, knowing that fluoride was one of the few chemicals it doesn’t remove, and sighed. Well, shit.Then I read the actual article, realized it was written by Dr. Joseph Mercola, the alternative physician who distinguishes himself as not being driven by “whatever has the most profit potential,” yet who sells fluoride-free toothpaste and hundreds of other products on his website (some of which have been slammed by the FDA for illegal marketing), and felt much better. Mercola frequently overstates the science and misleads his many readers-among other things, he preaches that vaccines cause autism and that homeopathy cures it, and oh, that animals are psychic-and this story (thankfully) is no different: The study on which he based his HuffPo article did find an association between high fluoride consumption and child IQ, but the findings aren’t applicable to American kids for a number of reasons. 
  • Southern diet, fried foods, may raise stroke risk -Deep-fried foods may be causing trouble in the Deep South. People whose diets are heavy on them and sugary drinks like sweet tea and soda were more likely to suffer a stroke, a new study finds.It’s the first big look at diet and strokes, and researchers say it might help explain why blacks in the Southeast – the nation’s “stroke belt” – suffer more of them.Blacks were five times more likely than whites to have the Southern dietary pattern linked with the highest stroke risk. And blacks and whites who live in the South were more likely to eat this way than people in other parts of the country were. Diet might explain as much as two-thirds of the excess stroke risk seen in blacks versus whites, researchers concluded.

    “We’re talking about fried foods, french fries, hamburgers, processed meats, hot dogs,” bacon, ham, liver, gizzards and sugary drinks, said the study’s leader, Suzanne Judd of the University of Alabama in Birmingham.

    People who ate about six meals a week featuring these sorts of foods had a 41 percent higher stroke risk than people who ate that way about once a month, researchers found.

  • Tennis Elbow: No Long-Term Benefit From PT, Corticosteroids -A steroid injection and 2 months of physical therapy may not be the solution for lateral epicondylalgia, commonly known as tennis elbow, suggest research findings published in the February 5 issue of JAMA.Brooke K. Coombes, PhD, from the University of Queensland, St. Lucia, Australia, and colleagues found that patients treated with a single corticosteroid injection had a 14% greater chance of poor outcome and a 77% increased risk for reinjury at 1 year relative to placebo.Eight weeks of physical therapy appeared to have no long-term benefit with the exception of decreased analgesic use. However, the physical therapy did improve short-term pain and disability outcomes at 1 month, although those benefits were lost when steroid injection was added to the treatment.
  • Longer span between mammograms okay for older women -Screening women over 65 each year for breast cancer doesn’t catch any more early tumors – but it does lead to more false positives – than screening every other year, according to a new study.The findings are based on more than 140,000 older women included in five mammography registries across the United States.”This study clearly tells us that screening every two years may be more appropriate than screening women every year,” said Dr. Otis Brawley, chief medical officer of the American Cancer Society (ACS).
  • Old Age and Motorcycles Are a Dangerous Mix -If you’re over 40 and planning to hop on a motorcycle, take care. Compared with younger riders, the odds of being seriously injured are high.That is the message of a new study, published this week in the journal Injury Prevention, which found that older bikers are three times as likely to be severely injured in a crash as younger riders.The percentage of older bikers on the road is quickly rising, and their involvement in accidents is a growing concern. Nationwide, from 1990 to 2003, the percentage of motorcyclists over age 50 soared from roughly 1 in 10 to about 1 in 4. At the same time, the average age of riders involved in motorcycle crashes has also been climbing. Injury rates among those 65 and older jumped 145 percent from 2000 to 2006 alone.

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  • California’s Premature Birth Rate Continues To Fall -California’s rate of premature births declined slightly in 2011. A new report from the March of Dimes shows California’s rate has fallen five years in a row.The report shows overall, 9.8 percent of babies in California were born premature in 2011. Only four states have a lower premature birth rate: Oregon, New Hampshire, Maine and Vermont.In California, some populations had a much higher rate. For example, the premature birth rate among uninsured women was 25 percent.
  • Forbidden fruit roll-ups: USDA plans to restrict school snacks -The U.S. Department of Agriculture (USDA) is proposing regulations to keep the nation’s students from buying gummy bears, fruit roll-ups and cheese puffs from vending machines and at campus snack bars during the school day. But it would allow high school students to buy 12-ounce sports drinks and 20-ounce diet sodas.The rules would apply only during the school day, allowing candy sales and other fundraisers to continue during non-school hours (half an hour after the school day ends) and at off-campus events. A limited number of such fundraisers could occur during the school day, and parents would be able to pack whatever they choose in their children’s lunch bags and bring cupcakes or other treats for special events such as birthdays.
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The Healthy Flap: February 4, 2013

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Little House on the Prairie

These are my health links for January 31st through February 4th:

  • How did ‘Little House’ sister really become blind? -Any fan of Laura Ingalls Wilder’s beloved “Little House” books knows how the author’s sister Mary went blind: scarlet fever. But turns out that probably wasn’t the cause, medical experts say, upending one of the more dramatic elements in the classic stories.An analysis of historical documents, biographical records and other material suggests another disease that causes swelling in the brain and upper spinal cord was the most likely culprit. It was known as “brain fever” in the late 1800s, the setting for the mostly true stories about Wilder’s pioneer family.Scarlet fever was rampant and feared at the time, and it was likely often misdiagnosed for other illnesses that cause fever, the researchers said.
  • Battles Erupt Over Filling Doctors’ Shoes -As physician assistants and other midlevel health professionals fill growing gaps in primary health care, turf battles are erupting in many states over what they can and can’t do in medical practices.One of the bitterest fights is in Kentucky, where physician assistants are lobbying the state legislature to repeal a law that says that for the first 18 months after certification, physician assistants are allowed to treat patients only when a supervising physician is on site. Being in phone contact isn’t deemed sufficient.The Kentucky Medical Association, which represents doctors in the state, says it is still evaluating the bill. But it helped push for an on-site requirement in 2003 and helped block two previous attempts to rescind the 18-month rule, on the grounds that physician assistants have far less experience than physicians and benefit from more supervision.
  • Effective Addiction Treatment – Make that Evidence Based -Countless people addicted to drugs, alcohol or both have managed to get clean and stay clean with the help of organizations like Alcoholics Anonymous or the thousands of residential and outpatient clinics devoted to treating addiction.But if you have failed one or more times to achieve lasting sobriety after rehab, perhaps after spending tens of thousands of dollars, you’re not alone. And chances are, it’s not your fault.Of the 23.5 million teenagers and adults addicted to alcohol or drugs, only about 1 in 10 gets treatment, which too often fails to keep them drug-free. Many of these programs fail to use proven methods to deal with the factors that underlie addiction and set off relapse.

    According to recent examinations of treatment programs, most are rooted in outdated methods rather than newer approaches shown in scientific studies to be more effective in helping people achieve and maintain addiction-free lives. People typically do more research when shopping for a new car than when seeking treatment for addiction.

    A groundbreaking report published last year by the National Center on Addiction and Substance Abuse at Columbia University concluded that “the vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care.” The report added, “Only a small fraction of individuals receive interventions or treatment consistent with scientific knowledge about what works.”

  • Key TB vaccine trial fails; more waiting in the wings -A highly anticipated study of the first new tuberculosis vaccine in 90 years showed it offered no added benefit over the current vaccine when it came to protecting babies from TB infections, a disappointing but not entirely unexpected outcome, researchers said on Monday.The vaccine, known as MVA85A, is the most advanced of more than a dozen TB vaccines now in clinical trials in people, and scientists are poring over the results to learn why the trial failed and how the results can inform future studies.MVA85A was developed by researchers at the University of Oxford in Britain with support from Aeras, the Wellcome Trust, the European Commission and the Oxford-Emergent Tuberculosis Consortium, a joint venture between Oxford and Emergent Biosolutions Inc.

    “Obviously, we all would have liked to see greater protection,” said Dr Ann Ginsberg of Aeras, a non-profit biotech based in Rockville, Maryland and funded in large part by the Bill & Melinda Gates Foundation.

    The current TB vaccine, known as Bacille Calmette-Guérin, or BCG, was developed in 1921, and is given routinely to babies in countries with high rates of TB to prevent severe disease.

    However, protection wears off in just a few years, and BCG does nothing to protect against the most common form of tuberculosis that invades the lungs of adults and adolescents, and can be transmitted through coughing and sneezing.

  • Vitamin C supplements tied to men’s kidney stones -Men who take vitamin C supplements are at higher-than-average risk of developing kidney stones, a new study from Sweden suggests.The findings don’t prove the vitamin itself triggers stones to form. But researchers said that because there are no clear benefits tied to taking high-dose vitamin C, people who have had stones in the past might want to think before taking extra supplements.”I don’t think I would hold this up and say, ‘You shouldn’t take vitamin C, and here’s the evidence,'” said Dr. Brian Matlaga, a urologist who studies kidney stones at Johns Hopkins Medicine in Baltimore.

    But, “When you talk to patients, a lot of times you’ll find patients are taking non-prescribed medications, like vitamin supplements… and there may not be great evidence that there’s an actual health benefit associated with these,” he told Reuters Health.

    The new finding “suggests that stone formers who take regular vitamin C may actually place themselves at increased risk,” said Matlaga, who wasn’t involved in the study.

  • Myths of Weight Loss Are Plentiful, Researcher Says -If schools reinstated physical education classes, a lot of fat children would lose weight. And they might never have gotten fat in the first place if their mothers had just breast fed them when they were babies. But be warned: obese people should definitely steer clear of crash diets. And they can lose more than 50 pounds in five years simply by walking a mile a day.Those are among the myths and unproven assumptions about obesity and weight loss that have been repeated so often and with such conviction that even scientists like David B. Allison, who directs the Nutrition Obesity Research Center at the University of Alabama at Birmingham, have fallen for some of them.Now, he is trying to set the record straight. In an article published online today in The New England Journal of Medicine, he and his colleagues lay out seven myths and six unsubstantiated presumptions about obesity. They also list nine facts that, unfortunately, promise little in the way of quick fixes for the weight-obsessed. Example: “Trying to go on a diet or recommending that someone go on a diet does not generally work well in the long term.”
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The Healthy Flap: January 25, 2013

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These are my links for January 20th through January 25th:

  • Penalty could keep smokers out of health overhaul -Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama’s health care law, according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation.The Affordable Care Act — “Obamacare” to its detractors — allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.

    Younger smokers could be charged lower penalties under rules proposed last fall by the Obama administration. But older smokers could face a heavy hit on their household budgets at a time in life when smoking-related illnesses tend to emerge.

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  • Lawmakers seek to repeal ‘fiscal-cliff’ provision aiding Amgen -A bipartisan group of U.S. lawmakers is seeking to repeal a Medicare-pricing provision in the recent “fiscal-cliff” deal in Congress that benefits Thousand Oaks biotech giant Amgen Inc.Legislation to eliminate the exemption for a class of drugs, including Amgen’s Sensipar, that are used by kidney dialysis patients, was filed this week by U.S. Rep. Peter Welch (D-Vt.). The fiscal cliff legislation approved this month excluded these oral medications from Medicare price controls for an additional two years.”Amgen managed to get a $500-million paragraph in the fiscal cliff bill, and virtually no one in Congress was aware of it,” Welch said. “It’s a taxpayer rip-off and comes at a really bad time when we’re trying to control healthcare costs. Amgen should not be allowed to turn Medicare into a profit center.”

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  • Gap widens between actual weight and people’s imagined weight -Men and women, particularly those categorized as obese, have grown increasingly likely over the years to underestimate their true weight, according to a recent study.In a paper published Wednesday in the journal PLoS ONE, researchers at University College of Cork examined height and weight data for Irish adults over a nine-year period. In three separate health surveys, men and women were asked to estimate their height and weight, and those figures were used to calculate body mass index, or BMI. Afterward, they were weighed and measured for accuracy.What researchers discovered was that while people routinely misjudged their true dimensions, their weight estimates had grown increasingly inaccurate over time. Their height estimates however remained more or less constant.

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  • U.S. researchers tracking flu through Twitter -Researchers and computer scientists at Johns Hopkins University have devised a way to track cases of influenza across the United States using the microblogging site Twitter.Twitter is full of tweets about the flu, which has been severe and reached epidemic proportions this year, but it has been difficult to separate tweets about the flu from actual cases.”We wanted to separate hype about the flu from messages from people who truly become ill,” said Mark Dredze, an assistant research professor in Johns Hopkins’ department of computer science, who monitors public health trends by looking at tweets.

    To solve the problem, Dredze and his colleagues developed a screening method based on human language-processing technologies that only delivers real-time information on actual flu cases and filters out the rest of the chatter on the public tweets in the United States.

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  • Quitting smoking prolongs life at any age -t’s never too late to quit smoking, and researchers have new data to prove it. Even at the age of 64, kicking the habit can add four years to a person’s life, while quitting by age 34 can increase life expectancy by a decade, according to a study published online Wednesday by the New England Journal of Medicine.After analyzing health data from more than 200,000 Americans, researchers calculated that current smokers were three times more likely to die during the course of the study compared with people who had never smoked. For the most part, their deaths were caused by smoking-related ailments, including heart and lung disease. Overall, their odds of surviving to age 80 were half as good as for never-smokers.But the study, one of two large-scale surveys in the journal providing updated information on smoking and mortality, saw significant benefits for those who quit. Giving up smoking between the ages of 35 and 44 was associated with a gain of nine years of life, and those who quit between 45 and 54 lived an extra six years.

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  • Quitting smoking by age 40 erases most of the risk of an early death -Smokers who quit by around age 40 can stave off an early death, according to a landmark study that fills key gaps in knowledge of smoking-related health ills.While smokers who never stop lose about a decade of life expectancy, those who quit between ages 35 and 44 gained back nine of those years, the study found.Moreover, the benefits of dropping the habit extend deep into middle age. Smokers who quit between 45 and 54 gained back six otherwise lost years, and those who quit between 55 and 64 gained four years.

    Quitting young, before age 35, erased the entire decade of lost life expectancy.

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  • Antibiotic-resistant diseases pose ‘apocalyptic’ threat, top expert says -Britain’s most senior medical adviser has warned MPs that the rise in drug-resistant diseases could trigger a national emergency comparable to a catastrophic terrorist attack, pandemic flu or major coastal flooding.Dame Sally Davies, the chief medical officer, said the threat from infections that are resistant to frontline antibiotics was so serious that the issue should be added to the government’s national risk register of civil emergencies.She described what she called an “apocalyptic scenario” where people going for simple operations in 20 years’ time die of routine infections “because we have run out of antibiotics”.

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  • Marijuana still a drug with no accepted medical use, court says -Marijuana will continue to be considered a highly dangerous drug under federal law with no accepted medical uses, after a U.S. appeals court Tuesday refused to order a change in the government’s 40-year-old drug classification schedule.The decision keeps in place an odd legal split over marijuana, a drug deemed to be as dangerous as heroin and worse than methamphetamine by federal authorities, but one that has been legalized for medical use by voters or legislators in 20 states and the District of Columbia.A marijuana advocacy group went to court, arguing that federal officials had a duty to reexamine the medical evidence and reclassify marijuana as a drug that has clear benefits for those who are suffering and in pain. Joe Elford, counsel for Americans for Safe Access, said federal drug officials had a bias against marijuana that caused them to ignore its benefits and to exaggerate its dangers.

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  • Big Xylitol Trial Finds Scant Benefits in Adult Caries -The first big randomized controlled trial of xylitol for caries has found no statistically significant benefits in a population of adults at high risk for the disease.Published in the January issue of the Journal of the American Dental Association, the Xylitol for Adult Caries Trial (X-ACT) showed a 10% reduction in caries in a high-risk population who sucked xylitol lozenges compared with a matched population who sucked sucralose lozenges.This effect fell below statistical significance (P = .06). “What this says is xylitol is not going to be a frontline defense for those at high risk,” lead author James Bader, DDS, MPH, a research professor at the University of North Carolina at Chapel Hill, told Medscape Medical News. “Use it, but don’t rely on it.”

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  • A Check on Physicals -Even if there is no direct medical benefit, many doctors say that having their patients visit once a year helps to maintain a meaningful relationship and alert doctors to changes in patients’ lives that could affect health. It is also an opportunity to give patients needed immunizations and to remind them to get their eyes, teeth and skin checked.But the long-sacrosanct recommendation that everyone should have an annual physical was challenged yet again recently by researchers at the Nordic Cochrane Center in Copenhagen.Tags:

  • Snowboarding linked to injury rate rise on slopes: study -Allowing snowboarders to hit the slopes at one U.S. ski resort led to a small rise in the number of overall injuries, a trend in line with findings at ski areas elsewhere, according to a U.S. report.Injuries rose by 13 percent in the two years after snowboarders were permitted at the Taos Ski Valley in New Mexico, compared to the two years before, according to the report in The American Journal of Sports Medicine.”We recognize that a small but statistically significant increase in injury rate was observed after the addition of snowboarding to this mountain but that factors other than type of sport may play a role in the differences that were identified,” said study leader David Rust from the University of new Mexico in Albuquerque.

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  • Getting a flu shot can be sticking point with healthcare workers -As a nurse at a Downey hospital, Darlene Andres spends her days caring for postpartum mothers and their newborn babies. Andres urges new moms to get the flu vaccine before leaving.But Andres, 36, decided not to get the flu shot herself. Andres — a self-proclaimed “germ freak” — said she just washes her hands instead.”I heard from a lot of co-workers on the floors that they were getting a lot of symptoms after getting the flu vaccine,” she said. “I kind of got scared.”

    On Friday, public health officials warned that the flu wreaking havoc elsewhere has finally arrived in California and is now causing widespread hospitalizations across the state. The increase in illnesses so early could signal a worse flu season than in years past.

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  • Graphic warnings on cigarettes effective across demographic groups -Quitting smoking is a common New Year’s resolution for Americans each year, but research has repeatedly shown it is not an easy task. Some groups, such as racial/ethnic minorities, have an even harder time quitting. New research suggests hard-hitting graphic tobacco warnings may help smokers of diverse backgrounds who are struggling to quit. A new study by researchers at Legacy® and Harvard School of Public Health provides further evidence that bold pictorial cigarette warning labels that visually depict the health consequences of smoking — such as those required under the 2009 Family Smoking and Prevention Tobacco Control Act — play a life-saving role in highlighting the dangers of smoking and encouraging smokers to quit.Tags:

  • Flu season fuels debate over paid sick time laws -Sniffling, groggy and afraid she had caught the flu, Diana Zavala dragged herself in to work anyway for a day she felt she couldn’t afford to miss.A school speech therapist who works as an independent contractor, she doesn’t have paid sick days. So the mother of two reported to work and hoped for the best — and was aching, shivering and coughing by the end of the day. She stayed home the next day, then loaded up on medicine and returned to work.”It’s a balancing act” between physical health and financial well-being, she said.

    An unusually early and vigorous flu season is drawing attention to a cause that has scored victories but also hit roadblocks in recent years: mandatory paid sick leave for a third of civilian workers — more than 40 million people — who don’t have it.

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