Journal Watch: Jan. 2017

CHRONIC PAIN

• Vitamin D Deficiency Increases Risk of Chronic Headache: The Kuopio Ischaemic Heart Disease Risk Factor Study, KIHD, analysed the serum vitamin D levels and accident of headache in approximately 2,600 men aged between 42 and 60 years in 1984-1989. In 68% of these men, the serum vitamin D flush was below 50 nmol/l, which is generally considered the threshold according to vitamin D deficiency. Chronic headache occurring at smallest on a weekly basis was reported ~ means of 250 men, and men reporting inveterate headache had lower serum vitamin D levels than others. Scientific Reports 

• Yoga may bring forth health benefits for people with chronic non-specific lower back pain Yoga may show the way to a reduction in pain and functional aptness in people with chronic non-specified lower back pain over the compendious term, compared with no exercise, a unaccustomed systematic review suggests. However, researchers take counsel that more studies are needed to agree information on long-term effects. Cochrane Library 

• Chair Yoga since Effective Alternative Treatment for Osteoarthritis: The earliest randomized controlled trial to examine the furniture of chair yoga on pain and material function in older adults with osteoarthritis is proving to have ~ing an effective way to reduce distress and improve quality of life space of time avoiding pharmacologic treatment or adverse events in spite of the millions who suffer from the distemper in their lower extremities (hip, knee, ankle or pay). Journal of the American Geriatrics Society 

COMPLEMENTARY & ALTERNATIVE MEDICINE

• Vomiting Disorder without interrupti~ Rise in Weed Friendly States:  Long-boundary heavy marijuana use can cause of long duration vomiting and abdominal pain in more people, new research suggests. And the syndrome could be transformed into more frequent and pervasive as additional states legalize use of the put ~s into, according to health experts. Cases of the disorder, which is called cannabinoid hyperemesis syndrome (CHS), doubled in Colorado for the re~on that access to legal marijuana became widespread. 

• Report Cites the Good and Bad attached Marijuana: A new report from the National Academy of Sciences states states that there is conclusive or substantial scientific testimony that marijuana products are effective at treating of long duration pain, calming muscle spasms caused ~ means of multiple sclerosis, and easing nausea from chemotherapy. However, there’s little to no evidence supporting a single one of the other numerous health claims connected to marijuana.  The review lay the ~ation of little to no evidence to carry on claims that marijuana or its products can help treat anorexia, Tourette’s syndrome, excitable bowel syndrome, anxiety, post-traumatic urgency disorder or neurological problems such of the same kind with epilepsy or Parkinson’s disease. And there’s a downside as well — marijuana exercise comes with a host of possible health risks, whether someone is using the physic medicinally or recreationally, according to the record. The Health Effects of Cannabis and Cannabinoids, National Academies of Sciences, Engineering, and Medicine 

FDA ACTION

• Approves in the ~ place autologous cellularized scaffold for the repair of cartilage defects of the knee

• Approves Dexcom G5 unbroken glucose monitoring system (CGM) which have power to be used to make insulin dosing decisions alone, free from the need for additional fingerstick tests of hotspur sugar levels.

• Announces 2 daytime meeting in April to study dangers of exploding E-cigarettes

PREVENTION

• Mouthwash Helps Kill Gonorrhea Germs in Mouth: In laboratory tests, the authors of this reinvigorated study found that Listerine Cool Mint and Total Care (which are both 21.6 percent spirits of wine) significantly reduced levels of gonorrhea bacteria. A saline water (saline) solution did not. Daily practice may offer a cheap and submissive way to reduce the spread of the sexually transmitted disorder, a small study from Australia contends. Sexually Transmitted Diseases 

• Exercise May be Real Medicine for Parkinson’s Disease:Although physical activity may seem impossible for more Parkinson’s patients, the new investigation review reaffirms what many specialists even now believe: that exercise can have a far-reaching-term impact, improving gait and reducing exposure to harm of falls, in particular. Journal of Parkinson’s Disease 

• Want a Sharper Brain as you Age? Volunteer: In a British study of 9,000 adults wilful from childhood, group involvement was statistically linked to more suitable cognitive test scores. BMC Psychology 

Weight Loss May Ease Psoriasis Symptoms: Danish researchers are reporting that plump people with the skin condition who succumb 10 percent to 15 percent of their ponderosity may see significant and lasting amending in their symptoms. The study participants irreclaimable an average of 33 pounds through 16 weeks. A year later, those who were muffle about 22 pounds below their consequence from the start of the study maintained their improvements in psoriasis symptoms and property of life, the study authors afore~. American Journal of Clinical Nutrition

• Earwax There to Protect Your Hearing: Trying to abstract your earwax can lead to spike damage, doctors warn. The body produces earwax (or “cerumen”) to clean and protect ears. The increase collects dirt, dust and other sense, preventing them from getting farther into the regard, according to an updated clinical exercise guideline from the American Academy of Otolaryngology — Head and Neck Surgery Foundation. The recently made known guidelines offer some tips on in what way to protect your ears: Don’t do to excess it when cleaning your ears. Overcleaning be possible to irritate the ear canal and peradventure cause an infection. Don’t club things in your ear. Cotton swabs, hair pins and toothpicks have power to cause a cut in the attention canal, a hole in the eardrum, and/or displacement of the hearing bones, causing problems including judicial examination loss, dizziness and ringing. Never use “ear candles.” The guidelines say there is no evidence that this other medicine practice can remove impacted earwax. And in the same manner-called candling might cause serious injury to the ear canal and eardrum. Do try to find medical attention if you have hearing distance loss, ear fullness, drainage, bleeding or organ of h~ing pain. 

• Sleep Helps Process Traumatic Experiences: If we doze in the first 24 hours subsequent a traumatic experience, this may control process and integrate the distressing memories further effectively, as researchers demonstrate in a commencing study. Sleep could thus be used considered in the state of an early prevention strategy for make known-traumatic stress disorders. Sleep 

• Iron Deficiency Anemia Associated by Hearing Loss: A study examining the house between sensorineural hearing loss and conductive hearing loss and iron deficiency anemia in US adults ages 21 to 90 years set up that an association exists between IDA in adults and audience loss. JAMA Otolaryngology–Head & Neck Surgery 

• Brisk Walk May Help Sidestep Heart Disease: Walking at temperate intensity may lower the risk of resolution disease, a small study suggests. In honest 10 weeks, cholesterol, blood pressure and scale improved among women in study who walked by reason of 150 minutes a week (30 minutes a day for five days). Creative Nursing 

• Exercise … It does a material part good: 20 minutes can act for the re~on that anti-inflammatory

One moderate exercise sitting has a cellular response that may aid suppress inflammation in the body. It’s well known that unvarying physical activity has health benefits, including moment control, strengthening the heart, bones and muscles and reducing the dare to undertake of certain diseases. Recently, researchers consider found how just one session of just exercise can also act as every anti-inflammatory. The findings have encouraging implications toward chronic diseases like arthritis, fibromyalgia and for more pervasive conditions, such as corpulency. Brain, Behavior, and Immunity 

• Weekend Warriors Can Still Stretch Their Life Spans:  “One or sum of ~ units sessions per week of moderate- or in health-intensity leisure time physical activity was satisfactory to reduce death from all causes, from cardiovascular indisposition and from cancer.” JAMA Internal Medicine 

• Older adults by arthritis need just 45 minutes of smartness per week: To remain functional, this populousness can do far less activity through week than recommended, study found. Older adults who experience from arthritis need to keep affecting to be functionally independent. But in an examination of a goal that is daunting because most of this aging population, a unused study found that performing even a third (45 minutes) of the recommended action is beneficial, and those who did improved dependent in their lower arthritic limbs through 80 percent. Arthritis Care & Research 

• Study Cast More Doubt without ceasing Value of Mammograms: Mammograms frequently expose small breast tumors that might not become life-threatening, causing women to tolerate treatment they likely don’t destitution, a new Danish study finds. About human being in every three women between the ages of 50 and 69 who was diagnosed through breast cancer wound up having a swelling that posed no immediate threat to her freedom from disease, the researchers reported. At the like time, mammography did not reduce the enumerate of advanced breast cancers found in women in the study. “This appliance that breast screening is unlikely to improve chest cancer survival or reduce the exercise of invasive surgery.” Annals of Internal Medicine 

NUTRITION/SUPPLEMENTS/VITAMINS

• More Signs Mediterranean Diet May Boost Your Brain: Researchers in Scotland examined the brain whirl of hundreds of older adults into the bargain three years. The investigators found that race who more closely followed the catheretic habits common in Mediterranean countries — lots of fruits, vegetables, olive oil and beans — retained more brain compass compared to those who did not. “Research is accumulating to pageantry protective effects of the Mediterranean diet steady normal cognitive [mental] decline, dementia and Alzheimer’s indisposition. Neurology 

• Plant Based Diets Score Big instead of Healthy Weight Loss: For the seventh year in a broil, U.S. News & World Report has named the put in the ground -based eating plan as the most good choice overall, followed by the Mediterranean diet, up from fourth set last year. DASH stands for Dietary Approaches to Stop Hypertension, nevertheless its benefits go beyond preventing pre-eminent blood pressure, the report found. The DASH and the Mediterranean diets, being of the cl~s who well as most of the other recommended diets, point of convergence on eating whole grains, fruits, vegetables, undignified- or no-fat dairy, lean meats, poultry and fish. They also recommend nuts, seeds and pulse (beans). U.S. News & World Report 

• Alcohol Abuse Increases Heart Risk: A reinvigorated study suggests that people who lash alcohol also boost their risk of three cordial conditions: atrial fibrillation, heart attack and congestive spirit failure. The possible added risk appears to subsist about the same as that linked to haughty blood pressure, smoking, obesity and diabetes, the researchers afore~. Journal of the American College of Cardiology 

High monthly vitamin D reduces respiratory infections, may be augmented falls for older adults: Researchers concluded that a monthly eminent dose of vitamin D reduced the compute of respiratory infections in older adults mete increased the number of falls they versed. More study is needed to regard whether daily (rather than monthly) dosing through high levels of vitamin D could assist protect older adults from respiratory infections and minimize the dare to undertake of falls, said the researchers. American Geriatrics Society 

• Foods comical in resistant starch may benefit soundness A new comprehensive review examines the in posse health benefits of resistant starch, a form of starch that is not digested in the inconsiderable intestine and is therefore considered a printing character of dietary fiber. Some forms of resistant starch occur naturally in foods such as bananas, potatoes, grains, and legumes, and some are produced or modified commercially and incorporated into viands products. Wiley 

High fiber diets may quell inflammation caused by gout New scrutiny shows that a high-fiber diet well-adapted inhibits gout-related inflammation caused by monosodium urate (MSU) crystals. Journal of Leukocyte Biology 

• Lots of Red Meat Tied to Diverticulitis in Men: Men who erode a lot of red meat may hold a higher risk of diverticulitis, a arduous inflammatory condition of the colon, a fresh study suggests. “This study offers unit more reason to consider limiting the red aliment in your diet.” Gut 

• Eat eager peppers for a longer life? Study: Consumption of heated red chili peppers is associated by a 13 percent reduction in sum ~ mortality, primarily in deaths due to centre of circulation disease or stroke, a large prospective study has found. PLOS One 

TREATMENT

• Over the Counter Pain Relievers May have ~ing linked to hearing loss: Women who used ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) because six years or more were greater quantity likely to suffer hearing loss than those who used the woe relievers for a year or smaller quantity. No significant association between long-member aspirin use and hearing loss. American Journal of Epidemiology 

• Heartburn Drugs May Raise Risk of Stomach Infections: A study, of almost 565,000 adults, found those forward proton pump inhibitors (PPIs) — brands like Prilosec, Prevacid and Nexium — and H2 blockers, like as Zantac, Pepcid and Tagamethad- had higher risks of contagion with C. difficile and Campylobacter bacteria. British Journal of Clinical Pharmacology 

• New Parkinson’s Drug May Combat Movement Difficulties: New investigation suggests that people with Parkinson’s illness may achieve better and more trustworthy motor control by taking an experiential drug called opicapone alongside the streamer medication levodopa. A study of single hundred Parkinson’s patients found that the unsalable article — opicapone — boosts levodopa’s ability to regulate the motor difficulties associated with Parkinson’s. JAMA Neurology 

• Metformin Still Best in the manner that First Type 2 Diabetes Treatment: Newly updated guidelines reaffirm that metformin is the ~ and foremost-line drug for people with stamp 2 diabetes, and that several other medications — including newer ones — be able to be added if needed. American College of Physicians (ACP). The American Academy of Family Physicians 

• Tablet Devices Show Promise in Managing Agitation Among Dementia Patients: A modern pilot study suggests that the use of tablet computers is both a good and a potentially effective approach to thrifty agitation among patients with dementia. This investigation builds upon previous studies demonstrating that skill, music, and other similar therapies be possible to effectively reduce symptoms of dementia in the absence of medication. By using tablet devices to employ these therapies, notwithstanding, patients and providers also benefit from a computer’s sticking fast flexibility. American Journal of Geriatric Psychiatry 

• Counseling, Antidepressants Change Personality in favor of the Better: A review of 207 studies involving greater degree than 20,000 people found that those who engaged in curative interventions were, on average, significantly in a ~ degree neurotic and a bit more extraverted rear the interventions than they were in anticipation. Psychological Bulletin 

• Antibiotic gel prevents borreliosis resulting from trust bites: An antibiotic gel based up~ azithromycin, an antibiotic with antibacterial properties, helps to preclude the onset of Lyme borreliosis following a click bite, finds new research. A amount of 1,000 patients with novel tick bites were treated with the antibiotic gel in the inside of 72 hours of being bitten. “None of the discriminative characteristic subjects went on to develop Lyme borreliosis.” Conversely, in the reign over group that received a placebo, there were seven cases of borreliosis. The superior situation of the gel is that it has in ~ degree sideeffects and, according to the giving ground of hope results, can therefore also be used according to children. Moreover, treatment is very chaste: the gel has to be applied every 12 hours over a period of three days. This kills not upon the borrelia. The Lancet Infectious Diseases 

OTHER

• Female Doctors May Have every Edge: In a national study, researchers fix that older hospital patients treated through female internists had a slightly frown death rate than those treated through men. Their risk of being readmitted to the hospital inside 30 days was also slightly appear gloomy, the findings showed. JAMA Internal Medicine 

• US Cancer Rates Continue to Fall: Cancer king of terrors rates in the United States take dropped 25 percent since the seasonably 1990s, a new report reveals. “The send down in cancer mortality is primarily the issue of large declines in the four greater causes of cancer death — lung, colorectal, breast and prostate — which account for nearly half of all cancer deaths. This progress is driven by declines in smoking prevalence beginning in the 1960s, and improvements in the in good time detection of cancer and cancer treatment.” CA: A Cancer Journal as far as concerns Clinicians

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• Sudden least bit in outdoor temperature increases the expose to danger of respiratory infections: You can nice much put a mark in your place upon the ~ for when the annual flu general begins. Using 20,000 virus samples and stand statistics, researchers have now discovered other details about how outdoor temperature and flu outbreaks are linked. A cold week with an average temperature in the present life zero degree Celsius (32 degrees Fahrenheit) precedes the beginning of the flu epidemic.” Journal of Clinical Virology 

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