Saturday, January 27, 2018

Journal Watch January 2018




 CHRONIC PAIN
Does an exploding brain network cause chronic pain? New research reports that hyperreactive brain networks could play a part in the hypersensitivity of fibromyalgia. Scientific Reports

Loosing Weight Helps Lower Pain Levels: A study of 123 obese patients found that losing weight not only lowered pain levels in the knees and hips, but in unexpected areas such as the abdomen, arm, chest and jaw. Study participants who could reach the goal of losing 10% of their weight also reported better mental health, improved cognition and more energy. Men in particular showed improvements in their energy levels. The Journal of Pain

Interpersonal Touch to Reduce Pain: A study of 23 couples found that partner’s touch resulted in enhanced pain-reduction in comparison with others. Women with highly empathetic partners reported increased pain-reduction associates with that partner’s touch. Aeon

Migraine surgery produces 'dramatic improvements' in functioning, study finds: In addition to reducing headache frequency and severity, surgical treatment for migraine leads to significant improvements in everyday functioning and coping ability, according to a new study. Plastic and Reconstructive Surgery


COMPLEMENTARY & ALTERNATIVE MEDICINE
Study uncovers potential key to preventing back pain in runners: A new study examines what may cause chronic back pain in runners and the exercises to help prevent it. The study suggests that runners with weak deep core muscles are at higher risk of developing low back pain. And, unfortunately, most people's deep core muscles aren't nearly as strong as they should be. Exercises such as planks that focus on stabilizing the core, especially on unstable surfaces, are what's really going to make you a better runner. Journal of Biomechanics

Hot Yoga Is No Better Than Regular Yoga: Bikram yoga has attracted a loyal following due to its steamy classes, which involve 26 specific postures and breathing exercises, typically performed in a room heated to about 105 degrees. Proponents swear by the style’s ability to work up a sweat and promote flexibility, and past research has shown that it’s good for your vascular health — but a small study published Thursday in Experimental Physiology suggests it’s the physical practice of Bikram, not the sweltering heat, that’s good for you.

Available Evidence on Marijuana's Cardiovascular Effects Is Scant: The evidence examining associations between marijuana use and cardiovascular risk factors and outcomes is limited, according to a review published online Jan. 23 in the Annals of Internal Medicine.

FDA ACTION
• Approved Lutathera for Some Gastro and Pancreatic Cancers
• Approves first treatment for breast cancer with a certain inherited genetic mutation
• Permits marketing of device to treat diabetic foot ulcers
• Clears stereotactic radiotherapy system for use in treating brest cancer
• Approves drug to treat dangerously low blood pressure

PREVENTION
Exercise can Help Boost Memory: A new recommendation from the American Academy of Neurology suggests that exercise is indeed helpful for people with mild cognitive impairment. Neurology

No greater risk of reaction than for those without an allergy Annals of Allergy, Asthma & Immunology, 2018

Thirty-year study shows women who breastfeed for 6 months or more reduce their diabetes risk In a long-term national study, breastfeeding for six months or longer cuts the risk of developing type 2 diabetes nearly in half for women throughout their childbearing years, according to new research. JAMA Internal Medicine.

Hits, not concussions, cause chronic traumatic encephalopathy: New insights into the disease show head impact, not concussion, triggers CTE and pave way for early detection, prevention and treatment. Researchers have identified evidence of early Chronic Traumatic Encephalopathy (CTE) brain pathology after head impact -- even in the absence of signs of concussion. Early indicators of CTE pathology not only persisted long after injury but also spread through the brain, providing the best evidence to date that head impact, not concussion, causes CTE. Brain

Just one cigarette a day carries greater risk of heart disease and stroke than expected, warn expert No safe level of smoking exists; smokers should aim to quit instead of cutting down. Smoking just one cigarette a day has a much higher risk of developing coronary heart disease and stroke than expected -- about half the risk of smoking 20 per day -- concludes a new review. BMJ 

Aerobic exercise may mildly delay, slightly improve Alzheimer's symptoms: Geriatrics experts have suggested that exercising can improve brain health in older adults. However, not all studies of exercise and older adults have proven the benefits of exercise. A team of researchers designed a study to learn whether exercise could delay or improve AD symptoms. They reviewed 19 studies that examined the effect of an exercise training program on cognitive function in older adults who were at risk for or diagnosed with AD. The research team concluded that this study may be the first to show that for older adults who are at risk for or who have AD, aerobic exercise may be more effective than other types of exercise in preserving the ability to think and make decisions. Journal of the American Geriatrics Society.

Multidomain Lifestyle Intervention May Aid Cognition in APOE ε4 Carriers: A multidomain lifestyle intervention seems to be beneficial for cognition in older at-risk individuals, even among apolipoprotein E (APOE) ε4 carriers, according to a study published online Jan. 22 in JAMA Neurology

Cognitive Training Aids Memory in People With Mild Impairment: Cognitive training improves memory in older patients with mild cognitive impairment (MCI), according to a study published online Jan. 4 in the Journal of the American Geriatrics Society 

Repeated Flu Vaccinations Help Prevent Severe Infection: Vaccination for influenza for multiple seasons is twice as effective in preventing severe influenza -- compared with non-severe influenza -- in older patients admitted to hospital, according to a study published in the Jan. 8 issue of CMAJ, the journal of the Canadian Medical Association.

 NUTRITION/SUPPLEMENTS/VITAMINS

Best Diets for 2018: Your New Year's resolution diet should be based on a well-balanced eating plan that fits your lifestyle, rather than a weird fad replete with food restrictions. That's according to U.S. News & World Report's best diet rankings for 2018. The two diets that tied for the top spot -- the Mediterranean Diet and the DASH Diet -- fit that bill because they feature real food and reasonable, flexible guidelines, experts said. 

Energy Drinks Can Negatively Impact Health of Youth: Over half of Canadian youth and young adults who have consumed energy drinks have experienced negative health effects as a result, including rapid heartbeat, nausea, and in rare cases, seizures, according to a new study. CMAJ

Vitamin D Protects Against Cold and Flu: A new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections. The study, a participant data meta-analysis of 25 randomized controlled trials including more than 11,000 participants, has been published online in The BMJ. The investigators found that daily or weekly supplementation had the greatest benefit for individuals with the most significant vitamin D deficiency (blood levels below 10 mg/dl) — cutting their risk of respiratory infection in half — and that all participants experienced some beneficial effects from regular vitamin D supplementation. Administering occasional high doses of vitamin D did not produce significant benefits.

Diet rich in apples and tomatoes may help repair lungs of ex-smokers, study suggests Study also found that regular intake of tomatoes may also help slow the natural decline in lung function among all adults. The natural decline in lung function over a 10-year period was slower among former smokers with a diet high in tomatoes and fruits, especially apples, suggesting certain components in these foods might help restore lung damage caused by smoking. European Respiratory Journal,

Paleolithic diet healthier for overweight women: Overweight women after menopause who eat a Paleolithic diet can maintain weight loss in the long term. The levels of risk factors of type 2 diabetes and cardiovascular diseases also decrease.  Umeå universitet


Choose Omega-3s fromfish over flax for cancer prevention, study finds: Omega-3s from fish pack a stronger punch than flaxseed and other oils when it comes to cancer prevention, according to a new study. Journal of Nutritional Biochemistry

MIND diet may slow cognitive decline in stroke survivors: A diet created by researchers may help substantially slow cognitive decline in stroke survivors, according to preliminary research. The finding are significant because stroke survivors are twice as likely to develop dementia compared to the general population. The diet, known as the MIND diet, is short for Mediterranean-DASH Diet Intervention for Neurodegenerative Delay. The diet is a hybrid of the Mediterranean and DASH (Dietary Approaches to Stop Hypertension) diets. Both have been found to reduce the risk of cardiovascular conditions such as hypertension, heart attack and stroke. American Stroke Association’s International Stroke Conference

Mediterranean Diet May Lower Risk of Aggressive Prostate Cancer: High adherence to the Mediterranean diet is associated with a lower risk of aggressive prostate cancer, according to a study published in the February issue of The Journal of Urology

Adherence to Mediterranean Diet Linked to Reduced Frailty: For community-dwelling older adults, greater adherence to a Mediterranean diet is associated with reduced risk of incident frailty, according to a review published online Jan. 11 in the Journal of the American Geriatrics Society a


TREATMENT
Hysterectomy May Have Long-Term Health Risks: Women who undergo a hysterectomy are at greater risk for heart disease and other health issues -- even if they keep their ovaries, new research suggests. Menopause

First vaccine in the world developed against grass pollen allergy: Around 400 million people world-wide suffer in some form or other from a grass pollen allergy (rhinitis) – with the usual symptoms such as a runny nose, cough and severe breathing problems. Medical researchers have now shown in a Phase II-b study with 180 patients in 11 European centers, that four injections of the synthetically manufactured vaccine BM32 in the first year and a top-up in the second year of treatment relieve the sufferers' symptoms by at least 25%. Journal of Allergy and Clinical Immunology 

Combo of BP, Cholesterol Meds Tied to Reduced Stroke Risk: For patients with intermediate risk of cardiovascular disease, combining antihypertensive therapy and statin medications is associated with a 44 percent reduction in stroke, according to a study presented at the American Stroke Association's International Stroke Conference 

Guidelines of Care Developed for Skin Cancer Management: Guidelines of care have been developed for the management of basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC), according to two reports published online Jan. 10 in the Journal of the American Academy of Dermatology.

Broader Statin Use Improves Atherosclerotic CVD Prevention: Guidelines that recommend statins for more people for primary prevention of atherosclerosis are likely to prevent more atherosclerotic cardiovascular disease (ASCVD) events than guidelines that recommend fewer people take statins, according to a study published online Jan. 1 in the Annals of Internal Medicine.

 
CAREGIVING
Chronic Disease Care: Family Family helpers play key roles, but feel left out by providers : People with diabetes, heart failure and other chronic diseases often live independent lives, without a traditional 'caregiver.' But many of them have a family member or friend who plays a key supporting role in their health care. A new study finds that many of these 'health supporters' wish they could understand their loved one's condition better, or get more involved in helping them navigate a long-term illness. But it also reveals that many aren't getting the information or access from health providers that could help them do that better. Families, Systems and Health, 

 

 OTHER
Clean Air Act May BeSaving More Lives than Thought: The number of Americans who die each year from inhaling fine-particle pollutants has dropped dramatically since 1970, thanks to laws that originated from the U.S. Environmental Protection Agency. That finding stems from an investigation, led by Massachusetts Institute of Technology (MIT) researchers, into the impact of EPA rules enacted by the 1970 Clean Air Act and amendments added to it in 1990.

Odds of Post-Op Mortality Increase As Weekend Approaches: Mortality after elective surgery increases in graded manner as day of surgery approaches weekend. Medical Care

Walmart Launches Disposal Solution for Opioids, Rx Meds: Walmart is launching a first-of-its-kind opioid disposal solution in all company pharmacies, which is available at no cost, according to a press release from the company.




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