PAIN
Does weather
really affect our experience of pain?Scientists in the United Kingdom have released the findings of a new study that
exposes a link between chronic pain and humid, windy days with low atmospheric
pressure. Digital Medicine
Opioids
Offer Only Minor Pain Relief for People with Osteoarthritis: A new study reports that opioids only
provide small benefits in pain management for people with osteoarthritis.
Researchers say techniques
such as heat, ice, and exercise can be more effective than opioids.
Experts also suggest that
people with osteoarthritis can use the “inner pharmacy” in their brain to ease
pain. ACR/ARP
Annual Meeting
COMPLEMENTARY & ALTERNATIVE MEDICINE
Preliminary medical marijuana research
shows promise in lessening opioid:
Medical marijuana shows early promise to lessen opioid use and potential abuse,
suggests a systematic review of published studies being presented at the
ANESTHESIOLOGY® 2019 annual meeting. However, much more rigorous scientific
research must be done to determine if there truly are pain relief benefits to
medical marijuana that can ease chronic pain and outweigh potential risks.
Metacognitive therapy may prevent depression relapse: Ending the cycle of negative thought rumination is the
premise of a depression treatment called metacognitive therapy. New findings
suggest that it may be more beneficial in stopping depression relapse than
other more commonly used methods. Frontiers in Psychology
Cannabinoid use for mental health conditions lacks evidence: New research concludes that there is
not enough evidence to justify the use of medicinal cannabinoids to improve
mental health. The Lancet Psychiatry
Could
cannabis use help avert depression in PTSD? Data collected in a national mental health survey found
that those with PTSD who reported not using cannabis in the last 12 months were
considerably more likely to experience severe depression and thinking suicidal
thoughts than those who said that they had used the substance. Journal of
Psychopharmacology.
Cannabis may
be linked to strokes and heart rhythm disturbances in young people: Frequent cannabis (marijuana) use among
young people was linked to an increased risk of stroke and people diagnosed
with cannabis use disorder were more likely to be hospitalized for heart rhythm
disturbances (arrhythmias), according to two new preliminary studies to be
presented at the American Heart Association's Scientific Sessions 2019. In
addition, the study linking cannabis use disorder to an increased risk of
stroke (Oral Presentation 333) will be published in Stroke
Could a
combination of psychedelics and meditation treat depression?: Mixing mindfulness meditation with a well-known hallucinogen, psilocybin,
may make for a new form of therapy that could aid those with depression, according
to a new study. Scientific Reports
Yoga,
Running, and Other Workouts Can Combat Depressive Episodes:
A new study suggests that incorporating more physical activity — whether
high-intensity dance, aerobic, or machines to more low-intensity yoga or walks
— for 4 hours per week (or approximately 35 minutes per day) can help decrease
the chances of depressive episodes by 17 percent. Depression and Anxiety
After
Legalization, Marijuana Addiction Is on the Rise: A new study finds that addiction has gone up among young people who
live in states where recreational cannabis is legal, although
it still remains low overall. Experts
are learning more about how heavy cannabis use can take a toll on health. JAMA
Psychiatry
Listening to
music while driving may help calm the heart: Driving can be very stressful, particularly if you are
stuck in heavy traffic or are an inexperienced driver, and this stress will eventually
take its toll on the heart. However, researchers now confirm that there is a
simple fix for this problem: listening to the right music while driving. Complementary Therapies in Medicine
FDA ACTION
• Approved Trikafta
the first triple combination therapy to treat cystic fibrosis in patients over
12.
• Issued a new
statement to present two major steps they are taking to protect the public from
the potentially harmful effects of products labeled as "homeopathic."
• Announced
that the tobacco pouches, sold by a Swedish company, are now officially
classified as reduced risk products. It is the first time that U.S. health
regulators have characterized a type of smokeless tobacco to be less harmful
than cigarettes. However, the FDA cautioned that all tobacco products,
including the pouches, pose risk.
• Approved
Reblozyl (luspatercept–aamt) for the treatment of anemia (lack of red blood
cells) in adult patients with beta thalassemia who require regular red blood
cell (RBC) transfusions.
• Sent warning
letter to Dollar Tree over certain over the counter drugs
PREVENTION: Exercise
Better Executive Function in Older Adults: Even short
bouts of moderate-to-vigorous physical activity appear to have cognitive
benefits for middle-age adults and walking more total steps each day is related
to better executive function in older adults, according to new research studies
published by the Alzheimer's Association's family of journals. The study
authors report 10 to 21 minutes per day of moderate to vigorous activity
related to better thinking and planning skills for middle-age adults and
10-minutes per day was associated with better verbal memory. For older adults,
the total amount of physical activity rather than the intensity was associated
with maintaining cognition.
Being physically active can lower older adults' risk for dying: Low levels of physical activity are
associated with higher risks of death, no matter what a person's level of
health. Overall, physical activity was important for avoiding early death in
older men and women. Journal
of the American Geriatrics Society
Quality over quantity! Interval walking training improves fitness and health in elderly individuals: It's not
how much you walk, but how intensely you do so for a minimum amount of time to
get positive results. This finding may be welcome news for those who want to
save time and get the most out of their workout. Interval Walking Training is
the method of walking at 70% of the walker's maximum capacity for 3 minutes,
then at 40% of their capacity for the next 3 minutes. This is continued for 5
or more sets.
Increased exercise over the age of 60 reduces risk of heart disease and stroke: People over the age of 60 should do more
exercise not less in order to prevent heart disease and stroke, according to
findings from a study of over 1.1 million elderly people published in the European Heart Journal . The
link between levels of physical activity and risk of cardiovascular disease in
older people held true even for those with disabilities and chronic conditions
such as high blood pressure, high cholesterol levels and type 2 diabetes.
Even Small
Amount of Running Decreases Risk of Death by Nearly 30%: New research published in the British Journal of Sports Medicine finds
running any amount at all is associated with a significantly reduced chance of
dying from any cause. Any amount of running is
associated with a 27 percent lower risk of death from all causes for men and
women when compared with no running at all. Running was also associated with a
30 percent lower risk of death from CVD and an impressive 23 percent reduced
risk of dying from cancer. However, researchers found no evidence that
increasing time spent exercising was associated with any further reduction in
the risk of death from any cause. Most surprising is that even running less
than once per week, for under an hour and at less than 6 miles per hour still
conferred improved health and longevity, according to researchers.
Staying Active During Heart Attack Recovery Can Decrease Risk of Death by 30%: Regular
physical activity is good for everyone, even those who’ve had a heart attack.
A brisk walk for 30
minutes a day may help decrease the risk of death by nearly 30 percent. American
Heart Association Scientific Sessions
Exercise
levels predict lifespan better than smoking, medical history: Wearable activity trackers may pave the
way for a better method to predict short term death risk, suggests a new study,
which found that exercise data was more accurate than other risk factors, such
as smoking and medical history. The researchers found that total daily physical
activity was the strongest mortality predictor. Age came second, followed by
time spent performing moderate to vigorous physical exercise.
The Journal of Gerontology: Medical
Sciences
Physical
Activity After Cancer Diagnosis Improves Survival: Findings seen among postmenopausal
breast cancer patients regardless of activity level prediagnosis. Breast
Cancer Research
PREVENTION: Diet/Nutrition
Plant-based foods and Mediterranean diet associated with healthy gut microbiome: A study presented at UEG Week 2019 has
shown that specific foods (including legumes, bread, fish, nuts and wine) could
provide protection for the gut, by helping bacteria with anti-inflammatory
properties to thrive.
Food beneficial for a healthy gut:
New research finds an association between healthy bacterial compositions and
certain dietary patterns and food groups. What is more, the findings suggest
that "diet is likely to become a significant and serious line of
treatment" for conditions such as Crohn's disease, ulcerative colitis, and
irritable bowel syndrome. The study found that "a diet characterized by
nuts, fruits, greater vegetable and legume intake than animal protein, combined
with moderate consumption of animal derived foods like fish, lean meat,
poultry, fermented low fat dairy, and red wine, and a lower intake of red meat,
processed meat and sweets, is beneficially associated with the gut
ecosystem." UEG
Soft drinks found to be the crucial link between obesity and tooth wear: A new study finds that being overweight
or obese is associated with having tooth
wear. Significantly, increased consumption of sugary soft drinks may be a
leading cause of the erosion of tooth enamel and dentine in obese patients. Clinical Oral Investigations
High fiber, yogurt diet associated with lower lung cancer risk: The benefits of a diet high in fiber
and yogurt have already been established for cardiovascular disease and
gastrointestinal cancer. The new findings based on an analysis of data from
studies involving 1.4 million adults in the United States, Europe and Asia
suggest this diet may also protect against lung cancer. JAMA Oncology
Ultra-Processed Foods — Like Chips and Soda — Could Be Terrible for Your Heart: A recent study from the Centers for
Disease Control and Prevention showed a link between consuming ultra processed
foods and a decrease in heart health. Packaged chips, cookies, and sodas are
all considered ultra-processed. This
type of food generally lacks the fiber and nutrients of whole, unprocessed
foods. CDC
Evening
eating linked to poorer heart health for women: Women who consumed a higher proportion
of their daily calories later in the evening (after 6pm) were more likely to be
at greater risk for cardiovascular disease than women who did not. American
Heart Association's Scientific Sessions
PREVENTION: Supplements
Vitamin D and
Omega 3 supplements do not reduce risk of systemic inflammation: While many consumers take supplements
with the intention of lowering their inflammation and preventing disease, an
analysis of the VITamin D and OmegA-3 TriaL (VITAL) by investigators at Brigham
and Women's Hospital indicates that neither vitamin D nor omega-3s were
effective at reducing systemic inflammation. Clinical
Chemistry
Vitamin D, Omega-3 Do Not Benefit Kidney Health in T2DM: Supplementation with vitamin D3
or omega-3 fatty acids does not result in a significant difference in change in
estimated glomerular filtration rate (eGFR) at five years versus placebo among
adults with type 2 diabetes, according to a study published online Nov. 8 in
the Journal of the American Medical Association.
Is Kratom Safe? New Study Links Substance to Liver Health Issues: As a plant-based supplement named
kratom increases in popularity, the full picture of its potential benefits and
harms is still becoming clear. The increase in interest is because of its use
as a possible treatment for opiod withdrawl as other issues. Researchers say
kratom may cause severe liver injury in some people. American Association for
the Study of Liver Disease.
PREVENTION: Other
Douching linked to dangerous chemicals in blood: Doctors generally advise women against vaginal douching,
warning that this practice can upset the delicate balance of vaginal flora and
increase the risk of infection. Now, a new study also shows that douching has
associations with a higher blood concentration of harmful chemicals. Journal
of Women's Health
Hearing Loss in Women Associated with Dementia:
A new study in Alzheimer's
& Dementia: The Journal of the Alzheimer's Association reports
that recent progression of hearing loss in women is associated with a higher
risk of perceived concerns about thinking memory. Previous studies have found
similar associations in men, but this is the first such finding in women.
Hearing loss is common, increases with age, and has been found to be associated
with poor cognitive performance.
Wider social
network may help women live longer: Women who were more socially integrated at age 60 were living longer and more
likely to reach 85 or older. Social integration includes the number of people
someone has in their network, and the frequency of their interactions with this
network through varied activities. For example, having a spouse or partner,
several close friends or relatives, and regularly participating in religious
and non-religious activities are indicators of high social integration. For
health and longevity, it’s generally understood that the higher the social
integration, the better. Gerontology
Noise a Risk Factor for High Blood Pressure:
A recent study investigated the relationship between occupational noise-induced
hearing loss and blood pressure. The authors conclude that chronic noise
exposure increases the risk of hypertension. Plos One
New Guidelines Issued for Colorectal Cancer Tests: Earlier Is Better: The American College of Physicians has issued new guidelines on colorectal screening for those 50-75. They recommend a fecal test every 2 years with the possible addition of a colonoscopy or flexible sigmoidoscopy every decade. Annals of Internal Medicine
Local
vehicle exhaust may raise stroke risk:
Even in environments with low air pollution, long term exposure to traffic
exhaust near people's homes may heighten their risk of stroke, according to a
new study from Sweden. The culprit appears to be a fine particle air pollutant
called black carbon. Environmental
Health Perspectives
E-Cigarettes
May Be Worse for Your Heart Than Traditional Cigarettes: A new study concludes that e-cigarettes
tend to decrease blood flow to the heart. A second study states that e-cigarettes
negatively affect heart-related issues, such as cholesterol and glucose levels,
more than traditional tobacco cigarettes. Scientific
Sessions 2019
Wearable tracker study links insufficient sleep to biological aging and cardiovascular disease risk: Getting a
good night's sleep is important and insufficient sleep has been linked to poor
health in many studies. Analysing data collected from wearable trackers,
researchers from the SingHealth Duke-NUS Institute of Precision Medicine
(PRISM) and the National Heart Centre Singapore (NHCS) recently demonstrated
that chronic sleep deprivation is associated with increased cardiovascular
disease risk markers and accelerated biological aging. Their findings have been
published in the journal Communications
Biology
Deep sleep
can rewire the anxious brain:A sleepless night can trigger up to a 30 percent rise in emotional stress
levels, new study shows. Researchers have found that the type of sleep most apt
to calm and reset the anxious brain is deep sleep, also known as non-rapid eye
movement (NREM) slow-wave sleep, a state in which neural oscillations become
highly synchronized, and heart rates and blood pressure drop. Nature Human Behaviour
Strong link found between level of depression and heart disease, stroke: The severity of a person's depression
may increase their odds of having heart disease or stroke, according to
preliminary research to be presented at the American Heart Association's
Scientific Sessions
Psychological stress may increase risk for a serious cardiovascular event in women with heart disease: The way women
with heart disease respond to psychological stress puts them at increased risk
for heart attacks and other cardiovascular events, yet the same doesn't appear
to be true for men, according to preliminary research. American Heart
Association's Scientific Sessions 2019
Weight-reduction surgery may prevent strokes, lengthen lives: Obese patients who undergo weight-reduction surgery live
longer and are less likely to experience a clot-caused stroke than those who do
not, according to preliminary research to be presented at the American Heart
Association's Scientific Sessions 2019
Flu shots help prevent illness, death in heart disease patients: An annual flu vaccination is inexpensive,
easy and proven to prevent illness and death in people with heart disease,
however, almost 1 in 3 patients skip the flu shot. American Heart Association's
Scientific Sessions 2019
TREATMENT
Statins May Not Be Necessary for People with Lower Heart Disease Risk: Statins — including
cholesterol-lowering medications such as Lipitor, Mevacor, Crestor, and Zocor —
may not be as helpful as once believed for people in low to moderate risk
categories, according to a new studyTrusted
Source from the United Kingdom. Researchers concluded that
statins as primary prevention against heart disease “may be an example of low
value care and, in some cases, represent a waste of healthcare resources.” the
side effects of the cholesterol-lowering medications may outweigh the benefits
from the drugs for some people. Experts say diet and exercise are among the
alternatives to taking statins to keep cholesterol in check.
FMT is
effective in IBS, but having a 'super-donor' is essential, new study finds: The results of a large, randomised,
double-blind, placebo-controlled study have confirmed that faecal microbiota
transplantation (FMT) using a single 'super-donor' is an effective and well
tolerated treatment for irritable bowel syndrome (IBS), producing high rates of
clinical response and marked symptom improvements. The study reported, which
involved a large cohort of patients with various subtypes of IBS, used several
enhanced methodologies, and highlighted the importance of donor selection for
optimising the effectiveness of FMT as a treatment for IBS. UEG Week
The Placebo
Effect Works And You Can Catch It From Your Doctor: A new study,
published in Nature Human
Behavior, finds that patients can pick up on subtle facial cues
from doctors that reveal the doctor's belief in how effective a treatment will
be. And that can have a real impact on the patient's treatment outcome.
The Most Prescribed Blood Pressure Med May Not Work as Well as Diuretics: A new multinational observational study
finds that Ace Inhibitors the most popular first-line treatment for high blood
pressure, may be less effective for initial treatment and carries greater side
effects than an older treatment that’s been available for decades. The findings
indicate that patients who were first prescribed thiazide diuretics rather than
ACE inhibitors had 15 percent fewer heart attacks, strokes, and
hospitalizations for heart failure. Those who began their treatment with
thiazides also experienced fewer side effects.
Why Taking Blood Pressure Meds at Bedtime May Be More Effective: New research suggests that taking your
blood pressure medication at bedtime may more effectively reduce your risk of
illness or death due to heart and blood vessel disease. European Heart Journal
Testosterone
Therapy Tied to Increase in Short-Term VTE Risk: For men with and without hypogonadism,
testosterone therapy is associated with an increased short-term risk for venous
thromboembolism (VTE), according to a study published online Nov. 11 in JAMA
Internal Medicine.
Regular use of prescription drugs for pain and sleep increases frailty risk by 95 percent: Frailty consists of deficits in a
variety of functional measures, and is a reliable predictor of loss of
independence, increased use of health care resources, and mortality. The
possible implications of current research findings are especially serious given
that it is common for older Americans to use two or more prescription drugs at
the same time and many of these prescription drugs are for pain and sleep,
including analgesics and sedatives. Journal
of the American Geriatric Society
OTHER
Rates of IBD
Including Crohn’s Disease Are 3 Times Higher Than Realized: There are 3 times as many people living
with inflammatory
bowel disease (IBD) than previously estimated, according to new research
presented Sunday at United European Gastroenterology (UEG) Week. Not only do
more people have IBD, they’re also at greater risk of developing colorectal
cancer (CRC), according to the research.
https://www.healthline.com/health-news/ibd-rates-may-be-three-times-higher-than-realized
Study finds functional medicine model is associated with improvements in health-related Quality of Life: In the
first retrospective cohort study of the functional medicine model, Cleveland
Clinic researchers found that functional medicine was associated with
improvements in health-related quality of life. Researchers believe that
reasons for the improvements in health-related quality of life shown in the
functional medicine patients include differences in the functional medicine
model itself, the types of patients seeking functional medicine, and treatment
adherence or belief in the model of care. Future prospective studies are needed
to examine the functional medicine model of care and long-term outcomes. JAMA Network Open
Seriously ill Medicare beneficiaries can face considerable financial hardship: Despite high beneficiary satisfaction
with Medicare overall, a new national survey led by researchers from Harvard
T.H. Chan School of Public Health, Harvard Business School, and colleagues
finds that its coverage gaps may cause considerable financial distress for the
most seriously ill patients. About half reported a significant problem paying
medical bills, with prescription drugs posing the most hardship.
Smartwatch App Shows Promise for Identifying Atrial Fibrillation: For participants without atrial
fibrillation, use of a smartwatch application (app) can identify irregular
pulse, which may indicate atrial fibrillation with high positive predictive
value, according to a study published in the Nov. 14 issue of the New
England Journal of Medicine.
High-Risk Surgical Patients Benefit From Teaching Hospitals: Better outcomes per cost seen for
general and vascular surgery, but not orthopedic surgery. Annals of Surgery.
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