COVID
IBS
patients' symptoms improved under COVID-19 lockdown orders Patients' irritable bowel syndrome
(IBS) symptoms unexpectedly improved when they were under COVID-19 stay-at-home
orders, reaffirming the gut-brain connection in functional gastrointestinal
disorders, according to research that was selected for presentation at
Digestive Disease Week® (DDW) 2021.
Psoriasis
Associated With an Increased Risk for COVID-19 in Real-World Study: People with psoriasis have a higher
risk of infection with COVID-19 than the general population, but some systemic
treatments appear to lower risk in patients, compared with those on topical
therapy, a new study finds. American Academy of
Dermatology Virtual Meeting Experience
COVID
Vaccines Protect Against Top Variants, WHO Says; Currently approved
vaccines offer protection against he four main coronavirus variants known to
exist in the US and Europe. World Health Organization
COVID-19
Immunity Could Last for Years, Studies Say: Immunity to the novel coronavirus
could last for a year — and possibly longer — particularly after COVID-19
vaccination, according to
The New York Times
. Two recent
studies indicate that most people who contracted COVID-19, recovered and then
got vaccinated later may not need a booster shot. Those who were never infected
and then got vaccinated may need a booster shot later, the newspaper reported.
Both studies looked at people who were exposed to COVID-19 about a year ago. In
a study published
Monday in the journal Nature,
scientists found that certain immune cells may survive in the bone marrow of
people who were infected and later vaccinated. Those immune cells may create
antibodies whenever needed.
Lower Testosterone in Men Tied to Severe COVID Cases: While men have been shown to have
greater risk of COVID-19 illness compared with women, a new study shows that
the lower the testosterone level in men, the higher the likelihood of severe
COVID-19 disease. JAMA Network
Open,
Unvaccinated
Shouldn't Rely on General COVID-19 Protection: People who haven't
received a COVID-19 vaccine shouldn't rely on general protection from those who
have been inoculated, according to
CNN. Although the U.S. is hitting major vaccination milestones and COVID-19
cases are dropping, those who aren't vaccinated still face high infection
risks, medical experts told the news outlet. "The work ahead of us is
going to be really challenging because while the people who are fully
vaccinated are well protected, we still have to keep on convincing individuals
who are not yet vaccinated that they are not safe," Leana Wen, MD, an
emergency physician and CNN medical analyst, said this week.
The origin of COVID: Did people or nature open Pandora’s box at Wuhan? - Bulletin of the Atomic Scientists
Vitamin D
Supplements May Not Reduce COVID-19 Risk: A new genetic study suggests that giving people extra
vitamin D may not protect against coronavirus infection or COVID-19. PLOS
Medicine,
Getting a
Pfizer or Moderna COVID-19 Vaccine Can Drop Your Risk for Infection by 91%: New research from the Centers for
Disease Control and Prevention (CDC) has found that the messenger RNA (mRNA)
vaccines used against the coronavirus reduce the risk of COVID-19 infection by
91 percent in people who are fully vaccinated. For people who are partially
vaccinated, the reduced risk drops to 81 percent. The study, which was released this month as a preprint on
MedRxiv, also shows that the vaccines reduce the severity of illness in both
fully and partially vaccinated people who develop COVID-19.
New study
highlights potential role of diet:
Healthcare professionals,
with heavy exposure to Covid, eating a plant-based diet were 73% less likely to experience
moderate to severe COVID-19, and those following a plant- or fish-based diet
were 59% less likely to get seriously ill.
Antibody
Combo 'Reduces Mortality in Most Vulnerable COVID Patients': An antibody combination has been found
to reduce the risk of mortality by 20% when given to seronegative patients
hospitalised with severe COVID-19, according to a study
preprint. The treatment uses a combination of two monoclonal antibodies,
casirivimab and imdevimab (REGEN-COV, Regeneron Pharmaceuticals), that bind
specifically to two different sites on the coronavirus spike protein,
neutralising the ability of the virus to infect cells.
CDC: Delta
Variant From India a 'Variant of Concern': The CDC has officially classified the delta variant of the
coronavirus as
a "variant of concern" to monitor in the U.S. The variant, which
was first identified in India and is also known as B.1.617.2, now accounts for
10% of cases in the U.S. and is spreading quickly. The variant led to a surge
in cases in India and is prevalent across the U.K., which has led to a delay in
reopening. "It's doubling every 2 weeks," Scott Gottlieb, MD, a former
FDA commissioner, said on CBS News's Face the Nation on Sunday. The delta
variant is more transmissible than other strains and appears to remain
contagious for longer periods of time, he said. And I think the risk is really
… that this could spike a new epidemic heading into the fall." The Pfizer
and Moderna vaccines appear to be about 88% effective against the delta variant
after two shots, Gottlieb said. The Johnson & Johnson and AstraZeneca
vaccines seem to be about 60% effective, but more studies are needed.
Giving Flu
and COVID Shots at Same Time Appears Safe, Effective: the NVX-CoV2373 vaccine (Novavax) is
showing 89.8% efficacy in an ongoing, placebo-controlled phase 3 study. When
the researchers gave a smaller group of 431 volunteers from the same study an
influenza shot at the same time, efficacy dropped slightly to 87.5%. The research
was published online June 13 as a medRxiv
preprint.
COVID May
Cause Long-Term Brain Loss: According to the
study, researchers in the United Kingdom had access to brain image testing
on about 40,000 people that was done before the start of the coronavirus
pandemic. In 2021, they asked hundreds of
those people to come back for more brain scans. Almost 800 responded. Of those
patients, 404 had tested positive for COVID-19, and 394 had usable brain scans
that were taken before and after the pandemic. Comparison of the before-and-after brain
scans found "significant effects of COVID-19 in the brain with a loss of
grey matter" in parts of the brain connected to smell and taste.
More Than 300 Heart Inflammation Cases Reported After Vaccination: More than 20 million adolescents and young
adults have been vaccinated in the U.S., the news outlet reported. Although
rare, the 300 cases are higher than expected for the age group. Medscape
Smell training, not steroids, best treatment for COVID-19 smell loss: Corticosteroids - a class of drug that
lowers inflammation in the body - are not recommended to treat smell loss due
to Covid-19. Instead, 'smell training' - a process that involves sniffing at
least four different odours twice a day for several months- is recommended. International Forum of Allergy &
Rhinology
PAIN
Ibuprofen
May Be Superior to Codeine to Manage Postsurgery Pain: According to research
published today in the Canadian Medical Association Journal, it appears ibuprofen is more effective
than codeine for
managing pain after surgery. Ibuprofen also appears to have fewer side effects than
codeine, which is an opioid, and it along with other nonsteroidal
anti-inflammatory drugs (NSAIDs) do not pose the potential for dependence as
codeine may. “We found high-quality evidence that outpatient
postoperative adults taking NSAIDs reported less pain at 6 and 12 hours than
those taking codeine in a meta-analysis of RCTs,” the researchers wrote.
Many surgery
patients get opioid prescriptions, but many don't need to, study suggests: Effective pain control with equal
short-term outcomes and patient satisfaction seen in patients who got
non-opioid pain medication. The team behind the study has also produced a free, evidence-based guide for surgeons and other acute
care providers, to help them treat patients' pain without the risk of
persistent use that opioids carry. The new study is published in the Annals of Surgery by a team from Michigan Medicine
People with back pain miss far fewer workdays when they receive recommended treatments: People with lower back pain injury miss
11 more days of work in a year when they only receive treatments for lower back
pain that are not recommended by medical guidelines compared to people treated
according to guidelines. The findings publish in PLOS ONE on June 17.
Study examines care received by patients with knee osteoarthritis: New research reveals that only a
minority of U.S. Medicare beneficiaries with knee osteoarthritis in 2005-2010
used non-surgical care such as physical therapy and knee injections, and few were
treated by rheumatologists, physiatrists, or pain specialists. The study, which
is published in Arthritis
& Rheumatology, also found that non-surgical care was more
common in regions with low rates of knee replacement surgery.
Disparities
in treatment persist for people with headache: Disparities exist in the treatment of people with
headache disorders because of race and ethnicity, socioeconomic status and
geography, according to a review article published in the June 9, 2021, online
issue of Neurology
Higher incidence of carpal tunnel syndrome after bilateral oophorectomy: New study suggests the risk of severe
carpal tunnel syndrome increases for women after surgery to remove the
fallopian tubes and ovaries. Menopause
The use of
couple therapy to reduce pain during intercourse : Provoked vestibulodynia is a condition experienced by
approximately 8% of women in North America. It is characterized by severe pain
at the vaginal opening during sexual intercourse or when inserting tampons. To
reduce the burning sensation, many women apply lidocaine, an anesthetic cream. A new study of 108
couples found cognitive-behavioural therapy (CBT) for couples to be more
effective than lidocaine.
Autologous
adipose injection for shoulder pain in wheelchair users with spinal cord injury: Pilot study of micro-fragmented adipose
tissue injection suggests that the biologic is an effective treatment option
for wheelchair users with chronic shoulder pain
COMPLEMENTARY & ALTERNATIVE MEDICINE
Complementary Health Approaches for
Hypertension: NCCIH Clinical Digest
Tai chi
shows promise for relief of depression and anxiety in stroke survivors: A small feasibility study has suggested
that tai chi has the potential to reduce depression, anxiety and stress plus
improve sleep in people who have had a stroke. EuroHeartCare - ACNAP Congress
2021
Olfactory virtual realities show promise for mental health practices and integrative care Study shows that scent-enhanced virtual
reality technologies, or OVR, can be a safe and effective integrative approach
to target anxiety, stress, and pain when combined with standard inpatient
psychiatric care Journal of Medical Research and Health Sciences
Team describes science-based hiccups intervention: The forced inspiratory suction and swallow tool was found
to be 92% effective. FISST is a rigid drinking tube with an inlet valve that
requires forceful suction to draw water from a cup into the mouth. The suction
and swallow simultaneously stimulate two nerves, the phrenic and vagus nerves,
to relieve hiccups. JAMA Network Open
The 'Mozart
effect' shown to reduce epileptic brain activity, new research reveals: Music by Mozart has been shown to have
an anti-epileptic effect on the brain and may be a possible treatment to
prevent epileptic seizures, according to new research presented today at the
7th Congress of the European Academy of Neurology (EAN)
Tick for
insomnia treatment: If
insomnia keeps you awake at night, Flinders University researchers recommend a
trip to the doctor - not for a sleeping pill prescription but for a short
course of intensive cognitive behavioral therapy (CBT). CBT improves insomnia,
mental health and quality of life, and can be more successful than sleeping
pills. Australian Journal of General Practice
Earlier
sleep timing associated with lower depression risk, new study suggests: People who tend to go to bed and wake
up earlier have significantly lower risk of major depression, according to a
sweeping new genetic study. JAMA
Psychiatry
FDA ACTION
• Approved a nasal antihistamine, Astepro,
for nonprescription use through a process called a partial prescription to
nonprescription switch.
• Approved
StrataGraft for the treatment of adult patients with thermal burns
• Approved
Ryplazim (plasminogen, human-tvmh) for the treatment of patients with
plasminogen deficiency type 1, also referred to as hypoplasminogenemia
• Approved
Wegovy (semaglutide) injection (2.4 mg once weekly) for chronic weight
management in adults with obesity or overweight
• Approved
Lumakras (sotorasib) as the first treatment for adult patients with non-small
cell lung cancer
• Approved
Rybrevant (amivantamab-vmjw) as the first treatment for adult patients with
non-small cell lung cancer
• Approves
Nivolumab after surgery for esophageal or GEJ cancer
• Approved
emergency use for Sotrovimab for patients 12+ hospitalized with COVID-19 or
require oxygen therapy
• Approved
Aducanumab for Alzheimer’s Disease
PREVENTION:
Exercise
Walking an Extra
1,000 Steps May Increase Your Life Span: A study presented at the American Heart Association’s Epidemiology
and Prevention | Lifestyle and Cardiometabolic Health Conference, found
that people who took more steps each day had a significantly lower risk of
death than those who were less active. The health benefits were consistent
among people who walked in uninterrupted sessions and those who walked in short
spurts. You don’t need to commit to lengthy strolls each day to improve your
health. Squeezing in spurts of steps through everyday activities has the same
health benefits. They identified a 32 percent decrease in death among those who
took at least 2,000 steps a day. The health benefits plateaued around 4,500
daily steps
Exercise likely to be best treatment for depression in coronary heart disease: A study by RCSI indicates that exercise
is probably the most effective short-term treatment for depression in people
with coronary heart disease, when compared to antidepressants and psychotherapy
or more complex care. Psychosomatic
Medicine
Study finds association between head impacts and imaging changes in youth football players: Study finds association between head
impacts and imaging changes in youth football players. Journal of Neurosurgery: Pediatrics
High-intensitystrength and impact training attenuates skeletal aging: Regular strength and impact-type
training may decrease or even prevent age-related bone deterioration in men.
PREVENTION:
Vitamins/Supplements
Nutritional
supplement proves 92% effective in boosting brain function: An international subject pool was
studied to confirm the effectiveness of a whole food complete vitamin and meal
replacement product, IQed. The findings indicate that the carefully developed
nutritional supplement, IQed Smart Nutrition, can help bolster key
functions for people with a wide range of prevalent diagnoses including
Autism, Apraxia, and ADHD, and other obscure, but equally challenging,
diagnoses encompassing speech and motor processing disorders. Alternative Therapies
Vitamin D
and Breast Cancer Survival:
Having enough vitamin D at the time of diagnosis is associated with better
breast cancer outcomes according to a new
study highlighted at the American Society of Clinical Oncology 2021 virtual
annual meeting. Experts say most people in the United States don’t have
sufficient vitamin D levels because only a few foods contain the mineral
naturally. They add that vitamin D supplementation is necessary for only
certain groups of people, including post-menopausal women, those on long-term
steroids, older adults, expectant and breastfeeding women, those with chronic
kidney disease, parathyroid disease or obesity.
Could Fish Oil Supplements Help Fight Depression? In a study of 22 people with major depression, Treatment with
both omega-3s was associated with a significant improvement in depression, with
an average 64% drop in symptoms for the EPA group and 71% in the DHA group. It
does not prove cause-and-effect, however. Molecular
Psychiatry
PREVENTION: Diet/Nutrition
There’s No
Safe Dose of Alcohol:
According to a recent study by a group of scientists at Oxford University in
England, there’s no safe dose for alcohol consumption. The observational study looked at data from
more than 25,000 middle-aged adults. The study found that moderate consumption
is more closely associated with adverse effects on the brain than was
previously known. They found that alcohol was negatively associated with global
brain gray matter volume. Also, individuals with comorbidities like high blood
pressure and a high BMI, or those who binge drink, may be more susceptible to
these adverse effects.
Caffeine Can
Only Help So Much If You Don’t Get Enough Sleep: Experts say caffeine can help you stay
awake if you’re sleep deprived, but it probably won’t improve your performance
on tasks. They say caffeine is not a substitute for a good night’s sleep, which
helps repair tissue and cleanse the brain. They note that too much caffeine can
also disrupt sleep patterns. studyTrusted Source Journal of
Experimental Psychology: Learning, Memory, & Cognition
Spice Up
Your Diet. It’s Good for Your Heart:
Two new studies have found that consuming herbs and spices can help promote
better cardiovascular health. One study found that adding herbs and spices to
meals may help reduce blood pressure in people at risk of heart disease. The other study linked spice supplements
(ginger, cinnamon, turmeric, curcumin, or curcuminoid supplements) to lower cholesterol levels in people with
type 2 diabetes. NUTRITION
2021 Live Online
2 Servings
of Fruit a Day Can Lower Your Risk of Type 2 Diabetes: Researchers say you can lower your risk
of type 2 diabetes by eating two servings of fruit per day.People who eat fruit
can lower their blood glucose levels without producing as much insulin. Fruit
juice doesn’t produce as many benefits as consuming whole fruits. Journal of
Clinical Endocrinology & Metabolism
Case study shows patient on ketogenic diet living fully with IDH1-mutant glioblastoma: A British man who rejected the standard
of care to treat his brain cancer has lived with the typically fatal
glioblastoma tumor growing very slowly after adopting a ketogenic diet,
providing a case study that researchers say reflects the benefits of using the
body's own metabolism to fight this particularly aggressive cancer instead of
chemo and radiation therapy. Frontiers in Nutrition
High caffeine consumption may be associated with increased risk of blinding eyedisease: Consuming
large amounts of daily caffeine may increase the risk of glaucoma more than
three-fold for those with a genetic predisposition to higher eye pressure
according to an international, multi-center study. Ophthalmology
People Who
Skip Breakfast Miss Vital Nutrients, Snack More: A new study from researchers at The Ohio State University shows
that regularly skipping breakfast may be a bad idea. Foods that are commonly
eaten for breakfast don’t tend to be eaten at other times of the day. This can
lead to underconsumption of the nutrients that they contain. In addition, people who skip breakfast tend
to snack more, especially on sugars, carbohydrates, and fat. Experts say that
it’s important to start your day with good nutritional choices, regardless of
what you eat.
'MIND' Diet
Can Help Preserve Brain in People With MS: Those who ate more of the "good" foods from a
brain-health eating regimen known as the MIND diet and fewer "bad"
ones tended to have more preserved tissue in a critical relay station in the
brain called the thalamus. The study also found a link between eating more
full-fat dairy products and fewer MS brain lesions. Eating omega-3 fatty acids
from fish also had brain benefits. The MIND diet combines aspects of the
Mediterranean diet and the Dietary Approaches to Stop Hypertension (DASH) diet.
Foods considered "good" include leafy vegetables, berries, nuts and
fish, and those considered "bad" include fried foods, butter, cheese,
red and processed meats and sweets. MS
and Related Disorders.
PREVENTION
SPRINT studyconfirms controlled blood pressure important in preventing heart disease and stroke: Follow-up data
from the landmark SPRINT study of the effect of high blood pressure on
cardiovascular disease have confirmed that aggressive blood pressure management
-- lowering systolic blood pressure to less than 120 mm Hg -- dramatically
reduces the risk of heart disease, stroke, and death from these diseases, as
well as death from all causes, compared to lowering systolic blood pressure to
less than 140 mm Hg. NEJM
Can Too Much
Work Increase Your Risk of Death?
a recent reportTrusted
Source released by the World Health Organization and the
International Labour Organization says that overwork led to 745,000 deaths from
stroke and heart disease in 2016. To make matters worse, that’s an increase of
29 percent since the year 2000. Working
over 55 hours is associated with an increased risk of death. But
experts say that a certain number of hours worked doesn’t always mean someone
is overworked. Instead, they say to look for signs that work is exhausting you
and affecting your health. If you’re in
a job that is negatively impacting your health, there are ways to improve your
mental health even if you don’t switch jobs.
Poor oral
health linked to muscle loss and diabetes: A longitudinal study found that “oral frailty,” a measure that includes the
number of remaining teeth, chewing ability, and difficulties eating and
swallowing, was a risk factor for physical frailty, disability, and mortality
from all causes. PLOS ONETrusted Source.
Study Finds
‘Forever Chemicals’ Common in Cosmetics: A new study found that almost half of the cosmetic
products tested in contain potentially harmful chemicals. These chemicals,
called per- and polyfluoroalkyl substances (PFAS), have been linked in early
research to cancer, reproductive harm, and damage to the immune system. PFAS
are often used to increase a product’s durability, spreadability, and wear. The
study,
published by the American Chemical Society, looked at more than 200 products in
the United States and Canada and found the highest levels of these chemicals in
everyday personal care products, including lipstick, mascara, and foundation.
Have trouble
sleeping? You're at
higher risk of dying, especially if you have diabetes: Having trouble falling
or staying asleep may leave you feeling tired and frustrated. It also could
subtract years from your life expectancy, according to a new study from
Northwestern Medicine and the University of Surrey in the United Kingdom (UK). The effect was even greater for people with
diabetes who experienced sleep disturbances, the study found. Journal of Sleep Research
TREATMENT
Personalized medicine, not X-rays, should guide forearm fracture treatment in older adults: A decade-long study of the most common
forearm fracture in older adults revealed that personalized medicine catering
to a patient's individual needs and environment, not age or X-rays, should
guide treatment options. JAMA Network Open
New drug to
halt dementia after multiple head injuries: A world-first international study led by the University
of South Australia has identified a new drug to stop athletes developing
dementia after sustaining repeated head injuries in their career. Scientific
Reports
Treating
sleep apnea with CPAP therapy is associated with lower risk of heart problems: Findings from a recent study show
that patients with untreated, moderate to severe obstructive sleep apnea had a
higher risk of experiencing a cardiovascular event, but the risk of incident
heart problems was decreased in those who used CPAP therapy.
OTHER
Routine Testing Before Surgery Remains Common Despite Low Value: A wealth of evidence suggests these
tests are often unnecessary, costly, and can lead to adverse effects. Before
undergoing surgery, patients often go through a number of tests: blood work,
sometimes a chest X-ray, perhaps tests to measure heart and lung function.
plenty of evidence suggests that preoperative testing is often unnecessary for
low-risk surgeries. At best, it’s costly
and doesn’t usually improve outcomes for patients. At worst, it can lead to
more invasive testing and delay surgery, which can create complications that
could have been avoided if the tests weren’t done. JAMA Internal Medicine
Human health
'intricately linked' to ocean health:
In a new report, a team of researchers argues that the world’s ocean is
“intricately linked” to human health. As a consequence, repairing the
human-influenced damage done to the ocean will also benefit human health. In
the paper, which appears in the American Journal of Public Health, the
authors say that restoring the health of oceans should not just be the priority
of marine scientists but also the medical community and the public more
broadly.
Supreme
Court Upholds Affordable Care Act: On Thursday, in a 7-2 vote, the US Supreme
court upheld the Affordable Care Act.