Journal Watch February 2015

CHRONIC PAIN

• Psychological Factors Play a Part in Acupuncture Treatment of Back Pain: People through back pain who have low expectations of acupuncture in front of they start a course of treatment will gain less benefit than those the vulgar who believe it will work, according to unused research. Conversely, those people who possess a positive view of back rack and who feel in control of their predicament experience less back-related disability besides the course of acupuncture treatment. The Clinical Journal of Pain 

• Women’s Pain: Common, Treatment and Often Overlooked or Mismanaged: Despite the diversity of effective treatments, and physicians who specialize in treating affliction, women often suffer unnecessarily from conditions ranging from backaches to pain from cancer surgery, and also treat their chafe with medications that may be inefficacious. and possibly harmful, according to a criticise of research. Science Daily 

• New Scoring System Helps Predict Risk of Chronic Pain: A scoring plan based on six predictive measures (type of surgery, age, physical and mental health status, preoperative pain in the surgical sunken space adjoining the basement and non surgical areas) can improve to reduce the risk of defame surgery chronic pain. Anesthesiology 

COMPLEMENTARY AND ALTERNATIVE MEDICINE

• NIH Complementary and Integrative Health Agency Name is Changed:The “Consolidated and Further Continuing Appropriations Act, 2015” (Public Law 113-235) changed the specify of the Center to the National Center by reason of Complementary and Integrative Health (NCCIH). Press Release 

• NCCIH Clinical Digest Stress and Relaxation Techniques: Relaxation techniques may exist helpful in managing a variety of freedom from disease conditions, including anxiety associated with illnesses or healing procedures, insomnia, labor pain, chemotherapy-induced loathing, and temporomandibular joint dysfunction. For some of these conditions, relaxation techniques are used like an adjunct to other forms of management. Relaxation techniques have also been predetermined for other conditions, but either they haven’t been shown to have existence useful, research results have been vacillating., or the evidence is limited. 

• Mindfulness May Help Ease Sleep Problems in quest of Seniors: Researchers found that among 49 older adults with sleep problems, those who learned mindfulness practices started dormant better within six weeks. In performance, they did better than their counterparts who were given regular lessons on good sleep habits, the study authors declared. JAMA Internal Medicine 

• US Nationwide Survey Reveals Widespread Use of Mind and Body Practices: A immense nationally representative survey shows that the calculate of Americans using mind and body approaches to improve health and well-substance remains high. Of note is a forcible increase in the use of yoga from that time 2002. In addition, almost as many Americans practice meditation or receive chiropractic or osteopathic manipulation. Science Daily 

• How Mindfulness Training Affects Health: Over the spent decade, there have been many encouraging tools and materials suggesting that mindfulness training can improve a open range of mental and physical health problems. Yet, exactly how mindfulness truly impacts health is not clear. Researchers obtain developed a model suggesting that mindfulness influences hale condition via stress reduction pathways. Science Daily 

FOOD AND DRUG ADMINISTRATION ACTION

• Approved Meningitis B Vaccine Bexsero

• Approved Secukinumab in quest of psoriasis

• Approved Natpara to command low blood calcium in those through hypoparathyroidism

• Permitted the marketing of Apps notwithstanding Continuous Glucose Monitoring

• Strengthen approval of accessories and other items relating to automated external defibrillators. Since 2005, the FDS has current 72,000 reports of devices deficiency. 

• Approved generic esomeprazole

• Expanded approval of Vyvanse to discuss bing eating disorders in adults.

• Approved ENROUTE Transcarotid Neuroprotection System (TNS) A unused technology designed to reduce stroke exposure to harm in certain patients

• Approved Lucentis instead of Diabetic Retinopathy

PREVENTION

• Pneumonia Raises Heart Disease Risk for Years: Older patients hospitalized with inflammation of the lungs appear to have an increased peril of heart attack, stroke or dying from heart disease for years after, a new study finds. This elevated jeopardy was highest in the first month for pneumonia — fourfold — but remained 1.5 state of things higher over subsequent years, the researchers maxim. Journal of the American Medical Association

• Walking Group a Step Towards Better Health: Researchers reviewed 42 studies, involving approximately 2,000 adults in 14 countries, that examined the natural and mental health effects of joining every outdoor walking group. Some of the vulgar herd in the studies had chronic soundness problems such as arthritis, diabetes, corpulency, fibromyalgia, Parkinson’s disease, dementia, and mental health disorders. Joining a walking form into ~s led to decreases in blood character impressed, resting heart rate, body fat, import and total cholesterol, the study base. In addition, walkers saw improvements in overall pertaining to physics functioning and lung power, the researchers uttered in a journal news release. And symptoms of couching also seemed to be reduced ~ dint of. joining an outdoor walking group, they lay the ~ation of. Three-quarters of the walking arrange participants stuck with the exercise program. The but negative side effects reported were a scarcely any falls on roots or wet estate, the findings showed. British Journal of Sports Medicine. 

• More Evidence that Boxing Can Lead to Brain Damage: The study included professional fighters — 93 boxers and 131 associated martial arts experts. They ranged in century from 18 to 44, and were compared counter to 22 people of similar age with no history of head injuries. MRI brain scans and tests of memorial, reaction time and other intellectual abilities showed that the fighters who had suffered repeated blows to the main had smaller brain volume and slower processing speeds, compared to non-fighters. British Journal of Sports Medicine 

• Weight Gain or Loss Linked to Fracture Risk in Older Women: The peril of broken bones increases with both weight gain and loss in older women, according to a fresh study. These findings challenge the widely held reliance that weight gain protects older women to match fractures, the researchers said. The study included facts from more than 120,000 of a sound constitution postmenopausal women in the United States. The women were between the ages of 50 and 79 years long-cultivated. Their health status was followed instead of an average of 11 years. BMJ 

• Seniors Need 2 Pneumonia Vaccines: Adults 65 and older lack two vaccines to better protect them from bacterial corruption in the blood (called sepsis), meningitis and pneumonitis, according to a revised vaccination roll from the 2015 Advisory Committee without interrupti~ Immunization Practices (ACIP). 

• When it Comes to Jogging, Easy Does It: Out of a loch of about 5,000 healthy Danish adults, researchers followed well-nigh 1,100 healthy joggers and 413 torpid people for more than 12 years. The zealous joggers, the investigators found, were being of the cl~s who likely to die during that time full stop as the sedentary non-joggers. Light joggers and dull joggers fared better, in that methodize. The dose of running that was chiefly favorable for reducing mortality was jogging 1 to 2.4 hours by week, with no more than three running days for week. Journal of the American College of Cardiology 

• Small Study Links Lack of Sleep to Diabetes Type 2: Researchers assert lack of sleep can lead to increased levels of substances called hospitable fatty acids in the blood. These substances interfere with the ability of the hormone insulin to conduct blood sugar levels. The researchers related these findings suggest that high rates of corpulence and diabetes could be reduced ~ dint of. something as simple as having the multitude get more sleep. Diabetologia 

• Light Activity a Boost to Seniors Hearts: Light material activity may benefit older adults’ hearts — smooth if they have mobility issues, a just discovered study suggests. Journal of the American Heart Association 

• Study Questions Benefits of Treadmill Desk: Researchers base that the desks are expensive, challenging to intimately united into an office setting, and may observe little to boost meaningful activity levels. Journal of Occupational and Environmental Medicine 

• More Evidence That Even Moderate Exercise Helps Women’s Hearts: Even a few bouts of moderate exercise each week have power to cut a middle-aged woman’s superiority for heart disease, blood clots and misfortune, a new study finds. The British study likewise found that exercising more frequently didn’t draw to greater reductions in heart jeopardize. Circulation 

SUPPLEMENTS/NUTRITION/VITAMINS

• Coffee May Protect Against Some Skin Cancers: People in a study who drank four or to a greater degree cups of coffee daily were 20 percent not so much likely to develop malignant melanoma than non coffee drinkers, according to the study published (Jan. 20) in JNCI: Journal of the National Cancer Institute. 

• Coffee Linked to Possible Lower Endometrial Cancer Risk: Using premises on more than 456,000 women from two large ongoing studies, researchers evaluated the dietary habits of besides than 2,800 women diagnosed through cancer of the endometrium, the lining of the uterus. Compared to women who drank not so much than a cup a day, those who drank near four cups daily had an 18 percent frown risk of getting this cancer, they mould. Cancer Epidemiology, Biomarkers & Prevention 

• Could a Drink a Day Lower Risk against Heart Failure: Having a drink eddish. day might help lower a central part-aged person’s odds for seat of life failure, a new study reveals. The inquiry suggests that men in their 40s, 50s and 60s who drink because much as seven comparably sized glasses of wine, beer and/or distilled liquors per week will see their put to hazard for heart failure drop by 20 percent. For women the associated ear-ring in risk amounted to roughly 16 percent, according to the study published online Jan. 20 in the European Heart Journal.

• Daily Drinking May Raise Risk of Liver Cirrhosis: In men, toping every day raised the risk towards cirrhosis more than less frequent drinking. And recent drinking, not lifetime alcohol consumption, was the strongest predictor of alcohol-related cirrhosis. Hepatology 

• Too Much Alcohol at Midlife Raises Stroke Risk: People who mean proportion more than two drinks a epoch have a 34 percent higher hazard of stroke compared to those whose diurnal average amounts to less than half a drink, according to findings published Jan. 29 in the diary Stroke. Researchers also found that rabble who drink heavily in their 50s and 60s wait on to suffer strokes earlier in life than day~ drinkers or non-imbibers. 

• Health Diet may exist linked to lower risk of lung ailment: A healthy diet low in red viands and rich in whole grains efficacy reduce the risk of developing the crippling of long duration lung disease known as COPD, repaired research suggests. BMJ 

• Many Americans Don’t Handle Poultry Safely: Many Americans carry into effect not follow recommended safety practices whereas handling and cooking poultry, a unused study finds. Fewer than two-thirds of consumers be in possession of a food thermometer, and less than 10 percent of those who bring forth the devices use them to control if poultry is cooked to a chest temperature. Journal of Food Protection 

• Eating More Fiber Helped People Lose Weight: People who single added more fiber to their not so normal diet were able to dispossess of weight, lower their blood pressure and contract blood sugar levels — all key to staving from diabetes and improving overall health. Annals of Internal Medicine 

• New Dietary Guidelines Put Strict Limits in successi~ Added Sugar: The U.S. direction is recommending that Americans limit their intake of foods and drinks with added sugar to less than 10 percent of their daily calories, while easing some of its former restrictions on cholesterol and sodium, according to a detail from an advisory committee on the nation’s dietary guidelines released Thursday. The guidelines summon for an “environmentally friendly” diet that limits processed and red meats, is “subside in calories and animal-based foods” and focuses in c~tinuance “plant-based foods” such for example vegetables, fruits and whole grains.

• Highly Processed Foods Linked to Addictive Eating: A starting a~ study confirms what has long been suspected: extremely processed foods like chocolate, pizza and French fries are in the midst of the most addictive. PLOS One 

• Drinking Green Tea Before Taking Supplements May Offer Protection from Toxicity: As done against the state doses of green tea extract supplements during weight loss become more popular, potential liver toxicity becomes a concern. In the final decade, dozens of people have been diagnosed by the condition. However, drinking green infusion in the weeks before taking supplements credible reduces risk, according to researchers. Food and Chemical Toxicology 

TREATMENT RESEARCH

• Stem Cells May Reverse MS Disability: A therapy that uses patients’ acknowledge primitive blood cells may be accomplished to reverse some of the personal estate of multiple sclerosis, a preliminary study suggests. The findings, published in the Journal of the American Medical Association, had experts cautiously optimistic. But they in addition stressed that the study was narrow-minded — with around 150 patients — and the benefits were limited to populate who were in the earlier courses of multiple sclerosis (MS). 

• Tamiflu Cuts One Day away Average Flu Bout: A review of the facts suggests that the antiviral drug Tamiflu shortens the long duration of flu symptoms by about a epoch, and reduces the risk of flu-of the same family complications such as pneumonia. The Lancet 

• Safety,Life-Saving Efficacy of Statins Have Been Exaggerated Says Scientist; Statins, the cholesterolclouded drugs prescribed to prevent heart attacks, are not in the same manner with effective nor as safe as we regard been led to believe, researchers declare. Statins produce a dramatic reduction in cholesterol levels, but have failed to substantially improve cardiovascular outcomes, they ~ together, stating that ‘statistical deception’ has been used to bloat claims about their effectiveness. Expert Review of Clinical Pharmacology 

• Statins May Not Lower Parkinson’s Risk: The appliance of statins may not be associated by lowering risk for Parkinson’s ail, according to a new study. The findings cast doubts on reports suggesting that the cholesterolmurky medications may protect against this neurodegenerative brain unsettle. Movement Disorders 

• HRT Increases Ovarian Cancer Risk: Women who employment hormone therapy after menopause — even towards just a few years — may require an increased risk of ovarian cancer, according to just discovered research. The new study found that while women used hormone replacement therapy by reason of less than five years after menopause, the put to hazard of ovarian cancer increased by here and there 40 percent. The Lancet 

• New Guidelines in the place of People with Nasal Allergies: The recommendations toward those ages 2 and up stand in judgment in the Feb. 2 issue of Otolaryngology-Head and Neck Surgery 

• Higher Dementia Risk Linked to More Use of Common Drugs: A vast study links a significantly increased risk for developing dementia, including Alzheimer’s sickness, to taking commonly used medications with anticholinergic effects at higher doses or in the place of a longer time. Many older folks take these medications, which include nonprescription diphenhydramine (Benadryl). The principally commonly used medications in the study were tricyclic antidepressants like doxepin (Sinequan), principal-generation antihistamines like chlorpheniramine (Chlor-Trimeton), and antimuscarinics toward bladder control like oxybutynin (Ditropan). The study estimated that the vulgar taking at least 10 mg/sunlight of doxepin, 4 mg/day of chlorpheniramine, or 5 mg/twenty-four hours of oxybutynin for more than three years would be at greater risk for developing insanity. JAMA Internal Medicine 

• Nearly1 in 10 Adults Skips Meds Due to Costs: High drug costs in the United States may be hurting the very people the medications are meant to withstand, the new report from the U.S. Centers towards Disease Control and Prevention suggests. About 15 percent of U.S. adults obtain asked their doctor for a humiliate-cost alternative, the researchers found. The U.S. Centers ~ the sake of Medicare and Medicaid Services suggests the following ways patients be possible to save money on drugs:

•    Take generic or other grow dark-cost medications,

•    Choose an insurance plan that has additional unsalable article coverage,

•    Consider unsalable article assistance plans offered by pharmacies and states,

•    Apply to Medicare and Social Security with regard to help reducing costs,

• Apply to common-based charities for help with medication costs. NCHS News Brief 

OTHER

• E Cigarettes Can Churn Out High Levels of Formaldehyde: Vapor produced by electronic cigarettes can contain a surprisingly remote concentration of formaldehyde — a known carcinogen — researchers reported Wednesday. The tools and materials, described in a letter in the New England Journal of Medicine, make intense concern about the safety of electronic cigarettes, what one. have become increasingly popular. 

• Diabetes-Related Foot Condition Often Missed: A debilitating rank called Charcot foot is often missed amid the nearly 30 million Americans through diabetes, doctors say. The condition is highly treatable, but if left alone it can lead to permanent deformity, disability, surgery and so much as amputation, according to the American College of Foot and Ankle Surgeons (ACFAS).

• Eczema Linked to Other Health Problems; Adults through eczema — a chronic, itchy skin ailment that often starts in childhood — may too have an increased risk of kernel disease and stroke, according to a just discovered study. This increased risk may have ~ing the result of bad lifestyle habits or the distemper itself. The researchers found that tribe with eczema smoke and drink other, are more likely to be obese and are less likely to train than adults who don’t require the disease. Journal of Allergy and Clinical Immunology 

• Stroke Survivors who live alone external part higher risk of early death: Stroke survivors — especially men — who live alone are at increased hazard for premature death, a new study suggests. 

• Those who care concerning Brain Injured at Risk for Chronic Disease: Some loved ones who care because veterans with brain injuries may have existence at increased risk for chronic freedom from disease problems, a new study indicates. Traumatic brain injuries be able to result in devastating physical and cognitive [ideal] impairments. “Grief, anger and blame are common among caregivers who are left to cope with these profound disabilities and the defeat of the person they once knew. These feelings may impose these individuals at risk for seditious-related disease.” Biological Research in opposition to Nursing. 

• New race for Chronic Fatigue Syndrome: Chronic extra duty syndrome is about to get a recent clinical definition, with the hope that it last ~ and testament help physicians better diagnose people afflicted through the mysterious and complex disorder. The Institute of Medicine has released a spun out-awaited report that defines diagnostic criteria as antidote to chronic fatigue syndrome and examine whether a new name for the disease is warranted. 

• Lyme Disease More Serious and Costly Than Believed: Prolonged distemper in Americans with Lyme disease is besides widespread, serious and costly than previously believed, a new study suggests.

Researchers cast that Lyme disease has a a great deal of greater impact on patients and the soundness system, costing up to $1.3 billion a year to ~ of. Plos One 

• More Americans Surviving Cancer: Survival rates are improving as antidote to many people with cancers of the affections, prostate, lung, liver and colon or rectum, especially since those diagnosed at younger ages, a repaired study reports. Cancer is still a leading cause of death in the United States, but advances in radiation, chemotherapy and targeted treatments desire improved survival, the researchers said. JAMA Oncology

• Chronic Illness, Loneliness May Go Hand-in-Hand towards Elderly: For people age 70 or older who struggle through a chronic illness, loneliness is ofttimes a complicating factor, a new study finds. Health Psychology 

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