WHO’s Anti-Smoking Guidelines Save 13 Million In China

Anti-smoking campaigns have proven effective in some parts of the United States, but what effect could they have on a country ranked third among the number of active smokers? Guidelines implemented by the World Health Organization (WHO) could prevent up to 13 million smoking-related deaths in China by 2050 and could reduce the number of smokers by more than 40 percent.

According to the WHO, half of all smokers will die as a result of tobacco use including upward of six million people each year. Out of the global impact of smoking-related fatalities, 600,000 have been attributed to non-smokers who were exposed to second-hand smoke. Approximately, 80 percent of the estimated one billion smokers around the world live in low- and middle- income countries. Countries who have implemented bans on tobacco advertising, promotion, and sponsorship have decreased tobacco consumption by seven percent in some countries and 17 percent in others.

Researchers from Spain, France, and the U.S. estimated the potential health impact of the WHO’s proposal using the SimSmoke Tobacco Control Policy model, an international record of smoking prevalence and smoking-related deaths. Researchers said, in a press release, implementing the guidelines set forth by the WHO “would lead to as much as a 34% relative reduction in male smoking prevalence by 2020, and a 41% reduction by 2050.” If the WHO guidelines are ignored, China can expect an additional 50 million smoking-related deaths between 2015 and 2050.

Following the application of smoke-free air laws and tobacco marketing bans have showed “potent and immediate” effects in other countries. Implementing smoke-free air laws in China could reduce smoking rates by nine percent in 2015. Furthermore, increasing increase taxes by 75 percent could also reduce the number of smokers by 10 percent of both males and females by 2015. By 2015, the number of smoking-related deaths was expected at 932,000 men and 79,000 women.

When 2050 finally rolls around, the research team expects the number of female smokers in China to reduce by 12 percent and male smokers by 13 percent. Between 2015 and 2050, researchers expect that WHO guidelines will save 3.5 million lives. A complete ban on tobacco marketing could help reduce smoking by four percent in China. The research team was also confident that “without the implementation of the complete set of stronger policies, the death and disability legacy of current smoking will endure for decades in China.”

When 2050 finally rolls around, the research team expects the number of female smokers in China to reduce by 12 percent and male smokers by 13 percent. Between 2015 and 2050, researchers expect that increasing tobacco sales will save 3.5 million lives. Combine that with smoke-free air campaigns and China could see a reduction in 13 million deaths by the year 2050. A complete ban on tobacco marketing could help reduce smoking by four percent in China. The research team was also confident that “without the implementation of the complete set of stronger policies, the death and disability legacy of current smoking will endure for decades in China.”

Source: Medical Daily


Extra weight may add to elderly fall risk

For Australians over age 65 included in a new study, being obese raised the risk of experiencing a fall by 31 percent.

“Falls are one of the most common causes of injury for older individuals and as the world population ages, the number of fall-related injuries are projected to increase rapidly,” said lead author Rebecca Mitchell.

“Likewise, rates of overweight and obesity among older individuals are also increasing,” added Mitchell, a researcher with Neuroscience Research Australia at the University of New South Wales.

Mitchell and her colleagues wanted to determine whether overweight and obesity added to the risk of falling among older adults, as well as the risk of being injured in a fall.

The researchers used information from the New South Wales Prevention Baseline Survey, a large Australian population study started in 2009.

A total of 5,681 people 65 years of age and older were asked about their history of falling, their perception of their own risk of falling, their general health status, medication use and activity levels.

Participants who had fallen one or more times in the previous 12 months as a result of accidentally losing their balance, tripping or slipping were also asked how many of those falls resulted in injury and how many required medical attention or led to hospital admission.

According to the results published in the Australian and New Zealand Journal of Public Health, 23 percent of healthy-weight respondents had fallen once during the previous 12 months and 34 percent had fallen more than once.

About 30 percent of obese respondents fell once and another 45 percent fell more than once, making the overall fall risk 31 percent higher in the obese group.

The obese participants who fell didn’t have any higher risk of fall-related injuries compared to healthy-weight people who fell, but they were more likely to have other health conditions – such as heart disease, diabetes and high blood pressure – and to report being in moderate or extreme discomfort.

Those who were obese and fell were also more likely to be taking four or more prescription medications.

“It is difficult to know for certain why the risk of falling increases for obese individuals, but it is likely to be as a result of reduced peripheral sensation, general physical weakness and instability when standing or walking,” Mitchell said.

There are a number of common risk factors that can increase any older person’s risk of falling, she added.

“These can include individual factors such as: poor health, instability when standing or walking, some health conditions, such as poor vision or dementia, lack of physical activity, use of multiple medications that can affect balance, and a poor diet,” Mitchell said.

Risks can also be in an older person’s environment, including “uneven or slippery floors, unsecured floor coverings, such as rugs, inappropriate footwear or eyewear, or inadequate lighting,” she said.

“As to why fall-related injuries do not increase for obese individuals this is likely to be as a result of adipose tissue (fat) protecting bone,” Mitchell said.

Compared to the healthy-weight group, the obese participants in the study were more likely to be sedentary for eight or more hours a day, to walk less, to have problems walking and to believe that nothing could be done to prevent falls.

Mitchell and her colleagues point out that obesity is associated with a higher risk of certain chronic illnesses, but also that chronic conditions such as lung disease and arthritis can limit activity, leading to weight gain.

To reduce the risk of falls among obese older people, tailored activity programs, such as strength and balance training, as well as home safety assessments and eyesight checks could all be of benefit, they write.

“Everybody knows how falls can be life-changers for older people, from breaking a hip to hitting your head, so if we can prevent them that’s always better and there’s a lot that can be done,” Dr. Sharon Brangman told Reuters Health.

Brangman, who is Chief of Geriatrics at SUNY Upstate University Hospital in Syracuse, New York, and a past president of the American Geriatric Society (AGS), was not involved in the new study.

“We know that when people fall, the biggest problem afterwards is a fear of falling because then they move less or when they walk they hold themselves really rigid and tight which actually increases the risk for falling,” Brangman said.

The American Geriatric Society published fall prevention guidelines for physicians in 2012, she noted. Though they are intended for doctors, some of the suggestions may help families assess the risk in their homes (see: bit.ly/1cWjB86).

According to the U.S. Centers for Disease Control and Prevention, about one of every three Americans over age 65 suffers a fall, and every year 2 million of those falls result in emergency room visits.

The AGS guidelines were intended to encourage healthcare providers to ask about falls, according to Brangman, “because a lot of times it’s not asked and patients don’t volunteer it because they don’t want anyone to know. They’re so afraid that will mean they need to be placed in long-term care or something.”

Brangman said that sometimes patients who are overweight might need a little extra support to realize that their situation isn’t hopeless and that there are things they can do, such as starting an exercise program.

Strengthening the quadriceps muscle group at the front of the thighs is especially recommended.

“Exercise programs that are tailored to the individual can make a difference, and it’s really never too late to start doing something,” Brangman said. “Balance and strengthening exercises, especially exercises that strengthen the quads, are very important in preventing falls in the future.”

Source: US Web Daily


Carmat artificial heart patient in satisfactory condition

A patient with terminal heart failure is in “satisfactory condition” two months after becoming the first person to be fitted with Carmat’s artificial heart which is designed to beat for several years, his hospital said.

The 76-year-old man is eating normally, no longer needs constant respiratory assistance and is able to walk a little further every day thanks to physical therapy, the Georges Pompidou European Hospital in Paris said in a statement on Tuesday.

“The Carmat bioprosthesis continues to function satisfactorily, without any anti-clotting treatment since January 10,” said the hospital, where the implant surgery was performed on December 18 and where the patient is being treated.

It praised the patient’s “exemplary courage, sense of humour and family support” for playing a role in his recovery.

Heart-assistance devices have been used for decades as a temporary solution for patients awaiting transplants, but Carmat’s product is designed to replace the real heart over the long term, mimicking nature using biological materials and sensors.

It aims to extend life for thousands of patients who die each year while awaiting a donor, while reducing the side-effects that can be associated with transplants, such as blood clots and rejection.

Three more patients in France are due to be fitted with Carmat’s device. The people selected in this first series of clinical studies suffer from terminal heart failure – when the sick heart can no longer pump enough blood to sustain the body – and would otherwise have only a few days or weeks to live.

Success will be judged on whether the patients survive with the implant for at least a month. If deemed safe, the device will then be fitted into about 20 lower-risk patients.

A spokeswoman for Carmat declined to say when the other three patients in the first round of tests would be fitted with its artificial heart.

The company estimates around 100,000 patients in the United States and Europe could benefit from its artificial heart, a market worth more than 16 billion euros ($22 billion)

Chief Executive Marcello Conviti told Reuters in November that Carmat hoped to finish human trials of the heart by the end of 2014 and to obtain approval to market them in the European Union by early 2015.

Among its competitors for artificial heart implants are privately-held SynCardia Systems and Abiomed, both of the United States.

Source: Diabetes Support


Prostate’s Early Growth May Reveal Cures for Later Illnesses

Dr. David Samadi is the chairman of urology and chief of robotic surgery at Lenox Hill Hospital in New York City and is a board-certified urologist and oncologist specializing in the diagnosis and treatment of urologic diseases, kidney cancer, bladder cancer and prostate cancer. Samadi also specializes in many advanced, minimally invasive treatments for prostate cancer; is one of the few urologic surgeons in the United States trained in oncology, open-, laparoscopic- and robotic-surgery; and was the first surgeon in the nation to successfully perform a robotic surgery redo. He contributed this article to Live Science’s Expert Voices: Op-Ed & Insights.

For a surgeon who has successfully treated prostate cancer in many thousands of men by removing their prostate gland, the idea that science might one day be able to regenerate this gland using stem cells is a foreign one — and yet highly intriguing. But this advancement is just one of many potential treatments for prostate cancer or benign prostate enlargement that may eventually arise from important new research on the cellular building blocks of prostate gland development.

In a study published Feb. 11 in the journal Stem Cell Reports, scientists from the University of York in England detailed their discovery of a “signaling pathway,” a set of signals that tell proteins inside stem cells how to evolve into prostate tissue cells called basal cells and luminal cells. The researchers learned there are 80 genes involved in this process, and that the main signals responsible for activating prostate development are retinoic acid and male sex hormones — the balance of which are disrupted in prostate cancer.

Source: live science

 


New ‘painless’ treatment to repair teeth

A novel “regenerative” technique to repair infected teeth – claimed to be painless and cheaper than the traditional root canal treatment – has been developed by doctors at the All India Institute of Medical Sciences (AIIMS) in New Delhi, says IANS.

Termed as “SealBio”, the technique uses body’s own stem cells and eliminates the need for cumbersome root canal fillings.

Developed by doctors Naseem Shah and Ajay Logani at the Department of Conservative Dentistry and Endodontics, it has obtained an Australian patent, while an application with the US Patents office is under process.

Root canal treatment demands rigorous training, clinical skills and several cumbersome sittings with dentist. It involves thorough cleaning and shaping followed by filling of the entire root canal with one of several sealer cements.

The AIIMS technique is claimed to be the first that dispenses with the need for root canal filling. Instead of filling the root canal with artificial materials that may pose bio-compatibility problems, it makes use of regenerative potential of stem cells and growth factors available at the root of the teeth. Stem cells act as a repair system for the body capable of replenishing adult tissues.

In case of this technique, the stem cells at the root of the decayed teeth are stimulated to induce regeneration and deposition of a natural tissue barrier (seal) to fill up the root canal in just one sitting.

In other words, a “biological seal” is achieved at the root canal rather than attempting to seal it with artificial filling materials with all its drawbacks, the doctors say. The root canal is restored to health by gradual build up of tissue by stem cells over a period, extending from a few weeks to some months.

The AIIMS doctors say that this treatment simplifies the whole procedure with minimal use of equipment, less time and cost of treatment.

“Shah has been able to successfully carry out this new procedure in dozens of patients and the 4-5 years follow up results have been very encouraging,” Seyed Hasnain, a professor at the Kusuma School of Biological Sciences of the Indian Institute of Technology, Delhi, told IANS on phone. “In my opinion this is a path breaking innovation, a game changer,” Hasnain said.

He said that the success achieved by AIIMS doctors could trigger research in regenerative techniques in other clinical situations in dental science.

Source: The Free Press


Loneliness ups older adult’s chances of premature death by 14%

A new study has revealed that feeling extreme loneliness can increase an older person’s chances of premature death by 14 percent.

The study by John Cacioppo, professor of psychology at the University of Chicago, and his colleagues shows that the impact of loneliness on premature death is nearly as strong as the impact of disadvantaged socioeconomic status, which they found increases the chances of dying early by 19 percent.

A 2010 meta-analysis showed that loneliness has twice the impact on early death as does obesity, he said.

The researchers looked at dramatic differences in the rate of decline in physical and mental health as people age.
Cacioppo and colleagues have examined the role of satisfying relationships on older people to develop their resilience, the ability to bounce back after adversity and grow from stresses in life.

The consequences to health are dramatic, as feeling isolated from others can disrupt sleep, elevate blood pressure, increase morning rises in the stress hormone cortisol, alter gene expression in immune cells, and increase depression and lower overall subjective well-being.

Cacioppo, one of the nation’s leading experts on loneliness, said older people can avoid the consequences of loneliness by staying in touch with former co-workers, taking part in family traditions, and sharing good times with family and friends – all of which gives older adults a chance to connect others about whom they care and who care about them.

The study was presented at the American Association for the Advancement of Science Annual meeting in Chicago.

Source: Yahoo news

 


Identical quadruplets surprise mom expecting triplets

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Kimberly and Craig Fugate were expecting Kenleigh, Kristen and Kayleigh. But Kelsey, born with her sisters on February 8, was a complete surprise.

The identical quadruplets were born via cesarean section in the Winfred L. Wiser Hospital for Women and Infants at the University of Mississippi Medical Center in Jackson, Mississippi.

“They had gotten the three out and they said, ‘More feet’. “I said, ‘No!’ It was an instant shock.”

The odds of spontaneous quadruplets — conceived without fertility assistance — are 1 in 729,000, according to Dr. James Bofill, Kimberly Fugate’s physician and a professor of maternal fetal medicine at the University of Mississippi.

The odds in this case were even slimmer as the Fugate girls are identical, meaning they split from a single egg.

“Those odds are incalculable,” Bofill said in a hospital press release. The last known set of identical quadruplets was born in Germany in January 2012. Experts estimate there are 50 to 60 sets worldwide.

You may know the Mathias quads — Grace, Emily, Mary Claire and Anna — who are in the eighth grade and appeared on the Discovery Health Channel’s “Super Quads.” And perhaps you remember a Lifetime reality show called “Four of a Kind,” which featured identical quadruplets Megan, Kendra, Sarah and Calli Durst, of Buffalo, Minnesota.

The Fugates were originally surprised to learn they were pregnant at all, according to WAPT. Then in November, the 42-year-old mom was told she was having triplets. The fourth baby managed to keep her existence a secret until Fugate went into labor at 28 weeks.

Kenleigh Rosa was born at 7:55, weighing 2 pounds, 1 ounce.

Kristen Sue was born at 7:57 weighing 2 pounds, 4 ounces.

Kayleigh Pearl was born at 7:58 weighing 2 pounds, 8 ounces.

And Kelsey Roxanne was born a minute later weighing 2 pounds, 6 ounces.

Bofill told The Clarion Ledger the hidden quad was a first in his 27-year career.

“I was very embarrassed, obviously,” Bofill said. “The news was sent to me by one of my fellows. I thought she was kidding.”

The quadruplets join older sister Katelyn, who is 10 years old. It’s unclear when they’ll be able to go home.

“Typically, when babies are born prematurely, doctors tell the families to expect them to stay in the (neonatal intensive care unit) until their original due date, which in this case would be May 2,” said hospital spokeswoman Jennifer Hospodor. “It is possible
that some or all of the girls would be stronger enough to go home before that, or have to stay longer. It depends on how they develop over the next 12 weeks.”

Source: CNN

 


How to avoid digital eyestrain

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Digital eyestrain is now a common problem. Eye and vision problems are reported in 70 to 75% of computer workers, according to the American Optometric Association. Headaches, eye pain, redness, watering, double vision and loss of focus are all associated with digital eyestrain.

The good news is there are numerous things you can do to help avoid the condition, including:

Take a break. Take frequent 15 minute breaks and focus your eyes on a distant object across the room. This will give the focusing muscle a chance to relax.

Try palming. This is essentially meditation for the eyes. To do this, you will close your eyes and place the centers of your palms over your eyes. Take deep slow breaths and relax your eye muscles. This is a wonderful way to rejuvenate your eyes during those long computer projects. Keep your shoulders and neck relaxed. Tension in this area will cause a tension in your eyes. An occasional neck and shoulder massage will also work wonders.

Blink frequently. When doing demanding digital work, your blink rate decreases. A conscious effort should be made to blink lightly every 10 to 15 seconds. This will coat the cornea, or front part of the eye, to nourish your eye with oxygen and nutrients — and the coating of tears will also sharpen your vision.

Wear computer glasses. Use a pair of computer glasses and work at the proper distance — 20 to 28 inches, depending on the focal point of the eye. Computer glasses have a different focal point than reading glasses. This will reduce the effort of focusing and putting a strain on your eyes. The extra effort to focus will cause tension in the eye muscles, which in addition to causing eye discomfort can lead to an increase in eye pressure.Your smartphone is a pain in the neck

Keep your monitor bright. This will reduce the flicker rate of the computer and reduce fatigue. Flickering can lead to eyestrain and headaches. A bright monitor causes the pupil to constrict and a greater range of focus will result. This will reduce the need for your eye to accommodate and enable you to work longer with more comfort.

Reduce blue light at night. A Harvard study revealed that blue light at night negatively reduces melatonin levels, which have a serious adverse health effect. It is associated with an increased incidence of diabetes, obesity and cancer. Reduce computer time at night or wear blue blocking glasses. These will block out the harmful blue spectrum light at night.

Take vitamins and minerals. Considering that the eyes have one of the highest energy requirements in the body, it is important that they get proper amounts of vitamins and minerals. It is important to opt for a vitamin that offers key antioxidants and ingredients that will help improve the health of the eye and reduce eyestrain. Those can include vitamins A, C, and E with a B complex and zinc.

Homeopathy. Speak with a practitioner to find a level of therapy that will work for your individual circumstances. One of the most common homeopathic remedies to treat eyestrain is Ruta Graveolens, a common ornamental plant found in gardens that is used to treat strains of tendons. This remedy can greatly reduce the symptoms of eyestrain during prolonged computer use.
Increase the light. Not having a light on when you are using the computer (or television) can put more of a strain on your eyes. Be sure to have a light on to help reduce the strain.

Check your computer’s position. The position of your computer can add to your eyestrain. It is important that it is positioned a good distance away, around 20-28 inches from the eye, and that there are no glares on it. Re-position your computer to provide maximum eye comfort.

Following the tips above can help reduce your chances of getting digital eyestrain. You will feel better and be able to work longer.

Source: CNN news


Cancer incidence likely to rise five-fold in India by 2025

With a million new cases being reported every year, cancer seems to be tightening its grip on India. Experts say the incidence of the killer disease is expected to rise five-fold by 2025.

According to medical professionals, lung and oral cancers were the most common among men while cervix and breast cancer were striking more and more women. Cancer is one of the leading causes of deaths in India, which has nearly three million patients suffering from the disease, they said.

Annually, nearly 500,000 people die of cancer in India. The WHO said this number is expected to rise to 700,000 by 2015. “The number of cancer cases in India is increasing every year,” P. K. Julka, head of the oncology department at the All India Institute of Medical Sciences, told IANS.

According to WHO, lung, oral, lip, throat and neck cancers are the most common among men while women suffer more from cervix, breast and ovarian cancers. “Incidence of cancer has increased in India, especially prostate cancer in elderly men besides kidney, penis and intestine cancer,” Nayan Kumar Mohanty, director, Department of Urology, Saket City Hospital said.

Manju Khemani, Head of the Department, Institute of Obs and Gynae at the hospital, said: “Cervical cancer is the second most common in women worldwide. Unlike some other cancers, it strikes as early as 32-35 years of age.”

According to health ministry data, out of more than 300 cancer centres in India, 40 percent are not adequately equipped with advanced cancer care equipment. India will need at least 600 additional cancer care centres by 2020 to meet the requirements. Oncologist Gaurav Thukral, Head Medical Services, HealthCare at Home (HCAH), told IANS: “High treatment costs are one of the main reasons why cancer care is out of reach for millions of Indians.

If detected early, treatment is effective and cheaper. However, if detected late, it is more expensive (can even lead to bankruptcy) and also reduces the chances of survival.” In India, a skewed doctor-to-patient ratio only worsens the situation.

The health ministry is working towards a target doctor-patient ratio of 1:1,000 by 2021, which at present is 1:2,000. Julka said: “In India, the requirement is 1 cancer care unit per 100,000 population, which is a far cry from the current scenario”.

He, however, added the government was taking a number of steps to combat the situation, including setting up a cancer care institute in Jhajjhar in Haryana. Doctors say the causes of such a high incidence of cancer may be both internal like genetic, hormonal and poor immune conditions as well as external or environmental like food habits, industrialization, over growth of population and lifestyle. Ignorance among the public, delayed diagnosis and lack of adequate medical facilities has given cancer the dubious distinction of being a “killer disease”.

However, the fact remains that if cancer is detected in its early stages, it can be treated and an individual can lead a healthy life, Thukral said. Mohanty said: “It is important to create awareness about common types of cancer and their symptoms among the general public.

Passing blood in urine is the first alarming sign and should not be neglected. It is important to know that food plays a pivotal role in cancer prevention. “Avoid a high-cholesterol diet like meat, liver and milk products. Intake of antioxidant-rich foods like guavas, tomatos, grapes and pineapples can help protect against cancer. Adding dietary fibre to your food can protect you from intestine cancer,” Mohanty added.

Source: First Post

 


Cold weather can help you lose weight, study says

Keeping temperatures a bit chillier at home and work, even when it’s as cold as it is now, can make your body burn more calories to keep warm, Dutch researchers say.

Americans love to crank up the thermostat, especially in bitterly cold times like these.

But a new study suggests turning it down a few degrees could actually help you lose weight.

We know. Not what you wanted to hear right now.

But Dutch researchers say regular exposure to mildly cold temperatures can make your body burn more calories to keep warm.

“Since most of us are exposed to indoor conditions 90 percent of the time, it is worth exploring health aspects of ambient temperatures,”. “What would it mean if we let our bodies work again to control body temperature?”

Lichtenbelt and his team have been studying the phenomena for the past 10 years.

While most animals (humans included) shiver to stay warm, another type of shivering — called non-shivering thermogenesis — occurs when the temperature is cool but not cold, according to the research.

That type of shivering, activating what’s called “brown fat,” can burn up to 30 percent of the body’s energy and contribute to weight loss.

Brown fat, discovered in adults in 2009, burns calories instead of storing them like white fat.

So does this mean you should crank the heat down to 55 degrees and frolic about in a tank top and underwear?

Not necessarily. It’s more theory at this point, but researchers also said it wouldn’t hurt.

“It would do no harm,” Dr. Mitchell Lazar, chief of the division of endocrinology, diabetes and metabolism at the University of Pennsylvania, told HealthDay. “It’s worth a try for someone who is having trouble losing weight by diet and exercise alone.”

Source: global post