Bypass surgery lowers risk of dying by 30% for diabetics

Study finds 30 percent lower risk of dying for diabetics with bypass surgery vs. stentA new study by Indian origin researcher has suggested that diabetic people have a 30 percent less chance of dying if they undergo coronary artery bypass surgery rather than opening the artery through angioplasty and inserting a stent.

Dr. Subodh Verma, a cardiac surgeon and principal author of the paper, said that although bypass surgery is more invasive than stenting, it is imperative that physicians and patients realize that long term mortality reduction is best achieved with bypass surgery.

Verma and Dr. Jan Friedrich, an intensivist at St. Michael’s, decided to conduct a meta-analysis of all existing randomized control trials comparing the two procedures- coronary artery bypass surgery (CABG) and the angioplasty.

They also found that while patients with diabetes did better with CABG, the procedures was associated with an increased risk of non-fatal strokes. They said this may be related to the fact the heart has to be stopped during the procedure.

The study is published in the journal Lancet Diabetes and Endocrinology.

 


Doctors doing little to promote sunscreen use

Doctors rarely talk to patients about using sunscreen, even when patients have a history of skin cancer, according to surveys of U.S. physicians over two decades.

Despite professional guidelines encouraging doctors to educate their patients about sun protection, in more than 18 billion patient visits from 1989 to 2010, sunscreen was mentioned less than one percent of the time.

Even dermatologists managed to mention sunscreen in less than two percent of visits, researchers found.

“The rate of discussing sunscreen at visits, especially for high-risk patients with cancer or pre-cancerous lesions, was lower than we would have expected,” said one of the study’s authors, Scott Davis, of the dermatology department at Wake Forest School of Medicine in Winston-Salem, North Carolina.

The survey data may not capture all mentions of sunscreen with complete accuracy, but that does not change the conclusion that frequency is much too low, Davis told Reuters Health.

Failing to mention sunscreen often enough is contributing to excessive unprotected sun exposure, especially for children, that will lead to skin cancer later in life, he said.

Davis and his co-authors examined data from an ongoing annual government survey that asks randomly selected doctors representative of their areas to record their patient interactions in detail for one week.

Over the two decades of the survey, there were about 18.3 billion patient visits to outpatient physician offices, and based on doctors’ survey responses, sunscreen came up at less than 13 million of those visits, which is 0.07 percent.

When visits specifically concerned skin disease, doctors still mentioned sunscreen less than one percent of the time, according to the results published in JAMA Dermatology.

Dermatologists talked about sunscreen more than any other specialty, at 1.6 percent of all visits and 11.2 percent of visits involving a patient with current or past skin cancer.

“I don’t think the results are surprising, at least not for someone who is familiar with what research has said about skin cancer counseling practices,” said Dr. Jennifer S. Lin, who studies evidence-based healthcare decision making at The Center for Health Research of Kaiser Permanente Northwest in Portland, Oregon.

“It is certainly disappointing,” said Lin, who has conducted reviews to support the U.S. Preventive Services Task Force for the past seven years, but is not herself part of the USPSTF.

In the study, Davis and his coauthors found that doctors mentioned sunscreen most often to white patients, and to those in their 80s, but least often during visits by children.

Evidence supports UV and sun protection counseling to prevent skin cancer, especially for kids and teens, so extremely low counseling for those groups is “incredibly problematic,” Lin said.

But she cautions that sunscreen is only one part, and not the most important part, of UV protection, which includes avoiding midday sun, wearing appropriate clothing and avoiding tanning beds.

“My belief as a primary care doctor, not based on my research, is that our health system does not value counseling or patient education as much as it does procedures, testing, medications, etcetera,” Lin said.

Even for patients who already know about sunscreen, discussing it can help, Davis said.

As with smoking and unhealthy eating, most people are aware of the risks, but bringing it up during an office visit shows the patient that the doctor is concerned and wants to help change the behavior, he said.

The American Academy of Pediatrics recommends bringing up sun protection at annual checkups, Davis said.

“The fact that it was recommended least frequently to children is very concerning, since children tend to get the most sun exposure, and may develop lifelong habits of poor sun protection,” Davis said. “This may be where physicians have the greatest opportunity to fight the ongoing, growing epidemic of skin cancer.”

Skin cancer continues to be the most common form of cancer in the U.S., diagnosed in more than 60,000 people yearly, according to the Centers for Disease Control and Prevention.

Patients may need to take the initiative and bring up sun protection themselves if they have questions, he said.

“Physicians are pressed for time and feel they cannot take the extra time needed for discussion of preventive care topics,” Davis said.

“But the main thing may be that physicians just aren’t thinking of it. This research may make health care providers more aware of the need to encourage commonsense sun protection, especially for younger patients,” he said.

Source: zee news


Education helps women from poor places beat obesity

A new study has suggested that educational status could help protect women living in socioeconomically disadvantaged areas fight obesity.

The new report’ authors said that income and education are frequently used as markers for studying health inequalities, although they are ‘conceptually distinct.’

They said that it’s possible that education is a marker of an individual’s access to health information, capacity to assimilate health-related messages, and ability to retain knowledge-related assets, like nutrition knowledge.

Lead author Lauren K. Williams, Ph.D., formerly of the Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences at Deakin University in Victoria, Australia, said that education is particularly important for women with low incomes who live in deprived areas.

She said that the research team mailed surveys to a large random sample of more than 4,000 women, ages 18 to 45, living in low-income towns and suburbs in Victoria. Women reported height, weight, education and personal income.

The authors said that women of amplified disadvantage, those living in disadvantaged neighbourhoods with both low education and personal income, may be at higher risk for high BMI.

 

Source: Zee news

 


Radiation from airport body scanner detect signs of skin cancer

Airport security screening check points has great potential for looking underneath human skin to diagnose cancer at its earliest

Terahertz radiation, the technology that peeks underneath clothing at airport security screening check points has great potential for looking underneath human skin to diagnose cancer at its earliest and most treatable stages, a researcher has revealed.

Anis Rahman , Ph.D., explained that malignant melanoma, the most serious form of skin cancer , starts in pigment-producing cells located in the deepest part of the epidermis. Biochemical changes that are hallmarks of cancer occur in the melanocytes long before mole-like melanomas appear on the skin.

Rahman said that terahertz radiation- form of ‘non-ionizing’ radiation- is ideal for looking beneath the skin and detecting early signs of melanoma.

T-rays can be focused harmlessly below into the body and capture biochemical signatures of events like the start of cancer.

Rahman, president and chief technology officer of Applied Research and Photonics in Harrisburg, Pa., described research focusing T-rays through donated samples of human skin that suggest the technology could be valuable in diagnosing melanoma.

In addition to developing T-rays for cancer diagnostics, Rahman’s team has successfully harnessed them to measure the real-time absorption rates and penetration in the outer layer of skin of topically applied drugs and shampoo.

Other wide-ranging applications include the detection of early stages of tooth decay, trace pesticides on produce, flaws in pharmaceutical tablet coatings, and concealed weapons under clothing, as well as testing the effectiveness of skin cosmetics.

The research was presented at National Meeting and Exposition of the American Chemical Society.

 

Source: Zee news


Alcohol does not cause depression: Study

Researchers also debunk the view that mild to moderate alcohol consumption may reduce the risk of depression.

Contrary to popular belief, alcohol does not cause depression, Australian scientists have found.

Until now it was believed that alcohol caused people to become depressed, particularly if consumed at excessive levels, according to Professor Osvaldo Almeida, from The University of Western Australia.

“Even one of the diagnoses we have for depressive disorders – Substance Induced Mood Disorder – is a diagnosis where alcohol plays a role,” Almeida said.

“However, because of the observational nature of the association between alcohol and depression, and the risk of confounding and bias that comes with observational studies, it is difficult to be entirely certain that the relationship is causal.

“For example, people who drink too much may also smoke, have poor diets and other diseases that could explain the excess number of people with depression among heavy drinkers,” he said.

Almeida and fellow researchers with the Health in Men Study (HIMS), including 12,201 men aged 65-83 when recruited in 1996, decided to search for a causal link via physiological pathways instead: specifically the genetic polymorphism, or mutation, most closely associated with alcohol metabolism.

“We now know that certain genetic variations affect the amount of alcohol people consume. There is one particular genetic variation that affects the enzyme responsible for the metabolism of alcohol,” Almeida said.

“This variation produces an enzyme that is up to 80 times less competent at breaking down alcohol. Consequently, people who carry this variation are much less tolerant to alcohol. In fact, there is now evidence that alcohol-related disorders are very uncommon in this group.

“Now, if alcohol causes depression, then a genetic variation that reduces alcohol use and alcohol-related disorders, should reduce the risk of depression.

“The great advantage of looking at the gene is that this association is not confounded by any other factors – people are born like that,” he said.

The researchers analysed the triangular association between the genetic mutation, alcohol and depression in 3,873 elderly male participants of the study, using data collected over three to eight years.

“We found (as expected) that this particular genetic variant was associated with reduced alcohol use, but it had no association with depression whatsoever,” Almeida said.

“The conclusion is that alcohol use neither causes nor prevents depression in older men. Our results also debunk the view that mild to moderate alcohol consumption may reduce the risk of depression,” he added.

 


Does changing breakfast habits really help you cut the flab?

It is a well documented fact that an association exists between breakfast and weight management, however a new study has found that previous researchers designed to find links between these two things often do not prove that one causes the other.

The research led by David Allison, Ph.D., associate dean for science in the University of Alabama School of Public Health, shows that the question of whether eating vs. skipping breakfast affects weight has not been answered by studies.

Andrew Brown, Ph.D., first author of the study, spearheaded the examination of 92 studies about the proposed effect of breakfast on obesity (PEBO). The PEBO-related research literature, the authors found, seemed to be influenced by factors that led to exaggerated beliefs and statements about the purported effects of breakfast consumption on obesity. These include research that lacks probative value and biased research reporting.

Allison and his team found that scientists collectively do not know as much about the relationship between skipping breakfast and obesity as previously thought, based on the current state of PEBO-related research.

Their meta-analysis indicated that there is certainty that breakfast-skipping and obesity are associated, but it cannot confirm whether there is a causal effect of skipping breakfast on obesity.

Brown said that although we know that breakfast-skippers are more likely to be overweight or obese, we do not know if making breakfast-skippers eat breakfast would decrease their weight, nor do we know if making breakfast-eaters stop eating breakfast would cause them to gain weight.

Meanwhile, Allison said that uncertainty should not be confused with evidence of no benefit or harm, though.

“It just means that right now we don’t know how changing breakfast-eating habits will influence obesity – eating versus skipping breakfast could help control weight, cause more weight gain or have no effect – and the effect may vary from person to person,” the researcher added.

The authors suggest that if causal claims are desired, different research on the topic is needed. They call for stronger study designs that include randomizing people to eat or skip breakfast to help determine causal effects of breakfast on obesity. UAB is leading such a trial in roughly 300 adults at five sites around the world; results from this study are expected in spring 2014.

The study is published in the American Journal of Clinical Nutrition.

 


10 tips for dealing with food allergies in a restaurant

For the 15 million people in the United States that suffer from food allergies, dining out can be a stressful experience.

For the 15 million people in the United States that suffer from food allergies, dining out can be a stressful experience.

As I always advise my patients, if you or one of your family members has a food allergy, your best offense is educating yourself so you can be proactive in coming up with a defense strategy.  Of course, having your allergist help with a written food allergy action plan is also an excellent way to mitigate unnecessary risks when it comes to potential allergic reactions to foods.

So here is my list of strategies to help you take control of your food allergy and put the fun back in family dining:

1. Plan ahead: If you are dining out at a local restaurant, call ahead and make sure they are prepared to deal with you or a family member with a food allergy, and have optimal strategies in place that will allow a food allergen-free meal to keep you safe from accidental exposure.  This is particularly important during peak time periods, such as during holidays.

2. Travel smart: If you have a family member with food allergies, pack snacks that you know are safe.

3. Be a label detective: Remember, even prudent manufacturers may change the ingredients in a packaged food product, so stay vigilant.

4. Get medicated: Always carry your prescribed epinephrine auto-injector, and at least two doses with a written action plan with you at all times.

5. Decontaminate: Be aware of possible cross contamination of cooking surfaces, utensils and even eating surfaces.

6. Rate your risk: Be aware of high-risk cuisines including bakeries, dessert or ice cream shops and Mexican or Asian cuisine — where exposure to peanut and nut allergens are more likely.

7. Wipe it off!  Some individual families may carry disposable wipes to decontaminate a table area before dining in the hopes of removing residual protein residue.

8. Get educated: Teach your family and friends about the food allergy in question and get them on board to never make suspect foods immediately available, especially for food-allergic children.  At home, kitchen magnets and/or signs can serve as a reminder for friends and guests, too.

9. Keep an eye out:  Cozy and intimate lighting is not cool if you are dining out with someone with a food allergy.  It is essential to be able to see your immediate environment for possible triggers.

10. Work it out: Talk to the restaurant manager and chefs to review all ingredients used in the preparation of a meal item so you can avoid any unwanted surprises and have a safe and enjoyable meal.

Source: Fox news


Lefty or righty? Genes for handedness found

Genes that play a role in the orientation of internal organs may also affect whether someone is right- or left-handed, new research suggests.

The study, published Friday in the journal PLOS Genetics, suggests those genes may also play a role in the brain, thereby affecting people’s handedness.

Still, the findings can’t yet explain the mystery of why a minority of people are left-handed because each gene plays only a tiny role in people’s handedness.

“Handedness is a complex trait, there are hundreds of genes involved,” said study co-author William Brandler, a genetics doctoral candidate at the University of Oxford in England. “There are also lots of environmental influences.”

Origins of handedness

Throughout the world, between about 5 and 20 percent of the population is left-handed. Favoring one hand for most tasks can allow people to do things more quickly, but exactly why there’s such a strong bias toward right-handedness in humans is a mystery. Humans’ close relatives, such as chimpanzees, are equally likely to be southpaws.

A 2012 study suggested that more cooperative societies that share tools and tasks have more people with the same dominant hand. Other studies propose that being a leftie is handy in a fistfight — but only if most people are expecting a right hook.

Although a few genes have been implicated in handedness, genes are not the entire story, as identical twins often favor different hands. Some have even proposed that brain damage in utero causes brains to rewire to make people lefties.

Genetic links

To get at the genetic roots of handedness, Brandler (who is a southpaw) and his colleagues asked 728 people to move a row of 10 pegs using first their right hand, then their left. People who take much longer on one side versus the other have greater hand dominance.

The researchers then analyzed the genes of these people and identified several genes associated with greater hand dominance. They then confirmed the association in a larger group of 2,666 people.

The strongest association was with a gene called PCSK6 that creates left- and right- parts in utero. The other genes played a role in how the organs in the body are oriented.

People with defects in these genes may be otherwise healthy, but have situs inversus, a condition in which internal organs are mirrored from their normal orientation. Others have more serious defects, such as left-handed isomerism, in which people have essentially two left sides and multiple spleens throughout the body, or heterotaxia, a typically fatal condition where “organs are all over the place,” Brandler told Live Science.

The findings suggest that the same genes that affect the left-hand symmetry of organs in the body also affect the way the brain is wired. That, in turn, affects whether someone’s right or left hand is dominant.

“Handedness is an outward reflection of brain asymmetries for motor coordination,” Brandler said. “If you’re right-handed, it means you’re left hemisphere dominant for motor coordination. That’s because our brains are cross-wired.”

Still, to truly tease out the roots of left-handedness, researchers will need to untangle the role of hundreds of other genes and isolate environmental factors, he said.


8 healthy back-to-school breakfast ideas

You’ve probably heard breakfast is the most important meal of the day, but with the morning time crunch, creating a healthy family breakfast can be challenging. Research shows eating a healthy breakfast can help improve mental performance, concentration, mood, and weight maintenance. The key to a healthy breakfast is having some fiber and protein for sustained energy. Try these easy kid-friendly breakfast ideas for a back to school boost that will fuel the whole family.

Shake it up

Short on time and rushing the kids out the door? A smoothie is a kid-friendly nutritious option that can be taken to go. Almost any combo of 100 percent fruit juice, yogurt and fruit works well, along with some ice. Add in some flax seeds or chia seeds for added nutrition. On mornings when using a blender becomes too challenging, a Svelte shake makes for a tasty and healthy on-the-go breakfast option. Svelte packs 11 grams of protein and 5 grams of fiber in each eco-friendly container.

Mini bagel pizza

While you may not think of pizza as a healthy way to start the day, you can take a healthy spin on this greasy favorite for your morning meal. Top one of a whole wheat bagel with olive oil, diced tomatoes and mozzarella. Place in a broiler or toaster oven until the bagel is crispy and the cheese is melted.  Kids love the idea of pizza for breakfast, and the combination of healthy carbs and protein will keep them fueled until lunch. Pair with fresh fruit like a pear or peach for added fiber and nutrients.

Chicken wrap

There is no rule that says only breakfast foods are for breakfast. A healthy and hearty chicken wrap can be a perfect on-the-go morning choice. Wrap fresh or left over chicken with veggies in a whole grain tortilla. Add some cheese if you like for flavor and protein.

A study in the American Journal of Clinical Nutrition suggests that a high-protein breakfast may prevent unhealthy snacking later in the day. The study finds that those who incorporate protein into their morning meal are likely to feel fuller and improve their overall diet quality. If you don’t have chicken, substitute whatever protein you have on hand. Turkey, tuna, or even beans work great.

Pistachios and fruit

If you’re rushed at breakfast time, remember starting your day healthy isn’t limited to traditional breakfast foods. Try grabbing a handful of pistachios and a piece of fruit on your way out the door for a nutrient-packed way to get your day started. Sounds nuts? A small, randomized study found that eating whole nuts at breakfast kept blood sugar down and feelings of fullness up through to the second meal of the day. Up the convenience factor by packing pistachios and fruit in a bag the night before, so you can grab and go in the morning.

Breakfast taco

Breakfast tacos can be a healthy and portable morning meal for the whole family. Similar to a breakfast burrito, stuff your taco with a scrambled egg, reduced-fat cheddar cheese, salsa, and avocado for a healthy and delicious start to your day. Go for corn tortillas, which have half the calories and twice the fiber of flour tortillas. With just the right balance of carbs, protein, fat, and fiber, this powerhouse breakfast will surely keep you energized and satisfied until lunchtime.

Veggie and cheese omelet

A vegetable omelet is a quick and easy source of protein, fiber, and essential nutrients such as vitamin D. plus, packing your omelet with spinach, mushrooms and peppers is an easy way to sneak in extra veggies. A study in International Journal of Obesity reported that participants who consumed eggs for breakfast (compared to those who consumed bagels) lost more weight, had a lower BMI, and experienced a greater reduction in waist circumference. If time is really tight, wrap it in a whole-grain tortilla and take it to go.

Bar it

If you’re on the go, an energy or granola bar may seem like a “better than nothing” breakfast choice. But with literally dozens of brands to choose from in a variety of flavors, which do you, choose? Your best bet is to look for bars with “whole” ingredients (whole soy, fruit, and nuts, for example) that provide at least 3 grams of fiber and 3 grams of protein. Top choices for bars with “whole” ingredients include SoyJoy, Larabar and KIND. For a fun twist, heat a SoyJoy bar in the microwave for 20 seconds, and it tastes like a warm cookie; the banana tastes like warm banana bread.

Peanut butter and banana waffle

Kids love waffles, and now there are healthy, whole grain frozen options to make the morning rush easier. Skip the butter and maple syrup toppings and instead opt for a whole grain waffle topped with natural peanut butter (or almond butter) and banana slices. For some added sweetness, drizzle a bit of honey on top. Pair with a glass of calcium-fortified 100 percent orange juice for added nutrition, and this morning meal is sure to please.


7 tricks to improve your memory

7 tricks to improve your memory

I used to have a memory that amazed people, but in the last few years I’ve had trouble remembering names and movie titles. (“You know the one about the guy who goes somewhere? It won that award…”) I hope to have many years of sharp thinking ahead of me—I’m in my mid-40s, nowhere near senior-moments territory—so I got to wondering: Is there something I should be doing now to counteract the lapses that already seem to be taking place?

There’s no way around the fact that memory erodes as we get older. The hippocampus, the area of your brain responsible for building memory, loses 5 percent of its nerve cells with each passing decade. Plus, aging slows production of acetylcholine, a neurotransmitter vital to learning and memory. Based on these facts, scientists once believed that a person’s mental ability peaked early in adulthood, and then went downhill from there. But over the last few decades, research has found that adults’ brains are still able to form new, memory-building neural networks in a process known as neuroplasticity. The reassuring latest thinking: With a little effort, anyone can boost their power of recollection.

To test this theory in the real world, I tried an array of research-backed brain-sharpening techniques over one six-week period. Am I now able to list all 44 U.S. presidents? No. But can I more easily summon up where I put my keys? Yes. And I think being able to leave my apartment and lock the door is a more valuable life skill than remembering James K. Polk. Here’s what worked for me—and what fell flat.

Technique #1: Play brain games

Puzzles like Sudoku and crosswords may improve memory and delay brain decline, though experts are not yet sure why. “My guess is that playing them activates synapses in the whole brain, including the memory areas,” says Marcel Danesi, PhD, author of Extreme Brain Workout. Research so far is decidedly mixed: Some studies have found that, while doing crossword puzzles may make you better at remembering the capital of Burkina Faso, there’s little evidence they’ll boost your performance at more general tasks, like remembering where your car is parked. But a 2011 study showed that participants who played a computer game called Double Decision for six years improved their concentration so much that they had a 50 percent lower rate of car accidents.

So I decided to try an online brain-training program called Lumosity, which neuroscientists from Harvard, Stanford and the University of California at Berkeley have used in their own studies; its creators claim that 97 percent of users improve their memory in just 10 hours of playing time. First I answered a series of questions at lumosity.com to identify which of my cognitive processes, including memory, could use a little help. Then I received a personalized training regimen. A 10-minute daily series of games is free, and a more advanced program is available for $12.95 a month. (Being cheap, I stuck with the former.) The games are pure fun—remembering a pattern of blocks, spotting a bird in a field—and are based on what research has found to improve concentration and other cognitive skills.

My grade: B- By the end of a month, my “brain performance index” score rose 6 percent—not amazing in the Lumosity world, but respectable. The main problem: You have to play the games every day, forever, to keep up the benefits. I’ve mostly kept up. (Except on weekends. Or if I’ve had a busy week. OK, I haven’t kept up.)

Technique #2: Eat the right foods

According to Gary Small, MD, director of the UCLA Memory Clinic, memory superfoods include antioxidant-rich, colorful fruits and vegetables, which protect your brain from harmful free radicals. He’s also enthusiastic about low-glycemic carbs, like oatmeal, and anything with omega-3 fatty acids. In fact, a recent study published in Neurology found that people with low levels of omega-3s had brains that appeared to be a full two years older in MRI scans. That was incentive enough for me to follow the memory-enhancing diet from Dr. Small’s book The Memory Prescription, which claims it works in just two weeks. Much like the Mediterranean diet, it’s heavy on produce, legumes, nuts and fish. It’s low on meat, since meat’s omega-6 fatty acids may contribute to brain inflammation, a possible underlying mechanism for Alzheimer’s.

Refined sugars produce a similar effect, so they were also out. (That was the toughest for me.) I ate a farmers market’s worth of blueberries, spinach, avocado and beets, and consumed enough fish to sprout gills. I also went beyond Dr. Small’s advice and took 2.4 micrograms of vitamin B12, the standard recommended daily amount—since studies show people with low levels perform poorly on memory tests—and 1,000 international units of vitamin D, discovered by Tufts University researchers to boost cognitive function. (My doctor signed off on the supplements.)

My grade: A It was difficult to eat meat only once a week, until I noticed how much less physically and mentally sluggish I felt. And my memory became markedly sharper over 14 days. (For instance, I quit using a bookmark because I could remember the page number I’d stopped on the night before.) Planning those meals took a lot of prep, but it paid off tremendously. I still try to use the diet as a guideline: I eat meat once a week, aim for five fruits and vegetables a day and pop omega-3 supplements (since I don’t get as much fish as I did on the diet).

Technique #3: Quit multitasking

“One reason people can’t remember where their keys are is they’re not paying attention when they put them down,” says Mark McDaniel, PhD, a psychology professor and memory researcher at Washington University in St. Louis. (His suggestion for always finding them: “When you put them down, stop and say out loud, ‘I’m leaving my keys on my dresser,'” or wherever you’re placing them.) Studies show that it takes eight seconds to fully commit a piece of information to memory, so concentrating on the task at hand is crucial. I willed myself to stop giving everything “continuous partial attention,” a term coined by tech honcho Linda Stone. I put away my gadgets when they weren’t absolutely needed. I didn’t have 10 websites up all at once. I called a friend, sat on my bed, closed my eyes and actually listened to what she was saying.

My grade: B+ It’s amazing how difficult it is to do one thing at a time. Concentration takes work, but I found I could remember appointments better because I paid attention when I made them and repeated the day and time, rather than agreeing to commitments while doing the laundry and returning e-mail messages. My husband, usually my living iCal, was very impressed.

Technique #4: Master a new skill

A recent Swedish study found that adults who learned a new language showed improved memory for people’s names, among other things. Any activity that is practiced diligently, such as knitting or skiing, will likely have this effect, researchers say. I vowed to learn to play the keyboard. On YouTube I found PlayPianoKing, an affable guy who teaches everything from Pachelbel’s Canon to “Gangnam Style.”

My grade: C- While I did learn a mean “Gangnam” and felt my concentration improve, I soon gave up: With brain games and a diet overhaul crowding my schedule, the hour-long, every-other-day lesson was making me cranky, even before I saw any noticeable memory gains.

Technique #5: Get more sleep

Researchers at the University of Pennsylvania have discovered that losing half a night’s rest—three or four hours—on just one evening can erode memory. And the journal Nature Neuroscience recently reported that one way to slow decline in aging adults is to improve the length and quality of sleep. During a deep sleep of eight hours or more, it’s believed that the brain shifts memories from temporary to longer-term storage. Yet according to the Centers for Disease Control and Prevention, one third of us get less than seven hours a night—including me.

So, for more than a month, I implemented a stringent schedule: I would put my preschooler to bed and take a bath. Then I’d hit my own bed with a book, rather than watch TV or movies, which several studies reveal will make you feel too keyed up to wind down. Normally I fall asleep at 11:30 p.m. and wake at 5:45 a.m., but the new routine put me out by 10.

My grade: A+ Nothing had a better effect on my memory than that long stretch of sleep. I was able to semi-credibly measure the difference because I started my other interventions a few weeks before this one. I bounded out of bed fully recharged. My mind became as focused as a laser beam; I even remembered every mom’s name during the school run (no more “Hey, you!” or just “Hi!”).

Technique #6: Use mnemonic devices

These are basically memory tools that give meaning and organization to a random group of words or concepts. They could be an acronym (BOG for “Buy oranges and grapes”), an exaggerated visualization (imagining a massive stethoscope to remember a doctor’s appointment) or a rhyme (to recall a co-worker’s name, I’d remember, “Ted has a giant forehead”). Memory champions also love chunking, or breaking a large amount of information into more manageable nuggets. Say you have to memorize these numbers: 2214457819. It’s much easier to do as a phone number: 221-445-7819.

My grade: A+ I found these tactics enormously helpful. I usually forget my poor nephew’s birthday, but this year I actually sent a gift, thanks to the unpleasant but memorable NITS (“Nephew is 10 Sunday”).

Technique #7: Hit the gym

Researchers from the University of California at Irvine recently discovered that a little exercise might yield big mental benefits. They had one group of subjects ride stationary bikes for six minutes, while another group cooled their heels. Afterward, the active group performed significantly better on a memory test. Instant results! The researchers believe the boost may be tied to an exercise-induced brain chemical called norepinephrine, which has a strong influence on memory. And Dr. Small contends that exercise is the best memory aid of all. “It can increase your brain size,” he says—and the bigger your brain, the greater your capacity to remember. His recommendation: 20 minutes of brisk walking a day.

I began doing an hour daily—more than Dr. Small recommends, but also more consistent than the gym workouts a few times a week I used to favor, and, according to many experts, more effective in juicing up memory.

My grade: A- This moderate, regular activity worked wonders on my stress levels, and it became much easier to concentrate afterward, so I could fix things (like a grocery list) into my memory. I grew addicted to my walks and still take them. In fact, I found that the memory-boosting healthy lifestyle habits—exercising more, stressing less, eating a better diet were the most sustainable over time. And that’s a win-win.