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.

 


Energy drink studies may be clouded by industry ties

Some researchers say there are no reasons to suspect the safety of energy drinks combined with alcohol

The involvement of energy drink companies in research into their products has prevented clear answers about the risks these drinks may pose, argues a new editorial in a prominent medical journal.

In the pages of the journal BMJ, a researcher raised concerns about the role of energy drink makers, specifically Red Bull, in the design and interpretation of research into the safety of these drinks. The studies have investigated whether energy drinks worsen the harms from alcohol consumption when the two beverages are taken together.

“The public needs to be critical consumers of research, especially research that is funded or quoted by parties with vested interests,” Dr. Peter Miller, associate professor of psychology at Deakin University in Australia and author of the editorial, told LiveScience. “We still don’t know if energy drinks because harm and the current experimental evidence is unable to explain the worrying epidemiological findings we have.”

Research has shown that people who consume energy drinks and alcohol together tend to have higher blood alcohol levels than people who drink only alcohol, Miller said. And that has lead to concerns that energy drinks may encourage higher levels of alcohol consumption

Some researchers say there are no reasons to suspect the safety of energy drinks combined with alcohol; however, these researchers are often funded by energy drink makers, who may have had some involvement in research design, Miller said. So there is reason for skepticism when such researchers say energy drinks do not promote alcohol consumption.

Red Bull spokeswoman Patrice Radden said, “Red Bull is funding high-quality research,” in response to a request from LiveScience for comment on Miller’s editorial.

But Cecile A. Marczinski, an associate professor of psychology at Northern Kentucky University who has studied consumption of alcohol and energy drinks together, said not enough research has been done on whether energy drinks can lead to more alcohol consumption.

Laboratory studies show there are reasons to think people may be harmed by mixing energy drinks and alcohol, Marczinski said. People may be inclined to drink more because they feel stimulated, because they don’t feel as tired or because the flavor leaves them less aware of how much alcohol they’ve consumed.

While some studies have shown energy drinks do not decrease people’s awareness of their intoxication, Marczinski noted that those have been small studies (one done in the United Kingdom had only 20 participants).

The study designs also had some issues, she said. Although Red Bull has provided a “placebo” beverage for studies of energy drinks in the past, Marczinski said that there are some potential problems with that method.

“There’s been no independent evaluation that the placebo drink is devoid of stimulants,” she said.

One major problem for research is that ethics limit how much researchers can allow study participants to drink, Miller said. As a result, experiments do not simulate real-world situations.

Marczinski said she cannot have study participants reach a blood alcohol level higher than 0.08 in her own research. Both she and Miller recommended that more research be done in natural settings, such as bars, where people choose on their own to have energy drinks together with alcohol.

But, Marczinski said, the research and evaluation needs to be more independent.

“I think there is a conflict whereby the company is likely to lose sales if it is suddenly no longer possible to mix energy drinks with alcohol,” Marczinski said.

The editorial is published online today (

 


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.

 


Is your doctor prescription-happy?

25 percent of those cases, the drugs were prescribed for viruses, which can’t be treated with antibiotics

When you’re sick, you’ll generally take whatever prescription your doctor writes up. After all, he’s the one who went to med school. But failing to ask him a few questions could result in a serious dose of unnecessary antibiotics, according to a new study in the Journal of Antimicrobial Chemotherapy.

Researchers examined two major medical surveys over 2 years and found that 60 percent of the time, doctors chose the strongest types of antibiotics when doling out prescriptions. In 25 percent of those cases, the drugs were prescribed for viruses, which can’t be treated with antibiotics.

That’s a problem because strong antibiotics—often referred to as broad spectrum—can kill “good” bacteria, which could trigger future problems like eczema, asthma, inflammatory bowel disease, and obesity, says study coauthor Adam L. Hersh, M.D., Ph.D., of the University of Utah. “When these antibiotics are overused, they’re less likely to work in the future when they’re needed,” Hersh says. (And while you’re at it, make sure you know the

So how can you know if you really need that one-a-day knockout pill?

1. You don’t always need a doctor.

Viruses don’t respond to antibiotics, and most of the time infections go away on their own, says Men’s Health family medicine advisor Ted Epperly, M.D. If your fever is less than 102 degrees and you can function pretty well, wait and see if the usual symptoms—fatigue, headache, sore throat, diarrhea—get worse before scheduling an appointment.

2. Ask for a narrow spectrum antibiotic—if your condition calls for it.

Docs most commonly over-prescribe antibiotics for upper respiratory conditions like coughs, colds, and bronchitis. If you’ve got something less common, like a skin infection, ask your M.D. for a narrow spectrum antibiotic. (Standard options include penicillin and cephalosporin, or Keflex.) In fact, request the narrowest spectrum possible for the shortest period of time, advises Dr. Epperly. Doctors will prescribe for 10- to 14-day cycles, when in reality you might only need 3 to 5 days, he says.(Give your airways a break by avoiding these

3. Be upfront with your doc.

Most physicians feel like they have to do something for you or you won’t be happy, which can lead to an unnecessary antibiotic, says Dr. Epperly. Say, “If you think this might be a virus, its okay with me if I don’t get an antibiotic.” That will open up the door for your doc to say, “No, I don’t think you really need one” or “Let’s give it a few days.”

4. But don’t be pushy.

You might think antibiotics have magical properties, but don’t nudge your doctor into giving you a pill if he doesn’t think it’s necessary. Doctors often cite patient pressure as the reason for prescribing inappropriately, Hersh says. Don’t be the guy saying, “Can I get a Z-Pak today?” if your doesn’t doc think it’s a good idea. (Do the research and get the truth about your doctor’s next prognosis

Source: Fox news


Woman suing hospital, doctors over prank during surgery

A Los Angeles woman is suing an area hospital after one of its surgeons affixed a fake mustache to her upper lip and fake tears and then photographed her – all while she was still under anesthesia.

ABC News reports the unnamed patient, who also worked at Torrance Memorial Medical Center, where the procedure was performed October 2011, also hit her unidentified anesthesiologist with a raft of incendiary legal claims.

The patient says she learned of the bizarre photos from co-workers who had seen them after returning to work as a surgical supply purchaser at the hospital.

“Perhaps the most vulnerable position any human being will ever endure in their life is a time when they are placed under full anesthesia,” reportedly reads the lawsuit, filed Aug. 15 in Los Angeles Superior Court.

Among the myriad claims leveled against the anesthesiologist and Dr. Patrick Yang is that the pair also positioned the patient’s neck “so that they could keep her mouth open in order to make a crude sexual joke,” during her procedure.

Perhaps most troubling is that the suit also reportedly accuses Yang and Co. of choosing to employ full anesthesia, rather than a simple sedative, so they could stage the whacky photo shoot, or “for the sole purpose of humiliating and embarrassing the patient.”

Torrance Memorial Medical Center acknowledged the alarming affair in a statement to ABC News, saying it was “intended to be humorous in nature.”

And although the hospital conceded that the anesthesiologist and the nurse “demonstrated poor judgment,” the medical facility reportedly dismissed most of the woman’s allegations as “factually inaccurate, grossly exaggerated or fabricated.”

“While the breach of professionalism outlined above regrettably did occur, Torrance Memorial is vigorously defending this lawsuit and requesting its dismissal,” reportedly reads the statement, which goes on to chalk the whole matter up as a practical joke between friends gone awry.

Yang and the patient were “friendly,” the hospital’s statement to ABC News says, and “had a good working relationship,” prior to the procedure.

“We take patient rights and privacy very seriously,” the statement reportedly reads. “After our internal investigation into the 2011 incident, we conducted additional training among the hospital’s staff about demonstrating professionalism at all times. We have taken substantial steps including privacy training to ensure patient rights are respected and protected for every patient in our hospital, even if that patient is a friend and colleague.”

Source: Fox News


Exercise may help alleviate depression, review finds

Exercise may help ease symptoms of depression, according to a fresh look at past research.

Researchers who analyzed data from previous studies found people who exercised experienced a “moderate” reduction in their depressive symptoms compared to those who did other activities, such as using relaxation techniques, or received no treatment.

“This review provides some additional evidence that there may be some benefit (to exercise),” Dr. Gillian Mead, the study’s senior author from the University of Edinburgh in Scotland, told Reuters Health.

A 2009 review from the Cochrane Collaboration, an international organization that evaluates medical research, found similar results, but more studies looking at the link between exercise and depression have since been published.

“We’d become aware of some new trials in the area and – in general – the Cochrane review should be kept updated if there is new evidence that may lead to changes,” Mead said.

About one in ten Americans reports depressed, according to the U.S. Centers for Disease Control and Prevention. The most popular treatments for depression include antidepressant medications and psychotherapy.

Mead and her fellow researchers write in The Cochrane Library, however, that many people prefer alternative treatments, and some doctors recommend exercise as a potential option.

For the new review, they searched databases for all medical trials conducted through March 2013 that compared exercise among adults with depression to other activities or no treatment.

Overall, the researchers were able to combine data from 35 trials that included 711 people who were randomly assigned to an exercise program and 642 who were randomized to comparison groups.

Because the studies used various scales to assess depression, they converted the results into a single measurement to compare people in exercise and non-exercise groups. Using that measurement, a difference between groups of 0.2 represents a small effect, 0.5 a moderate effect and 0.8 a large effect.

Mead’s team found a 0.62-point difference in depressive symptoms favoring people who exercised.

In one of the included trials from 2007, for instance, researchers found 45 percent of people who took part in supervised exercise no longer met the criteria for depression after four months, compared to 31 percent taking an inert placebo pill.

In another trial from 2002, 55 percent of older people experienced a significant decline in depression symptoms after 10 weeks of exercise, compared to 33 percent who attended informational talks during that time.

The difference between groups, however, was greatly diminished when the review authors only analyzed data from the six trials that were considered high quality.

Still, exercise appeared to reduce depressive symptoms as much as psychotherapy or antidepressant medications. But Mead cautioned that those findings are only based on data from a small number of trials.

“One has to be careful saying it was as effective as other therapies,” she said.

She added that it’s still unknown how exercise affects depression.

“There are lots of ideas about potential mechanisms, but I don’t think there is enough evidence in the literature that one mechanism applies more than another,” Mead said.

The researchers were also unable to say which type of exercise is best, but Mead said previous reviews have recommended people choose an activity that they’ll stick with over the long run.

“Once people are prescribed exercise or they choose exercise, the big challenge is to make the exercise real,” Dr. Madhukar Trivedi, who has studied the effect of exercise on depression but wasn’t involved with the new research, told Reuters Health.

“If the recommendation from the treating clinician is that you should be exercising with some frequency and intensity… it’s important that the patient follow that regimen week after week,” Trivedi, a professor of psychiatry at the UT Southwestern Medical Center in Dallas, said.

Michel Lucas, who was also not involved with the new review but has studied the topic before, said studies tend to show a dose-response relationship between exercise and depression.

“The dose is very important. If you’re walking at a very slow pace, this has no effect,” Lucas, a visiting scientist at the Harvard School of Public Health in Boston, told Reuters Health.

Source: Fox news