Only overwork dying young

A study concluded that those who work more than 55 hours per week had a risk of suffering a heart attack by 13% and 33% more likely to suffer a stroke compared to those who have worked 35-40 hours a week.

Nutrition shortcuts when living alone

When the meal is a social experience that greatly affect a person's personality, eating alone cause discomfort inside

10 tips for mindful eating - Just in time for the holidays

10 tips for more diet conscious. Not all of these tips may feel good for you, it does not hurt to try and see how they work

Update on the trial of SPRINT: preliminary results pan out

Stringent blood pressure targets that can reduce the likelihood of death. In medicine, it is great news that greatly benefits us all

A check to check: Do you really need an annual physical?

The annual physical control is part of the structure of the health care system is good, but it does not have to keep on doing at least that's done most of the citizens of the United States.

8/20/2015

Stop foodborne diseases - rapid test, monitoring at home

Stop foodborne diseases - rapid test, monitoring at homeThe steady stream of reports on the food that is making me think twice about what is on my plate the original disease. We only have this year seen dozens of food recalls, including one involving frozen tuna that has been linked to 62 cases of Salmonella infection, and another involving an ice cream in 10 cases of Listeria infection - and three deaths.

Sick food poisoning 48 million people a year, sending 128,000 to the hospital and killing 3,000 Borne. You can get a foodborne disease red meat, poultry, fish, eggs, dairy products, and even fruits and vegetables. Salmonella bacteria family are guilty No. 1; other foodborne microbes can cause disease include Clostridium perfringens, Campylobacter, Staphylococcus aureus, E. coli O157: H7, Listeria monocytogenes, Toxoplasma gondii, and norovirus. 

Test Challenges

Inspectors from the FDA and USDA regularly test for foodborne, both in their own samples of food and food samples were sent to laboratories for manufacturers of food illnesses. Unfortunately, it takes weeks for Salmonella. This means that potentially contaminated food may be on the way to his tent before we know if they contain errors that can cause disease.


So I am encouraged to hear of the FDA food safety challenge this year, a competition to develop innovative methods that will make it easy to find foodborne microbes - especially Salmonella - in food. Researchers at Purdue University $ 300,000 grand prize was announced last week for his new method to significantly shorten the time needed to test for Salmonella.


Not very soon


Although faster to detect microbes in food shapes are a step in the right direction, we must act now at home. Foodborne illness is a real threat in the kitchen around the world. Studies have shown that the half of the supply of US meat and poultry is contaminated with potentially dangerous microbes.


That's no surprise to Dr. Richard Raymond, former Under Secretary of the USDA for food security. "The raw meat is not considered sterile. There is no way to pasteurize meat how can pasteurize milk," he said. Ironically, it was up to his elbows in minced meat cook dinner when I reached at his home in Colorado. We talked a little about how USDA inspectors are present every day in every meat plant in the country. "However, if a contaminated chicken passes through a machine, the machine is contaminated, and any other chickens coming through will be contaminated until it is discovered and the equipment can be cleaned."


What you can do

It is important to remember that all fresh foods contain at least low levels of potentially harmful microbes. Ingestion of small amounts of them are not a problem for most healthy people.Cooking usually kills most bacteria but the toxins that some products can cause food poisoning - no infection - and leave you with a bad case of diarrhea and vomiting for a day or two.


"It is the preparation, handling and storage of food often leads to more serious infection - and the hospital - because living microbes are ingested," says Dr. David Bellinger, a professor at Harvard Medical School and a member Foodborne the global burden of disease Health Organization Epidemiology Reference Group. For example, if the gravy preparing to get a counter, and you get to this point in the counter after dinner, you can choose a microbe and then ingested.


Here are some steps you can take to prevent foodborne illness.


Food Handling

   
*  Wash your hands before and after preparing food, before eating and after using the bathroom.
   
*  Keep raw meat, poultry, seafood, eggs from other foods in your shopping cart, and put them in plastic bags to keep the juices get in other foods.
   
*  Do not put your eggs in your cart until you open the carton and make sure they are free of dirt and cracks.


Meal preparation

    * 
Wash all fruits, vegetables, poultry, fish and meat. Use a powerful jet to clean the surface of bacteria of chemicals and the rinsing water.
   
*  To reduce cross contamination, use plates, cutting boards and utensils for raw foods one at a time, and then wash with soap and water before moving on to another food.
   
*  Clean all surfaces that come in contact with raw meat and seafood. "People think that dangerous pathogens can not live long on surfaces, but recent data suggest that can persist for days," says Dr. Bellinger.
    * 
Use a meat thermometer to safe internal temperatures high enough to kill germs - at least 165 ° F for poultry. And wash the probe after each use!


Storage

       *  Do not let the food at room temperature for more than two hours, or more than an hour if the ambient temperature is 90 ° F or more. After two hours, harmful bacteria may rot and multiply. This means that you should be aware of foods that has been on a buffet table or picnic too long.
       *  Refrigerate food within an hour or two, and keep your refrigerator cold 40 ° F or less.
       *  Dump leftover after a few days.
       *  When reheating food, make sure they are very hot (steam) before eating.
       *  Do not eat food that looks, smells or tastes funny.

These steps do not take the bacteria in our food supply, but it will help you avoid mistakes that can make us sick. It is a winning strategy, with the price of good health.
 

 

8/07/2015

A promising new treatment for high triglycerides

A promising new treatment for high triglycerides
When you think about the fat that circulates in the blood, it could immediately think of cholesterol. But there is another type of fat you should not ignore: triglycerides. As with cholesterol, high triglycerides may also increase the risk of having a heart attack. 

Existing drugs for lowering triglycerides are not as good for reducing the risk of heart attack. That is why a report on a new way to reduce triglycerides, published today in the New England Journal of Medicine, generates a certain excitement among cardiologists.

What are triglycerides? 

Triglycerides are a type of fat that circulates in the bloodstream. After eating a snack or a meal, your body breaks down fats in food packages with proteins and cholesterol, and dumped in the bloodstream. After a particularly fatty meal, triglycerides can be so abundant that give blood a milky color. A few hours after a meal, triglycerides cleaned mostly out of the bloodstream.

The American Heart Association has identified four major categories of triglyceride levels:

   * 
Health: below 100 milligrams per deciliter of blood (mg / dL)
   * 
High Limit: 150 to 199 mg / dl
   * 
Top: 200-499 mg / dl
   * 
Very High: 500 mg / dL or more.


"High" or "very high" triglyceride levels are associated with an increased risk of heart disease. When the triglyceride level is about 1,000 mg / dL, individuals can develop pancreatitis, a severe inflammation of the pancreas, besides heart disease.


High levels of triglycerides may also be associated with obesity, type 2 diabetes, and a set of risk factors for heart disease known as the metabolic syndrome. Together, these features put a person at particular risk of heart disease.


Drugs to lower triglycerides have been available for some time. The main ones are niacin and a class of drugs called fibrates. But the effects of these drugs are somewhat controversial. For example, two large clinical trials found no benefit of treatment with niacin in the prevention of heart disease events, although niacin two levels of triglycerides and higher levels of heart health ("good cholesterol") cholesterol . Niacin not only does not reduce the risk of heart disease, which also caused stomach, such as skin redness and increased side effects of the infection risk. Therefore, there are reasons to be cautious about taking niacin triglycerides levels.


A large-scale clinical trial of fenofibrate (Tricor, other names), one of fibrates showed that triglyceride levels also reduced, but not to reduce the risk of heart disease. However, the fenofibrate does not seem to help a subset of people in the trial who had particularly high levels of triglycerides and low HDL levels.
 

Potential new treatment
 In the report published today in the New England Journal of Medicine, an international team of researchers described a new treatment for high triglycerides. This is a weekly injection of "antisense oligonucleotides" (ASO), the short DNA fragments hepatic triglyceride production. The new report shows that free software can reduce triglyceride levels up to 70%.

Note that this was a Phase 2, which is designed to test if a drug does what it is supposed to do (in this case, a person triglyceride levels). Longer term larger studies are needed to see if OSS effectively reduce the risk of heart disease, and what kind of side effects they cause.


Many experimental drugs that glow in the first tests never become drugs approved by the FDA. We will not know for several years if ASO will be available to people with high triglyceride levels.


Reduction of triglycerides unmedicated
 Unless your triglycerides are extremely high, lifestyle changes are the best place to start. These simple steps can significantly lower the levels of triglycerides.

   
Beware of bad fats. Cut saturated fat (in red meat and high fat dairy products) and trans fat (in restaurant fried foods and commercially prepared baked goods) can lower triglycerides.


    * 
Go for good carbs. Easily digestible carbohydrates (like white bread, white rice, grains, and sugary soda) give triglycerides a boost. Eat whole grains and reducing sodium can help control triglycerides.


   
Check your drinking. In some people, alcohol dramatically increases triglycerides. The only way to know if this is true for you is to avoid alcohol for a few weeks and have your triglycerides tested again.


    * 
Go fishing. Omega-3 fats in salmon, tuna, sardines and other fatty fish can lower triglycerides. Having fish twice a week is fine.


    * 
Aim for a healthy weight. If you are overweight, losing just 5% to 10% of your weight can help lower triglycerides.


   
Get moving. Exercise lowers triglycerides and increases HDL cholesterol heart health.


   
Stop smoking. It is not good for triglyceride levels - or anything else.

8/01/2015

CPR for cardiac arrest: someone's life is in your hands

CPR for cardiac arrest: someone's life is in your handsCardiac arrest is the latest in 911. The heart ceases to send blood to the body and brain, or because it is beating too fast and too erratic, or because it has stopped completely. Brain cells begin to die of oxygen starvation. Death occurs in minutes - unless a viewer takes things in hand and began cardiopulmonary resuscitation (CPR).

Make CPR keeps blood from flowing until rescuers trained and better equipped arrive on the scene to start the heart back into a normal rhythm.

"The brain is the most sensitive organ of the body to oxygen deprivation," said Robert Graham, a scholar of health policy at George Washington University and president of the National Academy of Medicine (formerly the Institute of Medicine) Committee recently launched a new massive report on ways to improve survival from cardiac arrest. "If you can follow the flow of blood to the brain for five, seven or ten minutes until rescuers get there, you gave that person the best chance we have of recovery. "


New evidence supports better survival in CPR
 In this week's Journal of the American Medical Association (JAMA), two teams of researchers provide convincing proof of the principle that "time equals brain" and that efforts to improve the response to cardiac arrest can afford.In the ideal scenario, a spectator

    * 
witnesses an individual entering cardiac arrest
   
*  911 calls
   
*  CPR starts immediately and continues until another passer or first responders can use an automated external defibrillator (AED) to shock the heart to a normal rhythm.


AEDs are portable devices that offer a brief electric shock to the heart for pumping normally. They are increasingly in public places such as shopping centers. Unfortunately, often they are sitting in their cupboards used - even when there is a true emergency.


A team assessed the impact of a North Carolina initiative to train the general public in CPR and AED use. As part of the campaign, emergency workers have also received training on how to recognize a heart attack and respond appropriately.


The study team covers nearly 5,000 cardiac arrests that occurred between 2010 and 2013 in North Carolina. The percentage of people who received care ideal cardiac arrest increased 14% to 23% during this period. Meanwhile, the survival of brain injuries increased from 7.1% to 9.7%.


The other team extracted a 168.000 cardiac arrest database out of the hospital, which took place in Japan between 2005 and 2012. During this period, the percentage of people in cardiac arrest who received bystander CPR increased 39% to 51%. Meanwhile, the survival rate "neurologically intact" increased from 4.1% to 8.4%.


You can get lost in all these numbers, but the overall message is that we have more people in the street can quickly recognize and respond to cardiac arrest records brains - and lives.


More people need to learn CPR
 There is still much room for improvement. Of the 400,000 or more Americans who go to cardiac arrest outside the hospital each year, only 6% survive the crisis. This percentage decrease could have something to do with the fact that only 3% of Americans learn to do CPR every year.

The report of the National Academy of Medicine has shown that some communities have dramatically increased survival from cardiac arrest. Seattle, for example, cardiac arrest improved response on two fronts - formed the number of viewers and the effectiveness of the first to respond. In fact, the Seattle survival rate has exceeded 60% of cardiac arrest outside the hospital, which was witnessed by someone. Compare this to a single double-digit rates in many other urban areas.


"It was really a reflection of leadership and the people who decide what is important and who are willing to work on it for 20 years individual," said Graham. "There is a large group of people who are trained to recognize a cardiac arrest and have a mindset to respond. "Seattle communities" can be used as benchmarks to say that this is possible. It is not insurmountable, "says Graham.


The National Academy of Medicine report offers recommendations on how to get from here. Two of the most important are the creation of a national registry of cardiac arrest and expansion of programs in schools and communities to train people in CPR and AED use.
 
 

Ok, it's up to you
 If you want to be ready to help anyone who went into cardiac arrest, the watchwords are "recognized" and "respond".Recognize. Many people do not know the difference between a heart attack and a heart attack or fainting. A person in cardiac arrest not breathing, no pulse, and can not respond. Someone who has a heart attack is usually conscious and breathing, has a pulse and can answer your questions.Reply. Here's what to do if you witness someone enters cardiac arrest:

    * 
Call 911 immediately, or have someone else do it. Means call emergency medical personnel are heading your way.
   
*  Hands just start chest compressions:
       
- Place one hand over the other, and place both the sternum of the person at the center of his chest.
        -
Press firmly enough to make the chest inward movement about an inch.
       
- Relax and repeat. To do this, about 100 times per minute. For the good tempo, reflect on the pace of 'disco anthem "Stayin' Alive Bee Gees."
   
*  Keep doing CPR until an AED arrives with someone - either a viewer who obtained a business or a building, or the first to answer.


Word breathing through the mouth is not necessary if you do CPR on someone who has seen him go into cardiac arrest. This is because the blood of the individual has enough stored to him or her will for oxygen to keep everything.
 


Get training

Many organizations sponsor training programs in CPR and AED. Two of the most notable are the American Heart Association and the American Red Cross. Some are classes in person; others are online. Many local health departments also offer CPR training, including the "friends and family" classes for those who are close to someone at risk of cardiac arrest.

The investment of time and effort to learn CPR is small. The profit potential - save a life - it is huge.