No Cell Phones Outside in a Storm?

June 22, 2006 — Is it safe to utilize cell phones outside amid a electrical storm? A letter published in BMJ says “maybe not.”

The letter comes from Smash Dhillon, FRCS, and two other experts in ear, nose, and throat health (otorhinolaryngology, or otolaryngology, as it is called in the U.S.). They work at Northwick Stop Clinic in Middlesex, England.

Dhillon’s group tells of a London teen struck by lightning while talking on her cell phone in a stop amid a storm. The young lady survived, and it’s not clear what part, on the off chance that any, her cell phone played in her injuries.

“This rare marvel is a public wellbeing issue, and instruction is fundamental to highlight the chance of utilizing mobile phones outdoors during stormy weather,” compose Dhillon and colleagues.

Youngster Struck by Lightning Whereas on Cell Phone

The 15-year-old young lady cited in the letter was seen being struck by lightning while using her versatile phone in a expansive London stop amid stormy weather, type in Dhillon and colleagues.

The girl’s heart ceased beating when the lightning struck. “She was successfully revived, but one year afterward she was a wheelchair user with complex physical, cognitive, and emotional issues,” the specialists type in.

The girl too endured hearing loss from a torn left eardrum. She had been holding her phone on her cleared out ear during the storm, the letter states.

While the specialists have no way of knowing in case the cell phone declined the girl’s wounds, that may well be conceivable, they write.

Worse Injury Risk?

“In case somebody is struck by lightning the high resistance of human skin comes about in lightning being conducted over the skin without entering the body; this is often known as flashover,” type in Dhillon and colleagues.

“Conductive materials in coordinate contact with the skin, such as fluids or metallic objects, disturb the flashover and result in inside harm, with more noteworthy morbidity and mortality,” they include. “Dismalness” implies sickness or injury; “mortality” implies death.

Dhillon and colleagues say they know of no comparative cases in restorative literature, in spite of the fact that they found three lethal cases reported in Asian newspapers from 1999-2004. The doctors didn’t affirm those daily paper reports through therapeutic sources.

Get Inside

When inquired around this modern-day lightning chance, National Climate Benefit spokesman and meteorologist Dennis Feltgen tells WebMD the girl’s “primary problem was that she was standing out there” amid the storm.

The safest thing to do in a storm is to look for cover, ideally in a expansive, encased building, stresses the National Weather Service, which is part of the National Oceanic & Air Administration (NOAA).

Essentially being outside during a storm — regardless of cell phone use — made her “an easy target,” Feltgen says.

Feltgen says he’ll take off the flashover science to the doctors, but the sum of metal in a cell phone is “far too little to pull in lightning.”

WebMD too reached CTIA — The Wireless Affiliation, an association for remote communications companies. Its public undertakings chief, Joe Farren, didn’t have an immediate response. His group will look into it, Farren tells WebMD.

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Should All Young Women With Breast Cancer Get Chemo?

Feb. 18, 2000 (Indianapolis) — Women analyzed with breast cancer in their 20s and 30s seem to have a poorer forecast than those who are to begin with diagnosed in center age. Results of a huge, review think about from Denmark distributed within the Feb. 19 issue of the British Therapeutic Diary propose that all women beneath the age of 35 with breast cancer should be advertised chemotherapy taking after surgery.

Denmark, with its decades-old comprehensive wellbeing registries, advertised a one of a kind opportunity for the researchers to study the relationship between age and breast cancer survival rates. “We wanted to see how organize of infection at time of determination and treatment affected the negative effect of youthful age on the survival of these women,” Mads Melbye, a professor within the division of the study of disease transmission inquire about at the Danish The study of disease transmission Science Center in Copenhagen, tells WebMD.

The gather looked at more than 10,000 women with essential breast cancer who were less than 50 years ancient at determination. Detailed data on tumor characteristics, treatment regimens and survival were available from a database maintained by the Danish Breast Cancer Cooperative Bunch. Researchers measured the relative hazard of biting the dust inside the primary 10 years after determination.

By and large, young women — those under 35 years of age at diagnosis — who did not get chemotherapy had a essentially expanded chance of dying. These ladies too were twice as likely to kick the bucket amid the 10-year period when compared to those who were analyzed between ages 45 and 49. Be that as it may, this additional chance disappeared almost entirely when those under 35 were given chemotherapy.

“Clearly, youthful women with what within the first place looks like a low-risk tumor, little in size and with no spread to lymph nodes, should be considered for treatment with chemotherapy,” says Melbye. “That might exceptionally well kill the negative impact on survival observed among young women underneath 35 a long time. Young ladies are moreover youthful mothers and for this group of ladies, time is probably more valuable than for any other group. Therefore, anything ready to do to improve the survival for fair some of these ladies could be a noteworthy step forward.”

Gary Clark, PhD, teacher of medication and associate executive of The Breast Center at Baylor College of Medicine in Houston, says that the study’s comes about showing more awful prognosis in the younger age groups is steady with what has been found in other considers. However, he does not think that all women with breast cancer ought to be given chemotherapy based solely on age.

“The creators seem to propose that on the off chance that you give chemotherapy to this gather, it overcomes this terrible prognosis and beautiful much makes them rise to to the result of more seasoned women,” he says in an interview with WebMD. “They conclude that more youthful age alone ought to be considered a reason to use chemotherapy. In spite of the fact that age is certainly one of the components that the understanding, family, and treatment team should consider, it isn’t the only factor.”

Vital Information: When women under age 35 are analyzed with breast cancer, they do not appear to do as well with treatment, compared to women who are first analyzed at an more seasoned age. Researchers propose that advertising these more youthful breast cancer patients chemotherapy as portion of their generally treatment can offer assistance them get superior outcomes. Spectators note, however, that just because a breast cancer quiet is young doesn’t cruel she should consequently get chemotherapy.

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Use of Dietary Supplements on the Rise

April 13, 2011 — More than one-half of U.S grown-ups take dietary supplements, concurring to the CDC.

The modern report, which appears in the CDC’s National Center for Health Statistics’ Information Brief, looked at dietary supplement utilize among grown-ups from 2003 to 2006, and compared it to utilize in 1988 to 1994.

“Dietary supplement utilize has increased in adults over age 20 since 1994, and we have over one-half of Americans taking one or more supplements a day,” says ponder analyst Jaime Gahche, MPH, a nutrition epidemiologist at the National Center for Health Statistics in Bethesda, Md.

“This data is critical since such a high predominance of individuals take dietary supplements. So we need to make sure we capture this information when assessing wholesome status,” she says. “If we only include nourishment and beverages, we are missing out on a big proportion.”

Multivitamins were the foremost commonly used supplement, with 40% of men and ladies announcing that they take a day by day multivitamin from 2003 to 2006, the new data appear.

More women more seasoned than 60 took calcium supplements between 2003 and 2006, compared to the 1988 to 1994 survey, 61% vs. 28% separately. Calcium is fundamental for ideal bone wellbeing and reducing risk for the delicate bone illness osteoporosis.

The use of folic acid supplements remained the same between the two overviews. Folic acid is known to help prevent neural tube birth abandons among women of child-bearing age. Folate (a normal form of folic acid) is found in numerous nourishments including green verdant vegetables, beans, and vegetables. Numerous breads, cereals, flours, corn dinners, pastas, rice, and other grain products are now invigorated with folic acid.

Utilize of vitamin D supplements increased in ladies from 2003 to 2006. In later a long time, many considers have connected vitamin D insufficiency to a have of health issues, counting cancer and heart illness. Regularly called the “sunshine vitamin” because our bodies produce vitamin D when exposed to the sun, it is also found in milk and a few other nourishments.

Checking Dietary Supplement Use

“The modern report is reliable with what we are seeing, and the numbers have probably increased since 2006,” says Tod Cooperman, MD, the president of ConsumerLab.com, an independent organization that assesses dietary supplements.

These increments are due in portion to the down economy, he says, “More people are self-treating with vitamins and other supplements, so the numbers are higher.”

”It’s imperative that we continue to screen dietary supplement use to form beyond any doubt that we are not going over the recommended sums and not reaching the upper limits of intake for any vitamin or mineral,” Gahche says. The upper restrain alludes to the upper level of admissions that’s considered to be safe.

“Americans and wellbeing care providers have to be compelled to calculate in all the source of nutrients including vitamin waters and sustenance bars since they do include up and can exceed upper limits,” Cooperman says. “You can definitely get too much of a great thing.”

When it comes to supplements, “be specific, utilize them in moderation, and don’t exaggerate it, and realize that the items can contain many times the amount that’s good for you,” he says.

Some supplements may meddled with the action of other drugs you take, expanding their side impacts or rendering them ineffective. “Make sure your wellbeing care supplier is aware of everything that you simply take,” Cooperman says.

A later survey shows that most Americans may not be having this conversation with their wellbeing care suppliers. The study, conducted by the American Association of Retired People and the National Center for Complementary and Alternative Medicine, found that 53% of individuals say they have utilized complementary and elective medication at a few point — including dietary supplements — but just 58% examined it with a wellbeing care supplier.

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Survey: Talk Therapy as Good as Antidepressants

June 1, 2010 — Antidepressants are commonly prescribed for treating both anxiety and depression, but conversation therapy shows up to work just as well as the medicines, agreeing to a modern study. Individuals who both take medicine and get therapy fare indeed superior.

About 80% of overview respondents with depression or uneasiness reported antidepressant utilize, says Nancy Metcalf, senior program editor at Customer Reports Health, which can publish the results of its third mental health survey of its perusers in the July issue.

Whereas medication delivered good results, so did conversation treatment. ”What we found is, in case you’ll be able to get yourself to conversation therapy, and in case you stick with it for at slightest seven weeks, you’re getting to get results as good as you’d in the event that you just popped a pill,” Metcalf tells WebMD.

The survey, conducted in 2009, includes information from more than 1,500 study respondents who had looked for proficient offer assistance for sadness, uneasiness, or another mental wellbeing issue between January 2006 and April 2009. They detailed the medications they sought and how well they made a difference, counting specifics on sorts of drugs and side effects and the sorts of specialists they went to.

Around 16% of U.S. adults have had depression at some point in their lives, according to a 2006 CDC study, and almost 11% are told by a wellbeing care proficient they have uneasiness.

Tracking Discouragement and Uneasiness

Of the 1,544 respondents in the Buyer Reports study with depression or uneasiness, 30% reported misery as it were, 18% anxiety only, and 52% both at the same time. Most drugs now utilized for sadness treatment also work for anxiety. The average age of the overview respondents was 58.

Within the overview, those who took medications found that some drugs created less side impacts than other types.

Those who took the lesson of antidepressants known as SSRIs (particular serotonin reuptake inhibitors) such as Celexa, Prozac, Zoloft, and their generic equivalents had lower rates of side impacts than those taking SNRIs.

SNRIs, or serotonin norepinephrine reuptake inhibitors, are a more current antidepressant class, regularly more expensive. Among them: Effexor, Cymbalta, and Pristiq.

The respondents who took SSRIs found them about as supportive as those taking SNRIs, with 53% of those on SSRIs saying they made a difference a lot and 49% of those on SNRIs saying that.

The side effects, Metcalf’s team found, were higher than what is typically detailed in drug company thinks about; 31% of those on SSRIs and 36% of those on SNRIs reported sexual side impacts.

The primary medicate attempted didn’t continuously work, the perusers detailed; they took a median (half more, half fewer) of three.

Of the 45% of respondents who turned to conversation therapy, either alone or with pharmaceutical, 46% said the treatment sessions had made their condition “a parcel better,” whereas 45% named things ”somewhat better.”

Overall, a therapist got a to some degree higher helpfulness score from the readers. But in common, the advantages of conversation treatment were consistent whether the advisor was a psychologist, social specialist, or licensed counselor.

Those who stuck with the talk treatment for seven sessions or more had superior comes about than those who completed less.

When single vs. combined treatment was considered, taking into consideration how accommodating readers found their advisor or specialist, how much alter they reported in enthusiastic wellbeing, and other factors, those who used drugs and locked in in conversation therapy for at least seven visits fared the finest agreeing to Metcalf.

Moment Supposition

In reaction to the survey comes about (including the finding of fewer side impacts with Prozac than with Cymbalta), Charles McAtee, a representative for Eli Lilly and Company, which makes both of the drugs, says in a statement: “Sadness could be a profoundly individualized illness. Treatment choices, including what type of treatment is fitting for a given patient, are best determined by the wellbeing care professional and understanding working together and based on the person patient’s needs.”

”As with any pharmaceutical,” McAtee states, “Prozac and Cymbalta can incorporate side impacts, so patients ought to talk with their doctor approximately the risks and benefits of any upper medicine before beginning treatment.”

The report offers a few good information, but there’s a caveat, says Harold Pincus, MD, vice chairman of psychiatry at Columbia University, New York, who has investigated and distributed on patterns in misery treatment.

”A parcel of the information is pretty sound,” says Pincus, who looked into the report for WebMD. But, he adds, it has flaws inherent in any study.

“We have no idea who the respondent pool is, whether they are representative of the general population,” he says. (The Customer Reports authors note that they are not essentially representative of the general U.S. populace). Those who are depressed or anxious who replied the overview may also not be normal of those in the common populace with the conditions, he says.

”The bottom line is, it’s not something I would rely on for choice making,” Pincus says.

Deciding which medications to recommend for mental wellbeing issues, he says, is complicated, with many components requiring to be taken into consideration. Among them are the degree of indications, the patient’s restorative and family history, and past encounters with drugs and other therapies.

In case the sadness is exceptionally mild, he says, “careful waiting” for some of weeks may be best, as the misery may lift on its own.

If the sadness is mild, he says, psychotherapy or medicines can be used with break even with advantage. ”For those with moderate to serious major discouragement, medicine is more successful than psychotherapy alone, but the two together may be synergistic because they may attack diverse components of the ailment.”

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Muscular Dystrophy: Stem Cell Help?

Nov. 15, 2006 — Lab tests on pooches show that adult stem cells may help treat a certain sort of solid dystrophy, say Italian researchers within the diary Nature.

They included Giulio Cossu, MD, of the Stem Cell Investigate Founded in Milan, Italy.

The methodology needs more work. But Cossu’s group says their study “sets the coherent premise for the begin of clinical experimentation” for Duchenne strong dystrophy.

Duchenne muscular dystrophy is one of the nine major sorts of muscular dystrophy. It’s the foremost common shape of strong dystrophy in children, and it only influences guys.

In human Duchenne muscular dystrophy, muscles debilitate over time. Many patients eventually require wheelchairs; most kick the bucket in their late teenagers or early 20s.

Stem Cell Ponder

Cossu and colleagues considered 13 male brilliant retrievers that had a canine form of Duchenne strong dystrophy.

The researchers took adult stem cells from the dogs with muscular dystrophy and from a canine without strong dystrophy.

Cossu’s team part the pooches with muscular dystrophy into three groups.

The first group included three pooches that got no stem cell shots. Their solid dystrophy declined.

The moment gather included six mutts that got five shots of donated stem cells from the solid dog, together with drugs to help their resistant systems accept those cells.

The last gather included four pooches that got up to five shots of their own stem cells that had been changed to form more dystrophin, a protein lacking in Duchenne solid dystrophy.

Blended Results

The comes about changed, but the dogs that got the donated stem cells generally faired best.

Two of the six pooches that got donated stem cells were able to walk, one of which was able to run at the conclusion of treatment.

A third pooch in the same bunch passed on suddenly, and a fourth steadily misplaced walking capacity after drugs for the immune framework were stopped.

The fifth pooch that got given stem cells showed no advancements or setbacks, and the 6th appeared “unassuming” worsening of its condition.

Of the four mutts that got shots of their possess genetically changed stem cells, one was able to walk solidly after treatment. Three worsened, two of which passed on of pneumonia.

Strong dystrophy compounded in all of the mutts that didn’t get stem cell shots.

Given Cells?

The given stem cells “seemed to be more proficient” than the hereditarily tweaked stem cells, the researchers write.

But transplanting stem cells can have downsides, notes editorialist Jeffery Chamberlain, PhD, of the University of Washington’s neurology department.

“As with any transplant, unless the donor and recipient are immunologically coordinated, the beneficiary must be put on lifelong immune concealment; this is not continuously effective and can have nasty side effects,” Chamberlain composes in Nature.

He includes that it would be “ideal” to deliver each persistent their possess genetically adjusted stem cells, on the off chance that the procedure can be made more effective.

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