A Bit More Healthy Archive March 2010

Scientists Report Two Types of Multiple Sclerosis

Synopsis

RESEARCH The name might suggest more than one but for years, the autoimmune disease multiple sclerosis (MS) has been combated as one profile with a variety of symptoms. The primary treatment has been beta-interferon, which has mixed results among patients. Some manifest quite unpleasant symptoms from the treatment, making it intolerable.

Differentiating Acrocyanosis From Raynaud's Phenomenon

"Cold hands, warm heart."

HEALTH The above expression is heard countless times by people with Raynaud's phenomenon and acrocyanosis. Both autoimmune disorders are caused by deoxygenated capillaries and venules of the extremities. As a result, temperature for hands or feet may drop as low as 70 degrees Fahrenheit (clinically) — nearly 30 degrees cooler than the average core body temperature.

Atypical Femur Fractures From Bisphosphonates?

Broken bones may occur as a result of medication prescribed to strengthen them.

Synopsis

RESEARCH According to two reports presented at the American Academy of Orthopaedic Surgeons (AAOS), long-term use of bisphosphonated drugs such as Actonel, Boniva, Fosamax, and Reclast increases the risk for atypical subtrochanteric femur fractures. These drugs are most often prescribed to strengthen the bones of patients with osteoporosis.

U.S. Military Training for Bloodless Surgery

Non-blood medical management, once considered a fanatical patient view of Jehovah's Witnesses, is now becoming the gold standard for surgery.

HEALTH Bloodless medicine and surgery was first developed in the 1960s when Dr. Denton Cooley, a pioneering American heart surgeon who graduated from the University of Texas, first successfully performed "bloodless" heart surgery in 1962.

FDA Panel Backs Implant for Mild Heart Failure

RESEARCH Tens of thousands of patients previously ineligible for the Boston Scientific heart-regulating device should soon qualify. A panel of cardiologists acting as advisors to the Food and Drug Administration (FDA) unanimously approved the device, known as a cardiac resynchronization therapy defibrillator, with the assurance that the company tracks long-term patient safety.

Decrease in Postoperative Delirium for Elderly Patients

Delirium is common after surgery, especially in older people with dementia (including Lewy body dementia - LBD).

RESEARCH While delirium usually goes away in a few days, it can last longer, causing lengthy hospital stays, slower recovery times, and higher costs of care. In a recent study at Johns Hopkins Medicine, hip fracture patients who were given spinal anesthesia and who were "lightly" sedated with propofol.

Steve Jobs & Schwarzenegger Push Donor Register

"I'm feeling fine. I almost died."

HEALTH There are now more than 21,000 Californians on the organ donor waiting list. In 2009 there were 671 liver transplants. Last year Steve Jobs, CEO of Apple, was one of 3,400 awaiting liver transplants in California and almost one of over 400 who died waiting. Fortunately he went to Memphis, Tennessee where the ratio of transplants is more favorable.

Unlikely Acid Reflux Cure

Sudden onset of acid reflux could be prompted by dietary alteration.

HEALTH Suddenly diagnosed with gastroesophageal reflux disease (GERD), I was confused, suspicious, and distraught. Then, the underlying cause was detected and eliminated virtually overnight. Sharing what was discovered requires some seemingly unrelated background leading to the GERD diagnosis.

Erectile Dysfunction Predictor of Fatal Heart Ailments

RESEARCH LA Times (March 16, 2010) — For the first time, German researchers in Circulation: Journal of the American Heart Association have shown that erectile dysfunction (ED) is a strong predictor of the likelihood that men will die of heart disease. That's a poignant statement.

Chiropractor vs. Medical Doctor

HEALTH Has back pain has gotten you wondering whether to seek relief from a chiropractor or medical doctor? Though each individual patient must ultimately make the decision for himself, fear and apprehension are increased by the sometimes contentious debates between the two professions.

Medical Records From Iris Scan

Clinic deploys biometric patient check-in technology. 

HEALTH An unlikely clinic in the Bronx, New York is one of the elite global hospitals that employ biometrics such as eye, palm or vein pattern readers to recognize an individual based on unique biological characteristics.

Bowen's Disease Can Mimic Eczema

Is a pre-cancer masquerading as a common skin disorder?

DERMATOLOGY Bowen's disease (BD) is a form of intraepidermal carcinoma, a malignant tumor of keratinocytes that may progress to an invasive squamous cell carcinoma (SCC) in situ. It was first documented in 1912 by an American dermatologist.

Coccyx Pain Relief

A tailbone injury is a pain in the butt.

Synopsis

HEALTH The coccyx is the anatomical region at the lower end of the spine, often called the tailbone, that in 80 percent of people comprise four coccygeal vertebrae. Ordinarily only slightly concave anteriorly, osteoporosis or trauma may cause a slight deviation posteriorly or anteriorly as much as 90 degrees.

Replace Chronic Pain With Spinal Cord Stimulation

While most doctors prescribe pills, the savvy can block the neural pain sensation.

TECHNOLOGY In today's healthcare quagmire, physicians may not always be paid as much for results as for quantifying patient visits or diagnostic procedures. After a 5-minute exam, patients can be whisked away for blood tests and radiology reports. Though this perhaps justifies a substantial bill for the insurers, it often leaves the chronic pain sufferer in no better condition.

Biomarker for Asthma Patients With Steroid Incompatibility

Inhaled corticosteroid is the treatment of choice to control lung inflammation in asthma patients.

RESEARCH The problem is that 15% to 20% of patients may be unresponsive to inhaled steroids. There are alternatives like omalizumab (Xolair) or montelukast (Singulair). Hence, advance knowledge of ineffective treatment can prevent patient discomfort.

Soy May Benefit Breast Cancer Survivors

“Women with breast cancer who eat more soy are less likely to die or have a recurrence of cancer than women who eat few or no soy products.”

RESEARCH Commenting on an article from Health.com, CNN Health begins with that somber statement. It then demonstrates a general opinion reversal among physicians like Sally Scroggs, a registered dietician and senior health education specialist.

Women Healing Conferences

Women take twelve steps to alcohol recovery.

ADDICTION Hazelden's Women Healing® conferences help women in recovery integrate the Twelve Steps of Alcoholics Anonymousinto their lives to restore balance and health in their personal, family, and career challenges.

Nanometer 3D Imaging Photographs Inside Cells

RESEARCH Each time we peer over the precipice of a new imaging technology, the view is breathtaking. X-Rays, CT Scans, MRI and high-resolution digital imaging have each offered precious glimpses into remarkable worlds of science and diagnostic medicine.

Demodicidosis: The Eyes Have It

Manolette R Roque, MD, MBA, DPBO, FPAO

HEALTH First reported in 1840... Demodex folliculorum (all stages) is found in small hair follicles and eyelash hair follicles. In all forms, immature and adult, it consumes epithelial cells, produces follicular distention and hyperplasia, and increases keratinization leading to cuffing, which consists of keratin and lipid moieties.

Demodicidosis: Facial Mites

You likely have parasites living in your face right now.

DERMATOLOGY The likelihood of hosting Demodex folliculorum and Demodex brevis mites increases as humans age. These thin elongated skin parasites have a predilection for facial follicles (D. folliculorum) and sebaceous glands (D. brevis). Both mite variants feed on sebaceous secretions and dead skin cells.

Brain Cancer Vaccine:
Phase-2 Trials

RESEARCH Malignant Glioblastoma (GBM) is an unpleasant form of brain cancer that, with aggressive treatment, generally takes its full course of morbidity within one year. Favorable surgical techniques are available while research continues on a quite promising vaccine that targets a specific protein (EGFRviii or "EGFR factor three") present in about 40 percent of individuals with GBM.

Analgesics and Hearing Loss

RESEARCH Common risk factors for hearing loss include loud noises, alcohol, hypertension, diabetes and the use of the diuretic furosemide. Studies in animals and anecdotal reports in humans indicate high doses of the analgesics can interfere with hearing, but there have been few studies looking at regular use and none studying acetaminophen.

Anaphylaxis From Red Meat

Meat may be the cause of allergic reactions.

RESEARCH Severe allergic reactions to food generally occur within 2 hours. However a study of 60 patients with unexplained severe allergic reactions suggests red meat may trigger the condition 4 or more hours after consumption.