New Heart Attack Treatment Guidelines Stress Coordination

(HealthDay News) -- There's a message for doctors, hospitals and communities in new guidelines for treatment of coronary disease and heart attacks: Get organized.
Every community should have an organized system of emergency care for heart attacks, including programs to identify patients before they get to hospitals and strategies for getting them to medical centers equipped to perform artery-opening procedures, say the guidelines issued by the American Heart Association, the American College of Cardiology and the Society for Cardiovascular Angiography and Interventions.
"The focus on integrated systems for patients with STEMI is important," said Dr. Sidney C. Smith Jr., a professor of medicine at the University of North Carolina, a past president of the American Heart Association and co-chair of the group that wrote the guidelines. "It affects a large number of the population that have heart attacks and will improve their treatment for sure." Read more...

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Fish Oil Supplements Don't Help Depressed Heart Patients PostPosted: Wed Oct 21, 2009 6:24 pm

(HealthDay News) -- In a surprise and not very welcome finding, researchers report that fish oil supplements do not ease depression in individuals who suffer from both depression and coronary heart disease.

Participants in the study, which is published in the Oct. 21 issue of the Journal of the American Medical Association, were also taking the antidepressant sertraline (Zoloft). Some studies have suggested that the omega-3 fatty acids found in fish might enhance the effects of Zoloft.

"Unfortunately, it's not where we wanted to be. We were kind of disappointed, to say the least," said study author Robert M. Carney, a professor of psychiatry at Washington University School of Medicine in St. Louis. Read more...

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Heart Association Warns of Surgery Risks in Obese

(HealthDay News) -- Severely obese people undergoing surgery are at greater risk of heart problems, wound infections, prolonged hospital stays and other complications, according to a Scientific Advisory from the American Heart Association.

Yet many cardiologists, surgeons, anesthesiologists and other health-care providers underestimate the seriousness of the risks, particularly to the heart, the association warns.

About 3 to 4 percent of Americans are considered severely obese, defined as having a body mass index of 40 or higher, according to information in a news release from the association. Read more...

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Oh-So-Cold Temperatures Plague Older People

(HealthDay News) -- Hypothermia, frostbite, and falls are among the winter-related dangers faced by older adults, warns the American Geriatrics Society's Foundation for Health in Aging.
They're more susceptible to hypothermia, or dangerously low body temperature, in part because older people have a slower metabolism and produce less body heat than younger people, the society said. In addition, it added, body changes can make it harder for older people to tell when the outside temperature is too low.
To prevent hypothermia, older adults should: Read more...

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Memory Loss Tied to Brain's White Matter

(HealthDay News) -- The "white matter" that connects the regions of the brain may have more of a role in memory and cognitive loss than previously believed, a new study says.

By comparing brain scans of groups of healthy young and old adults, Massachusetts Institute of Technology (MIT) neuroscientists discovered a relationship between loss of memory and cognitive performance in older people and the deterioration of the white matter in the parts of their brains related to those functions.

White matter is made up of the neuronal axons that connect neurons in the "gray matter" brain regions. White matter also helps the regions of the brain to communicate with one another.Read more...

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Obese Middle-Aged Women Face Unhealthy Future

(HealthDay News) -- If excess weight doesn't kill you by old age, it could make your life miserable in the form of chronic health problems and impaired mental fitness.

According to a new study, women who are obese in middle age are almost 80 percent more likely to have multiple health problems by the time they reach age 70.

"Those who gained weight [in adulthood] actually suffered reduced odds of healthy survival," said study author Dr. Qi Sun, a research associate at the Harvard School of Public Health's department of nutrition. Read more...

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For a Healthier Retirement, Work a Little

(HealthDay News) -- The secret to a healthier retirement may be surprising: work.

Retirees who continue to work in some capacity, even part-time, are less likely to experience physical decline and disease, new U.S. research suggests.

Using data from the national Health and Retirement Study, researchers analyzed six years of information on the health, finances and employment status of over 12,000 men and women between the ages of 51 and 61 in 1992.

Compared to those who quit working altogether, those who described themselves as officially retired but who continued to work part-time or in temp jobs were less likely to be diagnosed with eight diseases: high blood pressure, diabetes, cancer, lung disease, heart disease, stroke, psychiatric problems and arthritis. Read more...

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More Whole Grains May Mean Less Fat

Eating more whole-grain foods may help reduce body fat in older adults, says a new U.S. study.

The study looked at the eating habits -- including the consumption of whole-grain bread, brown rice, popcorn and other whole grains as well as fruits and vegetables -- of 177 men and 257 women, who averaged 68 years old. Read more...

Fitness Plan for Seniors?

What's the best exercise for older people? I've read that swimming and horseback riding are easy on the joints.

I would agree with you that swimming is good exercise for older people, but horseback riding probably isn't the best idea for most seniors. It does use several muscle groups and can burn calories (as any rider knows, you must constantly adjust your body to remain upright and in control). However, riding is a sport that requires you to already be in pretty good shape; the demands of riding can stress arthritic joints in the hands, knees and shoulders, worsen back pain, and aggravate prostate problems in men. I wouldn't suggest it as a beginning form of exercise. However, seniors who are accustomed to riding can continue to enjoy significant exercise benefits for as long as they're comfortable on horseback. Read more...

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Antidepressant in Pregnancy Not a Great Idea

Using the antidepressant Paxil late in pregnancy seems to be associated with a higher rate of complications in the newborn, but the findings do not mean women should not take the drug.

In a new study, Paxil did not increase the risk of birth defects when taken during any trimester. However, 12 infants born to 55 women who took the drug late in pregnancy had complications that required prolonged hospitalization. Nine of the babies had respiratory distress, two had hypoglycemia (abnormally low blood sugar) and one had jaundice -- a yellowing of the skin due to reduced liver function.

Paxil is a newer type of antidepressant known as a selective serotonin-reuptake inhibitor (SSRI), and is known to cause a "discontinuation" syndrome in adults -- a type of withdrawal. There had been case reports of a similar syndrome in infants born to mothers who have taken the drug during pregnancy.

Motherisk counsels physicians and women about the safety of medications during pregnancy, largely based on a huge database of its own safety studies. Read more...

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Children with tumors??

Q: I have a friend with a 11 year son with a brain stem tumor and now his 5 year old has a pancreatic tumor. I am offering to check environmental issues. Are there any other thoughts. thanks Wm Lee MD

A1: Dear Dr. Lee:

I have three kids in a space of 6 weeks with brain tumors, a 12 yo with a brain stem glioma, the others with astrocytomas at various stages. It's important to identify the endocrino-metabolic factors that manage the growth of the cancer. Typically, TRH plays an important role here, and you will see this with an elevated CA 15-3 level, which implicated a role for the pancreas as well. Read more...

Drinking Soda Can Paralyze You

Doctors are warning that excessive cola consumption can lead to anything from mild weakness to profound muscle paralysis. This is because the drink can cause your blood potassium to drop dangerously low. One Australian ostrich farmer needed emergency care for lung paralysis after drinking large amounts of cola.



Researchers believe that many people risk problems due to their intake. Dr. Clifford Packer says that, “We have every reason to think that it is not rare. With aggressive mass marketing, super-sizing of soft drinks, and the effects of caffeine tolerance and dependence, there is very little doubt that tens of millions of people in industrialized countries drink at least 2-3 liters of cola per day.” Read more...

Health Secrets of Red Wine Uncovered

(HealthDay News) -- Scientists already knew that drinking red wine in moderation is good for your health; now they are figuring out why.
New research is uncovering the disease-prevention secrets of a polyphenol called resveratrol, one of compounds in red wine that seems to improve health. Although the benefits have been touted for years, researchers weren't sure how polyphenols, and resveratrol in particular, worked in the body.

"The breadth of benefits is remarkable -- cancer prevention, protection of the heart and brain from damage, reducing age-related diseases, such as inflammation, reversing diabetes and obesity, and many more," said Lindsay Brown, an associate professor of the School of Biomedical Sciences at the University of Queensland in Australia and co-author of a study that will appear in the September issue of Alcoholism: Clinical & Experimental Research.
Brown said scientists are beginning to understand how resveratrol does its work. Possible mechanisms include:
• High doses of the compound may prevent cancer by increasing the process of apoptosis (programmed cell death). Read more...

Diabetes Overview

Diabetes occurs when the body does not produce or properly use insulin, a hormone necessary to convert sugar, starches and other food into the energy we need for daily life.

There are two major types of diabetes:

Type I. Also called juvenile diabetes, type I diabetes is an autoimmune disorder that accounts for 5 to 10 percent of all cases of diabetes. In type I diabetics, the body does not produce any insulin; people with this form of diabetes must take daily insulin injections to stay alive. This type is initially diagnosed most often in children and young adults.
Type II. Also called adult-onset diabetes, type II diabetes is a metabolic disorder resulting from the body's inability to properly use or ultimately make enough insulin. It is the most common form of the disease, accounting for 90 to 95 percent of diabetes. Type II diabetes is nearing epidemic proportions, a result of a greater prevalence of obesity and sedentary lifestyles (two reasons more children are being diagnosed with type II diabetes) and an increasing number of older Americans in the population.
Causes and Symptoms Read more...

Exercise Tips for Seniors to Start a Healthy 2009

Most fitness advice is aimed at a general audience.But if you're an older adult, the International Council on Active Aging (ICAA) has some tips for seniors to get started and keep them at the top of their game: Read more