Laparoscopic Surgery Of The Colon Reduces The Risk Of Venous Thrombosis

Laparoscopic Surgery Of The Colon Reduces The Risk Of Venous Thrombosis.
Minimally invasive colon surgery reduces the imperil of blood clots in the intense veins compared with ancestral surgery, University of California, Irvine, researchers report. Deep tendency blood clots, called venous thromboembolism (VTE), occur in about a board of patients who have colorectal surgery, the researchers said. The benefits of less invasive laparoscopic surgery also subsume faster recovery time and a smaller scar, but these advantages may not be enough to bring about a widespread change from traditional surgery.

And "From the cancer perspective, this does not appear to be a game changer," said Dr Durado Brooks, big cheese of colorectal cancer at the American Cancer Society. Brooks said that amid cancer patients in the study, no significant difference in the risk of VTE was found between the two procedures.

So "In addition, cancer had been viewed as a contraindication for laparoscopic surgery. There needs to be a more focused on looking exclusively at the cancer citizenry before anyone would promote laparoscopic surgery as the way to go for cancer patients". The record was published in the June issue of the Archives of Surgery.

Doctors Recommend Vaccination Of Children

Doctors Recommend Vaccination Of Children.
Few ancestors realize how basic the vaccines against HPV (human papillomavirus) are for preventing cervical cancer, and even fewer talk about the vaccine with their doctors, according to a evaluate of more than 1400 people. "From previous research, we know people are habitually aware of the vaccine," said Kassandra Alcaraz, director of health disparities research at the American Cancer Society, who led the study. "From this study, we lettered that people are not sure it is effective". Alcaraz and her gang used data from a US National Cancer Institute (NCI) measurement on health trends, collected in 2012 and 2013.

Those who responded were either in the age range for which the vaccine is recommended or had an proximate family member in that age bracket. The US Centers for Disease Control and Prevention recommends HPV vaccination for boys and girls at lifetime 11 or 12, before they become sexually active. For older youth, a "catch-up" vaccination is recommended. The vaccines, Gardasil (for boys and girls) and Cervarix (for girls) object two HPV strains observation to cause most cervical cancers, and Gardasil targets two additional strains.

The vaccines also watch against anal and vulvar cancers. Only one of four measure respondents reported talking to a health-care provider about the vaccine, with those who graduated college most tenable to have done so. When asked about how effective the vaccine is, 70 percent did not know. According to the NCI, vaccination has been found to balk nearly 100 percent of the precancerous room changes that would have been caused by the two strains, HPV 16 and 18.

Some Pills For Heartburn Increased The Risk Of Pneumonia

Some Pills For Heartburn Increased The Risk Of Pneumonia.
Popular heartburn drugs, including proton grill inhibitors and histamine-2 receptor antagonists, may escalate the peril of pneumonia, new research finds. Researchers in Korea analyzed the results of 31 studies on heartburn drugs published between 1985 and 2009. "Our results suggest that the use of acid suppressive drugs is associated with an increased jeopardy of pneumonia," said Dr Sang Min Park of the bailiwick of subdivision medicine at Seoul National University Hospital in Korea. "Patients should be wary at overuse of acid-suppressive drugs, both high-dose and long duration".

Sales of these enormously popular drugs - the relocate best-selling category of medications worldwide - reached nearly $27 billion in the United States in 2005, according to experience information in the study, published Dec 20, 2010 in CMAJ (Canadian Medical Association Journal). Proton examine inhibitors (PPIs) cut acid production in the stomach and are used to treat heartburn, gastroesophageal reflux disease (GERD) and gastric ulcers. They embody omeprazole (Prilosec), lansoprazole (Prevacid) and esomeprazole (Nexium).

Histamine-2 receptor antagonists, often called H2 blockers, use a abundant mechanism to reduce stomach acid and incorporate cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid) and ranitidine (Zantac). According to Consumer Reports, sales of a Nexium tout hit $4,8 billion in 2008. Yet recently, studies have raised concerns about the drugs. Several studies have linked PPIs to a higher chance of fractures and an infection with a bacterium called Clostridium difficile.

Some c whilom studies also linked heartburn drugs to a higher endanger of pneumonia, but the research has been mixed, according to the study authors. Their meta-analysis combined the results of eight observational studies that found that taking PPIs increased the chances of developing pneumonia by 27 percent, while taking H2 blockers resulted in a 22 percent increased endanger of pneumonia.

An criticism of 23 randomized clinical trials found ancestors taking H2 blockers had a 22 percent increased stake of getting hospital-acquired pneumonia. "Gastroenterologists in general have become more cognizant of the fact that these drugs can have some lesser effects," said Dr Michael Brown, a gastroenterologist at Rush University Medical Center in Chicago. "For a lengthy time, we were very happy to suppress people's acid without thinking about the consequences. Now we are starting to get the drift some issues".

Taking Clot-Busting Drug Immediately After A Stroke Within A Few Hours Improves The Patient's Condition

Taking Clot-Busting Drug Immediately After A Stroke Within A Few Hours Improves The Patient's Condition.
Patients who get the clot-busting cure alteplase (tPA) within 4,5 hours of having a jot along better than patients who are given the drug later, Scottish doctors report. It has been known that treating a blow earlier is better than later, but this study shows for the initial time that there is significant harm done with starting tPA after 4,5 hours, the researchers noted. "The service of giving this treatment for stroke continues if we start it as late as 4,5 hours," said restraint researcher Dr Kennedy R Lees, from the University Department of Medicine and Therapeutics of the Gardiner Institute at the Western Infirmary in Glasgow.

So "There is no after deductions benefit to patients if you start the therapy after 4,5 hours. But if you start treatment after 4,5 hours, you will have more patients who die. Starting at an hour is much better than starting at two hours, and that's better than three hours, and that's better than 4,5 hours".

The sake derived from near the start tPA treatment is a long-term benefit, Lees pointed out. "It's a help that we can measure three months later. So, what we are getting is long-term improved function. They are more indubitably to have no symptoms and more likely, if they do have symptoms, to be able to do things for themselves, or need less help. A well range of disability is reduced, by just starting tPA a few minutes earlier".

The report is published in the May 15 delivery of The Lancet. For the study, the research team poised data on 3670 patients in eight trials that investigated how the benefits and risks of tPA changed based on the term the drug was given after the onset of a stroke.

Flu Vaccines Approved For Next Winter, Will Protect Against Three Strains Of Influenza, Including H1N1

Flu Vaccines Approved For Next Winter, Will Protect Against Three Strains Of Influenza, Including H1N1.
The flu vaccines approved for the 2010-11 age care for against three strains of influenza, including the 2009 H1N1 pandemic swine flu strain, the United States Food and Drug Administration has announced. Because the 2009 H1N1 virus emerged after opus had started on up to date year's seasonal flu vaccine, two distinct vaccines were needed newest season to protect against seasonal flu and the 2009 H1N1 virus.

This year, persons will require only one vaccine, the FDA said. Each year, experts from the World Health Organization, the FDA, the US Centers for Disease Control and Prevention and other institutions analyze flu virus samples and patterns at ease worldwide in scale to govern which strains are most likely to cause illness during the upcoming season.

The vaccines for the 2010-11 flu occasion contain the following strains:

* A/California/7/09 (H1N1)-like virus (pandemic (H1N1) 2009 influenza virus),

Lifestyle Affects Breast Cancer Risk

Lifestyle Affects Breast Cancer Risk.
Lifestyle changes such as losing weight, drinking less juice and getting more execute could lead to a substantial reduction in breast cancer cases across an continuous population, according to a new model that estimates the impact of these modifiable risk factors. Although such models are often occupied to estimate breast cancer risk, they are usually based on things that women can't change, such as a division history of breast cancer. Up to now, there have been few models based on ways women could cut their risk through changes in their lifestyle.

US National Cancer Institute researchers created the ideal using data from an Italian study that included more than 5000 women. The epitome included three modifiable risk factors (alcohol consumption, physical activity and body hoard index) and five risk factors that are difficult or impossible to modify: family history, education, drudgery activity, reproductive characteristics, and biopsy history. Benchmarks for some lifestyle factors included getting at least 2 hours of annoy a week for women 30-39 and having a body mass indicator (BMI) under 25 in women 50 and older.

The US Government Is Concerned About The Presence Of Contaminated Medicines In Pharmacies

The US Government Is Concerned About The Presence Of Contaminated Medicines In Pharmacies.
The US Food and Drug Administration on Monday began the modify of regulating compounding pharmacies, which originate creative drug combinations or revise drugs to suit individual patient needs. Under the Drug Quality and Security Act, signed into rule Nov 27, 2013 by President Barack Obama, these pharmacies are being encouraged to manifest with the FDA. The agency will then classify them as outsourcing pharmacies, enabling them to sell enlargement drugs to hospitals and other health-care facilities. The law was prompted by the deaths last year of 64 the crowd who received fungus-contaminated steroid medications that were given in injections to treat back and joint pain.

An additional 750 kinfolk in 20 states were sickened by the contaminated drug. The medication was made by the now-shuttered New England Compounding Center, in Framingham, Mass., according to federal robustness officials. "The or on of the law related to compounding is a step forward by creating a unusual pathway in which compounders register with FDA as an outsourcing facility," FDA commissioner Dr Margaret Hamburg said during a Monday afternoon cleave to briefing.

If a compounding pharmacy registers with the agency, hospitals and other health-care providers will be able to swallow products compounded by companies that are subject to FDA oversight. The error includes inspections and adherence to "good manufacturing practices".

Using Statins To Lower Cholesterol May Be More Beneficial Way To Prevent Heart Attack And Stroke

Using Statins To Lower Cholesterol May Be More Beneficial Way To Prevent Heart Attack And Stroke.
Broader use of cholesterol-lowering statins may be a cost-effective scheme to halt humanitarianism attack and stroke, US researchers suggest. In the study, published online Sept 27, 2010 in the catalogue Circulation. The researchers also found that screening for dear sensitivity C-reactive protein (CRP) to identify patients who may benefit from statin group therapy is only cost-effective in certain cases.

Elevated levels of CRP indicate inflammation and suggest an increased gamble for heart attack and stroke. Currently, statin therapy is recommended for high-risk patients - those with a 20 percent or greater danger of some type of cardiovascular event within the next 10 years.

Most Americans And Canadians With HIV Diagnosed Too Late

Most Americans And Canadians With HIV Diagnosed Too Late.
Americans and Canadians infected with HIV are not getting diagnosed without delay enough after exposure, resulting in a potentially toxic set back in lifesaving treatment, a new large study suggests. The observation stems from an inquiry involving nearly 45000 HIV-positive patients in both countries, which focused on a key yardstick for untouched system strength - CD4 cell counts - at the time each patient beginning began treatment. CD4 counts measure the number of "helper" T-cells that are HIV's preferred target.

Reviewing the participants' medical records between 1997 and 2007, the pair found that throughout the 10-year study period, the run-of-the-mill CD4 count at the time of first treatment was below the recommended level that scientists have elongate identified as the ideal starting point for medical care. "The public health implications of our findings are clear," turn over author Dr Richard Moore, from the Johns Hopkins University School of Medicine in Baltimore, said in a message release. "Delayed diagnosis reduces survival, and individuals enter into HIV supervision with lower CD4 counts than the guidelines for initiating antiretroviral therapy". A dilly-dallying in getting treatment not only increases the chance that the disease will progress, but boosts the risk of transmission.

How Not To Get Sick

How Not To Get Sick.
Your progenitrix probably told you not to consult on politics, sex or religion. Now a psychologist suggests adding people's albatross to the list of conversational no-no's during the holidays. Although you might be concerned that a loved one's excess bias poses a health problem, bringing it up will likely cause hurt feelings, said Josh Klapow, an confidant professor at the University of Alabama at Birmingham's School of Public Health. "Most plebeians know when the scale has gone up.

Instead of pointing out what they may very well know, be a role model," Klapow said in a university flash release. "You can take action by starting to eat healthy and exercise. Make it about you and let them mannequin your behavior". There are many ways to make the holidays healthier for everyone, said Beth Kitchin, auxiliary professor of nutrition sciences at UAB.