Thursday: Health Points

Dr. Stern, a specialist in geriatric emergency medicine at New York Presbyterian Hospital/Weill Cornell Medical Center, noted that the elderly took about 40 percent of prescribed drugs, roughly twice what younger adults take, and that they suffered twice as many adverse drug reactions as younger people.

“The average community-dwelling older adult takes 4.5 prescription drugs and 2.1 over-the-counter medications,” Dr. Stern reported. Polypharmacy is responsible for up to 28 percent of hospital admissions and, he added, if it were classified as such, it would be the fifth leading cause of death in the United States.
  • Curious about back exercises? This article in The Detroit Free Press should give you plenty of ideas. The roman chair—eek—sounds like a torture device! Have a look:
Training your lower back can improve your posture, develop your abdominal muscles and help prevent lower back pain and injury. A great twist on an old favorite is the low-cable back extension. This is a little more challenging than the traditional exercise, but it's a welcome change of pace.


First, position a roman chair or back extension machine inside the cable station. The machine should be squarely facing the weight stack with enough distance between the machine and the weight stack that there is still tension on the cable when you are at the bottom of the exercise.
Weight training works just as well as running on a treadmill or biking to help the most important symptom of type-2 diabetes -- long-term control of blood sugar -- Canadian researchers said on Monday.


Doing both aerobic and resistance training lowered blood sugar levels better than either alone, researchers said -- and both appeared to be safe.

At least 194 million people worldwide have diabetes, and the World Health Organization expects the number to rise to more than 300 million by 2025.
Reading the food labels was "a little bit confusing, but after a while I got used to it," said the fifth-grader from suburban Doral.


"Since I find parents are not doing a bang-up job (teaching nutrition), I think it's important to empower the children with their own information," said Miami registered dietitian Ronni Litz Julien.

The FDA partnered with the Cartoon Network earlier this year to launch a public education campaign encouraging children ages 9 to 13 - or tweens - to read the nutrition facts on food labels.
"Patients are using the Internet to find health-related quality information, and the information is out there," noted lead researcher Dr. Michael J. Leonardi, from the department of surgery at David Geffen School of Medicine, University of California, Los Angeles. "But the information is inconsistent and varies from Web site to Web site," he said.


A lot of Web sites try to rank hospitals, Leonardi said. But because there is no standard way of calculating quality differences, Internet sites come up with different results for the same hospitals, he noted.
The tainted bag of Dole’s Hearts Delight salad mix was sold at a store in Canada, officials said. Neither Canadian health officials nor Dole Food Co. have received reports of anyone getting sick from the product.


The voluntary recall, issued Monday, affects all packages of Hearts Delight sold in the United States and Canada with a “best if used by” date of September 19, 2007, and a production code of “A24924A” or “A24924B,” the company said.
Worried that you'll take up running and then quit? No chance. Just follow our simple but surefire training program. It just might be the most exciting time in your entire running career. But you won't necessarily realize it.


First steps...starting out...the beginning of a great adventure. In fact, in lots of ways, it's sort of a declaration of personal independence. A statement that says, "In a world that confronts me with mechanical convenience and idle luxury at virtually every turn, I have decided, nonetheless, to improve my physical fitness."
Of course, at issue is the fact that for doctors coming into close contact with many ill patients, all that extra fabric and buttons and ties and watches are just additional places for bacteria to colonize and hop on over to the next person.


Will it help? Not sure, but I suppose it falls under the "can't hurt" category. The article also notes that a study of doctors' ties a few years' back showed that almost half were contaminated with a minimum of one species of pathogen--so eliminate the dirty tie, maybe they'll pass around fewer germs? Time will tell, I suppose.
The U.S. Food and Drug Administration said new labeling on the drug will note that ailments, including QT prolongation, a disorder of the heart's electrical system that can lead to a life-threatening condition, have been observed in post-marketing studies.

The drug is also sold generically under the name haloperidol.

Several other drugs for schizophrenia, including a much newer J&J drug including Invega, have warnings about the risk of the serious cardiac effect.

Bad News Pesticides

Pesticides are scary especially in or on my food, and, Dr. Fuhrman contends pesticides do a fine job contributing to disease. Here’s a quote:
The Environmental Protection Agency reports that the majority of pesticides now in use are probable or possible cancer causers. Studies of farm workers who work with pesticides suggest a link between pesticide use and brain cancer, Parkinson's disease, multiple myloma, leukemia, lymphoma, and cancers of the stomach, prostate, and testes.1
Now—not to be a fear-monger—but get a load of these reports. First off, according to Reuters pesticide exposure has been tied to asthma in farmers. Take a look:
Pesticide exposure is a "potential risk factor for asthma and respiratory symptoms among farmers," lead author Dr. Jane A. Hoppin, from the National Institute of Environmental Health Sciences in Research Triangle Park, North Carolina, told Reuters Health.


"Because grains and animals are more common exposures in agricultural settings, pesticides may be overlooked," Hoppin warned, adding: "Better education and training of farmers and pesticide handlers may help to reduce asthma risk."

Of the 19,704 farmers included in the study, 127 had self-reported (doctor diagnosed) allergic asthma and 314 had non-allergic asthma.
This one is no better. Pesticide has been blamed for a major health disaster in the French Caribbean. More from the AFP:
The French Caribbean islands of Guadeloupe and Martinique face a "health disaster" with soaring cancer and infertility rates because of the massive use of banned pesticides on banana plantations, a top cancer specialist warned Monday.


Martinique and Guadeloupe are currently facing "an extremely serious crisis linked to the massive use of pesticides for a great many years," Professor Dominique Belpomme said in a report obtained by AFP Monday.

On Tuesday Belpomme is to submit his findings to the French National Assembly, highlighting the dangers posed by the long-term use of chlordecone, also known as kepone, on banana crops.
So, if you’re spooked about pesticides. Scope out this post: Reduce Your Pesticide Exposure By 90%.
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Friday: Health Points

The new case was discovered close to a farm south of London where an outbreak was first reported last month.

Restrictions imposed then were only lifted four days ago and the Department for Environment, Food and Rural Affairs (Defra) imposed a new England-wide ban on the movement of cattle, sheep, pigs and other ruminants.

Cattle were ordered slaughtered on the affected farm, near Egham, west of London. Egham is 13 miles (21 kilometres) from the village of Normandy, where foot and mouth disease was confirmed on August 3.
  • I’m sure you’ve heard of dirty money, but what about dirty energy? It’s a big deal. Some 2 billion people’s health may be threatened by it. More from Reuters:
The health of about 2 billion of the world’s poor is being damaged because they lack access to clean energy, like electricity, and face exposure to smoke from open fires, scientists said on Thursday.


Dangerous levels of indoor air pollutants from badly ventilated cooking fires are a common hazard, while lack of electricity deprives many of the benefits of refrigeration.
Congress last month approved an extra $50 billion for the program, but U.S. President George W. Bush threatened a veto, calling it a move toward nationalized health care, which he opposes.


Bush wanted only a $5 billion increase in the plan's $25 billion cost over 5 years. Congress would come up with the extra dollars by hiking cigarette taxes 45 cents per pack and cutting Medicare payments to private health insurers.

New Jersey's program has covered 122,000 children, and New Jersey Gov. Jon Corzine said the new rules would deny coverage to 10,000 kids. In the past 18 months, 100,000 more children have been enrolled in both SHIP and Medicaid, which aids the poor, he added.
It’s one of the mysteries of sleep: Why is it that mild exercise can be invigorating, but strenuous endurance exercise — whether it’s crew practice, long runs as training for a marathon or juggling back-to-back workouts to prepare for a triathlon — makes people groggy?

Elite marathoners know that hunger for sleep all too well.

Deena Kastor, who won the London Marathon last year and set an American record, said she sleeps 10 hours at night and takes a two-hour nap every afternoon. Steven Spence, a marathoner who won a bronze medal at the 1991 world championships in Tokyo, had the same sleep habits when he was training.
  • After last year’s E. coli outbreak you’d assume the government would have tightened regulations—not! The Associated Press reports that safety standards have not be raised:
A review of data obtained through the Freedom of Information Act found that federal officials inspect companies growing and processing salad greens an average of once every 3.9 years. Some proposals in Congress would require such inspections at least four times a year.


In California, which grows three-quarters of the nation's greens, processors created a new inspection system but with voluntary guidelines that were unable to keep bagged spinach tainted with salmonella from reaching grocery shelves last month.

Despite widespread calls for spot-testing of processing plants handling leafy greens after last year's E. coli outbreak, California public-health inspectors have not been given the authority to conduct such tests, so no such tests have been done, the review found.
In the pact, China also pledged to step up inspections of its exports and take other steps to ensure that those products meet U.S. standards, said Nancy Nord, acting head of the U.S. Consumer Product Safety Commission. That will include joint efforts by the two countries to increase understanding of those standards among manufacturers and exporters.


The absence of such an understanding allowed paint suppliers to provide lead paint to companies making toys sold by Mattel Inc. and other companies, said Chuanzhong Wei, vice minister of China's General Administration of Quality Supervision, Inspection and Quarantine. Lead paint has been banned on toys made in the United States since 1978.

"That's why we decided we should intensify the exchanges between importers and exporters in the field of standards," Wei said, speaking through a translator.
People who are just moderately overweight have an increased risk developing heart disease, even if they are otherwise healthy, according to pooled data from published studies.


As study chief Dr. Rik P. Bogers noted in an email to Reuters Health, the data show that "even if overweight and obese persons succeeded in lowering blood pressure and cholesterol to normal levels, they would still have a higher risk of coronary heart disease than their normal-weight peers."

Thus, the worldwide increase in the number of people who are moderately overweight "may drive the incidence of coronary heart disease upward," Bogers and colleagues warn in a report in the Archives of Internal Medicine.

Smoking Down, Heart Attacks Down

It seems Ireland’s ban on smoking has helped the number of heart attacks nosedive. More from The Cardio Blog:
Ireland was the first country to every ban workplace smoking within its borders, and they implemented the law in 2004. Within one year, the incidence of heart attacks fell by a whopping 10%. Health experts say that Ireland's success should be encouraging for other countries thinking of similar laws.

Arsenic in the Water

Evidently arsenic in drinking water is much bigger deal than scientists have long thought. Get a load of this Reuters report:
Arsenic can cause lung disease and cancers, even long after people stop drinking contaminated water, said Peter Ravenscroft, a researcher at the University of Cambridge.


“What is new is, the extent of arsenic pollution is much bigger than people realized,” Mr. Ravenscroft said in a telephone interview.

“There is a very important connection between arsenic in water and arsenic in food, especially where people grow irrigated crops.”

World Health Organization guidelines set a safe limit of 10 parts per billion of arsenic in water supplies, but tens of millions of people in the world drink unsafe water above that level, researchers said.
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Candy Smokes

The Cardio Blog brings up a very good point. Shouldn’t we stop hocking candy cigarettes to kids? Take a look:
I'll admit, when I was a kid, I was allowed to eat candy "cigarettes," those little sugar sticks with red tips that came in a box that looked like a pack of cigarettes ... or the gum that had powder under the wrapper so you could blow on it to create puffs of smoke. That was back in the day, and now that the dangers of smoking are so well known, I had assumed that these candies were no longer manufactured.


No such luck! Candy and gum resembling tobacco products are still available -- as I quickly found out when my 5 year old (who thinks smoking is gross) thought it was so cool to find a candy pack and tell me that he had cigarettes.
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