February 12th, 2011 by Jennifer Wider, M.D. in Better Health Network, Health Tips
Tags: Dr. Jennifer Wider, Exercise and Gender, Good Nutrition, Healthy Aging, Healthy Diet, Kinesiology, Overweight, Physical Activity, Preventing Obesity, Regular Exercise, Society For Women's Health Research, Weight and Aging
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Obesity levels are at an all-time high among men, women, and children in the United States. The need for good nutrition and regular exercise is paramount for maintaining proper health and for keeping those extra pounds at bay, especially for women.
Beginning in her late 20s and 30s, a woman’s average body weight climbs steadily each year. This increase usually continues into her 60s. For many women, the weight gain is between one to two pounds per year with some women gaining more, and others less.
Aside from weight loss, women who incorporate regular exercise into their daily schedules may lower the risks of certain diseases and conditions. A recent study presented at the Ninth Annual AACR Frontiers in Cancer Prevention Research Conference revealed that women who exercised for at least 150 minutes a week significantly reduced their risk of endometrial cancer, regardless of their body size.
The Journal of the American Medical Association (JAMA) revealed that in order to prevent weight gain, an average woman who eats a normal diet needs 60 minutes of moderate exercise per day. If a woman is overweight or obese, 60 minutes of exercise is inadequate to keep off the weight, according to the study. In many cases she will have to modify her diet, including cutting down on overall daily caloric intake.
For older women, a dose of regular moderate exercise may slow the progression of age-related memory loss. A study published in the Proceedings of the National Academy of Sciences revealed that exercise may even reverse changes in the brain due to the aging process. Other recent studies prove a positive correlation between exercise and a lower risk of colon cancer. Read more »
*This blog post was originally published at Society for Women's Health Research (SWHR)*
February 11th, 2011 by DrWes in Better Health Network, Opinion
Tags: Cardiology, Dallas Morning News, Detecting Heart Disease, Dr. Bruce Gordon, Dr. Wes Fisher, Heart Disease, Heart Hospital Baylor Plano, Heart Whisperers, Predicting Heart Attacks, Preventive Health, Preventive Medicine, Primary Care, Silent Killer, Texas
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From the Dallas Morning News, a creative moniker if there ever was one, but it should probably be reserved for primary care specialists instead:
DALLAS — Heart attacks are the No. 1 cause of death and a major cause of disability in America. For nearly half of the casualties, the first symptom is the last. That’s how cardiovascular disease has earned the nickname “silent killer” — you never know when it will strike.
Doctors are trying to change that by treating heart disease as a progressive problem. They are becoming “heart whisperers,” seeking new tests to read the small stresses that can, unchecked, grow into big ones.
“By the time someone rolls in with a heart attack, his family will look at me bewildered, and the patient may say, ‘Doc, what happened?'” says Dr. Bruce Gordon of Heart Hospital Baylor Plano. “But it’s not what happened. It’s what’s been happening. The process has been going on for decades.”
It’s a process that can be accelerated by high cholesterol, high blood pressure, obesity, diabetes, tobacco use and secondhand smoke.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
February 10th, 2011 by Elaine Schattner, M.D. in Better Health Network, Opinion
Tags: A Fighting Spirit, American Journal of Epidemiology, Columbia University, Dr. Elaine Schattner, Emotional Health, Emotional Strength, Emotional Well-Being, Healing and the Mind, Hope In Healing, Irrational Responses, Magical Thinking, Medical Ethics, Medical Lessons, Mental Health, Mind Cure, Mind-Over-Matter Medicine, Mistaken Beliefs, New Thought, Norman Vincent Peale, Patient Education, Personality Traits, Phineas Quimby, Positive Attitude, Power of Positive Thinking, Pseudoevidence, Pseudoscience, Psychiatry and Psychology, Public Education, Reality-Based Medicine, Richard Sloan PhD, Science and Medicine, Science Based Medicine, William James, Wishful Thinking
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[Recently] I came upon a Jan 24 op-ed, “A Fighting Spirit Won’t Change Your Life” by Richard Sloan, Ph.D., of Columbia University’s psychiatry department. Somehow I’d missed this worthwhile piece on the sometimes-trendy notion of mind-over-matter in healing and medicine.
Sloan opens with aftermath of the Tucson shootings:
…Representative Giffords’s husband describes her as a “fighter,” and no doubt she is one. Whether her recovery has anything to do with a fighting spirit, however, is another matter entirely.
He jumps quickly through a history of the mind cure movement in America: From Phineas Quimby’s concept of illness as a product of mistaken beliefs — to William James and “New Thought” ideas — to Norman Vincent Peale’s 1952 “Power of Positive Thinking” — to more current takes on the matter. These ideas, while popular, are not reality-based.
In his words:
But there’s no evidence to back up the idea that an upbeat attitude can prevent any illness or help someone recover from one more readily. On the contrary, a recently completed study* of nearly 60,000 people in Finland and Sweden who were followed for almost 30 years found no significant association between personality traits and the likelihood of developing or surviving cancer. Cancer doesn’t care if we’re good or bad, virtuous or vicious, compassionate or inconsiderate. Neither does heart disease or AIDS or any other illness or injury.
*Am. J. Epidemiol. (2010) 172 (4): 377–385.
The New York Times printed several letters in response, most of which point to pseudo-evidence on the matter. All the more reason to bolster public education in the U.S. — people won’t be persuaded by charismatic, wishful thinking about healthcare.
It happens I’m a fan of Joan Didion’s. I was so taken by the “Year of Magical Thinking,” in fact, that I read it twice. Irrational responses — and hope — are normal human responses to illness, disappointment, and personal loss. But they’re not science. It’s important to keep it straight.
*This blog post was originally published at Medical Lessons*
February 10th, 2011 by Medgadget in Better Health Network, Research
Tags: Assisted Reproductive Technology, Embryo Transfer, Fertility and Sterility, In Vitro Fertilization, Israel, IVF-ET, Medgadget, Medical Clowning, Patch Adams, Reproductive Health, Reproductive Medicine, Shlomi Algussi, Stress and Reproduction
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Following from the somewhat common sense idea that women who were less stressed during in vitro fertilization and embryo transfer (IVF-ET) had better outcomes, the journal Fertility and Sterility published a study out of Israel that claims “medical clowning” improved pregnancy rates compared to a group not exposed to a clown on the day of implantation.
From the abstract:
This experimental prospective quasi-randomized study examining the impact of a medical clowning encounter after ET after IVF found that the pregnancy rate in the intervention group was 36.4%, compared with 20.2% in the control group (adjusted odds ratio, 2.67; 95% confidence interval, 1.36–5.24). Medical clowning as an adjunct to IVF-ET may have a beneficial effect on pregnancy rates and deserves further investigation.
In the methods section, the researchers describe the study design. For the intervention group (n=110) a “professional medical clown” visited the patient immediately after the procedure for about 15 minutes and performed the same routine including “jokes, tricks, and magic” while dressed as a chef.
While the study itself only uses one routine, presumably similar effects could be experienced by a patient bringing in a personal media device and watching something they know will amuse them right after their own procedure. Hopefully, no need to bring your own clown if the office won’t provide one for you. Read more »
*This blog post was originally published at Medgadget*
February 9th, 2011 by GruntDoc in Better Health Network, News
Tags: Anonymity In Healthcare, Doctor Performance, Doctors Who Intimidate Nurses, Dr. Allen Roberts, Dr. Rolando Arafiles Jr., Emergency Medicine, Failure To Document Patient Diagnoses And Treatment Plans, GruntDoc, Healthcare Lawsuits, Medical Ethics, Medical Probation, Risking Patients' Health, Star-Telegram, Texas Medical Board, Unethical Medical Behavior, Whistleblowing Nurses
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From an AP article in the Dallas-Fort Worth Star-Telegram:
AUSTIN — Texas medical regulators on Friday placed on probation a West Texas doctor involved in the unsuccessful prosecution of two nurses who complained anonymously that the physician was unethical and risking patients’ health.
The Texas Medical Board technically suspended Dr. Rolando G. Arafiles Jr. but allowed him to continue to practice medicine while on probation for four years if he completes additional training.
The board also said Arafiles must be monitored by another physician and submit patient medical and billing records for review. The monitor will report his or her findings to the board.
In the mediated order signed in Austin, the board concluded that Arafiles failed to treat emergency room patients properly, did not apply hormone therapy to a female patient appropriately and failed to document patient diagnoses and treatment plans.
The board also found that Arafiles improperly tried to intimidate two nurses who reported him to the medical board for unethical behavior.
Ugh.
*This blog post was originally published at GruntDoc*
