Public Health

In another reversal of claims that saturated fats were killing people and their replacement, trans fats, were healthier, another study has found that saturated fats are not associated with an increased risk of death, heart disease, stroke, or type 2 diabetes. Instead, trans fats are associated with greater risk of death and coronary heart disease. This is a dramatic change and vindicates organizations like the American Council on Science and Health, which had stated decades ago that saturated fats in moderation were not harmful and that groups that scare the public to raise money were simply exaggerating flawed animal studies to worry people.

We sympathize deeply with Sandra Lee’s ongoing travails related to her recent post-bilateral-mastectomy complications. But her decision to have bilateral mastectomies made her vulnerable, and her problems should be a cautionary tale for other women.

Patients in advanced states of myocardial insufficiency generally lose their muscle mass and muscle strength, which has negatively impacted the clinical course of the disease and that has resulted in poor prognoses for patients.

Such pathological muscle loss impacts the skeletal muscles in particular. The responsible molecular signaling pathways have not yet been fully understood. One cause of this degenerative process lies in the system that regulates the blood pressure and salt/water supply in the body - the so-called renin-angiotensin-aldosterone system (RAAS).

70 years ago saw the world's only wartime use of nuclear weapons, when the USA dropped the devastating weapons on Hiroshima and Nagasaki, leading directly to the end of World War II. 

Reminiscences and cautionary tales abounded, and why not?

Mild hypothermia in deceased organ donors significantly reduces delayed graft function in kidney transplant recipients when compared to normal body temperature, according to UC San Francisco researchers and collaborators, a finding that could lead to an increase in the availability of kidneys for transplant.

By passively cooling deceased organ donor body temperature by approximately two degrees from normal body temperature, researchers saw an overall nearly 40 percent increase in the successful function of donated kidneys after surgery. In particular, kidneys especially at risk of poor post-surgical functional were protected.

A new patient sits across from me in the exam room, confused and frustrated at her lack of progress trying to lose weight for the last 30 years. 200 pounds too heavy, diagnosed with type 2 diabetes, high cholesterol, hypertension, sleep apnea, infertility and osteoarthritis. She needs knee replacements, but is too heavy to be approved for the surgery.

Patients with low testosterone levels who have then gone on to have testosterone replacement therapy (TRT) could be at lower risk of cardiovascular events such as heart attack or stroke, according to research published today (Thursday) in the European Heart Journal.

In the study, researchers from Kansas City VA Medical Centre in Kansas City, USA, examined the effect of TRT on cardiovascular outcomes by comparing incidences of heart attack, stroke, and all-cause mortality among different sub-populations of treated and untreated patients. The study used the largest cohort of patients and the longest follow-up for TRT to date.

Researchers investigated how frequent, long-distance travel is represented in mass and social media. They found that the images portrayed do not take into account the damaging side effects of frequent travel such as jet-lag, deep vein thrombosis, radiation exposure, stress, loneliness and distance from community and family networks.

Instead, the study found that those with 'hyper-mobile' lifestyles were often seen as having a higher social status. By assessing how first-class flights, 'must-see' destinations and frequent-flyer programs are represented, glamorizing hypermobility as exciting, appealing and exclusive, the study shows how the 'dark side' of travel is ignored. 

For nearly 50 years Medicare has required patients to endure at least a three-day stint in the hospital before they become eligible for coverage of skilled nursing care afterward.

A new study finds that the main consequence of waiving the rule, as Medicare Advantage plans commonly do, has been a good one: less time in a bed and a gown for those who go on to skilled nursing care.

If you are watching what you eat, working out, and still not seeing improvements in your cholesterol, blood pressure, blood sugar, etc., here's some hope. A new report suggests that inflammation induced by deficiencies in vitamins and minerals might be the culprit.

The researchers show that - in some people - improvement results in many of the major markers of health when nutritional deficiencies are corrected. Some even lost weight without a change in their diet or levels of activity.