Study finds link between air pollution and stroke risk

Conclusion This study showed a clear link between rises in gas and particle pollution and the chances of being admitted to hospital or dying because of a stroke. The researchers showed the link was strongest on the day of exposure to raised pollution levels. But this study has some limitations. While systematic reviews are a good way to summarise all the research that has been published on a topic, they are only as good as the individual studies they include. About two-thirds of the studies used a time series design, which the researchers say is less effective in taking account of trends such as the season of year, rather than the more reliable case-crossover design. It's also possible that stroke was not diagnosed correctly in some studies. The air pollution data in some studies came from monitoring sites away from city centres, where most people live. This would be likely to underestimate the effect of pollution, as pollution levels are higher in the city centre. The increase in the chances of having a stroke for any one individual, as demonstrated in this study, is small. However, people cannot usually choose to avoid exposure to air pollution, and many thousands of people are affected when pollution levels rise. According to the Stroke Association, there are around 152,000 strokes a year in the UK. While there is little people can do to avoid air pollution on an individual level, the study provides new information that governments need to consider when setting policie...
Source: NHS News Feed - Category: Consumer Health News Tags: Lifestyle/exercise Neurology Source Type: news

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Conclusions: Patient and physician-level factors were associated with decision-making regarding extracorporeal membrane oxygenation initiation and withdrawal, including patient prognosis and knowledge of patient or surrogate wishes. Respondents reported low rates of engaging in shared decision-making when managing patients receiving extracorporeal membrane oxygenation.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
Source: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy - Category: Endocrinology Tags: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy Source Type: research
Authors: Mitchell SJ Abstract There are few issues that generate as much confusion in diving medicine as the nomenclature of bubble-induced dysbaric disease. Prior to the late 1980s, the diagnosis 'decompression sickness' (DCS) was invoked for symptoms presumed to arise as a consequence of bubble formation from dissolved inert gas during or after decompression. These bubbles were known to form within tissues, and also to appear in the venous blood (presumably after forming in tissue capillaries). A second diagnosis, 'arterial gas embolism' (AGE) was invoked for symptoms presumed to arise when bubbles were introduce...
Source: Diving and Hyperbaric Medicine - Category: Sports Medicine Tags: Diving Hyperb Med Source Type: research
Authors: Bokov P, Delclaux C Abstract The respiratory impact of obesity can be both symptomatic (resting and exertional breathlessness) and functional (pulmonary function at rest and on exercise). The prevalence of breathlessness is increased in adult obese individuals, ∼50% at rest and ∼75% on exertion (mMRC score>0). Pulmonary function abnormalities in obese adults include reduced functional residual capacity (FRC) and expiratory residual volume (ERV), and less frequently reduced total lung capacity (a restrictive defect, with TLC below the 5th percentile of predicted is present in around 15% in severe...
Source: Revue des Maladies Respiratoires - Category: Respiratory Medicine Tags: Rev Mal Respir Source Type: research
Conclusions: Compared to the individual learning experience, genetic influences seem to play a minor role in explaining variation in placebo analgesia in this experimental paradigm. However, our results are restricted to placebo effects through conditioning on pain in healthy volunteers and should be replicated in larger samples and in patients. Furthermore, potential gene–environment interactions should be further investigated.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion: Our study suggests there are high prevalence rates for mental health and addiction conditions in patients attending the out-of-hours clinic 18 months after the wildfires, with significant associations between multiple variables and likely PTSD, MDD, and GAD. Further studies are needed to explore the impact of population-based mental health interventions on the long-term mental health effects of the wildfires.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: These environment-related barriers may be resolved through changes in the behavior of children, parents, and teachers as well as through the continued efforts of schools, community stakeholders, and policymakers, all of whose cooperation is essential to fostering a healthy food environment for children.
Source: Journal of Nursing Research - Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research
ConclusionsEmotion dysregulation is associated with symptoms of depression and anxiety in PwMS. Given the malleability of this construct, this study underscores the importance of further investigating emotion dysregulation, and possibly adopting it as a surrogate endpoint in interventions targeting affective disorders in PwMS.
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
Despite the known benefits of weight loss for children and adolescents who are obese, some studies suggest that youth who diet may be at an increased risk of depression. Ameta-analysis published Monday inJAMA Pediatrics suggests obesity treatment in youth is not associated with an increased risk of depression or anxiety; rather, the analysis points to the mental health benefits of such programs for this population.“Structured and professionally run obesity treatment with a dietary component is associated with improvements in depression and anxiety for most participants,” wrote Hiba Jebeile, M.Nutr.Diet., of the...
Source: Psychiatr News - Category: Psychiatry Tags: depression diet Hiba Jebeile JAMA Pediatrics meta-analysis obesity weight loss Source Type: research
Letter to Editor. The importance of anxiety component in the etiopathogenesis of selective mutism, classified as an "anxiety and fear-related disorder" in the upcoming 11th Revision of the International Classification of Diseases. Substantive comments. Comment on the article The controversy around the diagnosis of selective mutism - a critical analysis of three cases in the light of modern research and diagnostic criteria by Justyna Holka-Pokorska et al. Psychiatr Pol. 2019 Jun 30;53(3):709-712 Authors: Rozenek EB, Nowicka ZM, WilczyƄska K, Waszkiewicz N Abstract no summary. PMID: 315222...
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
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