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Global Palliative Care Education in the Time of COVID-19
We describe GPEC (Global Palliative Education Collaborative), a training partnership between Harvard, UCSF, and Tulane medical schools in the US; and two international PC programs in Uganda and India.
Source: Journal of Pain and Symptom Management - July 23, 2020 Category: Palliative Care Authors: Marcia Glass, Smriti Rana, Rachel Coghlan, Zachary I. Lerner, James D. Harrison, Mark Stoltenberg, Elizabeth Namukwaya, Jessi Humphreys Source Type: research

Gender differences in cardiovascular disease: Women are less likely to be prescribed certain heart medications
Cardiovascular disease (CVD) is the leading killer of both women and men in the US. Despite the significant impact CVD has on women, awareness and education for women’s heart disease has historically been low. A recent study, based on data from over two million patients, suggests that women were less likely to be prescribed aspirin, statins, and certain blood pressure medications compared to men. CVD is a group of diseases involving the heart or blood vessels. It includes high blood pressure (hypertension), coronary artery disease, heart attacks, heart failure, heart valve problems, and abnormal heart rhythms. CVD ca...
Source: Harvard Health Blog - July 16, 2020 Category: Consumer Health News Authors: Hannah Gaggin, MD, MPH Tags: Drugs and Supplements Heart Health Women's Health Source Type: blogs

A new hormonal therapy for prostate cancer is under expedited FDA review
In June, the US Food and Drug Administration (FDA) launched an accelerated review of a promising new drug for advanced prostate cancer. Called relugolix, it suppresses testosterone and other hormones that speed the cancer’s growth. If approved, this new type of hormonal therapy is expected to set a new standard of care for the disease. Doctors give hormonal therapies when a man’s tumor is metastasizing (spreading beyond the prostate), or if his PSA levels start rising after surgery or radiation. The most commonly used hormonal therapies, called LHRH agonists, will eventually lower testosterone levels in blood. ...
Source: Harvard Health Blog - July 13, 2020 Category: Consumer Health News Authors: Charlie Schmidt Tags: Health Prostate Knowledge Treatments HPK Source Type: blogs

Functional dyspepsia: Causes, treatments, and new directions
Functional dyspepsia (FD) is a common condition, loosely defined by some physicians as a stomach ache without a clear cause. More specifically, it is characterized by the feeling of fullness during or after a meal, or a burning sensation in the mid-upper abdomen, just below the rib cage (not necessarily associated with meals). The symptoms can be severe enough to interfere with finishing meals or participating in regular daily activities. Those with FD often go through multiple tests like upper endoscopy, CT scan, and gastric emptying study. But despite often-severe symptoms, no clear cause (such as cancer, ulcer disease, ...
Source: Harvard Health Blog - July 6, 2020 Category: Consumer Health News Authors: Vikram Rangan, MD Tags: Digestive Disorders Mind body medicine Pain Management Source Type: blogs

Making telemedicine more inclusive
As a primary care physician at an academic community health care system in Massachusetts, I received a rapid introduction to telehealth this year. Within days after Massachusetts declared a state of emergency in response to the spread of COVID-19, almost all of our patient visits became telemedicine visits. Our staff reached out to patients to inform them of different ways they could get in touch with their doctor. Many would be able to gain access to health care through a health app connected to their healthcare web portal, or through a phone call or video call. The enormous potential of telehealth was apparent to me with...
Source: Harvard Health Blog - July 3, 2020 Category: Consumer Health News Authors: Meera Sunder, MBBS, MRCOG Tags: Coronavirus and COVID-19 Health Health care disparities Health trends Source Type: blogs

Marijuana may be risky for your heart
Now that marijuana is legal for medical or recreational use in many states, growing numbers of Americans — including older people — are imbibing this popular drug. In fact, the percentage of people ages 65 and older who said they used some form of marijuana almost doubled between 2015 and 2018, a recent study reports. Compared with prescription drugs, the health consequences of using marijuana are not nearly as well studied. But converging evidence suggests that the drug may be harmful for the heart, according to a review article in JACC: Journal of the American College of Cardiology. More than two million Americans wi...
Source: Harvard Health Blog - July 1, 2020 Category: Consumer Health News Authors: Julie Corliss Tags: Heart Health Marijuana Source Type: blogs

Autoimmune lung disease: Early recognition and treatment helps
A man who was diagnosed with rheumatoid arthritis (RA) five years ago sees his rheumatologist for a follow-up visit. Fortunately, his arthritis is well controlled through medication. He can walk and do all his daily activities without pain. But over the past six months, he’s been feeling short of breath when climbing stairs. He has an annoying dry cough, too. COVID-19? That’s ruled out quickly. But a CT scan of his chest reveals early fibrosis (scarring) of the lungs, most likely related to rheumatoid arthritis. “I can finally walk normally, and now I can’t breathe when I walk!” says the frustrated patient, whose...
Source: Harvard Health Blog - June 24, 2020 Category: Consumer Health News Authors: Paul F. Dellaripa, MD Tags: Arthritis Autoimmune diseases Health Inflammation Lung disease Source Type: blogs

ReActiv8 Neurostimulator Treats Cause of Back Pain, Now FDA Approved
Mainstay Medical, an Irish firm, just won FDA approval to introduce its ReActiv8 neurostimulator that works to address the underlying causes of back pain. Most existing pain reducing implants work to simply mask the pain by delivering electrical sign...
Source: Medgadget - June 23, 2020 Category: Medical Devices Authors: Medgadget Editors Tags: Neurology Neurosurgery Orthopedic Surgery Pain Management Source Type: blogs

Abdominal Pain in a Young Woman
Dr. Anna Condella: Our case today is a 29-year-old woman who presented to the emergency department (ED) via emergency medical services (EMS) reporting acute-onset abdominal pain. Per report, she was in her usual state of health until the day of arrival. That morning, she had put on a tight pair of nylons with added elastic in the waistband for an event she was planning to attend with friends. She initially had no symptoms, but as the morning progressed, she developed dull, diffuse abdominal pain, which became severe and with some localization to her bilateral lower quadrants.
Source: The Journal of Emergency Medicine - June 22, 2020 Category: Emergency Medicine Authors: Anna L. Condella, David A. Meguerdichian, Susan R. Wilcox, Kathleen A. Wittels Tags: Case Presentations of the Harvard Affiliated Emergency Medicine Residencies Source Type: research

Probiotics — even inactive ones — may relieve IBS symptoms
Irritable bowel syndrome (IBS) is a chronic gut-brain disorder that can cause a variety of uncomfortable gastrointestinal symptoms including abdominal pain and diarrhea, constipation, or a mix of the two. IBS can reduce quality of life, often results in missed school or work, and can have a substantial economic impact. Physicians diagnose IBS by identifying symptoms laid out in the Rome Criteria, a set of diagnostic measures developed by a group of more than 100 international experts. Limited diagnostic testing is also done, to help exclude other conditions that could present with similar symptoms. Although the precise cau...
Source: Harvard Health Blog - June 22, 2020 Category: Consumer Health News Authors: Anthony Lembo, MD Tags: Digestive Disorders Health Probiotics Source Type: blogs

The "Mother of Pediatric Cardiac Anesthesia": An interview with Dr. Dolly D. Hansen, A Pioneering Woman in Medicine.
Abstract Dr. Dolly D. Hansen (1935-), Associate Professor in the Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital and Harvard Medical School, devoted her life to improving the perioperative care of children with congenital heart disease (CHD). She applied her knowledge of cardiovascular and pulmonary physiology and the effects on anesthetic agents in children with and without heart disease into clinical practice and thereby greatly influenced the practice of pediatric anesthesia, cardiology, surgery, and critical care medicine. As an exceptional master clinician, leader, pr...
Source: Paediatric Anaesthesia - June 18, 2020 Category: Anesthesiology Authors: Odegard KC, Rockoff MA Tags: Paediatr Anaesth Source Type: research

U.S. Response to COVID-19 is Worse than China ’s. 100 Times Worse.
COVID-19 remains an ongoing threat and the U.S. has just reached a tragic milestone in the pandemic that may not get much attention. The COVID-19 death rate in the U.S. has now passed 340 per million residents, just over 100 times the rate in China. Let that sink in: The death rate from COVID-19 in the U.S. is 100 times greater than it is in China, where the virus first emerged in humans and where the Trump Administration claims the blame should lie for letting the pandemic get out of hand. And it’s not just China that kept its death rate low. Austria, Germany, and Greece have significantly lower per-capita mortalit...
Source: TIME: Health - June 10, 2020 Category: Consumer Health News Authors: Gavin Yamey and Dean T. Jamison Tags: Uncategorized COVID-19 Source Type: news

Are statins enough? When to consider PCSK9 inhibitors
For well over 30 years, physicians have understood the role of LDL (low-density lipoprotein, or “bad”) cholesterol in the development of cardiovascular disease (CVD). LDL cholesterol levels are directly correlated with increasing CVD risk and, as summarized in a recent blog post, lowering LDL cholesterol levels, through both lifestyle changes and medications, has been shown to reduce this risk. Statins are the first-line choice of medications for lowering LDL cholesterol. They are widely prescribed for both primary prevention (reducing CVD risk in patients without known CVD) and secondary prevention (preventing subsequ...
Source: Harvard Health Blog - June 8, 2020 Category: Consumer Health News Authors: Alyson Kelley-Hedgepeth, MD Tags: Drugs and Supplements Heart Health Source Type: blogs

Can forest therapy enhance health and well-being?
According to this study, green spaces are restorative and boost attention, while viewing concrete worsens attention during tasks. Finding a forest therapy guide The Association of Nature and Forest Therapy trains and certifies forest therapy guides across the world. Guides help people forge a partnership with nature through a series of invitations that allow participants to become attentive to the forest, to deepen their relationship with nature, and allow the natural world to promote healing and well-being. Ultimately, guides support what the forests have to offer us, inviting participants into practices that deepen physi...
Source: Harvard Health Blog - May 29, 2020 Category: Consumer Health News Authors: Susan Abookire, BSEE, MD, MPH, FACP Tags: Exercise and Fitness Health Mental Health Stress Source Type: blogs

Can celiac disease affect life expectancy?
Celiac disease (CD), triggered by the ingestion of gluten, occurs in people genetically predisposed to develop the chronic autoimmune condition. During the past few decades, doctors have learned much about how the disease develops, including genetic and other risk factors. However, results from studies on whether people with CD have an increased risk of premature death linked to the condition have been mixed. A recent study shows a small but statistically significant increased mortality rate. Celiac disease can affect the entire body Until recently, CD was considered a mainly pediatric gastrointestinal disorder, associated...
Source: Harvard Health Blog - May 28, 2020 Category: Consumer Health News Authors: Maureen Leonard, MD, MMSc Tags: Allergies Autoimmune diseases Source Type: blogs