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Tossing flossing?
The burning question in the news last week was this: should you bother flossing? The answer for decades has been “of course.” And it’s likely you’ve heard something similar from your dentist. I know I have. But, while the importance of flossing may have been widely accepted, the evidence supporting it turns out to be surprisingly thin. At least that’s the conclusion of health experts who developed the recently released Dietary Guidelines for Americans, 2015-2020. These guidelines are issued every five years by the U.S. Department of Health and Humans Services and the U.S. Department of Agriculture “…to reflec...
Source: New Harvard Health Information - August 14, 2016 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Dental Health Prevention Source Type: news

E-020 Between a Rock and a Hard Place: The Use of Self-expanding Stents for the Endovascular Treatment of Acute Ischemic Stroke due to Recalcitrant Emergency Large Vessel Occlusion in the Era of Stent-retrievers: Single-center Experience and Early Results
ConclusionInitial results suggest that acute intracranial stenting may be beneficial in a subset of patients who present with an ELVO and who have failed recanalization by means of mechanical thrombectomy with stent-retrievers and/or thromboaspiration with large bore intracranial catheters.DisclosuresJ. Lozano: None. M. Howk: None. A. Kuhn: None. F. Massari: None. K. de Macedo Rodrigues: None. C. Brooks: None. M. Perras: None. M. Gounis: 1; C; NIH, Medtronic Neurovascular, Microvention/Terumo, Cerevasc LLC, Gentuity, Codman Neurovascular, Phillips Healthcare, Stryker Neurovascular, Tay Sachs Foundation, InNeuroCo Inc. 2; C...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Lozano, J., Howk, M., Kuhn, A., Massari, F., de Macedo Rodrigues, K., Brooks, C., Perras, M., Gounis, M., Rex, D., Wakhloo, A., Puri, A. Tags: Electronic poster abstracts Source Type: research

E-043 Reversible Cerebral Vasoconstriction Syndrome: Non-invasive Imaging Findings and Angiographic Evaluation
We present indirect findings on non-invasive imaging, such as transient cerebral edema, convexal subarachnoid hemorrhage, intraparenchymal hemorrhage and cerebral. Direct signs of single or multivessel arterial vasoconstriction are seen on CTA, MRA and confirmed on DSA. Reversibility of the vasoconstriction is demonstrated after intra-arterial administration of calcium channel blocker. Conditions such as diffuse atherosclerotic arterial narrowing, vasculitis, posterior reversible encephalopathy, cerebral edema secondary to venous congestion and vasospasm secondary to aneurysmal subarachnoid hemorrhage were among the pathol...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: de Macedo Rodrigues, K., Hito, R., Takhtani, D., Lozano, J., Wakhloo, A., Puri, A. Tags: Electronic poster abstracts Source Type: research

When hot gets too hot: keeping children safe in the heat
Follow me on Twitter @drClaire Heat is part of summer — and for the most part, children do fine in the heat. But sometimes, heat can be dangerous, even deadly. As summer heats up — and as much of the country sits in a heat wave — it’s important to know about those dangers so that you can keep children safe. Here’s what you need to know about heat and children: Never leave a child in a car in the heat. Children’s bodies can heat up incredibly quickly — leading to damage to organs and even death. Every year children die from being in a hot car — because their caregiver thought they would be fine, because an e...
Source: New Harvard Health Information - July 26, 2016 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Parenting Prevention Safety Source Type: news

E-cigarettes: Good news, bad news
Follow me at @JohnRossMD Americans are confused about electronic cigarettes. A recent poll showed that the public was about evenly split between those who thought that electronic cigarettes, or e-cigarettes, were less harmful than conventional cigarettes, and those who believed that e-cigarettes were as bad as or worse than regular cigarettes. Unfortunately, there is no long-term safety data about e-cigarettes. What information we do have suggests that e-cigarettes have a complex mix of potential harms and benefits. E-cigarettes: Less deadly than regular cigarettes First, the good news: e-cigarettes are almost certainly le...
Source: New Harvard Health Information - July 25, 2016 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Behavioral Health Cancer Lung disease Prevention Smoking cessation Source Type: news

For the good of your heart: Keep holding the salt
Your doctor has probably told you to cut back on salt, especially if you have high blood pressure. For years we’ve understood that excess salt raises blood pressure and increases deaths from heart disease. The guilty element is sodium, which pairs with chloride to form common salt. So when the journal Lancet recently published a study reporting that low dietary sodium was associated with an increased risk of heart disease and death, controversy was predictable. A wealth of rigorous scientific studies supports a link between excess sodium intake and high blood pressure, heart attacks, and strokes. Yet the Lancet paper rep...
Source: New Harvard Health Information - July 11, 2016 Category: Consumer Health News Authors: Naomi D. L. Fisher, MD Tags: Healthy Eating Heart Health Hypertension and Stroke Prevention Source Type: news

Lasting Impact of an Ephemeral Organ: The Role of the Placenta in Fetal Programming
Recent advances in molecular and imaging technologies, “omics” fields, and data sciences are offering researchers an unprecedented look at the placenta, the master regulator of the fetal environment.© EPA/National Geographic Channel/Alamy Studies of infants conceived during the Dutch “Hunger Winter” provided some of the earliest clues that prenatal stress could affect health much later in life.© Nationaal Archief  © Evan Oto/Science Source In one study, the placental microbiome had a similar taxonomic profile as the oral microbiome, illustrated here by...
Source: EHP Research - July 1, 2016 Category: Environmental Health Authors: Web Admin Tags: Featured Focus News July 2016 Source Type: research

A bummer for kids: Nasal flu vaccine not effective
Follow me at @drClaire Every year, many of my patients have been able to skip the needle — and still get vaccinated against the flu. That was the great thing about the nasal spray version of the flu vaccine, known as the LAIV (live attenuated influenza vaccine): kids scared of needles could get a squirt up each nostril and be all set. This coming flu season, everyone is getting the shot. It turns out that the nasal spray just didn’t work that well. Despite studies from the 2002-2003 and 2004-2005 flu seasons that seemed to show that the nasal spray actually worked better than the shot in children ages 2-8 years, over t...
Source: New Harvard Health Information - June 28, 2016 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Cold and Flu Infectious diseases Parenting Prevention Source Type: news

Coconut Oil: Why You Should Question the Hype
by Carra Richling Coconut has become a popular and trendy "super food." Ever since some preliminary research started claiming that it can cure everything from heart disease to Alzheimer's, and even aid in weight loss, coconut products have flooded the market. They include coconut oils, margarines, milks, yogurts and ice cream, and many products are substituting in coconut oil in order to gain market value. There is, however, still a dearth of validated scientific research on the benefits of coconut, so it remains unclear whether or not the trend is the result of marketing hype. For example, the Alzheimer's Association no...
Source: Healthy Living - The Huffington Post - June 22, 2016 Category: Consumer Health News Source Type: news

Long Distance Running Effects On Your Health
Long distance running is becoming more and more popular. Close to two million people every year drag themselves across the finish lines. And that’s just in half marathon races. Runners in these 13.1 mile events have increased six-fold over the past 25 years.  All these amateur athletes think they’re getting really healthy as they work themselves up to full marathons. But the truth is they are cutting years off their life.  You can see it for yourself if you stand at the finish line of any race. The hardcore runners look terrible. They look gaunt and malnourished. They are hunched over and have a stiff awkwa...
Source: Al Sears, MD Natural Remedies - June 20, 2016 Category: Complementary Medicine Authors: Al Sears Tags: Fitness Source Type: news

Your resting heart rate can reflect your current — and future — health
One of the easiest, and maybe most effective, ways to gauge your health can be done in 30 seconds with two fingers. Measuring your resting heart rate (RHR) — the number of heart beats per minute while you’re at rest — is a real-time snapshot of how your heart muscle is functioning. It’s easy to do. Place your index and middle finger on your wrist just below the thumb, or along either side of your neck, so you can feel your pulse. Use a watch to count the number of beats for 30 seconds and double it to get your beats per minute. Repeat a few times to ensure an accurate reading. An RHR between 60 and 100 beat...
Source: New Harvard Health Information - June 17, 2016 Category: Consumer Health News Authors: Matthew Solan Tags: Exercise and Fitness Health Heart Health Prevention Source Type: news

Farewell to the fasting cholesterol test?
At a recent meeting I offered a visitor lunch which she declined with obvious regret. She was hungry, and it was noon. But she was headed to her annual physical, and eating beforehand would mean returning another morning for a fasting cholesterol level. Most of us can relate to her annoyance, but thankfully this may soon be a thing of the past. Doctors have traditionally ordered cholesterol tests to be drawn after an overnight fast. But this requirement causes a significant burden on both sides of the health care equation. Most people hate to fast. Skipping meals is particularly difficult for active people, people with dia...
Source: New Harvard Health Information - June 16, 2016 Category: Consumer Health News Authors: Naomi D. L. Fisher, MD Tags: Health Heart Health Prevention Screening Tests and procedures Source Type: news

Ritalin Could Trigger Heart Problems In Children
Ritalin and similar forms of ADHD medication may trigger abnormal heart rhythms and increase heart attack risk in some children soon after they start taking the drug, according to a new study.  This connection was especially true for children who were born with heart disease. According to the study, published in the British medical journal BMJ, kids had an increased risk of heart attack between eight and 56 days after starting methylphenidate, a stimulant most commonly sold as Ritalin, although this heightened risk didn’t reach statistical significance. The researchers could find no evidence of a heightened...
Source: Science - The Huffington Post - June 8, 2016 Category: Science Source Type: news

3 reasons your child shouldn’t go “gluten-free” (unless your doctor says so)
Follow me at @drClaire There is a puzzling and worrisome new phenomenon that I am seeing as a pediatrician: parents who are putting their children on gluten-free diets. It’s puzzling because in the vast majority of cases it isn’t necessary — and it’s worrisome because, although parents are doing it because they think it’s healthy, a gluten-free diet can be very unhealthy for children. Gluten is a protein found in wheat, rye, barley, and some other grains. It’s in bread and other baked goods, cereals, pastas — and in many other foods in small amounts. For people with celiac disease, even those small amounts ca...
Source: New Harvard Health Information - June 7, 2016 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Children's Health Healthy Eating Parenting Source Type: news

The many ways volunteering is good for your heart
If you do volunteer work, whether it’s at a school, soup kitchen, or senior center, perhaps you’ve experienced the emotional rewards of donating your time. What you might not realize, however, is that volunteering may offer some added advantages for your heart. “There’s a growing body of research showing that volunteering is associated with better physical and mental health outcomes,” says Eric S. Kim, a research fellow at the Harvard T.H. Chan School of Public Health. A study he co-authored, published in Social Science and Medicine earlier this year, found that volunteers were more likely to use preventive healt...
Source: New Harvard Health Information - June 3, 2016 Category: Consumer Health News Authors: Julie Corliss Tags: Behavioral Health Healthy Aging Heart Health Prevention Source Type: news