Did you know that new drivers are more likely to be involved in a fatal crash simply due to inexperience? Explore the links below to learn how you can encourage safe driving behavior by your teen.
miércoles, 31 de diciembre de 2014
Resources for Parents | Parents Are the Key | CDC Injury Center
Resources for Parents | Parents Are the Key | CDC Injury Center
From nighttime driving to not using seat belts, understand the leading causes of teen crashes and injuries and rules you can put in place to help your teen stay safe on the road. 
All states have graduated driver licensing (GDL) systems, which help ensure teens can build driving skills under low-risk conditions. Studies show that GDLs reduce teen crashes.
Discuss your rules of the road with your teen, why they are important to follow, and consequences for breaking them. Create a Parent-Teen Driving Agreement that puts these rules in writing to set clear expectations and limits.
Teen driving is new territory for parents, too. So spread the word about Parents Are the Key and the Parent-Teen Driving Agreement to other moms and dads in your community. It only takes a minute to share life-saving information on Pinterest, Facebook, or Twitter.
Preventing Emergency Surgeries Could Save $1 Billion: MedlinePlus
Preventing Emergency Surgeries Could Save $1 Billion: MedlinePlus
A service of the U.S. National Library of Medicine
National Institutes of Health
A service of the U.S. National Library of MedicineNational Institutes of HealthPreventing Emergency Surgeries Could Save $1 Billion
Elective procedures tend to be less costly, and safer, study shows
Monday, December 29, 2014MONDAY, Dec. 29, 2014 (HealthDay News) -- Strategies to reduce the number of emergency surgeries in the United States could save up to $1 billion in health care costs over a decade, new research suggests.
The study also found that surgeries planned ahead of time (elective surgery) are less risky for patients and generally have better outcomes.
"The costs of surgical care represent nearly 30 percent of total health care expenditures and they are projected to total more than $900 billion by 2025," study author Dr. Adil Haider, director of the Center for Surgery and Public Health at Brigham and Women's Hospital in Boston, said in a hospital news release. Haider was at the Center for Surgical Trials and Outcomes Research at Johns Hopkins University while conducting the study.
"If 10 percent of these emergency surgeries had been performed electively, the cost difference would have been nearly $1 billion over 10 years," Haider said.
"Importantly, elective procedures are better for patients, too, who experience lower rates of mortality and better outcomes. There is a tremendous opportunity to both save lives and decrease costs," he added.
The researchers looked at three common operations for the study. One is a procedure to repair the main artery in the abdomen (aortic aneurysm repair). The second is heart surgery to restore blood supply to the heart (coronary artery bypass graft). The third operation was surgery to remove part of the large intestine (colon resection).
The researchers analyzed data on more than 600,000 patients. All had one of these procedures between 2001 and 2010.
The researchers compared the hospital costs and risk of death when surgeries were planned versus when they were performed in an emergency.
Emergency surgery was 53 percent more expensive for colon resection than elective surgery. Emergency procedures were 30 percent more expensive for abdominal aortic aneurysm repair and 17 percent more expensive for coronary artery bypass graft, the researchers found.
People who had planned surgery also had lower rates of death than patients who had emergency procedures.
Results of the study were published online in the Annals of Surgery.
SOURCE: Brigham and Women's Hospital, news release, Dec. 19, 2014
HealthDay
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1 in 3 People With Type 1 Diabetes Still Produce Insulin, Study Says: MedlinePlus
1 in 3 People With Type 1 Diabetes Still Produce Insulin, Study Says: MedlinePlus
A service of the U.S. National Library of Medicine
National Institutes of Health
A service of the U.S. National Library of MedicineNational Institutes of Health1 in 3 People With Type 1 Diabetes Still Produce Insulin, Study Says
More likely for patients diagnosed as adults
Tuesday, December 30, 2014MONDAY, Dec. 29, 2014 (HealthDay News) -- Although it's widely accepted that people with type 1 diabetes produce no insulin, a new study suggests otherwise: Roughly one-third produce the hormone long after they are diagnosed.
Residual insulin production can last for more than four decades, researchers reported recently in the journal Diabetes Care. Their findings could help avoid the misdiagnosis of type 1 diabetes as the more common type 2 diabetes and improve treatments for blood sugar control, they suggested.
"Other studies have shown that some type 1 diabetes patients who have lived with the disease for many years continue to secrete insulin, and the assumption has been that these patients are exceptional," said study senior author Dr. Carla Greenbaum, director of T1D Exchange Biobank Operations Center, a repository of type 1 diabetes biological samples, in Seattle.
"For the first time, we can definitively say that these patients are a true subset of the type 1 diabetes population, which has major clinical and health policy implications," she said in a journal news release.
Worldwide, about 35 million people have type 1 diabetes, the researchers said. The autoimmune disease causes the destruction of insulin-producing cells in the pancreas, which means patients must take insulin injections or use an insulin pump.
The researchers examined type 1 diabetes samples from more than 900 people ranging in age from 5 to 88, and found that C-peptide, a byproduct of insulin production, was present in patients of all ages.
But C-peptide was found more often and in higher concentrations in those diagnosed as adults. Among those who had type 1 diabetes for three to five years, C-peptide was present in 78 percent of those diagnosed after 18 years of age, and in less than half of those diagnosed before age 18.
Additionally, 16 percent of those diagnosed as an adult and 6 percent of those diagnosed as a child had residual C-peptide more than four decades later, the researchers found. They concluded there are key differences in type 1 diabetes diagnosed during childhood and type 1 diabetes that develops during adulthood.
"These findings lend further credence to research underway on targeted therapies that could prolong insulin production, helping type 1 diabetes patients better manage their disease and reduce complications," study co-author Asa Davis, a T1D Exchange program manager, said in the news release. "For example, potential immunotherapy treatments are already being studied with this goal in mind, and our findings underscore that those diagnosed at a young age may be more likely to benefit from such new approaches."
The researchers also said their findings could have major policy implications, noting that many type 1 diabetes may not meet the insulin pump requirements of federal and private insurers, which are based on lack of insulin production.
SOURCE: Benaroya Research Institute at Virginia Mason, news release, Dec. 19, 2014
HealthDay
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For Anorexic Men, the Focus Is on Muscle: MedlinePlus
For Anorexic Men, the Focus Is on Muscle: MedlinePlus
A service of the U.S. National Library of Medicine
National Institutes of Health
A service of the U.S. National Library of MedicineNational Institutes of HealthFor Anorexic Men, the Focus Is on Muscle
Collected data shows a 'paradox,' with men becoming malnourished as they try to bulk up
Monday, December 29, 2014MONDAY, Dec. 29, 2014 (HealthDay News) -- Anorexia is typically associated with women, but a new report finds that men -- especially men obsessed with muscularity -- can develop the eating disorder, too.
The Canadian researchers noted that an estimated 10 percent or more of anorexia patients are thought to be male, though the actual number may be significantly higher. There was also a slightly larger proportion of gays with anorexia than is seen in women with the illness, the study found.
"We know that anorexia does touch more women, but even though many parents, and even medical professionals, don't realize it, it's also among boys and men," said study lead author Dominique Meilleur, an associate professor of psychology who studies adolescence and eating disorders at the University of Montreal.
"The problem is that the subject hasn't been studied enough among men, so we don't even know if the symptoms we use to measure for anorexia are appropriate for men, because they are mainly developed for women," Meilleur added.
One big gender difference: While female patients tend to place an excessive focus on food control and/or food rejection, male patients tend to focus more on excessive exercise and muscle gain.
In their research, Meilleur's team focused on 24 studies conducted in English or French between 1994 and 2011. Together, the studies included 279 male anorexia patients between ages 11 and 36 (at an average age of 18). All had been hospitalized for severe malnutrition.
In some but not all of the studies, patient characteristics were noted. Viewpoints on weight were collected from about a quarter of the male patients. Among those patients, nearly half said they were afraid of gaining weight and becoming fat and about the same number said they were unhappy with their current weight and wanted to lose more.
About a third of the men and boys studied were asked about their sense of "body image." Nearly two-thirds of them said that their dissatisfaction with their body stemmed from a desire for increased muscle mass and lower body fat.
Sexual preference was noted for roughly a fifth of the patients, and 13 percent identified as homosexual -- a larger number than is seen in the spectrum of women with anorexia, the authors said.
Other mental issues also often played a role. Meilleur's team were able to ascertain data on mental health for about a quarter of the men and boys studied, and they found that more than one in four struggled with depression, while nearly 18 percent suffered from some form of obsessive disorder. Substance abuse was seen among more than 11 percent.
All of this opens up new questions about the causes and potential treatment of anorexia in males, Meilleur said. "We need to explore the question of sexuality and muscularity," she said. "Because with women, at least, becoming thinner and thinner is the goal they're working towards. With men it's a paradox, because the thinner they become the less muscle they have -- so they don't get to their goal."
All of this means that "there is more going on here than we can see so far," Meilleur said.
Lona Sandon, a registered dietician and assistant professor of clinical nutrition at the University of Texas Southwestern Medical Center at Dallas, stressed that "eating disorders are a psychiatric issue, not a food issue."
"But when it gets under way, a psycho-social struggle may end up manifesting in how a person eats or views their body," she noted. "And this kind of struggle, like body dysmorphia [poor body image], certainly does apply to both sexes."
"Perhaps the reason we don't think of young men as having body image issues is that the criteria we now have in place for diagnosing anorexia probably doesn't fit young men as well as it fits young women," Sandon said. "Men may want to be 'ripped,' not emaciated. They're not necessarily going after very low body weight. But if we want to know for sure we need a big sample size of male patients, and some better quality research."
The study was published recently in Neuropsychiatry of Childhood and Adolescence.
SOURCES: Dominique Meilleur, Ph.D., associate professor, laboratory of adolescence and eating disorders, department of psychology, University of Montreal, Quebec, Canada; Lona Sandon, R.D., assistant professor of clinical nutrition, University of Texas Southwestern Medical Center at Dallas; Aug. 4, 2014 (online),Neuropsychiatry of Childhood and Adolescence.
HealthDay
Copyright (c) 2014 HealthDay. All rights reserved.
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- Men's Health
- Mental Health
Key Resources | Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples | Listeria | CDC
Key Resources | Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples | Listeria | CDC
Key Resources
Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples
Share- FDA Investigates Listeria monocytogenes Illnesses Potentially Linked to Caramel Apples
- Minnesota News Release: Health, agriculture officials investigate Listeria outbreak linked to caramel apples
- New Mexico News Release: Listeria Outbreak Linked to Caramel Apples
- Utah News Release: Caramel Apple Advisory
- Listeriosis (general information)
- 800-CDC-INFO (800-232-4636)
- FoodSafety.gov
Clinical Features/Signs and Symptoms | Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples | Listeria | CDC
Clinical Features/Signs and Symptoms | Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples | Listeria | CDC
Clinical Features/Signs and Symptoms
Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples
Listeriosis is a life-threatening infection caused by eating food contaminated with the bacterium (germ) Listeria monocytogenes. The disease primarily affects pregnant women and their newborns, older adults, and people with immune systems weakened by cancer, cancer treatments, or other serious conditions (like diabetes, kidney failure, liver disease, and HIV). Rarely, people without these risk factors are affected.
A person with listeriosis usually has fever and muscle aches, sometimes preceded by diarrhea or other gastrointestinal symptoms. Almost everyone who is diagnosed with listeriosis has invasive infection, meaning the bacteria spread from their intestines to the blood, causing bloodstream infection, or to the central nervous system, causing meningitis. Although people can sometimes develop listeriosis up to 2 months after eating contaminated food, symptoms usually start within several days. Listeriosis is treated with antibiotics.
The symptoms vary with the infected person:
- Higher-risk people other than pregnant women: Symptoms can include fever, muscle aches, headache, stiff neck, confusion, loss of balance, and convulsions.
- Pregnant women: Pregnant women typically experience only fever, and other non-specific symptoms like chills and headache. However, infection during pregnancy can lead to miscarriage, stillbirth, premature delivery, or life-threatening infection of the newborn.
- Healthy people. Healthy people rarely develop invasive listeriosis. However, people exposed to a very large dose of Listeria bacteria can develop a non-invasive illness (meaning the bacteria do not spread into their bloodstream or other sites) with diarrhea and fever.
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