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Pain Management

"Relaxation" May Not Help Migraines

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Relaxation is usually a good thing, but perhaps not when it comes to migraine, according to a new study. Researchers from the Montefiore Headache Center and the Albert Einstein College of Medicine found that migraine sufferers who experienced reduced stress from one day to the next are at significantly greater risk of migraine onset on the subsequent day. Although stress has often been believed to be a common trigger of headaches, the researchers found that relaxation following the heighted stress was an even more significant trigger.

Modified Medical Devices Should Be Re-Evaluated

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The U.S. Food and Drug Administration should require that clinical data be submitted as part of a more rigorous re-evaluation of medical devices that are modified after approval, according to University of San Francisco physicians in a commentary published online March 24th 2014 in the Annals of Internal Medicine.

ΓÇ£White Coat EffectΓÇ¥ on BP Is True

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Doctors routinely record blood pressure levels that are significantly higher than levels recorded by nurses, according to the first thorough analysis of scientific data on the so-called “White Coat Phenomenon”. The study was done at at the University of Exeter Medical School in the UK and published in March 2014 in the British Journal of General Practice.

Health Concerns About E-Cigarettes

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With sales of electronic cigarettes, or "e-cigarettes," on the rise and expected to hit $1.5 billion this year, concerns over potential health risks of using the trendy devices are also gaining momentum and political clout. An article in the March 2014 issue of Chemical & Engineering News (C&EN), the weekly magazine of the American Chemical Society, delves into what scientists and regulators are doing about e-cigarettes, which are now being cleverly marketed under more appealing names such as hookah pens and vape pipes.

Heart Health

Repeat Aortic Valve Replacement Safe at 80+

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Surgical aortic valve replacement generally improves patients' symptoms and prolongs survival. However, the perceived risk of surgical aortic valve replacement in patients over 80 may result in surgery being denied or a recommendation for alternative therapy. Investigators at the Mayo Clinic challenge the way these patients have been managed. They report that repeat sternotomy in patients over 80 who have previously had coronary bypass graft surgery can be done with low risk.

Task Force: Impairment Screening Shouldn't Be Routine

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The U.S. Preventive Services Task Force has issued a recommendation against routine cognitive-impairment screening for older adults who do not have symptoms. The task force said there isn’t enough evidence to determine the effectiveness of screening all older adults. [The evidence] “is insufficient at this time,” said Task Force co-vice chair Al Siu, M.D., M.S.P.H.

Salivary Biomarkers of Gingivitis

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On March 21st 2014 during the 43rd Annual Meeting & Exhibition of the American Association for Dental Research in Charlotte, North Carolina, Craig Miller, University of Kentucky, Lexington presented research showing that salivary biomarkers for gingivitis reveal important information personalized treatment of this gum disease

Caregiving

Adult Day Care A Boon for Caregivers

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Family caregivers show an increase in the beneficial stress hormone DHEA-S on days when they use an adult day care service for their relatives with dementia, according to researchers at Penn State and the University of Texas at Austin. A release from Penn explains that DHEA-S controls the harmful effects of cortisol and is associated with better long-term health.

I Want To Take The Alzheimer's Test

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Last night I had trouble getting to sleep.  Tossing and turning, I attempted to clear my thoughts, but my brain had other ideas.  My mind was on an instant replay loop: A new study reveals researchers have developed a blood test that will predict if a healthy person — someone with no symptoms — is likely to develop Alzheimer’s disease within the next few years. The study focused on people over 70 and was about 90 percent accurate.

Breast Cancer

Breast Reconstruction: Making the Decision

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Every woman who has a mastectomy is then faced with another choice: whether to have breast reconstruction – surgery to rebuild the shape of the breast. There are other choices, according to the National Cancer Institute (NCI): to wear a breast form, or padding, or to do nothing.

What You May Not Know About Preventing Heart Attacks, Strokes, and Diabetes

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By Bradley Bale MD and Amy Doneen ARNP with Lisa Collier Cool Have you ever wondered why someone could feel perfectly fine and then minutes later have a massive heart attack or stroke that either kills the person or causes a life-long disability? Even more challenging is the concept that some people can go in for a full medical exam, including cholesterol and blood pressure check and a stress test, and be told they are fine only to drop dead of a heart attack days or weeks later. 

25 Tips to Stretch Your Mind At Any Age

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The good news is your brain has plasticity. This means that the brain has a natural ability to remodel itself throughout life so that the phrase “stretch your mind at any age” resonates. The brain is always changing, sometimes for better, and sometimes for worse. This neuroplasticity gives the brain the ability to change its neural pathways and synapses, which in turn affects changes in behavior, environment and neural processes.

Heart Health

Millions More Adults Could Start Using Statins

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Up to 12.8 million Americans may begin taking statins thanks to new guidelines for using the drugs, according to a research team led by scientists from Duke University. The finding is the first to make specific predictions based on the American Heart Association’s new guidelines, which were issued in November. The investigators, whose findings were published in the New England Journal of Medicine, found that most of the additional users would be people over 60.

Many Women Don't Know Stroke Symptoms

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Although stroke affects millions of American women, many in that group are unaware of the warning signs, according to research conducted by the American Heart Association/American Stroke Association.

PCPs Must Know More About Menopause

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According to Susan G. Kornstein, MD, Editor-in-Chief of the Journal of Women's Health, "It is essential that new curricula be developed to train internists in the core competencies needed to manage menopausal symptoms."  

Vision Health

Exercise & Light Drinking = Better Vision

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Get moving and raise a glass now and then if you want to stave off the kind of vision problems that can’t be corrected with lenses. That’s what the results of a study done at the University of Wisconsin School of Medicine and Public Health suggest. The team found that a physically active lifestyle and occasional drinking are associated with a reduced risk of developing visual impairment. The article was published online in March 2014 in Ophthalmology, the journal of the American Academy of Ophthalmology.  

Marriage

9 Tips for Emotional Intimacy

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By Paul Dunion When I ask a couple in couples counseling, "So, tell me about the current status of your intimacy,” they inevitably start talking about their sex life. When I proceed to explain I am interested in their emotional intimacy, the male quickly turns his gaze toward his wife and the female typically speaks of the loneliness and isolation she experiences in the marriage. She may not know exactly what, but she does know something is missing in the marriage.

Video-Game Technique May Help Avoid Patients' Falls

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A device using technology similar to that found in video games may eventually help health care practitioners monitor and even prevent falls among hospital patients. Between 700,000 and 1 million people each year fall in U.S. hospitals, according to the Agency for Healthcare Research and Quality. All patients are at higher risk of falls because they are sick or injured. Falls are especially serious for older patients.

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