All Sauce from Weekly Gravy:

When an earthquake struck the center of Morocco earlier this month, killing nearly 3,000 and injuring thousands more, no one was expecting it. That sudden rapid shaking of ground as the rocks underneath the earth shift can happen anywhere, but higher-risk areas in the United States include Alaska, California, Hawaii, Oregon, Puerto Rico, Washington and the entire Mississippi River Valley. In their aftermath, earthquakes can cause fires, tsunamis, landslides and avalanches.That’s why the best time to prepare for such a disaster is before it happens, according to the U.S. Federal Emergency Management Agency (FEMA). FEMA offers some tips for preparing for an earthquake. Start preparing by creating an emergency plan that includes an out-of-state contact, FEMA suggests. Know where your family will meet if you get separated. Have a supply kit that includes enough food and water for several days, a flashlight, a fire extinguisher and a whistle, FEMA advises. Supplies can be expensive, so it’s fine to slowly build them up. Make your home a safer place in the event of an earthquake by securing heavy items, such as bookcases, refrigerators, water heaters, televisions and items that hang on walls. Store heavy and breakable items on low shelves. Fix any structural problems at home that could collapse if there was an earthquake, FEMA recommends. Get earthquake insurance, if you can. Standard homeowner’s insurance does…  read on >  read on >

Emergency medicine doctors someday might rely on consultation from artificial intelligence (AI) programs like ChatGPT to help them quickly and accurately diagnose patients’ ailments. A new study found that ChatGPT performed about as well as human doctors in diagnosing patients, when both are given the same set of clinical information. “In the end, they were pretty comparable,” said senior researcher Steef Kurstjens, a clinical chemist with Jeroen Bosch Hospital in Nijmegen, the Netherlands. “And as they’re pretty comparable, [AI] might be helpful to speed up the process or enhance the amount of diagnoses at the emergency department.” For the study, two-doctor teams and the artificial intelligence program each reviewed physician’s notes and lab tests for 30 patients treated in March 2022 at the emergency department of Jeroen Bosch Hospital. The researchers used a free version of ChatGPT and a subscriber version. The AI tools and the medical teams then compiled lists of the top five potential diagnoses for each patient, based on the information at hand. Because these were past cases, the researchers already knew what the exact diagnosis had been. Doctors had the correct diagnosis within their top-five list 87% of the time. By comparison, the free version of ChatGPT had the correct diagnosis listed 97% of the time, and the subscriber version of the AI program 87% of the time. “It’s a nice…  read on >  read on >

Before pouring another drink, consider this sobering new research: Heavy drinkers can develop fat around the heart, leading to heart failure and other cardiac problems. This so-called pericardial fat is associated with increased risk of heart disease. Researchers also linked heavy drinking to excess fat deposits around the liver and kidneys, which can result in diseases of these organs, too. “The accumulation of fats in these areas, especially at the heart, has been linked to higher risk of heart disease like heart failure, atrial fibrillation as well as coronary heart disease, which is the major killer of U.S. adults,” said lead researcher Dr. Richard Kazibwe, an assistant professor of internal medicine at Wake Forest University School of Medicine in Winston-Salem, N.C. Alcohol affects how the body handles fat, he said. “Drinking is a known risk for obesity. We know from the past that alcohol can influence metabolism. It can influence levels of hormones in the body that can lead to the distribution of fat in general, but also in various areas of the body,” Kazibwe said. That’s how fat ends up surrounding the heart, but if you stop imbibing will that fat disappear? Kazibwe said fat around the liver can be reduced if you stop drinking, but it isn’t known if the same is true for fat around the heart. The bottom line, in his…  read on >  read on >

Perhaps succumbing to fraudsters or facing mounting bills, older Americans begin losing wealth in the years preceding a definitive dementia diagnosis, new research shows. For example, the median household net worth of the seniors in the study dropped by more than half in the eight years before they were diagnosed with dementia, but dipped much less for folks who retained their mental capacity, according to a team reporting Sept. 18 in the journal JAMA Neurology. “Household wealth, especially financial wealth, declined much faster among people with probable [undiagnosed] dementia than [healthy] controls during the decade before dementia onset,” concluded researchers led by Jing Li. She works at the Comparative Health Outcomes, Policy, and Economics Institute at the University of Washington in Seattle. It’s well documented that aging people who are losing mental acuity can find finances tough to manage, and are also prime targets for scammers. Li and colleagues wondered if mental deterioration might be reflected in the financial deterioration of a person’s assets, as well. To find out, they tracked 20 years of data (1998-2018) from the ongoing Health and Retirement Study, which follows outcomes every two years for Americans 50 years of age and older and their spouses. Looking over medical records, researchers compared the financial health of two groups of participants: One group of about 5,400 people whose mental capacity (and that…  read on >  read on >

Over 3 million American children now take medication for attention-deficit/hyperactivity disorder (ADHD), but new research shows medication errors have spiked nearly 300% in the past two decades for these kids. The increase in ADHD medication errors parallels the increase in ADHD diagnoses, said study co-author Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children’s Hospital in Columbus, Ohio. “Because therapeutic errors are preventable, more attention should be given to patient and caregiver education, and development of improved child-resistant medication dispensing and tracking systems,” Smith suggested. “Another strategy may be a transition from pill bottles to unit-dose packaging, like blister packs, which may aid in remembering whether a medication has already been taken or given.” About 10% of American children had an ADHD diagnosis in 2019, Smith said, making it one of the most common childhood neurodevelopmental disorders. The study, which researched errors reported through poison control centers from 2000 to 2021, found that about 54% of these mistakes happened when someone was accidentally given or took their medication twice. In about 13% of cases, someone inadvertently took or was given someone else’s medication, Smith said, and in about 13% of cases, the wrong medication was taken or given. A very large number of these mishaps, about 93%, happened at home. In two-thirds of cases, they involved kids aged 6…  read on >  read on >

Low-carb diets may be all the rage, but they’re not for kids with diabetes, according to the American Academy of Pediatrics (AAP). In a new report, the AAP says that low-carbohydrate diets cannot be recommended for children or teenagers with either type 1 or type 2 diabetes. That’s because there’s little evidence they’re helpful, but there are concerns about restricting kids’ diets to that degree. Instead, the AAP encourages families to focus on cutting out “bad” carbs: sugary drinks, sweets and other processed foods that are low in nutrients. Just as important, kids should get enough healthy carbs, including vegetables, beans and fiber-rich grains. The “keto” diet and similar ones popular among adults can put very strict limits on carbs, with a ceiling as low as 20 grams per day — equivalent to a half-cup of white rice. A big concern is that low-carb diets will shortchange kids on nutrients during critical periods of development, said Amy Reed, a pediatric dietitian with Cincinnati Children’s Hospital Medical Center. Reed, who was not involved in the AAP report, said she agrees with its recommendations. “The focus should be on healthy eating, rather than restriction,” said Reed, who is also a spokeswoman for the Academy of Nutrition and Dietetics. Diabetes exists in different forms: Type 1 diabetes arises from an immune system attack on the pancreatic cells that…  read on >  read on >

A clinical trial designed to test repurposed medications for their impact on fighting COVID-19 has found no benefit to taking the antidepressant fluvoxamine (Luvox) to ease coronavirus symptoms. The study, led by Duke Clinical Research Institute (DCRI) in partnership with Vanderbilt University, found no symptom improvement in those taking the antidepressant at a dose of 100 milligrams (mg) twice daily for 13 days compared to those taking a placebo. “There was no evidence of improvement in the rate of sustained recovery in participants who took this dose of fluvoxamine versus those who took a placebo,” said researcher Dr. Adrian Hernandez, executive director of the Durham, N.C.-based institute. Researchers studied fluvoxamine because previous evidence suggested that it might be able to reduce inflammation caused by the virus. After finding no benefit in taking 50 mg of fluvoxamine twice daily for 10 days, the team tested the higher dose, given that it had a favorable safety profile and efficacy in other studies. “We are testing repurposed drugs to understand if they are effective in treating COVID-19,” explained Dr. Susanna Naggie, the DCRI principal investigator overseeing the study’s clinical coordinating center. The repurposed medications in this study are already approved by the U.S. Food and Drug Administration to treat other conditions. Fluvoxamine is one of four FDA-approved repurposed medications being tested in the new trial. It’s a selective…  read on >  read on >

Cannabinoid products may interfere with some prescription medications, so people who use them should add these to the list of supplements they tell their doctors about. This interference could have serious health consequences, according to Penn State Health, which offered some additional advice as legal medical and recreational cannabis becomes more common. “Whether it’s recreational cannabis, prescribed cannabinoid or medical marijuana, it’s important your doctor knows you’re using it,” said Kent Vrana, head of the pharmacology department at Penn State College of Medicine. “A problem in Pennsylvania is that you can get a medical marijuana card without any involvement by your [primary care physician], meaning your doctor may have no idea you’re using if you don’t say something,” Vrana said in a college news release. It’s possible that over-the-counter cannabidiol, better known as CBD, could benefit millions of people because of its medicinal properties without the high feeling, Penn State Health said. Recreational marijuana contains tetrahydrocannabinol (THC), which makes users high. THC is sometimes present in CBD products. CBD has been proven safe and effective in the treatment of seizure disorders and may be useful for treating some cancers, Vrana said, but science on the substance is still limited. Prescription CBD is considered safe when used as directed. But other marketed products, such as oils, lotions or gummies, may not be approved by the U.S.…  read on >  read on >

Dark patches or freckle-like spots on the face are melasma, and it’s possible both to prevent them and make them less noticeable, according to a skin expert. Dr. Rebecca Kazin, a Rockville, Md., dermatologist, offers some tips for dealing with these patches, which are caused by sun exposure, pregnancy, stress, certain medications and sometimes a medical condition. “While melasma may go away on its own, it can persist for years,” Kazin said in a news release from the American Academy of Dermatology. “Although melasma is not harmful, people often want to treat it.” A dermatologist can create an individualized treatment plan using different therapies to address each patient’s concerns, she said. Melanocytes, the cells that give skin its color, are more active in darker complexions, so melasma can be more noticeable with darker skin tones. Kazin and the American Academy of Dermatology recommend protecting the skin from the sun. Seek shade when outdoors. Wear sun-protective clothing, including a lightweight and long-sleeved shirt, pants, a wide-brimmed hat and sunglasses with UV protection. Choosing clothing with an ultraviolet protection factor (UPF) number on the label can offer even more protection. Use a broad-spectrum, water-resistant sunscreen with an SPF of 30 or higher on all skin not covered by clothing whenever you’re outdoors, even on cloudy days. Reapply sunscreen every two hours, more often if you have been…  read on >  read on >

That beautiful park you walk through could be hiding dangerous levels of lead. So, too, could the soil under the play equipment where your children slide and swing. New research in the United States finds that urban parks built on sites where waste was incinerated could be hotspots for lead. “We found that city parks and playgrounds built on the site of a former waste incinerator can still have greatly elevated levels of lead in their surface soils many decades after the incinerator was closed,” study co-author Daniel Richter, a professor of soils at Duke University School of the Environment, said in a university news release. Lead exposure has been linked to potential long-term health problems, especially in children. It can affect the brain and nervous system, slow growth and development, and cause learning and behavioral problems. Cities across the United States and Canada burned trash in municipal incinerators for decades. Most were closed in the 1970s because of pollution concerns. To study whether this led to continued soil contamination in land repurposed as parks, the researchers collected and analyzed surface soil samples from three city parks in Durham, N.C. The sites held incinerators that closed in the early 1940s. Samples collected from a two-acre section of one park had lead levels over 2,000 parts per million. That’s more than five times higher than the…  read on >  read on >