Giving up nicotine can be a brutal experience that can include everything from physical symptoms, such as headache and nausea, to mood issues, including irritability, anxiety and depression. Yet, it is still possible to get through nicotine withdrawal symptoms with a good plan and specific tools, according to a smoking cessation expert, who offered some suggestions for coping with nicotine withdrawal symptoms. “Nicotine is highly, highly addictive,” said Emma Brett, a staff scientist at University of Chicago Medicine and a group lead in the Courage to Quit program. “Nicotine affects the brain, blood vessels, metabolism. There are effects all throughout the body.” Quitting requires an adjustment period, she stressed. Most commonly, withdrawal symptoms happen in the first week after quitting, peaking at about day three or four, Brett said. Some may experience nicotine withdrawal symptoms for weeks. Some may have few symptoms at all. Using nicotine replacement aids Nicotine replacement products can be helpful to get someone through those initial days, weeks or months. “We know from the research that when people quit and use something like a patch or lozenge or gum, that can almost double the success rate of a quit attempt,” because you’re still getting some nicotine, just it’s delivered in a safe way versus the combustion of a cigarette, Brett said. She suggested staying on the products until having a high… read on > read on >
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EPA Proposes Tougher Rules on Air Pollution
For the first time in a decade, the U.S. Environmental Protection Agency has proposed strengthening standards on fine soot in the air, a known contributor to serious health issues. Under the new proposal, standards for fine particulate pollution, known as PM 2.5, would change from a level of 12 micrograms per cubic meter to a level between nine and 10 micrograms per cubic meter. The standards haven’t been altered since 2012. The EPA estimates that with a standard of 9 micrograms per cubic meter, there would be up to 4,200 fewer premature deaths a year, 270,000 fewer lost workdays and as much as $43 billion in net health benefits in 2032. The agency will take comment on the full range of recommendations on soot standards included in the latest report from the Clean Air Scientific Advisory Committee, which is between eight and 11 micrograms per cubic meter. These fine pollution particles can penetrate deep into the lungs, triggering asthma attacks, heart attacks and premature death. Children, older adults, those with heart and lung conditions, and minority communities are most affected, the EPA said. “Our work to deliver clean, breathable air for everyone is a top priority at EPA, and this proposal will help ensure that all communities, especially the most vulnerable among us, are protected from exposure to harmful pollution,” EPA Administrator Michael Regan said… read on > read on >
Stick With These Foods to Help You Lose Weight
When it comes to losing weight, certain foods have a reputation for being all-stars, providing for a body’s nutritional needs while helping keep a person fuller for longer. “You’re looking at plant foods,” said Connie Diekman, a nationally known food and nutrition consultant and former president of the Academy of Nutrition and Dietetics. “You’re looking at whole grains, vegetables, fruit, beans, nuts, seeds.” Though certain diets or special eating plans may limit some of these foods, a healthy diet can include all of them, with an eye toward portion size. Here are some foods to eat to lose weight: Whole grains Whole grains haven’t been stripped of nutrients in processing, according to the Harvard T.H. Chan School of Public Health, in Boston. Whole grains can also provide a nice balance between protein and carbohydrates, Diekman said. From a weight-loss perspective, these foods contain fiber. “Fiber fills us up and so therefore that blood sugar curve doesn’t drop as rapidly, so you don’t feel the need to eat as often,” Diekman explained. Choices in this category can range quite a bit. There are lesser-known grains like quinoa, millet or bulgur, along with well-known whole wheat breads and pastas, brown rice and oatmeal. Oatmeal got a shout-out recently from the American Heart Association. “It has many, many good qualities,” said Candida Rebello, director of the nutrition and… read on > read on >
There May Be a Better Way to Allocate Precious Donor Lungs for Transplant
A new way of allocating donor lungs that eliminates geographical restrictions could save more lives, new research suggests. In early 2023, the current U.S. system, which looks for compatible candidates within a fixed radius, will be replaced by the Composite Allocation Score. The new score will prioritize a candidate’s medical needs. “The importance of removing the geographical barrier can’t be overstated here,” said study author Dr. Maryam Valapour, senior investigator for lung transplantation at the U.S. Scientific Registry of Transplant Recipients (SRTR). “The Composite Allocation Score system’s goal of making access to lung transplant more equitable for all candidates in the United States will help reduce waitlist [death rates] and we hope will even improve post-transplant survival over time.” The current system gauges donor and recipient compatibility, geographical restrictions and prioritizes calculated survival after transplant, according to a study led by Valapour and colleagues at the SRTR and the Cleveland Clinic, where she is director of lung transplant outcomes. That system first looks at compatibility within a 250-mile radius. But someone who needs the lungs more quickly may live just outside that boundary. The new system is meant to improve equity in organ allocation by prioritizing a patient’s medical needs and eliminating geographical boundaries. To investigate the potential impact of the change, Valapour’s team tested six alternate scenarios in 10 simulations. They used data from… read on > read on >
New Year, New Travel: Stay Healthy on the Move
Travel can be fun, but taxing. As the pandemic ebbs and people venture back out into the world, an expert from Baylor College of Medicine in Houston offers tips for ensuring a healthier, more peaceful vacation or work trip. “Though frequent travel can boost your mood and positively impact your mental health, keep in mind that it’s a two-way street,” said Dr. Mike Ren, assistant professor of family and community medicine at Baylor. “While traveling, it is important to keep up your physical and mental well-being to maximize the beneficial effects of travel.” Common symptoms of travel fatigue include trouble sleeping, feeling disengaged, having higher stress or anxiety levels, and overindulging in food or alcohol. Someone might need to take a break from traveling to reset, if symptoms are severe. Ren suggests talking to a doctor about whether a pause is needed or if symptoms don’t resolve. “An ounce of prevention is worth a pound of cure. Make sure you are up to date on all your vaccinations, particularly for international travel, and if you are on prescription medications, make sure you have an adequate supply for travel and a few days upon return,” Ren said in a Baylor news release. “Make sure to maintain a good level of hygiene by washing your hands often and take advantage of telehealth visits while traveling if symptoms… read on > read on >
FDA Approves 2nd Alzheimer’s Drug, Despite Safety Concerns
The U.S. Food and Drug Administration on Friday approved a second Alzheimer’s drug, lecanemab, despite reports of rare brain bleeds linked to use of the drug in some patients. However, the FDA pointed to the drug’s benefits, as well. “Alzheimer’s disease immeasurably incapacitates the lives of those who suffer from it and has devastating effects on their loved ones,” Dr. Billy Dunn, director of the Office of Neuroscience in the FDA’s Center for Drug Evaluation and Research, said in an agency news release. “This treatment option is the latest therapy to target and affect the underlying disease process of Alzheimer’s, instead of only treating the symptoms of the disease.” Lecanemab, made by Eisai and marketed by Biogen as Leqembi, will be only the second Alzheimer’s drug to receive the FDA’s blessing in the past 18 months; the agency’s speedy approval of the drug Aduhelm in June 2021 generated controversy in the medical community over its lack of effectiveness, brain bleed concerns and hefty price tag. But Alzheimer’s experts said the story is somewhat different with Leqembi. “Unlike Aduhelm, which had an incomplete data set and where clinical trial data failed to demonstrate a definitive slowing in cognitive decline, lecanemab showed statistically significant slowing in cognitive and functional decline, as well as reduction of brain amyloid levels, and downstream beneficial effects on other markers of neurodegeneration,”… read on > read on >
Exercise, Sports: A Natural Antidepressant for Teens
An antidote to teenage depression might be found in school gymnasiums and on sports fields, a major new review argues. Supervised exercise programs are associated with significant reductions in symptoms of depression among children and teenagers, according to the analysis of data from 21 studies involving more than 2,400 kids. “This is the first time that we’ve been able to put enough studies together so that we can make a pretty good conclusion to answer the question, ‘Is physical activity and exercise good for children with depressive symptoms?’” said co-study author Walter Thompson, a retired professor of exercise physiology with Georgia State University in Atlanta. “The answer is overwhelmingly yes.” Further, the data indicate a specific dose of exercise that will produce the biggest benefit in children: Around an hour of physical activity three days a week provided the best relief for symptoms of depression. “And you know, that’s pretty close to what the federal government has recommended as regular exercise for both children and adults, somewhere between 75 and 150 minutes a week,” Thompson said. The study also found that exercise programs shorter than 12 weeks produced greater benefits — possibly because such a tightly defined program allows participants a positive sense of achievement and accomplishment, according to an editorial co-authored by Eduardo Bustamante, an assistant professor of kinesiology and nutrition at the University… read on > read on >
Could Weight-Loss Surgery in Teens Raise Risks for Alcohol Abuse?
For teens who are obese, weight-loss surgery can be life-changing — but not always in a good way. A new study finds a troubling downside to weight-loss surgery among 13- to 19-year-olds: They’re at increased risk of alcohol use disorders. And their risk stays higher for up to eight years after their surgery. “We have to be honest about both the risks and benefits of these procedures,” said study co-author Dr. Thomas Inge, director of adolescent bariatric surgery at Ann & Robert H. Lurie Children’s Hospital of Chicago. About 200,000 weight-loss (or “bariatric”) surgeries were performed in the United States in 2020, according to the American Society for Metabolic and Bariatric Surgery (ASMBS). And while these procedures have benefited many teens, some have gone on to develop heart problems or had trouble getting adequate nutrition after their surgery. Now, Inge and other researchers report that teens who have had weight-loss surgery are also more likely to develop alcohol use disorder. That’s based on tracking 217 teens for eight years and comparing their alcohol use before and after their surgery. The study found they had eight times the odds for hazardous drinking, a pattern of alcohol use with a risk for harmful consequences; and five times the odds of showing symptoms of alcohol-related harm. They were also 13 times more likely to have alcohol-related legal, domestic,… read on > read on >
Damar Hamlin Improving, Alert, Communicating by Writing
FRIDAY, Jan. 6, 2023 (HealthDay News) – While NFL safety Damar Hamlin is still critically ill after suffering cardiac arrest during a game on Monday, he is making a “fairly remarkable recovery,” his doctors said during a news conference on Thursday. “There has been substantial improvement in his condition over the past 24 hours,” Dr. Timothy Pritts, a professor in the department of surgery at the University of Cincinnati College of Medicine, told reporters. “We had significant concern about him after the injury and after the event that happened on the field. But he is making substantial progress. As of this morning, he is beginning to awaken, and it appears that his neurological condition and function is intact.” Hamlin is “awake and breathing,” though still on a ventilator, Pritts added. He can communicate by writing with a pen and paper. “When he asked did we win, the answer is, ‘Yes, you know, Damar, you won, you’ve won the game of life,” said Pritts, referring to Hamlin’s question about who won the game after his collapse. His medical team could not say what caused the cardiac arrest in the 24-year-old, but Dr. William Knight IV said, “tests will continue to be ongoing as he continues to progress.” “It’s been a long and difficult road for the last three days,” said Knight, a professor in the university’s… read on > read on >
Does Your Home Have Dangerous Levels of Cancer-Causing Radon?
People should test for the naturally occurring radioactive gas radon in their homes to help prevent ill health, the American Lung Association urges. In some areas, like the state of Connecticut, radon was found to be present at high levels in a quarter (26%) of all homes. Radon is emitted from the ground and can enter a house through floor cracks, basement walls and foundations. Exposure to radon is the second-leading cause of lung cancer in the United States and it is the leading cause in people who’ve never smoked. It’s responsible for an estimated 21,000 U.S. lung cancer deaths each year, the ALA said. “Since radon is odorless, tasteless and colorless, the only way to detect radon in your home is to test the air,” said Ruth Canovi, director of advocacy for the lung association. “Radon Action Month is the perfect time to learn more about this dangerous gas and take action to protect yourself and your loved ones,” Canovi said in an association news release. The U.S. Environmental Protection Agency (EPA) sets an action level of 4 picoCuries per liter or pCi/L for radon. Anyone with a radon level that high should have a professional install a mitigation system in their home, according to the EPA. Both the EPA and the lung association recommend doing so if levels are greater than 2 pCi/L.… read on > read on >