Smokers have a significantly raised risk of dying from a bleeding stroke, a new study warns. For the study, researchers analyzed data from over 16,000 same-sex twin pairs in Finland. The twins were born before 1958 and followed for about 42 years (between 1976 and 2018). During the follow-up, there were 120 deaths from subarachnoid hemorrhage (SAH). This is a type of bleeding stroke that occurs under the membrane that covers the brain. The median age at death was about 61. Compared to nonsmokers, the risk of fatal bleeding in the brain was three times higher among heavy and moderate smokers, and 2.8 times higher among light smokers. The findings were published Sept. 17 in the journal Stroke. “Our study provides further evidence about the link between smoking and bleeding in the brain,” co-author Ilari Rautalin said in a journal news release. Rautalin is a sixth-year medical and Ph.D. student at the University of Helsinki in Finland. Unlike previous research, this study found that high blood pressure, lower levels of physical activity and being female weren’t significant factors in the risk of a fatal brain bleed. The paper didn’t have data on nonfatal cases. And the researchers couldn’t assess the impact of previous smoking on these brain bleeds, because former smokers and never smokers were combined in the nonsmoking category. Still, “this long-term study in… read on >
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COVID Conflicts Are Putting Big Strains on Relationships
As the coronavirus pandemic wears on, it’s clear that not everyone’s on the same page when it comes to preventing the risk of infection. Lots of people wear masks, try to maintain social distancing and avoid large gatherings. But plenty of others forgo a mask or wear it on their chin, go to busy bars and attend social gatherings, like weddings. Both sides think they’re right. And that’s led to friction and frustration among friends and families. How can you deal with these differences and keep your relationships intact? “This is a super-charged topic. Your beliefs about science are now injected with politics,” said Dr. Richard Catanzaro, chief of psychiatry at Northern Westchester Hospital in Mount Kisco, N.Y. “My fundamental approach to stuff like this is to be as direct as possible. Express the concerns that you have, and acknowledge that the other person might not agree, but explain it’s how you feel. For example, ask the person to wear a mask when you’re interacting with them. If they refuse, say, ‘Let’s talk virtually then,’” Catanzaro said. He added that the tone of the conversation hinges on how important the relationship is to you. “In a marriage or more permanent relationship, be more open with the person, and try to get them to see how their behavior is impacting you,” Catanzaro said. For more casual… read on >
Coronavirus Vaccine Plan for Americans Announced
THURSDAY, Sept. 17, 2020 (Healthday News) — The details of a plan to rapidly deliver a future coronavirus vaccine to Americans were unveiled by federal officials on Wednesday. Two of the key parts of the plan are to begin distributing a vaccine with 24 hours of any approval or emergency authorization and offering the vaccine for free, The New York Times reported. Officials from Operation Warp Speed — the multiagency effort to quickly vaccinate Americans against coronavirus — also said the timing of a vaccine was still unclear, the Times reported. That despite repeated statements from President Donald Trump that a shot could be ready before the election on Nov. 3. “We’re dealing in a world of great uncertainty. We don’t know the timing of when we’ll have a vaccine, we don’t know the quantities, we don’t know the efficacy of those vaccines,” Paul Mango, the deputy chief of staff for policy at the U.S. Department of Health and Human Services, told the Times. “This is a really quite extraordinary, logistically complex undertaking, and a lot of uncertainties right now. I think the message we want you to leave with is, we are prepared for all of those uncertainties.” Who will get the vaccine first? Initial distribution of a vaccine, possibly on an emergency basis, would to a limited group of high-priority people, such as… read on >
Keep High Blood Pressure at Bay With Healthy Lifestyle
Want to fend off high blood pressure? New research adds to the pile of evidence showing that living healthy can help you avoid hypertension. The study included nearly 3,000 Black and white U.S. adults, aged 45 and older, who didn’t have high blood pressure at the start of the study. The participants’ heart health was assessed with the American Heart Association’s Life’s Simple 7 tool, which measures seven risk factors: body mass index, diet, smoking, physical activity, blood pressure, cholesterol and blood sugar levels. A score of 10 to 14 is ideal; 5 to 9 is average, and 0 to 4 is poor. The median score among the participants was 9. Over about nine years of follow-up, 42% of participants developed high blood pressure. The rates among Black adults were 52% in women and 50% in men. Among white adults the rates were 37% in women and 42% in men. Each 1-point higher score was associated with a 6% lower risk of high blood pressure, without significant difference by race or sex, according to the study published Sept. 15 in the Journal of the American Heart Association. “High blood pressure is among the most common conditions in the U.S., and it contributes to the greatest burden of disability and largest reduction in healthy life expectancy among any disease,” said lead author Dr. Timothy Plante, an… read on >
Hearts From Obese Donors Still Safe: Study
Hearts donated by severely obese donors aren’t more risky for recipients than hearts from people who aren’t obese, a new study indicates. “These findings were somewhat surprising because the severely obese donors did tend to have more medical problems, such as diabetes and high blood pressure, than the non-obese donors,” said study author Dr. Leora Yarboro. She’s an associate professor of surgery at the University of Virginia, in Charlottesville. Her team analyzed the outcomes of 26,000 heart transplants in the United States from 2003 to 2017. About 3.5% of the donors were severely obese. There were no significant differences in short-term outcomes, one-year survival rates or long-term death rates between patients who received a heart from a severely obese donor and those who received a heart from a non-obese donor, the findings showed. The researchers also found that the percentage of heart transplants from donors with severe obesity rose from 2.2% in 2013 to 5.3% in 2017. Some of the obese donors did have other medical issues: 10% had diabetes versus 3% of non-obese donors, and 33% had high blood pressure versus 15% of donors who weren’t severely obese. The study was published Sept. 16 in the journal Circulation: Heart Failure. “This study shows that with careful selection, hearts from obese donors can be used without an increased risk to the recipient,” Yarboro said in… read on >
Parkinson’s Drug Eyed as Treatment for Severe Macular Degeneration
A drug long used to treat Parkinson’s disease may benefit patients with a severe form of age-related macular degeneration (AMD), a small clinical trial suggests. One of the leading causes of vision loss in older people is a condition called dry macular degeneration. More than 15% of Americans over age 70 have AMD, and 10% to 15% of those cases go on to develop the more severe wet macular degeneration, which can cause swift and complete vision loss. Typically, wet AMD is treated with injections of medication into the eye. Most people need several per year to keep the disease from progressing. But this small, early-stage clinical trial suggests an alternative may be on the horizon: the leading drug used to treat Parkinson’s disease, called levodopa. The trial was an outgrowth of a 2016 study that found Parkinson’s patients who took levodopa were less likely to develop macular degeneration. “The study found a relationship between taking levodopa and macular regeneration,” said Dr. Robert Snyder, a professor of ophthalmology at the University of Arizona, in Tucson. “It delayed the onset of both dry and wet macular degeneration, and reduced the odds of getting wet macular degeneration.” Macular degeneration affects the macula, part of the eye that allows you to see fine detail. Wet AMD happens when abnormal blood vessels grow under the macula; often, these blood… read on >
New Drug Shows Promise in Preventing Severe COVID
WEDNESDAY, Sept. 16, 2020 (Healthday News) — A single infusion of an experimental drug dramatically lowers levels of coronavirus in the bodies of newly infected patients and cuts their chances of hospitalization, the drug’s maker reported Wednesday. Eli Lilly’s announcement did not include detailed data and hasn’t been peer-reviewed or published yet, The New York Times reported. The news comes from interim results of a trial sponsored by Eli Lilly and the U.S. National Institutes of Health. NIH officials would not comment on the announcement until they have seen more detailed data from the trial, the Times reported. How does the drug work its magic? It is a monoclonal antibody, a manmade copy of an antibody produced by a patient who recovered from COVID-19, the Times reported. Scientists around the world have high hopes that that monoclonal antibodies will prove to be powerful coronavirus treatments, but they come with a caveat: They are difficult to manufacture, and would take time to produce, the Times reported. In the trial, 452 newly diagnosed COVID patients received the monoclonal antibody or a placebo infusion. Some 1.7 percent of those who got the drug were hospitalized, compared with 6 percent of those who received a placebo — a 72 percent reduction in risk, Eli Lilly said. At the same time, blood levels of the coronavirus plummeted among those who… read on >
Even Exercise May Not Ease Pandemic-Linked Stress
Exercise is often recommended to combat stress and anxiety. But it might not be the solution to your pandemic-related worries, new research indicates. For the study, researchers analyzed data gathered from more than 900 pairs of identical and same-sex fraternal twins in Washington state during the early stages of the pandemic. While 42% said their physical activity levels fell, 27% said they rose. Another 31% reported no change. Those who said their physical activity levels had declined in the first two weeks after stay-at-home orders were issued reported higher levels of stress and anxiety, a finding that the researchers expected. But they were surprised that the same was true among many twins who boosted their physical activity levels, according to the study. “Certainly, people who don’t exercise know that there are associations with mental health outcomes, yet the ones that increased their exercise also reported increased anxiety and stress,” said study co-author Glen Duncan. He’s a professor at Washington State University College of Medicine, in Spokane. “It’s hard to know exactly what’s going on, but it could be that they are trying to use exercise as a means to counter that stress and anxiety they’re feeling because of COVID,” Duncan added in a university news release. The link between decreased physical activity and stress was confounded by genetic and environmental factors, the researchers noted. In… read on >
Could COVID-19 Someday Become Seasonal, Like Flu?
COVID-19 is unlike other respiratory viruses known to humans, but in time it could evolve into a seasonal scourge like the flu. That’s according to a new report in which researchers lay out the case for a possible seasonal COVID. The scenario depends on many unknowns, and assumes the new coronavirus will bend to weather factors. And that would not happen until enough people have been exposed to the virus — or vaccinated — to provide a level of herd immunity, the researchers said in their report in the journal Frontiers in Public Health. But they believe that endemic respiratory viruses — including the flu and common coronaviruses that cause cold symptoms — give hints as to what could happen with COVID. All of those viruses have a seasonal variation, being susceptible to changes in weather patterns like temperature and humidity. SARS-CoV-2 has yet to show any signs of seasonality. Cases in the United States soared during the hot summer months, in contrast to typical respiratory viruses that dissipate at that time. But as more people are exposed to SARS-CoV-2, that pattern could change, according to report author Dr. Hassan Zaraket, of American University of Beirut in Lebanon. “We think it’s highly likely, given what we know so far, COVID-19 will eventually become seasonal, like other coronaviruses,” he said in a journal news release. However,… read on >
Wildfires Ravage Land, and Lungs, Across the U.S. West
HVAC repairman Brad Sissell shrugged off the acid-yellow air surrounding him and kept working, preparing a gas pipe for a new range going into a Salem, Ore., home. Less than a half-hour’s drive away, nearly 200,000 acres were burning in one of the major Oregon wildfires that has sent a full tenth of the state’s population fleeing for shelter. But it was a workday and so Sissell kept at his job, masked in the driveway with smoke wreathing his efforts. “We haven’t stopped,” Sissell, 35, said. “We’ve been working the whole time. I know they say the air’s not good for you. I think it’s going to suck for everybody.” The air quality index in Salem has been at the hazardous level since late last week, with people urged to stay indoors lest they risk their health. In fact, the West Coast cities of Portland, Seattle, San Francisco and Vancouver, B.C., have had the worst air quality of all major metropolitan areas in the world as wildfires burn unchecked, the Washington Post reported. Public health experts have warned people up and down the coast to remain indoors with the windows shut and their air conditioners running on recirculated air. The smoke from these wildfires contains fine particles and a toxic mix of chemicals that can irritate the lungs and inflame the airways, said Dr. Clayton… read on >