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Rave online reviews about a hospital stay may not mean much about the actual medical care there, if a new study is any indication. Researchers found that across U.S. hospitals, patient-satisfaction scores were more dependent on “hospitality” factors — like friendly nurses, quiet rooms and good food — than on hard measures of health care quality. At hospitals with the lowest death rates, patient satisfaction tended to be higher, but only by a small amount, the study found. Instead, quiet, comfort and friendly staff were much stronger influences. It’s not exactly surprising: Patients know whether their food is palatable, their room is comfortable or hospital staffers are responsive, noted Cristobal Young, the lead researcher. “Those front-stage factors are visible to them,” said Young, an associate professor of sociology at Cornell University in Ithaca, N.Y. The “backstage” happenings, meanwhile, are critical, but not necessarily apparent. “The steps a hospital takes to control infection, for example, are very important,” Young said. “But they’re not visible to us.” And if patient satisfaction ratings do not capture those variables, people should take Yelp reviews with a grain of salt, according to Young. The study, published recently in the journal Social Forces, conflicts with some past research that found high patient-satisfaction ratings do correlate with the quality of a hospital’s medical care. But the fact that medical care affects patient… read on >

Given a choice, seagulls prefer food that’s been handled by humans, a new British study finds. This suggests that the birds may watch you when deciding what to scavenge, according to the researchers. “We wanted to find out if gulls are simply attracted by the sight of food, or if people’s actions can draw gulls’ attention towards an item,” said study lead author Madeleine Goumas. She’s with the Centre for Ecology and Conservation at the University of Exeter in Cornwall. “Our study shows that cues from humans may play an important part in the way gulls find food, and could partly explain why gulls have been successful in colonizing urban areas,” Goumas said in a university news release. In the study, researchers placed two wrapped oat bars on the ground in front of 38 herring gulls. A researcher picked up and handled one of the bars for 20 seconds and then put it back on the ground, but did not touch the other bars. Of the 24 gulls that pecked at one of the oat bars, 19 (79%) pecked at the one handled by a researcher. The experiment was repeated with sponges cut into the same size and shape as the oat bars. The gulls’ preference for the handled sponge did not exceed “chance levels.” This suggests that human handling draws their attention to food… read on >

Walking on America’s streets is getting ever more dangerous, a new report shows. Based on data from the first six months of 2019, the Governors Highway Safety Association (GHSA) predicts there were 6,590 pedestrian deaths that year, which would be a 5% increase over the 6,227 pedestrian deaths in 2018. The 2019 figure is the highest number of such deaths in more than 30 years, according to the association. “In the past 10 years, the number of pedestrian fatalities on our nation’s roadways has increased by more than 50%,” said GHSA Executive Director Jonathan Adkins. “This alarming trend signifies that we need to consider all the factors involved in this rise, identify the high-risk areas, allocate resources where they’re needed most, and continue to work with local law enforcement partners to address the chronic driver violations that contribute to pedestrian crashes,” Adkins said in an association news release. Pedestrians are projected to account for 17% of all traffic deaths in 2019, compared to 12% in 2009, according to the GHSA’s annual Spotlight on Highway Safety report, released Thursday. While there’s been a significant increase in pedestrian deaths over the past decade, the number of all other traffic deaths increased by only 2%. Overall, traffic deaths in the first half of 2019 are projected to be 3.4% lower than in the first half of 2018, according… read on >

In a sign that suggests America’s obesity epidemic is far from under control, a new government report shows that more than 40% of people in the United States are obese. And almost 1 in 10 is severely obese, the researchers added. “Over the time period from 1999 to 2018, the obesity prevalence increased about 12% — from 30.5% of Americans to 42.4% of Americans. Severe obesity almost doubled,” said study author Dr. Craig Hales. He’s a medical epidemiologist with the National Center for Health Statistics (NCHS) at the U.S. Centers for Disease Control and Prevention. Much more than just a cosmetic issue, obesity is associated with type 2 diabetes, heart disease, high blood pressure, stroke, fatty liver disease, sleep apnea, arthritis, gallbladder disease and more, according to the U.S. National Institute for Diabetes and Digestive and Kidney Diseases. Obesity is defined as a body mass index (BMI) of 30 or higher. Severe obesity means a BMI of 40 or above. BMI is a rough estimate of a person’s body fat based on their height and weight. Someone who is 5-foot-10 is obese when they reach 210 pounds. That same person would be considered severely obese at 280 pounds, according to CDC estimates. Hales said there’s no easy answer to this growing public health threat. “Obesity is a very complex health issue associated with many different… read on >

Starting the day with a big breakfast and keeping dinner light may help you burn more calories and keep you trimmer, new research suggests. Eating this way may also keep your blood sugar levels from going too high, the small study found. “Extensive breakfasting should be preferred over large dinner meals,” said study lead author Juliane Richter, of the University of Lubeck’s Center of Brain, Behavior and Metabolism in Germany. “This recommendation can be applied to healthy people to prevent metabolic diseases [such as diabetes], as well as to patients with overweight and obesity to reduce body weight,” she added. How could eating breakfast improve your weight and blood sugar levels? Richter said the reason isn’t clear yet and more study is needed. But it appears that digestion and metabolism keep pace with the body’s internal clock, she said. Another reason may be that if you don’t eat enough earlier, you’ll be more hungry throughout the day, Richter said. That could lead to overeating, or to eating the wrong kinds of foods later in the day. She also noted more calories are burned in the morning, so it just makes sense to eat more when calorie-burning is at its peak. But not everyone is convinced that a big breakfast is a must. Samantha Heller, a dietitian with NYU Langone Health in New York City, reviewed… read on >

A spirited game of ping pong may be more than just fun: New research suggests it could quell symptoms in Parkinson’s patients. The small study found that patients with the movement disorder had significant improvements in a wide range of symptoms after taking part in a six-month ping pong exercise program. “Ping pong, which is also called table tennis, is a form of aerobic exercise that has been shown in the general population to improve hand-eye coordination, sharpen reflexes and stimulate the brain,” said Dr. Ken-ichi Inoue, from Fukuoka University in Japan. “We wanted to examine if people with Parkinson’s disease would see similar benefits that may in turn reduce some of their symptoms,” Inoue explained. The study included 12 patients, average age 73, who had mild to moderate Parkinson’s disease and had been diagnosed with the disease for an average of seven years. The patients were assessed for symptoms and symptom severity, and then they played ping pong once a week for six months. During each weekly five-hour session, they did stretching exercises followed by ping pong with instruction from an experienced player. The program was developed by experienced ping pong players in the university’s department of sports science, specifically for Parkinson’s disease patients. Three and six months after they started the ping pong program, the patients had significant improvements in speech, handwriting, getting… read on >

Sugar-sweetened drinks can play havoc with your cholesterol and triglyceride levels, which increases your risk for heart disease and stroke, a new study finds. Specifically, drinking more than 12 ounces (1 standard can) of sugary sodas or fruit drinks a day may not bode well for your cardiovascular health, researchers say. “Think before you drink. There is accumulating evidence linking sugar-sweetened beverages to adverse health outcomes, and this message is clear,” said lead researcher Nicola McKeown, a nutritional epidemiologist at the Jean Mayer U.S.D.A. Human Nutrition Research Center on Aging at Tufts University in Boston. According to the researchers, drinks such as sodas, sports drinks and fruit-flavored drinks are the biggest source of added sugars for Americans. “Efforts and policies aimed at reducing sugar-sweetened beverage intake should continue,” McKeown said. “When it comes to alternative beverages, we need more information about what we are putting into our glasses and how that may make a difference in our health, positively or negatively.” McKeown and her team found that drinking more than 12 ounces of sugary drinks a day was linked to a 53% higher odds of high triglycerides and a 98% higher odds of low HDL cholesterol (the “good” cholesterol), compared with drinking less. The findings came from data on nearly 6,000 people who took part in the Offspring and Generation 3 Framingham Heart Study. Participants… read on >

A $2.5 billion plan to fight the coronavirus outbreak was sent by the White House to Congress on Monday evening, as countries around the world raced to stem outbreaks of “untraceable” cases of the virus. The money would be used for vaccines, treatment and protective equipment, the Associated Press reported. While $1.25 billion would be new funding, the request also asks that $535 million be shifted over from an Ebola preparedness account. The package was announced as financial markets plunged on Monday, with the Dow Jones Industrial average dropping 1,000 points as fears of a COVID-19 pandemic began to intensify. As of Monday, the U.S. Centers for DIsease Control and Prevention website was reporting that 53 Americans have now tested positive for coronavirus, a jump up from the 35 reported last week. The new cases were detected in Americans who were evacuated from the Diamond Princess cruise ship in Japan early last week. All of those evacuees are under quarantine in the United States. Clusters of cases arising in South Korea, Italy and Iran with no clear ties to outbreak’s epicenter in China have heightened concerns about local, self-sustaining epidemics and a global pandemic. In a pandemic, outbreaks occur on more than one continent. As of Tuesday, there were more than 80,000 cases of COVID-19 and nearly 2,700 deaths globally. “We are worried about the… read on >

A specific collection of gut bacteria may be a culprit in the development of pulmonary arterial hypertension (PAH), a new study shows. PAH is a chronic disease marked by the narrowing of arteries that supply blood to the lungs. With constant high blood pressure in these arteries, the right side of the heart is forced to work harder, which can result in right-sided heart failure. Symptoms of PAH include shortness of breath, heart palpitations and fatigue. Microbiota, bacteria found in everyone’s gut, aid in digestion. The study showed that having a particular microbiota profile predicted PAH with 83% accuracy. “We showed for the first time that specific bacteria in the gut are present in people with PAH. While current PAH treatments focus on the lungs, looking at the lung/gut axis could open the door to new therapies centered in the digestive system,” said lead study author Mohan Raizada. He is a distinguished professor in the department of physiology and functional genomics at the University of Florida College of Medicine in Gainesville. Stool samples from 18 PAH patients and 12 people without cardiopulmonary disease history were collected for the study. The unique bacteria found in the stool of PAH patients led to the association. The findings were published Feb. 24 in the journal Hypertension. Raizada and his team are eager to learn how this bacteria impacts… read on >

A coronavirus pandemic looked ever more likely on Monday as multiple countries around the world raced to stem outbreaks of “untraceable” cases of the virus. Clusters of cases arising in South Korea, Italy and Iran with no clear ties to outbreak’s epicenter in China have heightened concerns about local, self-sustaining epidemics and a global pandemic. In a pandemic, outbreaks occur on more than one continent. As of Monday, there were more than 79,000 cases of COVID-19 and 2,600 deaths globally. “We are worried about the situation in the Islamic Republic of Iran and in Italy,” Tedros Adhanom Ghebreyesus, director of the World Health Organization, said Monday. “It is an incredible time. Less than two months ago, the coronavirus was completely unknown to us,” Ghebreyesus said. “The past few weeks have demonstrated just how quickly a new virus can spread around the world and cause widespread fear and disruption.” As reported Monday by Associated Press, the list of countries with burgeoning case counts includes: South Korea. Total cases of COVID-19 have risen from just 28 last week to 833 by Monday. Seven people have died. South Korea now has the most cases behind China and Japan. Most of the South Korean cases are centered in the southern city of Daegu, and more than half are concentrated among members of the Shingeongji religious group. The president of… read on >

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All Sauce from Weekly Gravy:

It’s Not Medical Outcomes That Drive Patients’ Hospital Reviews

What Makes Your Food So Attractive to Seagulls?

Record Number of Pedestrian Deaths Seen in U.S.

More Than 4 in 10 Americans Are Now Obese: CDC

Big Breakfast May Be the Most Slimming Meal of the Day

Paddles Against Parkinson’s: Ping Pong Might Ease Symptoms

Sugary Sodas Wreak Havoc With Cholesterol Levels, Harming the Heart

$2.5 Billion Coronavirus Plan Sent to Congress as Nations Race to Stem Outbreaks

Certain Gut Bacteria Tied to Lung Vessel Disease

Global Coronavirus Outbreaks Stoking Fears of Pandemic