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At Rutgers New Jersey Medical School’s trauma center, Dr. Stephanie Bonne and her team noticed a string of patient injuries caused by broken glass tables. “They were quite serious, significant injuries that required pretty big operations and long hospital stays,” said Bonne, who is an assistant professor of surgery and trauma medical director. “We wanted to see, is there anything that’s known about this that we can figure out. And, if not, maybe we should talk about it.” Bonne’s group found more than 3,200 U.S. cases of glass table-related injuries requiring trauma center care occurring between 2009 and 2015. The data was collected from the 96 sample hospitals included in the National Electronic Injury Surveillance System database. More than half of the injuries were traced to faulty glass tables, the researchers noted. Multiplying that by the almost 5,000 emergency care centers nationwide, Bonne’s team estimated there are about 13,800 U.S. cases of severe injury tied to glass tables each year. The team also looked more closely at the 24 cases that their Level 1 trauma center treated between 2001 and 2016. In this smaller grouping, the investigators found that half of their patients experienced injuries to their deep organs, upper torso, abdomen or joint cavities and required surgery. About 8% died within a month of injury. Most of the injuries were suffered by children younger…  read on >

MONDAY, Sept. 21, 2020 (Healthday News) — As the U.S. coronavirus case count neared 200,000 on Monday, public health experts debated whether the spread of the virus will continue to slow or a new surge will come, as cold weather returns to much of the country. “What will happen, nobody knows,” Catherine Troisi, an infectious disease epidemiologist at The University of Texas Health Science Center at Houston, told The New York Times. “This virus has surprised us on many fronts, and we may be surprised again.” In the United States, fewer new coronavirus cases have been detected week by week since late July, but the nation’s daily count of new cases has started to climb again in recent days, the Times reported. Meanwhile, at least 73 other countries are seeing second surges in new cases. Dr. Tom Inglesby, director of the Center for Health Security at the Johns Hopkins Bloomberg School of Public Health in Baltimore, told the Times it was conceivable that the death toll in the United States could reach 300,000 if Americans start to relax social distancing measures. As case counts started trending upward again, 1,400 public schools in New York City reopened Monday for nearly 90,000 pre-K students and children with advanced disabilities. The remaining 1 million students will start their school year online, with the option of returning to classrooms…  read on >

Dealing with acne can be especially difficult for people of color, a skin expert says. Acne affects up to 50 million people in the United States each year. For people of color, acne is often accompanied by dark spots or patches called hyperpigmentation. “Acne is the most common skin condition in the U.S., and it can be particularly frustrating for people with skin of color because of the discoloration and scarring that can occur after blemishes heal,” said Dr. Crystal Aguh, a dermatologist in Columbia, Md. “For these reasons, it’s critical to treat acne in skin of color carefully and avoid skin care products that can exacerbate discoloration,” she explained in an American Academy of Dermatology news release. For mild acne, try using products that contain a retinoid and benzoyl peroxide or a product containing salicylic acid or retinol. Use only skin care labeled “non-comedogenic” or “won’t clog pores,” since clogged pores can lead to breakouts. Don’t use skin care products that contain cocoa butter, as these can cause acne. Always check with your dermatologist before using at-home or herbal remedies, Aguh advised. Don’t pick, squeeze or pop your acne, as this can lead to scarring, she said. This is especially important for people with darker skin tones, as they’re more prone to developing post-inflammatory hyperpigmentation — which appears as dark spots on the skin…  read on >

FRIDAY, Sept. 18, 2020 (Healthday News) — New details surfaced on Thursday on an unexplained neurological condition that struck a volunteer who was participating in AstraZeneca’s coronavirus vaccine trial. In an internal safety report obtained by CNN, company officials describe how a healthy 37-year-old woman “experienced confirmed transverse myelitis” after receiving her second dose of the vaccine. She was hospitalized on Sept. 5. The report describes how the patient had the first dose of the coronavirus vaccine in early June and was fine. She received her second dose in late August. While out running on Sept. 2, she “had a trip [not fall] with a jolt.” The report noted that she did not have any obvious injury to her spine when examined, according to CNN. The next day, the report said, she had difficulty walking, pain and weakness in her arms, pain and reduced sensation in her torso, a headache and reduced ability to use her hands. The report mentions twice that the woman was diagnosed with “confirmed” transverse myelitis, CNN reported. The condition, which can be triggered by viruses, causes inflammation in the spine. No other similar cases have been diagnosed among other study volunteers, according to the report. The woman’s neurologist also noted that the woman has started to feel better. The report, dated Sept. 10, was sent out to doctors who are…  read on >

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 >

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 >

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 >

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 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 >

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 >