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A gene therapy that tweaks the immune system might offer hope to people with blood cancer that has resisted standard treatments, a new preliminary trial suggests. The cancer, called multiple myeloma, arises in certain white blood cells. It is currently incurable, but there are treatments that can help people live with the disease for years. However, most people eventually progress, and some fail to respond to the available therapies at all. The new study involved 33 patients just like that: They’d typically had seven to eight rounds of various treatments and were out of options. So researchers tried a recently developed approach that harnesses the immune system’s cancer-killing potential: CAR T-cell therapy. It involves removing immune system T-cells from a patient, then genetically altering them to be armed with chimeric antigen receptors, or CARs. That allows the T-cells to recognize and attack cancer cells once they are infused back into the blood, said senior researcher Dr. James Kochenderfer. CAR T-cell therapy is already approved for certain cases of leukemia and lymphoma — two other types of blood cancer. But the approach is not one-size-fits-all. CARs have to target a protein specific to the cancer, explained Kochenderfer, a scientist with the U.S. National Cancer Institute. In this study, his team used CARs that recognize a protein on multiple myeloma cells, called BCMA. The investigators found that…  read on >

(HealthDay News) — A chemical peel can reduce signs of aging and treat a variety of skin conditions, says the American Academy of Dermatology. Acne, discoloration, freckles and sun-damaged skin are some of the many conditions commonly treated with a peel. After treatment, patients often see smoother skin, a brighter complexion, a more-even skin tone and fewer wrinkles. However, before considering treatment, it is important to remember that chemical peels are considered cosmetic treatments, so insurance may not cover the cost.

When you want to create a festive celebration without a fat and calorie overload, a seafood-based salad is the perfect choice. To step up the extravagance, make it with crabmeat. Crab is high in vitamin B12 and is a delicious, lean protein to pair with fresh greens. If you’re buying pre-packaged crabmeat, check it for any bits of shell, then give it a rinse under cold running water and set it aside to drain before using. You can also buy king crab legs at your fish counter and easily pick the meat out of the shells yourself after steaming them. Another special ingredient in this salad is low-calorie hearts of palm, the tender center of a plant typically found in Costa Rica. It gives this salad an exotic spin and a zesty flavor. You can find hearts of palm in cans or glass jars at most markets. Both parts of this recipe can be made in advance. Drizzle on the dressing just before serving to avoid making the greens soggy. Citrusy Crab Salad For the salad: 4 cups baby spinach, rinsed and drained 4 hearts of palm stalks, rinsed, drained and sliced into discs 6 ounces crabmeat, picked over, rinsed and drained 1 avocado, thinly sliced For the dressing: 1 navel orange 2 tablespoons extra-virgin olive oil 1/2 teaspoon Dijon mustard 1/2 teaspoon salt 1/4…  read on >

“No sex for six weeks” used to be the standard advice following childbirth and, according to many doctors, it is still a good practice to allow healing. But it’s not a hard-and-fast rule. Although a woman is at the highest risk for infection during the first two weeks postpartum (a period that could be longer if she had vaginal tears or a cesarean section delivery), the current approach is to let how a woman feels guide her. Still, for many women, the return to intimacy doesn’t always follow a schedule. Problems like vaginal dryness, painful sex and a lack of desire can stand in the way, often for months after childbirth. A study of 832 new moms published in the journal BMC Pregnancy & Childbirth found that after six months 46% reported a lack of interest in sex, nearly as many experienced vaginal dryness and for 37% sex was painful. These problems weren’t always connected to having had an episiotomy or vaginal tears. A lack of natural lubrication and even breastfeeding, which has been associated with a negative body image, were other underlying reasons. Another study of new moms, this one published in Obstetrics & Gynecology, found that other problems, not directly involving sexual function but affecting sexual desire, can start as early as one month postpartum and continue for six or more months. They…  read on >

Need to see your doctor, but can’t take time off from work? There’s an app for that. And new research shows patients find the ability to see a doctor “virtually” convenient and satisfying. Nine out of 10 people who had a virtual visit with a doctor said it was more convenient than other ways of getting care, and it addressed their medical needs. Only four in 10 said they would prefer an in-person appointment, the researchers found. “Patients had a very strong response to the convenience and quality of video visits. Eighty-four percent said these visits improved the relationship with their provider,” said Mary Reed, a research scientist at the Kaiser Permanente Northern California Division of Research, in Oakland. Though some patients preferred in-person visits, Reed noted that telemedicine “isn’t an either/or choice. A video visit might be just fine for some experiences. And some patients are more comfortable with in-person.” Millions of Americans have had virtual doctor visits over their phone, tablet or computer, according to the researchers. Some telemedicine services are virtual-only and don’t have in-person facilities. The current study looked at a hybrid system, however. Kaiser Permanente Northern California offers virtual visits to its primary care patients. Reed said patients were able to have a visit with their own physician about 70% of the time. If they couldn’t see their own physician,…  read on >

Sticking with a diet starts with having a plan that maps out meals and snacks based on foods that help you feel full longer. After all, if you feel satisfied, you’ll be less likely to rummage through your kitchen cabinets looking for treats. But sometimes cravings can get the better of you. You might be tempted by the whiff of a bakery as you walk to work, want something sweet to cheer you up when you’re down, or just reach for food because you’re bored. The answer is to create a strategy for dealing with a craving as soon as you feel one coming on. Pick a time when you’re not hungry (perhaps right after a meal) to plan how you’ll cope with a craving. Write down actions that you can take that fit with your lifestyle. This way, you’ll enjoy the alternative course of action rather than feeling like you’re punishing yourself. Your “best” action might be doing a crossword, picking up a crochet project or turning on dance music. What if you feel a craving this very second? Here are four things you can do right now: Phone a friend. Sometimes calling in reinforcements can keep you on track or simply divert your attention from food. Try to find nonfood topics of conversation, and chat until the craving passes. Drink a tall glass…  read on >

Asthma inhalers can’t do the job if they’re not used correctly. And that’s an issue for many children, U.S. researchers say. “We know from past studies that both parents and children overestimate the ability of children to properly use their inhaler,” said study author Dr. Anna Volerman, from the University of Chicago. The study included 65 pairs of parents and children, ages 8-14, who had asthma and used inhalers. The children went to four Chicago public charter schools. Nine in 10 children were black and most parents were women. The researchers found that 97% of the children misused their inhaler. Only one child showed mastery, according to the study in the journal Annals of Allergy, Asthma and Immunology. Many parents had misplaced confidence in their children’s ability to use their inhaler to ease their respiratory distress. Only 4% of children whose parents were confident in their use of an inhaler actually used the device properly. None of the parents underestimated their children’s ability to use an inhaler. The study also found that only 5% of children who were confident in their inhaler technique used their inhaler flawlessly. “We examined whether parent and child confidence were the same and whether either was a good sign of the child’s actual ability to use the inhaler correctly,” Volerman said in a journal news release. “We found most parents…  read on >

Treating men with low-risk prostate cancer with just one high dose of radiation may be safe and effective, British researchers report. Therapy for prostate cancer typically involves low-dose radiation given over several days or weeks. Conversely, high-dose radiation is given once through a set of tiny tubes inserted directly into the tumor. “For low-risk patients, a single dose of high-dose radiation is sufficient, but for medium- and high-risk patients, a single dose of 19 Gy isn’t enough. They will likely need a bigger dose or going back to multiple doses,” said lead researcher Hannah Tharmalingam. She’s a clinical research fellow at the Mount Vernon Cancer Centre in Northwood, England. According to Tharmalingam, high-dose radiation could be more convenient for low-risk patients, and less time-consuming and costly for the medical system. But one radiation oncologist fears that the side effects make it potentially dangerous. For the study, Tharmalingam and her colleagues treated 441 prostate cancer patients between 2013 and 2018. The cancers were classified as low-, medium- or high-risk. All of the men were treated with one high dose of 19 Gy of radiation, which is equivalent to the total amount of radiation given over several days with current treatments, Tharmalingam said. In addition, 166 men were also given hormone therapy. None of the men, however, had surgery or chemotherapy. For comparison, men with prostate cancer…  read on >

Another reason breast is best: Breast milk boosts levels of chemicals crucial for brain growth and development in premature babies with a very low birth weight, a new study reveals. “Our previous research established that vulnerable preterm infants who are fed breast milk early in life have improved brain growth and neurodevelopmental outcomes,” said Catherine Limperopoulos, director of MRI research of the developing brain at Children’s National Health System in Washington, D.C. However, she added, “It was unclear what makes breastfeeding so beneficial for newborns’ developing brains.” For the new study, her team used “proton magnetic resonance spectroscopy” to solve the mystery. The non-invasive imaging reveals the chemical makeup of specific brain structures, enabling researchers to measure metabolites essential for growth. With this technology, the researchers examined the brains of very low birth weight babies (under 3.3 pounds). The infants were born after no more than 32 weeks of pregnancy. The team focused on the right frontal white matter and the cerebellum, a brain region that’s involved in balance, muscle coordination and supports high-order mental functions. Compared to formula-fed babies, those fed breast milk had significantly higher levels of inositol in the cerebral white matter, and significantly higher creatine levels. Study lead author Katherine Ottolini explained that “key metabolite levels ramp up during the times babies’ brains experience exponential growth.” The percentage of days infants…  read on >

Parents and doctors often overlook how overweight kids are, which could leave youngsters at increased risk for health problems linked to excess weight, British researchers say. They reviewed 87 studies that included nearly 25,000 children, age 19 and younger, and their parents. The researchers found that 55% of parents underestimated how much excess weight their children were carrying, and 34% of kids underestimated their own weight. Even health care providers sometimes missed the mark. Parents of younger kids were less likely to recognize a weight problem, and were less accurate at gauging boys’ weight than girls’. Overweight parents and those with less education were more likely to underestimate their child’s weight problem. In some of the studies reviewed, parents often described their children as big-boned, thick or solid, and they demonstrated a strong desire to avoid labeling their child obese. The research review is to be presented Saturday at the European Congress on Obesity (ECO) in Glasgow, Scotland. Studies presented at meetings are typically considered preliminary until published in a peer-reviewed journal. This research dovetails with a 10-fold increase over four decades in the number of obese children and teens worldwide — from 5 million girls in 1975 to 50 million in 2016, and from 6 million to 74 million boys. “Despite attempts to raise public awareness of the obesity problem, our findings indicate that…  read on >