The U.S. Food and Drug Administration announced Monday that it has joined up with the Department of Justice and several other federal agencies to do more to stop the sale of illegal e-cigarettes in this country. In launching the newly created task force, the FDA aims “to coordinate and streamline efforts to bring all available criminal and civil tools to bear against the illegal distribution and sale of e-cigarettes responsible for nicotine addiction among American youth,” the agency said in a news release. “Enforcement against illegal e-cigarettes is a multi-pronged issue that necessitates a multi-pronged response,” Dr. Brian King, director of the FDA’s Center for Tobacco Products, explained in the release. “This ‘All Government’ approach — including the creation of this new task force — will bring the collective resources and experience of the federal government to bear on this pressing public health issue.” Anti-smoking groups welcomed the news. “The creation of this task force can be an important step in preventing youth use of e-cigarettes, which are endangering the health and well-being of young people,” Yolonda Richardson, president and CEO of the Campaign for Tobacco-Free Kids, said in a statement. “We encourage the Administration to take an aggressive approach in clearing the market of illegal e-cigarette products, which the public health community has been requesting consistently and most recently urged in a letter to… read on > read on >
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Failure’s ‘Benefits’ Might Be Overrated
Winston Churchill once said, “Success consists of going from failure to failure without loss of enthusiasm.” It’s one of countless platitudes claiming that failure leads to success. But there’s strong evidence that such a notion is wrongheaded and can lead to terrible real-world consequences, researchers said in a new report. In fact, many people do not learn from their failures, and it’s folly to expect otherwise, according to findings published June 10 in the Journal of Experimental Psychology: General. “People often confuse what is with what ought to be,” lead researcher Lauren Eskreis-Winkler, an assistant professor of management and organizations at Northwestern University, said in a news release. “People ought to pay attention and learn from failure, but often they don’t because failure is demotivating and ego-threatening.” A series of 11 experiments involving more than 1,800 participants found that people often don’t gain wisdom from failure, and that expecting them to do so can have potentially terrible consequences: People vastly overestimated the percentage of prospective nurses, lawyers and teachers who pass licensing exams after previously failing them. Nurses tended to overestimate how much colleagues would learn from a past error. People assumed that heart patients would embrace a healthier lifestyle, when many don’t. “People expect success to follow failure much more often than it actually does,” Eskreis-Winkler said. “People usually assume that past behavior predicts… read on > read on >
Taking a GLP-1 Medicine? Here’s What Experts Say You Should Eat
Folks using a weight-loss drugs like Ozempic, Wegovy or Zepbound still have nutritional requirements for good health, even if they’re eating less. A new set of nutritional recommendations are expected to help people remain healthy even as they shed unwanted pounds, researchers say. The guidelines are meant “to equip clinicians with knowledge and tools to help support optimal nutritional and medical outcomes for their patients treated with anti-obesity medications,” researcher Lisa Neff, executive director of global medical affairs for Eli Lilly and Company, said in a news release. Eli Lilly makes Zepbound. The guidelines, crafted following an evidence review, call for women taking a weight-loss drug to eat between 1,200 to 1,500 calories a day. Men using the medication should eat 1,500 to 1,800 calories a day. A day’s food should include: More than 60 to 70 grams of protein. Recommended sources include beans, seafood, lean meat, poultry, low-fat dairy and eggs. Healthy carbohydrates constituting 45% to 65% of overall energy intake, with added sugars limited to less than 10% of intake. Whole grains, nuts and seeds, fruits, vegetables and dairy are recommended. Fats constituting between 20% and 35% of energy intake, with saturated fats limited to less than 10% of intake. Nuts, seeds, avocado, vegetable oil, fatty fish and seafood are recommended; avoid fried and high-fat foods due to gastro-intestinal effects associated with weight-loss… read on > read on >
Another Study Finds Lung Cancer Screening Saves Lives
Lung cancer patients who underwent screening were more apt to be diagnosed at earlier stages and have better outcomes than patients who were not screened, new research shows. The findings — from a study of close to 58,000 patients diagnosed through the U.S. Veterans Health Administration — underscore the importance of early detection through screening. Lung cancer is the No. 1 cancer killer worldwide. Current recommendations urge annual screening for 50- to 80-year-olds with a history of smoking a pack a day or more for the last 20 years or two packs a day for the last 10. Clinical trials have shown screening with computed tomography (CT) scans to be beneficial, but real-world data have been scarce. This study of U.S. veterans gauged the impact of screening prior to a lung cancer diagnosis. Researchers found that patients who were screened had higher rates of early stage cancer diagnoses than those who were not screened — 52% versus 27%. Over five years, they also had lower rates of premature death from any cause (49.8% versus 72.1%) as well as death from cancer (41% versus 70.3%). “It is incredible to witness how dedicated national efforts to increase lung cancer screening from the Lung Precision Oncology Program can lead to substantial improvements in lung cancer outcomes,” said co-author Dr. Michael Green of the University of Michigan and the… read on > read on >
Just 18% of People Who Need Lung Cancer Screening Get It
Only a fraction of Americans are getting recommended lung cancer screenings, new research shows. While rates overall are up slightly, fewer than 1 in 5 people who are eligible for screening are up-to-date with it, according to the American Cancer Society-led study. The society and the U.S. Preventive Services Task Force recommend a yearly computed tomography (CT) scan for people who are at high risk for lung cancer. Those include current smokers between the ages of 50 and 80 as well as those who quit less than 15 years ago. “We, clearly, still have a long way to go,” said Priti Bandi, scientific director of cancer risk factors and screening surveillance research at the American Cancer Society (ACS). She said screening is critical because lung cancer often has no symptoms in the early stages. “When diagnosed and treated early, survival is markedly improved,” Bandi added in an ACS news release. For the study, researchers analyzed data from close to 26,000 Americans who were eligible for lung cancer screening. More than 61% were smokers, 54% were men and 64% were over 60. Nearly 8 in 10 were white people. Overall, 18% had been screened for lung cancer. Rates varied from state to state, with lower rates in the South, where seven states have not expanded eligibility for Medicaid. Screening rates rose with age — from 6.7%… read on > read on >
Study Supports Safety of High-Dose General Anesthesia
Older adults who avoid surgery because they fear general anesthesia will cause thinking declines need not worry, researchers report. A study of more than 1,000 patients who had heart surgery at four hospitals in Canada found that the amount of anesthesia used did not affect the risk of delirium after surgery. Post-surgery delirium may contribute to cognitive decline. How much anesthesia to give requires striking a delicate balance between too much and little. About 1 in 1,000 people wake up during their surgery, unable to move or signal their pain or distress. This can cause lifelong emotional trauma. “The good news is that the distressing complication of intraoperative awareness can be more reliably prevented,” said senior study author Michael Avidan, head of anesthesiology at Washington University School of Medicine. “Anesthesia clinicians can now confidently administer a sufficient dose of general anesthesia, providing a margin of safety for unconsciousness, without being concerned that this will put their patients’ brains at risk.” The new study adds to other “compelling” evidence that higher doses are not toxic to the brain, he added in a university news release. Previous smaller studies have suggested that too much anesthesia could cause postoperative delirium, which affects about 25% of older patients after major surgery. Its hallmarks include confusion, altered attention, paranoia, memory loss, hallucinations and delusions. Though it is usually short-lived, this… read on > read on >
What Is the Planetary Health Diet, and Can It Extend Your Life?
A plant-based eating regimen designed to save the Earth also saves people’s lives, a large study confirms. “Shifting how we eat can help slow the process of climate change,” said corresponding author Dr. Walter Willett, a professor of epidemiology and nutrition at Harvard T.H. Chan School of Public Health. “And what’s healthiest for the planet is also healthiest for humans.” Known as the Planetary Health Diet (PHD), the regimen emphasizes minimally processed plant foods, while modest intake of meat and dairy foods are allowed. While other studies have shown that plant-based diets have benefits for the planet and people alike, most have looked at one point in time. The new study drew on health data from more than 200,000 men and women who were followed for up to 34 years. Researchers found those whose diets most closely hewed to the PHD regimen had a 30% lower risk of early death compared to those whose diets were the least like it. That was true for every major cause of death — cancer, heart disease and lung disease, the study found. None of the participants had major chronic illnesses at the outset. They completed dietary questionnaires every four years and were scored based on intake of 15 food groups, including veggies, poultry, whole grains and nuts. Those whose eating habits were closest to the PHD had a… read on > read on >
Experimental GLP-1 Med Might Be Breakthrough Against Fatty Liver Disease
An experimental ‘supercharged’ form of popular GLP-1 weight-loss meds could help ease fatty liver disease, a new trial suggests. The drug under development, survodutide, helped up to 83% of patients gain real improvements in markers of fatty liver disease, a widespread and potentially lethal condition often linked to obesity. Right now, there’s only one drug, resmetirom, approved by the U.S. Food and Drug Administration to fight fatty liver disease, and not all patients can use it. Survodutide “could be a game-changer” against the illness, said study lead researcher Dr. Arun Sanyal. He directs the Stravitz-Sanyal Institute for Liver Disease and Metabolic Health and is a professor at Virginia Commonwealth University (VCU) in Richmond. The trial was funded by Boehringer Ingelheim, the drug company developing survodutide. Results were published June 7 in the New England Journal of Medicine. Fatty liver disease is shorthand for metabolic dysfunction-associated steatohepatitis (MASH). According to a news release from VCU, about 1 in every 4 people globally are affected by the condition. A healthy liver has a fat content of just 5% or less by weight, but in MASH fat can rise to unhealthy levels that put people at risk for cirrhosis, liver cancer or even the need for a liver transplant. Obesity is a prime factor driving fatty liver disease. The new trial isn’t the first to suggest that a… read on > read on >
Your Head Aches: What Could It Mean, and What Can Be Done About It?
When there’s pain, pressure and pounding in your head, you might think the worst: Is it a brain tumor? Probably not, a Penn State physician assures. Headache in and of itself is not a common sign of a tumor, because the brain itself doesn’t feel pain, said Dr. John Messmer, medical director at Penn State Health Medical Group. Though a headache might develop if a tumor is causing spinal fluid to build up, most of the time a headache is a headache. But not all headaches are the same. You might have a migraine, a tension headache or a cluster headache — and each responds to different treatment. Here’s how to recognize each type and how to cope: Migraines are severe, pulsating headaches that may happen regularly, sometimes several times a month. They can be preceded by an aura, in which people have blind spots, or see shimmering spots or flashes of light. Migraines usually affect one side of the head or behind the eye and may last for days. Routine physical activity makes them worse. Some migraines are accompanied by stroke-like symptoms, including numbness on one side of the body. These tend to occur in older people who had migraines when they were younger. “If it’s properly diagnosed as a migraine, there are several levels of intervention,” Messmer said in a Penn State news… read on > read on >
This Travel Season, Know Your Risks for Yellow Fever
If tropical lands like South America or Africa are your travel destinations, getting yourself protected against yellow fever before you go is imperative, an expert says. What is yellow fever? According to Dr. Jill Weatherhead, an assistant professor of tropical medicine and infectious diseases at Baylor College of Medicine in Houston, it’s a viral illness endemic to tropical zones that’s spread to humans through the bites of infected mosquitos. Most folks bitten and infected may not show any symptoms. But others will develop symptoms within a week of the bite. “These symptoms include fever, chills, headaches, back pain and myalgias [aches],” Weatherhead said in a Baylor news release. In some people, “the virus can progress to severe disease,” she added. “One in seven people will develop severe yellow fever, which includes high fever or jaundice, which is the yellowing of the skin that is associated with inflammation of the liver or hemorrhagic shock where bleeding can happen.” For folks unfortunate to develop full-blown disease, there’s very little doctors can do since no known antiviral is effective against the illness. The best that can be done is what health care workers call “supportive care.” There are two key methods of preventing yellow fever before it starts, however: Vaccination and mosquito avoidance. “A yellow fever vaccine is available and recommended for all persons nine months and older traveling to… read on > read on >