All Sauce from Weekly Gravy:

Nerve surgery can reduce the number of headache days for people who suffer frequent migraines, a new review finds. The procedure also can decrease the frequency and intensity of migraine attacks, according to results published in the June issue of the journal Plastic and Reconstructive Surgery. “Our study adds new evidence that headache surgery improves both sets of measures, providing a more comprehensive assessment of the results of headache surgery,” said researcher Dr. Jeffrey Janis, a professor of plastic surgery, surgery, neurosurgery and neurology at the Ohio State University Wexner Medical Center. Migraine surgery seeks to relieve nerve compression at trigger sites in the head and neck, researchers explained. This pressure is thought to contribute to headaches. Neurologists assessing migraine treatments tend to focus on whether they reduce the number of days a person has a headache, Janis said. On the other hand, plastic surgeons performing headache surgery typically use an index that evaluates the frequency, intensity and duration of migraines, Janis added. “This discrepancy is one reason why some headache specialists have been slow to recognize the growing body of evidence showing the effectiveness of headache surgery,” Janis noted in a journal news release. For this review, researchers decided to consider both ways of assessing the effectiveness of migraine surgery, so that both groups of professionals could find common ground regarding the procedure. The…  read on >  read on >

Strapping a mask to your face can make for a happier marriage, a new study suggests. Relationships with partners flourish if a person with sleep apnea starts using a continuous positive air pressure (CPAP) machine on a regular basis, researchers found. Snoring is one of the most recognizable symptoms of sleep apnea, and it can reach timber-rattling levels for some. This means both the person with sleep apnea and their partner often lose lots of sleep to the health problem. “No one is at their best when they aren’t sleeping,” said lead researcher Wendy Troxel, a senior behavioral scientist with RAND Corp. “In an age where we see couples going through ‘sleep divorces,’ and roughly 50% of marriages end in actual divorce, recognizing how healthy sleep can contribute to healthy relationships is imperative,” Troxel added. Nearly 30 million Americans have sleep apnea, a chronic disease in which the upper airway collapses repeatedly during sleep, disrupting normal breathing, according to the American Academy of Sleep Medicine. The new study involved 36 couples in which a person with sleep apnea started using a CPAP machine, which uses mild levels of air pressure delivered through a mask to keep the throat open. After three months, the couples reported higher levels of relationship satisfaction and lower levels of conflict if the CPAP machine was regularly used.  “Recognizing that sleep…  read on >  read on >

Cerebral aneurysms: For most people, the word signals a sudden, fatal brain bleed that seemingly comes out of nowhere. However, an expert at Penn State Health says that in many cases these brain blood vessel ruptures are spotted early, before they rupture. And even when they do occur, they are not uniformly fatal. What is a cerebral aneurysm? “An aneurysm is like a blister on a water hose,” explained Dr. Scott Simon, a neurosurgeon at Penn State Health’s Milton S. Hershey Medical Center. “They can happen on any blood vessel in the body.” The trouble is, as they form in the brain in their earliest stages, most people have no idea they’re in any danger. Sometimes, a doctor may spot one in a brain scan conducted for other reasons, Simon said. If a cerebral aneurysm does rupture, about half of the time the event proves fatal, Simon said. Among those who survive, 68% will experience permanent neurological damage. According to Simon, cerebral aneurysms take the lives of half a million people around the world each year. Cerebral aneurysm causes and risk factors According to Simon, the simple answer as to what causes a cerebral aneurysm is, “We don’t know.” Certain risk factors do seem to come into play, however. “We know that they can run in families,” he said in a Penn State news release.…  read on >  read on >

About one in eight U.S. seniors will be treated for a traumatic brain injury, typically during a fall, a new study finds. Medicare data shows that about 13% of seniors suffered a severe concussion during an average follow-up period of 18 years, researchers report. Although these injuries can be treated, they increase the risk of serious conditions like dementia, Parkinson’s disease, seizures, heart disease, depression and anxiety, they added. “The number of people 65 and older with TBI is shockingly high,” said senior researcher Dr. Raquel Gardner, a neurologist with the Sheba Medical Center in Israel. For the study, researchers tracked about 9,200 Medicare enrollees with an average age of 75. Women, white people, the healthier and the well-off appear at higher risk of concussion, according to the data — a finding that runs counter to prior research. For example, about 64% of people who had a traumatic brain injury were female, even though women represented 58% of the total group studied, researchers said. Likewise, about 84% of people in the total group were white, but whites represented 89% of concussions, results show. About 31% of those with traumatic brain injury were in the top 25% of wealth, while 22% were in the lowest quarter, researchers said. Seniors with concussion also were less likely to have lung disease or to struggle with activities of daily…  read on >  read on >

While going through menopause, many women who gain weight head to the gym for intense workouts, but new research suggests that too much exercise may help trigger another side effect: hot flashes. In a report published May 29 in the journal Menopause, investigators found that working out too vigorously may raise the risk hot flashes. By how much? Sharp increases in physical activity raised the chances of both objective and subjective hot flashes by 31% and 33%, respectively. “This study shows a link between increases in physical activity and subsequent subjective and objective hot flashes during both waking and sleeping periods,” Dr. Stephanie Faubion, medical director for the Menopause Society, said in a journal news release. “Clinicians may advise patients of this link while acknowledging the multiple well-known benefits of physical activity.” Meanwhile, temperature was only a contributing factor to subjective hot flashes while sleeping, raising the risk of them by 38%. “Because temperature during sleep affected the odds of having a hot flash, modifications such as the use of lighter-weight blankets and sleepwear, as well as keeping the room temperature cooler, may help with nighttime hot flashes,” Faubion added. Hot flashes are one of the most frequently experienced menopause symptoms, with 80% of women experiencing them, researchers said. Previous studies have shown that a drop in estrogen levels triggers changes in the hypothalamus that…  read on >  read on >

In just one year, U.S. deaths linked to the use of all-terrain vehicles (ATVs) jumped by a third, according to the latest report from the Consumer Product Safety Commission. With another summer set to begin and ATVs brought out of storage, the agency is warning of the dangers from ATVs, also known as off-highway vehicles (OHVs). Children could face the biggest risk of death or severe injury. “Deaths have gone up by 33% and those affected are disproportionately male,” CPSC Chair Alex Hoehn-Saric said in a statement. “We are also seeing more deaths from OHV use in children under 16. We must reverse this trend and put safe riding first by wearing a helmet with proper gear and staying off paved roads.” The agency’s report covered deaths and injuries related to ATV use for the year 2020, that latest for which good data is available. Deaths linked to ATV use jumped by a third compared to rates seen in 2019, the report found. Too often, a young child was hurt or killed. Among ATV-related deaths to kids, 44% involved a child age 12 or younger, the CPSC said. Older Americans were also at high risk: The report found that 30% of ATV-linked deaths occurred in users age 55 or older. Between 2018 and the end of 2022, over 504,000 people were treated for ATV-linked injuries…  read on >  read on >

The wee hours of the morning could be the most dangerous for someone on the brink of suicide or homicide, a new study shows. There’s a five-fold greater risk for suicide and an eight-fold greater risk for homicide between 2 a.m. and 3 a.m. for those awake in the still of the night, researchers report. “Disrupted sleep may acutely impair rational thought, which can drive impulsive behaviors in vulnerable individuals,” said lead study author Andrew Tubbs, a researcher in the University of Arizona’s Sleep and Health Research Program. Statistics show that nearly 19% of suicides and 36% of homicides take place at night, researchers said in background notes. For the new study, they analyzed 15 years of U.S. data involving more than 78,000 suicides and 50,000 homicides. Teens and young adults were three times more likely to commit suicide in the still of the night, researchers reported May 29 in the Journal of Clinical Psychiatry. Nighttime risk of suicide is also higher for people who’ve been drinking and those who’ve been fighting with their partner. However, being awake late did not seem to increase suicide risk among people with a history of suicidal thoughts or prior attempts, results show. The risk for homicide did not vary by age, but young adults accounted for more than half of all homicide victims at night. Waking in the…  read on >  read on >

People who regularly stay up until the wee hours of the morning could be harming their mental health, a new study finds. Regardless of whether people were morning larks or a night owls, they tended to have higher rates of mental and behavioral disorders if they stayed up late, researchers found. The mental health risk associated with staying up late cropped up regardless of a person’s preferred sleep timing, also known as their chronotype. “We found that alignment with your chronotype is not crucial here, and that really it’s being up late that is not good for your mental health,” said senior researcher Jamie Zeitzer, a professor of psychiatry and behavioral sciences at Stanford Medicine, in California. “The big unknown is why.” These findings run counter to previous studies which found that people who stick to their chronotype tend to be healthier, Zeitzer added. For the study, researchers tracked nearly 74,000 middle-aged and older people in the United Kingdom. More than 19,000 said they were morning types, while about 6,800 identified as evening types. The rest fell somewhere in the middle. The participants were asked to wear an activity monitor to track their sleep over seven days. Their preferred sleep timing was then compared to both their actual sleep and their mental health, which was determined through their health records. Analysis showed that night owls…  read on >  read on >

Ambulances meant for people having a mental health crisis could help folks get the care they need with less confrontation and friction, a new study says. People transported to the hospital by a “psychiatric ambulance” required fewer restraints or coercive measures than those transported by the police, according to results from an Amsterdam program. In 2014, Amsterdam introduced a psychiatric ambulance service operated by a trained driver and a psychiatric nurse. It looks just the same as a typical ambulance, but inside it’s stripped of visible medical equipment to create a more tranquil environment. Patients can sit upright or lay on a stretcher, with a soft Velcro restraint or sedative medication available as needed. Researchers compared nearly 500 police transports in the four months prior to introduction of the psychiatric ambulance, and more than 650 ambulance transports that occurred within six months after the service started. They found stark differences when it came to the use of restraints: 86% of people transported by ambulance were not restrained, compared with 57% of those transported by police. 42% of people transported by police were handcuffed, compared to less than 1% who went by ambulance. However, the occurrence of aggressive events was similarly low in both the ambulance and police groups, around 2%. The rates of hospital admission were similar between the two groups, 36% for ambulance versus…  read on >  read on >

Caffeine has been associated with a reduced risk of developing Parkinson’s disease, but a new study says a coffee jolt might not be good for people already diagnosed with the brain disorder. Consuming caffeine appears to blunt the brain’s ability to use dopamine, the hormone that lies at the heart of Parkinson’s symptoms, researchers reported recently in the journal Annals of Neurology. Patients with high caffeine consumption had an 8% to 15% greater decrease in the ability of dopamine to bind with receptors in the brain, compared to those who took in less caffeine, results show.  “While caffeine may offer certain benefits in reducing risk of Parkinson’s disease, our study suggests that high caffeine intake has no benefit on the dopamine systems in already diagnosed patients,” said principal researcher Valtteri Kaasinen, a professor of neurology with the University of Turku in Finland. “A high caffeine intake did not result in reduced symptoms of the disease, such as improved motor function,” Kaasinen added in a university news release. Parkinson’s occurs when nerve cells that produce the brain chemical dopamine start to die.  Reduced levels of dopamine wind up causing the movement problems associated with the disease, including tremors, muscle stiffness and impaired balance and coordination. For this study, researchers performed brain scans on 163 early-stage Parkinson’s patients and 40 healthy people. The scans tracked changes in…  read on >  read on >