As obesity rises among U.S. kids and teens, the number of weight-loss surgeries is growing, too. Metabolic and bariatric surgeries among 10- to 19-year-olds rose by nearly 20% between 2020 and 2021, after climbing since 2016, a new study finds. The jump is especially notable among those from racially and ethnically diverse backgrounds, who are packing on pounds more readily than white kids, the researchers said. “This analysis shows that families are making the decision to pursue bariatric surgery more frequently year-over-year, and among those from racially and ethnically diverse backgrounds in particular,” said Sarah Messiah, study co-author and a professor of epidemiology at the University of Texas Health Houston School of Public Health. “This is an important finding given the disparities in cardiometabolic disease risk factors that disproportionately impact these groups,” she said in a UT Health news release. The rise in bariatric surgeries is in line with the American Academy of Pediatrics’ new guidelines. The children’s health organization recommends lifestyle changes, surgery and medication for the treatment of obesity in adolescents. “We were particularly interested in utilization trends after the American Academy of Pediatrics released a statement in late 2019 endorsing more access to surgery for adolescents for the first time. Our analysis suggests that these access channels are being utilized, and more frequently, even during the COVID-19 pandemic,” Messiah said. About 20%…  read on >  read on >

MONDAY, June 5, 2023Understanding circumcision can help you speed your baby boy’s healing process and be aware of any complications that may arise. Here, professionals offer advice on what circumcision is, the pros and cons of the procedure, and what happens during a circumcision. Plus, they’ll talk about how long the healing process is and what to expect afterwards. What is circumcision? Circumcision is the removal of the foreskin that covers the head of the penis, known as the glans. It’s usually performed on newborn boys when they’re a day or two old, although older boys and men can also be circumcised, according to the Cleveland Clinic. “There are cultural and religious considerations that are the reasons why some families feel it’s the right choice for them,” Cedars-Sinai pediatric urologist Dr. Paul Kokorowski explained in a recent Cedars-Sinai blog post. The Cleveland Clinic notes that the practice of circumcision began as a religious rite. Today, Jewish and Muslim people still do the procedure for religious reasons. In the Jewish faith, specially trained professionals known as mohels perform the circumcision, known as a bris. In addition to religious practices, there are also medical and cultural reasons for having a baby boy circumcised. Many of these procedures are done by a doctor in a hospital setting. In fact, it’s estimated that about 60% of boys in the…  read on >  read on >

There’s a “loneliness epidemic” in the United States, and feelings of isolation have been linked to heart disease, stroke and other health conditions. Now, new research suggests that cancer survivors who feel lonely may be more likely to die than survivors who have more social support. “Loneliness may be linked to worse survival following a cancer diagnosis through multiple mechanisms, such as the increased risk of experiencing negative emotions such as hostility, stress and anxiety, increased unhealthy behaviors including smoking, alcohol abuse and less physical activity, or through physiological pathways such as immune system disorders,” explained study author Jingxuan Zhao. She is a senior associate scientist at the American Cancer Society. “It is also possible that cancer survivors who feel lonelier might not receive the practical and emotional support they need for their symptoms,” Zhao added. For the study, Zhao and her colleagues looked at data on nearly 3,450 cancer survivors aged 50 and older who were part of the 2008-2018 Health and Retirement Study. These folks were followed through the end of 2020. The researchers assessed loneliness every four years and grouped folks into four categories: low/no loneliness; mild loneliness; moderate loneliness; and high loneliness. Cancer survivors who reported any loneliness were more like to die during the follow-up period than their counterparts who were not lonely. The more lonely a person was, the…  read on >  read on >

U.S. gun deaths and injuries in children have risen at astronomical rates. Yet, among kids on Medicaid, only about two of every five children who get shot receive mental health care within six months of these traumatic incidents, researchers say. The need is great, given that more than 11,250 U.S. kids experienced nonfatal firearm injuries in 2020. “There are many things that can happen after a traumatic accident like this from a mental health perspective. One, there are very frequently people who experience chronic pain associated with it, and chronic pain has a high rate of developing substance use disorders and addiction,” said study co-author Dr. Eric Fleegler. These patients may have post-traumatic stress disorder (PTSD) and could be dealing with depression. Without proper therapy and medication, this may lead to worse school performance, trouble retaining work, issues in relationships, suicidal ideation and premature death, added Fleegler, a pediatric emergency medicine physician at Boston Children’s Hospital. He’s also an associate professor of pediatrics and emergency medicine at Harvard Medical School. Those most likely to receive care already had sought mental health care or they received a mental health diagnosis at the time of the firearm injury, the study found. They were also more likely to be white. “There should be nothing different between somebody who is Black versus somebody white versus somebody who’s Hispanic in…  read on >  read on >

No man wants to hear that he has prostate cancer, but if he is diagnosed he will need to learn about the disease and how it is treated. Prostate cancer affects one in seven men. According to the American Cancer Society (ACS), it is the second most common type of cancer among men after skin cancer. With an estimated 288,300 new cases in the United States in 2023, it is important to know more about prostate cancer and what you can expect if you are the one in seven. What is prostate cancer? The prostate, a walnut-shaped organ, is part of men’s reproductive organs, providing some of the seminal fluid. Living below the bladder, it surrounds the urethra through which urine drains and the seminal tube through which semen flows. As with other cancers, it begins when cells mutate, grow out of control and eventually damage and steal nutrients from the surrounding healthy cells, according to the ACS. Prostate cancer causes While specific prostate cancer causes have not been identified, the U.S. Centers for Disease Control and Prevention lists several prostate cancer risk factors. These include: Age : The most common risk factor. The older you are, the more likely you are to develop prostate cancer Race: Black men are more likely to get prostate cancer, get it at a younger age, have advanced disease…  read on >  read on >

Ticks are extremely resilient even when temperatures vary wildly, according to scientists who are working to better understand the spread of Lyme disease. In their new study, black-legged ticks, notorious for carrying pathogens, were very good at surviving both extreme cold and high heat, the scientists found. This was true both for nymph and adult ticks. Only larval ticks were more affected by weather conditions. “We thought we would see some evidence that if there was like a very dry period, all the ticks might be at a greater risk of dying,” said lead study author Jesse Brunner, an associate professor of biological sciences at Washington State University, in Pullman. “However, just the larvae were impacted by heat and dry conditions. Cold weather had even less of an impact. Somehow, they hunker down and survive great.” For the study, Brunner and a team of collaborators from the Cary Institute of Ecosystem Studies set up a large field study at three military bases along the U.S. East Coast using funding from the U.S. Department of Defense. The researchers placed more than 9,000 ticks in soil core enclosures, monitoring their survival over a three-year period and collecting data on the ticks’ response to climate conditions. The extreme weather did make ticks go through their food more quickly. This means that the window for ticks looking for a…  read on >  read on >

The most common screening test for prostate cancer so often returns a false positive result that it’s no longer recommended for men older than 70, and it’s offered as a personal choice for younger men. But researchers think they’ve found a way to make the blood test for prostate-specific antigen (PSA) accurate enough to significantly reduce overdiagnosis and better predict dangerous cancers. By calibrating PSA levels to each man’s genetics, doctors could control for other factors that might cause levels to be elevated, according to researchers at Stanford Medicine, in California. The researchers envisioned combining the regular blood-based PSA test with an additional genetic analysis that detects inherited genetic variants that can affect PSA levels. Elevated PSA levels can be a sign of prostate cancer, but levels can also be high due to other issues like inflammation, infection, an enlarged prostate or just old age, the study authors said in background notes. “Some men have higher PSA levels due to their genetics,” senior researcher John Witte, a Stanford professor of epidemiology and population health, said in a university news release. “They don’t have cancer, but the higher PSA level leads to a cascade of unnecessary medical interventions like biopsy.” By one estimate, less than one-third of men with elevated PSA levels were confirmed by a biopsy to have prostate cancer, the researchers reported. Moreover, 15%…  read on >  read on >