Archive for the ‘health’ Category

Shoulder Repair Technique Borrows From Cadavers

Tuesday, March 9th, 2010

Patients who frequently experience shoulder dislocations can benefit from a procedure that “sculpts” a new shoulder using bone and cartilage from cadavers, new research suggests.

The study, published in the December issue of the American Journal of Sports Medicine, finds that the procedure could be an alternative to methods that stabilize or reconstruct a shoulder joint by repairing ligaments and tissues.

“In situations where there’s missing bone… the soft tissues see forces that are much higher than they can withstand and they fail,” Dr. Jon Sekiya, surgeon and associate professor at the University of Michigan Health System, said in a university news release.

In the new procedure, doctors “transfer and transplant the tissue from a cadaver to a human by matching it with X-rays to make sure the sizes are appropriate, then in surgery we actually shape it to be the same shape and consistency as the patient and then secure it in there and let it heal,” Sekiya explained.

“We’ve been very successful at this. We’ve been able to stabilize shoulders that have been dislocating recurrently and have even failed one, two, sometimes three surgical procedures that did not address the bone and cartilage damage,” he added in the news release.

Loneliness May Be Catching

Sunday, February 21st, 2010

A new study suggests that lonely people attract fellow “lonelies” and influence others to feel lonely, too.

“Loneliness can spread from person to person to person — up to three degrees of separation,” said James H. Fowler, co-author of the study published in the December issue of the Journal of Personality and Social Psychology, and professor of political science at the University of California, San Diego.

“What this means is that if I don’t know anything about you, but I know your friend’s friend is lonely, then I can do better than chance at predicting whether or not you will be lonely,” he said.

Indeed, the study suggests that not only is loneliness contagious, but lonely people tend to isolate themselves in small groups that somehow compound or increase those feelings of solitude.

According to Fowler, the data suggests that the average person feels lonely about 48 days a year, but for the lonely, that feeling can be ever-present. In addition, the study indicated that people who felt lonely were more likely to be friendless, or constantly shedding friends, a few years later: Compared with those who are never lonely, lonely people can lose about 8 percent of their friends over a four-year period, for instance.

Fowler co-authored the findings, funded by the U.S. National Institute on Aging, with John T. Cacioppo, professor at the University of Chicago, and Nicholas A. Christakis, professor at Harvard University. The researchers worked with more than 5,100 participants who were the offspring of the original subjects of the landmark Framingham Heart Study.

The team constructed graphs tracking the participants’ ongoing friendship patterns over two to four years. They found that, among neighbors, an increase of loneliness of just one day per week triggered a rise in loneliness among neighbor-friends, as well. And that loneliness actually spread throughout the community as affected neighbors saw each other less, the researchers said.

Women appeared more vulnerable than men to “catching” loneliness, the researchers found.

Mark R. Leary, professor and director of the social psychology program at Duke University, whose work zeroes in on the need for social acceptance, called the study impressive in its sample, analysis and conclusion. He added that the contagion of loneliness could be, to some degree, a situation of people mimicking the styles of those around them.

“Non-lonely people who are exposed to lonely people may make others in their network a little more lonely by behaving in these less-affirming ways. Perhaps this is why the effect of loneliness can be seen at three degrees of separation. My friend has a lonely friend, so my friend starts acting less affirming overall, which makes me act a little less positively, which then affects my other friends.”

So what can be done to help the lonely, to integrate them better with others? Leary suggested that those who interact with lonely people recognize that their tendency to pull inward emotionally and be less outgoing is a trait of loneliness, not of something else. “It reflects loneliness and a need for connection, rather than indifference, dislike or rejection. People can reach out to their lonely loved one rather than withdraw themselves,” he said.

Fowler agreed. “For the mental health provider, this means treating not just the patient, but potentially also the patient’s friends,” he said. “For the employer, this means emphasizing activities that help their employees to connect to one another socially. For the family member, this means you should tend to your own networks, too, while you help your kin feel more connected.”

Routine Testing Would Improve Herceptin Use in Breast Cancer

Tuesday, December 1st, 2009

New research suggests that the anti-breast cancer drug trastuzumab, also known as Herceptin, isn’t reaching its full potential. Many patients aren’t receiving tests that determine whether it’s appropriate or are taking it when they don’t need to.

Under current guidelines, women with breast cancer in its early stages should receive tests to see if Herceptin might be appropriate for them.

In the new study, researchers analyzed medical data to see if testing has become routine. Their findings will appear in the Nov. 15 issue of the journal Cancer.

As many as two-thirds of patients who were eligible for the testing didn’t appear to have had it. And about 20 percent of those who did take the drug appeared to have not taken the test to see if it could work for them in the first place, the researchers found.

In another complication, the research suggests that about one in five tests is inaccurate.

Filling the gaps in care “may help optimize limited health-care resources and improve care for women with breast cancer,” said study co-author Dr. Elena Elkin, a researcher at Memorial Sloan-Kettering Cancer Center in New York, in a news release from the journal’s publisher.

Doctors are increasingly trying to fine-tune treatments so they specifically target the disease in a particular patient, the researchers noted.

Quick Check That Could Save Your Grandparents’ Lives

Friday, November 13th, 2009

Sunday, September 13, is National Grandparents Day, and the American Academy of Dermatology (Academy) recommends that people lovingly remind their grandparents to perform a skin self-examination. Simply provide your grandparents with the Academy’s free tools to help them examine their skin for any suspicious lesions that could be cancerous. It’s an easy way to detect the only cancer that can be seen on the surface of a person’s skin.

Based on current estimates, substantially more than 1 million new cases of skin cancer are diagnosed in the United States every year. Melanoma, the deadliest form of skin cancer, is being diagnosed more rapidly in men age 65 and older than in the general population. A history of exposure to UV rays is a risk factor for skin cancer.

The Academy has created several tools to make it easy to determine if a mole is suspicious and should be brought to a dermatologist’s attention. The Academy’s Body Mole Map is a tool individuals can use to track their moles. The map provides information on how to perform a skin exam, images of the ABCDEs of melanoma and space for people to track their moles to determine any changes over time. The mole map is downloadable at no cost at www.aad.org/checkspot.

“Performing these checks regularly can help determine if a mole seems to be changing, which could be a sign of skin cancer,” said dermatologist David M. Pariser, MD, FAAD, president of the Academy. “Early detection is a key factor in the fight against skin cancer and ultimately can help save lives.”

One American dies of melanoma every hour (every 61 minutes). The five-year survival rate for people whose melanoma is detected and treated before it spreads to the lymph nodes is 99 percent. For more information about skin cancer, please visit the SkinCancerNet section of www.skincarephysicians.com, a Web site developed by dermatologists that provides patients with up-to-date information on the treatment and management of disorders of the skin, hair and nails.

Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations. With a membership of more than 16,000 physicians worldwide, the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic treatment of the skin, hair and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair and nails.