Showing posts with label healthy. Show all posts
Showing posts with label healthy. Show all posts

Negative impacts of hospital noise.. Impaired sleep. Increased stress and anxiety. Pain perception. Communication difficulties

Hospital Noise: A Nuisance in Need of a Solution

The din of hospital life can be overwhelming for patients, impacting their well-being and hindering recovery. From beeping monitors and bustling hallways to loud conversations and alarms, the constant barrage of noise can be incredibly disruptive and stressful.

Negative impacts of hospital noise:

- Impaired sleep:

Noise disrupts sleep patterns, leading to fatigue and impacting recovery.

- Increased stress and anxiety:

Constant noise can elevate stress levels and exacerbate anxiety, especially for vulnerable patients.

- Pain perception:

Studies suggest noise can heighten pain perception, adding to patients' discomfort.

- Communication difficulties:

Noise can make it difficult for patients to hear doctors and nurses, hindering communication and understanding of treatment plans.
Slower healing: Research shows that noise can negatively impact wound healing and overall recovery time.

Addressing the noise issue:

Hospitals are increasingly recognizing the detrimental effects of noise pollution and implementing measures to create a more peaceful environment. Here are some encouraging steps:

- Quiet hours:

Designating specific times for reduced noise, especially at night, can significantly improve patient sleep and well-being.

- Low-noise equipment:

Investing in quieter medical equipment and using alternative communication methods like pagers can minimize noise disruptions.

- Staff awareness:

Educating staff about the impact of noise and encouraging mindful practices like speaking softly and closing doors gently can make a big difference.

- Soundproofing measures:

Implementing soundproofing materials in walls and doors can dampen noise from hallways and other areas.

- Patient education:

Informing patients about noise reduction efforts and providing earplugs or noise-canceling headphones can empower them to manage their environment.

Creating a quieter hospital environment benefits not only patients but also staff. Reduced noise can improve staff communication, decrease stress levels, and potentially lead to a more positive and productive work atmosphere.

Remember, a hospital stay can be a vulnerable and challenging time for patients. By prioritizing noise reduction efforts, we can create a more healing and supportive environment that fosters recovery and well-being.

Genitourinary syndrome: women still don't dare to talk about it

What is genitourinary syndrome?

genitourinary syndrome (GUS) in women is often shrouded in silence and stigma. But it's a crucial topic to address, affecting millions of women worldwide and impacting their quality of life significantly.

What is GUS?

GUS is an umbrella term encompassing various chronic conditions affecting the urinary tract and pelvic floor in women. Some common symptoms include:
  • Frequent urination or urgency.
  • Difficulty emptying the bladder.
  • Painful urination.
  • Pelvic pain.
  • Sexual dysfunction.

Why the silence?

Several factors contribute to the hesitancy to talk about GUS:

- Taboo:

Societal discomfort surrounding female genitalia and bodily functions can make it difficult to openly discuss intimate issues.
Misinformation: Myths and misconceptions about GUS can lead to shame, embarrassment, and fear of seeking help.

- Lack of awareness:

Many women may not even know the term GUS or recognize the symptoms they experience.

- Normalization of discomfort:

Some women may mistakenly believe these symptoms are simply a normal part of being female and suffer in silence.

Breaking the silence:

Open communication is essential for improving the lives of women with GUS. Here's how we can break the silence:

- Raising awareness:

Educating ourselves and others about GUS symptoms, causes, and treatment options can empower women to seek help.

- Destigmatizing the conversation:

Open and honest conversations about GUS can normalize the experience and encourage women to prioritize their health.

- Creating supportive spaces:

Building communities where women with GUS feel safe to share their experiences and access resources can be invaluable.

Advocating for better healthcare: Encouraging healthcare providers to be more informed about GUS and prioritize women's concerns can lead to improved diagnosis and treatment.

Remember:

GUS is a common and treatable condition. By shedding light on it, we can empower women to take control of their health and well-being.

Obesity: Deal with it yes, but in a personal way

Dealing with obesity:

Addressing obesity is undoubtedly important, but focusing solely on personal solutions overlooks the complex factors contributing to the issue. However, that doesn't mean personal efforts are insignificant. Here are some ways to approach obesity through a personal lens, acknowledging the broader context:

Self-care and healthy habits:

- Focus on overall well-being:

Prioritize healthy eating, physical activity, and quality sleep. These pillars go hand-in-hand, and nurturing them fosters sustainable changes.

- Embrace body positivity:

Learn to appreciate your body for its capabilities and functions, separate from societal beauty standards. Self-acceptance fuels motivation and healthy choices.

- Discover the joy of movement:

Find activities you genuinely enjoy, from dance to brisk walks, gardening, or swimming. Movement becomes a celebration, not a chore.

- Mindful eating:

Tune into your body's hunger and satiety cues, savoring flavors, and choosing nutrient-rich foods that nourish your body and mind.

- Realistic goals:

Set achievable goals tailored to your unique needs and circumstances. Small, consistent steps lead to significant long-term transformations.

Seeking support and community:

- Connect with healthcare professionals:

Consult a doctor or registered dietitian for personalized guidance and support. They can address underlying health concerns and create a plan based on your needs.

- Find your tribe:

Surround yourself with people who celebrate your journey and understand the challenges. Support groups, online communities, or even a workout buddy can offer encouragement and accountability.

- Advocate for change:

Speak up about systemic issues like food deserts, limited access to healthy options, and weight stigma. Your voice can contribute to broader systemic solutions.

Remember:

- Obesity is a complex issue:

It's influenced by genetics, social factors, economic disparities, and access to healthcare. Addressing it requires a multi-pronged approach.

- Personal responsibility is key:

While broader systems need work, focusing on personal well-being empowers you to take control of your health and well-being.

- Compassion and self-acceptance are crucial:

Embrace yourself with kindness and understanding throughout your journey. It's a marathon, not a sprint, and setbacks are expected.

By shifting the focus from "dealing with" to nurturing your well-being and promoting positive change, you can embark on a sustainable and empowering journey towards a healthier you. And remember, you're not alone in this.

Admitting a child to the hospital: Planning with him helps him get out faster!

Admitting a child to the hospital:

Going to the hospital can be a scary and confusing experience for anyone, especially for children. But by involving your child in the process as much as possible, you can help ease their anxiety and make the experience more positive for everyone.

tips for planning with your child their hospital stay:

Here are some tips for planning with your child before and during their hospital stay:

- Before the hospital:

  • Explain what's going on: Talk to your child in a calm and age-appropriate way about why they need to go to the hospital. Use simple language and avoid medical jargon.
  • Take a tour: If possible, take your child on a tour of the hospital before their admission. This will help them familiarize themselves with the environment and feel less scared.
  • Pack together: Let your child help pack their own bag for the hospital. This can include their favorite stuffed animal, books, games, or other comfort items.
  • Practice makes perfect: Role-play what might happen at the hospital, such as taking their temperature or getting an X-ray. This will help them know what to expect and feel more prepared.

- During the hospital stay:

  • Continue the conversation: Keep talking to your child about their experience and how they're feeling. Answer their questions honestly and patiently.
  • Encourage play: Playtime is important for children of all ages, even in the hospital. Bring toys, games, and books to help keep your child entertained and distracted.
  • Get involved: Let your child participate in their care as much as possible. This could include helping to choose their meals, getting dressed, or taking their medication.
  • Make it fun: Decorate your child's room with balloons, streamers, or other decorations to make it feel more like home.

By planning with your child and involving them in the process, you can help them feel more in control and less afraid of their hospital stay. This can lead to a shorter hospital stay, faster recovery, and a more positive experience for everyone involved.

Additional Tips:

Here are some additional tips that may be helpful:
  • Bring a comfort item: This could be a stuffed animal, blanket, or anything else that makes your child feel safe and secure.
  • Stick to a routine: As much as possible, try to stick to your child's normal routine while they're in the hospital. This will help them feel more comfortable and secure.
  • Limit visitors: Too many visitors can be overwhelming for a child in the hospital. Try to limit visitors to close family and friends.
  • Be patient: It may take some time for your child to adjust to being in the hospital. Be patient and understanding, and let them know that you're there for them every step of the way.

Remember, you are your child's best advocate. Don't hesitate to ask questions and speak up if you have any concerns about their care.

HEALING and MUSCLE DEVELOPMENT: 2 new target proteins identified

 2 new target proteins identified

Researchers from the University of Montreal tell us how our muscles form and repair themselves and, in doing so, identify 2 key proteins that regulate the singular choreography of stem cell-derived cells, myoblasts, which come together to the point of compressing their membranes cells and form muscle tissue. Work presented in Nature Communications which thus designates 2 new valuable targets not only for accelerating muscle healing but also for treating rare muscle diseases.

All vertebrates need muscles to function. Muscles are the most abundant tissue in the human body and skeletal muscles attached to our bones allow our body to move. Whether in the developing embryo or in a professional athlete, it is the same sequence that leads to their formation. The main author, researcher Jean-François Côté, director of the "Cytoskeleton" at the Montreal Clinical Research Institute (IRCM), explains: "In vertebrates, cells derived from stem cells, called myoblasts, align first and come close to the point of touching and compressing their cell membranes”.

2 proteins essential for the development of skeletal muscle: these proteins, ClqL4 and Stabilin-2 allow myoblasts to fuse together to create a large cell. This phenomenon of cell fusion is very specific to certain tissues, in particular the placenta, to the remodeling of our bones and to the formation and repair of muscles. To build and repair muscles, myoblasts must perform their movements with great care. No false movement is allowed, otherwise it's muscle dysfunction. ClqL4 and Stabilin-2 regulate this singular choreography and guarantee the success of this delicate sequence. Working as a team, the 2 proteins will indeed slow down and trigger, respectively, cell fusion at key moments. And their role is crucial, underline the researchers in their press release: “if the timing of the myoblasts is interrupted, the muscles will not be the right size and their function will be affected.

This is what happens in muscular diseases characterized by weakness making certain movements difficult.

The discovery of these proteins has already given rise to a follow-up study: the researchers want to verify that these proteins can be a therapeutic target for muscle repair or the treatment of rare muscle diseases such as myopathies and muscular dystrophies.

What two drugs target protein synthesis?

Macrolide and Azalide Antibiotics

This group of protein synthesis inhibitors, the most notable of which is erythromycin, acts on protein elongation, rather than initiation. They have a broad spectrum of action, and affect a wide range of Gram-positive and Gram-negative bacteria.

Why proteins are drug targets?

Because of their role in cells, most of the drug targets are proteins. Drugs work by binding specifically to a protein.

What are the 4 types of drug targets?

ABSTRACT. The four main targets for drug action: receptors, ion channels, enzymes, carrier molecules. In each of these four cases, most drugs are effective because they bind to particular target proteins.

How are target proteins used?

Target proteins are functional biomolecules that are addressed and controlled by biologically active compounds. They are used in the processes of transduction, transformation and conjugation.

How many types of protein targeting are there?

There are two types of targeting peptides, the presequences and the internal targeting peptides. The presequences of the targeting peptide are often found at the N-terminal extension and is composed of between 6-136 basic and hydrophobic amino acids.

How do you identify a drug target?

The various databases help scientists to find information about target property, chemical property or on genome level. The biological assay, such as RNAi, RNA sequencing, DNA microarray, and Gal4/UAS system, is commonly used to identify the target in recent years.

What are typical examples of protein targets?

At present, the most frequent protein targets for which successful drugs have been developed include proteases, kinases, G protein-coupled receptors (GPCRs) and nuclear hormone receptors (Drews, 2000; Imming et al., 2006).

What is target protein in drug discovery?

In order for a protein to have any potential as a drug target it must be druggable. A druggable protein is one that possesses folds that favour interactions with small drug-like molecules, be they endogenous or extraneous, and therefore is one that contains a binding site .

How do you identify target proteins?

According to the shift in the molecular weight of the proteins from the two groups, the specific target proteins can be easily identified by comparing the relative protein abundances between the two groups.

HYPOTHYROIDIA: Beware of overtreatment!

 Overtreating patients with hypothyroidism could increase their risk of atrial fibrillation (AF), reveals this study from Intermountain Medical Center (UTAH) presented at the American Heart Association (AHA) Scientific Sessions 2018. If the link between FT4 and AF has recently and already been documented, this new study clarifies the link between FT4 levels and AF in treated patients.

Indeed, too many drugs to treat hypothyroidism can lead to an increased risk of AF, a common heart rhythm disorder associated with the risk of stroke, reveals this study of nearly 175,000 patients. "We know that patients with hypothyroidism are at higher risk for atrial fibrillation, but we hadn't considered this increased risk within the normal range of thyroid hormones," says lead author Dr. Jeffrey L. Anderson , researcher at the Heart Institute of the Intermountain Medical Center: "These results show that we should reconsider what we call 'normal'".

An increased risk of AF in patients with high AF: the team reviewed the electronic medical records of 174,914 patients including data on free thyroxine (FT4) levels. These patients were not on thyroid replacement medication and their FAT levels were within a normal range of FT4 levels. These participants were divided into 4 quartiles, and then the researchers reviewed the records of these patients for a current or future diagnosis of atrial fibrillation. The analysis leads to:

a 40% increase in pre-existing AF in patients in the upper quartile for the FT4 rate vs the lowest quartile,

a 16% increase in the risk of developing AF at 3 years.

Results, which, according to the authors, suggest that the optimal optimal range of FT4 should be reconsidered and redefined.

Thyroid hormones are associated with sometimes severe symptoms, including weight loss and increased energy, which may lead patients to seek treatment if levels are elevated but still within the normal range. In these patients, these possible adverse effects of atrial fibrillation, and therefore stroke, should be reconsidered.

The next step will be a randomized trial to investigate whether targeting a reduced range of FT4 in patients receiving thyroid hormone replacement therapy reduces the risk of atrial fibrillation and stroke, as well as other possible heart disorders like atherosclerosis.

ACQUIRED EPILEPSY: Identification of the key role of perineuronal networks

 According to the World Health Organization (WHO), more than 50 million people worldwide suffer from epilepsy. About a third of these people do not respond to current antiepileptic treatments. It's a century-old mystery of neuroscience that these Virginia Tech scientists solve here: the research team indeed identifies mysterious brain structures called perineuronal networks, which help modulate the activity of electrical impulses in the brain. New findings, presented in the journal Nature Communications, that may lead to the treatment of epileptic disease, far beyond just managing its main symptoms, seizures.

In 1893, the Virginia researchers explain, scientists discovered the existence of enigmatic structures called perineuronal networks wrapped around neurons, but their function remained misunderstood. The team figured out that these networks modulate electrical impulses in the brain. And if by misfortune these networks are eliminated or malfunction, crises can then occur.

The implications relate to the different forms of acquired epilepsy, resulting from brain damage caused by trauma, infection or brain tumours. The researchers began by studying tumor-associated epilepsy in a mouse model of glioblastoma-induced epilepsy. As the skull prevents the glioblastoma from spreading outward, the tumor produces an excitatory neurotransmitter called glutamate, in excessive amounts, which kills nearby healthy cells to allow its growth. And, in addition to glutamate, the tumor secretes an enzyme aimed at destroying the surrounding extracellular matrix, a gel-like substance that holds brain cells in place. This enzyme, explains the author, “is the knife that cuts the links of the tumor and lets it migrate freely”. The researchers find, surprisingly, that the enzyme attacks perineuronal networks wrapped around inhibitory neurons that secrete GABA, which normally helps prevent seizures. Once the neurons are stripped of these networks, a “crisis” effect develops.

An enzyme that can devour a perineuronal network in less than 30 minutes: neurons covered in perineuronal networks have reduced membrane capacity or electrical charge storage capacity, which means they can trigger an impulse and recharge twice as much faster than neurons without perineuronal networks. When inhibitory neurons lose their perineuronal networks, the results can be catastrophic. So when researchers apply the enzyme to tumor-free brains, they find that enzymatic degradation of perineuronal networks is sufficient to induce seizures. Thus, without the perineuronal networks, the inhibition becomes too weak and the seizure occurs.

The discovered enzyme as well as the perineuronal networks appear here as possible targets in different forms of acquired epilepsy and could allow the development of new pharmacological solutions aimed at controlling tumor-associated seizures or other causes of acquired epilepsy.

Thus, while controlling the symptoms of the disease is important in the management of epilepsy, this study opens up a new avenue for treating the causes and progression of the disease.

BARIATRIC SURGERY: It seems to promote problems with alcohol

 There are countless benefits of obesity surgery, directly associated with weight loss or the restoration of a healthy metabolism. However, this study underlines a secondary effect, a priori surprising, the propensity to then develop disorders with alcohol. This long-term multicenter analysis conducted by scientists at the University of Pittsburgh and presented in the Annals of Surgery, conducted on a group of patients who underwent gastric bypass surgery (Roux-en-Y), also shows that in these patients, the incidence of alcohol-related disorders is higher and the existing screening tools are not working properly.

In summary, the study shows that adults who have undergone gastric bypass surgery gradually increase the frequency of consumption and the amount of alcohol consumed during the 7 years following their surgery.

An increased risk of alcohol-related disorder associated with Roux-en-Y gastric bypass surgery: “The American Society for Metabolic and Bariatric Surgery has previously recommended that clinicians screen for alcohol-related disorder before and after surgery. surgery, but without giving advice on how to proceed,” recalls lead author Dr. Wendy C. King, associate professor in the Department of Epidemiology at Pitt Public Health. "In the general population, the guidelines recommend the use of one of the 3 alcohol screening tools, but two of these tools prove to be inadequate in adults who have received a gastric bypass".

Higher blood alcohol spikes after: The team followed 1,472 adults who had gastric bypass surgery and performed blood alcohol screening before and after the procedure. The analysis reveals:

higher peaks in blood alcohol levels after the intervention and a slower elimination of alcohol than that observed in non-operated controls;

in particular, with a standard dose of alcohol, the maximum blood alcohol level reaches a level approximately 2 times higher after surgery than before surgery; this suggests that the effect of consuming 4 drinks after surgery is similar to consuming 8 drinks for someone who has not had gastric bypass surgery.

Explanation: not only does gastric bypass cause long-term weight loss which increases the effects of alcohol, but patients steadily increase their alcohol consumption in the years following the operation. It remains to understand why. However, conventional screening tools do not identify patients who are at high risk for alcohol-related problems. Thus, among the 835 women who reported having consumed alcohol in a year or more and during one or more annual assessments, the screening did not achieve the level of sensitivity or specificity required to assure clinicians that these patients suffered from possible alcohol-related disorders.

Finally, if in this study, women represented 80% of the participants and the number of men was insufficient to draw significant conclusions, the researchers suggest that there is no reason not to extend these results to men.

SOCIAL ISOLATION: A risk factor for death in the same way as the others?

 This large study by the American Cancer Society confirms the link between social isolation and the risk of cardiac, cancer and all-cause death. Conclusions presented in the American Journal of Epidemiology which suggest as a priority, with the aging of populations, the fight against social isolation. Interventions against social isolation are indeed relatively simple and influence other risk factors, such as hypertension, inflammation and physical inactivity, smoking, etc.

Social isolation has already been associated with higher mortality, this new American prospective study also looked at its effects according to ethnicity and gender using data from 580,182 adults participating in the Cancer Prevention Study-II cohort started in 1982 with a follow-up duration of almost 30 years (2012).

The researchers took into account several criteria to assess the degree of social isolation including marital status, frequency of participation in community, religious or family activities, the evaluation score ranging from 0 (least isolated) to 5 (most isolated) points. The analysis shows that:

ethnicity is a stronger predictor of social isolation than gender;

belonging to an ethnic minority increases the risk and degree of social isolation;

the relationship between social isolation and the risk of all-cause mortality is positive, dose-dependent and statistically, and in this study over the 30-year follow-up period; with nevertheless stronger associations during the first 15 years of follow-up;

the social isolation score is positively associated with heart disease mortality;

the social isolation score is positively associated with cancer mortality, except in black men or black women.

Take social factors into account in the clinical approach: overall these results from a very large sample followed over a long period of time confirm that this composite measure of social isolation can be a robust predictor and a marker of mortality risk . The authors cite a recent meta-analysis that identified social isolation as an independent risk factor for death, and alongside other well-established mortality risk factors, such as physical inactivity, obesity and lack of access to health care.

They suggest that in the era of precision medicine, social factors and in particular this notion of social isolation should also be taken into account in the clinical approach.

Source: Am J Epidemiol. November 16, 2018 doi: 10.1093/aje/kwy231 Social isolation and mortality in US black and white men and women

PARENTING: Mothers favor their daughters, fathers their sons?

 This finding that women favor daughters and men favor sons, regardless of the socio-economic status of the household, could help explain the growing inequality in income and social mobility by gender. Conclusions of a team from Rutgers University (New Jersey) presented in Scientific Reports which seem to confirm the persistence from generation to generation, despite an egalitarian discourse, a certain sexism.

But for the research team, it is above all a call to parents who should try to become aware of their unconscious prejudices with regard to their children. Lead author Lee Cronk, a professor in the Department of Anthropology at Rutgers University, set out to test the 1973 Trivers-Willard sex distribution theory that parents invest more in children of the sex they will allow to obtain a maximum of descendants. Given that - as studies carried out in animals but also some in humans suggest - the reproductive success of daughters is not influenced by the social status of their mother, but the reproductive success of sons is positively correlated with the social status of the mother, this hypothesis suggests that wealthy parents would prefer to invest in sons, while poor parents would rather favor their daughters.

Here, study participants were asked to complete a standard test that would elicit a sense of relative poverty or relative wealth. The researchers then assessed, in several ways, the participants' preferences for daughters and sons. Among other things, participants had the option of donating money to a charity supporting girls or boys. Another test made it possible to discreetly measure the attitudes of the participants. The axis of adoption was also mentioned to assess the preferences of the participants…

Parents tend to favor their children of the same sex? Although the experiment and its different modes of evaluation provide little support for the Trivers-Willard hypothesis, the sex of the participants seems to have an important impact on the sex they favor in their offspring. Women seem to prefer girls and invest more in their daughters than in their boys, while men seem to have a lower but significant preference for sons.

Results – questionable – but which could contribute to a better understanding of the growing inequality of income and intergenerational social mobility. Thus, the authors cite a recent study using tax data from 40 million Americans between 1996 and 2012 which suggests that the best predictor of lower intergenerational social mobility is having a single or divorced parent. Because most of these single parents are women – “and women prefer daughters” – this could explain this even lower intergenerational mobility for these sons of single (and more often poor) mothers.

Be that as it may, the study has the merit of raising parents' awareness of sexist prejudices of which they are not necessarily aware.

MALE FERTILITY: Global warming also knocks out sperm

 Global warming harms male fertility, concludes this study from the University of East Anglia (UK), which shows, in particular, the deleterious effects of heat peaks on sperm. Work presented in the journal Nature Communications, carried out at this stage in insects, which specifies these negative effects on fertility from one generation to the next, and helps to explain the reduction in biodiversity and the extinction of certain species with global warming.

The research team hypothesizes that male infertility during heat waves could also help explain why climate change has such an impact on the reproduction and survival of different species. “We know that biodiversity is suffering with climate change, but the specific causes and sensitivities are difficult to pinpoint,” notes lead author Professor Matt Gage: “We show with this research that sperm function is a trait particularly sensitive to global warming.

Local extinctions of some species are known to occur when temperature changes become too intense. The explanation for these phenomena could be linked to sperm, suggests the study carried out on the beetle, a small red flour beetle (Tribolium castaneum). The insects were exposed to standard control conditions or 5-day heat wave temperatures, which were 5°C to 7°C above the standard temperature. The researchers then evaluated, via different experiments, the damage of heat on reproduction, sperm function and the quality of the offspring.

Heat waves kill sperm, this is the first observation of the team which notes a halving of the number of offspring with a first exposure of males, then a virtual absence of offspring after a second heat wave. Females, on the other hand, do not seem to be affected by heat waves. After several heat waves, all sperm have difficulty migrating through the female tract and are likely to die before fertilization.

Heat waves halve the reproductive abilities of males, say researchers who suggest different causes for this vulnerability:

heat waves have an initial impact on the sexual behavior of males, which mate approximately twice as often as controls;

heat waves cause "damage" to sperm over several generations;

2 heat waves, 10 days apart, are enough to reduce the sperm production of exposed males to less than 1% of that of the control group;

finally, heat waves shorten - always in these insects - the lifespan of offspring, by the equivalent of a few months;

the reproductive performance of first-generation males descended from males exposed to heat wave conditions is also affected: these sons have reduced fertility and produce fewer offspring.

Additional pressure on populations already affected by climate change? This is the hypothesis of researchers who believe that "thermal shock" can also harm the reproduction of males in warm-blooded animals and lead mammals to sterility...

OBESITY: If your diet fails, try again, your heart will thank you

 The long-term effects of adopting and then abandoning healthy eating habits and the effects of so-called “yo-yo” diets on cardiovascular disease are unknown. It is generally thought that this phenomenon of weight change in overweight people - in the same way as stopping and then resuming smoking - is perhaps more damaging to long-term health than maintaining an unhealthy behavior (? ). This study from Purdue University answers this question: its data, presented in the journal Nutrients, confirms that fluctuations in diet lead to a fluctuation in the risk of heart disease and diabetes.

Thus, risk factors for cardiovascular disease closely follow changes in dietary habits, shows this study conducted by Wayne Campbell of Purdue University. And our weight isn't the only aspect of our health that can fluctuate with our diet: “Even in the short term, your food choices influence your cardiovascular and metabolic health outcomes,” the author points out.

While failure of a weight loss diet is not uncommon, many patients make multiple attempts at adopting healthy eating habits and don't stick with them. So to assess the impact of these dietary fluctuations on risk factors for diabetes and cardiovascular disease, such as blood pressure and cholesterol, the team reanalyzed data from 2 of its previous studies whose participants adopted either a DASH-style diet (against hypertension) or a Mediterranean-style diet. The participants had adopted one of the diets for 4-5 weeks, then had resumed their old eating habits for 4 weeks and then resumed their diet again.

Cardiovascular “roller coasters” appear on analysis, which simultaneously follow fluctuations in eating habits. What's glaring, the researchers point out, is how quickly participants' health improves after adopting a healthier diet. But it is also how quickly health deteriorates with an unhealthy diet: it only takes a few weeks to generate hypertension and cholesterol.

If we look at this data in a positive way - and this is the angle adopted by the researchers", these results rather encourage to try again in the event of failure. Because the body does not seem to become resistant to the beneficial effects of a healthy diet, just because the attempt did not succeed the first time.

Admittedly, the best option is to observe a long-term healthy diet, “but if you slip, pick yourself up again”.

JOY of giving lasts longer than joy of receiving

 The happiness we feel after a particular event or activity decreases each time we experience or relive that event. There is, however, an exception to this “hedonic adaptation” phenomenon: giving to others is that exception, according to this study to be published in the journal Psychological Science.

Using 2 experiments, these psychology researchers from the University of Chicago and Northwestern University demonstrate that participants' happiness does not decline when they "give" to others. On the other hand, the level of satisfaction drops, “by dint” of receiving. While previous research has shown that with repetition and decreasing novelty, the happiness associated with a type of experience decreases over time, this is not the case with repeated giving, which brings those who give always more happiness.

In a first experiment, 96 participants received 5 dollars a day for 5 days, were asked to spend this money on the same thing each day. The researchers randomly assigned the participants to spend the money, either for themselves or for someone else. Participants reflected on their expenses and rated their level of satisfaction associated with the end of each day. The analysis reveals a clear trend, those who spent on themselves report a steady decline in perceived happiness over the 5-day tracking period and the opposite is true among those who spent on others. Their joy of giving for the fifth consecutive time is just as strong as on the first day.

A second experiment conducted online by 502 participants invited to play 10 turns of a word game and allowing them to win $0.05 per turn, confirms that the satisfaction or happiness declared by those who donated their winnings decreases significantly. slower than the satisfaction or happiness reported by those who kept their gains.

Why always the same pleasure to give? While adapting to happiness-generating experiences motivates us to always seek out and acquire new resources, why doesn't this also happen with the pleasure of giving? Researchers suggest that when we focus on one outcome, like getting paid, we will compare outcomes back and forth, which will reduce our sensitivity to each experience. When we focus on an action, for example making a donation, we are less on the comparison and we experience each act as a unique event, source of happiness.

We may also be slower to adapt to the happiness generated by giving, as it helps us maintain our prosocial reputation, thereby strengthening our sense of social connection and belonging.

FACIAL SOMATOSENSATION: Babies use this sense of touch to attach themselves to their mother's breast.

 This study by a team of neurologists and pediatricians from University College London explains why and how the brain of a newborn baby reacts to face touch: babies use this sense of touch to find and attach to their mother's breast. The purpose of this ability, normally present from birth, explains why premature babies often have difficulty feeding: the underdevelopment in these children of this facial sensitivity could be the main cause.

The UCL researchers and their colleagues from Imperial College London, UCLH (University College London Hospitals) and Universitá Campus Bio-Medico di Roma have developed a new method to study this sense of touch in babies and how their brains react using electroencephalography (EEG). The device is based on a transducer, worn on the fingertip and covered with a clinical glove. The baby can be tapped lightly on the cheek, and then brain responses are measured against the force of the touch. It is therefore a new stimulating device, safe to use on the delicate face of babies and acceptable to their parents, which makes it possible to measure the effects of a “natural” finger on the skin.

Facial somatosensation is necessary for breastfeeding, this is the most immediate conclusion of this study conducted on 7 babies aged on average 7 days and born prematurely in the departments of UCLH. The study shows that at a time when babies' brains are developing faster than at any other time in life, facial contact analysis allows babies to find or recognize their mother's breast, and turn head to the right in order to feed. Beyond this understanding, this technique of measuring brain responses to face touch is important for understanding broader brain development in newborns.

Prematurity and processing of sensory data: Next, the technique makes it possible to better understand how premature babies process sensory information: with this device, the team has in fact succeeded in studying how infants process tactile information received by contact with the face, how this processing of sensory data changes with the age of the child and how and in what cases disruption of this process can lead to long-term feeding problems.

IMMUNITY: Sucking the baby's pacifier can be beneficial for his health!

 Sucking your baby's pacifier to clean it? A reflex of many mothers of infants? As curious as it may be, this gesture can prevent allergies and provides a significant protective effect during the first year of life, underlines this study presented at the 2018 Scientific Sessions of the American College of Allergy, Asthma and Immunology.

The idea of ​​sucking on your baby's pacifier to clean it and then putting it back in your baby's mouth may gross you out. However, this research by a team from the Henry Ford Health System (Detroit) demonstrates a definite link between "parental breastfeeding" and a weaker allergic response in children.

The study is conducted among 128 mothers of infants, who were repeatedly questioned over an 18-month period about how they clean their children's pacifiers. The study shows that children whose parents sucked on the pacifier had lower levels of IgE, a type of antibody linked to allergic responses. Thus, higher levels of IgE indicate a higher risk of allergies and allergic asthma.

Of the 128 participating mothers, 58% said their child currently uses a pacifier.

Among parents whose child uses a pacifier,

41% clean it by sterilization,

72% wash it by hand,

12% suck it to clean it!

Parental sucking has been shown to be associated with suppression of IgE levels in children from 10 months of age and continuing for 18 months.

Transfer of health-promoting microbes: More research is needed, but researchers speculate that the effect may be related to the transfer of health-promoting microbes from the parent's mouth. However, it remains to be determined whether the lower IgE production observed in these children will continue in the years to come.

It was already known - the hygiene hypothesis - that exposure to certain microorganisms in early life stimulates the development of the immune system and can protect against allergic diseases later in life. The parents' sucking of the child's pacifier could be an example of how parents can pass on healthy microorganisms to their young children.

MASTECTOMY and BREAST RECONSTRUCTION: Preserving the shoulder means preserving the quality of life

 Many clinicians and patients do not anticipate the risk of persistent pain and loss of shoulder function after mastectomy and/or reconstruction surgery. This University of Michigan team, which looked at the best possible options for women undergoing breast reconstruction after mastectomy, confirms in the specialized journal Breast Cancer Research and Treatment that patients who undergo reconstructive surgery after radiotherapy, using the latissimus dorsi (latissimus dorsi) muscles show the greatest loss of shoulder stability and function.

In this procedure, called latissimus dorsi flap reconstruction, the surgeon cuts the muscle from the back and pulls it into the chest to restore the breast mound and create a flap for the implant. Women undergoing radiation therapy often need this type of reconstruction because radiation therapy causes scar tissue to form in the skin and pectoral muscles. It is therefore necessary to integrate the muscle of the back in the surgery.

The study followed 24 patients who underwent breast reconstruction with one of the 3 procedures studied, latissimus dorsi flap reconstruction, placement of an implant under the pectoralis major muscle and DIEP flap reconstruction.

Latissimus dorsi flap reconstruction objectively significantly reduces shoulder strength. This severe side effect, the authors point out, should be communicated to patients in advance because it is likely to modify the decision of the procedure. The idea supported by these doctors would be, in the long term, to try to reduce the number of breast reconstructions using the dorsal and pectoral muscles. In addition, research should be conducted to better identify the factors of biomechanical changes in the shoulder depending on the lifestyle and activities of the patient as well as her own perception of shoulder function.

Using the pectoral muscles to reconstruct the breast by inserting tissue expanders under the muscle to make room for a future implant, a procedure that accounts for more than 60% of all reconstructions results in good results for future breast function. the shoulder.

Breast reconstruction without an implant by transfer of abdominal tissue to the thorax (or DIEP flap for perforator flap of the deep inferior epigastric artery), also makes it possible to preserve the function and stability of the shoulder.

The objective of the team is not only to optimize post-breast reconstruction rehabilitation but also to develop new screening tools for the loss of shoulder function to improve these rehabilitation programs.

PARALYSIE MUSCULAIRE : Le tamoxifène pour combattre les myopathies

 This molecule tested by this UNIGE team could well halt the progression of myotubular myopathy, a serious genetic disease that leads to muscle paralysis throughout the body, followed by death. Already under clinical trial in the fight against another myopathy (Duchenne), the molecule in question is well known, since it is tamoxifen, used in the treatment of breast cancer. These first promising efficacy results, obtained in mice and presented in the journal Nature Communications, provide hope for a first treatment against this deadly disease.

Myotubular myopathy is an X-linked genetic disease that affects 1 in 50,000 newborn boys. This rare genetic disease causes muscle paralysis from birth and leads to death before the age of 2 years. Although no treatment currently exists, researchers therefore this team from the University of Geneva (UNIGE) is working to find a treatment. In collaboration with colleagues from the University of Strasbourg, Swiss researchers have identified a molecule which not only considerably reduces the progression of the disease, but also increases the life expectancy of animal models of the disease by a factor of 7. The well-known molecule, tamoxifen, used in the treatment of breast cancer is already approached and under clinical trial for the treatment of another myopathy, Duchenne muscular dystrophy.

Tamoxifen, a versatile molecule with interesting properties for the protection of muscle fibers: antioxidant, antifibrotic and protective of the mitochondria, tamoxifen is already being studied in the treatment of Duchenne muscular dystrophy. The first results are promising and a clinical trial is underway. This is why the scientists hypothesized that the molecule could also be effective in combating myotubular myopathy. Myotubular myopathy is caused by a lack of myotubularin, an enzyme that transforms lipid messengers and this deficiency induces an accumulation of a protein, dynamin 2, which will cause muscle atrophy. It “happens” that tamoxifen modulates dynamin 2 levels.


Evidence in the model mouse: The researchers administered 3 doses to 3 groups of these model mice (0.03 milligrams per kilogram, 0.3 milligrams per kilogram and 3 milligrams per kilogram), the highest dose corresponding to that used to treat breast cancer in women.


While an untreated sick mouse lives an average of 45 days,

the lower dose increases survival at 80 days,

the intermediate dose at 120 days,

the highest dose at 290 days, 7 times higher than the control group.

With the highest dose,

some mice even survived more than 400 days,

muscle strength is tripled and it appears possible to recover 60% of the muscle deficit between a healthy mouse and a sick mouse.

Alongside this study, a team from Toronto Children's Hospital tested the drug on even younger mice and the disease did not develop, the researchers add. "The problem is that in humans, myotubular myopathy begins during fetal development, so it is unclear whether complete freedom from paralysis could be achieved if treatment is started after birth."

A clinical trial is planned in the next two years and the UNIGE team will continue its research on the multiple uses of tamoxifen in the treatment of genetic muscle diseases. The goal is to develop treatments that can be brought to market quickly.

MIGRAINE: Is alcohol a trigger?

 Alcoholic beverages are often considered migraine triggers, but what is it really? This study from the University of Leiden (Netherlands), presented in the European Journal of Neurology indeed suggests that migraine triggered by alcohol is a "reality", it occurs quickly after the consumption of alcoholic beverages, and according to a mechanism different from that commonly called "hangover". Excess alcohol, and in particular wine, is therefore a possible trigger for an attack in migraine sufferers.


The main author, Dr. Gisela Terwindt and her team conducted this study with 2,197 patients suffering from migraines.


35.6% of participants reported excessive alcohol as a trigger for a migraine attack;

more than 25% of participants with migraine who quit alcohol, or those who had never consumed alcohol, did so because of these presumed trigger effects;

wine, in particular red wine, is designated by 77.8% of participants as the main trigger among alcoholic beverages of migraine attacks;

however, “in reality” red wine consistently caused a seizure “only” in 8.8% of participants;

the onset of the migraine attack is rather rapid after excessive alcohol: sometimes less than 3 hours in a third of patients and up to 10 hours later, regardless of the type of alcoholic beverage consumed, in nearly 90 % patients.

COMPLEX MENTAL TASKS: How the brain overcomes its own limitations

 Many skills rely on mental calculations made from “noisy” sensory input. This work by a team from the Massachusetts Institute of Technology (MIT) helps explain how the brain tries to compensate for its limitations in tasks requiring complicated data conversion. The study, presented in Nature Communications, reveals that the brain, as in other types of situations where it has little confidence in its own judgments, will overcome its difficulties by weighing the various data and relying on previous experiences. .

The example given of a complex mental task relying on complex data conversion is the exercise of writing one's name in such a way that it can be read in a mirror. The brain has all the visual information it needs and everyone knows how to write their name. However, this task is very difficult for most of us because the brain must perform an unfamiliar mental conversion: using what it sees in the mirror to guide the hand precisely enough to write upside down.

Performing mental transformations of information (or data conversion) induces variability: the researchers set out to explore this type of mental conversion in their study: participants were asked to perform 3 different tasks with different degrees of mental transformation required. The experiment shows that in the case of a task requiring difficult data conversion, participants optimize their performance by using the same strategies used to overcome noise in sensory perception. For example, in a line drawing task, in which participants have to draw lines of 7.5 to 15 centimeters, depending on the length of the original line, participants tend to draw lines of longer length. close to the average length of all lines. This allows them to have more precise tracings.

The Brain Interprets Data: Neuroscientists have known for many years that the brain does not accurately reproduce "what the eyes see or what the ears hear." It has to deal with “background noise” linked to random fluctuations in electrical activity in the brain. This background noise can come from uncertainty or ambiguity about what we see or hear. This uncertainty also comes into play in social interactions, when we try to interpret other people's motivations or when we recall memories of past events. Previous research has revealed multiple strategies that help the brain compensate for this uncertainty. Using a framework called “Bayesian integration” or a probability-based model, the brain combines several pieces of potentially conflicting data and weights them according to their reliability. If this data comes from 2 different sources, it will rely more on the one that seems more credible. But that's not all: in this model, the brain also takes into account its past experiences. The example is given of finding a light switch at night, which relies on past experience of locating the light switch in question.

The brain "remembers" past experiences: a complex task that requires a more difficult mental transformation and therefore creates additional uncertainty and variability for the brain induces the brain to rely on its past experiences: "you show bias toward what you're good at, in order to compensate for that variability," comments lead author Mehrdad Jazayeri, professor of life sciences and fellow at MIT's McGovern Brain Research Institute. This strategy of recalling past experiences actually improves overall performance.

Reliability of the source and lessons from past experiences, these 2 strategies seem to work together to perfect the adaptation of the brain in favor of a particular result. This adaptation in the form of regression to the mean helps to improve our overall performance by reducing variability and uncertainty. The researchers then hypothesize that, when one becomes very efficient in a task that requires complex calculations, the background noise is reduced and becomes less detrimental to overall performance.

The brain then trusts its own calculations more and stops getting closer to “averages”.

OMEGA 3: A new option to prevent prematurity?

 The conclusion of this new Cochrane review is full of implications, while one in 10 births is premature, prematurity is the leading cause of death in children under 5 worldwide and causes nearly a million deaths per year: increasing the intake of long-chain omega-3 polyunsaturated fatty acids (LCPUFA: Long-chain polyunsaturated fatty acids) during pregnancy reduces the risk of premature delivery. While predicting and preventing premature births has always been a challenge, would omega-3s be a new option to prevent prematurity?

Experts from the Cochrane Pregnancy and Childbirth Group point out that babies born prematurely are at higher risk of developing various long-term conditions and conditions, including among the most common, delayed development, visual disturbances, and difficulties of learning. Premature birth is a critical global health issue, with around 15 million babies born too early each year, says Philippa Middleton Associate Professor at the South Australian Health and Medical Research Institute (SAHMRI): Babies are considered premature when they are born before 37 weeks and the earlier a baby is born, the higher the risk of death or poor health”.

Here researchers examine the role of omega-3 fatty acids in reducing the risk of preterm birth, and, in particular, that of docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) found in fatty fish and fish supplements. Their review looks at 70 randomized trials and concludes that daily omega3 intake in pregnant women has positive effects:

This contribution reduces by 11% the risk of having a premature baby (less than 37 weeks) from 134/1,000 to 119/1,000 births;

it reduces by 42% the risk of having a premature baby (less than 34 weeks) from 46 per 27/1,000 births;

it reduces the risk of having a low birth weight baby (less than 2500 g) by 10%;

A new option to prevent prematurity? It is true that we lack options to prevent premature births, so this discovery seems very important for pregnant women, babies and health professionals. Omega-3 supplementation during pregnancy is of great interest to researchers around the world and this new updated review concludes that there is high-quality evidence that omega-3 supplementation is an effective strategy to prevent pregnancy loss. premature birth.

In the United Kingdom, this is already the case: many pregnant women already take omega-3 supplements but more by personal choice rather than on the advice of health professionals, explains the author. “But beware,” she adds, “many supplements on the market today don't contain the optimal dose or type of omega-3 to prevent premature birth. The optimal dose is a daily supplement containing between 500 and 1,000 milligrams (mg) of long-chain omega-3 fatty acids (containing at least 500 mg of DHA) and is to be taken from 12 weeks of pregnancy.

This review could therefore go a long way in spurring health authorities to reconsider omega-3s to reduce premature birth, which remains one of the most difficult maternal and child health problems to solve in any country in the world.