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Kidney stones: Symptoms and treatment

Chances are you or someone you know has had a kidney stone at some point in their life; they are very common, affecting approximately one in ten people throughout their lifetime.  The risk of kidney stones is higher in the United States than the rest of the world and this number has only been increasing over the past two to three decades.  Despite the high incidence in the U.S., however, this is a condition that affects people worldwide and has done so for millennia; bladder and kidney stones have even been found in Egyptian mummies. Kidney stones are small, hard deposits, typically composed of mineral and acid salts, that form inside your kidneys.  As one might expect, because urine is a vehicle for waste excretion, it is comprised of numerous chemicals and wastes (including calcium, oxalate, urate, cysteine, xanthine and phosphate).  When the urine is too concentrated, that is too little liquid and too much waste, crystals will begin to form.  Over time, these crystals can join together and form a larger stone-like solid.   There is no single cause for kidney stones and often, the cause is unknown.  There are, however, different types of kidney stones, which can help pinpoint the origin.  Calcium stones (in the form of calcium oxalate or calcium phosphate), for example, are the most common form of kidney stone.  Oxalate is a naturally occurring substance in food, so anything that increases levels of this compound, can increase the risk of a kidney stone.  Uric acid stones often form in people who do not consume enough fluids, eat high protein diets or have gout.  Struvite stones often form as the result of a kidney infection.   Treatment for kidney stones primarily depends on the size of the stone.  If it is smaller than four millimeters in diameter, you have a good chance of passing it spontaneously. Consuming two to three quarts of water a day and using a pain reliever can help pass these small stones.  Larger stones may require invasive treatment including: surgery, using a scope passed through the urethra or shock-wave lithotripsy, where high-energy sound waves break up the stone in to more easily passable stones. Risk factors for developing kidney stones include: being over age 40, being male, ingesting too little water, too much/little exercise, obesity, weight loss surgery, digestive diseases, and consuming a diet high in salt, protein or sugar, especially fructose.  Having a family history of kidney stones can also increase your risk of developing them; furthermore, if you have already experienced kidney stones, you are at an increased risk of developing more.   Prevention of kidney stones can be as simple as a few dietary changes.  Consuming more water during the day is one of the easiest measures you can take.  Doctors recommend excreting about 2.6 quarts of urine every day.  Depending on the severity of your kidney stones, you may want to measure and monitor your urine excretion.  Consume fewer oxalate-rich foods, especially if you tend to form calcium oxalate stones.  Such foods include chocolate, soy products, okra, beets, sweet potatoes, tea and nuts.  Consume foods low in salt and animal protein.  Speak with your doctor about your calcium intake via food and supplements before making any changes here.  Furthermore, speak with your doctor about the possibility of prescription drugs to help with your kidney stones.  Dr. David B. Samadi is the Vice Chairman of the Department of Urology and Chief of Robotics and Minimally Invasive Surgery at the Mount Sinai School of Medicine in New York City. He is a board-certified urologist, specializing in the diagnosis and treatment of urological disease, with a focus on robotic prostate cancer treatments. To learn more please visit his websites RoboticOncology.com and SMART-surgery.com. Find Dr. Samadi on Facebook.source : http://www.foxnews.com/health/2013/05/29/kidney-stones-symptoms-and-treatment/

Is there a hidden scandal lurking in ObamaCare?

America, we are in trouble – and we better wake up and act.   Just look at the state of affairs in our country today.  We are seeing scandal after scandal, with the Benghazi controversy, the IRS targeting of conservative groups, and the freedom of the press being challenged by the Department of Justice. The word scandal is defined by the Oxford Dictionary as “an action or event regarded as morally or legally wrong and causing general public outrage.”  I think the implementation of ObamaCare fulfills that definition. I remember back in 2010 when then-Speaker of the House Nancy Pelosi made her infamous remark about the Affordable Care Act, saying “we have to pass the bill so that you can find out what’s in it....” Well the bill has been passed, and now we see what’s in it: An utter mess with incomprehensible rules. If we compare the assertions the president made about ObamaCare when it was first introduced to the current bill as it has been passed today, we find that all the president’s guarantees regarding ObamaCare are not there.   The truth of the matter is that we were not fully informed.  For example, President Obama maintained that this bill would lower the cost of health care, especially in regards to insurance premiums.  That is simply not true.  Many different analyses clearly show that in some markets, insurance premiums can increase as high as 30 to 40 percent. One of the main reasons for this increase can be attributed to all the hidden taxes that this bill contains, which the insurance industry will likely pass on to consumers.   Another false guarantee given by the administration was that individuals would be able to keep their doctors and current level of service through ObamaCare.  Again, this is not true. The so-called insurance exchanges being set up in many states by the federal government will most likely create a non-competitive environment, meaning patients who cannot afford other types of insurance will be forced to buy insurance from the government.  And if their current doctors are not willing to participate in that single-payer health care system, these patients will ultimately lose the guarantee of keeping their own doctors. So what does this all mean? It means that if everything goes according to the president’s plan, the health care landscape is going to completely change over the next decade. A potential scenario is that private doctors will be employees of one large health care system. Health standards such as maintaining an ideal weight and eliminating habits like drinking alcohol and soda will be placed on families so that they can qualify for health care.  So in other words, your individual freedom will be targeted. I know many people argue that it’s better if everyone has health insurance and maintains a healthy lifestyle.  Yes it is, but I still believe that an individual’s health care should not be dictated by the government. Instead it should be a choice made by the individual and his or her health provider. Many senior politicians and consultants have found as of late that ObamaCare is a train wreck.  And yet, the person in charge of implementing ObamaCare, United States Secretary of Health and Human Services Kathleen Sebelius, continues to drive the train forward.  Rather than work with leaders who are suggesting changes ,she has decided to enlist the help of the private sector in getting donations to help fund ObamaCare.   Many have questioned this move, but one thing Secretary Sebelius knows is how to organize her community of followers.  Recently, she has teamed up with Nancy-Ann DeParle, former director of the White House Office of Health Reform, placing her in charge of asking insurance companies to donate $1 million or more to Enroll America, a non-profit organization promoting enrollment in the subsidized insurance markets, according to a report from Politico. You see, folks, ObamaCare is all about politics and control, and to me, that is a formula for disaster.  This is something that should not be taken for granted but rather openly evaluated by the American public.source : http://www.foxnews.com/health/2013/05/29/is-there-hidden-scandal-lurking-in-obamacare/

Cholesterol sets off chaotic blood vessel growth

The work, led by Yury Miller, MD, PhD, associate professor of medicine at UC San Diego, will be published in the advance online edition of the journal Nature on May 29. Cholesterol is a structural component of the cell and is indispensable for normal cellular function, although its excess often leads to abnormal proliferation, migration, inflammatory responses or cell death. The researchers studied how the removal of cholesterol from endothelial cells (cells that line the blood vessels) impacts the development of new blood vessels, the process called angiogenesis. According to Miller, removal of excess cholesterol from endothelial cells is essential for restraining excessive growth of blood vessels. …

Woman becomes quadruple amputee after black market silicone butt injections

Apryl Michelle Brown had black-market silicone injections which turned out to be bathroom sealant. It left her in agony and led to her losing her hands and feet, as well as her buttocks. The 46-year-old former hairdresser blames “vanity” and wants to warn others of the terrible dangers of such illegal treatments. Teased as a child about her “pancake” bum, Brown vowed to buy a shapelier one when she was older. The moment that changed her life came in 2004, when two women walked into her successful beauty salon to get their hair done. One of them ran “pumping parties” — where unqualified practitioners inject illegal silicone into “patients” at their home. Brown, from Los Angeles, Calif., said: “One of the women told me how she had given bottom injections to the friend who was with her. “I remember thinking it was a miracle she’d walked into my life. Her friend showed me the work she’d had done and it looked great. “In a split second I made the decision that I was going to go to this woman and let her inject silicone into my behind.” That decision nearly killed her. Brown paid the woman, who had no medical background for two lots of injections. Doctors later discovered the substance used was industrial-grade silicone. Brown admitted: “I didn’t do any research. A combination of naivety, misplaced trust and insecurity led me to take this disastrous decision. “I trusted her because she seemed so professional, and I had no reason to think anything awful was going to happen. “She carried out the procedure in her daughter’s bedroom. She assessed my bottom and said, ‘You’ll need three or four sessions to get the result you want’. “The first procedure took an hour. I remember asking, ‘Is it meant to be so painful?’ and she said, ‘Yes’. It felt like it was squeezing through my nerves.” Within weeks Brown returned for her second treatment. She said: “After going through it again I had an epiphany. As I left her house I thought, ‘What am I doing? I have no idea what she’s putting in my body’. “I never returned. But though I didn’t know it then, my life had already changed forever.” Over the next two years the area where she’d been injected became hard and the skin blackened. Brown, mother to daughters Danye, 22 and Courtney, 21, said:  “Within a few months of the second injection my buttocks began to harden. I knew something wasn’t right. But shame stopped me seeking medical help. As time went on it got worse as the skin blackened. I developed hard lumps. Then the searing pain started. I had to tell my doctor what I did. I was so ashamed.” Brown spent the next four years in constant pain. Two surgeons told her it was too dangerous to remove the silicone. She said: “I was in so much agony I became a regular at hospital asking for medication to ease what was like a combination of a migraine, childbirth and toothache localized in one area. “I suffered day and night, so I was willing to do anything — including remove my buttocks.” In February 2011 a surgeon operated unsuccessfully. Brown developed a hole in her buttocks — thought to be the trigger for an infection that in June was nearly fatal.  She said: “I was 24 hours from dying. I didn’t think of leaving my family. It was a relief I’d finally be free of pain.” Doctors put her in an induced coma for two months while performing 27 surgeries — starting with amputating her buttocks — and doing extensive skin grafts. She said: “They saved me but gangrene set into my hands and feet. I was brought out of sedation shortly before I became a quadruple amputee. “My hands looked like those of a dead person. I knew then I was going to lose them.” She added: “At first you try to register your new limbs. The real comprehension comes when you start to live this new life. “I had dark times. I cried a sea of tears. I had to face the fact I’d lost my hands, feet and buttocks because of complications from bottom injections. I was overwhelmed by shame and guilt... all because I wanted a bigger bottom. “I was six months in hospital. By the time I was discharged I was determined to turn this terrible thing into something positive. “I decided to do a triathlon. I told myself if I could achieve that I could do anything. “I took my first steps again by the end of 2011. I built up to training six days a week, learning to walk, cycle then swim again using my residual limbs. “I’d be crying in pain but I’d push through it. And six weeks ago I did it — completing a three-mile walk, ten-mile cycle and a 150-meter swim. “When I crossed that finishing line with my family cheering me on, I cried tears of joy.” She added: “I haven’t sued or sought compensation. I just want to move on. There are things I miss dearly — I’ll never be able to do my girls’ hair or feel sand between my toes. “But I believe I survived to share my story. “I want to warn others of the dangers of black-market surgery. We were born whole, perfect and complete. “My greatest message is we have to learn to love and accept ourselves for who we are.” Click for more from The Sun. source : http://www.foxnews.com/health/2013/05/29/woman-becomes-quadruple-amputee-after-black-market-silicone-injections/

Fewer tobacco products, but not alcohol, in movies

Movie characters smoke less since 1998 regulations that stopped tobacco companies from buying on-screen brand placements, according to a new study. But at the same time, researchers found the number of alcohol brand appearances has increased in popular movies rated PG-13 and below, and the amount of time characters spend drinking hasn't changed. “These results are of great concern,” said David Jernigan, head of the Center on Alcohol Marketing and Youth at the Johns Hopkins Bloomberg School of Public Health in Baltimore. “In movie reality, it seems like every occasion is right for a drink,” said Jernigan, who wasn't involved in the new study. And that suggests to young viewers that alcohol is much more common than is actually the case, he said. “This whole conversation is about normalization of alcohol use,” Jernigan said. “Young people are particularly vulnerable to the message that drinking is everywhere.” For the new study, researchers watched the top 100 box office releases of each year between 1996 and 2009 and recorded when a movie character was shown using or handling tobacco or alcohol, and when a particular brand was pictured. In all, Elaina Bergamini from the Norris Cotton Cancer Center in Lebanon, New Hampshire, and her colleagues recorded 500 tobacco and 2,433 alcohol brand placements in all films combined. The number of tobacco brand appearances ranged from 54 to 98 per year before 2000, then declined to 22 per year after 2006. The amount of time characters were shown using tobacco also dropped over time in both youth and adult movies. That suggests the 1998 regulation, part of the Master Settlement Agreement between tobacco companies and U.S. states, successfully stopped the tobacco industry from paying for its products to be shown on screen, the study team wrote in JAMA Pediatrics. On the other hand, alcohol brand appearances in youth-rated movies, in particular, increased from 80 to 145 per year during the study period. Budweiser was the most common alcohol brand shown in films. Parent company Anheuser Busch did not comment before press time. Jernigan said that because there's unlikely to be a similar settlement for the beverage industry, any regulation on product placement would have to come from the companies themselves or from the movie industry. For example, some organizations have suggested movies showing drinking should automatically be rated R. Concern stems from research tying on-screen smoking and drinking to more of that behavior among youth who watch those movies. “Children who see smoking in the movies are more likely to initiate smoking,” Bergamini said. “I think there is some concern that that may hold true for alcohol as well.” “The notorious thing you find in movies and in TV is heavy drinking without consequences,” Jernigan said. “It leaves it up to parents to tell the consequences story.”source : http://www.foxnews.com/health/2013/05/29/fewer-tobacco-products-but-not-alcohol-in-movies/

Pork industry hunts for deadly pig virus

The sudden and widespread appearance of a swine virus deadly to young pigs - one never before seen in North America - is raising questions about the bio-security shield designed to protect the U.S. food supply. The swine-only virus, the Porcine Epidemic Diarrhea Virus (PEDV), poses no danger to humans or other animals, and the meat from infected pigs is safe for people to eat. Though previously seen in parts of Asia and Europe, the virus now has spread into five leading hog-raising U.S. states. How it arrived in the United States remains a mystery. While the U.S. imports millions of pigs each year from Canada, it imports pigs from virtually no other country, and no Canadian cases of PEDV have been confirmed. Veterinarians and epidemiologists say pigs are infected through oral means, and that the virus is not airborne and does it not occur spontaneously in nature. In recent years, with the emergence of dangerous pathogens such as H1N1, also known as swine flu, and bovine spongiform encephalopathy (BSE) or mad cow disease, the United States and other countries have sought to secure defenses both on the farm and at the national borders to protect against barnyard epidemics. “We're just trying to get a handle on what's happening,” said Tom Burkgren, executive director of the American Association of Swine Veterinarians. “It's like drinking water out of a fire hose. We're getting hits from all over the place.” Overall numbers of confirmed cases and mortality rates are not yet available, though anecdotal evidence suggests there are devastating losses for farms that are hit. “If you've got it, it's bad,” said Mark Greenwood, vice president of agri-business capital at AgStar Financial Services, who said none of his clients have been affected. “I spoke to a farmer in the Midwest who had it show up in a 2,000-head barn of pigs, and had a 40 percent death loss.” A spokeswoman for U.S. Department of Agriculture's Animal and Plant Health Inspection Service told Reuters the agency is working with state agencies and pork industry officials to discover where the virus originated. THE VIRUS SPREADS Confirmed cases have been reported in five hog-raising states including Iowa, the largest U.S. hog producer with 20 million hogs, according to the USDA. While only seven farms have had confirmed cases since May 17, more cases are expected as labs sift through samples, say sources investigating the outbreak. Colorado, Indiana, Illinois and Minnesota reportedly have positive tests for PEDV, according to state veterinarians and agriculture department officials, and the National Veterinary Services Laboratory in Ames, Iowa. PEDV, most often fatal to very young pigs, causes diarrhea, vomiting and dehydration. It also sickens older hogs, though their survival rate tends to be high. Known as a “coronavirus” because of the crown-like spikes on its surface, the virus afflicted China in recent years and killed more than 1 million piglets. PEDV is spread most commonly by pigs ingesting contaminated feces. Investigators are focused on physical transmission, perhaps a PEDV infected pig, equipment marred with feces, or even a person wearing dirty boots or with dirty nails. The mystery about how the virus entered the United States is raising concern about potential holes in the bio-security shield designed to protect the U.S. food and farming sectors. “Like everything else, we screw up from time to time,” said Ronald L. Plain, professor of agricultural economics at University of Missouri in Columbia, Missouri. “We know so little about the transmittal of this virus. We can't be sure if it's happening because of something we're supposed to do right and didn't - or by some mechanism we don't know that we're supposed to do differently.” Initial reporting about the virus may have been delayed, say sources, because its symptoms can be confused with a more common malady, transmissible gastroenteritis (TGE). Also, states are not required to report cases of PEDV to the federal government, and farmers are not required to report to state veterinarians. As part of its assessment of the situation, USDA will email epidemiological surveys to swine veterinarians who are dealing cases of PEDV. Meanwhile, the veterinarians are sending samples to diagnostic labs, where technicians are scrambling gathering the tools needed to check the samples for PEDV - supplies many labs did not have prior to the outbreak. While most farmers are taking a wait-and-see approach, some told Reuters they are turning away unnecessary visitors and double checking to ensure their safety protocols are being followed. LOOKING NORTH The search for leads also has turned to the nation's borders and ports of entry - specifically, Canada, where the United States imported 5.7 million head of live hogs last year. Canada has never had a confirmed case of the virus, though it does not test for it, government officials said. “Canada has very effective import measures in place to address this risk,” said Dr. Rajiv Arora, senior staff veterinarian for the Canadian Food Inspection Agency's foreign animal disease section. Canada can import live breeding pigs, under permits, from either the United States or the European Union, Arora said. The animals are quarantined by CFIA for a period of time, then inspected and tested - although not for PEDV - before released. Canada imported C$1.7 million ($1.6 million) worth of live swine in 2012, including both slaughter-ready and breeder pigs, according to Canada's Agriculture Department. CHINA HARD HIT Veterinarians and agricultural epidemiologists in the United States are drawing grim lessons from the devastating effect PEDV has had in other countries where it has hit. The first reports of suspected PEDV came in 1971 in the United Kingdom. As years passed, PEDV spread across parts of Europe and Asia. Veterinary researchers later concluded that lax bio-security measures contributed to PEDV's spread in Asia. One of the worst known outbreaks of the virus hit China's pig herds in late 2010, according to the Centers for Disease Control and Prevention's Emerging Infectious Diseases Journal. Vaccines had limited effectiveness and PEDV over ran southern China killing more than 1 million piglets. The death rate for virus-infected piglets ranged from 80 percent to 100 percent. Biosecurity measures in the U.S. food supply have been beefed up over the years, and especially after the outbreaks of mad cow disease and swine flu. Both outbreaks posed risks to human health. Today, trucks carrying live animals are supposed to be cleaned before entering and leaving farms. At commercial hog operations, visitors routinely shower and change clothing before stepping into a barn. Overseas visitors typically wait several days before being in the presence of a commercially raised hog. But the food shield is not impermeable. “If it becomes clear that this is not a novel way for to be transmitted, and that there had to be physical contact, that's going to be a major concern,” said William Marler, a leading food-safety attorney. “It means that there was a failure in the system.”source : http://www.foxnews.com/health/2013/05/29/pork-industry-hunts-for-deadly-pig-virus/

Foods that may prevent Type-2 diabetes in children

As our lives have become more fast-paced, the way we feed our children has also changed. Running from one activity to the next can make it easy to justify the convenience of quick food, even if it means not providing the best nourishment. Research has shown that the top sources of energy for children between the ages of two and 18 come from grain desserts, pizza and soda - with nearly 40% of their consumed energy coming in the form of empty calories.  The mentality that a quick bite is better than nothing may be ruining our children’s health. Learning disorders, fatigue, depression, obesity and diabetes among children is becoming the norm rather than the exception. However, Type 2 diabetes can be prevented and even reversed with the right diet.  One of the best gifts a parent can give a child is a strong nutritional start and healthy eating habits. Children need nutrient dense foods to provide them with adequate energy to grow and play. The easiest way to do this is by sticking with fresh food and avoiding anything that can sit on a shelf without decomposing for years. From a child’s first bite of food, their tastes begin to form. Feeding them salty and sugary foods and juice will create cravings for more. Instead, offer a variety of different flavors and create a natural desire for fresh foods. Bone broth  Real bone broth made from chicken, beef, fish or other bones is simple to make and full of minerals that can boost immunity. Aside from healthy minerals, bone broth is rich in gelatin and glycosaminoglycan which promote the healthy development of bone and dental structures. Bone broth can easily be incorporated into soups, casseroles, stews and sauces – and can even be frozen in ice cube trays for reuse. Saturated fats Children need saturated fats and cholesterol in order to develop a healthy brain and nervous system. They are also vital for developing strong teeth and bones, healthy tissues and strong immune systems. The key is to buy the highest quality you can afford. Meats and eggs from pasture-raised animals are significantly higher in vital nutrients such as Omega-3 fatty acids and are free of antibiotics and hormones. Buying produce from local farms can guarantee freshness while keeping costs down.  Vegan sources of saturated fat also provide amazing health benefits and are usually kid-friendly. Olive and coconut oil are great for cooking with and nuts and avocado make great nutrient-dense snacks that can keep children from craving junk food. Fermented foods From pickles to yogurt, finding a few fermented foods to add to your child’s diet can help keep them healthy. Fermented foods are rich in probiotics, which increase healthy gut bacteria, and have been linked to stronger immunity, better digestion and fewer allergies.  Since fermented foods come in so many different flavor and texture profiles, finding at least one that your child enjoys should be relatively easy. Almost any vegetable can be pickled and sauerkraut, kimchi and pickles can be refrigerated for long periods of time. Organic, plain yogurt and kefir are great additions to smoothies and can make a quick breakfast when you’re on the go. Children have a natural drive to be active and get the right kind of exercise, so take advantage of it. With recess being shortened and physical education being cut out of many schools, having the opportunity to exercise at home is crucial.  Turn your back yard into a mini gym by providing heavy things to play with, obstacles to jump around and sand for digging in. If you don’t have a yard, make it a daily habit to do an outdoor activity together such as going for a walk, riding a bike or kicking a soccer ball back and forth. Keep the exercise fun and enjoy the bonding time.Jacqueline Banks is a certified holistic health counselor and busy mother. & Her focus is on helping other busy moms in all stages of motherhood keep themselves and their little ones healthy and happy. & She uses natural and organic solutions to solve individual health problems and promote clean living. Check out her website at www.jbholistic.com.& & source : http://www.foxnews.com/health/2013/05/28/foods-that-could-prevent-type-2-diabetes-in-children/

5 ways to shed weight for summer

Memorial Day Weekend kicks off bathing suit season – and diet season, too. Tempting as it may be to go on a crash diet to shed some extra pounds, think again. Starving yourself skinny is neither easy nor healthy. And quick fix diets, if they work at all, don’t keep weight off for very long. The truth is, you can eat well, enjoy treats, drink alcohol, and still lose weight. Here’s how: Eat more to lose more Restricting food can actually slow down your metabolism. Why walk around hungry when you can fill up on delicious foods that are satisfying and naturally low in calories? The secret is to eat foods that are high in fiber, such as fruits and vegetables - some have a few as 25 calories per cup.   Sip more water Did you know that dehydration mimics the symptoms of hunger?  For good health and to keep hunger at bay your goal should be to drink eight 8-oz glasses of water a day. It’s easy to do if you keep a full glass on your desk at work and pack a water bottle when you are on the go. Give ordinary water a favor boost with sugar-free powdered flavoring, some fresh fruit wedges, or some cool refreshing cucumber slices. Get moving You don’t have to go for a run to lose weight.  Your best bet is to focus on simple strength training. By building muscle you stoke your body’s calorie-burning machine while giving your body a lean, toned look.  Do this a variety of ways: resistance exercises, hand weights, yoga, or take a Pilates class. Spice it up Spicy foods have metabolism boosting properties. Chili, red pepper, cayenne, cinnamon and ginger all raise the body’s temperature and heart rate, which in turn actually burns more calories.   Banish bloating Salty foods can leave you looking and feeling bloated and you can counter that by eating foods that are rich in potassium such as bananas, papayas, kiwis, strawberries, spinach, cooked beets and broccoli.     For more tips, delicious high fiber meal plans, recipes, and proven ways to lose weight and look great, check out my new book The Miracle Carb Diet: Make Calories and Fat Disappear – with Fiber! Tanya Zuckerbrot MS, RD, is a registered dietitian in New York City and the bestselling author of The Miracle Carb Diet: Make Calories and Fat Disappear – with fiber, and The F-Factor Diet: Discover the Secret to Permanent Weight Loss.  Follow Tanya on Facebook, Twitter and LinkedIn, and visit her website Ffactor.comsource : http://www.foxnews.com/health/2013/05/28/5-ways-to-shed-weight-for-summer/

Check young kids for motor delays, pediatricians suggest

Doctors should regularly screen babies and young children for delays in motor skill development - including trouble sitting, standing and speaking - at well-child visits, pediatricians said today. In a clinical report, an American Academy of Pediatrics (AAP) panel said diagnosing and treating those problems early on may ultimately improve kids' outlook and help families gain additional support. “Identifying children with delays and motor abnormalities, theoretically or hopefully would set them on a better trajectory,” said Meghann Lloyd, who studies motor development at the University of Ontario Institute of Technology in Oshawa, Canada. Lloyd, who was not involved in the new report, called it “a really big step forward for the field.” Dr. Garey Noritz and colleagues on the AAP's neuromotor screening expert panel lay out the skills that a child should have developed by office visits at ages 9, 18, 30 and 48 months. For example, a 9-month-old baby should be able to roll to both sides, sit well without support and grasp objects. At 18 months, that child should be able to walk, sit and stand on its own. Pediatricians should also ask parents open-ended questions about their child's development and watch the child play for signs of delays or loss of motor skills at well-child visits, the panel said. On a general exam, it recommended that doctors measure head size and look at children's muscle tone, reflexes and eye movements. The U.S. Preventive Services Task Force, a government-backed expert panel, said in 2006 there wasn't enough evidence to recommend for or against screening instruments designed to detect speech and language delays in young kids. The task force does not have screening recommendations for motor delays in general. “The AAP… recognized that we as a profession weren't necessarily doing a good job screening for motor problems,” Noritz, from Nationwide Children's Hospital in Columbus, Ohio, told Reuters Health. Cerebral palsy and muscular dystrophy are two of the most common motor-related diseases and could both be picked up and treated earlier than they typically are now, according to Noritz. He said families often refer to the “diagnostic odyssey” involved in getting a definitive diagnosis for a sick child. “We're hoping that people can get to a specialist more quickly and thus get diagnosed more quickly, but that primary care clinicians at the same time as they're looking for a diagnosis, will refer (kids) to therapy,” he said. Promoting movement There is normal variation in how kids develop, Lloyd said - so if a child is a couple of months late to walk, for example, parents shouldn't be overly concerned. But longer delays, or combinations of multiple motor problems, are a good reason for a visit to the pediatrician, she told Reuters Health. “Other types of movements that don't seem right, like a tremor or a rigidity or some sort of repetitive motor movement would be another red flag for me,” Lloyd added. Typical motor delays that aren't a result of more serious underlying conditions are treated with physical or occupational therapy. Parents can bring their children to an early movement program such as Kindergym to promote development of motor skills, Lloyd said, regardless of other treatments and whether or not they are delayed. Having poor motor skills in general “sets you on a trajectory for low levels of physical activity, which of course is related to obesity,” she said. “The prevention of these delays or the promotion of motor ability can actually impact your health for your lifespan.”source : http://www.foxnews.com/health/2013/05/28/check-young-kids-for-motor-delays-pediatricians-suggest/

Face transplant patient making good progress, doctors say

WARNING: CONTAINS GRAPHIC IMAGERY.  A surgeon who operated on Poland's first face transplant patient says the man is already practicing swallowing and making sounds. The 33-year-old man received a skin-and-bone transplant on May 15, three weeks after losing his nose, upper jaw and cheeks in a workplace accident. Doctors say it was the world's fastest time frame for such an operation. Dr. Maciej Grajek said on Monday the man is practicing to swallow liquids, has gotten out of bed a few times this weekend, communicates through writing and can make sounds when his tracheotomy tube - which helps him breathe - is closed for a moment. Grajek called that “very good progress.” The patient remains in isolation to guard against infections.source : http://www.foxnews.com/health/2013/05/28/face-transplant-patient-making-good-progress-doctors-say/