Remedies are best for morning sickness

images-39Even though nearly all women experience at least a little nausea or vomiting during pregnancy, there isn’t much solid evidence to suggest the best treatments, a research review concludes.

Ginger, vitamin B6 or antihistamines, for example, may ease mild nausea, while severe vomiting that carries a risk of dehydration and malnutrition can sometimes be improved by corticosteroids, the study found.

The trouble is there’s scant evidence to suggest how one treatment might stack up against available alternatives, said lead study author Catherine McParlin of Newcastle University in the U.K.

“Women react differently and may need to try different treatment options before they find something that is effective for them,” McParlin said by email.

“When it comes to evidence of the effectiveness of specific treatments for different levels of condition severity, the research to date has mostly been of low quality, with many trials badly designed and/or badly reported, with few direct comparisons between treatments especially in severe cases,” McParlin added.

Nausea and vomiting are common during pregnancy, affecting up to 85 percent of women, the researchers note in JAMA.

Sometimes called morning sickness, in reality it can occur throughout the day. Often, symptoms may be mild and ease up after the first few months of pregnancy.

The most severe form, hyperemesis gravidarum, affects up to 3 percent of pregnant women and can require hospitalization to provide nutrition through a feeding tube.

To assess the effectiveness of a variety of treatments for nausea and vomiting during pregnancy, researchers analyzed data from 78 previously published studies with 8,930 patients combined.

For mild symptoms, ginger, vitamin B6, antihistamines and metoclopramide (Reglan) were all more effective than a placebo pill, the study found. Pyridoxine-doxylamine (Diclectin) and ondansetron (Zofran) both beat a placebo for moderate symptoms.

When women have moderate to severe symptoms, they may get better results by taking pyridoxine-doxylamine preemptively to reduce the risk of recurrent vomiting instead of waiting to take this medicine until symptoms return, one study of 60 women in the analysis suggests.

Another study found ondansetron more effective at curbing moderate to severe nausea in the first few days of use than metoclopramide, but no difference in how many times women vomited.

With hyperemesis gravidarum, women have fewer options and there’s even less evidence, the study authors note.

Corticosteroids appeared superior to metoclopramide for reducing vomiting episodes in an analysis of three studies of women with the most severe symptoms.

One limitation of the analysis is that researchers lacked data to compare side effects for babies associated with different treatments the authors note.

The findings aren’t surprising because ethics limit testing experimental drugs in pregnancy, particularly during the early months when medications might harm fetal development, said Angela Lupattelli, a pharmacy researcher at the University of Oslo in Norway who wasn’t involved in the study.

Complicating matters, there aren’t good objective tests to assess nausea symptoms, Lupattelli added by email.

Do you have genetic disorder

images-37the youngest daughter of former University of Oregon President Dave Frohnmayer and his wife has died of a rare genetic disorder, making her the third Frohnmayer child to die of Fanconi anemia.

The Oregonian/OregonLive reports that 29-year-old Amy Winn’s mother Lynn Frohnmayer confirmed Monday that her youngest daughter had lost her battle with the disease.

Complications from Fanconi anemia killed Katie Frohnmayer in 1991 when she was 12 and took Kirsten Frohnmayer’s life in 1997 when she was 24.

The Frohnmayer’s started the Fanconi Anemia Research Fund in 1989 to study their daughters’ illness.

Amy Frohnmayer says Winn always knew she had the disease, but that she didn’t let it stop her from living her life to the fullest.

Doucet said the school was still determining the exact details of the program, including class size and the length and frequency at which it will be conducted.

“This is not a mainstream program,” he said. “We’re looking at training qualified employees to meet the needs of industry, versus training students at large.”

You should never be penalized for being a father

images-38As a practicing obstetrician, I always believe that it is fundamentally important to have partners involved with the birth of a child, and for them to participate in all aspects of the delivery— from prenatal care and becoming an advocate for the pregnant patient, to certainly taking part in the birthing experience. The bonding that this brings to the child is of monumental proportions because it provides that family unity and love from the moment of birth, which can translate itself to years of positive experiences for the child.

This is why I was outraged when I heard about a Utah father who says he was billed $39.35 to hold his newborn child during a common skin-to-skin ritual for the mother and child.

As the new dad’s viral Reddit post goes, Ryan Grassley, of Spanish Fork, was surprised to learn when he received his hospital bill that he was charged to hold his newborn on his wife’s neck and chest area. He wrote that the nurse borrowed his camera to take a few pictures of them.

“Everyone involved in the process was great, and we had a positive experience,” Grassley wrote in the post, where he shared a photo of the bill, and a picture of him, his wife and their infant. “We just got a chuckle out of seeing that on the bill.”

Although Grassley said he thought the whole thing was “funny and a bit ridiculous”— and even started a GoFundMe page to raise $39 and pay for the charge, which he met within days— I think this case shows just how absurd hospital bills have become in such crucial medical situations as childbirth and the immediate rituals following.

For mothers who undergo cesarean sections, as Grassley’s wife did, skin-to-skin contact after birth has several benefits for both women and their children. The action involves the baby lying on the mother’s chest, and is meant to help the baby hear his or her mother’s heartbeat and detect her nipple to aid in breastfeeding.

Now, the hospital responded to Grassley’s post, which other parents have met with disgust and outrage, by specifying that the charge wasn’t for the skin-to-skin contact itself, but rather for the additional nurse staff insisted was needed to ensure the baby’s safety during the action.

Regardless, I am sick and tired of patients getting billed to death by hospitals and caregivers, where in some cases, if you look at those crazy itemized bills, they would even charge you for the toilet paper you use when you’re staying in the hospital. Hospitals today charge in such a way that we look like the Pentagon, where we charge $800 for a hammer. And this has to stop.

This case where this father seems to have been billed to simply hold his newborn child is deplorable. There, I said it!

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Customized web development offers startups a number of important benefits. Your business is not likely to stay the same size every year. This means that every year your company is going to require different levels of service. When you hire a custom web development firm, they will help you put a game plan into place, with scalable support services to ensure that you have web development services necessary to launch your new business the right way. By speaking with a startup strategist, you can discuss your business plans and draw up a strategy to launch your business properly.
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Tips to improve your health

Wearing a fitness tracker may help you keep tabs on how many steps you take, but the devices themselves — even with the lure of a cash reward — probably won’t improve your health, according to the biggest study yet done on the trendy technology.

Scientists say that although the activity trackers may boost the number of steps people take, it probably isn’t enough to help them drop pounds or improve overall health.

“These are basically measuring devices,” said Eric Finkelstein, a professor at Duke-NUS Medical School in Singapore, who led the research. “Knowing how active you are doesn’t translate into getting people to do more and the novelty of having that information wears off pretty quickly.”

Finkelstein and colleagues tested the Fitbit Zip tracker in a group of 800 adults in Singapore, by dividing them into four groups. Of those people, more than half were overweight and obese and about one third were active.

A control group got information about exercise but no tracker and a second group got the Fitbit Zip; everyone in those groups also got about $2.92 a week. Participants in the last two groups got the tracker and about $11 for every week they logged between 50,000 and 70,000 steps. One of the groups had the money donated to charity while the other kept the cash.

After six months, people with the Fitbit and who got the cash payment showed the biggest boost in physical activity. But after a year, 90 percent of participants had abandoned the device. The physical activity of the Fitbit wearers did not decline over the year as much as it did for those who were not given a tracker, but the higher activity level wasn’t enough to produce any improvements in weight or blood pressure.

Are you mistaking meningitis for a hangover

After a woman died in April when she mistook meningitis for a hangover, her parents are speaking out so the same thing doesn’t happen to anyone else.

Jennifer Gray’s mother, Edwina, told the Daily Record her daughter’s quick and confusing death is the “worst possible thing to happen to someone who has an only child.”

On April 16, Jennifer told her mother she felt sick, The Independent reports, but she thought it was just a hangover or a cold after a night out with friends. But her symptoms — a headache, sore joints, and nausea — weren’t going away, so Jennifer went to the hospital the next day. At the hospital, the Daily Record reports Jennifer’s symptoms progressed rapidly, and she died soon after.

Jennifer was diagnosed with bacterial meningitis, which causes swelling of the brain. Many things cause meningitis, but the bacterial form is one of the more serious ones. According to the Centers for Disease Control and Prevention, there were about 4,100 cases of bacterial meningitis, including 500 deaths, each year between 2003 and 2007 in the United States. It’s spread from person to person, but most of the bacteria that cause the illness aren’t quite as contagious as viruses that cause a cold or flu. You have to get pretty close to someone with meningitis to catch it.

Symptoms of meningitis come on pretty fast, according to the CDC, and include fever, headache and a stiff neck. Other symptoms include nausea, vomiting, sensitivity to light, and confusion. It’s important to get immediate medical treatment if you think you have been exposed to meningitis and start experiencing these symptoms.

Because young people like her daughter are particularly susceptible to contracting meningitis (living in close quarters like dorms is a way it can spread), Edwina went public with Jennifer’s story.

“I was shocked by the condition she was in. She looked horrendous. Within that hour since I last saw her, there was a rapid increase in symptoms,” Edwina told the Daily Record. “The hospital said they hadn’t seen the illness move as fast as with Jennifer. She came in with vague symptoms and within hours, she was dead.”

If you suddenly experience the symptoms described above, it’s a good idea to call your doctor. They can tell you whether to get checked out or if you should rest.

Lets know more about launch marijuana

A college in the Atlantic Canadian province of New Brunswick plans to institute a program on marijuana cultivation so that students can be trained to work at local companies that produce the drug, a school official said on Tuesday.

The French-language College Communautaire du Nouveau-Brunswick will launch the course sometime next year, said Michel Doucet, executive director of continuing education and customized learning.

Canadian Liberal Prime Minister Justin Trudeau campaigned last year on a promise to legalize recreational marijuana and the government has said it would introduce legislation by the spring of 2017.

Medical marijuana is already legal across Canada, and companies in that relatively small sector have been eyeing the larger recreational market with expansion in mind.

In August, the government of New Brunswick, where the college has five campuses, said it invested C$4 million ($3.03 million) in a medical marijuana company that will create up to 208 jobs in the region.

Doucet said the school was still determining the exact details of the program, including class size and the length and frequency at which it will be conducted.

“This is not a mainstream program,” he said. “We’re looking at training qualified employees to meet the needs of industry, versus training students at large.”

Colleges in Canada differ from universities and grant mainly diplomas instead of degrees. Doucet said the school had not yet determined whether it would be a full diploma program.

New Brunswick, with a population of roughly 750,000, has suffered from a weak economy, and westward migration has caused a brain drain and shrinking population.

Silly cat will be help you more to happiness

This type of online activity may feel silly and a waste of time. But a lot of what we do on social media may be good for us, a growing body of new research shows. Our experiences online can increase our connectivity and combat loneliness, boost our mood and improve our relationships and our memory.

We turn to social media for social support and engage online in topics and causes that matter to us: Facebook to connect. Twitter to follow the news. Instagram to show our artsy side. Snapchat to be funny.

Neuroscientists believe that we get a spike of the neurotransmitter dopamine, which increases when the reward systems of our brain are activated, when we get a “like” or a comment on one of our posts. “It’s a powerful positive reinforcement,” says Patricia Wallace, a psychologist and author of “The Psychology of the Internet.”

“The brain is very plastic in young ages, and prolonged exposure with improperly fitted devices could incur damage,” she said. “Children also may not understand how to communicate eyestrain and may lack reflexes to remove the devices if they find them uncomfortable.”

Still, this does not necessarily mean that VR is unsafe for children and never can be, she said, adding that VR’s safety varies according to the device, type of content and time spent using it, as well as on the individual child using it.

Facelift can help plump lips

Women getting cosmetic surgery to lift up sagging cheeks and jowls may be able to use some of the tissue removed during the procedure to plump up their lips, a small U.S. study suggests.

Five years after getting a facelift followed by lip augmentation using leftover tissue, patients still had significantly fuller lips than they did prior to the procedure, though the results weren’t as pronounced as they were at three months or one year, the study found.

“This technique offers patients undergoing a facelift a way to use their own tissue which would otherwise normally be discarded to plump the lips with minimal risk for complications,” said lead study author Dr. Matthew Richardson, a private practice plastic surgeon at Texas Facial Aesthetics in Frisco, Texas.

“Patients who have previously had a facelift are usually not candidates for this procedure because the tissue that is used for the lip augmentation is often removed at the time of the first facelift operation,” Richardson added by email.

Still, appearance tweaks like this are gaining in popularity.

Last year there were 15.9 million surgical and minimally invasive cosmetic procedures done in the U.S. alone, a 2 percent increase from the previous year and more than double the number from 2000, according to the American Society of Plastic Surgeons.

For the current study, researchers focused on a procedure that plumps up the lips with tissue taken from what’s known as the superficial musculoaponeurotic system (SMAS), a layer of tissues under the skin of the face.

To assess the long-term safety and effectiveness of this cosmetic procedure, researchers followed 60 people for about five years, examining photos to see how plump lips stayed over time and tracking complications.

Two of the patients had complications that required additional treatment, one to relieve swelling and the other for nodule removal, researchers report in JAMA Facial Plastic Surgery.

Both the upper and lower lips were fuller at three months, one year and five years compared to before the patients got facelifts and lip augmentation, based on an analysis of photos from a subset of 26 participants.

One limitation of the study is that researchers lacked a full set of images for more than half of the participants because some people were missing at least one picture and others were excluded because they’d gotten additional cosmetic lip procedures during the study, the authors note.

It also may be unaffordable for some patients.

Absent a traumatic injury requiring facial reconstruction, this type of procedure wouldn’t typically be covered by insurance, requiring patients to pay somewhere in the neighborhood of $5,000 to $8,000 entirely out of pocket, said Dr. Andrew Jacono, director of The New York Center for Facial Plastic and Laser Surgery.

Even so, the study should reassure patients who choose this procedure that it can be done safely and have lasting effects, Jacono, who wasn’t involved in the study, said by email.

“While we knew that SMAS lip augmentation delivered consistent outcomes, the study speaks to the longevity of the results,” Jacono said. “This is the first time the procedure has been proven to last for at least five years with little to no complications.”

Do All guys need a PSA test

Actor Ben Stiller is crediting a prostate cancer screening test for saving his life, revealing today that he was diagnosed and treated for prostate cancer two years ago. But should all men get this screening test?

In an interview today (Oct. 4) on The Howard Stern Show, Stiller revealed for the first time that he was diagnosed with prostate cancer at age 48. The actor, who is now 50, said doctors detected the cancer because Stiller had undergone a prostate-specific antigen test, or PSA test, which looks for levels of the protein PSA in the blood. Abnormally high levels of PSA in the blood can mean that a man has prostate cancer, but not always. In Stiller’s case, a follow-up MRI and biopsy showed he had prostate cancer.

“This thing saved my life,” Stiller said of the PSA test.

The PSA test is the main test used to screen for prostate cancer, but it is controversial. In 2012, the U.S. Preventive Services Task Force, or USPSTF (an expert panel that advises the federal government) recommended that men not undergo routine screening for prostate cancer with the PSA test, no matter their age.

The American Cancer Society recommends that men have a discussion with their doctor about whether to start PSA screening at age 50 if they are at average risk for prostate cancer, and at age 40 to 45 if they have a family history of prostate cancer.

The main issue with prostate cancer screening is that, although the PSA test can help detect prostate cancer early, it’s not clear if the test’s benefits outweigh its risks in the long run for most men.

One problem with the PSA test is that it often suggests that men have prostate cancer when they do not have cancer, according to the USPSTF. About 75 percent of men with abnormally high levels of PSA do not have cancer. These so-called false positive results can lead to anxiety and unnecessary follow-up tests, the USPSTF says.

The PSA test doesn’t always detect cancer, either — about 20 percent of men with prostate cancer have normal PSA levels, so the test may give these men a false sense of security, according to Harvard Medical School.

What’s more, even when true prostate cancer is detected, doctors cannot tell for sure whether the prostate cancer poses an actual threat to a man’s health.

In many cases, prostate cancer does not grow or cause symptoms, or it grows so slowly that it would never have caused problems in a patient’s lifetime, according to the USPSTF.

“Because of an elevated PSA level, some men may be diagnosed with a prostate cancer that they would have never even known about at all. It would never have led to their death, or even caused any symptoms,” the American Cancer Society says.

This means that some men with prostate cancer get treatment that they don’t need. And the treatments for prostate cancer, such as surgery and radiation, are not benign. They can lead to erectile dysfunction, urinary incontinence and problems with bowel control.

Man spent decades at parents

A 43-year-old man who lived in isolation at his parents’ home in Bavaria for three decades has been taken to a psychiatric hospital and German police are investigating whether his parents did anything wrong.

Police went to the home in Freienfels, in southeastern Germany near Bayreuth, on Sept. 21 after receiving a tip and found the man in a neglected condition, police spokesman Juergen Stadter said Wednesday.

“The man was unkempt, unwashed, but well nourished,” Stadter said. “But he wasn’t constrained and had several rooms to himself where he could move around freely.”

Police are now investigating whether the man stayed inside for all those years of his own will or if his parents forced him to stay at home.

The man’s parents, who are in their late 70s, are under investigation on suspicion of possible deprivation of freedom and causing bodily harm by neglect.

“We assume that he was suffering from some kind of handicap,” Stadter said, adding that as a boy the man went to elementary school, but then stopped attending school at 13 because he was declared unfit to attend.

Stadter would not give further details on what exactly kept the man from attending school, citing privacy concerns.

The man’s mother, who wasn’t named, was quoted as telling the local Nordbayerischer Kurier newspaper that the parents’ didn’t lock him up and “he didn’t want to go outside.”

She said she “always wanted to protect him,” and indicated that as a little boy, her son was treated badly by his schoolmates, the newspaper said.

Local authorities said the man didn’t initially want to leave the house and had to be convinced to go, news agency dpa reported.