Day Care, Play Groups Cut Leukemia Risk?

April 29, 2008 — Children who attend day care or play groups may be less likely to develop leukemia.

So says Patricia Buffler, PhD, of the College of California at Berkeley. She and her colleagues reviewed 14 studies on leukemia and kids’ social contacts with other children, counting at day care and in play bunches.

Together, the considers included around 6,100 kids with leukemia and 13,700 children without leukemia. The kids’ guardians answered questions around the children’s social introduction to other kids.

“We calculated an in general appraise of impact, which recommends that the reduction in risk may be as high as 30% [and] with the better thinks about as high as 40%,” Buffler tells WebMD.

These findings appear that “early social contacts, as evaluated from day care and other settings, appear to be reliably and altogether with a decreased risk of childhood leukemia,” says Buffler, who displayed the findings nowadays in London at the Causes and Prevention of Childhood Leukemia conference.

“More investigate has to be done to set up this, but it’s been proposed that the prior the child is uncovered to a assortment of infectious specialists, the better the safe system is prepared,” Buffler clarifies. Introduction to other kids at day care and in play bunches gives opportunity for common childhood infections, which may help the resistant framework respond more successfully, concurring to this hypothesis.

“I think the earlier the child is uncovered, the better,” Buffler says. “The crest age for acute lymphoblastic leukemia [the most common sort of leukemia in young children] is 2-5 years of age, so the exposures of interest would take place earlier to that.”

The design Buffler’s group famous wasn’t almost about day care. “We looked at all types of social contact, not just day care, and all sorts of social contact were found to be protective,” says Buffler. She includes that the pattern was weaker for kids with numerous siblings since by being around their brothers and sisters, those kids had plenty of contact with other children indeed in case they didn’t go to day care.

There are three things to be beyond any doubt approximately Buffler’s review.

First, the checked on ponders were observational, so they do not prove that social contacts prevent childhood leukemia. “These types of studies can as it were point to or provide clues about what might be included — in this occasion, disease and a disregulated resistant framework,” says Buffler.

Second, the theory about infection and leukemia chance hasn’t been proven. The reviewers can’t promise that social contact anticipates childhood leukemia, and they’re not blaming childhood leukemia on insufficient social contact.

Third, leukemia is rare among kids. It happens in almost one of each 29,000 U.S. children per year, agreeing to the National Cancer Founded. In spite of the fact that a 30% or 40% drop within the relative chance of leukemia may sound expansive, the in general risk of creating leukemia is still moo.

Still, “the epidemiological data are decently steady and hopefully will stimulate more research on what mechanisms could be involved,” says Buffler.

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Almost 15% of Americans Still Uninsured: Report

By Steven Reinberg

HealthDay Correspondent

TUESDAY, Dec. 17, 2013 (HealthDay News) — As the final phase of the Reasonable Care Act, now and then called “Obamacare,” begins, a modern report appears that more than 45 million Americans still do not have wellbeing insurance.

As troubling as that number could appear, it represents only 14.6 percent of the population and it could be a humble decrease from the past few a long time, concurring to the report from the U.S. Centers for Disease Control and Avoidance.

“To no one’s surprise, the foremost recent data on health protections scope from the National Center for Wellbeing Insights demonstrate that there’s not however much affect from the execution of the Affordable Care Act,” said Dr. Don McCanne, a senior health approach fellow at Physicians for a National Health Program.

McCanne, who had no part in the study, said he anticipates the rates of the uninsured to drop further as the Reasonable Care Act is fully enacted in 2014.

“Over the next year or two, since of the command requiring individuals to be guarantor, it can be expected that insured rates will increment, particularly with increases in private scope through the exchange plans and increments in Medicaid coverage in those states that are collaborating with the government government,” McCanne clarified.

In the report, distributed in the December issue of the CDC’s NCHS Information Brief, the numbers of the uninsured varied by age. Within the to begin with half of 2013, 7 percent of children beneath 18 had no wellbeing insurance. Among those with protections, 41 percent had a public wellbeing arrange, and about 53 percent had private wellbeing insurance, agreeing to the report.

As for those matured 18 to 64, around one-fifth were uninsured, about two-thirds had private wellbeing protections and about 17 percent had public wellbeing insurance.

Insurance scope moreover varied by state, the analysts found. For case, in the to begin with six months of 2013, fair over 11 percent of those beneath 65 in New York had no health protections, while 24 percent were uninsured in Florida.

And fewer people went without insurance compared to the past few a long time, according to the report. In 2010, 16 percent of Americans weren’t guarantor, whereas that percentage was fair over 15 percent in 2011 and it plunged to 14.7 percent in 2012.

In a second report within the NCHS Data Brief, CDC analysts found that getting access to a doctor wasn’t always easy for all Americans.

In 2012, 2.4 percent had difficulty finding a common doctor, 2.1 percent were told that a specialist would not acknowledge them as modern patients and 2.9 percent were told that a doctor did not acknowledge their insurance, said study creator Renee Gindi, a survey analyst at CDC’s National Center for Wellbeing Measurements.

Those most likely to be confronted with all three issues were beneath 65 and were either uninsured or had open protections like Medicaid, the analysts found.

“Adults aged 18 to 64 had the most elevated rates of these encounters with doctor accessibility, while the rates among those 17 and more youthful and 65 and older were right approximately the same,” she said.

Uninsured grown-ups were more likely to have issues finding a specialist or to be told a specialist would not acknowledge them as modern patients, compared with adults who had private wellbeing protections.

The number of individuals with public insurance who had issues finding a doctor was moreover tall, Gindi famous.

McCanne said that the number of people facing these troubles in finding a specialist is likely to extend as out-of-pocket costs rise and protections companies cut specialists from their plans.

“The more noteworthy presentation to out-of-pocket costs, together with a new drift of decreasing the numbers of physicians and clinics in the provider systems built up by the private guarantees, will disable access for more individuals who have scope through their private plans,” McCanne said.

The researchers, be that as it may, did find that patients aged 65 and more seasoned had fewer issues finding and being acknowledged by a doctor.

“A bit of great news is that individuals over 65 who have Medicare still have good get to to doctors. Although Medicare can certainly stand a few enhancements, it still remains a very reasonable elective to replace our current fragmented framework of financing wellbeing care. Under an moved forward Medicare that secured everyone, these insights on the uninsured would not be so depressing each time they are released,” McCanne said.

More Women Are Getting Mammograms

June 30, 2005 — More ladies age 40 and more seasoned are getting mammograms.

So says a national wellbeing study worn out 2002. More than 93,000 ladies aged 40 and older took part. Seventy-six percent said they had had a mammogram in the past two a long time.

The figures exceed the 70% objective set by federal government authorities for 2010.

Kirsten Barrett, PhD, and colleagues report the statistics within the American Diary of Health Behavior. Barrett is a senior inquire about associate at the Center for Public Policy, Study, and Evaluation Investigate Research facility at Virginia Commonwealth University.

Checking for Breast Cancer

Mammograms are X-rays that picture the breast. They’re frequently used to help screen for breast cancer.

Breast cancer is the most common form of cancer among U.S. ladies, but for skin cancer. It’s also the No. 2 cause of women’s cancer deaths, says the American Cancer Society (ACS).

More than 211,000 U.S. women will be diagnosed with breast cancer this year, says the ACS.

Breast cancer death rates have been dropping. That’s probably due to prior detection and made strides treatment, says the ACS.

Which Ladies Are Getting Mammograms

Ladies were most likely to have had a mammogram within the past two a long time on the off chance that they had a personal doctor, health insurance, and higher livelihoods, say the researchers.

The most youthful and oldest ladies — those in their 40s and aged 70 or older — were slightest likely to have had mammograms inside the last two a long time.

Here are the percentages of each age gather who had had mammograms in the final two a long time:

40s: 70% 50s: 81% 60s: 81% 70 and older: 76%

Black women topped the racial/ethnic gather list:

Black: 78% White: 77% Hispanic or Latina: 71% American Indian or Native Alaskan: 70% Asian, Local Hawaiian, Pacific Islander: 68% Room for Improvement

Overall, women over 40 are meeting the government’s mammography goals, say the researchers.

However, they say goals are not being met for ladies without health protections, individual doctors, and basic preventive care.

Mammography Suggestions

Mammography proposals vary.

The ACS prescribes yearly screening mammograms for all ladies aged 40 and older who are in great health. The U.S. government suggests screening mammograms each one or two years for ladies matured 40 and more seasoned.

Younger ladies at high risk for breast cancer may want to talk about mammography with their doctors.

Key Device for Breast Cancer Detection

Mammograms aren’t idealize. They can miss some cancers. Ladies ought to be told almost mammography’s benefits, limits, and potential risks, says the ACS.

Still, the ACS and government officials agree that mammography is regularly crucial in finding breast cancer and saving lives. The screening technique can distinguish breast cancer at an early organize, when it is small and responsive to treatment.

Bizarre Dreams Reflect Pregnancy Angst

Sept. 4, 2007 — Bizarre dreams during pregnancy and the newborn period are common and reflect women’s uneasiness approximately up and coming childbirth and their parental duty, a new consider appears.

Pregnant women frequently have nightmares about the upcoming birth, dreaming especially almost complications. Modern moms regularly have odd dreams almost misplacing the newborn or forgetting to return him to the bunk.

“It’s an unordinary type of dream,” says Tore Nielsen, PhD, a clinician at the Sleep Research Middle at Sacrosanct Heart Clinic in Montreal and the researcher of the consider. “In numerous ways it is just like the Hollywood clich√© nightmare. The person is acting out … talking out. That’s not how normal bad dreams occur.”

His ponder is distributed within the Sept. 1 issue of the diary Sleep.

Triggering the bizarre dreams during pregnancy and the newborn period, Nielsen says, may be a combination of sleep disruption and “the intense emotions that go at the side of being a unused mother.” Fluctuating hormones no doubt contribute, too, he says.

Included in those seriously feelings, he says, is the fear of not measuring up as a modern parent. “The dreams [of the new moms] had this kind of risk nature,” Nielsen says. “The mother leaves the infant with someone and overlooks to choose him up. The mother inadvertently leaves a child in a changing room.”

Think about Subtle elements

Within the think about, Nielsen and his colleagues evaluated 273 ladies relegated to three bunches: unused mothers, pregnant women, or never-pregnant ladies. The women all completed questionnaires about rest and identity. Those who were pregnant replied questions about their pregnancy and birth. They were all inquired around later dreams and bad dreams.

Between 88% and 91% of ladies in all groups recalled dreams and nightmares. An awfully common bad dream is one Nielsen calls “baby in bed.” The mother dreams the infant has been misplaced in the bed and searches through the covers. She frequently sobs or speaks out boisterous. When she awakens, she realizes the baby is not in bed but frequently feels driven to get up and check on the baby.

A lady within the never-pregnant bunch indeed reported this dream after reaching to visit her infant nephew, Nielsen says.

Whereas pregnant women and unused mothers recalled dreams and nightmares with break even with predominance, more modern mothers had dreams that included uneasiness or the child in peril. For instance, 75% of new moms had dreams that included uneasiness, and 73% had dreams involving the infant in threat, but 59% of pregnant ladies had dreams including uneasiness or their infant in threat.

Pregnant women detailed bad dreams almost complicated labor and conveyance. “One lady envisioned she had a withdrawal, which the baby’s foot came out, and she attempted to put it back in because the baby was not yet at term,” Nielsen says.

Another lady envisioned she was in a car crash a week some time recently delivery. A lady who had never been pregnant envisioned she was holding a friend’s child and it transformed into a larva. She dreamed she ventured on it and smashed it.

Modern moms were more likely to report motor action, such as moving around within the bed, but all bunches were similarly likely to speak during the dream or bad dream.

Think about Suggestions, Elucidations

Strange dreams amid pregnancy and the newborn period can be distressing, Nielsen tells WebMD, and justifiably so. “They can get beautiful horrifying,” Nielsen says.

“I notice they reported they were very bothered after waking up from these dreams,” he tells WebMD. “A lot of them went to check on the child after waking up. That will be a great thing,”

Anxiety, the sense of maternal obligation, fear of the obscure, and sleep disturbance may all underlie the dreams and bad dreams, he says.

While the study centered on women, “some of our husbands also had these dreams,” Nielsen says. That proposes hormonal components alone can’t explain them, he says.

Another Rest Expert’s Supposition

Sleep hardship is at the root of the bizarre dreams and bad dreams, concurs Frisca Yan-Go, MD, teacher of neurology and restorative executive of the rest program at the College of California Los Angeles David Geffen School of medication, and executive of the rest research facility at Santa Monica — UCLA Therapeutic Center and Orthopaedic Hospital, Santa Monica, Calif.

“Rest hardship could be a huge issue for everybody,” she says. The more sleep deprived you’re, the more you’ll anticipate these kinds of occasions, she says, in specific the bad dreams including sleep talking or sleep walking, which reflects that the body and mind are out of adjust.

Counsel for Women

Knowing that these odd dreams during pregnancy and the infant period are common can be consoling in itself. “In case ladies are really being bothered by these bad dreams, they should get a few kind of treatment,” Nielsen says. One alternative, he says, is progressive relaxation, in which one learns to relax the muscles, one by one, and completely unwind.

Be mindful, too, that the nightmares may proceed for for a moment after childbirth, he says. “We studied the women up to three months postpartum, and no diminish in bad dreams was noticed however,” he says. “We are now looking up to six months, to see on the off chance that they halted.”

Yan-Go concedes that sleep deprivation is an particularly intense issue for new mothers to overcome, but exhorts them to sleep when the baby sleeps and to trade off feeding shifts with their partner, pumping their milk in the event that fundamental. “Get a high school understudy to help out,” she includes. “Inquire everybody to come and help you. Pay your sleep debt.”

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Exercise Won’t Up Arthritis Risk

Feb. 1, 2007 — Direct work out doesn’t increment the hazard of developing joint pain in the knees of more seasoned grown-ups, indeed in case they are overweight, according to a unused ponder that assessed more than 1,200 individuals.

“There truly was no distinction between those who worked out and those who didn’t in terms of getting knee osteoarthritis,” says researcher David T. Felson, MD, MPH, teacher of medicine and epidemiology at Boston College.

Over the nine-year study period, exercise didn’t raise or lower the hazard of getting knee joint pain, he says.

His consider, as well as another review study and a piece are published online and within the Feb. 15 issue of Arthritis & Rheumatism.

Think about Findings

Felson and his colleagues questioned more than 1,200 men and ladies who taken part within the Framingham Descendant cohort, counting children of members in the unique Framingham Ponder, which has looked at cardiovascular malady risks since 1948.

At the starting of the arthritis study, the average age of participants was 53. In 1993-1994, Felson’s team gave them knee X-rays and addressed them around any pain, hurting, or stiffness within the knees. Most subjects detailed that they strolled for exercise; only 68 run or ran.

Felson isolated members into three bunches: sedentary, those who walked six or more miles weekly, and those who strolled less than six miles a week for exercise.

The researchers started to conduct follow-up exams in 2002, taking extra knee X-rays and inquiring once more about knee symptoms. Weight was recorded at the start and at the ultimate follow-up, when pros examined the X-rays to explore for prove of arthritis.

On average, the participants’ body mass index or BMI was 27.4; below 25 down to 18.5 is deemed ordinary weight; 25 to 29.9 is considered overweight.

Among those who did no work out, 7.5% got knee arthritis with indications over the course of the think about; 4.9% of those who strolled less than 6 miles a week also got knee joint pain with indications, together with 6.4% of those who strolled 6 or more miles a week. To a scientist, Felson says, those contrasts are not noteworthy.

“I actually had thought there would be a few hazard,” Felson says. “A parcel of these individuals were exceptionally overweight.” Obesity is a risk factor for getting knee osteoarthritis, other investigate has appeared.

Arthritis Chance and Sound Knees

“This is another think about that encourages our conviction that direct physical activity does not increment the risk of knee osteoarthritis,” says Marian A. Minor, PhD, teacher and chairwoman of physical treatment at the University of Missouri at Columbia, who wrote a piece to accompany the study.

She cautions, in any case, that “the consider comes about apply to sound knees.”

In the same issue, a review of 37 published ponders, conducted by researchers from Erasmus Medical Center in Rotterdam, Netherlands, appeared regular sports exercises are not related to getting joint pain in the knee.

They didn’t find a interface, either, between knee pain, knee harm, and later arthritis within the joint.

An Exercise Physiologist’s View

The research appearing no expanded risk of getting knee joint pain among older exercisers rings genuine with his clinical encounter, says Richard T. Cotton, an exercise physiologist and wellness coach who serves as a spokesman for the American Chamber on Work out.

“People who have made it to their 50s without knee issues tend to be OK,” he says.

To minimize the chance of problems, be that as it may, Cotton tells exercisers to extend their work out separate very gradually, at that point increase speed, instead of both at once.

Great workout shoes coordinated to your movement — walking, running, high impact exercise, or climbing — are pivotal, he says. “Don’t wear them to mow the grass or go to the mall,” he says. Spare them for the exercise action.

And replace them every 3-6 months on the off chance that you’re exercising regularly, he says.