How 1 Woman Lost 100 Pounds by Walking and Meal Planning - TODAY
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2 years 3 weeks ago
New dementia drug 'has given me hope’: Alzheimer’s patients reveal their stories
The first new Alzheimer’s treatment in 20 years was given full FDA approval earlier this month — and now two patients who participated in the clinical trials have spoken about their personal experience with the drug to Fox News Digital.
The first new Alzheimer’s treatment in 20 years was given full FDA approval earlier this month — and now two patients who participated in the clinical trials have spoken about their personal experience with the drug to Fox News Digital.
Lecanemab, sold under the brand name Leqembi, works by reducing amyloid plaques in the brain, which is one of the hallmarks of Alzheimer’s.
In early trials, the drug was shown to slow cognitive decline by 27%.
FDA FULLY APPROVES 'NOVEL' ALZHEIMER’S DISEASE DRUG LEQEMBI, WILL BE COVERED BY MEDICARE
Two Ohio patients who participated in the trials recently spoke to Fox News Digital about how Leqembi has impacted their Alzheimer’s journeys — and changed their lives.
Joan Murtaugh, 77, lives in Lakewood, Ohio, with her husband, Larry.
She first started noticing memory problems nearly seven years ago, just after her 70th birthday.
"Timing is everything," her husband, Larry Murtaugh, told Fox News Digital in an interview. "It was Joan who made an appointment at the brain center clinic."
In 2017, Murtaugh was diagnosed with mild cognitive impairment.
The next year, after having a 3-D MRI and spinal tap, she learned that she had an enzyme in her spinal fluid that predicted a 65% chance of getting Alzheimer’s in her lifetime.
In February 2020, Murtaugh received some good news: She was eligible to participate in a double-blind study trial for a new drug, Leqembi, at Cleveland Clinic in Ohio.
"I assume it was because it was obvious there was some plaque in my brain, which they realized was causing Alzheimer’s," Murtaugh told Fox News Digital.
This was Phase 3 of the clinical trial, which included some 1,800 people worldwide. Murtaugh was one of only eight people to receive the drug at Cleveland Clinic.
A few months later, she began getting twice-monthly infusions of what was either a drug or a placebo.
ALZHEIMER’S DISEASE IS MOST COMMON IN THESE US COUNTIES, NEW STUDY FINDS
To this day, Murtaugh still doesn’t know if she was getting the real thing or a placebo — she won’t find out until the very last person has received the very last dose of the double-blind study. Yet she said she "has a hunch."
"I am fully functional — I’m still doing everything I always did," Murtaugh said.
"I can still drive my car, shop, garden, cook, read — all those things."
Throughout the entire trial period, Murtaugh said she never got any worse. She just experienced the same mild symptoms she’d had before starting the drug — and she may have even improved a bit.
Although Leqembi has been linked to some potential side effects, she experienced none.
"When you first hear the word ‘Alzheimer’s,’ a chill goes through you — it’s like you’re looking into a dark abyss," Murtaugh said.
"But this new drug offers great hope."
In September 2021, the trial portion of the study ended and Murtaugh was eligible to start receiving the actual medication, which she still takes today.
Instead of the lengthy infusions, she now gets the medication via an EpiPen injection once a week with the help of her husband.
The drug is currently covered by Medicare, which means Murtaugh gets it for free — and she hopes that will continue for the foreseeable future.
While the Murtaughs realize that the future may bring challenges, they regard Leqembi as "a ray of sunshine in a very cloudy sky."
Paired with other approaches such as cognitive speech therapy, they’re optimistic that the drug will continue to keep Alzheimer’s symptoms at bay.
"We’re not going to declare victory, but we’re on the right path and we have the right team at Cleveland Clinic," said Larry Murtaugh.
"It’s not a miracle, but it’s gradual progress."
A retired attorney in Aurora, Ohio, John Domeck was just 57 years old when he was diagnosed with Alzheimer’s.
The people around him — his colleagues at the law office and his family at home — started noticing his memory lapses before he did.
After 30 years of never having to take many notes at work, Domeck, now 61, had started to write things down to avoid forgetting them.
"Over time, I wasn't able to continue doing as much work as quickly as I once did," he told Fox News Digital during an interview.
His wife of 40 years, Ann Domeck, had also started noticing some red flags at home, but said the last thing they expected was Alzheimer's disease.
The Domecks made an appointment at Cleveland Clinic for some cognitive testing, which led to a spinal tap and, ultimately, an Alzheimer’s diagnosis in July 2019.
Domeck’s wife, a TV news producer in Cleveland, left her job to help care for her husband.
Given Domeck’s young age and early-stage decline, a Cleveland Clinic doctor told him he was the perfect candidate for a clinical trial for a new Alzheimer’s drug.
For 18 months, Domeck went in for twice-monthly infusions, which lasted up to six hours per session — without knowing whether he was getting the drug or the placebo.
A year ago, he was switched to the "open-label" Leqembi medication, which he takes via injection at home once a week.
SURPRISING BRAIN BOOST: BRUSHING YOUR TEETH MAY REDUCE THE RISK OF DEMENTIA, NEW STUDY SUGGESTS
The Domecks suspect that John has been on the drug the entire time, as he has not declined much at all in the past four years.
"Everyone's like, he had to have been getting it before — he's doing so well," Ann Domeck said. "His cognitive deficits have only increased minimally. After four years of Alzheimer’s, his scores should be a lot lower."
"The fact that he’s still able to maintain his day-to-day activities and do the things that he enjoys is just so promising," she added.
"John gets up and drives and golfs and reads every day," she said. "He got to see our son get married, and we’re planning to visit our daughter in Europe."
Throughout the process, the Domecks said they have been "astounded" by the compassion and support of their care team at Cleveland Clinic.
"They're professionals, and they know their stuff about Alzheimer's, but they're also some of the nicest people we've ever met," Ann Domeck said.
While the couple understand that Leqembi is not a cure, they’re more optimistic now than they were a few years ago.
"Alzheimer's kind of rocked our world, and this drug kind of rocked it back a little bit the other way," said Ann Domeck.
After initially being "shell-shocked" by the unexpected diagnosis, the Domecks feel that the drug has given them time they were told not to expect.
"I thank God every day that we got in this trial," Ann Domeck said. "It's the best thing that's happened to us."
While it's the first Alzheimer’s drug to receive full FDA approval in 20 years, Leqembi is also the first medication to target the underlying disease and not just the symptoms, explained Dylan Wint, M.D., director of the Cleveland Clinic Lou Ruvo Center for Brain Health in Las Vegas, Nevada.
Leqembi is approved only for the treatment of mild cognitive impairment or early-stage Alzheimer's for people who have been shown to have amyloid plaques in the brain.
"Lecanemab labels abnormal amyloid and tells the immune cells to remove those fibers from the brain," Wint told Fox News Digital.
In testing, about two-thirds of patients went from amyloid positive to amyloid negative — and cognitive and functional decline was 27% slower for study participants compared to those on placebo, the doctor said.
AI GIVES DOCTORS PERSONALIZED TREATMENT PLANS FOR DEMENTIA PATIENTS
"Taking this drug is a long-term commitment," said Wint. "Doctors need to make sure the patient can tolerate this rigorous regimen — intravenous infusions every two weeks for 18 months, interspersed with MRI scans and memory testing."
More care and support are needed for people with moderate and severe Alzheimer’s disease and their families, not to mention people with other forms of dementia, he added.
As with any medication, lecanemab can have some side effects.
Most commonly, it can cause various brain reactions, like swelling and bleeding, explained Manisha Parulekar, M.D., co-director of Hackensack University Medical Center’s Center for Memory Loss & Brain Health in New Jersey.
"Patients will have to stop the medication if these changes are noted on MRIs," Parulekar told Fox News Digital. "People who are taking multiple blood thinners will not be able to take Leqembi."
Headaches and confusion are also commonly reported.
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Now that Leqembi is fully approved, Medicare will cover the medication, with other insurance companies likely to follow, said Parulekar.
"Without Medicare or insurance, the out-of-pocket costs are around $26,000 per year," she noted.
Alzheimer’s disease involves many complex factors, Wint noted, and the new medication targets just one factor: amyloid.
"While this new approach is excellent news, removing amyloid is not a cure," he said.
"We still need to find better symptomatic and disease-modifying treatments in the future."
Leqembi is most effective when combined with existing treatments, said Wint, including symptomatic medicines, rehabilitation and family support.
2 years 3 weeks ago
Health, alzheimers, geriatric-health, mental-health, mens-health, womens-health, medications, good-news, longevity, Ohio, health-care, lifestyle
End of AIDS could happen by 2030, UN says - The Hill
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2 years 3 weeks ago
How to Avoid Getting Norovirus on Cruise Ships - Health.com
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2 years 3 weeks ago
En las personas mayores, un poco de sobrepeso no es tan malo
Millones de personas llegan a la vejez con unas 10 o 15 libras de más, peso que han ganado tras tener hijos, desarrollar problemas articulares, volverse menos activas o convertir las comidas en el centro de su vida social.
¿Deberían perder este modesto peso extra para optimizar su salud? Esta pregunta surge ante la aparición de una nueva categoría de fármacos para la diabetes y la pérdida de peso que ofrecen la esperanza de poder deshacerse de los kilos de más.
Durante años, los expertos han debatido sobre qué aconsejar a los adultos mayores en esta situación. Por un lado, el aumento de peso se asocia a la acumulación de grasa. Y eso puede tener graves consecuencias para la salud, contribuyendo a enfermedades cardiacas, diabetes, artritis y un sinfín de otras afecciones médicas.
Por otro lado, numerosos estudios sugieren que tener algo de peso de más a veces puede ser protector en las etapas posteriores de la vida. Para las personas que se caen, la grasa puede servir de acolchado, protegiéndolas de las fracturas. Y para las personas gravemente enfermas de cáncer o insuficiencia renal avanzada, ese acolchado puede ser una fuente de energía que les ayude a tolerar terapias exigentes.
Por supuesto, todo depende del peso inicial de cada persona. Las personas ya obesas (con un índice de masa corporal igual o superior a 30) que engordan más corren más riesgo que las que pesan menos. Y un rápido aumento de peso a una edad avanzada siempre es motivo de preocupación.
Comprender las pruebas científicas y la opinión de los expertos sobre los problemas de peso en los adultos mayores no es fácil. Lo que sigue es lo que he aprendido tras revisar docenas de estudios y hablar con casi dos docenas de médicos e investigadores de la obesidad.
Nuestro cuerpo cambia con la edad. A medida que envejecemos, nuestra composición corporal varía. Perdemos masa muscular —un proceso que comienza a los 30 años y se acelera a partir de los 60— y ganamos grasa. Esto es cierto incluso cuando nuestro peso se mantiene constante.
Además, se acumula menos grasa bajo la piel y más en la parte central del cuerpo. Esta grasa abdominal se asocia a inflamación y resistencia a la insulina y a un mayor riesgo de enfermedades cardiovasculares, diabetes e ictus, entre otras dolencias.
“La distribución de la grasa desempeña un papel fundamental a la hora de determinar hasta qué punto es nocivo el peso añadido en forma de grasa”, afirmó Mitchell Lazar, director del Instituto de Diabetes, Obesidad y Metabolismo de la Facultad de Medicina Perelman de la Universidad de Pennsylvania. “Es la grasa visceral [abdominal] [alrededor de la cintura], más que la periférica [en caderas y nalgas] la que realmente nos preocupa”.
Los niveles de actividad disminuyen con la edad. Además, con la edad, las personas tienden a ser menos activas. Cuando los adultos mayores mantienen los mismos hábitos alimentarios (ingesta de energía) mientras reducen la actividad (gasto de energía), van a ganar peso.
Según los Centros para el Control y la Prevención de Enfermedades (CDC), el 27% de las personas de 65 a 74 años son físicamente inactivas fuera del trabajo, porcentaje que aumenta hasta el 35% a partir de los 75 años. Para los adultos mayores, los CDC recomiendan al menos 150 minutos semanales de actividad moderadamente intensa, como caminar a paso ligero, así como actividades de fortalecimiento muscular, como levantar pesas, al menos dos veces por semana. Según diversas encuestas, sólo entre el 27% y el 44% de los adultos mayores cumplen estas directrices.
Preocupación por la masa muscular. A los expertos les preocupa más la falta de actividad en los adultos mayores con sobrepeso u obesidad leve (un índice de masa corporal por debajo de los 30) que la pérdida de peso. Con una actividad mínima o nula, la masa muscular se deteriora y la fuerza disminuye, lo que “aumenta el riesgo de desarrollar una discapacidad o un deterioro funcional” que puede interferir con la independencia, según John Batsis, investigador de la obesidad y profesor en la Facultad de Medicina de la Universidad de Carolina del Norte en Chapel Hill.
La pérdida de peso contribuye a una masa muscular inadecuada en la medida en que el músculo se pierde junto con la grasa. Por cada kilo que se pierde, el 25% procede del músculo y el 75% de la grasa, por término medio.
Dado que los adultos mayores tienen menos músculo, “si quieren perder peso, tienen que estar dispuestos al mismo tiempo a aumentar la actividad física”, dijo Anne Newman, directora del Centro de Envejecimiento y Salud de la Población de la Facultad de Salud Pública de la Universidad de Pittsburgh.
El peso corporal ideal puede ser mayor. Las investigaciones epidemiológicas sugieren que el índice de masa corporal (IMC) ideal podría ser mayor en los adultos mayores que en los jóvenes. (El IMC es una medida del peso de una persona, en kilogramos o libras, dividido por el cuadrado de su altura, en metros o pies).
Un amplio y prestigioso estudio descubrió que los mayores situados en los extremos del espectro del IMC —los que tenían un IMC bajo (menos de 22) y los que tenían un IMC alto (más de 33)— corrían un mayor riesgo de morir antes que los que tenían un IMC en la franja media (de 22 a 32,9).
Los adultos mayores con menor riesgo de morir antes tenían IMC de 27 a 27,9. Según los estándares de la Organización Mundial de la Salud (OMS), esta cifra se sitúa en el rango de “sobrepeso” (25 a 29,9) y por encima del rango de IMC de “peso saludable” (18,5 a 24,9). Además, muchos de los ancianos que, según el estudio, presentaban un mayor riesgo de mortalidad —los que tenían un IMC inferior a 22— estarían clasificados como de “peso saludable” según la OMS.
Conclusión del estudio: “El rango de peso saludable de la OMS puede no ser adecuado para los adultos mayores”. Por el contrario, tener sobrepeso puede ser beneficioso para los adultos mayores, mientras que estar notablemente delgado puede ser problemático, contribuyendo al potencial de fragilidad.
De hecho, un IMC óptimo para las personas mayores podría situarse entre 24 y 29, según sugirió Carl Lavie, conocido investigador de la obesidad, en otro estudio en el que se revisaban las pruebas sobre la obesidad en los mayores. Lavie es director médico de rehabilitación cardiaca y prevención en Ochsner Health, un gran sistema sanitario de Nueva Orleans, y autor de “The Obesity Paradox” (La paradoja de la obesidad), un libro que analiza los problemas de peso en las personas mayores.
Recomendaciones de los expertos. Los médicos e investigadores especializados en obesidad ofrecieron varias recomendaciones importantes durante nuestras conversaciones:
— Mantener la forma física y la masa muscular es más importante que perder peso para los adultos mayores con sobrepeso (aquellos con IMC de 25 a 29,9). “¿Perder unos kilos de más va a mejorar drásticamente su salud? No creo que las pruebas lo demuestren”, señaló Lavie.
— La pérdida de peso involuntaria se asocia a varias enfermedades graves y es una señal de peligro a la que siempre hay que prestar atención. “Consulte a su médico si está perdiendo peso sin pretenderlo”, dijo Newman, de la Universidad de Pittsburgh. Ella es coautora de un nuevo trabajo en el que se constata que “la pérdida de peso imprevista, incluso entre adultos con obesidad, se asocia a un mayor riesgo de mortalidad”.
— Garantizar la calidad de la dieta es esencial. “Los adultos mayores corren el riesgo de sufrir carencias vitamínicas y otros déficits nutricionales, y si no consumen suficientes proteínas, eso es un problema”, indicó Batsis, de la Universidad de Carolina del Norte. “Yo les digo a todos mis pacientes mayores que tomen un multivitamínico”, afirmó Dinesh Edem, director del programa de Control Médico del Peso de la Universidad de Arkansas para las Ciencias Médicas.
— Perder peso es más importante para las personas mayores que tienen mucha grasa alrededor de la cintura (forma de manzana) que para las que pesan más abajo (forma de pera). “En el caso de los pacientes con un perímetro de cintura alto, somos más agresivos a la hora de reducir calorías o aumentar el ejercicio”, explicó Dennis Kerrigan, director de control de peso de Henry Ford Health, en Michigan. — Mantener la estabilidad del peso es un buen objetivo para los mayores sanos con sobrepeso, pero que no padecen obesidad moderada o grave (IMC de 35 o más). Por definición, “sano” significa que las personas no tienen problemas metabólicos graves (colesterol, azúcar en sangre, tensión arterial y triglicéridos demasiado altos), discapacidades relacionadas con la obesidad (son frecuentes los problemas de movilidad) o enfermedades graves relacionadas con la obesidad, como diabetes o cardiopatías. “Ni grandes ganancias ni grandes pérdidas: eso es lo que recomiendo”, afirmó Katie Dodd, dietista geriátrica que escribe un blog sobre nutrición.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
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2 years 3 weeks ago
Aging, Noticias En Español, Obesity
PAHO/WHO | Pan American Health Organization
OPS busca la voz de adolescentes y jóvenes para abordar la crisis de salud mental en las Américas
PAHO seeks adolescent and youth voices to address mental health crisis in the Americas
Cristina Mitchell
17 Jul 2023
PAHO seeks adolescent and youth voices to address mental health crisis in the Americas
Cristina Mitchell
17 Jul 2023
2 years 3 weeks ago
The Minister of Health assures that the drug fentanyl does not circulate in the Dominican Republic
Santo Domingo.- According to the Minister of Public Health, Daniel Rivera, there is no presence of fentanyl in the population addicted to drugs in the Dominican Republic. He stated that there are no records of fentanyl in autopsy reports, and the National Directorate for Drug Control has not seized any of it.
Santo Domingo.- According to the Minister of Public Health, Daniel Rivera, there is no presence of fentanyl in the population addicted to drugs in the Dominican Republic. He stated that there are no records of fentanyl in autopsy reports, and the National Directorate for Drug Control has not seized any of it.
Rivera emphasized that medical-grade fentanyl, which is not mixed with other substances, does not pose risks as seen in Mexico and other countries where it is used illicitly alongside synthetic drugs for recreational purposes.
The minister clarified that the fentanyl entering the country for medical purposes is well controlled by the Drug Directorate and is directly distributed to clinics, with no access for individuals to purchase it at pharmacies.
Rivera also highlighted the assistance program implemented by the Ministry of Public Health called “Ruta de la Salud” (Health Route). This program was developed based on a study revealing that 32% of the population suffers from high blood pressure, 12% have diabetes, and 70% are obese or overweight.
He mentioned that Monte Cristi has the highest prevalence of hypertension, with 50% of the population affected. As a result, the Health Route will focus on that region in the upcoming week.
The Health Route program provides the population with 35 different types of care, including check-ups, diagnostic tests, and treatments. Recent visits to Azua revealed a 37% prevalence of hyperglycemia in the population. However, through the treatments provided, the risks of cardiovascular events and heart attacks are being reduced.
Given the high levels of obesity in the Dominican population, the Health Route includes a one-hour walk as part of the program in different cities each week. This initiative aims to address the fact that 93% of people do not engage in regular physical exercise.
2 years 3 weeks ago
Health
Extreme heat and the risk of pre-term birth
THE heat is on - literally!
We have just had the hottest day of the year and based on recorded data, the hottest day ever. Staying cool, keeping well hydrated now becomes literally a matter of life and death for expecting mothers, as one possible complication of extreme heat exposure to a pregnant woman is pre-term contractions which may progress to pre-term birth.
What is pre-term birth?
Pre-term birth is defined as any birth occurring prior to 37 weeks or after 20 weeks of pregnancy. Why is this important? Pre-term birth is one of leading causes of a newborn becoming ill and suffering a complication of this illness (morbidity) and death of a newborn (mortality) globally.
Impact of excessive heat on pregnant women
Pregnant women are at increased risk to suffering complications from excessive heat due to a number of reasons. Firstly, due to the physiologic changes associated with pregnancy they may not realise they are becoming severely hyperthermic (overheated) and dehydrated until it is severe. Core body temperature can increase in pregnancy making the threshold for "overheating" lower. The excessive heat is associated with pre-term contractions.
The exact cause of this has not been identified; however, the main theories proposed are the body in its efforts to cool down increases blood flow to skin and sweat glands, this reduces blood flow to the (uterus) and stimulates contractions. Another theory proposed is increased blood flow to the brain and in particular the pituitary which leads to increased hormone production which stimulate contractions.
Are these really contractions?
Women who are progressing through their pregnancy may be all too familiar with Braxton-Hicks contractions which are perfectly normal. However, if you are noticing that you are having abdominal pains that are increasing in severity and are coming more frequently, and your are not at term, consult your obstetrician immediately.
Prevention is better than cure!
Yes, grandma was right! Prevention is better than cure. It is best to avoid this risk than trying to treat the pre-term labour. Ways to avoid hyperthermia include staying inside if possible. If you have access to air-conditioning units or fans use them. Ice packs and sponge baths can also be used.
If being outside in the heat is unavoidable pay keen attention to your fluid intake in particular, fluids that contain electrolytes. Monitor your urine output if you are not going to the bathroom as often as you are used to; this could be an early sign of dehydration. If you are pregnant and have been exposed to excessive heat and feel unwell or start having abdominal pains, seek help urgently.
An expecting mother has so many things on her mind including now the environment. During these very adverse weather conditions, please pay careful attention to any changes in your body or foetal movements and if you are feeling overwhelmed with this heat seek help!
Dr Jordan Hardie is a consultant obstetrician and gynaecologist at Contemporary Medical Affiliates, 1 Stanton Terrace, Suite #7. Contact him by calling 876-505-5829 or sending an email to drjhardieOBGYN@gmail.com
2 years 3 weeks ago
UNAIDS: The path to end AIDS in Jamaica is clear
THE global AIDS report for 2023 has just been published and it recognises the importance of political leadership as a game changer for ending AIDS as a public health threat by 2030.
Jamaica has been at the forefront in the fight against HIV for years in the Caribbean and has seen progress in the reduction of new infections by 17 per cent between 2010 and 2022. However, AIDS deaths have increased gradually, year on year, since 2017.
Jamaica has an estimated 30,000 people living with HIV, which is equivalent to nine per cent of the HIV population in the Caribbean region. The national treatment cascade shows that about 91 per cent of people living with HIV know their status; but only 14,560 (or 49 per cent) of people living with HIV are on antiretroviral treatment.
Sadly, only 38 per cent of all people living with HIV are virally suppressed. Viral suppression rates increase with age, and children under 10 years are worse off, regardless of their sex. More females than males are accessing HIV treatment services. Therefore, a lot of effort is needed to have the 15,000 people not yet on treatment identified and linked to care and treatment. This is especially critical for our men and boys and key populations such as the gay community and other men who have sex with men, and transgender persons.
Pervasive stigma and discrimination have been identified as major barriers to accessing HIV-related services in the country.
The Jamaican Network of Seropositives reports from their latest Stigma Index 2.0 survey that over half (53 per cent) of people living with HIV experience enacted or self-stigma, which accentuates denial of their HIV status and could disempower them from accessing treatment services. Furthermore, stigma is experienced by a third of people living with HIV at the community leve,l and about 10 per cent experience HIV-related stigma from health-care personnel.
Key populations groups and civil society organisations have complained about how existing punitive laws contribute to the challenges some groups face in accessing available HIV prevention and treatment services. Civil society has called for legal and policy reforms and the passage of anti-discrimination legislation which protects all Jamaicans — regardless of their health status, sexual orientation, or gender identity.
However, despite these challenges, the Government of Jamaica has provided strong leadership for the HIV response and has leveraged the strengths of civil society and the private sector to expand HIV services in support of the public sector HIV response. The Government is discussing with its multi-sectoral partners the need to integrate HIV programmes into the primary health-care system for sustainability and improved health at the community level. The integration of HIV programming with primary health care offers a great opportunity and hope for improved health and well-being. However, for this policy shift to be successful the integration must prioritise people-centred, differentiated service delivery and community-based services, and health-care workers must be trained and supported to deliver gender-sensitive and rights-based services.
The Ministry of Health and Wellness is also piloting social contracting and implementing public-private initiatives to deliver high-quality, HIV-related services. These initiatives clearly demonstrate the Government's commitment to make the HIV response inclusive, multi-sectoral, and sustainable toward improved health outcomes. The ministry and the National Family Planning Board (NFPB) have collaborated with civil society and the network of people living with HIV to work together via the Global Partnership for Action to Eliminate all Forms of HIV-related Stigma and Discrimination. This joint effort helps to identify the inequality barriers and how to effectively address them, based on the available data. The recent launch by the Government of the HIV Champions for Change to fight stigma and discrimination is a demonstration of its commitment to eliminate societal stigma in Jamaica. Similarly, the Government of Jamaica has been assessed for possible validation for the elimination of mother-to-child transmission of HIV. These are all signals that Jamaica is on the right path to ending AIDS as a public health threat— even if the pace needs to be turbocharged as Jamaicans are known for.
The Government must be congratulated for continuously securing HIV commodities for the treatment of its citizens from domestic resources. This is a clear departure from the situation in sub–Saharan Africa where most countries are dependent on The Global Fund and PEPFAR for their treatment programmes. The Government is encouraged to continue to provide exemplary political leadership, since it ensures efficiency and effectiveness as well as long-term sustainability of the HIV response. With sustained investment to eliminate inequality and inequity gaps to reduce HIV incidence and AIDS mortality, Jamaica stands to gain high economic and social returns on investments by maintaining its human capital and shielding its people against poverty and food insecurity, enabling them to financially support the education of their children, and contribute to a further reduction in deaths in children and maternal mortality.
Dr Richard Amenyah is a medical doctor from Ghana and a public health specialist. He is the director for the UNAIDS multi-country office in the Caribbean. You can reach him on Twitter at @RichardAmenyah or @UNAIDSCaribbean and jamaica@unaids.org
2 years 3 weeks ago
Evolving variants, rising COVID-19 cases
THERE are rising numbers of COVID-19 cases in many parts of the world, and the World Health Organization (WHO) says there are a number of reasons this is happening.
Speaking during the WHO's Science in 5 programme, Dr Maria Van Kerkhove, technical lead for COVID-19 at the WHO Health Emergencies Programme, said the first reason is the virus continues to evolve.
"Since Omicron [variant] first emerged we've had more than 900 sub -ineages of Omicron in circulation, and we're tracking each and every one of those, and we'll come to those in a moment. The other reason is that we have a lifting of public health and social measures so people are living their lives, and they're living their lives as safely as possible because we have increasing vaccination coverage around the world and we have increasing levels of immunity from vaccination and/or past infection," she explained.
But Van Kerkhove warned that immunity does wane over time, which means people can become infected.
"And the combination of variants that emerge that have increased transmissibility — which means they can infect people more easily because there are properties of immune escape — means that people can be reinfected again so this is something we will have to deal with going forward. Right now we are seeing an increase in case reporting from a number of countries around the world.
"For example, one of these countries is India. And one of the reasons why we are seeing an increase in case detection is likely because of the sub-lineage XBB.1.16. XBB.1.16 does have increased transmissibility, but we have not yet seen a change in severity."
She said another reason we're likely seeing an increase in case reporting from India is because one of the last big waves of infection that India experienced was the Delta wave.
"And that was quite some time ago. While we are seeing an increase in case reporting in a number of countries around the world, we are not really seeing an increase in hospitalisations and deaths. It's not true in all countries. We still see hospitalisations, and at the present time we estimate that hundreds of thousands of people are in hospital each week due to COVID-19," Van Kerkhove said.
But because we have access to diagnostics, she added, "early clinical care, and the use of antivirals and safe and effective vaccines, people who are infected or reinfected with SARS-CoV-2 are not dying as frequently as they were in the beginning of this pandemic when we didn't have treatments and we didn't have vaccines".
Van Kerkhove said governments need to ensure there is access to rapid diagnostics, that people are tested very quickly so they can get into the "clinical care pathway", and that people have access to antivirals so they can be treated very quickly so as not to develop severe disease.
"We have to work on increasing primary vaccination coverage, particularly in low- and middle-income countries. And we have to ensure those who are most at risk for severe disease receive the boosters according to need."
2 years 3 weeks ago
Medication therapy management and you
MEDICATION therapy management (MTM) is a service offered by clinical pharmacists that enhances patient care through a focus on their medications.
Clinical pharmacists are medication experts and are highly trained in medication management to optimise patient health outcomes.
MEDICATION therapy management (MTM) is a service offered by clinical pharmacists that enhances patient care through a focus on their medications.
Clinical pharmacists are medication experts and are highly trained in medication management to optimise patient health outcomes.
Partners Interventional Centre of Jamaica (PICJ's) resident clinical pharmacist Dr Melecia Pinnock shares her insight on adding MTM to your health-care plan.
The best care is integrated care. For people with chronic illnesses especially, this looks like working closely with your cardiologist or other specialists, family doctor, dietitian and your clinical pharmacist. The clinical pharmacist acts as liaison between all your health-care providers. They will look at all the medications a patient is prescribed, as well as evaluate diet and lifestyle because, according to Dr Pinnock, all these things will impact how the body responds to the medication.
"We also look at how well the combination of medication works for you and if there is room for optimising the therapy, meaning choosing more appropriate treatments for you," Dr Pinnock says.
As experts in the chemical properties of medications, clinical pharmacists focus on how the drug interacts with your body processes and decipher the benefit you get from the consumption of these items. "It's an intricate area where you focus on outcomes based on the introduction of medicines."
Dr Pinnock recognised a gap in patient care as it related to prescription medications. "A patient will be prescribed numerous medications without [doctors] looking at how well these drugs interact, or if the drug is causing undesired outcomes, and as a result we see patients repeatedly coming to hospital with adverse drug reactions," she says. "I recognized through my training we could really plug that gap. Collaborative, integrated care is the best care a patient can receive."
Once you're taking medication you are eligible to visit a clinical pharmacist. Particularly, if you have chronic diseases, Dr Pinnock recommends being enrolled in an MTM programme.
"As we age, our body processes and functions change, and how we respond today is not how we respond tomorrow," she says. "Sometimes we're on long-term treatments and we're not certain if there are any developments in the patient's care journey." The clinical pharmacist would pick up on these inadequacies and augment a care plan specific to the patient's needs.
Heart patients are often polymedicated (taking multiple medications) and see multiple doctors. The clinical pharmacist is the connection point for all health-care providers and can assess the care plan and medication to maximise the benefits to the patient. They can advocate for the patient to have medications changed, and can compare any new medications before patients commence taking them, to see if there could be disruptions with existing ones.
Even with insurance, accessing medications can sometimes be costly. A clinical pharmacist can reconcile medications and recommend more affordable options for patients. Dr Pinnock notes that MTM is covered under Sagicor insurance.
For Dr Pinnock, the aim of the clinical pharmacist is to increase the patient's quality of life. Sometimes slight adjustments make a difference. "For example, long-term use of certain heart medications depletes our natural store of vitamins, and a clinical pharmacist can assess and recommend the right supplements or dietary adjustments," Dr Pinnock says.
We know there is a culture of relying on holistic medication for treating many ailments, even chronic illness, in Jamaica. For a patient who combines conventional medicine with alternative medicines such as herbs and oils, a clinical pharmacist should definitely be added to their care team to monitor their progress. Alternative remedies sometimes mask warning signs, landing patients who are asymptomatic in the emergency room. The clinical pharmacist is equipped to pinpoint the counteraction and can better coach the patient through medication management.
"The issue with natural remedies is we don't always know the concentration of the active agents in them," Dr Pinnock says. "This can lead to inconsistent care where the remedy is sub-therapeutic or not enough, or toxicity where it is too much." The clinical pharmacist could also be first in line to recommend screenings and testing to ensure a patient's positive feeling after using natural remedies is not just a placebo.
The most important thing for patients, especially those with chronic illnesses, is support, and that is the foundation of medication therapy management. And this support is continuous, as the health-care journey of patients can be tracked through PICJ's patient mobile application.
Working closely with medical doctors to come up with ideal treatment for their patients is Dr Pinnock's overall goal.
"If people are serious about improving their quality of life, quantity of life, saving money, and reducing distress from complex therapy, then MTM is really the solution for them."
Partners Interventional Centre of Jamaica is a full-service heart centre located on the second floor of the Medical Associates Hospital. For appointments, email info@pic-jm.com or call /WhatsApp 876 9957425.
2 years 3 weeks ago
Racism and Sexism Underlie Higher Maternal Death Rates for Black Women, U.N. Says
Black women in Latin America, the Caribbean and the United States are more likely than their white counterparts to report denial of medication or physical and verbal abuse in health care settings.
Black women in Latin America, the Caribbean and the United States are more likely than their white counterparts to report denial of medication or physical and verbal abuse in health care settings.
2 years 3 weeks ago
your-feed-health, your-feed-healthcare, Black People, Discrimination, Women and Girls, Maternal Mortality, Deaths (Fatalities), Pregnancy and Childbirth, Medicine and Health, Medical Schools, United Nations Population Fund, united nations, North America, Caribbean Area, Latin America, United States
Ministry of Social and Community Development: Statement on suicide
“So far this year, 5 people have died by suicide, and that number is too many”
View the full post Ministry of Social and Community Development: Statement on suicide on NOW Grenada.
“So far this year, 5 people have died by suicide, and that number is too many”
View the full post Ministry of Social and Community Development: Statement on suicide on NOW Grenada.
2 years 3 weeks ago
Community, Health, lifestyle, PRESS RELEASE, gis, legal aid and counselling clinic, ministry of social & community development, suicide, sweet water foundation
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
NEET 2023: KEA Invites Online Applications For MBBS, BDS, AYUSH Admissions, register now
Karnataka: Karnataka Examinations Authority (KEA) has
invited online applications for admission to UG MBBS, BDS, BAMS, BUMS and BHMS courses for the year 2023.
Detailed schedule –
Commencement of online registration and application entry
14-07-2023 After 6.00 pm
Last date to complete the online application entry process by
fee
Karnataka: Karnataka Examinations Authority (KEA) has
invited online applications for admission to UG MBBS, BDS, BAMS, BUMS and BHMS courses for the year 2023.
Detailed schedule –
Commencement of online registration and application entry
14-07-2023 After 6.00 pm
Last date to complete the online application entry process by
fee
paid candidates.
before 11.59 pm on 21-07-2023
Last date to pay the Registration fees.
22-07-2023 – up to 6.00 pm
Submission of Special Category Certificates (only by
Karnataka candidates - NCC, Sports, Defence, Ex-defence, Scouts &
Guides, CAPF, Ex-CAPF, AGL) Only at KEA, Bangalore.
As per the schedule
Kannada Language Test only for Horanadu and Gadinadu
Kannadiga Candidates (only to newly registered candidates, those CET-2023
candidates who have already appeared for the Kannada examination on 22-05-2023
are not eligible to appear for Kannada Language Test once again)
25-07-2023
From 3.00 pm to 4.00 pm
Medical Examination to Physically Disabled candidates -
only for Karnataka candidates – including those who have already appeared for the medical examination for UGCET-2023 should also compulsorily appear for
UGNEET-2023 medical examination.
25-07-2023
(10.00 am to 1.00 pm) Medical Examination At KEA,
Bangalore
Report at 9.30 am
Verification of Documents - Karnataka candidates - Read
the instructions in the following pages and also hosted separately in the KEA
Website with regard to document verification and follow the instructions.
Will be notified
Verification of Documents – non-Karnataka candidates -
Read the instructions on the following pages and also hosted separately on
the KEA Website with regard to document verification and follow the
instructions.
-
Downloading of Verification Slip - Read the instructions
in the
following pages.
Will be notified
Instructions issued -
Registration of the application form for appearing in the UGNEET
2023 is online only at the website http://kea.kar.nic.in Application forms
CANNOT be submitted in offline / printed copy by post. No request for a change of
details in the online application will be entertained.
The prescribed registration fee of Rs. 500 (for Karnataka
SC/ST/Cat-1/PWD/ GM/2A/2B/3A/3B candidates), Rs. 2500 for Non-Karnataka
candidates, and Rs. 5500 (for NRI Ward/NRI/OCI/PIO/Foreign Nationals
candidates) should be remitted through payment gateway provided using a Credit
Card or a Debit Card issued by banks in India or through Internet banking or by
downloading bank challan.
Registered but unverified/unregistered candidates will not
be allowed for any admission either through KEA or by the College as after the
mop-up round, the list of registered and verified but un-allotted candidates
will be sent by KEA to colleges to fill up vacant seats if any. (As per GOI
instructions).
A candidate may have the option to select Medical / Engineering
etc; seat in other boards like JEE, MCC, KPCF and KEA etc. In case such a candidate wishes to confirm the seat selected from other boards, then such
candidate who has also been allotted a seat through KEA has to surrender the
seat allotted by KEA before the last date fixed for modifying of options of the Second Round of seat allotment, failing which it may amount to blocking of the seat
and KEA may initiate action/proceedings against such candidates.
If a candidate decides to surrender the seat, he/she has
to surrender the seat only to KEA in writing. Merely not reporting to the
selected/allotted college should not be presumed by the candidate that he/she has surrendered the seat to KEA.
A candidate who had obtained a Medical / Dental seat in any
of the previous years and not surrendered the seat before the last date fixed
for entry of options for the final round of seat allotment and candidates already
studying Medical / Dental and selected Medical / Dental seat from other boards
will not be eligible for allotment of a Medical / Dental seat during 2023.
Candidates who do not pass all the subjects in the
qualifying examination and candidates, who do not possess the required academic
eligibility, will not be eligible to be considered for verification of
documents and allotment of Medical and Dental seats.
A candidate who passes all the subjects in the qualifying
examination in 2023 and later withdraws from one or more subjects for reappearing in
the qualifying examination for improving his performance will not be considered
for allotment of seats.
The SC / ST/Category-I / 2A, 2B, 3A, and 3B and other
eligibility criteria is applicable to Karnataka candidates who are eligible to
claim eligibility for Government seats under clauses (a), (b), (f), (h), (j),
(k) (l) and (o) and the same is not applicable to eligibility clauses (c), (d),
(e), (g), (i), (m) and (n) to claim Government Seats and Government quota
seats. Reservation of seats in certain categories such as Rural, Kannada etc
and in Special Categories such as NCC, Sports etc, is applicable only to
Karnataka candidates who are eligible for Government seats and Government Quota
seats.
Further, as per the letter dated 13-07-2023 of Karnataka
AYUSH Department, the seat matrix for 85% of seats available for admission in
Government and Government Aided Institutions (except 15% All India Quota) and
in Private Institutions all seats (including State Quota, All India Quota and
Management / NRI quota) available for UG courses in Private Ayurveda, Unani and
Homeopathy Colleges of Karnataka state shall be allotted through KEA.
UGNEET-2023 eligible candidates can also register online for Ayurveda, Unani
and Homeopathy seats. However, non-Karnataka candidates are eligible only for
the notified seats.
The options entered by the candidate for the first round
will remain the same for the subsequent round of seat allotment. The candidates
will not be allowed to enter options again. Entry of options by the candidates
will begin only after the seat matrix is notified by the Government.
After the entry of options is completed, based on the
options entered by the candidates in the order of merit and by following the
Roster System, MOCK ALLOTMENT will be carried out as per the procedures
explained in this Information Bulletin. This Mock Seat Allotment is only an
INDICATIVE seat status which the candidate may or may not get in the real
allotment. It will help the candidate to revise, update, add or delete already
the entered options.
The seat matrix notified by the Government for each
discipline will be adopted for allotment seats, course-wise, college wise and
category wise seat matrix notified by Government will be hosted on the KEA
Website for the information of the candidates and parents.
The allotment of seats will be conducted in two rounds, and
each round consists of three phases, and each phase consists of a number of
iterations.
The candidates have to be present personally for the counselling
process; no one can represent the candidate under any circumstances. Only one
person (Parent / nearest relative) can accompany the candidate. The entry pass
for mop-up round should necessarily have the details of the accompanying
person.
The candidates have to compulsorily pay the prescribed fees
in the form of a demand draft drawn in favour of “The Executive Director, KEA”
payable at Bangalore. Candidates can bring multiple demand drafts for different
denominations. Online payment or Cheques or Cash is not allowed. Candidates
will not be allowed to select the seats without the demand drafts for the
required fees. Candidates are advised to visit KEA Website for seat
availability / vacant seats for mop-up round allotment before participating.
Detailed information about the schedule for the first round, second
round and mop-up round etc., and other counseling-related procedures/guidelines will be published later on the KEA Website.
Instructions to Karnataka UGCET-2023 registered candidates -
1. Select the link on the KEA Website for UGNEET-2023 registration.
2. Select “UGCET-2023 registered candidates”.
3. Enter UGNEET-2023 Roll Number.
4. Complete the registration details.
5. UGCET-2023 online application details will be displayed.
6. Verify the details in each TAB.
7. Do the changes if required. (edit the application / additional claims)
8. Before selecting the declaration take the draft print and verify the entries and do the changes if required. Once the declaration is done, changes cannot be made.
9. Select the declaration and complete the process.
10. Pay the fees. Take the final print.
Also Read:BOPEE Begins Online Registration Process For NEET PG, NEET MDS Courses, check out details
UGNEET-2023 – document verification -
Admission to Medical, Dental, Ayurveda, Unani and Homeopathy courses for the year 2023, Verification of Documents will be conducted at Karnataka Examinations Authority, 18th Cross, Malleshwaram, Bangalore. The Karnataka candidates who are required to appear for document verification should produce a KEA UGNEET-2023 application printout, verification slip, UGNEET-2023 Score Card, and all other required original documents along with any valid Identity Card (Driving License / Voter ID / Passport / PAN / Aadhar Card).
The candidates should produce all the required original documents as detailed in the UGNEET-2023 Information Bulletin and attend the document verification based on All India Rank only. Candidates have to be personally present as per the schedule for document verification, and no one can represent them. Please read the instructions hosted on the KEA Website regarding participation in document verification.
Karnataka candidates -
Candidates, who have assigned ranks in UGCET-2023 and completed their document verification as per CET-2006 Admission Rules, and those who are not claiming any additional reservation need not appear for verification of documents once again for Medical / Dental / Ayurveda, Unani, Homeopathy courses.
However, if any such candidate is eligible to claim reservation as per Government of Karnataka norms or Linguistic Minority or Religious Minority or NRI ward seats or candidates eligible to claim seats under Category-2 to Category-8 in St. John Medical College, Bangalore, then they have to claim such reservations in the online application form and they have to appear for document verification with such relevant certificates/documents.
Further, candidates who have already claimed Linguistic Minority /Religious Minority / NRI WARD in the UGCET-2023 application should also appear for document verification with all the relevant original certificates/documents.
No separate document verification is required for Category-1 (All India Open Merit) and Category-9 (Karnataka State Open Merit) of St. John Medical College, Bangalore.
Non-Karnataka candidates -
Non-Karnataka candidates will not be eligible for reservation. Hence, in the UGNEET-2023 examination, if they have scored the required minimum 50th percentile or above, fixed for the ‘GENERAL (UR)’ category as per the qualifying criteria, then only they are eligible to register for admissions through KEA or for any other seats in the State of Karnataka. Please note that SC/ST/OBC eligibility criteria are applicable to Karnataka SC/ST/OBC candidates only.
Non-Karnataka candidates those who have qualified in UGNEET 2023 and registered with KEA, need NOT appear for verification of documents. However, if any non-Karnataka candidates were eligible to claim NRI Ward, Religious Minority or eligible to claim seat under Category-2 to Category-8 in St. John Medical College, Bangalore, then they have to appear for verification of documents with all the original necessary documents at KEA, Bangalore as per the following schedule.
Category-1 (All India Open Merit) of St. John Medical College, no separate verification is required.
The non-Karnataka candidates, who are required to appear for document verification, should produce a KEA UGNEET-2023 application printout, UGNEET-2023 Score Card and all other required original documents as detailed in the UGNEET-2023 Information Bulletin. Any valid Identity Card (Driving License / Voter ID / Passport / PAN / Aadhar Card).
Horanadu and Gadinadu candidates and those who have qualified in UG NEET-2023 but have not attended the UGCET-Kannada Language Test on 22-05-2023, such candidates have to appear for Kannada Language Test in Bangalore on 25-07-2023 (3.00 pm to 4.00 pm) as notified to become eligible to claim Government seats.
Qualifying Criteria of UGNEET-2023 –
Category
Qualifying Criteria
Marks Range
UR/EWS
50th Percentile
720-137
OBC
40th Percentile
136-107
SC
40th Percentile
136-107
ST
40th Percentile
136-107
UR / EWS & PH
45th Percentile
136-121
OBC & PH
40th Percentile
120-107
SC & PH
40th Percentile
120-107
ST & PH
40th Percentile
120-108
Academic Eligibility for all seats
For Admission to 1st Year
Eligibility
Criteria for Determination
of Merit / Rank
In Qualifying Examination, the candidate
should have
In NEET-
Examination
Passed in 2nd PUC / 12th Std /
Equivalent Exam with English
as one
of the Languages and obtained a
Minimum of 50% of Marks in
aggregate in Physics, Chemistry,
Declared as
Based on
Medical /
Biology subjects. (*40% for SC, ST,
qualified in
UGNEET-2023
Dental /
Cat-1, 2A, 2B, 3A and 3B category
UGNEET-2023 *
All India Rank.
Ayurveda /
candidates)
Unani /
*Other eligibility criteria and
Homoeopathy
conditions as mentioned in UGNEET-
courses
2023 Information Bulletin.
*The SC / ST/Category-I / OBC eligibility criteria are applicable to Karnataka
candidates who are eligible
to claim Government seats under clauses
(a),
(b), (f), (h), (j), (k), (l) and (o), and the same is not applicable to clauses (c),
(d), (e), (g), (i), (m) and (n) i.e.,
Eligibility Clauses to claim Government
Seats.
Eligibility clauses have also been released. The detail related to each clause is enclosed in the notice below.
Candidates must retain the following documents with them as reference for future correspondence -
1. At least two printouts of the finally submitted Online Application.
2. UGNEET-2023 Admit Card and UGNEET-2023 Score Card.
3. 2 passport-size identical photograph which is uploaded in the Online Application.
Classification of seats –
These seats are classified into four categories, namely -
1. G - Government Seats
2. P - Private Seats
3. N - NRI Seats
4. Q - Others Seats
The details related to each seat are enclosed in the notice below.
Compulsory rural service for one year –
1. All candidates who take admitted to Medical course shall under go one year of compulsory rural service in a Government hospital as per Karnataka Compulsory Service Training by Candidates Completed Medical Courses, Act 2012 as amended in 27/09/2017 and Karnataka Compulsory Service by Candidates Completed Medical courses (Counseling, Allotment and Certification) (Amendment) Rules, 2017.
2. The candidates will be entitled to only temporary registration till completion of such service. Until they complete the same, they will not be entitled to permanent registration.
3. All the candidates who will be allotted Medical Seats through KEA, both in Government and Private Medical colleges, should compulsorily submit sworn affidavit to the Principal of the respective college at the time of admission (on a hundred Rupees e-stamp paper signed by the candidate and the parent as per the format hosted on the KEA Website) regarding one-year rural service after completion of the course.
To view the notices, click on the links -
https://medicaldialogues.in/pdf_upload/eligibility-clauseskannada-214291.pdf
https://medicaldialogues.in/pdf_upload/e-brochure-ugneet-2023-14-07-2023kannada-214290.pdf
Also Read:MCC Releases Tentative Schedule For NEET Counselling 2023, check out details
2 years 3 weeks ago
State News,News,Karnataka,Medical Education,Medical Admission News,Latest Medical Education News
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
Injection Ketamine effective for treatment-resistant depression
A low-cost version of ketamine to treat severe depression has performed strongly in a double-blind trial that compared it with a placebo.
In research published in the British Journal of Psychiatry, researchers led by UNSW Sydney and the affiliated Black Dog Institute found that more than one in five participants achieved total remission from their symptoms after a month of bi-weekly injections, while a third had their symptoms improved by at least 50 percent.
The researchers recruited 179 people with treatment-resistant depression. All were given an injection of either a generic form of ketamine that is already widely available in Australia as a drug for anesthesia and sedation – or a placebo. Participants received two injections a week in a clinic where they were monitored for around two hours while acute dissociative and sedative effects wore off – usually within the first hour. The treatment ran for a month and participants were asked to assess their mood at the end of the trial and one month later.
Lead researcher Professor Colleen Loo says, “We found that in this trial, ketamine was clearly better than the placebo – with 20 percent reporting they no longer had clinical depression compared with only 2 percent in the placebo group. This is a huge and very obvious difference and brings definitive evidence to the field which only had past smaller trials that compared ketamine with placebo.”
Reference: Efficacy and safety of a 4-week course of repeated subcutaneous ketamine injections for treatment-resistant depression (KADS study): randomized double-blind active-controlled trial, The British Journal of Psychiatry, DOI 10.1192/bjp.2023.79
2 years 3 weeks ago
Medicine,Psychiatry,Medicine News,Psychiatry News,Top Medical News,MDTV,Medicine MDTV,Psychiatry MDTV,MD shorts MDTV,Medicine Shorts,Psychiatry Shorts,Channels - Medical Dialogues,Latest Videos MDTV,MD Shorts
Aspartame defended by industry experts after cancer risk warning: 'Limited evidence'
The World Health Organization (WHO) released its official statement this week on the potential health risks of aspartame, with a committee classifying the non-sugar, low-calorie sweetener as "possibly carcinogenic to humans."
The World Health Organization (WHO) released its official statement this week on the potential health risks of aspartame, with a committee classifying the non-sugar, low-calorie sweetener as "possibly carcinogenic to humans."
Many industry experts, however, are speaking out in defense of aspartame, which is commonly used in diet sodas, chewing gum, some dairy products and many other low-calorie foods and beverages.
The International Agency for Research on Cancer (IARC), a cancer-focused organization within WHO, was the agency that called out the sweetener’s potential cancer risk.
The IARC uses five different levels of cancer risk: Group 1, "carcinogenic to humans"; Group 2A, "Probably carcinogenic to humans"; Group 2B: "Possibly carcinogenic to humans"; Group 3, "Unclassifiable as to carcinogenicity in humans"; and Group 4, "Probably not carcinogenic to humans."
Aspartame was placed in Group 2B based on "limited evidence" of causing cancer in humans and animals — particularly a type of liver cancer, the press release stated.
In the same announcement, the Joint Expert Committee on Food Additives (JECFA), another group within WHO, seemed to contradict the IARC’s classification.
"JECFA also considered the evidence on cancer risk, in animal and human studies, and concluded that the evidence of an association between aspartame consumption and cancer in humans is not convincing," the press release stated.
The acceptable daily intake (ADI) of aspartame remains 40 milligrams per kilogram of body weight, JECFA also said. That amount is the equivalent of nine cans of 12-ounce diet soda per day for a 150-pound person.
(The FDA recommends an even higher ADI, at 50 milligrams per kilogram of body weight.)
"Our results do not indicate that occasional consumption should pose a risk to most consumers," Dr. Francesco Branca, director of the Department of Nutrition and Food Safety at the WHO, stated during a press conference in Geneva.
Dr. Mona S. Jhaveri, a biotech scientist and cancer researcher in Ridgefield, Connecticut, told Fox News Digital that the likelihood of getting cancer depends on the types and the number of carcinogens that one is exposed to, as well as genetic factors.
"Carcinogens can work either alone or in combination with other substances," she said.
Often, she added, "people who are subject to multiple carcinogens can increase their risk of getting cancer exponentially."
Many industry experts maintain that aspartame is still safe for consumption — including the FDA, which released a statement refuting the cancer risk.
"The FDA disagrees with IARC’s conclusion that these studies support classifying aspartame as a possible carcinogen to humans," the statement read.
"FDA scientists reviewed the scientific information included in IARC’s review in 2021 when it was first made available and identified significant shortcomings in the studies on which IARC relied."
"We note that JECFA did not raise safety concerns for aspartame under the current levels of use and did not change the acceptable daily intake (ADI)."
Additional agencies, including the European Food Safety Authority and Health Canada, have also deemed aspartame to be safe at the current recommended levels, the FDA added.
"Aspartame is one of the most studied food additives in the human food supply," the FDA stated.
"FDA scientists do not have safety concerns when aspartame is used under the approved conditions."
Dr. Arnold Baskies, a New Jersey-based surgical oncologist and past chairman of the National Board of Directors of the American Cancer Society — he's also a member of the Coalition for Safe Food and Beverage Choices Expert Advisory Committee — pointed out that the WHO agencies, IARC and JECFA, reviewed previous research. They did not review new evidence.
"The WHO Joint Expert Committee on Food Additives’ (JECFA) review says that aspartame is safe for human consumption," Baskies said in a statement provided to Fox News Digital. "JECFA is the authoritative international agency when it comes to food safety."
The FDA relies on JECFA’s assessments as part of its process of determining the safety and risks of foods and beverages, Baskies noted.
POPULAR ARTIFICIAL SWEETENER, ERYTHRITOL, COULD RAISE RISK OF HEART ATTACK AND STROKE: STUDY
"It is irresponsible to needlessly scare or confuse people," he said. "If there was any cause for concern, they would have adjusted the current acceptable daily intake (ADI)."
The Calorie Control Council (CCC) in Atlanta, Georgia, also spoke out in defense of aspartame as a safe food additive.
"The JECFA ruling not only confirms the four decades of science concluding aspartame is safe, but also provides real-life context around the safe consumption of this ingredient," said Robert Rankin, president of the CCC, in a statement sent to Fox News Digital.
Any risk is highly unlikely given the JECFA’s guidelines for recommended daily intake, Rankin also said.
"The average 150-pound person would need to consume about 14 12-oz. cans of diet beverages or about 74 packets of aspartame-containing tabletop sweetener every day over the course of their life to raise any safety concern," Rankin said.
"Obviously, that level of consumption is not realistic or recommended, nor is it aligned with the intended use of these ingredients."
Regarding IARC describing aspartame as "possibly cancer-causing," Rankin stated that IARC is not a regulatory agency or food safety authority, and said that its classification is "misleading, inaccurate and [constitutes] fearmongering."
He said, "IARC looks for substances that could potentially cause cancer without considering actual dietary intake, and has found many things, such as drinking hot water and working at night, to be probably carcinogenic."
"It is not only wrong, but potentially damaging to certain populations to position IARC’s report alongside true scientific and regulatory agencies like JECFA, the Food and Drug Administration, and the European Food Safety Authority," Rankin added.
Dr. Ernest Hawk, head of the Division of Cancer Prevention and Population Sciences at The University of Texas MD Anderson Cancer Center, also spoke to Fox News Digital about aspartame’s safety.
"IARC classified aspartame as ‘possibly carcinogenic to humans’ based on limited evidence for cancer in humans and experimental animals, and limited evidence that it might behave as a carcinogen," he said.
"Because all of the evidence was limited, aspartame was added to WHO’s list of possible carcinogens."
The list begins with 126 agents known to be carcinogenic in humans (including tobacco and alcohol) and 94 agents that are "probably carcinogenic" — followed by 322 agents that are "possibly carcinogenic," Hawk explained.
"Aspartame will now be included in that final group, but keep in mind that none of those have been convincingly proven to cause cancer," he added.
The FDA, the National Cancer Institute, the American Institute for Cancer Research and the American Cancer Society all have evaluated the same evidence in the past, and all of them concluded that there was no clear evidence that artificial (non-nutritive) sweeteners cause cancer when consumed at typical levels, Hawk said.
While he believes that the WHO agencies did a careful review and have the public’s best interest in mind, Hawk called for additional research on the long-term health risks of consuming non-sugar sweeteners.
The FDA and other health agencies do not agree that aspartame is a cancer risk, so some medical professionals recommend using sugar instead of artificial sweeteners.
"Although it’s approved by regulatory bodies, potential risk factors are associated with preferring aspartame over sugar," noted Jhaveri.
SUGAR SUBSTITUTES NOT ADVISED FOR WEIGHT LOSS OR DISEASE PREVENTION, SAYS WORLD HEALTH ORGANIZATION
"Sensitivities or allergies to aspartame can result in adverse reactions, and excessive consumption may contribute to weight gain due to heightened cravings for sweet edibles," she said.
For some people, aspartame may cause physical symptoms that include headaches, dizziness, digestive ailments and allergic responses, Jhaveri noted.
"Avoiding aspartame when possible and opting for natural sugars in fruits and vegetables is prudent," she said.
In May, the WHO advised against the use of non-sugar sweeteners like aspartame for the purposes of controlling body weight or lowering the risk of non-communicable diseases.
"Replacing free sugars with NSS does not help with weight control in the long term," said Branca, the WHO’s director for nutrition and food safety, in a press release at the time.
SUGAR SUBSTITUTES MAY INTERFERE WITH LIVER’S ABILITY TO DETOXIFY, RESEARCHERS SAY
For the general public, Hawk recommended "paying attention to the science" as it continues to develop regarding the possible health consequences of artificial sweeteners.
"In the meantime, continue to work on consistently eating a balanced, healthy diet that contains whole foods that are high in nutrient density," he suggested.
People with a rare inherited disorder called phenylketonuria (PKU) should avoid aspartame, medical experts say.
Those with PKU don’t have the enzyme to break down an amino acid called phenylalanine, so it builds up in the body.
Consuming foods and drinks with aspartame can cause dangerous levels of phenylalanine that can lead to serious health issues, according to the Mayo Clinic’s website.
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Aspartame-containing products will include a warning on the label stating "PHENYLKETONURICS: CONTAINS PHENYLALANINE."
Anyone with PKU should avoid any food or drink with this warning.
2 years 3 weeks ago
Health, Cancer, Food, drinks, world-health-organization, healthy-living, Food, lifestyle, medical-research
Counselling needed for youthful Grenadians
The Grenada Bar Association is ready to partner with the Government of Grenada, churches, schools and other social partners to help arrange counselling for youthful Grenadians as expeditiously as possible
View the full post Counselling needed for youthful Grenadians on NOW Grenada.
2 years 3 weeks ago
Community, Health, lifestyle, PRESS RELEASE, counselling, derick sylvester, grenada bar association
PAHO/WHO | Pan American Health Organization
Aspartame hazard and risk assessment results released
Aspartame hazard and risk assessment results released
Cristina Mitchell
14 Jul 2023
Aspartame hazard and risk assessment results released
Cristina Mitchell
14 Jul 2023
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AbbVie committed to extending clinical value of its therapeutics
BOSTON — With a multitude of products spanning neuroscience and psychiatry, executives at AbbVie say they are committed to learning the full clinical value of all of the company’s products for the benefit of patients.“As an organization, the single purpose, from science to research, is improving the outcomes for our patients,” Nikil Patel, vice president, neuroscience, U.S.
medical affairs, told Healio during an interview at the American Academy of Neurology annual meeting.AbbVie’s core neuroscience areas are migraine, movement disorders, psychiatric disorders
2 years 3 weeks ago
Medical News, Health News Latest, Medical News Today - Medical Dialogues |
DOB Fabrication Case: Court rejects anticipatory bail plea of GMC Jammu Principal
Jammu: Noting each piece of evidence presented regarding the fabrication of her date of birth in account, the principal and dean of Government Medical College and Hospital (GMC) Jammu rejected a plea for anticipatory bail by Jammu and Kashmir anti-corruption court on Monday.
On the filing of the instant anticipatory bail application on 06-07- 2023, under Section 497, CrPC by the applicant, an interim bail was granted to her on the basis of the averments made in the application with a direction to the prosecution to file a report in the case as well as objections to the application by or before 08-07-2023.
Medical Dialogues team had earlier reported that it came to light that the doctor used fabricated dates of birth certificates to gain admission in the MBBS course at GMC Jammu under the nose of the government. The accused used her two dates of birth, i.e. 08.04.1964 and 08.04.1965, to cheat the government and gain admission to the college.
The matter could not have been revealed until a written complaint filed by Manu Gupta against the doctor came to the fore, alleging that she had tampered with her age documents to get an undue advantage for getting admission to the MBBS course in the GMC Jammu as she was underage at that time.
The same got filed on the said date and the case was also heard on the same date finally and was reserved for order, which was issued on July 10 by Special Judge Anti-Corruption Jammu.
Also read- GMC Jammu Principal Under Scanner For Tampering Date Of Birth In Documents
“The law on the concept of anticipatory bail is quite well settled. It is enjoined upon the criminal courts that while deciding anticipatory bail, a fine balance is required to be struck between the individual’s right to personal freedom and free movement to that of the right of investigation of the police”, said Special Judge Anti-Corruption Court, Tahir Khurshid Raina.
“As per the facts revealed in the report and the CD file, there is no two opinion with regard to existence of two different date of births, conveniently used by the accused on two different occasions i.e one for getting admission in MBBS and second when got appointed as Assistant Surgeon”, the court said, adding “so the offence of fraud, forgery and misconduct under Prevention of Corruption Act are prima facie made out”.
The Court observed, "A doctor by profession, who happened to be earlier a teacher in the Medical College and presently at a high pedestal in the hierarchy is consciously continuing her alleged fraud, with two date of birth certificates, using conveniently at different occasions, makes the alleged offence of high gravity".
During preliminary verification, a questionnaire was sent to her by the Crime Branch, Jammu on 09-05-2021, to know from her as what were the documents she submitted with the application form for admission in the MBBS, also copies of the documents were sought from her and she stated that she did not remember and the documents must have been attached with the form. However, it was astonishing to note that when the investigating agency raided at her residence, it found the original admission file of her carrying no age proof attached with it, the court added.
“How come she was having the custody of the original admission file of her which dates back to 1981, supposed to be in the concerned admission section of the college. Why only the age proof is missing from it when it is the foundational document on the basis of which she claimed her eligibility and later got admission in the MBBS course. So obviously, she by misusing her position as Principal, managed to get the old file and then either has destroyed the document or is in her custody”, the court further said.
“By refusing to respond fairly to Crime Branch and keeping the admission file in her custody speaks of her influence, potential and tendency to tamper with the evidence, who instead of cooperating with the investigating agency as a bonafide public servant even fled away and was not available at her office or home when the investigating agency raided at both the places”, the court said.
Accordingly, court refused to extend the interim bail granted vide order dated 06-07-2023 and dismissed the anticipatory bail application.
To view the official order, click on the link below:
https://medicaldialogues.in/pdf_upload/shashisudanvsjkut-214211.pdf
Also read- DOB Fabrication Case: GMC Jammu Principal Gets Interim Bail
2 years 3 weeks ago
State News,News,Health news,Jammu & Kashmir,Doctor News,Latest Health News