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Archive for February, 2014

Quit Snoring: Get a gentle, virtual, helping hand to stop your snoring | App Saga

quit-snoring

Quit Snoring (3 stars with 76 Ratings) 
Universal App
$3.99 Free

 

Let’s be honest: some of us, if not all of us, snore from time to time. And if you ever share your bed with another person, chances are you’ve heard them mention that your snoring was keeping them awake. If you’re one of those people, and you probably are, then you should check out today’s app, Quit Snoring.

Simply put, Quit Snoring is exactly the kind of app it sounds like: an app to help you quit snoring. Let the app run on your phone throughout the night, and in the morning it will give you a detailed analysis on how you slept. Throughout the night, if you start snoring, the app will give you a gentle “nudge” of sound or vibrations to alert you and stop the snoring. In the morning, that detailed analysis will show you how you slept, how often it had to wake you up, and more. It’s a great companion app to have for helping you stop your snoring, and get better sleep, along with improving the sleep of your partner. If you’re at all concerned about your snoring, then you should check out Quit Snoring and get some virtual help with the problem.

App Screenshots

via Quit Snoring: Get a gentle, virtual, helping hand to stop your snoring | App Saga.

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Slow-Cooked Salmon, Chickpeas, and Greens

slow-cooked-salmon-chickpeas-and-greens-940x6003186835

INGREDIENTS

SALMON

2 tablespoons olive oil, plus more

1 15.5-oz. can chickpeas, rinsed

½ teaspoon ground cumin

Kosher salt and freshly ground black pepper

1 garlic clove, thinly sliced

1 bunch small mustard greens, ribs and stems removed, leaves coarsely chopped

1 teaspoon honey

4 6-oz. skinless salmon fillets

VINAIGRETTE AND ASSEMBLY

½ small shallot, very finely chopped

2 tablespoons fresh lemon juice

1 teaspoon Dijon mustard

½ teaspoon honey

Kosher salt and freshly ground black pepper

¼ cup olive oil

¼ cup vegetable oil

2 tablespoons capers, rinsed, patted dry

NUTRITIONAL INFORMATION

Calories (kcal) 700 Fat (g) 49 Saturated Fat (g) 7 Cholesterol (mg) 105 Carbohydrates (g) 22 Dietary Fiber (g) 5 Total Sugars (g) 6 Protein (g) 46 Sodium (mg) 810

PREPARATION

View Step-by-Step Directions

SALMON

Preheat oven to 250°. Brush a large baking dish with oil. Combine chickpeas, cumin, and 1 Tbsp. oil in a medium bowl. Mash about half of chickpeas with a fork; season with salt and pepper. Transfer chickpea mixture to prepared dish.

Heat remaining 1 Tbsp. oil in a large skillet over medium-high heat. Cook garlic, stirring, until fragrant, about 30 seconds. Add mustard greens and cook, tossing, until slightly wilted, about 1 minute. Add honey and ¼ cup water; season with salt and pepper. Cook, tossing, until greens are completely wilted, about 2 minutes. Transfer to dish with chickpea mixture.

Season salmon with salt and pepper; arrange over greens and chickpea mixture and drizzle with oil. Bake until salmon is opaque in the center, 30–35 minutes.

VINAIGRETTE AND ASSEMBLY

Whisk shallot, lemon juice, mustard, and honey in a small bowl; season with salt and pepper. Gradually whisk in olive oil; season with salt and pepper.

Heat vegetable oil in a small saucepan over medium-high heat. Cook capers until opened and crisp, about 30 seconds; drain on paper towels.

Drizzle salmon with vinaigrette and top with capers.

via Slow-Cooked Salmon, Chickpeas, and Greens – Bon Appétit.

C-section birth ‘link to later obesity’

Baby

People born by Caesarean section are more likely to be obese later in life than those born naturally, a large analysis suggests.

The analysis of 38,000 births, published in the journal PLoS One, showed the odds of being obese were 22% higher.

The UK researchers say it is important women are informed about the long-term consequences of Caesarean section.

But experts said it was unclear what was really going on.

The study showed that for every 100 vaginal births, 60 adults would go on to be overweight or obese. But out of every 100 born by Caesarean section, there would be 65.

On average, being born by C-section added half a point to a person’s body mass index (BMI).

One of the researchers, Dr Matthew Hyde from Imperial College London, told the BBC: “It is an increase of five in 100, which is a significant concern.

“It is only a half unit increase in BMI, but if you have that increase across a population you’ll see a large increase in weight and the well publicised side-effects.”

He said advice around childbirth was tailored to the immediate consequences for baby and mother, but long-term issues needed to be raised as well.


We need to understand the long-term outcomes in order to provide the best advice to women who are considering Caesarean delivery”

Prof Neena ModiImperial College London

Previous research has hinted that other conditions, such as asthma, may be more likely after Caesarean birth.

Why so big?

There are two main theories about how vaginal birth could protect against obesity:

  • the stress of a natural birth may alter the activity of genes in the baby
  • a vaginal birth exposes the baby to bacteria that colonise the gut, so differences in gut bacteria could in the future affect weight

However, the study cannot prove that C-section makes people fatter as other factors could be at work.

This could include obese women, who are more likely to have obese offspring, being more likely to need a Caesarean.

Either way, researcher Prof Neena Modi said: “There are good reasons why C-section may be the best option for many mothers and their babies, and C-sections can on occasion be life-saving.

“However, we need to understand the long-term outcomes in order to provide the best advice to women who are considering Caesarean delivery.”

Commenting on the study, Patrick O’Brien, a consultant obstetrician and a spokesman for the Royal College of Obstetricians and Gynaecologists, told the BBC: “It is important and interesting to flag up this association, but it is important to realise that it is hard to know for sure if it is the Caesarean section that led to this or whether something else was the cause.”

He said it was important to be fair to women when advising them about the pros and cons of different methods of delivery, and that the theoretical long-term outcomes from vaginal birth would need to be discussed equally.

via BBC News – C-section birth ‘link to later obesity’.

Child health problems ‘linked to father’s age’

Older dad and son

A wide range of disorders and problems in school-age children have been linked to delayed fatherhood in a major study involving millions of people.

Increased rates of autism, attention deficit hyperactivity disorder (ADHD), bipolar disorder, schizophrenia, suicide attempts and substance abuse problems were all reported.

The study, in JAMA Psychiatry, suggests mutated sperm were to blame.

However, experts say the benefits older dads bring may outweigh any problems.

The investigation by Indiana University, in the US, and Sweden’s Karolinska Institute has been described as the largest and one of the best designed studies on the issue.

The researchers looked at 2.6 million people and at the difference between siblings born to the same father as it accounts for differences in upbringing between families.

Comparing children of a 45-year-old dad to those of a 24-year-old father it indicated:


“I would make the point very strongly that men should not decide on whether or when to have children on a single study, or cumulative studies”

Dr James MacCabeInstitute of Psychiatry

  • autism was more than three times as likely
  • a 13-fold increased risk of ADHD
  • double the risk of a psychotic disorder
  • 25 times more likely to have bipolar disorder
  • 2.5 times more likely to have suicidal behaviour or problems with drugs
  • lower scores at school

There was no starting point after which the risk started to increase, rather any increase in age had an associated increase in risk.

However, the overall risk is likely to remain low. Even if a the risk of a rare disorder is doubled, it is still very unlikely to affect a child.

The problem is small increases in risk scaled up over millions of people having children later can lead to an increased incidence of such disorders.

One of the researchers, Dr Brian D’Onofrio, said he was shocked by the findings, which suggested a higher risk than previously estimated.

He told the BBC: “The implications of the study is that delaying childbearing is also associated with increased risk for psychiatric and academic problems in the offspring.

“The study adds to a growing body of research, that suggests families, doctors, and society as a whole must consider both the pros and cons of delaying childbearing.”

Faulty sperm

Sperm are produced constantly throughout a man’s lifetime. As the sperm-making mechanism ages, so too do the number of errors – older sperm have more mutations which may be damaging.

Dr James MacCabe, senior lecturer in psychosis at the Institute of Psychiatry: “I would make the point very strongly that men should not decide on whether or when to have children on a single study, or cumulative studies.”

He said the risks were low and that even a doubling or trebling of risk would still affect a small proportion of people.

“Having said that, with the demographic change we have seen in the last decade, on a population level this is a concern and we might expect higher rates of psychoses now and in the future.”

He added that older dads bring many advantages such as more stable relationships and higher income, which “probably outweigh” any risks.

via BBC News – Child health problems ‘linked to father’s age’.

Women have more obesity treatment

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More than twice the number of women than men needed hospital treatment because of their waistline, figures for England show.

Health and Social Care Information Centre data showed 8,740 admissions in women and 2,990 admissions in men listed obesity as the primary reason.

Weight loss operations – known as bariatric surgery – accounted for the majority of these 2012-13 admissions.

There was a 7% decrease in admissions on the previous financial year.

They went from 11,740 in 2011-12 to 10,960 in 2012-13.

Tam Fry, from the National Obesity Forum, told the BBC: “On the face of it, it looks terrific.

“But I am concerned that this fall is because of the number of obesity operations being refused because of a lack of funds.

“The barrier for treatment is going up and people are being denied the treatment they deserve.”

The latest figures still mark a huge increase on a decade ago when there were only 1,280 admissions in 2002-03.

Around one in four adults in the UK are classed as obese.

The difference in hospital admissions between men and women is thought to be down to differing attitudes to health.

Alan Perkins, the head of the Health and Social Care Information Centre, said: “Obesity has been a public health issue for many years and can increase the risk of disease and long-term illness.

“The past 10 years of data show hospitals have dealt with considerably more women for obesity than men and it will be interesting to see if this pattern changes in coming years.”

via BBC News – Women have more obesity treatment.

Three-person baby details announced

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How the creation of babies using sperm and eggs from three people will be regulated in the UK has been announced.

The draft rules will be reviewed as part of a public consultation and could come into force by the end of 2014.

Doctors say three-person IVF could eliminate debilitating and potentially fatal diseases that are passed from mother to child.

Opponents say it is unethical and could set the UK on a “slippery slope” to designer babies.

Using the parents’ sperm and eggs plus an additional egg from a donor woman should prevent mitochondrial disease.

Mitochondria are the tiny, biological “power stations” that provide energy to nearly every cell of the body.

One in every 6,500 babies has severe mitochondrial disease leaving them lacking energy, resulting in muscle weakness, blindness, heart failure and even death.

As mitochondria are passed down from mother to child, using an extra egg from a donor woman could give the child healthy mitochondria.

However, it would also result in babies having DNA from two parents and a tiny amount from the donor as mitochondria have their own DNA.

Scientists have devised two techniques that allow them to take the genetic information from the mother and place it into the egg of a donor with healthy mitochondria.

 

Method one: Embryo repair
1) Two eggs are fertilised with sperm, creating an embryo from the intended parents and another from the donors 2) The pronuclei, which contain genetic information, are removed from both embryos but only the parents’ is kept 3) A healthy embryo is created by adding the parents’ pronuclei to the donor embryo, which is finally implanted into the womb


Method two: Egg repair
1) Eggs from a mother with damaged mitochondria and a donor with healthy mitochondria are collected 2) The nucleus, containing the majority of the genetic material, is removed from both eggs 3) The mother’s nucleus is inserted into the donor egg, which can then be fertilised by sperm.
The Department of Health has already backed the technique and says this consultation is not about whether it should be allowed, but how it is implemented.

The woman who lost all her children

Sharon Bernardi and her son Edward, who died last year aged 21

Every time Sharon Bernardi became pregnant, she hoped for a healthy child.

But all seven of her children died from a rare genetic disease that affects the central nervous system – three of them just hours after birth.

When her fourth child, Edward, was born, doctors discovered the disease was caused by a defect in Sharon’s mitochondria.

Edward was given drugs and blood transfusions to prevent the lactic acidosis (a kind of blood poisoning) that had killed his siblings.

Five weeks later Sharon and her husband, Neil, were allowed to take Edward to their home in Sunderland for Christmas – but his health slowly began to deteriorate.

Edward survived into adulthood, dying in 2011 at the age of 21.

Now Sharon is supporting medical research that would allow defective mitochondria to be replaced by DNA from another woman.

Sharon’s full story

The regulatory body, the Human Fertilisation and Embryology Authority, will have to decide in each cases that there is a “significant risk” of disability or serious illness.

It is anticipated that only the most severely affected women – perhaps 10 cases per year – would go ahead.

The regulations suggest treating the donor woman in the same manner as an organ donor.

Any resulting children will not be able to discover the identity of the donor, which is the case with other sperm and egg donors.

Prof Doug Turnbull, who has pioneered research in mitochondrial donation at Newcastle University, said: “I am delighted that the government has published the draft regulations.

“This is very good news for patients with mitochondrial DNA disease and an important step in the prevention of transmission of serious mitochondrial disease.”

The chief medical officer for England, Prof Dame Sally Davies, said: “Allowing mitochondrial donation would give women who carry severe mitochondrial disease the opportunity to have children without passing on devastating genetic disorders.

“It would also keep the UK at the forefront of scientific development in this area.

“I want to encourage contributions to this consultation so that we have as many views as possible before introducing our final regulations.”

Dr David King, the director of Human Genetics Alert, said this was a decision of “major historical significance” which had not been debated adequately.

“If passed, this will be the first time any government has legalised inheritable human genome modification, something that is banned in all other European countries.

“The techniques have not passed the necessary safety tests so it is unnecessary and premature to rush ahead with legalisation.

“The techniques are unethical according to basic medical ethics, since their only advantage over standard and safe egg donation is that the mother is genetically related to her child.

“This cannot justify the unknown risks to the child or the social consequences of allowing human genome modification.”

via BBC News – Three-person baby details announced.

小心斷腳筋!減重+泡溫水舒緩足踝

足球金童貝克漢阿基里斯腱斷裂,引起全球注目,但阿基里斯腱斷裂可不是球員專利。醫師指出,「斷腳筋」其實就是「阿基里斯腱斷裂」,患者以男性居多,主要以過度運動,和暖身不夠所致。預防上,除控制體重外,運動前可多做弓箭步伸展,或是泡溫水舒緩足踝,以保護「腳筋」避免斷裂。(影音/攝影記者張世傑)

足踝常泡溫水,有助於防止筋腳斷裂。
足踝常泡溫水,有助於防止筋腳斷裂。

 

台北慈濟醫院骨科王禎麒醫師指出,阿基里斯腱俗稱「腳筋」,是人體最大的肌腱,位於下肢後踝區域,連接小腿肚的肌肉,附著在跟骨的後側上緣,總長約15公分,又稱為「跟腱」。

當它收縮時腳部便可以向下,走路或跑跳時,都會使用到阿基里斯腱,若斷裂會導致患者在行走時無法將後腳跟提起,走路也會不穩定。特別是平常不運動,或運動前暖身不夠、突然過度用力,就可能讓腳筋「波」一聲,應聲而斷。

腳筋斷裂 異體肌腱移植

禎麒醫師(如圖)指出,阿基里斯腱俗稱「腳筋」,是人體足踝最大的肌腱。(攝影/張世傑)
禎麒醫師(如圖)指出,阿基里斯腱俗稱「腳筋」,是人體足踝最大的肌腱。(攝影/張世傑)

去年新北市1名陳先生,在住家頂樓清理水錶時不小心滑倒割傷右小腿,造成大量出血及腳筋斷裂,在北部某醫院開刀治療不見好轉,傷口嚴重感染化膿,轉到台北慈濟醫院治療。經由骨科醫師以「異體肌腱移植」方式重建阿基里斯腱,搭配整形外科的轉位皮瓣重建手術,陳先生術後3個月復原情況相當良好,透過定期復健,已能用拐杖慢慢行走。

台北慈濟醫院骨科運用「異體肌腱移植」方式,讓患者免於斷腳筋。(攝影/張世傑)

台北慈濟醫院骨科運用「異體肌腱移植」方式,讓患者免於斷腳筋。(攝影/張世傑)

 

捐贈肌腱 大愛留在人間

王禎麒醫師強調,像陳先生這種開放性的傷口很容易感染化膿,需要經過多次清創才能進行手術;此外,有些醫院會以病人身上其他較小的肌腱來連接,腳部功能恐怕無法恢復得很好。但醫療團隊運用台北慈院特有的「異體肌腱移植」方式,也就是用器官捐贈者的阿基里斯腱來進行移植手術,以特殊的縫法,將兩側斷端與一塊帶有跟骨的阿基里斯腱固定,使肌腱重新連接。

整形外科再以「轉位皮瓣重建手術」,取用陳先生右小腿的肉,覆蓋在移植好的阿基里斯腱上面,待傷口慢慢癒合後,順利展開復健之路,重建了陳先生斷裂的腳筋和缺損的肌肉,恢復腳部功能。

【防斷腳筋 6個小撇步】:

1.習慣:維持規律運動習慣,勿突然大量運動,要循序漸進。

2.體重:維持正常體重,避免增加足踝骨骼肌肉負擔。

3.熱身:動前至少要暖身10至15分鐘;運動後,做10分鐘的緩和運動。

4.放鬆:可多做弓箭步的伸展運動,或泡溫水,讓肌腱放鬆。

5.舒適:運動鞋的舒適選擇很重要,有助於避免運動傷害。

6.就醫:若聽到腳後跟有「啵」的聲響,合併疼痛感、無力感,應盡速就醫檢查。

via 小心斷腳筋!減重+泡溫水舒緩足踝 | 20140226 | 華人健康網.

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