Smoking e-cigarettes before plastic surgery may increase the risk of post-surgical complications, and users should not vape in the four weeks before surgery, researchers wrote in Plastic and Reconstructive Surgery. E-cigarettes do not deliver as much nicotine as conventional cigarettes, but tobacco is a known vasoconstrictor and the impact of vaping on wound healing has not been quantified, researcher Peter Taub said.
Few Twitter posts about plastic surgery are from credentialed surgeons, and Olivier Alexandre Branford of The Royal Marsden Hospital said plastic surgeons are missing an opportunity to engage and educate the public. "All too often, the conversation is dominated by celebrity gossip and marketing by practitioners who aren't board-certified plastic surgeons," Branford said.
Researchers found that variants of PCSK9 and HMGCR genes were associated with an increased risk of developing diabetes, but showed protective effects for cardiovascular events. The findings in The New England Journal of Medicine, based on 14 studies involving 112,772 participants, revealed that the increased diabetes risk was limited to those with impaired fasting glucose levels.
Women who miscarry are more likely to have a subsequent successful pregnancy if they conceive within six months, according to a data review whose findings run counter to World Health Organization recommendations to wait at least six months after miscarrying to conceive again. Researchers analyzed existing data and found that repeat miscarriage and preterm birth were less likely if subsequent conception was within six months, compared with women who waited longer to become pregnant again.
Young adults with life-limiting medical conditions have significant palliative care needs, writes nurse researcher Betty Ferrell of the City of Hope National Medical Center, and a study in the Journal of Palliative Medicine outlines issues in providing services to this patient group. Challenges in transitioning patients with complex conditions from pediatric to adult care generally also are present in the palliative care transition, Ferrell writes.
There is no science behind the belief people gain from 5 to 12 pounds during the holiday season, but studies do show many add from 1 to 2 pounds from mid-November to mid-January, said registered dietitian Debra Barone Sheats. The key to avoiding weight gain is portion control, Sheats said, which is easier if people have a healthy snack before going to holiday events that serve food.
United Nations agencies and experts said on Thursday malnutrition may affect half the global population by 2035 unless governments act to reverse the trend. Experts wrote in the journal Nature that food policy should be based on healthy diets, not calories, as poor diets have a bigger negative effect on global health than sex, drugs, alcohol and tobacco combined.
Reports show almost half of college students have food insecurity issues but the US government does not have a free and reduced-price meal program for higher education like it does for elementary and secondary schools. Some colleges have food pantries, but Sara Goldrick-Rab, who leads the Wisconsin HOPE Lab, wants lawmakers to consider ideas such as expanding the K-12 school lunch program to college students or changing food stamp eligibility.
Some people are open about their medical histories, but others are not forthcoming, which complicates efforts to compile a family medical history, says certified genetic counselor Jessa Blount. A genetic counselor can help patients determine genetic cancer risks, explain how inherited and environmental factors raise cancer risk, assist with obtaining testing and insurance coverage and work with family members.
Researchers from the University Hospital of Wales who used FDG-PET/CT found that patients with common variable immunodeficiency who developed granulomatous lymphocytic interstitial lung disease had increased and widespread metabolic activity in the lungs and lymph nodes before receiving treatment, but functional and anatomical activity improved after treatment. The findings in a proof of concept study in Clinical & Experimental Immunology suggest the approach may have a role in monitoring CVID patients with GLILD, but further studies are needed, researchers said.
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