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.
A small study in the journal Diabetologia showed that patients with type 2 diabetes who reduced their sitting time and increased their physical activity had significant improvements in their blood glucose control, with stronger improvements seen among those who sat less. Dutch researchers used a cohort of 19 adults with type 2 diabetes, mean age of 63, who were asked to break their sitting time by walking, standing or indoor cycling.
A Society for Human Resource Management survey found 30% of HR professionals said health care was the primary focus of their employee benefit package. Data showed fewer respondents said they were "very concerned" about the cost of health care, compared with last year's survey results, and 48% said their wellness program lowered health costs.
Pennsylvania-based WellSpan Health said it would complete its smoking ban at all its facilities by Jan. 1 and stop hiring people who use tobacco. There are 29 states that prohibit companies from discriminating against people who use tobacco, but in states that do allow such policies, health care is among the industries most likely to institute a tobacco ban.
Colorado, Rhode Island and Utah have the lowest incidence of diabetes in the US, with less than 8% of the population having the condition, while Alabama and West Virginia have the highest diabetes incidence, with more than 16% of the population having a diagnosis, according to a Gallup and Healthways report. Researchers said the obesity epidemic was one of the biggest reasons for the high diabetes rates.
A vegetarian or vegan diet can be healthy for people of all ages, as well as for women who are pregnant, and good for the environment, according to a position statement from the Academy of Nutrition and Dietetics published in the Journal of the Academy of Nutrition and Dietetics. These diets must be balanced and planned out to ensure they contain sufficient nutrients such as vitamin B12, iron and zinc, said AND spokeswoman Vandana Sheth.
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