Shannon
suffers from a rare type of leukemia known as acute myelogenous leukemia (AML).
Early symptoms of the disease—fever, fatigue, paleness, bone and joint pain,
and infections—are easy to confuse with more run-of-the-mill illnesses like a
cold or the flu. That’s what Shannon’s mother thought.
“I
started noticing she was very tired and fatigued, and it wasn’t normal,”
Shannon’s mother, Odiney Brown, told ABC News. “The day we found out, we
immediately admitted our lives had just changed completely.”
AML can
quickly go from bad to worse. In order to recover, Shannon will need a bone
marrow transplant, and like so many others with the condition, she now
struggles to find a donor. Finding an exact match won’t be easy, either,
because Shannon is African American and Hispanic—two highly underrepresented
donor groups.
Even in
the event that a donor is found, it is likely that Shannon will need additional
treatment. “It is generally an aggressive disease that requires chemotherapy,”
Shannon’s doctor, Dr. Barbara Asselin of Golisano Children’s Hospital at the
University of Rochester Medical Center, told ABC News. “The first hurdle is to
see if we can achieve a remission in the bone marrow and don’t see any more
leukemia cells.”
Asselin
says the chances of recovery are less than other forms of childhood leukemia,
but that she remains optimistic about a cure. For now, Shannon is trying to
enjoy life as a normal 11-year-old girl, watching movies at home and chatting
online with friends between treatments.
Read more
from ABC, or find out how to become a donor through the National Marrow Donor
Program.
The
research team, led by Jeannette Beasley, monitored the protein intake of 560
pre-menopausal women. Protein could be animal or vegetable-based.
According to
the Mayo Clinic, the average percentage of protein from calories that should be
consumed daily is 10-35 percent. The women, aged 14 to 40, consumed between 6
and 28 percent, placing them in the “high protein” category.
“The
range of protein intakes for optimizing bone health among pre-menopausal women
is unclear,” authors noted in the study. “Protein is a major constituent of
bone, but acidic amino acids may promote bone resorption.”
Participants
were checked annually for changes in bone mineral density (BMD). According to
the report, the average BMD was similar for all participants regardless of
protein consumption. Women with low vegetable protein intake, however, tended
to have a slightly lower BMD.
“For
every percentage increase of energy from protein, no significant longitudinal
changes in BMD were observed at any anatomic site over the follow-up period,” study
authors concluded. “Data from this study suggest that a higher protein intake
does not have an adverse effect on bone in pre-menopausal women.”
Beasley
says that protein provides a small benefit to bone health, but that these
benefits may not reduce fractions in the long run. “Findings in young women
could be different from those in older women because bone mass is still
building up before age 30,” Beasley told Reuters.
You can test your blood sugar, you can test your blood pressure, but did you know you can test your risk of falling? You can now thanks to a screening tool developed by the University of Missouri School of Health Professions.
University of
Missouri associate professor Carmen Abbott created the test to help
predict an
individual’s risk
of falling, which they hope will help reduce the risk of
injuries.
“It’s very
important for adults to understand their won fall-risk
factors,” Abbott said in
a press release. “This test can become a primary prevention strategy
that can
be used in regular screenings.”
The test is made
up of 16 parts, including a questionnaire and physical tests. It
includes
questions about fall history, what types of medication an individual
takes, and
whether he or she experiences dizziness. The physical tests include
strengthen
balance and range of motion exercises.
Testing each
person allowed researchers to develop a customized risk prevention plan.
“Personalizing the risk exercise prescription palatable to an individual
that
has not taken physical activity or the idea of decreased physical
function
seriously,” authors wrote.
In the University
of Missouri press
release, Abbott offers tips for people who wish to improve
their coordination and reduce their risk of falls.
“It’s very important
for adults to understand their own fall-risk factors,” she says. “What’s
more
important is for adults to know their risk and stay as active as
possible.”
Inadequate amounts of calcium and vitamin D in the diet
are contributing factors, and what better way to get these minerals than
drinking a glass of milk? You might be surprised to learn that cow’s milk isn’t
the only “milk” around that’s chockfull of these nutrients.
An article by MSNBC nutritionist Joy Bauer gives a
whirlwind of options for getting the recommended amount of calcium. The
milk-a-palooza has plenty of options for everyone,
including vegans and people who are lactose-intolerant.
We broke
down these options to give you the benefits associated with each:
Reduced Fat and Enhanced Skim Milk
Good, old-fashioned cow’s milk contains about 30 percent
of the recommended daily intake of calcium and more than 6 percent protein.
Organic and vitamin D enhanced options are also available.
Lactose-Free Milk
Lactose-free milk is made from actual cow’s milk. The
enzymes needed to digest lactose are added to make it safe for people with
lactose intolerance to consume. It’s full of protein and calcium, and has less
fat and sugar than regular milk. Some brands actually taste like cow’s milk.
Soymilk
Protein-packed soymilk is made from soybeans. It is low in
cholesterol and saturated fat and is a source of good carbs, Omega-3 fatty
acids, and vitamins A, B1 and B2.
Rice Milk
Rice milk is made from water and ground rice. It has more
carbs and less protein than regular milk, but many varieties are fortified with
calcium and vitamin D. As an added bonus, rice milk (like soymilk) often comes
in several flavors.
Almond Milk
Almond milk has no lactose or cholesterol, which makes
this a very healthy option for those of you who are lactose-intolerant or
vegans. It’s full of protein, vitamin E, manganese and unsaturated fat. Its
subtly sweet flavor makes it a hit with children.
There are plenty of other great sources of calcium if
milk’s not your thing. The NOF site recommends eating right, maintaining a
healthy lifestyle and getting tested early for bone density to reduce your risk
of developing osteoporosis and its complications.
Visit MSNBC.com to read Bauer’s full story on getting the most from milk.
The study followed 703
Caucasian, African American and Hispanic women using oral contraceptive pills
(OCPs), the birth control shot Depo-Provera (depot medroxyprogesterone acetate,
or DMPA) or nonhormonal contraceptives. They were divided into age groups—one
between 16 and 24, and another between the ages of 25 and 33.
Although women who used
nonhormonal contraceptives showed little if any loss, women who took OCPs and
DMPA lost 0.4–6.8 percent of bone mineral density. BMD loss appeared to differ
most by age.
“DMPA users 16–24 years old
lost significantly more bone at the spine (4.2% compared with 3.2%) and femoral
neck (6.0% compared with 4.2%) than those 25–33 years old,” authors of the
study wrote. “However, OCP users 16–24 years old lost significantly less bone
density at the spine (0.4% compared with 0.8%) than women 25–33 years of age.”
Many of the study’s
participants chose to discontinue DMPA use. Some switched to nonhormonal
contraceptives, and were actually able to regain some bone mineral density—up
to 4.9 percent at the spine and 3.2 percent at the neck for nonhormonal
contraceptive users. Those who switched to OCPs also regained BMD, but their
rates were much lower.
Authors wrote, “Use of
very-low-dose OCPs after DMPA discontinuation may slow bone recovery.” Women
who switched to OCPs were only able to regain up to 2.3 percent at the spine
and 0.7 percent at the neck. According to the study, African American
participants recovered bone mineral density in the neck better than Hispanic or
white women regardless of which method they chose.
Authors wrote, “Recent prospective studies have demonstrated that once DMPA is discontinued, BMD increases more among prior DMPA users than nonusers, suggesting that DMPA-related bone loss is reversible.”
Although this is very encouraging, authors say more information is needed to fully understand bone mineral density recovery.
The review examined the
2007-2008 dental records of U.K. children, 211 of whom were Plymouth
five-year-olds. This number was just under the national average of 30.9
percent, but other regions were significantly worse.
The United States had similar
rates. Almost half of children ages 12 to 15 and about one in four American
children aged 2 to 5 is affected by tooth decay. Overall, it affects 4 million
children in the U.S. alone. Americans consumed an average of 23.8 pounds of
candy each in 2008, and with the
holiday season approaching, parents should be on the watch for cavities.
As Halloween approaches,
candy consumption is likely to skyrocket, but there are plenty of ways to
protect trick-or-treaters from tooth decay. Try these five tips to help reduce
the amount of sugar:
1. Choose reduced-sugar or sugar-free candies. Most stores carry equally tasty sugar-free or
reduced-sugar versions of Halloween favorites, including chocolate, peanut
butter cups and various filled or hard candies. These options won’t completely
eliminate the risk of tooth decay, but they can significantly cut sugar intake.
2. Give out unconventional goodies. When it comes to candy, sugar-free gum is your safest
bet. Candies that can melt and/or stick to teeth are the worst. Other ideas
might include stickers, press-on tattoos, plastic rings, or other small toys.
3.
Go to a Halloween program or event.
Choosing alternatives to trick-or-treating significantly cuts the candy haul.
These events are a great place for adults and children to socialize while
enjoying snacks and fun activities.
4. Set a limit. Put a limit on the amount of candy a child is allowed daily. This
helps prevent candy binges while reducing sugar consumption. Candy can also be
used as a reward for good behavior.
5. Donate excess candy. Many communities have programs that will send it to
troops or donate $1 for every pound of candy donated. Candy can also be donated
to fire stations, schools (for rewards), or other offices in the community.
Regularly brushing teeth and
reducing sugar intake can help prevent cavities. Consuming fewer sweets can
also help decrease children’s risk for obesity and diabetes. Dentists and parents
alike recommend that candy be consumed in moderation.

“Although everyone wants to be treated immediately… it is not always best to rush a patient to the OR in the middle of the night,” explains Dr. William M. Ricci MD, Associate Professor of Orthopaedic Surgery at the Washington University School of Medicine.
The study followed 203 patients who underwent orthopaedic surgery—surgery on bones and joints. While there was no significant difference between radiation exposure, healing time or actual treatment, there was a noticeable disparity between operations that occurred between the daytime and nighttime shifts.
All operations used intramedullary nail fixation to mend tibial or femoral fractures. This is a procedure in which a rod, or “nail”, is used to set the bone. The day was divided into two shifts—the morning shift between 6:00 a.m. and 4:00 p.m., and the night shift thereafter.
Second shift patients had shorter operations, but they also had more follow-up operations and more nail removal surgeries—27percent versus 3 percent for patients whose surgeries occurred during regular office hours. Dr. Ricci believes that much of this can be attributed to the long hours many surgeons put in.
“The reality is that the on-call night surgical team may not be well rested as it is likely they had just finished a normal day shift,” Ricci says. Ricci, who is also chief of the Orthopaedic Trauma Service in the Department of Orthopaedic Surgery at W.U., also explains why non-emergency operations should wait.
“We in the healthcare industry don’t have unlimited resources,” Ricci says. “Many hospitals in the U.S. do have a dedicated night team of orthopaedic surgeons who otherwise are without daytime responsibilities. There are surgical teams on-call for those instances when treatment must be immediate.”
Ricci believes giving orthopaedic surgeons more time to operate on trauma patients can help reduce the risk of minor complications from nail fixation surgeries. He encourages patients to wait for surgery if possible, but insists that actions be taken immediately in urgent situations: “Naturally, when the medical condition is emergent and time is a critical factor, immediate surgery should proceed regardless of time of day.”

Vitamin
D deficiency can result in conditions such as rickets in children (usually
<11 ng/mL), and osteomalacia and osteoporosis in adults (typically levels
<25 ng/mL). Low levels of vitamin D also increase the risk of bone and heart
disease, and are also associated with higher blood pressure and lower calcium
and HDL cholesterol levels in later life.
Children classified as
“insufficient” had 15-29 ng/mL, while those who were classified as “deficient”
had levels of 15 ng/mLor less. Normal range, according to the National
Institute of Health, is 30-74 ng/mL.
The study is the largest of
its kind to date, gaining nationwide rather than just regional data. "We
expected the prevalence of vitamin D deficiency would be high,” says lead
author Juhi Kumar, M.D., M.P.H., of the Children's Hospital at Montefiore
Medical Center, “but the magnitude of the problem nationwide was
shocking."
Vitamin D deficiency is more
common for female children, those that are older, obese, drink less than one
glass of milk week, and those who spend four hours or greater on the computer
or watching television per day. African-American and Mexican-American children
also had a greater risk.
Melamed,
co-leader of the study, attributes part of this problem to lifestyle,
recommending parents send their children outdoors. One source of vitamin D is
UV-B sunlight, which converts cholesterol in the skin into vitamin D. She also recommends ditching
the sunscreen for a while: “Just 15 to 20 minutes a day should be enough…don't
put sunscreen on them until they've been out in the sun for 10 minutes, so they
get the good stuff but not sun damage.” Individuals with darker skin and those
who live in northern regions with less sun exposure should spend more time
outdoors.
The American Academy of Pediatrics recommends that children and teens get at least 400 IU per day, double the previous recommendation of 200IU per day. Good sources of vitamin D include fish, milk, eggs, cod liver oil, and fortified foods. Vitamin D levels can also be increased with the use of supplements.
The study's abstract is available online, and will be published in September's issue of Pediatrics.
About | Privacy Policy | Business Solutions | Advertise | Contact | Add Healia to your site
©2012. Healia / Meredith Corporation
Use of this site constitutes acceptance of our Terms of Service and Privacy Policy. All content on this Web site, including medical opinion and any other health-related information, is for informational purposes only and should not be used for a specific diagnosis or individual treatment plan for any situation. Use of this site and the information contained herein does not create a doctor-patient relationship. Always seek the direct advice of your doctor in connection with any questions or issues you may have regarding your own health or the health of others.