Medical workers attending church save woman's life – Greensboro News & Record: North Carolina …

GREENVILLE, N.C. (AP) — Medical workers attending church in Greenville demonstrated the meaning of providence when they saved the life of a woman who passed out prior to the service.

WNCT in Greenville reports (http://bit.ly/1GIB1mB) the workers were at Unity Free Will Baptist Church on Sunday when a woman passed out before services got underway.

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ABC News Adds Two New Reality Medical Series

Sean Alexander and Mike MacNeil

ABC News has announced two new reality medical series, Save My Life: Boston Trauma, and Boston EMS. The shows, from the producers of ABC’s Hopkins, Boston Med and NY Med, focus on emergency medical responders and the emergency room personnel at various Boston trauma centers. The two series are set to debut in late July.

“Even for an experienced team like ours, we were stunned by some of the heart-pounding medical miracles we saw performed.” said executive producer Terence Wrong. “With half a dozen famous hospitals, Boston is a city of medical excellence like no other.”

Cord milking best for infants delivered by C-section

Massaging the umbilical cord of preterm infants delivered by Cesarean section can improve blood pressure, increase levels of red blood cells and lead to greater blood flow to and from the heart, according to new research.
Mother with newborn infant.

The study found that cord milking provided greater benefits to preterm infants delivered by Cesarean section than current recommended practice.

A study of the impact of cord milking was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and published in Pediatrics.

Cord milking involves gently squeezing the umbilical cord with the thumb and forefingers, slowly massaging blood through the cord to the infant’s abdomen after birth.

Previous research has suggested that delaying the clamping of the umbilical cord after birth for 30-60 seconds allows enough time for blood from the cord to fill the blood vessels in the newborn’s lungs.

Experts believe that this delay helps reduce the risk of bleeding in the infant’s brain cavities, known as intraventricular hemorrhage, thought to be caused by low blood pressure. This hemorrhaging can lead to several health problems for the baby, including delayed development, cerebral palsy and even death.

Dr. Anup C. Katheria, first author of the study and a neonatologist at the Neonatal Research Institute at the Sharp Mary Birch Hospital, became aware, however, that delayed cord clamping did not always reduce the risk of intraventricular hemorrhage in preterm infants delivered by Cesarean section.

Dr. Katheria and colleagues hypothesized that the anesthetic used in Cesarean delivery could impede the flow of blood through the umbilical cord. They decided to conduct a study to see if cord milking counteracts the reduced blood flow, providing the newborn with an improved supply of blood.

For the study, researchers from the Neonatal Research Institute at Sharp Mary Birch Hospital for Women and Newborns in San Diego, and Loma Linda University, CA, assessed 197 infants: 154 of whom were delivered by Cesarean and 43 delivered vaginally. The mothers of the infants went into labor before or during the 32nd week of pregnancy.

Cord milking improved blood circulation and hemoglobin levels

Infants delivered by Cesarean were randomly assigned to either a group whose umbilical cords were milked (75 infants) or a group who received delayed cord clamping (79 infants). The infants delivered vaginally were also randomly divided into two similar groups.

The researchers found that the infants delivered by Cesarean section who received cord milking had higher blood flow in the vein carrying blood from the brain to the heart and a higher output of blood from the right ventricle compared with those who received delayed cord clamping.

These measures indicate improved blood circulation in the brain and body. Those delivered by Cesarean section whose cords were milked were also found to have higher blood pressure and higher levels of hemoglobin in their blood.

No differences, however, were found by the researchers in the blood flow or blood pressure among the two groups of infants that were delivered vaginally.

In 2012, the American College of Obstetricians and Gynecologists recommended a 30-60-second delay before clamping the umbilical cord of all infants delivered preterm. The results of the new study suggest that among these infants, cord milking could provide greater benefits.

“The study results are very encouraging,” says Dr. Tonse Raju, chief of the Pregnancy and Perinatology branch of the NICHD. “The findings need to be confirmed in a larger number of births, but at this point, it appears that umbilical cord milking may prove to be of great benefit to preterm infants delivered via Cesarean.”

Previously, Medical News Today reported on a study suggesting that delaying umbilical cord clamping at birth could improve the child’s long-term developmental prospects, leading to better social and motor skills for some children.

Written by James McIntosh

Longer secondary schooling reduces HIV risk, study finds

Secondary school education can improve job prospects, help develop social skills, reduce inequality and now researchers believe it can alter the risk of HIV infection. A new study indicates that an extra year of secondary schooling could substantially reduce the risk of HIV contraction.
A teacher giving a lesson to a class of pupils.

Education and health are closely associated though formal education’s capacity to prevent HIV infection is still debated.

The study, published in The Lancet Global Health, suggests expanding secondary schooling could be a cost-effective strategy for preventing HIV infection.

“This study is among the first to provide causal evidence that secondary education is an important causal determinant of HIV infection,” says senior author Prof. Jacob Bor of Boston University School of Public Health, MA. “Our results suggest that schooling should be considered alongside other proven interventions as part of a multi-pronged ‘combination’ HIV prevention strategy.”

He explains that it is difficult to isolate the effect of education on the risk of HIV infection from the complex web of associated factors such as family background, socioeconomic status and psychological traits. This difficulty necessitates the use of “natural experiments” to provide evidence to guide healthcare policies.

In the absence of large-scale trial data, the researchers used a recent school policy reform in Botswana as the basis for their study in order to assess what role an increase in the number of years spent in secondary school played in the risk of HIV infection.

Botswana is one of the most HIV-affected countries in the world. In 2013, around 22% of adults aged 15-49 were estimated to be infected with the virus.

In 1996, free grade 10 education was provided as part of junior secondary school, resulting in an average increase of 0.8 years of schooling among teenagers in the country. Using data collected in 2004 and 2008 from the nationally representative Botswana AIDS Impact Surveys, the researchers were able to compare birth cohorts exposed to extended secondary education with those that were not.

The researchers analyzed data for 7,081 men and women who were aged 18 and above at the times the surveys were conducted. Any who were born in or after 1981 were classified as having been exposed to the secondary school policy reform.

Effect of extended schooling on HIV risk more apparent among women

From the data, they estimate that those who received an extra year of secondary schooling were 8 percentage points less likely to test positive for HIV infection a decade later, with around 17% of the cohort infected compared with 25% of those who did not receive an extra year.

The effect of extra secondary schooling appeared to be more pronounced among women, whose risk was reduced by 12 percentage points with an additional year of secondary schooling.

Co-author Jan-Walter de Neve, a doctoral student at Harvard T.H. Chan School of Public Health in Boston, MA, states that secondary schooling may be particularly effective in reducing HIV risk by targeting a critical period of growth in adolescence:

“Information about prevention methods and reasoning skills gained in school may play a preventative role against HIV, enabling people with education to adopt healthy strategies to avoid infection. Additionally, education may expand economic opportunities and reduce women’s participation in higher risk transactional sexual relationships.”

“Expanding the opportunities of young people through secondary schooling will not only have economic benefits but will also yield health benefits and should be a key priority for countries with generalized HIV epidemics,” Prof. Bor adds.

In a linked Comment, Dr. Karen Ann Grépin from Robert F Wagner’s Graduate School of Public Service, New York University, NY, notes that the fact the results were strongest among women was especially important considering the worldwide inequities in access to secondary schooling for girls.

“[Increasing] access to education in low-income countries should be an important priority because of the proven economic returns to such investments,” she concludes. “The health returns from education, such as its potential role in HIV and child mortality should also make it a top priority for the global health community.”

A recent report from the UNAIDS and Lancet Commission states that efforts to prevent new HIV infections must accelerate over the next 5 years, otherwise deaths from AIDS will increase worldwide.

Written by James McIntosh

11Alive following family on journey to medical marijuana

WINDER–11Alive is following a Winder mother on her journey to save her two-year-old daughter’s life.

Erin Cleveland’s daughter Lainey suffers from a number of health issues including seizures.

Lainey started having seizures at 3-months-old, and now at 2-years-old she is severely delayed, unable to talk, walk, or eat on her own.

“She’s two-years-old and she can’t sit up on her own she’s just now learning to hold her head up, just now starting to grab things,” said Erin Cleveland, Lainey’s mother.

Erin has tried medicine, but she said it doesn’t work.

She is now pursuing a Georgia medical marijuana registration card and ultimately cannabis oil for Lainey.

“I want to see her walk one day, I’d love to see her reach her arms out for me one day just the things that you take for granted until you don’t have it,” said Cleveland.

Cleveland gave up her career, and stays at home full time with Lainey.

They go through therapy, she feeds her, and make sure she gets through her seizures, sometimes ten a day.

“It’s horrible to watch, absolutely horrible.”

Lainey suffers from a number of health issues including seizures (Photo: Hopper, Christopher)

Cleveland is waiting to visit Lainey’s pediatrician and neurologist to receive final approval for the registration card.

She should then receive it within 15 days.

At that point, Cleveland will pick up Lainey’s cannabis oil and administer it to her for the first time.

Cleveland is hoping that the cannabis oil will reduce or eliminate Lainey’s seizures so they can focus on her other health issues.

Cleveland said she just wants to see her daughter smile again.

She wants to see what Lainey can do when she’s not seizing.

Earlier this year, Georgia legalized the use of certain types of medical marijuana.

It’s still illegal to cultivate it, but patients can obtain a registration card to use it based on their doctor’s approval.

11Alive News will follow Erin and Lainey on their journey to obtaining a card and cannabis oil.

Read or Share this story: http://on.11alive.com/1Inah0C

Driver Crashes Into Fire Engine During Medical Emergency

SANTA BARBARA, Calif. –

A man who suffered an apparent heart attack crashed his car into a Santa Barbara County fire engine Saturday.

The incident happened at about 10:50 a.m. at State Street and Hope Avenue.

Santa Barbara County firefighters were stopped at a light en route to Station 15.

“The driver came across the stop light and started turning into oncoming traffic. I hit the air horn to try to let him know he was turning into oncoming traffic. He didn’t wake up. He hit another vehicle and the fire engine,” said engineer Jason Sweet.

The driver was passed out at the wheel with his Porsche still running.

“He was still on the accelerator, so the engine was really revving. We jumped out and shut the engine off so it wasn’t going to go anywhere,” Sweet said.

Sweet, Capt. Mike Klusyk and firefighter James Silva checked out the man.

He didn’t have a pulse.

“Our immediate reaction was to get him out on the street right in front of the fire engine and start CPR,” said Klusyk.

Silva started chest compressions and Sweet operated the bag valve mask.

“He didn’t respond. He didn’t wake up,” Sweet said.

So they hooked him up to a defibrillator and Klusyk initiated the shock.

The man came to and then did something the first responders had never seen before.

“He started talking to us almost immediately within 10 to 15 seconds,” Klusyk said.

The first responders said the crash into their fire engine likely saved his life.

“It was lucky he ran into a fire engine because if it was something else, it would have been quite awhile before someone was able to help,” Sweet said.

The man was taken to the hospital and is expected to survive.

Medical team specializes in cleft care

<p>When Cynthia Morgan learned her granddaughter Kennedy Morgan had a cleft palate, it felt like someone had hit her in the stomach with a medicine ball. </p><p>”I don’t know what the reaction is supposed to be,” the Sunset Beach resident said. “I cried.”</p><p>Though the conditions are life-altering without a doubt, cleft lips and cleft palates are correctable and manageable birth defects affecting one in 700 to 1,000 births, said Dr. Michael Jaskolka, medical director for <a href=”http://www.starnewsonline.com/section/topic9969″><b>New Hanover Regional Medical Center</b></a>’s Cleft Lip and Palate Team.</p><p>”It can be a long-haul, there’s no question, but… with coordinated and managed care, the results I think in this day and age are pretty good,” said Jaskolka, who’s worked for four different cleft teams across the country.</p><p>That’s exactly what this team, the fourth in the state, hopes to bring. Having seen all sorts of different models for such teams, Jaskolka said he is trying to put together “the best of all worlds.”</p><p>The team formed a couple of years ago, but became bigger, official and more formal this year when Jaskolka joined the team as medical director. The multi-specialty team has people from all different backgrounds: surgery, nutrition, pediatric dentistry, clinical coordinators, orthodontics, social work, ears/nose/throat surgery, speech and language pathology, neurosurgery and more. </p><p>Though every patient won’t need every specialist on the list, having a coordinated team approach care for and monitor children with cleft lip or palate from birth to adulthood ensures everyone is on the same page for short-term plans and knows the big picture for long-term care.</p><p>Though there is no “typical” patient, Jaskolka said, there is a common path that care follows.</p><p>Many times, he will see his tiny patients prenatally after they’ve been diagnosed in utero. Jaskolka said many families want to know what they did, but “very often there’s nothing.” Some clefts are associated with syndromes and some run in the family.</p><p>”But the majority of them … we really don’t know why,” he said.</p><p>Once the baby is born, Jaskolka’s main concerns are feeding (which can require special bottles and regular weight checks) and taping or molding the lip and nose. Cartilage can be molded early on, Jaskolka said, so he uses a bandage with built-in elastic to try to shape the baby’s nose and mouth.</p><p>At about 3 or 4 months old, a one- to two-hour surgery can repair the infant’s lip, and at about 9 months, an additional surgery can repair the palate. The exact time depends on the health of the child, how the molding has been going and family circumstances. Usually by the time of the second surgery, if not the first, families have been introduced to the team.</p><p>From there, the children are monitored regularly for dental care, hearing checks and speech development. Once older, children may need jaw surgery or cosmetic touch-ups.</p><p>The team has been taking on two to four new patients every month and is monitoring the care for between 70 and 100 children, Jaskolka said.</p><p>”Prior to this, people would have to go to Duke or Chapel Hill,” he said. “For a lot of these families, that’s not an inconsequential thing.”</p><p>Eight-month-old Kennedy is scheduled for mid-August. Though there could be another one required, Morgan is hoping for the best.</p><p>In the meantime, her family has to monitor her eating. Now that she’s on solid food, if she coughs or sneezes while eating, she may choke, which can scare the little girl, Morgan said. But for the most part, Kennedy is a very happy baby. She coos, smiles and giggles. </p><p>She has a cleft palate, not a cleft lip, so there’s no external sign of her condition. But when she smiles wide, Morgan can see a gaping hole in the back of her mouth.</p><p>”Fear of the unknown is a bad thing anyway,” Morgan said. “When it’s your little one, of course it’s worse.”</p><p>Jaskolka and the team have turned what could have been a bad, scary experience into a comforting, supportive and memorable one, Morgan said.</p><p>”Because he gives you that hope of what to expect, you feel better.”</p><p><i></p><p>Contact Lydia Coutré at 910-343-2223 or Lydia.Coutre@StarNewsOnline.com</i></p>

Oklahoma medical notes

SNAP benefit redemptions increase at farmers markets

Supplemental Nutrition Assistance Program participants are spending more of their benefits to make purchases at roadside farm stands, farmers markets and directly from local farmers than ever before. SNAP redemptions at those outlets in fiscal year 2014 totaled $18.8 million, a nearly six-fold increase since 2008. Likewise, the number of SNAP-authorized farmers, roadside farm stands, and farmers markets grew dramatically, from 753 to in excess of 6,400, more than eight times the number of these types of vendors accepting SNAP when the Obama Administration took office. In Oklahoma, SNAP redemptions at farmers markets grew to 49,349 in 2014, providing an economic boost to local communities in the state, and the number of farmers markets and direct marketing farmers increased from two to 36.

Touchmark presents “Nutrition and Memory Loss”

Touchmark at Coffee Creek on Tuesday will present an in-depth look at how people’s eating habits change as they live with Alzheimer’s disease or other dementia. The one-hour session will start at 6 p.m. at Touchmark, 2801 Shortgrass Road, in Edmond. Refreshments will be provided. There is no charge to attend, but RSVP by Monday by calling 340-1975.

'Fracture risk' from SSRI antidepressants used for menopause

Selective serotonin reuptake inhibitors – a class of antidepressant drug used to reduce symptoms of the menopause – may increase the risk of bone fractures, according to new research.
[happy middle-aged woman]

Some antidepressants are licensed to ease menopausal symptoms.

The researchers publishing in a journal from The BMJ, Injury Prevention, scoured the PharMetrics Claims Database containing detailed information about 61 million patients in more than 98 managed care plans in the US.

The results showed that the heightened fracture risk seems to last for several years. Compared with women treated with indigestion drugs:

  • The fracture rate was 76% higher among those prescribed selective serotonin reuptake inhibitors (SSRIs) 1 year after starting treatment
  • 73% higher after 2 years of treatment
  • 67% higher after 5 years.

The results have prompted the researchers to suggest that shorter treatment length may be preferable.

SSRIs have become the third most frequently prescribed class of drug in the US, the researchers say. The agents are often prescribed for nonpsychiatric disorders.

They are used as an alternative to hormone replacement therapy (HRT) for hot flashes and night sweats typically associated with the menopause.

Large study population

For the study, the authors concentrated on the 137,031 women with no mental health issues and aged between 40 and 64 who started treatment with SSRIs between 1998 and 2010.

These women were compared with 236,294 in the same age group over the same period but prescribed H2 antagonists or proton pump inhibitors, typically for indigestion.

The SSRI drugs included citalopram, hyrdrobromide, escitalopram oxalate, fluoxetine hyrdrochloride, fluvoxamine maleate, paroxetine hydrochloride and sertraline hydrochloride.

Paroxetine is used in menopause at around a third of the dose used for psychiatric disorders, for the vasomotor menopausal symptoms above. It has a license for this indication from the US drug regulator.

The authors conclude:

“SSRIs appear to increase fracture risk among middle-aged women without psychiatric disorders, an effect sustained over time, suggesting that shorter duration of treatment may decrease [this].”

The authors discuss reasons for the increased risk, saying the finding is consistent with a biological hypothesis that fractures associated with SSRI use can be “at least partially attributed to antidepressant-related modulation of bone homeostasis in favor of osteoclastic activity.”

In other words, antidepressants may alter bone turnover, shifting the balance from bone-strengthening to bone-thinning.

This may result in “lower bone mineral density and higher risks of fractures.”

Written by Markus MacGill

Share “Medical pot sales to begin in Minnesota,…”

ST. PAUL, Minn. (AP) — There will be no baggies of pot awaiting patients next week when Minnesota joins 21 other states in offering medical marijuana. No glass pipes, no plants to tend at home. Instead, the nation’s latest medical marijuana program is a world of pill bottles and vials of marijuana-infused oil.

For the qualifying patients seeking relief from pain, medical marijuana advocates and some lawmakers, Wednesday isn’t the finish line, but the first step. The state’s restrictive approach, unseen in the industry, is likely to mean high costs, long drives and reluctant doctors.

“The door is opening,” said Bob Cappechi of the Marijuana Policy Project, a national outfit that pushes to loosen marijuana laws. “This will start helping people out. That’s really what this is all about.”

Minnesota’s medical marijuana advocates snatched an unlikely victory from the Legislature last year after years of failed efforts, but there was little celebration. What emerged to assuage skeptical law enforcement lobbyists and a wary governor was one of the strictest programs in the nation.

Smoking the plant is forbidden. Pills, oils and vapors are only available to patients suffering from severe conditions, such as cancer, epilepsy, HIV and AIDS. And the medicine can only be sold in eight locations, hundreds of miles away from some in Minnesota’s rural expanses.

The two companies growing, cultivating and selling marijuana for the state say Minnesota stands out for its a medical approach to a nearly 20-year-old industry that uses terms like “budtender” (salesmen) and “California Kush” (a strain of marijuana).

“The industry doesn’t do it this way,” Dr. Kyle Kingsley said just days before opening Minnesota Medical Solutions’ first dispensing clinic in Minneapolis. “It’s all new.”

Kathy Schroeder’s difficult path shows how the medical polishes on Minnesota’s program look more like hurdles to some patients. On paper, her multiple sclerosis and glaucoma — two of the nine conditions that qualify — made her a perfect fit. But like many residents, the 63-year-old struggled to get a doctor’s signature to sign up for the program.

Prodding a second doctor paid off for her, but Schroeder isn’t sure whether she can even afford a month’s worth of medicine, which Kinglsey said may sell for up to $600. Still, she’ll make the 180-mile round trip Wednesday from her home near Rochester to MinnMed’s Minneapolis facility.

“I knew it was going to be bad, I had no idea it was going to be this bad,” her daughter, Maren Schroeder, said.

Rep. Carly Melin sympathizes. The Democrat faced criticism for watering down her medical marijuana bill to get police and Gov. Mark Dayton on board.

“We weren’t going to get anything done if we didn’t pass this law,” Melin said.

Kinglsey said he’s confident doctors and hospital systems will eventually approve, but it’s made for a slow start to a program that’s supposed to sign up 5,000 people. As of Friday morning, just 65 patients were completely registered and another 74 were being processed.

Cappechi and other advocates already have ideas for how to improve it: allow more than eight dispensaries, add more manufacturers and patients who suffer from chronic pain, and perhaps lift the ban on smoking the drug.

But before expanding, Dr. Andrew Bachman, co-founder of the state’s other medical marijuana manufacturer called LeafLine Labs, said they need time to show lawmakers and doctors alike that the new industry works.

That starts Wednesday, he said.

“Ideology does not change overnight. It’s important to start somewhere,” he said.