Being Poor Affects Kids’ Brains, Study Finds

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Children raised in poor households have clear differences in the physical structures of their brains compared to wealthier children, a new study finds.

Brain scans of 1,099 children and teenagers in nine major cities shows the poorer kids have less surface area of the brain. This is important because having more brain surface area is linked with intelligence.

“Specifically, among children from the lowest-income families, small differences in income were associated with relatively large differences in surface area in a number of regions of the brain associated with skills important for academic success,” said Dr. Kimberly Noble, an assistant professor of pediatrics and director of the Neurocognition, Early Experience and Development Lab at Columbia University Medical Center, who helped lead the study published in the journal Nature Neuroscience.

http://www.nbcnews.com/health/kids-health/being-poor-affects-kids-brains-study-finds-n332661

Colon cancers may be increasing among young adults

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(Reuters Health) – New diagnoses of colon and rectal cancers are on the rise among young adults while the numbers are falling among people who are older, according to a new study.

If the trends continue, by 2030 the number of colon and rectal cancer cases will roughly double among people between the ages of 20 and 34 years old and grow by 28 percent to 46 percent for people ages 35 to 49 years, researchers found.

http://www.reuters.com/article/2014/11/05/us-colon-cancer-youth-idUSKBN0IP2YT20141105

Today is World TB Day 2015!

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World TB Day, falling on March 24th each year, is designed to build public awareness that tuberculosis today remains an epidemic in much of the world, causing the deaths of nearly one-and-a-half million people each year, mostly in developing countries. It commemorates the day in 1882 when Dr Robert Koch astounded the scientific community by announcing that he had discovered the cause of tuberculosis, the TB bacillus. At the time of Koch’s announcement in Berlin, TB was raging through Europe and the Americas, causing the death of one out of every seven people. Koch’s discovery opened the way towards diagnosing and curing TB.

http://www.stoptb.org/events/world_tb_day/

Non-prescription allergy relief: what you need to know

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Spring has barely sprung, but in most of the country, spring allergy season — triggered by the first stirrings of tree pollen — is well under way.

You can tell by the sniffles and sneezes of the afflicted. But you can also tell by the ads: TV spots selling remedies for drippy, congested noses, itchy eyes and other symptoms are in heavy rotation.

New this year: ads for Flonase, a nasal steroid spray from GlaxoSmithKline that just became available over the counter. It joins Sanofi’s Nasacort, a spray in the same class that went from prescription to over-the-counter status a year ago. And they both sit on store shelves next to antihistamines such as Claritin, Allegra and Zyrtec that were prescription drugs just a few years ago. Older over-the-counter antihistamines, such as Benadryl, and decongestants, such as Sudafed and Afrin, remain available as well.

http://www.usatoday.com/story/news/2015/03/22/non-prescription-allergy-treatment/24845259/

Insurers move gradually toward wellness care

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Cigna insurance CEO David Cordani says the Centers for Medicaid and Medicare Services’ recent payment changes that emphasize quality over quantity in healthcare will shift the focus on “sick care to more well care.” But a widespread embrace of diet, fitness and other wellness programs is still a way off,
http://www.usatoday.com/story/news/nation/2015/03/16/insurance-coverage-community-wellness-diet-exercise/70247094/

In Image-Guided Operating Suites, Surgeons See Real-Time MRI, CT Scans

Imaging during surgery reduces risk, gives more visual cues from inside in the body

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At Dartmouth-Hitchcock health system in Lebanon, N.H., David Bauer, left, a pediatric neurosurgeon, and Sohail Mirza, right, an orthopaedic surgeon, perform a procedure with help from real-time 3-D images in an operating room equipped with MRI, CT scans and X-ray equipment. Photo: Mark Washburn/Dartmouth-Hitchcock

Surgeons sometimes fly blind when operating on hard-to-reach anatomical parts or hard-to-see conditions. For visual references inside the brain or body, they often rely on images and scans taken before an operation.

A growing number of hospitals are equipping operating suites with magnetic resonance imaging, CT scanners and other technology that enables surgeons to scan a patient in real time, without having to move them from the operating table.

The resulting real-time 3D visuals—known as “intraoperative imaging”—help surgeons excise tumors and tissue with greater accuracy, reducing risks, such as nicked nerves from an errant knife, and the potential need for repeat surgery. The images also help surgeons spot bleeding, blood clots or other unexpected complications outside their field of vision.

Intraoperative imaging allows surgeons to perform “significantly better” than conventional surgery, says Sohail Mirza, medical director of the Center for Surgical Innovation and chairman of orthopedics at the Dartmouth-Hitchcock health system in Lebanon, N.H., affiliated with Dartmouth College’s medical school.

“We still need a surgeon’s training and judgment,” Dr. Mirza says, “but we can use three-dimensional deep imaging to get past the limitations of human error and hand-eye coordination.” Dartmouth-Hitchcock opened the $20 million center last year with financing from a National Institutes of Health grant and its own funds. MRI and CT scanners mounted on ceiling rails slide in and out of four sterile operating and procedure rooms
By
Laura Landro

http://www.wsj.com/articles/in-image-guided-operating-suites-surgeons-see-real-time-mri-ct-scans-1424122291

Why Do People Talk In Their Sleep?

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Sure, you can have my phone number. It’s like having a direct line to God. But better, because I answer.

Hold me. I want you to feel greatness.

I’m like medicine. Take me twice before going to bed. Warning: I will cause sexiness.

I’m not fat. It’s just my awesomeness swelling up inside me.

These sound like bad pickup lines or something you might read on a T-shirt, right? Well, they did eventually make it on T-shirts, but the egomaniacal zingers were first uttered by a man who spewed out jokes (and not-fit-for-print phrases) in his sleep.

Sleep Talkin’ Man — the name Adam Lennard and his wife use to refer to his alter ego — was born in February 2009 when he shouted, “Enough with the cheese! Enough!”

“I ended up laughing him awake because it was so hilarious,” recalls Karen Slavick-Lennard, as the two shared Sleep Talkin’ Man stories in a phone interview from London, where they reside.

The couple, both 41, had been teenage sweethearts, but then lost touch for over a decade. In 2007 they reconnected online and got engaged only a few weeks later. Before the cheese incident, Karen — nor anyone else for that matter — had never heard Adam sleep talk. While some wives might be freaked out by their snoozing husbands saying, “I’d rather peel off my skin and bathe my weeping raw flesh in a bath of vinegar than spend any time with you,” Karen, who suffered from insomnia and was often awake when Sleep Talkin’ Man surfaced, found the nightly expletives pure entertainment.

“Everything Sleep Talkin’ Man said was super sharp and perfect, whereas when he’s awake, Adam is sometimes known to make those really lame dad jokes,” she admits.

In 2009, Karen started a blog to log Adam’s sleep talking and share his comedic bouts with family and friends. And then, to their surprise, they awoke one morning to find the blog had gone viral. What followed came international media appearances, a book and a rabid fan base that demanded T-shirts.

Karen theorizes this positive reinforcement encouraged Sleep Talkin’ Man, who became quite invective (we’re keeping this family-friendly, so head to the blog). But much to her disappointment, Adam hasn’t talked in his sleep since the day their daughter was born in 2013 — when he said something about 17 shaved monkeys and then shouted an obscenity at 4 a.m. in the maternity ward.

“I do miss Sleep Talkin’ Man,” Karen says. “Every once in a while he will grunt in the middle of the night like he would when sleep talking, and I’ll say, ‘Oh maybe he’s going to talk!’ and he never does.”

While Adam became an Internet sensation, sleep talking is not uncommon. In fact, experts estimate that about half of children and 5 percent of adults experience sleep talking. Sleep specialists aren’t sure why, but the behavior is more common among men.

To find out more about the sleep disorder and what you should do if you or your bed partner starts cracking jokes or uttering nonsense in the middle of the night, U.S. News talked with Ilene Rosen, an associate professor in the division of sleep medicine at the University of Pennsylvania Perelman School of Medicine, and Natalie Dautovich, a National Sleep Foundation environmental scholar and assistant professor of psychology at the University of Alabama.

What is sleep talking?
Sleep talking is a sleep disorder that can occur during any stage of sleep. The NSF states “sleep talking can involve complicated dialogues or monologues, complete gibberish or mumbling.” Sleep talkers are usually unaware of their behavior until someone tells them.

“For most people, the talking won’t do any physical harm,” Dautovich says. “It could just possibly be embarrassing and disruptive to other people who share the same bedroom.”

Bed partners should also know the words are not intentional. Take Adam, who created the Sleep Talkin’ Man persona to distance himself from the crazy outbursts. “I had no control over it,” he says. “It wasn’t me consciously speaking, so if I did say anything [insulting] that was directed towards Karen … we’d both laugh about it because it’s not coming from me.”

What causes sleep talking?
Sleep talking could be a sign of a more serious sleep disorder such as sleep apnea, night terrors, REM behavior disorder (when an individual acts out dreams by moving or talking) or sexomnia (when a sleeper carries out sexual acts).​ Sleep talking may also occur when a person experiences a fever, sleep deprivation, depression, stress or consumes alcohol or drugs before bed.

Adam and Karen believe Sleep Talkin’ Man emerged from stress. At the time, Adam (who’s from England) had applied for a Visa to move to the U.S. with Karen (who’s from New Jersey). He was rejected, and they spent eight months dealing with the Department of Homeland Security’s appeals process.

“We were living in limbo with no idea where we would end up,” Karen says. “We were floating between his parent’s house and a little sublet. We were totally unsettled, and our whole life was hanging in the hands of this government agency.” To top it off, neither had jobs, and Adam was fighting a court battle with his ex-wife. “I think Sleep Talkin’ Man was just this processor that would churn​ through all this stress and spit it out in these hilarious or horrific insults,” Karen surmises.

Are there risks of sleep talking?
If sleep talking interferes with your sleep or affects daytime functioning or a relationship, Dautovich advises consulting a sleep specialist.

Sleep talking could also cause sleep deprivation, which Rosen says contributes to an increased risk of cardiovascular disease, diabetes and obesity. “Anything that disrupts someone’s sleep in the bedroom is problematic,” she says.

What’s just as bad, sleep talking may disrupt a partner’s sleep. “Often it is the other partner that brings them to the sleep physician because the bed partner’s sleep is so disturbed by the sleep talking,” Rosen says. One episode usually isn’t a cause for concern, but if the talking becomes loud and frequent, it could signal an underlying sleep disorder, she adds.

Should you wake up a sleep talker?
It depends. “If it’s isolated sleep talking, waking them up might make them stop for a minute, but when they fall back to sleep, if they’re sleep deprived … it may not stop it,” Rosen says. “If it is related to REM disorder or one of the other parasomnias, waking them up may be helpful, or may not be, which is why it’s really important to talk to your physician.”

Can you talk to a sleep talker?
This also depends on the individual. The NSF​ notes that “sleep talking may be spontaneous or induced by conversation.”

In Karen’s case, engaging Sleep Talkin’ Man in conversation was impossible. “If I ever tried to talk to him, he woke up,” she says.
Is sleep talking treatable? One way to cut the chatter is to practice good sleep hygiene, or what Dautovich describes as “behaviors you do during the day and before bed that affect your sleep.” Try:

Going to bed and waking up at the same times each day.

Getting seven to nine hours of sleep each night. Check the NSF’s new sleep recommendations to see how many hours you need based on your age.

Laying off alcoholic drinks. “Alcohol can help people feel sleepy and possibly help with sleep onset, but it has a rebound effect which could result in more disruptive sleep during the night and waking up and not being able to fall back asleep,” Dautovich says.

How long may sleep talking last?
For many people, sleep talking is temporary. Children often grow out of it, Rosen says. Occasionally, though, it can resurface in adulthood if sleep schedules are thrown out of whack.

If someone who has never experienced sleep talking becomes a ​serial nocturnal conversationalist, “that would be the time to seek medical attention,” she says.

Are spoken words related to dreams?
No one knows for sure. “The functioning of the brain while we’re asleep is so complex that it’s hard to know where the content is coming from and how it’s being filtered through various brain functions,” Dautovich says.

Adam, for one, isn’t sure if his talking stemmed from dreams because he doesn’t remember them. However, there were occasions when Karen observed that his sleep talking related to daytime activities – like when they volunteered at animal sanctuaries and Adam later belted out: “Oh, it’s time I got a tail. Yeah, a ​real strong one.”

As Karen puts it, “When you’re spending your day bathing elephants or with monkeys strapped all over your head or snuggling with sloths, that provides more fodder for weird, bizarre things.”

Advice from Sleep Talkin’ Man
Eventually, the stressors in Adam and Karen’s lives resolved: The Visa didn’t come through, so they stayed in London. They found jobs — Adam works in advertising; Karen is a product manager. They found a place to live, and their life became “more normal,” Karen says.

“I guess Adam didn’t need Sleep Talkin’ Man anymore,” she sighs.

But for those with a Sleep Talkin’ Man or Woman who comes out at night, Adam has one piece of advice: “Celebrate it.”

“It’s not a sign of madness,” he says. “People ask me if I suffer from psychological disorders – it’s nothing about that. I’m perfectly happy and mentally sound. For me, my sleep talking is [my] way of playing out my stresses in a really positive, healthy way.”

And if you’re the partner eavesdropping ​at night, Karen assures, “It’s nothing to be worried about. You should just totally enjoy it.” By Stephanie Steinberg for U.S. News

Is Your Music Too Loud? Experts Say It May Be If It Is Louder Than a Microwave’s Beep

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How loud is too loud when using a personal audio device? Experts weigh in with specifc recommendations.

Think twice the next time you pump up the volume on your iPhone to drown out the chatter of those neighboring commuters.

Experts say listening to music at high volumes using earbuds or headphones for more than an hour—and in some cases, as little as a few minutes—could put you at risk for noise-related hearing loss.

http://www.wsj.com/articles/is-your-music-too-loud-experts-say-yes-if-its-louder-than-a-microwaves-beep-1425921356

Worried About Heart Defects, Some NCAA Schools Take Action

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Why College Team Doctors Are Calling an Audible

Some NCAA team doctors are taking action that the American Heart Association doesn’t recommend. The AHA says routine EKG testing of young athletes hasn’t been proven to save lives, but some schools are taking the precautionary measure anyway.

Team physicians at some NCAA schools are increasingly taking actions that the American Heart Association doesn’t recommend. WSJ’s Sharon Terlep reports. Photo: Getty

http://www.wsj.com/video/some-ncaa-schools-get-aggressive-on-heart-exams/40E0AC86-3C2D-48F6-B3BA-F2192185E78D.html

A New Reason to Refill Your Coffee Cup Immediately

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A couple extra cups may do more than keep you from falling asleep at your desk.

New Proof Suggests That Coffee Is Practically…

Your Coffee Addiction Is Officially Good for You
Coffee lovers know the first cup of the day can calm your nerves and make the world feel like a happier place. But the fourth, fifth, and six cups may be even more effective: They could protect you from developing multiple sclerosis (MS), an incurable autoimmune disease that attacks the nerves and affects your ability to move, according to a massive observational study recently released by the American Academy of Neurology.

http://www.cosmopolitan.com/health-fitness/news/a37106/a-new-reason-to-refill-your-coffee-cup-immediately/