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Obesity / Abnormal Heart Tied Together and so May Be Cure

Abnormal Heartbeat and Obesity(JAMA) ‰ÛÏAtrial fibrillation , abnormal heartbeat, has been described as the epidemic of the new millennium, with a projection that by 2050 there will be 12 million to 15 million affected individuals in the United States. In the United States, the direct economic cost of atrial fibrillation is estimated at $6 billion annually. Although population aging is regarded as an important contributor, obesity may account for a substantial proportion of the increasing prevalence,‰Û according to background information in the article in JAMA. Whether weight reduction and cardiometabolic risk factor management can reduce the burden of atrial fibrillation has not been known. Though certainly Obesity / Abnormal Heart are tied together and so may be their cure. The study was conducted between June 2010 and December 2011 among overweight and obese patients with symptomatic atrial fibrillation. Patients underwent a median (midpoint) of 15 months of follow-up. Patients were randomized to weight management (the intervention group; n = 75) or general lifestyle advice (control group; n = 75). Both groups underwent intensive management of cardiometabolic risk factors (hypertension, hyperlipidemia, glucose intolerance, sleep apnea, and alcohol and tobacco use). The intervention group experienced greater reduction, compared with the control group, in weight (33 and 12.5 lbs., respectively,) and in atrial fibrillation, symptom severity, number of episodes, and cumulative duration in minutes. ‰ÛÏIn this study, a structured weight management program for highly symptomatic patients with atrial fibrillation reduced symptom burden and severity and reduced antiarrhythmic use when compared with attempts to optimally manage risk factors alone,‰Û the authors write. So of course we know that being overweight is not good for your heart but now we know that treating the tow together just might be good.

No Association Between Macular Degeneration, Alzheimer’s, Dementia

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Macular degeneration shows no
association with Alzheimer’s or dementia.

A study of patients in England with the eye disease age-related macular degeneration (AMD) found no association between having AMD and subsequently developing dementia or Alzheimer disease (AD), according to a report published by JAMA Ophthalmology, a JAMA Network publication. AMD and AD are diseases strongly associated with advancing age. They share environmental risk factors, including cigarette smoking, high blood pressure and high cholesterol and other features such as the depositing of plaques in the brain. But the genetic risk factors for AMD and AD seem to be different, according to the study background. Tiarnan D.L. Keenan, M.R.C.Ophth, of the University of Manchester, England, and colleagues examined whether patients admitted to the hospital with AMD were more likely to develop AD or dementia in the following years. A group of 65,894 patients with AMD was constructed from data in the English National Health Service. A dementia group (168,092 patients) and a reference group (more than 7.7 million people) were assembled in similar ways. Researchers measured the risk of AD or dementia following AMD and the risk of AMD following AD or dementia. The study indicates that risk of AD or dementia after AMD was not elevated. However, the study findings indicate that patients in England with dementia may be less likely to receive treatment for AMD and several factors may contribute to this, including that patients with dementia may be less likely to get their eyes examined. ‰ÛÏIn conclusion, these data provide evidence that there is no positive association between AMD and dementia or AD. However, people with dementia in England are substantially less likely to undergo treatment for AMD than those without dementia. Potential barriers to care for these vulnerable individuals need to be examined and addressed in the near future,‰Û the study concludes. So my morbid sense of humor concludes that while you might not be able to see a damn thing, at least you still will have all your marbles. Seriously, I rather slowly lose my sight than my mind knowing that treatments advance so quickly in these arenas.

TEDx Zurich Show Opener

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Death Cafe Brings Life to the End of Life

death cafe, end of life discussionOK I never heard of a Death Cafe until I read my local newspaper here in Charlotte. At a Death Cafe people, often strangers, gather to eat cake, drink tea and discuss death. In essence by talking about death, the Death Cafe brings a new life to the end of life discussion. And that is something we do need to talk about these days. Death Cafes are modeled have been active in Europe for several years. The objective of Death Cafe is ‘to increase awareness of death with a view to helping people make the most of their (finite) lives’. The organizeråÊ uses donations to purchase foods and leads an icebreaker. Once started, the conversation guides itself. A recent article in the Huffington Post notes that:åÊ “Some people want to talk about creating wills and advance medical directives, such as “do not resuscitate” orders. Others prefer to share near-death experiences and communicating with the dead. And there’s often the question of what happens after death — is there a heaven or hell? Different views on death held by religious traditions also commonly arise.Our Death Cafes are discussions about death that are always offered.” According to their web site, Death Cafe has offered around 300 Death Cafes to over 3,000 participants in Europe, North America and Australasia. Death Cafe has no staff and is run on a purely voluntary basis. Find one near you!

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