Health24.com | Millions of cosmetic surgical procedures were performed in 2018, but which were at the top of the US list?

More Americans than ever are trying to reshape their bodies with breast and butt implants, liposuction and “thigh lifts”, a new report shows.

Almost 18 million cosmetic procedures were performed in the United States in 2018, nearly a quarter-million more than in 2017, according to newly released data from the American Society of Plastic Surgeons (ASPS).

Liposuction the gold standard

The group said that number has climbed steadily over the past five years, and that the new statistics show a jump in non-invasive fat reduction procedures, as well as body-shaping surgeries such as breast augmentation and liposuction.

“Liposuction continues to be the gold standard in body contouring because of its versatility, efficiency and effectiveness,” ASPS President Dr Alan Matarasso said in a society news release.

Of the almost two million cosmetic surgical procedures performed in 2018, the top five were: breast augmentation (313 735 procedures, up 4% from 2017); liposuction (258 558 procedures, up 5% from 2017); nose reshaping (213 780 procedures, down 2% from 2017); eyelid surgery (206 529 procedures, down 1% from 2017); and tummy tucks (130 081 procedures, about the same as 2017).

New nonsurgical fat reduction machinery

Along with increases in breast augmentation and liposuction, there were increases in other body-shaping procedures such as buttock augmentation and thigh lifts.

“With liposuction, one treatment may be all you need to reshape problem areas. A plastic surgeon can treat more areas – and larger areas – in one procedure … but new nonsurgical fat reduction machinery continues to evolve and play a role in reshaping areas of the body,” Matarasso said.

Of the almost 16 million cosmetic minimally invasive procedures performed in 2018, the top five were: Botox injections (7.4 million procedures, up 3% from 2017); soft tissue fillers (2.7 million procedures, up 2% from 2017); chemical peels (1.4 million procedures, up 1% since 2017); laser hair removal (1 million procedures, down 1% from 2017); and microdermabrasion (709 413 procedures, down 4% from 2017).

Image credit: iStock

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Weird, wild gravity of asteroid Bennu

Research led by the University of Colorado Boulder is revealing the Alice in Wonderland-like physics that govern gravity near the surface of the asteroid Bennu.

The new findings are part of a suite of papers published today by the team behind NASA’s Origins, Spectral Interpretation, Resource Identification, Security-Regolith Explorer (OSIRIS-REx) mission. And they come just three months after OSIRIS-REx first encountered Bennu on Dec. 3, 2018.

Since then, the spacecraft has completed a few dozen laps around the asteroid, which is about as tall as the Empire State Building, circling Bennu from a distance of about a mile. And those early circuits are giving scientists a whole new look at this mysterious rock, said CU Boulder’s Daniel Scheeres, who leads the mission’s radio science team.

In research appearing in Nature Astronomy, for example, his team reports the mass of that asteroid: a respectable 73 billion kilograms.

But Scheeres and his colleagues are also working to develop a map of the asteroid’s gravitational pull. Their findings suggest that Bennu exists in a delicate balance between two competing forces, the result of the asteroid’s wild spin. Bennu completes a full revolution about once every four hours.

And, Scheeres said, those forces could play an important role in the asteroid’s long-term evolution — and potential demise.

“When you spin this guy up, you create a competition between the gravity that’s holding you down and the centrifugal acceleration, which is trying to throw you off,” said Scheeres, distinguished professor in the Ann and H.J. Smead Department of Aerospace Engineering Sciences who leads the mission’s radio science team.

To study those forces, Scheeres and his colleagues use OSIRIS-REx’s navigational instruments to measure the minute tug that the asteroid exerts on the spacecraft.

And they dug up more than they expected. Based on the group’s calculations, the region around Bennu’s equator is trapped within a gravitational feature called a rotational Roche lobe — something that scientists had not yet clearly observed on an asteroid.

In practice, that feature gets weird. If you were standing inside the boundaries of Bennu’s Roche lobe and slipped on a banana peel, for example, not much would happen — you’d be captured by the lobe and fall back to the surface.

“But if you were outside of the Roche lobe and slipped on a banana peel, you would roll toward the equator,” Scheeres said. “And you could gain enough energy so that you’d roll off the equator and maybe up into orbit and then out into space.”

It sounds like the sort of environment that Lewis Carroll could appreciate. But it also matters for the lifespan of Bennu, he added.

That’s because radiation from the sun is causing Bennu to spin faster and faster over time. And as the asteroid’s whirling builds up speed, its Roche lobe might also be shrinking, along with the forces that are holding Bennu together.

“As that Roche lobe narrows further and further around the equator, it becomes easier and easier for this asteroid to lose material,” Scheeres said. “So far, that material has been trapped by gravity, but at some point, if the asteroid keeps spinning faster, then you fall off the cliff.”

In other words, Bennu could be in the process of spinning itself into oblivion.

Understanding those physics matters for advance OSIRIS-REx’s scientific mission, too, said Jay McMahon, an assistant professor in aerospace engineering and a co-author of the new study.

He explained that in 2020, mission scientists will nudge OSIRIS-REx to within a few feet of Bennu, using the spacecraft’s retractable arm to collect a sample of material from the surface. And to do that safely, they will need to know the rock’s physics inside and out.

“You need to know the gravitational field for spacecraft operations, really to enable all the other science,” McMahon said.

“When you’re going to a new world, you have some idea of what it might look like,” Scheeres said. “Then you actually go there, and you can start comparing what you thought it might look like versus reality.”

The University of Arizona leads science operations for OSIRIS-REx, which was built by the Colorado-based Lockheed Martin Space. NASA’s Goddard Space Flight Center in Maryland manages the overall mission.

Coauthors on the new study include CU Boulder graduate students Andrew French and Daniel Brack and Paul Sánchez, senior research associate at CU Boulder’s Colorado Center for Astrodynamics Research. Former CU Boulder graduate students Masatoshi Hirabayashi, Stefaan Van wal, Jason Leonard, Yu Takahashi, Jeroen Geeraert, Pete Antreasian, Dolan Highsmith, Mike Moreau and E. Beau Bierhaus also contributed to the paper.

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What makes evolution go backwards?

The study of evolution is revealing new complexities, showing how the traits most beneficial to the fitness of individual plants and animals are not always the ones we see in nature.

Instead, new research by McMaster behavioural scientists shows that in certain cases evolution works in the opposite direction, reversing individual improvements to benefit related members of the same group.

The research appears in the Journal of Evolutionary Biology, where lead author David Fisher shows that the increased evolution of selfless traits — such as sharing food and keeping watch for one another — is mathematically equivalent to the decreased evolution of individually beneficial traits.

“They’re two sides of the same coin,” Fisher explains. “On one side, traits evolve that benefit your kin, but don’t benefit you, because you’re helping your siblings or cousins. On the other side, traits that benefit you but cost your neighbours don’t evolve, because you’re causing damage to related individuals.”

The work is part of the ongoing effort to understand the paradox of altruistic behaviour in the wild, explains Fisher, a research fellow in McMaster’s Department of Psychology, Neuroscience and Behaviour.

Fisher goes on to show that another way evolution can go backwards is through the evolution of an individual’s negative effects on neighbours and group members. For example, a fast-growing tree may take all the sunlight, water and nutrients out of the environment, causing its neighbours to grow slowly. In the next generation, more trees are fast-growing but are also nasty neighbours. As a result, negative social effects are much more prevalent, and so everyone’s growth is reduced.

“That means evolution has gone backwards. Even though growing quickly is beneficial, because of these negative social effects, the population, on average, grows more slowly,” he says.

Fisher plans to travel to Ecuador this summer to study co-operative spiders, and whether changes in individual and group benefits can explain why co-operation diminishes at higher elevations.

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Ejecting flagella could help microbes save energy during nutrient depletion

In favorable conditions, many bacteria propel themselves to food sources and other sites of interest using whip-like molecular propellers known as flagella. However, according to new research published on March 19 in the open-access journal PLOS Biology, by Josie Ferreira and colleagues of Imperial College London, members of the bacterial class Gammaproteobacteria eject their flagella when nutrients are scarce.

These findings suggest a previously unknown mechanism for microbes to save energy in lean times. Earlier research has shown that bacteria switch from a mobile to stationary phase in the face of nutrient depletion, but it has been unclear how they deactivate their large, energy-intensive flagella.

The authors of the new study used electron microscopy to get a 3-D look at Gammaproteobacteria that have one or more flagella clustered at one end of each cell. Focusing on two species, Plesiomonas shigelloides and Vibrio fischeri, they saw that microbes living in a nutrient-abundant environment had few partial flagella, but microbes in nutrient-depleted conditions had many more partial flagellar structures.

Further experiments confirmed that these partial structures were relics of flagella that had been ejected, and that a nutrient-depleted environment was indeed the trigger. So, like mountaineer Aron Ralston cutting off his own arm to avoid certain death in the film 127 Hours, bacteria cut off their own tails to avoid starvation.

Flagella are driven by tiny motors embedded in the cell membrane, so ejecting the flagella runs the risk of leaving empty motors with wide-open portals that would allow spillage of the insides of the cell into the environment. Intriguingly, the researchers found that an unidentified protein plugs up the relics of flagellar motors, and they hypothesize that this plug prevents leakage of cellular contents through the resulting hole in the cell membrane.

In the future, additional research could clarify the molecular details of the ejection process, including the identity of the plug protein.

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Medicinal cannabis: ‘patients still in limbo’

It could take years for patients to get medicinal cannabis on the NHS, a parliamentary committee has heard.

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Health24.com | WATCH: Are eggs bad for you? New study rekindles debate

The debate over whether eggs are good for you is age-old: while a good source of protein, they also contain potentially harmful cholesterol.

Now, a new study — published on Friday by the Journal of the American Medical Association (JAMA) — has weighed in.

After analysing 30 000 Americans from six separate studies, researchers concluded that eating an extra half-egg a day increased the risk of cardiovascular disease (6%) and premature death (8%) over the study period.

That is relatively little, especially given that a half-egg daily is double what the average American eats.

Separately, the study found an additional 300 milligrams of dietary cholesterol per day increases the risk of heart disease by 17% and premature death by 18%.

But 300mg is twice the average daily amount eaten by Americans. A large egg contains about 186mg of cholesterol.

The new data suggest that eating eggs increases the risk of heart attack or stroke, although the study does not establish a causal link.

Still, it offers enough data to “make a strong statement that eggs and overall dietary cholesterol intake remain important in affecting the risk of (cardiovascular disease) and more so the risk of all-cause mortality,” physician Robert Eckel, of the University of Colorado, wrote in an editorial in JAMA.

It’s all a balancing act

But as Tom Sanders, a professor of dietetics at King’s College London, points out, these results differ from a large US study published in 1999 that found no effect — like a 2013 analysis of three million adults published in the British medical journal BMJ.

A recent Chinese study even concluded cholesterol decreased the risk of cardiovascular disease.

Sanders thinks the new results are only relevant for the United States, where the average person eats more eggs and meat than in Europe.

“Eggs in moderation — around 3 to 4 per week — is fine, and that is what current UK dietary guidelines say,” Sanders said.

In France, national nutrition guidelines refute the idea that you should not eat more than two eggs a week: “You can eat them regularly.”

And dietitian Victoria Taylor, of the British Heart Foundation, insists that the way you eat the egg and with what is so important.

“Eating healthily is all about balance. If you’re eating too much of one thing it leaves less room in the diet for other foods that may have more health benefit.

“Eggs are a nutritious food and, while this study focuses on the amount we’re eating, it’s just as important to pay attention to how the eggs are cooked and to the trimmings that come with them. For example, poached eggs on whole-grain toast is a much healthier meal than a traditional fry up.”

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Health24.com | Experts say exposing baby to foods early may help prevent allergies

New parents worry about a lot of things, but the American Academy of Pediatrics says one thing they can cross off that list is concern about giving high-allergy foods too early in life.

In fact, the paediatric group says it’s likely better to introduce foods like peanut butter when kids are around 6 months of age.

“There’s no reason to restrict early introduction to allergenic foods,” said a co-author of a new clinical report from the American Academy of Pediatrics (AAP), Dr Frank Greer. He’s a professor emeritus of pediatrics at the University of Wisconsin-Madison.

Although experts had advised parents in the past to avoid highly allergenic foods early in life, more recent research has suggested that early exposure to these foods might be a better option.

In addition to freeing up parents to let their youngsters try peanut butter or ground peanut products at an early age, the report also said that moms don’t need to restrict their diets during pregnancy and breastfeeding to try to prevent allergies.

The report recommends exclusive breastfeeding for at least the first three to four months of life to help protect against the allergic skin condition eczema. Breastfeeding past three or four months (even if it’s not done exclusively) may also offer some protection against wheezing for the first two years of life, and against asthma for an even longer time period.

For parents who use formula, the AAP has some good news for your wallet. Using pricey hydrolysed baby formulas doesn’t appear to help prevent allergies. And, that’s true even in families with a history of allergies.

The most common foods that cause allergies include cow’s milk, eggs, shellfish, tree nuts, peanuts, wheat and soybean, according to the AAP. As early as 2008, the AAP concluded that there was no convincing evidence that delaying the introduction of these foods would prevent allergies.

The new report highlights new studies that have shown that introducing these foods early can help prevent allergies. The report suggests introducing peanut protein as early as 4 months to 6 months of age. (Whole peanuts are not recommended because they are considered a choking hazard until a child is 4 years old.)

Immune system needs to be stressed

Dr Jennifer Appleyard, chief of allergy and immunology at Ascension St. John Hospital in Detroit, said, “The old thought was that the immune system was in such disarray in the first three years of life that it couldn’t handle allergic foods. Now, the thinking is that the immune system needs to be stressed – let kids get dirty, let them have pets, let them eat certain foods. Maybe protecting them from everything isn’t such a good thing.”

Greer explained that “allergies have only increased as we’ve become more and more clean. We’re not bombarding the human system with antigens”. That means the immune system doesn’t have a chance to learn to react normally to substances that aren’t harmful, such as peanuts or pet dander.

Appleyard pointed out an important caveat from the new report: “The report says the available data still limits the ability to draw firm conclusions. So, none of this is set in stone.”

And, that’s important because parents of kids with severe allergies may wonder if they could have done something to prevent their child’s allergies.

She said parents shouldn’t feel guilty about kids’ allergies, especially when they were just following the standard advice of the time. And, even when kids are given peanuts or eggs, or another allergic food early now, some will still develop an allergy.

“Just because you introduce peanuts at a certain time doesn’t guarantee your child won’t have a peanut allergy. That’s just the current thinking. And even if you can tolerate peanuts at 6 months or a year old, you could still have a reaction later in life,” she warned.

The AAP said that if kids have severe eczema that requires prescription treatments or they have a known egg allergy, testing for a peanut allergy before introducing peanut foods is something that might be considered. In that same group of children, introducing peanut foods with the supervision of a health care provider is also something else that can be considered, the AAP said.

But Greer said in most cases, testing isn’t necessary.

The report was published online March 18 in Pediatrics.

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People don’t become ‘adults’ until their 30s, say scientists

Experts say people aged 18 are still going through changes in the brain that can affect behaviour.

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Egg freezing: Behind the scenes of a fertility clinic

With more and more women considering it, what exactly does egg freezing involve?

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Grow a better jawbone in your ribs

The jawbone is not typically connected to the rib bone, but it might be in an emergency.

Rice University bioengineers and their colleagues have developed a technique to grow live bone to repair craniofacial injuries by attaching a 3D-printed bioreactor — basically, a mold — to a rib. Stem cells and blood vessels from the rib infiltrate scaffold material in the mold and replace it with natural bone custom-fit to the patient.

Researchers at Rice, the University of Texas Health Science Center at Houston (UTHealth) and Baylor College of Medicine led the study, and the results appear in the Proceedings of the National Academy of Sciences.

Led by bioengineer Antonios Mikos, a pioneer in the field of tissue engineering, the researchers combined technologies they have developed during a decade-long program funded by the Armed Forces Institute of Regenerative Medicine. The goal is to advance craniofacial reconstruction by taking advantage of the body’s natural healing powers.

The technique is being developed to replace current reconstruction techniques that use bone graft tissues harvested from different areas in a patient, such as the lower leg, hip and shoulder.

“A major innovation of this work is leveraging a 3D-printed bioreactor to form bone grown in another part of the body while we prime the defect to accept the newly generated tissue,” said Mikos, the Louis Calder Professor of Bioengineering and Chemical and Biomolecular Engineering at Rice and a member of the National Academy of Engineering and National Academy of Medicine.

“Earlier studies established a technique for creating bone grafts with or without their own blood supply from real bone implanted into the chest cavity,” said co-author Mark Wong, a professor, chair and program director of the Department of Oral and Maxillofacial Surgery with the School of Dentistry at UTHealth. “This study demonstrated that we could create viable bone grafts from artificial bone substitute materials.

“The significant advantage of this approach is that you do not need to harvest a patient’s own bone to make a bone graft, but that other non-autogenous sources can be used,” he said.

To prove their concept, the researchers made a rectangular defect in the mandibles of sheep. They created a template for 3D printing and printed an implantable mold and a spacer, both made of PMMA, also known as bone cement. The goal of the spacer is to promote healing and prevent scar tissue from filling the defect site.

They removed enough bone from the animal model’s rib to expose the periosteum, which served as a source of stem cells and vasculature to seed scaffold material inside the mold. Test groups included crushed rib bone or synthetic calcium phosphate materials to make the biocompatible scaffold.

The mold, with the rib side open to create a tight interface, stayed in place for nine weeks before removal and transfer to the site of the defect, replacing the spacer. In the animal models, the new bone knitted to the old and soft tissue grew around and covered the site.

“We chose to use ribs because they’re easily accessed and a rich source of stem cells and vessels, which infiltrate the scaffold and grow into new bone tissue that matches the patient,” Mikos said. “There’s no need for exogenous growth factors or cells that would complicate the regulatory approval process and translation to clinical applications.”

Ribs offer another advantage. “We can potentially grow new bone on multiple ribs at the same time,” said co-author Gerry Koons, an M.D./Ph.D. student at Rice and Baylor currently working in Mikos’ lab.

Using PMMA for the mold and spacer was a simple decision, Mikos said, as it has been regulated as a medical device for biological applications for decades. In World War II, when PMMA was used as a windshield for fighter planes, doctors noticed that shards embedded in injured pilots did not cause inflammation and thus considered it benign.

While the study’s initial goal is to improve the treatment of battlefield injuries, the big picture includes civilian surgeries as well.

“We’re delighted to bring together this diversely talented team and deliver promising outcomes to the future healing of the wounded warrior and other patients in need of advanced treatments for the jaw and face,” Mikos said.

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