Health24.com | Experts ‘sound the alarm’ on medical fake news

“Fake news” has become a popular term these days. But when it comes to medical advice, fake news can result in physical harm, even death.

The editors of more than two dozen cardiology-related scientific journals around the world published an editorial Monday to “sound the alarm that human lives are at stake” because of medical misinformation.

These physicians describe regularly encountering patients hesitant to take potentially lifesaving medications or adhere to other prescribed treatments because of something they read online. Or heard from friends. Or saw on television.

“There is a flood of bad information on the internet and social media that is hurting human beings,” said Dr Joseph Hill, the architect of the essay and editor-in-chief of the American Heart Association journal Circulation. “It’s not just an annoyance, this actually puts people in harm’s way.”

The primary example illustrated in the editorial is the use of statins, a cholesterol-lowering medicine that can reduce heart attack and stroke risk in certain people. But doctors say too many of their patients shun taking statins because of bad information they picked up often from politicians, celebrities and others who lack medical expertise.

“We trust aeronautical science when we board an airplane; we trust the science buried within our cellphones; we trust mechanical engineering science when we cross a bridge; yet, many are uniquely skeptical of biological science,” the doctors write in their essay.

Another example highlighted is “the entirely unfounded” concern that vaccines cause autism, a claim that has been debunked by 17 major studies.

Some patients think doctors are motivated by financial gain, even going as far to suggest physicians get kickbacks for prescribing certain medications, said Hill, the cardiology chief at UT Southwestern Medical Center in Dallas.

“My practice over the years has been to say, ‘Your insurance company is paying me to give you the best advice I can based on modern science. You are free to accept it or reject it. I hope you accept it, and I’m happy to provide you with evidence that backs recommendations, but in the end, it’s your life and your body,'” Hill said.

Matter of life and death

Dr Haider Warraich, a cardiology fellow who recently wrote about the dangers of medical misinformation in a New York Times essay titled, “Dr. Google Is a Liar,” said he had to get personal to convince one heart attack patient to take his advice.

The patient, a young woman who was healthy aside from sky-high cholesterol, had refused to take a statin that another doctor had previously prescribed. She agreed to try the statin only after Warraich shared that, after his own father had a heart attack, he urged doctors to start his father on the highest statin dose possible.

Because the benefits of medication and proper advice are often invisible, it can be difficult for patients to see how it affects them, said Warraich, a fellow in advanced heart failure and transplantation at Duke University Medical Center in North Carolina.

“If you have a fracture, or something that happens to you that’s visceral, you’re not going to take an herb to fix it. You’re going to go to a surgeon to get it fixed and your pain will get better,” he said.

“But when it comes to something that prevents the risk of a future stroke or heart attack, or something like a vaccine which doesn’t make you feel better immediately but is backed by very robust data, it’s not as clear-cut in front of you.”

In their editorial, doctors say the mainstream media holds some responsibility in resolving the problem.

“It is easy to find a rogue voice but inappropriate to suggest that voice carries the same weight as that emerging from mainstream science,” they write.

Hill said leaders from Facebook and other social media platforms also need to help find a solution.

“We’re trying to highlight the realities of the harm that social media also can do to our patients,” he said. “I’m hoping that we can make it clear that this is a matter of life and death for many patients.”

Image: iStock

NEXT ON HEALTH24X

Share Button

Obesity-related cancers rise for younger US generations, study says

The problem could become worse as young people age, the American Cancer Society’s study says.

Share Button

FGM ‘increasingly performed on UK babies’

One expert says it is “almost impossible” for authorities to detect it when done at such a young age.

Share Button

Which countries eat the most meat?

Many in the West say they are trying to cut down on meat, but the reality is a different story.

Share Button

Health24.com | Vitamin B12 and anaemia – what you should know

We know by now that iron deficiency in the body is the most common cause of anaemia in children and adults alike. But there is another nutrient that is important for the body to produce healthy blood.

Vitamin B12 is a nutrient that helps the nervous system, blood cells and DNA function optimally.

Vitamin B12 is found naturally in a variety of animal products such as beef liver, fish, meat, poultry, eggs and other dairy products. Manufacturers often fortify other food sources such as breakfast cereals, nutritional yeast, or plant-based milk with B12, especially for those following a vegan diet.

How anaemia and B12 deficiency are linked

In pernicious anaemia, the body does not absorb enough vitamin B12 from the digestive tract, resulting in inadequate production of normal red blood cells.

Pernicious anaemia occurs when the body lacks the protein needed to absorb the vitamin B12 from the digestive tract. If there is not enough vitamin B12, red blood cells don’t form properly and this causes anaemia. Not only is there a halt in the production of red blood cells, but a lack of vitamin B12 can also cause the existing blood cells to be destroyed more quickly.

Pernicious anaemia is so named because it is a serious illness that was previously incurable (“pernicious” means destructive or fatal). Nowadays it can be very effectively treated by correcting vitamin B12 deficiency in the body.

Do I have a vitamin B12 deficiency?

Symptoms of a vitamin B12 deficiency include:

  • Severe fatigue
  • Pins and needles in the hands and feet
  • A lack of concentration
  • A feeling of depression

How to diagnose a vitamin B12 deficiency

You can properly diagnose or rule out a vitamin B12 deficiency through blood tests. While such a deficiency can easily be corrected, it’s important that it is correctly diagnosed.

Treating vitamin B12 deficiency

Vitamin B12 deficiency can be treated with injection or tablets. Injections are the first port of call as these are more quickly absorbed than tablets. After that, you might be required to take tablets between meals, or further injections on a regular basis.

Adjustments to your diet may also be able to correct vitamin B12 deficiency. You can include sources such as meat, fish, eggs and dairy products in your diet to boost your intake.

Image credit – iStock 

NEXT ON HEALTH24X

Share Button

Health24.com | Restoring hair growth on scarred skin? New study could show the way

In a feat that might help pave the way to restoring hair on patients with skin wounds from burns, injuries or surgery, scientists report regrowing hair on damaged skin in mice.

In their experiments with the rodents, the researchers found that activating what’s called the sonic hedgehog cell signalling pathway triggered communication between cells called fibroblasts.

Drug targets for hair growth

These cells secrete collagen, a protein that plays a major role in maintaining the shape and strength of skin and hair.

The sonic hedgehog pathway is very active during the early stages of growth in the womb, when hair follicles are formed, but is not active in wounded skin in adults. This may be why hair follicles don’t grow in damaged skin, the researchers said.

“Our results show that stimulating fibroblasts through the sonic hedgehog pathway can trigger hair growth not previously seen in wound healing,” said study senior investigator Mayumi Ito. She’s an associate professor in the department of dermatology at NYU Langone Health in New York City.

However, animal research frequently doesn’t pan out in humans.

It had been believed that as part of the healing process, scarring and collagen build-up in damaged skin prevented hair regrowth.

“Now we know that it’s a signalling issue in cells that are very active as we develop in the womb, but less so in mature skin cells as we age,” Ito said in an NYU news release.

The team said it will continue its research in an effort to identify possible drug targets for hair regrowth.

The study was published recently in the journal Nature Communications.

Image credit: iStock

Share Button

Health24.com | WATCH: ‘Is this a dream?’: People with diabetes meet their alert dogs

Type one diabetics can often not detect swings in their blood sugar levels. This is where diabetic alert dogs step in.

The dogs are trained to detect dangerous changes in a person’s blood sugar – studies show that they are particular adept at detecting low blood sugar levels.

Watch as these diabetics meet their alert dogs.

Share Button

Novel hypothesis goes underground to predict future of Greenland ice sheet

The Greenland ice sheet melted a little more easily in the past than it does today because of geological changes, and most of Greenland’s ice can be saved from melting if warming is controlled, says a team of Penn State researchers.

“There is geologic data that suggests the ice sheet was more sensitive to warming and temperature variations in the past million years, and not so much in the more recent past,” said David Pollard, research professor in the Earth and Environmental Systems Institute at Penn State.

Too much warming will cause Greenland to lose most or all of its ice over the coming centuries, but most research indicates that the threshold warmth for complete ice loss has not been reached yet.

Paleoclimatic records indicate that most of Greenland was ice-free within the last 1.1 million years even though temperatures then were not much warmer than conditions today. To explain this, the researchers point to there being more heat beneath the ice sheet in the past than today.

Data show that when the Iceland hot spot — the heat source that feeds volcanoes on Iceland — passed under north-central Greenland 80 to 35 million years ago, it left molten rock deep underground but did not break through the upper mantle and crust to form volcanoes as it had in the west and east. The Earth’s climate then was too warm for Greenland to have an ice sheet, but once it cooled the ice sheet formed, growing and shrinking successive with ice ages.

“The idea is that the loading and unloading, flexing and unflexing from ice ages tapped into slightly melted rock that was left deep under Greenland by the Iceland hot spot and brought that melt up,” said Richard Alley, Evan Pugh University Professor of Geosciences at Penn State.

Changes to the ice sheet allowed the molten rock to move closer to the Earth’s surface, even to the base of the ice. The hotter bed melted more ice from below, lubricating the ice sheet so it was thinner and easier to melt from above.

The melted rock wants to come up, according to Alley. As the ice sheet grows and shrinks, it essentially shakes the melt, drawing it up in pulses.

“The first shakes usually do the most moving,” Alley said.

The effect would have been largest when the first big ice sheet grew and then shrank, he added. More recent changes to the ice sheet also affect geothermal fluxes, but not as much as they had in the past.

“The hypothesis does not change the reality that if we make it hot, Greenland’s ice melts, and no one will like that,” Alley said. “It does not even really tell us whether geology just at this moment is making it harder or easier for the ice to melt. The ability of the ice to melt got easier in the past and is sort of bumpily getting harder, and we do not know where on the bumps we are.”

Pollard tested the team’s hypothesis using a numerical, three-dimensional ice-sheet model. The researchers report their results in the Journal of Geophysical Research in January.

“The Greenland ice sheet is very likely to melt a lot and retreat, and contribute to sea level in the next few centuries,” Pollard said. “This study is part of the puzzle of figuring out how much it will melt and retreat. We are using past geologic data to validate the models that are being used for the future.”

If Greenland’s ice sheet were to completely melt today, global sea levels would rise nearly 23 feet and flood coastal areas. Parts of cities like New York would be underwater. The team says future studies should integrate geologic and geophysical data as well as glaciological, atmospheric, oceanic and paleoclimatic information to better project how much and how fast the ice sheet will melt and its effect on sea-level rise.

“If you had a better idea of how much and how fast sea level rises from warming, you could make wiser decisions,” Alley said. “This research is a piece of the effort to provide policymakers and planners with the background information that will allow them to make good decisions.”

Story Source:

Materials provided by Penn State. Original written by Francisco Tutella. Note: Content may be edited for style and length.

Share Button

Strategies for growing biomass for fuel can have economic, ecological and environmental benefits

In efforts to curb our use of greenhouse gas-generating fossil fuels, plant-based biofuels are among the top contenders as alternative liquid energy sources for transportation. However, strategies to produce high yields of biomass for fuels are not a one-size-fits-all proposition, according to a study led by UC Santa Barbara professor of ecology David Tilman.

“It is difficult to make a biofuel that actually has environmental benefits,” said Tilman, a faculty member in the Bren School of Environmental Science & Management, and co-author of a paper published in the journal Nature Sustainability. “When a food crop is used to make a biofuel, this, in essence, takes food away from poor people around the world, and, it turns out, offers little, if any, greenhouse gas reductions.”

Whereas conventional production of biofuels has largely used food crops such as corn, soybeans, oil palm and sugarcane, these practices have their pitfalls, such as intensive use of nitrogen fertilizers, and competition for fertile croplands that had been growing food. In Tilman’s 10-year experiment, the researchers explored alternative ways to generate biomass, but with fewer environmental and economic side effects.

“We wanted to see if prairie grasses might prove to be a better crop,” he said. In contrast to relatively shallower-rooted annual crops, the deep roots of the perennial grasses of the Midwest are better able to store carbon in the earth — an additional environmental benefit. Moreover, according to the study, growing a diversity of perennial grasses on lands so infertile that they had been abandoned from agriculture “could minimize competition with food and the greenhouse gas emissions associated with potential direct or indirect land clearing, enhance recovery of ecosystem services and provide wildlife habitat.”

However, because the land was depleted of nutrients, some agricultural treatment might have value. And so the researchers, working with 36 plots and 32 native grassland species, set out to find the optimal amount of fertilizer and irrigation that would yield the greatest — and most diverse — amounts of biomass, while also resulting in underground carbon storage and minimal nitrate leaching.

The result, after a decade of observation and analysis? More is not necessarily better.

“Our results indicate that different intensification levels have different environmental benefits and costs,” said lead author Yi Yang, who is now a postdoctoral researcher at the University of Minnesota.

In fact, moderate treatments with a low rate of nitrogen fertilizer and irrigation water resulted in the best biomass yields and carbon storage — twice the yield and storage of untreated plots. Meanwhile, the more intensively treated plots resulted in 30 percent lower greenhouse gas savings, 10 times greater nitrate leaching and 120 percent greater loss in plant diversity than their moderately-treated counterparts.

While the results indicated that the energy yield from optimal management of prairie grasses was still somewhat lower per hectare than for traditional corn ethanol, the prairie grasses were grown on land too infertile for corn. Moreover, because much less nitrogen fertilizer was used than for corn and especially because of the high rate of carbon storage in soils, the bioenergy from the optimally grown prairie grasses gave much greater greenhouse savings. All this, with the benefits of ecological restoration.

The promising results of this study lead to the notion that a more tailored, ecologically friendly approach to biofuel production could be beneficial in other regions as well, as we continue to explore ways to generate biomass for alternatives to fossil fuels.

“Our study suggests that optimizing multiple environmental benefits requires sustainable intensification practices appropriate for the soils, climate and plant species of a region,” Yang said.

Research on this project was conducted also by Clarence Lehman and Jared L. Trost of University of Minnesota (UMN).

Share Button

Celebrity ads for diet aids should be banned, says top doctor

England’s top doctor calls on celebrities to be more ‘responsible’ on social media.

Share Button