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Twins Should Be Delivered At 37 Weeks To Minimize Deaths, Say Experts

Twins Should Be Delivered At 37 Weeks To Minimize Deaths, Say Experts

Twins should be delivered at 37 weeks' gestation to minimise stillbirths and newborn deaths, and there is no clear evidence to support routine delivery before 36 week's gestation, finds a large international study in The BMJ today.
It is well known that the risk of stillbirth is higher in twin pregnancies than in singleton pregnancies. Uncomplicated twin pregnancies are often delivered early in an attempt to prevent stillbirth, but the optimal gestational age for delivery that minimises risks to newborns is not known.

Recessions Are Harmful To Health

Recessions Are Harmful To Health

A review of studies investigating the 2008 recession in Europe show it was associated with adverse health outcomes, particularly for suicides and mental health problems, finds a study in The BMJ today.
However, the authors warn that most published studies on this topic had a substantial risk of bias and therefore results need to be cautiously interpreted.
In 2008, Europe entered a period of unprecedented financial crisis following a global economic downturn. Yet despite growing interest in the impact of the crisis on the health of populations, the evidence so far has been fragmented.

NFL Players' Careers Most Affected By Surgery To Patellar Tendon, Achilles Tendon And ACL

NFL Players' Careers Most Affected By Surgery To Patellar Tendon, Achilles Tendon And ACL

In the hard-hitting world of American football, injuries are an inherent risk of the game with players in the National Football League (NFL) experiencing a higher rate of injury than in any other professional sport. Orthopaedic surgeries are often required to manage player injuries, but until recently little information was available to assess the effect these procedures may have on players' future performance and career trajectory. To better understand surgery's impact, Northwestern Medicine researchers created the NFL Orthopaedic Surgery Outcomes Database (NO-SOD), a comprehensive injury database that compares return-to-play rates (RTP) and performance-based outcomes in NFL players who had orthopaedic surgery.

Flowers Critical Link To Bacteria Transmission In Wild Bees

Flowers Critical Link To Bacteria Transmission In Wild Bees

RIVERSIDE, Calif. -- A team of researchers, including several from the University of California, Riverside, have found that flowers are a hot spot of transmission of bacteria that end up in the microbiome of wild bees.
The research, which was just published in the journal Microbial Ecology, shows for the first time that multiple flower and wild bee species share several of the same types of bacteria. Bees therefore obtain both food and bacteria from flowers. These bacteria may play important roles in bee health.

Over-the-counter Head Lice Treatments Are Likely To Fail

Over-the-counter Head Lice Treatments Are Likely To Fail

A recent review on head lice treatments available in the United States described a marked decline in the effectiveness of permethrin/synergized pyrethrins (collectively pyrethroids), likely due to resistance arising from widespread and indiscriminate use over 30 years.
The review also noted that the potential toxicity of lindane, and the availability of safer and more effective alternatives, should limit its use. Prescription products that are safe and effective include malathion, benzyl alcohol, spinosad, and topical ivermectin.
Home remedies such as petroleum jelly, mayonnaise, and essential oils, have not been demonstrated as safe or effective and may cause adverse reactions.

Whole Brain Radiotherapy Offers Little Benefit When Lung Cancer Has Spread To The Brain

Whole Brain Radiotherapy Offers Little Benefit When Lung Cancer Has Spread To The Brain

People with the most common type of lung cancer whose disease has spread to the brain could be spared potentially harmful whole brain radiotherapy, according to new research published in The Lancet. The phase 3 randomized trial found that whole brain radiotherapy had no beneficial effect on length or quality of survival over treatment with steroids and other supportive care.
Despite its widespread use, until now there has been no robust evidence to determine whether whole brain radiotherapy, which can have substantial side effects (eg, fatigue, nausea, neurotoxicity), is better than best supportive care alone in terms of prolonging life or improving quality of life.

Small Study Shows The Effects Of Smoking On Reducing Calorie Intake

Small Study Shows The Effects Of Smoking On Reducing Calorie Intake

A small study presented at the European Respiratory Society International Congress found what you likely knew, if you are old enough to remember when smoking was common; smoking made people thinner.
But the paper says people don't gain weight after while quitting because of oral smoking habits being replaced by eating ones, they speculate about an effect on levels of the hormone ghrelin (also known as the hunger hormone). 

Report: Traditional Efficacy Trial Model Too Removed From Clinical Practice

Report: Traditional Efficacy Trial Model Too Removed From Clinical Practice

Traditional efficacy trials have limited relevance to everyday clinical practice and should be changed, according the authors of a new study into chronic obstructive pulmonary disease (COPD) treatments. The report in the New England Journal of Medicine details a new method of testing effectiveness of drugs which puts the patients' clinical experience at the heart of the process.

Good Microcirculation Indicates Increased Lifespan

Good Microcirculation Indicates Increased Lifespan

Human longevity has been previously linked by researchers to genetic factors, calorie restriction, and certain life-style factors such as physical activity or the Mediterranean diet. Now, Italian researchers from La Sapienza University in Rome have identified an additional factor, which significantly contributes to a longer life. In a pilot study on some of the oldest people of the world, they discovered that the perfusion of organs and muscles of the centenarians was as efficient as that in people who were 30 years younger. Results of the CIAO (Cilento Intitiative on Aging Outcome) pilot study, presented today in the Italian town of Pollica, suggest that low blood levels of the peptide hormone Adrenomedullin (bio-ADM) are an indicator for such a good microcirculation.

How Plant Leaves Grow Their Teeth

How Plant Leaves Grow Their Teeth

A peptide and its receptors work to regulate auxin response and control leaf tooth growth in plants.
The plant hormone auxin has been known to take part in the development of leaf teeth, but the exact mechanism of their formation has been a mystery up till now. In this study, the research group has found that a peptide called EPIDERMAL PATTERNING FACTOR-LIKE 2 (EPFL2) and its receptor protein, ERECTA family receptor kinases, control the amount of auxin during leaf tooth growth. In plant leaves where the EPFL2 peptide is inactive, the leaf becomes round without teeth.

Drugs In The Water? Don't Blame The Students

Drugs In The Water? Don't Blame The Students

With nearly sixty percent of American adults now taking prescription medications--from antidepressants to cholesterol treatments--there is growing concern about how many drugs are flowing through wastewater treatment facilities and into rivers and lakes. Research confirms that pharmaceutical pollution can cause damage to fish and other ecological problems--and may pose risks to human health too.
Scientists have assumed that people flushing their unused medications down the drain or toilet was a major source of these drugs in the water.
But a new first-of-its-kind study tells a different story.