Ventripoint Unveils New Integrated Product with ASCEND Cardiovascular News Home Friday, August 18, 2023 08:00 AM | TheNewsWire via QuoteMedia Mentioned in this article Ventripoint Unveils New Integrated Product with ASCEND Cardiovascular (TheNewswire) Toronto, Ontario – TheNewswire – August 18, 2023 – Ventripoint Diagnostics Ltd. (” Ventripoint ” or the ” Company “), (TSXV:VPT ) ( OTC:VPTDF) is thrilled to announce that Ventripoint and ASCEND Cardiovascular, LLC have developed a new integrated product. Today’s announcement marks a significant milestone in Ventripoint’s commitment to the collaboration between the two companies. ASCEND fits perfectly into Ventripoint’s roadmap for innovation and is a key step in the company’s mission to improve patient’s lives and become the standard of care. ASCEND is seamlessly integrated with leading EHRs, and imaging systems. Their existing technology has been installed at 1000+ top ranked healthcare facilities and 600+ health systems with approximately 50,000 users across the United States. Ventripoint has successfully and seamlessly integrated its specialized AI-powered 3D Echo software application with ASCEND’s diagnostic viewer, InView, and reporting application, Cardiovascular Structured Reporting. This cardiovascular workflow product provides an end-to-end solution that rivals other products on the market. It is streamlined, smart, and effective for cardiology reading, reporting, and diagnostics, thereby improving diagnosis and monitoring of fetal, pediatric, and adult congenital heart disease. “We are excited to embark on this collaborative journey with ASCEND Cardiovascular,” stated Dr. Alvira Macanovic, President & CEO of Ventripoint Diagnostics. “We see this collaboration evolving progressively in its possibilities. We believe that by integrating Ventripoint’s technology in diagnostic medical imaging with ASCEND’s expertise in cardiology IT this will be a successful integrated product. The product will offer a seamless and comprehensive approach to diagnosing and treating cardiovascular conditions.” After months of development, Ventripoint stands ready to successfully unveil this integrated product with its newest partner at the 8 th World Congress of Pediatric Cardiology and Cardiac Surgery in Washington, DC later this month. “This is an important milestone and validation of ASCEND’s commitment to providers caring for children with heart disease. We are excited to enable the routine, efficient use of Ventripoint’s advanced 3D image analysis in pediatric cardiology,” stated Dr. Jeff Soble, CEO of ASCEND. As the collaboration between Ventripoint and ASCEND continues to evolve, both companies remain committed to driving innovation and excellence in cardiovascular health technology. This integrated product marks an exciting milestone in the advancement of cardiac care and solving today’s and anticipating tomorrow’s challenges. About Ventripoint Diagnostics Ltd. Ventripoint has become known for the application of AI (Artificial Intelligence) to echocardiography. Ventripoint’s VMS products are powered by its proprietary AI technology, which is the result of a decade of development and provides accurate volumetric cardiac measurements equivalent to MRI. Ventripoint’s VMS products are powered by its proprietary KBR technology, which is the result of a decade of development and provides accurate volumetric cardiac measurements equivalent to MRI. This affordable, gold-standard alternative allows cardiologists greater confidence in the management of their patients. Providing better care to patients serves as a springboard and basic standard for all of Ventripoint’s products that guide our future developments. In addition, VMS+ is versatile and can be used with all ultrasound systems from any vendor supported by regulatory market approvals in the U.S., Europe and Canada. Learn more: www.ventripoint.com . About ASCEND Cardiovascular ASCEND Cardiovascular is a leader in innovating cardiovascular solutions that empower the provider community to improve cardiovascular care. Designed with openness in mind, their solutions integrate with EHRs, medical devices, and other systems to deliver seamless workflows that span procedure types and modalities. A complete cardiovascular solution, ASCEND provides structured reporting, image visualization, collaboration, and analytics that improve efficiency, outcomes, and ROI. With decades of experience and a practicing cardiologist at our helm, the ASCEND team brings unparalleled “know how” in cardiology workflow, collaboration, and IT offering limitless opportunities to improve clinical, operational, and quality performance. Learn more: www.ascendcv.com . For further information, please contact: Jonathan Robinson CFA [email protected] (416) 669-1001 Neither the TSX Venture Exchange nor its Regulation Services Provider (as that term is defined in the policies of the TSX Venture Exchange) accepts responsibility for the adequacy or accuracy of this news release. Forward Looking Statements This news release contains forward-looking statements and forward-looking information within the meaning of applicable securities laws. The use of any of the words “expect”, “anticipate”, “continue”, “estimate”, “objective”, “ongoing”, “may”, “will”, “project”, “should”, “believe”, “plans”, “intends” and similar expressions are intended to identify forward-looking information or statements. The forward-looking statements and information are based on certain key expectations and assumptions made by the Company. Although the Company believes that the expectations and assumptions on which such forward-looking statements and information are based are reasonable, undue reliance should not be placed on the forward-looking statements and information because the Company can give no assurance that they will prove to be correct. Since forward-looking statements and information address future events and conditions, by their very nature they involve inherent risks and uncertainties. Actual results could differ materially from those currently anticipated due to a number of factors and risks. Factors which could materially affect such forward-looking information are described in the risk factors in the Company’s most recent annual management’s discussion and analysis that is available on the Company’s profile on SEDAR at www.sedar.com. Readers are cautioned that the foregoing list of factors is not exhaustive. The forward-looking statements included in this news release are expressly qualified by this cautionary statement. The forward-looking statements and information contained in this news release are made as of the date hereof and the Company undertakes no obligation to update publicly or revise any forward-looking statements or information, whether as a result of new information, future events or otherwise, unless so required by applicable securities laws. Copyright (c) 2023 TheNewswire – All rights reserved. Share this article: Stay In The Know Subscribe to our daily morning update newsletter and never miss out on the need-to-know market news, movements, and more. Thank you for signing up! You’re all set to
Day: July 2, 2024
CALGARY, Alberta — A simple mouth rinse could discover a person’s likelihood of developing heart disease, a new study explains. Periodontitis, a form of gum disease, is associated with heart ailments. Now, researchers say elevated white blood cell levels in saliva combating periodontitis might serve as an early warning for cardiovascular problems. Scientists at Mount Royal University in Canada found that a high count of these cells from the rinse also suggests difficulty in artery dilation during increased blood flow, another potential heart disease indicator. “Even in young healthy adults, low levels of oral inflammatory load may have an impact on cardiovascular health — one of the leading causes of death in North America. Optimal oral hygiene is always recommended in addition to regular visits to the dentist, especially in light of this evidence,” says corresponding author Dr. Trevor King in a media release. “We are also hoping to include more individuals with gingivitis and more advanced periodontitis to more deeply understand the impact of different levels of gingival inflammation on cardiovascular measures.” In their study, the team examined 28 non-smoking participants between 18 and 30 year-old, with no cardiovascular risks or gum disease history. Participants had to fast for six hours, although drinking water was allowed. In a lab setting, they rinsed with water and then gargled saline for testing. They then underwent an electrocardiogram and had their blood pressure, flow-mediated dilation, and pulse-wave velocity checked. (credit: Photo by Towfiqu barbhuiya from Unsplash) Flow-mediated dilation gauges the adaptability of arteries during increased blood flow, while pulse-wave velocity assesses artery stiffness. Rigid and poorly adaptive arteries elevate cardiovascular disease risk. “The mouth rinse test could be used at your annual checkup at the family doctor or the dentist. It is easy to implement as an oral inflammation measuring tool in any clinic,” notes co-author Dr. Michael Glogauer from the University of Toronto. The study found no direct correlation between white blood cell count from the rinse and pulse velocity, indicating that any long-term arterial health impact might not be immediately evident with heightened white blood cell levels. The researchers theorize that mouth inflammation might affect arterial health by reducing nitric oxide production, a compound essential for blood flow response. “Recognizing early on that oral health might influence cardiovascular disease risk even in healthy young people suggests that a more integrated approach to health could be beneficial,” emphasizes Ker-Yung Hon, the study’s primary author, now studying dentistry at the University of Western Ontario. The findings are published in the journal Frontiers in Oral Health. You might also be interested in: South West News Service writer Pol Allingham contributed to this report.
<!– –> Nightingale Health stated that its kit is available immediately for remote blood collection for medical research and clinical trials. Credit: Nightingale Health. Preventive health company Nightingale Health has introduced a remote blood collection kit for its medical research and clinical trial customers. This comes after the company acquired the worldwide licence and rights to the Velvet self-collection device in January this year. The Nightingale kit and self-collection device enable trial participants to draw their own blood sample from a finger-prick. This approach provides substantial flexibility and enables study designs that were previously restricted by geographical and logistical limitations. Given that Nightingale Health offers both sample collection and sample analysis, it becomes possible for remote blood collection to be incorporated into studies in a seamless and cost-efficient manner. Nightingale Health stated that its kit is available immediately for remote blood collection for medical research and clinical trials. The biomarkers evaluated for research purposes from the dry blood sample taken with the Nightingale Kit cover a slate of biological functions. These biological functions include insulin sensitivity (amino acids); lipids (e.g., LDL cholesterol, HDL cholesterol, triglycerides, ApoA1 and ApoB); dietary intake (e.g., omega-3 and omega-6 fatty acids); kidney function (e.g., creatinine); chronic inflammation (GlycA) and fluid balance (e.g., albumin). Nightingale Health has customers in more than 25 countries, operating globally with a parent company based in Finland and seven subsidiaries in countries, including Japan, the US and the UK. Its technology is used by the healthcare and medical research sectors and several health initiatives, such as the UK Biobank. In June this year, Nightingale and Finnish health service company Suomen Terveystalo signed a letter of intent to expand their strategic partnership, originally signed in April 2021. The expansion of this collaboration increased the blood sample analysis volumes ordered by Terveystalo. <!– GPT AdSlot 3 for Ad unit 'Verdict/Verdict_In_Article' ### Size: [[670,220]] — googletag.cmd.push(function() { googletag.display(‘div-gpt-ad-8581390-1’); }); !– End AdSlot 3 –> Share this article
<!– –> KNOW AMR: Understanding the rising need to prevent Hospital-Acquired Infections, ET HealthWorld <!– –> <!– –> <!– We have updated our terms and conditions and privacy policy Click “Continue” to accept and continue with ET HealthWorld –> X We use cookies to ensure best experience for you We use cookies and other tracking technologies to improve your browsing experience on our site, show personalize content and targeted ads, analyze site traffic, and understand where our audience is coming from. You can also read our privacy policy, We use cookies to ensure the best experience for you on our website. By choosing I accept, or by continuing being on the website, you consent to our use of Cookies and Terms & Conditions. <!– skip to main content –> <section class="container article-section status_prime_article single-post currentlyInViewport inViewPort" id="news_dtl_102830227" data-article="0" page-title="Understanding the rising need to prevent Hospital-Acquired Infections" data-href="https://health.economictimes.indiatimes.com/news/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections/102830227" data-msid="102830227" data-news="{"link":"/news/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections/102830227","seolocation":"/news/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections/102830227","seolocationalt":"/news/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections/102830227","seometatitle":false,"seo_meta_description":"Brand Connect Initiative","canonical_url":false,"url_seo":"/news/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections/102830227","category_name":"Industry","category_link":"/news/industry","category_name_seo":"industry","updated_at":"2023-08-18 15:06:04","artexpdate":false,"agency_name":"ETHealthWorld","agency_link":"/agency/88675629/ETHealthWorld","read_duration":"5 min","keywords":[{"id":18447053,"name":"KNOW AMR","type":"General","weightage":100,"keywordseo":"KNOW-AMR","botkeyword":false,"source":"Orion","link":"/tag/know+amr"},{"id":44612,"name":"Pfizer","type":"General","weightage":20,"keywordseo":"Pfizer","botkeyword":false,"source":"Orion","link":"/tag/pfizer"},{"id":2941013,"name":"Hospital-Acquired Infections","type":"General","weightage":20,"keywordseo":"Hospital-Acquired-Infections","botkeyword":false,"source":"Orion","link":"/tag/hospital-acquired+infections"},{"id":6382949,"name":"medanta","type":"General","weightage":20,"keywordseo":"medanta","botkeyword":false,"source":"Orion","link":"/tag/medanta"},{"id":4137014,"name":"gleneagles global hospitals","type":"General","weightage":20,"keywordseo":"gleneagles-global-hospitals","botkeyword":false,"source":"Orion","link":"/tag/gleneagles+global+hospitals"},{"id":56368,"name":"apollo hospitals","type":"General","weightage":20,"keywordseo":"apollo-hospitals","botkeyword":false,"source":"Orion","link":"/tag/apollo+hospitals"},{"id":4265314,"name":"citizens specialty hospital","type":"General","weightage":20,"keywordseo":"citizens-specialty-hospital","botkeyword":false,"source":"Orion","link":"/tag/citizens+specialty+hospital"}],"read_industry_leader_count":false,"read_industry_leaders":false,"embeds":[{"title":"starting","type":"image","caption":false,"elements":[]},{"title":"Screenshot 2023-08-18 120016","type":"image","caption":false,"elements":[]}],"thumb_big":"https://etimg.etb2bimg.com/thumb/msid-102830227,imgsize-76582,width-1200,height=765,overlay-ethealth/industry/understanding-the-rising-need-to-prevent-hospital-acquired-infections.jpg","thumb_small":"https://etimg.etb2bimg.com/thumb/img-size-76582/102830227.cms?width=150&height=112","time":"2023-08-18 14:58:44","is_live":false,"prime_id":0,"highlights":[],"highlights_html":"","also_read_available":false,"body":" KNOW AMR is an initiative by Pfizer aimed at addressing the growing problem of antimicrobial resistance. This initiative focuses on raising awareness, promoting research, and implementing strategies to combat Antimicrobial Resistance and preserve the effectiveness of antimicrobial treatments. As a part of KNOW AMR awareness campaign, Pfizer in association with ET HealthWorld brings to you a webinar series focused on steps to slow down the spread of Antimicrobial Resistance. The webinar on the Theme: Understanding the rising need to prevent Hospital-Acquired Infections (HAIs) was moderated by Prabhat Prakash, Senior Digital Content Creator at ETHealthworld. To elucidate on the crucial issue, eminent speakers included Dr Palepu B Gopal, Senior Consultant, Critical Care Medicine, Citizens Specialty Hospital, Hyderabad; Dr Yatin Mehta, Chairman, The Institute of Critical Care and Anaesthesiology, Medanta, Gurugram; Dr V Rama Subramanyam, Senior Consultant, Infectious Disease, Apollo Hospitals, Chennai; and Dr Subramanyam Swaminathan, Director, Infectious Disease, Gleneagles Global Hospitals, Chennai. Hospital-acquired infections (HAIs) have escalated into a global crisis, with a particularly pronounced impact in regions marked by inadequate infection control protocols. This imbalance is especially conspicuous in developing nations, where insufficient attention and resources have been allocated to this issue. To kick off the webinar, the initial question was directed at Dr Subramanyam Swaminathan regarding the prevailing challenge of Healthcare-Associated Infections (HAIs) in the country. He stated that the struggle against hospital-acquired infections is palpable and pervasive, underscored by the recent COVID-19 pandemic. Despite rigorous infection control measures, the pandemic revealed a noteworthy toll of attributable fatalities resulting from HAIs. This experience emphasized that diverse pathogens pose challenges in different geographical areas and even within distinct units of individual hospitals. Given this complexity, a comprehensive investigation and comprehension of the issue are imperative to facilitate effective progress in addressing HAIs, further added Dr Swaminathan. While citing the challenges in implementing a robust infection control program in a healthcare setting and the short-term and long-term action points required to overcome this, Dr V Rama Subramanyam began by highlighting that the implementation of infection control is mandatory in all hospitals.” Accreditation processes, like Joint Commission International or national boards, require all hospitals, regardless of size, to implement an infection control program. This program necessitates collaboration among various departments, including medical and surgical specialties, nursing, housekeeping, sterilization, and monitoring device usage. However, the issue lies in justifying the cost of this program, particularly in corporate hospitals. Convincing stakeholders about the return on investment becomes complex. Research indicates that having an infection control team, with a nurse or specialist for every 100 beds, leads to significant savings, as seen in Western studies within public healthcare systems. The main hurdle is ensuring comprehension of the importance of infection control, its impact on healthcare quality, and how it aligns with economic sense amid differing healthcare delivery systems and financial structures, explains Dr Subramanyam. While emphasizing on some of the best practices that need to be adhered to in healthcare delivery to prevent HAIs Dr Mehta said, “You should have a robust infection control committee and that should not be only restricted to tertiary care hospitals.” Health is crucial for everyone. Even individuals who cannot afford private care should not face higher infection rates due to negligence or lack of resources. Ample resources are available, and the government possesses enough to address this. To combat this issue, an active infection control program and robust data collection are vital. Having data allows for comparisons among institutions and tracking infection trends over time. This is essential for investigating serious cases, especially in the ICU. Addressing the overuse of antimicrobials is another crucial step. Regulations must be implemented to prevent unnecessary antimicrobial prescriptions by chemists and to improve the quality of available antibiotics. Stringent quality control is required for manufacturing and selling antimicrobials to reduce antimicrobial resistance and hospital infections. Dr Gopal elaborated on how the shortage of staff and a challenging work environment can lead to HAIs, he said, “it is one of the most vital factors in the process of running any hospital including infection control, and this is a universal problem.”He further asserted that even advanced countries are dealing with nursing shortages. Hence, we must examine non-monetary factors for attrition in nursing. A significant concern after decades of work in our country is the lack of empowerment for nursing professionals. Despite being motivated, nurses often feel unheard and undervalued, lacking a sense of ownership in their roles. This results in disinclination towards tasks like infection control and added program responsibilities. Infection control, including implementation, data monitoring, and sharing, is fundamentally nurse-driven, even if overseen by physicians. Without empowering and rewarding nurses in this process, their commitment wanes. While concluding the session, Dr Subramanyam expressed his views on the importance of education for the judicial use of antimicrobials in the healthcare community and the need to focus on early education for medical students. He also explained the crucial aspect of antibiotic selection and usage was never adequately covered. Encouragingly, changes are underway in medical education and curriculum. There is a hopeful prospect
Campaigners have called out ‘deep-seated stigma and miseducation’ as tampons and pads are tested with blood for the first time ever. (Getty Images) Campaigners have called out the need to tackle “deep-seated stigma and miseducation” around menstruation, as period products are tested using blood for the very first time. It found that most products are far less absorbent that claims made by manufacturers. A study published in the journal BMJ Sexual & Reproductive Health on 7 August 2023 is the first ever to compare absorption levels of menstrual products, including tampons, pads, cups and menstrual discs, using human blood. Previous studies have traditionally used saltwater or water for testing, despite periods being more viscous, and containing blood cells and endometrial tissue, which affect absorption. The study found that menstrual discs may be more absorbent of heavy flows than pads or tampons. “The fact that period product absorbency has only just started to be tested with actual blood shows just how far we have to go when it comes to menstrual health, bodily education and period normalisation,” menstrual equity charity Bloody Good Period told PinkNews. “Period blood in adverts has long been shrouded in secrecy and shame, through the use of ‘blue blood’ – and the fact that this is reflected right back to the product testing phase highlights the deep-seated stigma and miseducation that exists around periods.” what do you mean the first study that tested period product absorption using actual blood and not water was only published A WEEK AGO — mia (@everhowell) August 15, 2023 Instead of actual menstrual blood, which is hard to obtain for scientific testing, researchers used packed red blood cells – blood after the plasma and platelets are removed – with the study’s authors adding “blood products are a closer approximation than water or saline”. The authors added: “No study exists comparing the capacity of currently available menstrual hygiene products using blood.” The testing measured the capacity of 21 period products for comparison, which included several different products claiming different levels of absorbency, from several brands. The team claimed there was a mismatch between reported absorbency and actual absorbency of the products, with most brands claiming they had a higher absorbency level than research found. Experts claim the findings could not only help doctors better assess whether heavy periods are a sign of underlying health problems – such as fibroids – but also help people who menstruate better choose suitable products for them. Sex educator Erica Smith told PinkNews that if the Pictorial Blood Loss Assessment chart – a tool for assessing how much blood loss is happening in a period – is updated in light of studies that use real blood, it could “affect how people are reporting the amount of blood they lose during menstruation”. “If we are accurately understanding how much blood our menstrual products capture, then health care providers will have a more accurate assessment if heavy bleeding is a concern,” Smith said. Smith added: “I was surprised to hear [about the study] but in a way not surprised, because menstrual health and things related to the sexual health of AFAB people has been historically understudied and underprioritized. “I think the study is great because it gives people a real practical sense of what period products will be most useful for their particular level of bleeding.” Bloody Good Period told PinkNews: “Testing period products with actual blood will not only help to create better products in the future, but it will also help to normalise and promote accurate conversations around menstruation. “When people are given good-quality products that are actually properly designed for the reality of menstruation – not saline – it gives us all the tools, education and information that we need in order to be better equipped to understand our bodies and menstruation.” Bloody Good Period added there is still a long way to go on this issue, with tackling stigma and period poverty part of its key campaigns for the UK government. The charity explained: “Menstrual stigma is still very much present in today’s society, and periods have become a penalty that we pay with our health, education and work. “Currently, 1 in 5 people struggle to afford period products, 89 per cent of people are stressed or anxious about having their period at work – with 14 per cent of people avoiding or missing work during their period, and 13 per cent of young people have missed school or university or college because of their period.” Trans and non-binary activists have also stressed that inclusivity is crucial for ending period poverty. Kenny Ethan Jones, who made history as the first trans man to front a period campaign, previously told PinkNews that “equal access to healthcare” and adequate menstrual care needs to include the voices of women, trans men, and non-binary people. “Even if all cis women were taken care of, there will still be period poverty because trans people are not taken care of,” Jones said. “Period equity means all of us have to have access to products, education, feel seen and are taken care of health-wise.” Bloody Good Period added: “Period poverty in the UK is becoming an increasingly bigger issue, year on year. “Period products should be freely available – and they should be accompanied by informative, shame-free, inclusive education, normalisation and practical support.” How did this story make you feel? 🔥 Fired up ❤️ Love 😊 Happy 😐 Meh 😡 Annoyed 😢 Sad Sending reaction… Thanks for your feedback!
As the world continues to grapple with the COVID-19 pandemic, regulations and guidelines aimed at preventing the spread of the disease are evolving. Recently, there has been a loosening or elimination of mask mandates and social distancing protocols in various parts of the United States. While this news may be welcomed by some, others may feel a sense of suddenness or unease, especially in light of the recent surge of the highly contagious omicron variant. Following recommended guidelines from health authorities, such as the Centers for Disease Control and Prevention (CDC), has provided a sense of comfort and safety for many individuals throughout the pandemic. However, with the removal of certain safety measures, it can feel as though a layer of that comfort has been taken away. It’s important to understand that these changes in regulations are driven by a combination of factors, including updated scientific understanding of the virus, progress in vaccination efforts, and considerations for the social and economic impact of ongoing restrictions. The aim is to strike a balance between mitigating the spread of COVID-19 and supporting the resumption of daily activities. Coping with feelings of uncertainty or anxiety during these transitions is crucial. Here are some strategies that can help: What’s Changed and Why? The recent loosening of state and local COVID-19 protocols across the United States is in response to changes in the way the Centers for Disease Control and Prevention (CDC) assesses COVID-19 risk in communities. The CDC now focuses on hospital capacity and the risk of severe disease rather than just case counts to determine a community’s risk level. This shift is based on the understanding that widespread population immunity and the availability of vaccines have reduced the overall risk of severe disease. As a result, the new CDC parameters categorize communities as low, medium, or high risk, allowing individuals in counties with low or medium risk levels to have discretion in wearing masks. However, it is important to note that individuals who are immunocompromised or live with someone at high risk for severe disease are still advised to continue wearing masks. In addition to mask guidelines, the new CDC guidelines have also relaxed social distancing recommendations. It is stated that 70% of Americans no longer need to maintain a six-feet distance or avoid crowded indoor spaces. Following the CDC’s announcement, many cities and states that had implemented strict coronavirus precautions began rolling back safety measures in the weeks that followed. These rollbacks are intended to strike a balance between public health and the resumption of economic and social activities. Why Are the Safety Protocol Changes Anxiety Inducing for Some People? Over the past few years, individuals have been consistently advised to wear masks as an important safety measure and a sign of responsibility and respect for others. However, the guidelines regarding mask-wearing are now changing, which can lead to discomfort for those who have been accustomed to wearing masks for the past two years, according to Greta Hirsch, PhD, PMH-C, a psychologist and clinical director. Given that not wearing a mask has been associated with danger for a significant period of time, it is understandable that there may be an emotional response to the evolving safety recommendations. If you are experiencing uncertainty or anxiety as daily life gradually returns to a more normal state, there are steps you can take and actions you can implement to help alleviate stress. Identify Your Personal Comfort Level Start by reflecting on your personal emotions and thoughts regarding the changing guidelines and determine whether you feel ready to remove your mask or engage in crowded environments once again. Neysa Ernst, DNP, MSN, RN, nurse manager at Johns Hopkins Medicine, emphasizes the importance of each individual deciding their own comfort level and reassures that it is perfectly okay to continue wearing a mask if it provides a sense of security. Additionally, allow yourself time to adapt to the new circumstances and find your own sense of normalcy. Khalilah Gates, MD, an associate professor of medicine in pulmonary and critical care at Northwestern University Feinberg School of Medicine, emphasizes that acceptable risk should be determined on an individual basis and there is no one-size-fits-all approach. If wearing a mask brings you more comfort, it is encouraged to continue doing so. Flexibility and a dedication to the collective well-being of society are essential in navigating these changes. Take it Step by Step Hirsch also recommended approaching the adjustment to relaxed protocols gradually, rather than diving into everything at once. One helpful strategy is to create a list that outlines experiences of increasing difficulty and anxiety. For example, if you haven’t had anyone over at your home or met up with friends, Hirsch suggests starting with simpler steps like meeting a friend in the park for a walk or inviting a small group of friends over for dinner before venturing into more crowded settings like a concert. Having a supportive partner, whether it’s a friend, family member, or spouse, can also facilitate the process. Hirsch suggests undertaking these steps with someone who is understanding and willing to provide support, helping you navigate the changes one step at a time. Focus On the Present Moment and Challenge Anxious Thoughts Another helpful technique to manage anxiety related to the relaxation of COVID-19 regulations is to practice recognizing and dismissing anxious thoughts, similar to what is done during meditation exercises. According to Hirsch, it’s important to catch and acknowledge “what-if” thoughts that may contribute to increased anxiety. By staying present and focused on the current moment, rather than worrying about future events in a negative and catastrophic way, you can reduce anxiety levels. Once you identify anxious thoughts, it’s beneficial to evaluate the evidence supporting or refuting those fears. For instance, if you’re concerned about shopping without a mask, you can examine the latest COVID-19 case numbers in your area to assess the actual risk. The CDC provides up-to-date information on cases by county. Hirsch advises challenging anxious thoughts instead of accepting
Steroids Commonly Used for Asthma and Allergies Linked to Changes in Brain Structure, Study Shows
The white matter of the brain and cognitive impairment have been linked to glucocorticoids, a common steroid used to treat inflammation related to asthma and allergies. The latest study, published in BMJ Open, indicated that both inhaled and orally administered glucocorticoids had similar effects on brain structure. The authors of the study noted that it was the largest of its type to date. “Both systemic and inhaled glucocorticoid use were associated with reduced white matter integrity,” the study concluded. White matter is the connective tissue between brain cells and the rest of the nervous system, and it may be found in the deeper brain tissues. Damage to white matter has been linked to difficulties with learning, memory, and gait. Depression, anxiety, and even bipolar disease have all been related to white matter damage. The implications of this result and how it affects glucocorticoid use are discussed in further detail below. Oral and Inhaled Glucocorticoids Both Trigger Brain Decline Glucocorticoids, commonly prescribed drugs with immunosuppressive properties, are widely used to treat conditions such as allergies, asthma, and autoimmune disorders. However, a recent study examined the effects of glucocorticoid use on the brain and found a link between the medication and reduced white matter. The study analyzed data from individuals who used oral or inhaled glucocorticoids and compared it to a control group of individuals who did not use these medications. The participants underwent cognitive and mental health tests as well as brain MRIs. The results revealed that taking either oral or inhaled glucocorticoids was associated with a reduction in white matter in the brain. This reduction in white matter has the potential to lead to neuropsychiatric side effects, especially in individuals who use these medications regularly. The study noted that the impact on white matter was more significant in those who used glucocorticoid tablets or injections over a long period of time, while those who used inhalers or nasal glucocorticoids experienced a smaller impact. The exact reasons behind the impact of glucocorticoids on white brain matter are not yet clear, according to the study’s lead author. However, the findings suggest that chronic exposure to glucocorticoids may have detrimental effects on white matter in various organs of the body, including the brain. Further research is needed to better understand the underlying mechanisms and implications of these findings. In the meantime, it is important for healthcare professionals to consider the potential neuropsychiatric effects of glucocorticoid use, especially with long-term or high-dose administration. Are the Findings Cause for Concern? While the recent study suggests a link between glucocorticoid use and reduced white matter in the brain, experts have emphasized that the results should not cause undue concern. According to Dr. Kesari, white matter can potentially repair itself even in the presence of glucocorticoids, and the brain appears to recover when patients are taken off these medications. It is important to note that the study did not specifically investigate the long-term impacts of glucocorticoid use on white brain matter. Previous research has associated long-term oral glucocorticoid use with brain shrinkage in certain areas and changes in brain structure. Mental health issues have also been linked to this class of drugs. The consequences of the observed changes in white matter and their impact on patients are still unknown. The reversibility of these changes remains to be determined. As Jamie Alan, PhD, an associate professor of pharmacology and toxicology, pointed out, there is still much to learn about the effects of glucocorticoids on the brain. What Should You Do if You Use Glucocorticoids? Given the minimal changes observed in white matter, Van der Meulen advised against patients abruptly changing their medication based on the study findings. The small structural changes found in the study are likely to have no significant functional side effects for many individuals with asthma. Other medical professionals echoed similar advice. They emphasized the importance of using glucocorticoids for the shortest duration possible due to their known side effects. The study supports the clinical guideline of minimizing the use of glucocorticoids when feasible. Dr. Kesari acknowledged the beneficial anti-inflammatory properties of glucocorticoids and their widespread use in treating various conditions. He highlighted the need for a better understanding of their side effects and more effective mitigation strategies. If a person is on a high dose of glucocorticoids for an extended period, Dr. Kesari suggested discussing with their doctor the possibility of reducing the dosage or exploring alternative treatments that may have less impact on the body and brain. However, it is important to note that van der Meulen strongly advised against making changes to medication without consulting a healthcare provider. If a person requires the medication, they should continue taking it as prescribed until they have discussed any concerns with their doctor.
How Is Asthma Diagnosed?
Asthma is a chronic respiratory disease characterized by the inflammation and narrowing of the airways, leading to symptoms such as shortness of breath, wheezing, coughing, and chest tightness. It affects a significant number of individuals worldwide, with an estimated 226 million people living with asthma. To diagnose asthma, a thorough medical evaluation is conducted, which involves a physical examination, review of medical history, and diagnostic tests. Lung function tests, including spirometry, are commonly performed to assess lung capacity and airflow and provide an accurate diagnosis and evaluation of asthma severity. While primary care providers and pediatricians often diagnose asthma, specialists such as allergists and pulmonologists are also qualified to diagnose and manage asthma and other respiratory conditions. If you experience symptoms suggestive of asthma, it is crucial to seek medical attention from a healthcare professional. Asthma is a chronic condition that typically requires ongoing treatment. Obtaining an early diagnosis allows for the initiation of appropriate treatments to control symptoms and reduce the risk of complications associated with asthma. Diagnostic Criteria The diagnostic criteria for asthma involve a comprehensive assessment of symptoms, medical history, physical examination findings, and lung function tests. Two commonly used criteria are the Global Initiative for Asthma (GINA) criteria and the National Asthma Education and Prevention Program (NAEPP) guidelines. According to the GINA criteria, the diagnosis of asthma is based on the following several key aspects. These diagnostic criteria help healthcare providers establish a diagnosis of asthma and differentiate it from other respiratory conditions. By considering symptoms, lung function tests, airway responsiveness, and ruling out alternative diagnoses, a more accurate diagnosis can be made to guide appropriate management and treatment strategies. Medical History During a thorough evaluation of your medical history, your healthcare provider will consider various factors to help diagnose or rule out asthma. These factors may include: Physical Examination As part of the diagnostic process, your healthcare provider will conduct a physical examination to assess for signs and symptoms of asthma. During the examination, they will listen to your lungs using a stethoscope while you breathe. This allows them to detect any abnormal sounds such as wheezing or decreased breath sounds. Additionally, your healthcare provider will evaluate your respiratory rate, observing for any signs of rapid or shallow breathing. They may also use a pulse oximeter, a device placed on your finger, to measure the oxygen saturation level in your blood. This helps assess the efficiency of your breathing and oxygen exchange. Lung Function Tests Lung function tests, or pulmonary function tests, measure different aspects of your respiratory health to confirm or rule out asthma. These tests include spirometry, peak flow meter test, fractional exhaled nitric oxide (FeNO) test, and bronchial provocation Tests. Spirometry Spirometry is a non-invasive test that measures lung function by assessing the amount of air you can breathe in and out and how quickly you can exhale. The test involves taking a deep breath and exhaling forcefully and rapidly into a spirometer machine. The results of spirometry include the following parameters: Your healthcare provider will compare your spirometry results to the expected values for individuals of similar age, gender, height, and race. In asthma, the FEV1 measurement may be lower than the average expected value. The results obtained from spirometry can also be used to calculate the FEV1/FVC ratio. This ratio represents the percentage of your lung capacity that you can exhale in one second. For children, a low FEV1/FVC ratio is considered less than 85%, while for adults, it is considered less than 70%. By analyzing spirometry results, your healthcare provider can assess the severity of airflow limitation and help confirm a diagnosis of asthma. Peak Flow Meter A peak flow meter is a handheld device used to measure the maximum airflow rate during a forceful exhale. During a peak flow meter test, you will take a deep breath and exhale forcefully into the device. The meter then measures the speed of your exhale, providing a score that can indicate whether your airways are narrowing. The peak flow meter scores are categorized into three zones: 1. Green zone: If you can exhale at 80-100% of your usual peak flow rate, it indicates that your asthma is currently under control. 2. Yellow zone: If you can exhale at 50-80% of your usual peak flow rate, you are in the cautionary range. It is important to take action and seek appropriate medical attention to prevent worsening symptoms. 3. Red zone: If you exhale at 50% or less of your usual peak flow rate, you are in the medical alert range. It is crucial to seek immediate medical attention as your asthma may be severely compromised. It’s important to note that individual results can vary depending on technique and other factors. To obtain the most accurate results, it is recommended to regularly monitor your peak flow and establish a baseline for your normal values. This helps you identify any significant deviations from your usual respiratory function and allows for timely intervention. Regular peak flow monitoring is a valuable tool in managing asthma and monitoring its control over time. FeNO Test The fractional exhaled nitric oxide (FeNO) test is a diagnostic tool used to measure the level of exhaled nitric oxide in your breath. Nitric oxide serves as a marker for a specific type of airway inflammation. During the FeNO test, you will exhale slowly and steadily into a device that measures the concentration of nitric oxide in your breath. Inflammation of the airways, a characteristic feature of asthma, leads to increased production of nitric oxide. Higher levels of nitric oxide indicate greater airway inflammation, which is often seen in conditions like asthma. The FeNO test is particularly useful in diagnosing a specific subtype of asthma called eosinophilic asthma. This subtype is characterized by elevated levels of eosinophils, a type of white blood cell associated with allergic inflammation. By measuring nitric oxide levels, the FeNO test helps identify the presence and degree of airway inflammation associated with eosinophilic asthma. The FeNO test plays
In recent years, there has been considerable discussion about the potential connection between cooking and alleviating anxiety. Culinary courses targeting depression and anxiety have emerged, and prominent publications have highlighted the therapeutic benefits of cooking for mental health. However, the science behind the relationship is complex, according to Todd Farchione, a clinical psychologist at the Center for Anxiety and Related Disorders of Boston University. While there are reasons for optimism, it is essential to approach the topic with a balanced perspective. To gain insights into the matter, Health magazine interviewed Farchione and Kat Kinsman, author of “Hi, Anxiety: Life With a Bad Case of Nerves” and a senior food and drinks editor at ExtraCrispy.com. The focus of the discussion was generalized anxiety disorder (GAD), a condition that reportedly affects 18% of adult Americans. By exploring the perspectives of these experts, the article aims to shed light on the potential benefits of cooking for anxiety relief while acknowledging the nuanced nature of the relationship. Cooking Requires Mindfulness Farchione highlights a couple of notable aspects regarding cooking and anxiety. Firstly, he mentions that for some individuals, cooking can be a relaxing activity with a mindful quality. Engaging in the process of cooking and being in the zone can have benefits for individuals with anxiety as it allows them to focus on the present moment. Anxiety often involves a future-oriented state accompanied by worries, so being able to divert attention from those concerns and focus on kitchen tasks can be helpful. However, Farchione notes that the extent to which cooking is relaxing varies depending on personality traits, as perfectionistic tendencies, for example, may hinder the relaxation aspect. Kinsman, who personally experiences generalized anxiety disorder, panic disorder, and depression, finds that engaging in kitchen activities helps break the cycle of anxiety in her brain. Whether it’s grilling, baking, or using her Instant Pot, she finds these tactile activities to be tremendously soothing. Even though her current dietary restrictions prevent her from baking, she appreciates that cooking requires her to stay away from gadgets and distractions. The physical engagement with the cooking process helps her stay present in the moment, which she considers a positive and beneficial aspect. By disconnecting from email and social media, she breaks the cycle of anxiety perpetuated by the constant need for new information and potential triggers. The State of Flow Can Help Improve General Well-being Another potential way in which cooking can help alleviate anxiety is through the concept of “flow” in positive psychology. Flow refers to a state of effortless absorption in an activity, where the challenge level matches one’s skill level, resulting in a sense of engagement and well-being. Farchione explains that achieving a flow state is possible with cooking if the challenge level is balanced and one’s skill level is adequate. For some individuals, cooking presents an opportunity to experience this flow state, leading to an improvement in well-being. While it may not be immediately apparent how cooking can induce this state of flow, Kinsman acknowledges that she had to consciously decide to view cooking as her relaxing activity. It required a deliberate shift in mindset and recognizing that cooking could provide uninterrupted time for herself. She finds comfort in the concrete and measurable outcomes of cooking, as her particular brain prefers activities that have tangible results. With her expertise in the kitchen, she feels confident and less worried while cooking. Farchione notes that although the specific brain mechanisms involved in this phenomenon are not yet fully understood, engaging in activities like cooking can help break the pattern of worry. Cooking’s focus on measurement and following recipes can be engaging enough to create an alternative pathway, diverting attention away from anxiety. Similarly, other tasks or exercises that require focus and engagement, such as coloring books, can provide a similar effect of temporarily shifting one’s mindset away from anxiety. Cooking Is Social and Involves Positive Feedback Cooking not only offers the potential for personal satisfaction but also connects with social activities and the opportunity to share the creation with others, receiving feedback in return, according to Farchione. This aspect of cooking can contribute to positive experiences and promote overall well-being. Kinsman emphasizes the reward that comes with cooking—feeding oneself. The clear outcome of preparing a meal provides a sense of fulfillment and purpose. Kinsman often cooks alongside her husband, who prepares cocktails, and they view it as a dedicated time to be together and unwind. This shared experience allows them to decompress and enjoy each other’s company, providing a soothing and enjoyable environment, unless hunger starts to intensify. By highlighting the social aspect and the intrinsic reward of nourishing oneself, both experts underscore the positive and gratifying nature of cooking. It serves as an opportunity for connection, relaxation, and a means to fulfill basic needs while engaging in a shared activity. Let’s Maybe Not Call It “Therapy” Farchione cautions against labeling cooking as a form of therapy specifically, emphasizing that it is premature to designate any particular activity as therapy. He suggests that engaging in activities that promote mindfulness and present-moment experiences can offer benefits for individuals seeking relief from stressors and worries in their lives. While he doesn’t explicitly endorse the term “cooking therapy,” he acknowledges the potential benefits of activities that allow individuals to disengage from a worry process and find a sense of calm and focus. Instead of focusing on specific labels, he highlights the importance of finding activities that facilitate a mindful and present experience to support well-being. How to Get Started It’s important to acknowledge that everyone has their own ways of unwinding, and there is no judgment in choosing convenience options like ordering delivery or preparing frozen meals. However, in today’s food-centric era, there are various cooking methods available that can provide a sense of fulfillment and relaxation. Kinsman suggests alternative cooking appliances for those who may not have access to a stovetop. Pressure cookers or slow cookers can be just as beneficial in creating satisfying meals. Kinsman finds her
An asthma attack, also known as an asthma exacerbation, is characterized by a sudden worsening of asthma symptoms due to the constriction of the muscles surrounding the airways. However, it’s important to note that asthma attacks can vary among individuals. The experience of an asthma attack can differ from person to person, as each individual may have different levels and manifestations of symptoms. According to Dr. Melinda Rathkopf, an expert in allergy, asthma, and immunology, what constitutes an attack for one person may be different for another. Although individual attacks may present with varying symptoms or levels of severity, they share a common factor: a rapid deviation from one’s normal asthma symptoms, which, with proper management, may be minimal or absent. Dr. Marilyn Li, an associate professor of pediatrics, emphasizes the sudden and distinct nature of an asthma attack. It represents a notable event characterized by a swift onset of symptoms that deviates from a person’s usual symptom pattern. Asthma Symptoms and Triggers During an asthma attack, individuals may experience various symptoms, including difficulty breathing, wheezing, coughing, increased mucus production, shortness of breath, chest tightness or pressure, and in severe cases, blue lips or nails due to hypoxia. However, the latter symptoms are considered extreme and less common, according to Dr. Rathkopf. Triggers for asthma attacks can vary from person to person, but the two main causes are allergies and infections, as explained by Dr. Rathkopf. Allergic asthma triggers commonly include pollen (particularly during specific seasons), mold, dust mites, cockroaches, and pet dander, especially from cats. Cat dander, in particular, tends to stick to the airways, exacerbating asthma symptoms. Upper respiratory infections like the common cold, flu, or sinusitis can also serve as triggers for asthma attacks. Additional potential triggers include cigarette smoke, perfumes or fragrances, stress and strong emotions, cold air, physical exercise, acid reflux, and adverse weather conditions. Certain weather events, such as high winds, can worsen asthma symptoms by dispersing airborne elements like pollen and dust into the air, which can then trigger an attack. Dr. Li mentions that during Santa Ana winds in California, airborne particles like pollen and dirt become more prevalent due to the wind blowing them off surfaces. This increased presence of airborne allergens can easily enter the airways and contribute to an asthma attack. Prevention for Asthma Attacks Some periods of asthma last only a few minutes, while others can be quite severe and require emergency medical attention. Many cases of minor assaults are manageable at home. Try the following. 1. Avoid Your Triggers If you are aware of your asthma triggers, it is advisable to avoid them as much as possible in order to prevent asthma attacks. However, there may be instances where avoiding triggers is not feasible. In such cases, if you find yourself experiencing an asthma attack and you know the trigger, take immediate action to remove yourself from the source. For example, if you enter a house with a cat and notice symptoms of an asthma attack, it is recommended to leave the environment and get some fresh air. Similarly, if you are outdoors in cold weather and the cold air is triggering your symptoms, seek shelter indoors or cover your mouth with a scarf to help warm the air you breathe. Taking prompt action to remove yourself from the trigger can help minimize the severity of the asthma attack and potentially prevent it from worsening. 2. Follow Your Action Plan It is essential for every asthma patient to have an asthma action plan provided by their doctor. These personalized plans outline the recommended steps to take during an asthma attack. Being prepared is crucial because asthma attacks can occur unexpectedly. This applies to everyone, even individuals who have never experienced an asthma attack before. As Dr. Rathkopf explains, some people may mistakenly believe they cannot have asthma because they have never had an attack. However, the absence of previous attacks does not eliminate the possibility of having asthma. The first course of action after removing yourself from the trigger, or if avoidance is not possible or the trigger is unknown, is typically to use medication. 4. Take Your Rescue Inhaler It is recommended that every individual with asthma have a rescue medication, typically an albuterol inhaler or similar bronchodilator, readily available at all times. These medications work quickly to open up the airways and facilitate easier breathing. Even if you haven’t needed to use the medication for an extended period, it is still important to carry it with you as a precautionary measure. In cases of severe asthma, injectable epinephrine may be prescribed by doctors, although this is relatively uncommon. During an asthma attack, it is generally advised to take two to four puffs of the rescue medication, as suggested by Dr. Li. It is crucial to follow the specific instructions provided by your healthcare provider or outlined in your asthma action plan. 5. Stay Calm During an asthma attack, it can be beneficial to consciously relax your upper body and focus on slowing down your breathing. It’s important to avoid panicking, as this can exacerbate the situation. While panic attacks and asthma attacks are distinct, they can sometimes occur simultaneously. By remaining calm and composed, you can help manage the symptoms and navigate through the asthma attack more effectively. Get Medical Help If you’ve experienced an asthma attack in the past, you may have a sense of how the current attack will progress. It’s important to note that individuals with a history of severe asthma attacks are at a higher risk of experiencing another severe attack. Previous symptoms can serve as a predictive factor for future reactions. If you don’t experience improvement after using your rescue inhaler as directed, you may need to repeat the process according to your asthma action plan. However, if your symptoms persist or worsen, it’s crucial to seek medical attention. This can involve visiting the emergency room or contacting your doctor’s office, especially if you have a respiratory infection. While