Wednesday, November 30, 2016

Healthy body, healthy mind: a double payoff for exercise

The mental health benefits of exercise are well documented, and even moderate sadness and feelings of anxiety can be improved



By Dr. Paul Latimer
Columnist
Troy Media
KELOWNA, B.C. / Troy Media/ - Not only is exercise good for our bodies, it's also good for our minds.
Most people with a regular exercise routine will tell you that it makes you feel good physically and is a helpful way of reducing stress, improving confidence and self-esteem, and increasing energy. It adds to a general sense of well-being.
Although most fitness research in the past focused on physical and health benefits, growing evidence shows that exercise also improves and promotes mental health. Beyond simple stress relief, exercise can help reduce depression and anxiety, this new research shows.
Exercise increases endorphin levels in the brain. These chemicals act as the body's pain killers and cause increased feelings of happiness.
An American university study examined people suffering from depression over a four-month period. It found that 60 per cent of those who exercised for at least 30 minutes three times a week overcame their depression without medication. This is the same success rate as for those who only used medication to treat their depression.
These are promising results - and they aren't the only ones available on the subject. Several other studies have consistently shown that exercise can lead to a significant reduction in depression. Research also shows that these benefits can begin as early as the first exercise session and may last after the exercise is finished.
Other studies examined the relationship between exercise and anxiety. Analysis of many studies conducted over the past several decades found that more than 80 per cent concluded that physical activity and fitness are related to the reduction of anxiety. Aerobic exercise such as running, swimming or cycling seems to be the most effective.
Of course, you don't have to have a clinically significant amount of depression or anxiety to receive the mental health benefits of exercise. Even moderate sadness and feelings of anxiety can be improved with exercise.
The relationship between mental health and exercise can also work in reverse. A recent study published in the American Journal of Public Health examined teenagers. It found that those with low levels of physical activity and more sedentary behaviour had a much higher likelihood of developing depression after one year. The study concluded that this lack of activity constituted a risk factor for depression.
Mental ability can also improve with exercise. Some research shows that regular exercise improves cognitive function. One study at a university in Japan looked at a group of volunteers who began a jogging regimen. Their memory and mental ability increased throughout the study. When the exercise stopped, the benefits reduced, showing the importance of regular and maintained exercise.
All of this is promising for those suffering from these psychiatric conditions, but simple exercise is not be a cure-all. Not everyone will get better without more formal treatment from a doctor. If you are depressed or anxious, it is still wise to speak with your doctor about it.
Don't be discouraged if jumping on the treadmill doesn't make you feel completely better. Other help is also available.
On the other hand, exercise will not make you worse and everyone can benefit to some degree.
These benefits can be felt even with moderate exercise. You don't necessarily have to spend hours and hours a week at the gym.
The important thing is just to get out there and get moving - for your physical and mental well-being.
Dr. Paul Latimer is president of Okanagan Clinical Trials and a Kelowna psychiatrist. Paul is included in Troy Media's Unlimited Access subscription plan.
© 2016 Distributed by Troy Media

Tuesday, November 29, 2016

What exactly IS botox and is it really safe?




Some turn to cosmetic surgery while others consider botox injections to rid them of their visible ageing signs.

But many fear the injections could cause damage to the rest of the body after research found the toxic chemical - which freezes cells in the face - can spread across the body.  
But don't worry, now a dermatologist says it is completely safe and you can stop at any time without any lasting effects.






Read more: http://www.dailymail.co.uk/health/article-3825053/What-exactly-botox-really-safe-doctor-answers-pinching-questions.html#ixzz4R9xygpzJ
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http://www.dailymail.co.uk/health/article-3825053/What-exactly-botox-really-safe-doctor-answers-pinching-questions.html

Monday, November 28, 2016

WHAT IS TOO MUCH PLASTIC SURGERY?



Plastic surgery has improved the lives of millions. There are those, however, who expect more from plastic surgery than it can possibly give them.





Wednesday, November 16, 2016

Health system ignores frail Canadians when they need help most

It's time we improved the quality and quantity of care for frail Canadians - and improved the health system for everyone in the process



By John Muscedere
and Fred Horne
EvidenceNetwork.ca
KINGSTON, Ont., EDMONTON, Alta. / Troy Media/ - Canada's health system too often fails to deliver the complex care that frail patients need between urgent health events.
When a frail older patient has an acute health crisis in Canada, the system usually delivers excellent service.
John Muscedere
Click image for Hi-Res
But health - like quality care - is determined by more than just response to medical emergencies.
The truth is, we rarely deliver quality chronic care, comprehensive home care or continuous care, and in particular, poorly handle transitions between care settings and providers.
We also often neglect more cost-effective interventions with proven health and quality of life benefits, such as social supports that can help people age in place.
Our overemphasis on acute care needs, and the consequent neglect of other aspects of the health system, have serious consequences - especially for those who are frail. These consequences include worsened health outcomes and increased health costs.
Why?
Fred Horne
Click image for Hi-Res
The burden of 'frailty' in Canada is steadily growing. Today, approximately 25 per cent of those over age 65 and 50 per cent of those over 85 - more than one million Canadians - are medically frail. In 10 years, well over two million Canadians may be living with frailty.
Frailty is defined as a state of increased vulnerability, with reduced reserve and loss of function across multiple body systems. Frailty reduces the ability to cope with normal or minor stresses, such as infections, which can cause rapid and dramatic changes in health.
Frail people are at higher risk for worsened health outcomes and death than we would expect based on age alone.
The risk of becoming frail increases with age, but the two are not the same.
Frail Canadians are the major consumers of health care in all settings. Of the $220 billion spent on health care annually in Canada (11 per cent of gross domestic product), 45 per cent is spent on those over 65 years old, although they only represent 15 per cent of the population.
In spite of higher utilization of health care resources for those who are frail, many therapies haven't been evaluated in this population and we don't know if they are beneficial, cause harm, are cost-effective or waste resources.
Are we overtreating some frailty with ineffective therapies and tests, yet not providing adequate social and medical supports in other areas?
The answer is almost certainly yes.
It's time we improved the quality and quantity of care for frail Canadians - and improved the health system for everyone in the process. Here's how:
We need to break down silos of care based on single diseases, single organ failure, settings of care or clinical disciplines. Addressing frailty requires a co-ordinated, multidisciplinary approach. Instead of having multiple specialist appointments and replicating tests across different facilities, we could have one-stop shops that cater to the needs of patients, not providers.
We need to address the needs of frail elderly in a more equitable health system across the country. As we outlined in our brief to the Finance Committee 2017 pre-budget consultations, we could establish funding based on age and frailty instead of the current per capita model.
Funding enhancements should be directed towards strengthening primary health care, along with social and economic supports. Most frail adults live in the community; strengthening primary care and community supports are crucial to help them age in their preferred settings.
We need to provide patients, clinicians and decision-makers with high-quality evidence on the effectiveness of treatments for the frail. Most research excludes the very sick and the elderly. Without evidence, aggressive and expensive therapies are often overused without improvement in outcomes, resulting in poor quality of life and wasted resources.
We need to improve the recognition and assessment of frailty to aid in implementing more appropriate care and planning.
Identifying the most vulnerable of our aging population will allow us to institute appropriate care plans and improve supports - so we can improve outcomes, quality of life and the use of resources.
John Muscedere is the scientific director and CEO of the Canadian Frailty Network (CFN), a not-for-profit organization funded by the government of Canada's Networks of Centres of Excellence program. CFN's mandate is to improve the care for frail elderly Canadians and their families within the health care system. Fred Horne is a health policy consultant and adjunct professor with the University of Alberta's School of Public Health. He was Alberta minister of Health from 2011 to 2014 and served as chair of the Provincial and Territorial Ministers of Health. He is a member of the CFN Board of Directors.
© 2016 Distributed by Troy Media

Tuesday, October 18, 2016

Neuromuscular Toxins


Neuromuscular Toxins


The first option, which is most appropriate for active lines or age associated wrinkles that are just starting to appear, is to temporarily weaken or paralyze the muscle that is causing the wrinkle.  Botulinum Toxin type A is a family of neurotoxins that block nerve signals that cause muscles to contract.  The toxin works directly where it is placed, and thus can be artistically used to alter facial expressions.  Botox Cosmetic® is widely recognized, and was the first neurotoxin to be approved for cosmetic use in the United States.  Other manufactures are producing variant toxins that will likely be approved for use in the near future, including Reloxin and PurTox.  These toxins will be differentiated by their time to onset, duration of effect (the clinical effects of Botox Cosmetic® are typically 3 to 4 months), and the distance of effect from the injection site.  Risks include bruising at the injection site, rare chance of an infection, and the possibility of unintentionally affecting nearby muscle groups.  Specific risks should be discussed with your injector when considering treatment.muscle groups.  Specific risks should be discussed with your injector when considering treatment.

Soft Tissue Fillers


The second class of injectable treatments are the soft tissue fillers.  This group is rapidly expanding, and many options are available.  These injectables are more useful for treatment of firmly established wrinkles or larger lines of facial aging (such as the nasolabial folds).   Fillers restore volume to the face and can add structure as well.  Depending on the type of filler and the depth at which it is injected, you can smooth out fine lines on the surface of the skin, fill out deep lines (eg: nasolabial folds), augment soft tissues (such as the lips), or even effectively augment facial bone structure.  All of these injectable fillers are placed by an injection, so the group carries usual risks of bruising, lumpiness, redness, product specific adverse reactions, and in rare cases local infections.
Many options are available in the filler class, with clinical differences being predominantly governed by how long the effects last, as well as how the filler “feels”.  Generally speaking, very soft fillers (that are best for locations such as the lips) tend to have a shorter duration of effect, while fillers that last longer tend to have more structure and are better suited in regions where they will not be palpable (such as the nasolabial folds).  In the past, the most widely used fillers were based on collagen, with sources ranging from bovine to human.  For some collagen formulations, skin testing before injection is necessary to confirm that you will not have an allergic response to the filler.  Collagen based fillers tend to last 3 to 6 months, and for some indications have a very natural feel.


Tuesday, October 4, 2016

UK Advises Vitamin D Supplements for Everyone – Should Canada Follow?



TORONTO – A recently released report by the Scientific Advisory Committee on Nutrition (SACN) in the United Kingdom is urging all Brits to take vitamin D supplements, which according to the Vitamin D Society of Canada, should give Canadians a reason to start looking at their own vitamin D intake levels.

Much like the UK, Canada shares the same sunshine limitations, which means because of the northern latitude of both countries, vitamin D producing sunlight can only be captured by our skin between the months of May and October. This leaves Canadians and Brits in the cold and with declining vitamin D levels in the fall and winter.

The downside of low vitamin D levels means that bones can become thin and brittle because vitamin D plays an important role in regulating the amount of calcium and phosphate in the body - making it essential for bone health and more.

“Without having a recommended intake in the UK it was not possible to evaluate vitamin D status or vitamin D intakes there, but now with the decision of SACN to finally put these forward, we can see in the UK, intakes are low and status is one of the poorest,” says Dr. Susan Whiting, Scientific Advisor for the Vitamin D Society and professor at the University of Saskatchewan. “Both countries share similar latitudes, similar dietary habits and distribution of people of European and non-European ancestry. Modest fortification with vitamin D in Canada has prevented us from having so much severe vitamin D deficiency as is the situation in the UK right now. But diet alone in neither country can allow us to achieve optimal vitamin D status especially in winter months.”

Statistics Canada reports that up to 12 million Canadians — 35% of us — do not meet vitamin D blood level requirements. That number rises to more than 40% in the winter.

The summer sun allows most Canadians and Brits to naturally generate adequate levels of vitamin D, but according to the Vitamin D Society, come winter, that won’t be possible. The northern latitude of our countries physically prevents vitamin D generating sunlight to reach us. The solution to keeping levels normal in the winter, however, is from vitamin D supplements or artificial UVB exposure.

“While vitamin D supplements will help provide benefits in the winter months, fortified foods, which are sometimes relied upon to provide vitamin D, do not actually provide enough vitamin D in the winter.” says Dr. Whiting “For now, the best way to get ready for winter is to enjoy the sun safely and get the summer sunlight while it’s here. But for those who remain indoors or are otherwise prevented from sun exposure in summer, a supplement all year long might be the answer.”

The Vitamin D Society encourages Canadians to use their time in the midday summer sun wisely to stock up on the sunshine vitamin but to remember to use common sense and not let skin burn.

To learn more about vitamin D, please visit www.vitamindsociety.org.

About the Vitamin D Society:
The Vitamin D Society is a Canadian non-profit group organized to increase awareness of the many health conditions strongly linked to vitamin D deficiency; encourage people to be proactive in protecting their health and have their vitamin D levels tested annually; and help fund valuable vitamin D research. The Vitamin D Society recommends people achieve and maintain optimal 25(OH)D blood levels between 100 – 150 nmol/L (Can) or 40-60 ng/ml (USA).


Thursday, September 29, 2016

Restoring Facial Volume: Fat Grafting vs. Fillers


For many years, facial rejuvenation was limited to skin resurfacing with lasers and peels, 
and various surgical soft tissue repositioning procedures. However, our options have 
expanded with the understanding of muscle relaxation via neurotoxins such as Botox,
 and the evolution of our knowledge of how fat atrophy in the face leads to stereotypical 
architectural changes with aging. Plastic surgeons can now add volume to refresh the face. 

In order to achieve a youthful but natural appearance for my patients, I use a combination 
of muscle balancing, skin resurfacing and tightening, as well as volume restoration.

 Ultimately, when the battle of gravity versus skin plays out over time, 
surgical repositioning is required.



Restoring Facial Volume: Fat Grafting vs. Fillers

Wednesday, September 28, 2016

Misinformation fuels opposition to health-care reform in Canada

The reality is that for-profit provision of health-care services is commonplace among industrialized countries with universal health care


By Bacchus Barua
and Jason Clemens
The Fraser Institute
VANCOUVER, B.C. / Troy Media/ - For almost two decades, fear of a U.S.-style system has fuelled opposition to genuine reform of Canadian health care. Many of those same opposition voices are now protesting the constitutional challenge to Canada's health regulations by the former head of the Canadian Medical Association, Dr. Brian Day.
In reality, our health-care system is expensive, delivers poor-to-modest results, and fails to achieve many of its laudable aspirations. The solution to fixing and maintaining our universal health-care system is to recognize the successful approaches used in other universal-health care countries, such as the use of for-profit companies to deliver health-care services.
The Dr. Day case, which will likely end up in the Supreme Court of Canada, focuses on two aspects of British Columbia's health regulations: (1) prohibition against doctors working in both the public and private health-care systems, and (2) the disallowance of purchasing private insurance for core medical services.
Legal arguments aside, the context of the case is worth noting. Canada is one of the highest spenders, on both a per person basis and as a share of the economy, on health care among industrialized countries that provide universal health coverage. Yet Canadians endure some of the longest wait times for medically necessary procedures. For example, in 2015 Canadians waited 18.3 weeks between referral by a GP and actual treatment. Canadian patients also suffer from comparatively poor access to doctors and medical technologies such as MRIs.
But if the voices of opposition at the Dr. Day trial are to be believed, there's an incompatibility between medical care delivered by private, for-profit companies and universal health care.
The reality, however, doesn't match this rhetoric. A recent study looked at for-profit insurers and hospitals in six industrialized countries (Australia, France, Germany, the Netherlands, Sweden and Switzerland) that all maintain universal health care.
For-profit hospitals are found in all six countries. In Germany, France and Switzerland, for instance, universally accessible hospital care is delivered by both non-profit and for-profit hospitals. In Australia and Sweden, governments contract with for-profit hospitals for universally accessible services.
For-profit health insurers are also found in all six countries. Notably, for-profit companies compete to offer the primary health-care insurance in the Netherlands, offer a private substitute for public health-care insurance in Germany, and offer a private option alongside the public system for patients in Australia and Sweden.
Remember, all six of these countries maintain universal health care.
But Canadians need not look beyond our own borders to see the benefits of private, for-profit provision of health services. Saskatchewan's Surgical Initiative (SSI) was introduced in 2010 with the express goal of reducing what were the country's longest wait times for medical treatment.
Under the SSI, select day surgeries were contracted out to private, for-profit clinics. A recent study by the former NDP finance minister of Saskatchewan, Prof. Janice MacKinnon, provided evidence that on average, private clinics delivered procedures at 26 per cent lower costs than public-sector equivalents. For example, in 2012, Regina Surgical Centres Inc. provided cataract surgeries at $618 per procedure compared to $1,273 in public hospitals in the Regina Qu'Appelle regional health authority.
The results in Saskatchewan have been stunning. The province has gone from having some of the longest wait times, on average, for medical treatment to having the shortest. The government's own wait time data indicates a decline of 75 per cent in the number of patients waiting three months or longer for surgery.
The reality is that for-profit provision of health-care services is commonplace among industrialized countries with universal health care. Canada is actually the oddity in limiting - and in some cases, actually prohibiting - such activities. Hopefully the Dr. Day case, if nothing else, will bring these important reform lessons to light for Canadians.
Bacchus Barua and Jason Clemens are economists at the Fraser Institute.
© 2016 Distributed by Troy Media

HEALTH

Monday, September 12, 2016

Parabens Are Worse Than Previously Thought

A study from the National Food Institute at the Technical University of Denmark discovered that butylparaben, commonly used in cosmetics and skincare products to stop bacterial growth, has more adverse effects on the reproductive system than previously believed. Researchers observed endocrine disrupting effects on the development of the reproductive system in rats that were exposed to butylparaben prenatally. They observed reduced sperm quality as well as changes in the prostate, testicles, ovaries, and breast development. "Overall, our results suggest that butylparaben has more negative effects on reproductive health than previously thought," says Julie Boberg, senior researcher from the National Food Institute.
In male rats, researchers observed changes in the prostate as well as the testicle’s ability to produce hormones. Sperm count was significantly reduced in all doses of the substance male rats were exposed to. In female rats, they observed a decrease in ovary weight and an increase in mammary gland outgrowth. The study shows, however, that some effects were only observed at high doses of the substance. It is also important to note that humans are not exposed to paraben doses as high as the rats were in the study. "We need more knowledge about what it means for humans to be exposed to parabens from skin lotions and cosmetics for example,” says Boberg. “It is especially important to take account of cocktail effects because people are exposed to many types of endocrine disruptors at the same time over the course of a normal day.”—Isabela Palmieri

Wednesday, August 17, 2016

Stem Cell & PRP

by


MeMedical Director at Advance Spine Care and Pain Management


Stem cells research falls in the field of regenerative medicine. The field itself is undergoing active research worldwide and rapidly advancing.


More: http://www.kevinlimd.com/stem-cell-prp/


https://www.linkedin.com/pulse/stem-cell-prp-kevin-li-md-qme-ime-9?trk=hp-feed-article-title-like

Tuesday, August 16, 2016

Rested and wrinkled? Oh, the irony

Are the facial wrinkles, lines and folds that happen with aging result purely from the expressions we make? While skin distortion from facial expressions causes many, if not most, of the wrinkles we see on our faces with age, a new study suggests there’s a wrinkle (ahem) in that line of thinking. It turns out, as many experts in facial aesthetics have long assumed, wrinkles also result from "mechanical distortion" during sleep.

Plastic surgeon and lead author Goesel Anson, M.D., clinical instructor of surgery at the School of Medicine, University of Nevada, Las Vegas, and colleagues report in the study published online June 21 in the Aesthetic Surgery Journal that compression, shear and stress force factors result in facial distortion when people sleep on their sides and stomach.
These sleep wrinkles tend to be perpendicular to expression lines and they don’t respond significantly to animation, according to Dr. Anson. Common sleep wrinkles include the lateral oblique forehead crease, radial orbital crease, lateral (vertical) malar crease, medial cheek crease, nasal/lip crease, corner lip crease, oblique marionette crease, preauricular crease and inferior vertical cheek crease, according to the study.

American Society for Aesthetic Plastic Surgery President Daniel C. Mills, M.D., a plastic surgeon in Laguna Beach, Calif., says he has long suggested to patients that some of their facial wrinkles come from sleep positions, especially when patients complain that they have more wrinkles on one side of the face than the other. He’ll ask them how they sleep at night, and often the light goes off in the patient’s mind that, yes, those wrinkles show up on the side of their favorite sleeping position, he says.
“So, these are things that we see on a daily basis, but it’s very nice for the doctors to have written an article about this, quantifying it,” Dr. Mills says.
The researchers not only looked at wrinkles from sleep, but also potential facial skin expansion. Based on available studies, they didn’t find a direct correlation between facial distortion during sleep and skin expansion, Dr. Anson says. However, it’s a logical conclusion to draw from basic science literature and more research needs to be done on the subject matter, she says.

Monday, August 15, 2016

Sleep-induced wrinkles resist treatment


People who sleep on their side or stomach exert compression, shear and stress force factors on their faces that result in distortion and, ultimately, wrinkles, according to a study published in the Aesthetic Surgery Journal. Fillers and neuromodulators are ineffective or short-lived in sleep-induced wrinkles, says study leader and plastic surgeon Goesel Anson, but radiofrequency and ultrasound devices or microneedling might be options, according to American Society for Aesthetic Plastic Surgery President Daniel Mills.

Thursday, August 11, 2016

Dr. Patrick J. Treacy

We have all seen individuals whose mood has changed positively following BTX-A injection in the brow area. Now there is growing evidence that treatment of the glabellar area may actually be used to treat depression. In this paper Dr. Patrick Treacy looks at the current data to support this theory.
Depression affects over 120 million people globally, making it one of the leading causes of disability in the world. Although there are various effective treatments, therapeutic response remains unsatisfactory and depression can develop as a chronic condition in a considerable proportion of patients. Negative emotions, such as anger, fear, and sadness are prevalent in depression and also are associated with hyperactivity of the corrugator and procerus muscles in the glabellar region of the face. In 1872, Charles Darwin recognised these features as a very specific expression of sadness and attributed them to the activity of so-called ‘grief muscles’ in the glabellar region. He also formulated a new theory called the ‘facial feedback hypothesis’, which implied a mutual interaction between emotions and facial muscle activity. More recently, Larsen et al. have shown experimental evidence that voluntary contraction of facial muscles can channel emotions, which are conversely expressed by activation of these muscles.
Heckmann and others (1992) have published data suggesting that treatment of the glabellar region with botulinum toxin produces a change in facial expression from angry, sad, and fearful to happy and this can impact on emotional experience. Many therapists, including Sommer (2003) have shown that patients who have been treated in the glabellar area reported an increase in emotional wellbeing and reduced levels of fear and sadness beyond what would be expected from the cosmetic benefit alone. Hennenlotter (2009) went one stage further and showed that botulinum toxin treatment to the glabellar area stopped the activation of limbic brain regions normally seen during voluntary contraction of the corrugator and procerus muscles. This indicated that feedback from the facial musculature in this region in some way modulated the processing of emotions. Many other researchers have continued down this road with Havas (2010) noting that the processing time for sentences with negative affective connotation was prolonged in women after glabellar botulinum toxin treatment and Neal and Chartrand (2011) speculating that the treatment interfered with the ability to decode the facial expression of other people. This is where things were until recently with many authors suggesting that this capacity to counteract negative emotions could be put to some clinical use during the treatment of depression.
https://www.linkedin.com/pulse/20140608174205-31515886-botox-and-depression