>> Children Fill ERs and Hospitals
>> Surprise data for colon cancer screening
>> Does Parkinson’s disease have a smell?
The Med & Mic™ 10.11.22
MED NEWS blog post from Dr. Maria ON Speaking, LLC
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Spike in Respiratory Illnesses in Children
The U.S. is seeing a significant spike in respiratory illnesses in children due to respiratory syncytial virus, enteroviruses, and rhinovirus. Emergency rooms have been crowded, and pediatric hospitals are running out of beds. The surge is starting sooner than expected. The RSV numbers usually go up in November through January. Hospitals have received a CDC advisory to be on the lookout for breathing trouble and sudden limb weakness. (Source: NPR, M. Lopez Restrepo, ML Kelly, 10.11.22)
Colonoscopies: Less Cancer, but Deaths Unchanged
A new, randomized clinical trial shows that colonoscopy, a test to look inside the large intestines for signs of a developing cancer, did not provide a significant reduction in death from colon cancer. In a study from Poland, Norway, and Sweden, 28,000 participants were randomly assigned to be invited for a colonoscopy or usual care, which did not include a colonoscopy. Of those invited, only 42% actually had the test. After ten years, the researchers found that those who were invited had an 18% reduction in colon cancer, but were no less likely to die of colon cancer than the usual care group. However, for those who had the test, there was a 30% reduction in colon cancer risk and a 50% reduction in colon cancer death. The data may shift the screening practice toward in-home, send-away tests to analyze feces for abnormalities suggesting cancer, rather than expensive, time-intensive colonoscopies. (Source: STAT News, A. Chen, 10.9.22)
Supersmeller’s phenomenon leads to testing
The skills of a Scottish woman who has been able to identify people with Parkinson’s disease by smell have led to a skin swab test for the condition. She noticed a change of smell in her husband, who had Parkinson’s disease. Subsequently she was tested with 12 t-shirts, six from healthy people and six from people with the disease. She was correct in each case, and she identified Parkinson’s disease in one of the healthy people who went on to be diagnosed later that year. This inspired scientists in the UK to find a set of molecules specific to the disease in skin oil, or sebum. The researchers are hopeful this type of test could aid diagnosis. (Source: Scientific American, D. Kwon, 10.11.22)
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