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New prostate surgery not necessarily better: study

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New prostate surgery not necessarily better: study

Men who have less invasive prostate cancer surgery — often done robotically — are more likely to be incontinent and have erectile dysfunction than men who have conventional open surgery, U.S. researchers said on Tuesday.

Many men, especially those who are wealthy and highly educated, favor minimally invasive surgery because they assume the high-tech approach will yield better results, but the evidence on that is mixed, the team reported in the Journal of the American Medical Association.

“We found men undergoing minimally invasive versus open surgery were more likely to have a diagnosis of incontinence and erectile dysfunction,” Dr. Jim Hu of Brigham and Women’s Hospital in Boston said in a telephone briefing.

Hu said use of minimally invasive surgery has taken off since the introduction and heavy marketing of robot-assisted surgery, such as the da Vinci system made by Intuitive Surgical Inc.

The system consists of robotic arms, controlled from a console, that allow surgeons to perform less invasive surgeries. Hospitals advertise the systems as being able to reduce trauma, blood loss, risk of infection, scarring and often pain.

Hu said so far, there have been few studies that compare minimally invasive surgery with open surgery.

To do that, he and colleagues used billing data from the Medicare insurance program for the elderly on procedures done from 2003 to 2007. During that time, use of minimally invasive surgery for prostate cancer increased fivefold.

While both approaches fared equally well as a cancer treatment, they found that men who got the minimally invasive approach had shorter hospital stays, were less likely to need blood transfusions, and had fewer breathing problems after surgery than those who got conventional surgery.

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Healthy Meals, No Cooking

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Healthy Meals, No Cooking

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Men’s Health magazine’s Matt Bean showed Maggie Rodriguez healthy meal options on-the-go.

No cooking required.

At the of the creation of the World Health Organization (WHO), in 1948, Health was defined as being “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity”.

This definition invited nations to expand the conceptual framework of their health systems beyond issues related to the physical condition of individuals and their diseases, and it motivated us to focus our attention on what we now call social determinants of health. Consequently, WHO challenged political, academic, community, and professional organizations devoted to improving or preserving health to make the scope of their work explicit, including their rationale for allocating resources. This opened the door for public accountability

Only a handful of publications have focused specifically on the definition of health and its evolution in the first 6 decades. Some of them highlight its lack of operational value and the problem created by use of the word “complete.” Others declare the definition, which has not been modified since 1948, “simply a bad one.”

In 1986, the WHO, in the Ottawa Charter for Health Promotion, said that health is “a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities.” Classification systems such as the WHO Family of International Classifications (WHO-FIC), which is composed of the International Classification of Functioning, Disability, and Health (ICF) and the International Classification of Diseases (ICD) also define health.

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More kids have autism than thought: U.S. study

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More kids have autism than thought: U.S. study

You may have heard the oft-quoted statistic that autism affects 1 in 150 US children. Turns out it’s more like 1 in 91 — and about 1 in 58 boys, according to new figures released Sunday.

That’s an estimated 673,000 US children — or approximately 1 percent of all U.S. kids, the researchers from the U.S. Centers for Disease Control and Prevention, Atlanta, and Harvard Medical School, Boston report in the journal Pediatrics.

Bob Wright, co-founder of the autism advocacy group Autism Speaks, told Reuters Health he’s not at all surprised by the new figures. “We’ve been screaming about the numbers going up; now there is a relatively complete recognition of it.”

“The statistical aspect of autism is just staggering,” he said, and not enough is being done about it. “If we had 1 in 58 boys getting swine flu, the country would be crazy,” Wright said.

Autism is a brain disorder characterized by problems with social interaction, repetitive behavior and other symptoms. People with a mild version called Asperger’s syndrome usually function relatively well in society, although they have problems relating to others. People with the most extreme symptoms may be unable to speak and may also suffer severe mental illness and retardation.

No one knows what causes autism — it’s generally thought to have genetic and environmental triggers — and there is currently no good treatment.

Autism is “an urgent public health concern,” Dr. Ileana Arias, deputy director of CDC, told reporters on a conference call Friday ahead of public release of the data.

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