Essendon Health and Wellness in Moonee Ponds, Victoria | Medical centre

Essendon Health and Wellness

Locality: Moonee Ponds, Victoria

Phone: +61 3 9326 1755

Address: 799 Mt Alexander Rd, Moonee Ponds 3039 Moonee Ponds, VIC, Australia

Website: http://www.essendonchiro.com.au

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25.01.2022 This GP has really got THE BIG IDEA !

24.01.2022 Due to the over prescription and generalized commercial use of anti-biotics, we are seeing an increasing number of deaths from antibiotic resistant bacteria. The article below shows lipids (fats) are part of the body's battle armoury against pathogens, by understanding the mechanism of how they contain virulent bacteria we can develop other avenues besides antibiotics to help us in the future.

23.01.2022 Prostate cancer testing: has the bubble burst? Professor Simon Chapman 10 August 2017 MEN'S HEALTH...Continue reading

22.01.2022 For more tips on how to survive the lockdown go to https://www.youtube.com/watch?v=fMwQeMaQ8F0&feature=youtu.be

21.01.2022 https://www.facebook.com/watch/

20.01.2022 Clostridium Difficile is a rare and currently newsworthy bacteria that is resistant to standard antibioitic treatment and tends to kill older or immosuppressed people . So watch out gardeners especially if you use a lot of manure in your garden, where it has been found in up to 50% of manure samples. It is spread inside houses on foot wear worn in the garden, so always take off your gardening shoes.

20.01.2022 GET BACK ON TRACK :)

20.01.2022 Persistent anxiety a killer in coronary heart disease Clare Pain | 28 June, 2017 Persistent anxiety substantially increases the risk of death in people with cardiovascular disease, suggesting the need for psychological interventions in primary care, Australian cardiologists say.... In patients with stable coronary heart disease and persistent moderate-to-severe psychological distress, mortality rates are four times higher than their non-distressed peers, a long-term follow-up of the LIPID statin trial has found. The study, involving 950 patients at 36 centres in Australia and New Zealand, found that those with high scores for anxiety or depression over four years also had three times the risk of cardiovascular death over the 12 years of study follow-up. Previous studies have shown a link between anxiety or depression and increased mortality in patients with coronary heart disease. This was the first study to look at repeated psychological assessments over time, the authors wrote in the journal Heart. Related News: Anxietys effect on the heart is toxic Depression a risk factor for MI in women The data suggested that it was persistent distress that did harm, they said, but there was no link between persistent mild distress and mortality. Persistent moderate distress was an independent risk factor for both all-cause mortality and CV death, the authors wrote. These findings suggest that in patients with stable [coronary heart disease], long-term mortality risk is related to the cumulative burden of psychological distress. About 4% of the patients had persistent moderate distress and they could be suitable for interventions for managing anxiety and depression, the authors suggested. "The patients primary care or usual healthcare providers may be best placed to identify these patients, and consider appropriate interventions. Because repeated interactions are likely to be needed these may be more effectively undertaken by the patients primary care or usual healthcare providers, they added. Study co-author Associate Professor David Colquhoun, a cardiologist at the Wesley Hospital in Brisbane, said the findings confirmed what many patients suspected about distress and cardiovascular prognosis. Persistent moderate to severe distress what you feel is a major predictor of total mortality. The patients were right. People feel that if [theyre] stressed out its bad for their health and weve proven it, he told Australian Doctor. The mind certainly affects the heart and a persistent, miserable feeling, stressed about all things in life, does affect the heart. "What can we do about it? Well, we can try to minimise the fallout of distress if patients need appropriate help with psychologists and psychiatrists, we should do that. Comment - Think mindfulness and meditation to reduce anxiety

19.01.2022 Myth? Sugar intake has no effect on BP Alice Klein Myth: Sugar intake has no effect on blood pressure.... Fact: Growing evidence shows that blood pressure increases significantly after a sugar hit. It is well known that meals full of salt raise blood pressure in some individuals, but what about that other white powder sugar? Sugar is being increasingly blamed for the diabetes and obesity epidemic, but its effects on blood pressure have been largely overlooked. Several studies have shown that blood pressure rises significantly after people drink sugary beverages. A Swiss study found that systolic blood pressure increased by an average of 6mmHg after 15 healthy volunteers aged 21 to 33 drank 6g of fructose dissolved in water, which is equivalent to the fructose content of three cans of Coca-Cola. Regular table sugar is composed half of fructose and half of glucose; however, it appears that only the fructose component raises blood pressure. In the study, the comparison drink containing 60g of glucose had no effect on blood pressure. Another study found that systolic blood pressure increased by an average of 7mmHg after 74 men aged 40-65 consumed 200g of fructose per day in beverage form for two weeks. Epidemiological evidence shows that blood pressure is higher among people who consume more than 74g of fructose per day. Journal of Hypertension 2015; 33:912-20. See more

19.01.2022 Interesting that CBT is the most popular but least effective in the treatment of workplace mental health issues

18.01.2022 http://www.prohealth.com/library/showarticle.cfm

18.01.2022 The bitter truth about sugar Dr Rosemary Stanton OAM Is the sweet stuff really public enemy number one?...Continue reading

17.01.2022 MEDICOLEGAL CASE STUDY-from Medical Observer When a chance to remove an Squamous Cell Carcinoma (SCC) early is missed. A 45-year-old tradesman consulted his GP for a skin assessment. The GP noted multiple, large Basal Cell Carcinomas (BCC) and SCCs on his body. He biopsied eight lesions and treated these and others with diathermy and curettage....Continue reading

16.01.2022 Health Tip Learn the warning signs of depression Depression can come on suddenly, or creep in over a long period. Warning signs include loss of interest in previously enjoyed activities, lack of energy, loss of appetite, feelings of worthlessness or irritability, and a loss of interest in sex.

14.01.2022 5 tips for coping with sciatica Sciatica is one of the most common, yet misunderstood, types of pain. As many as 40% of people will get it during their life, and it becomes more frequent as you age. Sciatica tends to get lumped in with regular back pain, but it is different. The pain originates with the sciatic nerves and often goes away by itself within a few hours or days. However, some attacks can come and go for several weeks or even months. Fortunately, there's a lot yo...Continue reading

13.01.2022 Safe Work Australia warns on prolonged sitting when working from home Date: Monday, 13 July, 2020 - 12:30 Category: ... Industry news Location: National News One of the most significant factors impacting work health and safety when working from home is prolonged sitting, according to Safe Work Australia. This year has seen an increase in desk-based workplaces transitioning to, or increasing existing, working from home arrangements to minimise the risk of exposure to COVID-19 in the workplace. Workplaces across the country have had to adapt their policies and procedures and consult with workers to ensure WHS(link is external) requirements are met even if workers are at home. Safe Work Australia has released a range of guidance materials and other resources for employers to assist with compliance through the coronavirus pandemic. Information and resources on WHS(link is external) duties and WHS(link is external) risks(link is external) associated with working from home are available online(link is external). Safe Work Australia also pointed out that workers have a responsibility to take steps and avoid prolonged periods of sitting when working from home. When working from home, the model WHS laws still apply. Just as in the office, your workstation must be set up in a way that is safe, comfortable and easy to use, the regulator said. A workstation that is set up incorrectly can create poor postures leading to injury and eye strain. The length of time that you sit in these postures also adds to the risk for injury and health problems associated with long periods of sitting. What you need to do to set up a safe workstation depends on the work you do, your environment and your individual needs. You have a duty to take care for your own health and safety while working from home and must follow any reasonable policies or directions your employer gives you about setting up your home-based workstation. Safe Work Australia recently announced its support of BeUpstanding(link is external), a free evidence-based program designed to address the WHS(link is external) risks(link is external) associated with prolonged sitting. Employers and businesses can trial BeUpstanding to gain access to resources and guidance on how to encourage workers to stand up, sit less and move more. The BeUpstanding(link is external) toolkit includes fact sheets, videos and email templates which are tailored to desk-based workers working from home due to the COVID-19 pandemic.S

13.01.2022 GPs urged to use action plans to manage statin pain Antony Scholefield | 28 June, 2017 People who develop muscle pains when taking statins should be given an action plan to avoid being taken off the drugs unnecessarily, GPs are being told.... NPS Medicine Wise has released a guide to help GPs identify and manage statin-associated muscle symptoms, with a written patient action plan that offers several options for responding to muscle pains and weakness. The guide emphasises many kinds of muscle pain may not be statin related, and provides an algorithm based on CK levels for differing interventions. Patients whose CK levels are less than five times the upper limit of normal (ULN) may stop statins for 2-4 weeks, while those with CK levels more than five times the ULN are advised to stop statins for 6-8 weeks. If symptoms improve, patients can resume the statin at a reduced dose or try a different statin. Related News: Statin muscle pain a nocebo: study One of the main messages in the guide is that many people who experience muscle symptoms can keep taking their statin at a lower dose, and up to 90% are able to tolerate a different statin without problems. [The] perceived high incidence of statin-associated muscle symptoms risks compromising adherence to an otherwise highly efficacious and generally well-tolerated class of medicines, they say. Perth GP Dr Brett Montgomery said formal guidelines and action plans for muscle pain might help convince statin users that their doctor was not making it up as they go along. These guidelines back up what I already do, which is reassuring, he told Australian Doctor. He said he was sometimes sceptical about patient claims that statins had caused muscle pain, but it was difficult to be sure. "I havent done alternate-day dosing but I have stopped statins and then started patients on a low dose of a different statin, said Dr Montgomery, an associate professor of general practice at the University of WA. Comment - the use of statins is associated with an increase in muscle pain, the question is, is it necessary to take statins, make up your own mind up, view https://www.youtube.com/watch?v=3ZTMPRR3gbI

13.01.2022 FAST FACTS Exercise has a myriad of physical benefits for both maternal and infant health, and may even shorten labour. In a randomised controlled trial, 166 pregnant women were assigned to either an exercise group (EG) or control group (CG). Women in the EG participated in 55 to 60 minute sessions, 3 days per week comprising aerobic dance and specific exercises targeting the legs, buttocks, abdomen and pelvic floor muscles. The results demonstrated physical exercise during... pregnancy was associated with a significantly shorter first stage of labour.[1] Recommending strategies for regular exercise throughout pregnancy may prove beneficial for mothers-to-be; after all, who wouldnt prefer a shorter labour? Recommending a healthy wholefood diet (such as the Mediterranean diet) in pregnancy improves metabolic health outcomes in childhood. In a 2017 study, two cohorts of pregnant women and their children (comprising 1,566 mother-child pairs) were studied to establish a link between the consumption of a Mediterranean diet during pregnancy and childhood metabolic health. The study demonstrated lower childhood adiposity, blood pressure and leptin levels in the 4 to 7 year olds.[2] Prescribing a Mediterranean diet during preconception and pregnancy not only supports the health of mothers, but may also promote long-term cardiometabolic health in their offspring. The benefits of mindfulness meditation in pregnancy may extend beyond reducing stress in the mother. To assess the effects of a mothers meditation on their infants social-emotional development, 156 pregnant women and 109 infants were studied. Children of mothers who practiced mindfulness meditation displayed more positive social-emotional behaviours and greater adaptive functioning and social competencies, compared to those with less mindful mothers.[3] Interventions to increase mindfulness during pregnancy not only help mums feel calmer and cope better, but may also promote greater social-emotional development in their children

13.01.2022 The diet that's as effective as drugs against gout Hugo Wilcken | 22 August, 2016 A low-fat diet devised for hypertension also lowers serum uric acid levels to those seen with allopurinol treatment, US researchers say.... The finding comes from a sub-analysis of the Dietary Approaches to Stop Hypertension (DASH) trial, which showed that a diet rich in vegetables, fruit, dairy, grains, poultry, fish and nuts was effective in lowering systolic and diastolic blood pressure. The DASH diet aims to reduced consumption of saturated fat, total fat and cholesterol, and contains smaller amounts of red meat, sweets, and sugar-containing beverages. The current study found that the DASH diet not only reduced uric acid levels, but that it was particularly effective in people with hyperuricaemia and therefore at high risk of gout. At 30 days, the diet reduced uric acid levels by an average of 0.02mmol/L. But in people whose baseline serum urate level was 0.42mmol/L or higher, the mean reduction was even greater, at 0.08mmol/L. The size of the decrease in at-risk patients approached that of pharmacological urate-lowering therapy, said the researchers from Johns Hopkins School of Medicine in Boston. However, they cautioned that until confirmation of the results, urate-lowering drugs should remain the cornerstone of gout treatment. An unexpected finding was that salt intake also seemed to decrease serum uric acid levels. The researchers said it was not clear why, but it could be that lower sodium reabsorption due to higher sodium intake might also reduce urate reabsorption. But they added that it would be unwise to consume large amounts of salt in order to reduce uric acid levels, given the risk of high sodium intake on cardiovascular health. Lead author Dr Stephen Juraschek, an internal medicine specialist with a particular interest in gout, said doctors could now confidently recommend the DASH diet to patients with gout in order to lower uric acid levels. He also said the salt finding provided important insights in further understanding dietary triggers of gout flares.

13.01.2022 TOP 5 TIPS FOR HEALTHY WEIGHT LOSS Many of us have experienced excess weight gain at some point in our lives. Whether its due to over-indulgence while on holiday, a slower metabolism as we age, stress and hormone-related weight gain, a sedentary lifestyle, or another reason, shifting that extra weight can be challenging if you dont know where to start. Weight loss approaches vary drastically, and thats because the reasons for weight gain also vary widely. Choosing the rig...Continue reading

12.01.2022 Caution urged as Australian researchers spruik one of the greatest prenatal breakthroughs Michael Woodhead | 10 August, 2017 Australian researchers are claiming an extraordinary breakthrough showing that vitamin B3 may prevent miscarriage, but other experts are urging caution over the preliminary findings....Continue reading

11.01.2022 Reducing inflammation reduces cardio-vascular disease

10.01.2022 FODMAP diet may help infant colic Jocelyn Wright 5 July 2017 Australian Doctor... A low FODMAP diet may be worth trying for breastfeeding mothers who have colicky babies, a small Australian study suggests. Researchers from Monash University, Melbourne, who developed the low FODMAP diet for IBS, have now assessed its impact in 18 breastfeeding mothers whose babies met the Wessel criteria for colic. After one week on the diet, their infants crying duration fell on average by 52 minutes, while fussing and crying behaviours reduced by 73 minutes. Mothers reported their baby is much more content and can be put down without crying, the researchers noted. The magnitude and speed of benefits ... were impressive and dictate the need for a randomised, controlled study, they added. The low FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet recommends avoiding some poorly absorbed carbohydrates that are found in high-lactose dairy, garlic, onions, wheat, as well as certain fruits, beans and processed meats. Dr Lisa Amir, a Melbourne GP and lactation consultant, said the results looked promising as a proof of concept, but questioned whether the colic had simply run its course. It does look quite substantial, the improvements, but we cant say for sure because the babies couldve been better a week later anyway, she told Australian Doctor. And while the low FODMAP diet could be worthwhile trying, she warned that it was very restrictive. Dr Amir said she advised her patients having trouble with colic to try removing only certain foods first. I sometimes say to people: is there anything you couldnt eat as a child or other people in the family couldnt eat? as it might be worth eliminating those foods. Sometimes people do find that helpful, she said. The FODMAP diet proved acceptable to the breastfeeding mothers, with 16 of the 18 mothers choosing to continue with if for a further four to eight weeks, the authors said. While it was not yet clear whether there was a cause-effect relationship between FODMAPs and colic symptoms, the authors postulated that the changes in gut microbiota with a low FODMAP diet would also alter the breastmilk microbiota in breastfeeding mothers. More information: Journal of Human Nutrition and Dietetics 2017; online.

10.01.2022 http://travellingdietitian.com/why-prebiotics-are-the-most/

10.01.2022 Caution urged as Australian researchers spruik 'one of the greatest' prenatal breakthroughs Michael Woodhead | 10 August, 2017 Australian researchers are claiming an extraordinary breakthrough showing that vitamin B3 may prevent miscarriage, but other experts are urging caution over the preliminary findings....Continue reading

09.01.2022 An integrative approach to prevention of IBD flares Associate Professor Vicki Kotsirilos describes the case of a patient who seeks non-drug options to treat her colitis but continues to smoke. Lana is a 48-year-old woman who suffered a one-week history of abdominal cramps, diarrhoea, PR bleed and mucus....Continue reading

09.01.2022 Looks nutritious and tasty ! Yum

07.01.2022 The diet thats as effective as drugs against gout Hugo Wilcken | 22 August, 2016 A low-fat diet devised for hypertension also lowers serum uric acid levels to those seen with allopurinol treatment, US researchers say.... The finding comes from a sub-analysis of the Dietary Approaches to Stop Hypertension (DASH) trial, which showed that a diet rich in vegetables, fruit, dairy, grains, poultry, fish and nuts was effective in lowering systolic and diastolic blood pressure. The DASH diet aims to reduced consumption of saturated fat, total fat and cholesterol, and contains smaller amounts of red meat, sweets, and sugar-containing beverages. The current study found that the DASH diet not only reduced uric acid levels, but that it was particularly effective in people with hyperuricaemia and therefore at high risk of gout. At 30 days, the diet reduced uric acid levels by an average of 0.02mmol/L. But in people whose baseline serum urate level was 0.42mmol/L or higher, the mean reduction was even greater, at 0.08mmol/L. The size of the decrease in at-risk patients approached that of pharmacological urate-lowering therapy, said the researchers from Johns Hopkins School of Medicine in Boston. However, they cautioned that until confirmation of the results, urate-lowering drugs should remain the cornerstone of gout treatment. An unexpected finding was that salt intake also seemed to decrease serum uric acid levels. The researchers said it was not clear why, but it could be that lower sodium reabsorption due to higher sodium intake might also reduce urate reabsorption. But they added that it would be unwise to consume large amounts of salt in order to reduce uric acid levels, given the risk of high sodium intake on cardiovascular health. Lead author Dr Stephen Juraschek, an internal medicine specialist with a particular interest in gout, said doctors could now confidently recommend the DASH diet to patients with gout in order to lower uric acid levels. He also said the salt finding provided important insights in further understanding dietary triggers of gout flares.

07.01.2022 In a world first, researchers have shown that measuring a particular enzyme in plasma could predict the risk of events in patients with severe coronary artery disease (CAD). An Austin Health and University of Melbourne study found patients with obstructive CAD who had the highest levels of the ACE2 enzyme were more than twice as likely to experience a major adverse cardiac event. ACE2 circulates in low quantities in healthy people but its presence has long been associated wit...h cardiovascular risk such as heart failure, atrial fibrillation, and diabetes. Related: 4 key reproductive factors that increase womens CVD risk CPAP doesnt cut cardiovascular risk The researchers tested ACE2 levels in 79 patients with CAD, of whom 46% later experienced CV death, hospitalisation for heart failure or MI. The median plasma ACE2 activity was 29.3pmol/mL/min and those with higher levels had 2.5 times the risk of an event. The results suggest that ACE2 might be a useful biomarker for poor prognosis and possibly a target for therapeutic intervention, the authors said, although they conceded their study had a small sample size. Lead author Professor Louise Burrell from the University of Melbourne is now working on an expanded trial. This new blood test helped identify patients who may derive benefit from more aggressive treatment, she said. Future studies are planned to investigate if intensification of the medical treatment in those patients will reduce the risk of death. "If this were the case, the ACE2 blood test could be offered to all patients with coronary artery disease as part of their risk assessment.

07.01.2022 How to silence snoring Snoring by itself is generally harmless,but it can be annoying, especially for your bed partner. Fortunately, you can take steps to alleviate the problem. Start by making lifestyle changes and trying simple home remedies to alleviate the problem. You can also try one of the many products marketed as stop-snoring aids. But if you snore and you also wake up gasping for air or frequently feel sleepy or tired during the day, you likely have sleep apnea. Sl...Continue reading

05.01.2022 Prostate cancer testing: has the bubble burst? Professor Simon Chapman 10 August 2017 MENS HEALTH...Continue reading

05.01.2022 Can genomic sequencing reliably track coronavirus? Only in conjunction with other epidemiological information, say researchers who investigated Julys outbreak at the Crossroads Hotel in Casula, NSW 11th August 2020 By Antony Scholefield Aus Doc.plus... When a coronavirus case bobbed up at the Crossroads Hotel in Casula, NSW, in July, you might have quickly guessed it was linked to a traveller from Victoria. Testing outside the Crossroads Hotel, Casula. Source: AAP But to confirm this, health officials turned to genomic sequencing. The genetic confirmation informed that indeed it was and led to the decision to shut the NSW-Victoria border five days later. The microbiologists who perform NSWs coronavirus genomic sequencing have now published the first peer-reviewed analysis of SARS-CoV-2 genomic sequencing in Australia. The study focuses on what happened during the initial outbreaks from January to March. Of the first 1600 COVID-19 cases in NSW, about 200 underwent genomic sequencing in a collaboration between NSW Health and Westmead Hospital. Of these, 22 cases had been labelled locally acquired contact not identified. But the use of genomic testing solved 15 of the riddles by identifying genetic similarities to known clusters. Of the 180-odd remaining cases, genomic sequencing provided necessary confirmation for 81 cases with suspected but contentious links to known clusters, by providing genomic evidence for the epidemiological suspicion. So, shall we add contact tracers to the growing field of specialists whose jobs are under threat from technology? The study, published in Nature Medicine, suggests not. Genetic variation was measured by the number of single-nucleotide polymorphisms (SNPs, pronounced snips in the lingo of the specialty), or genetic differences, between cases. However, sequencing of three outbreaks, each of which seemed very clearly self-contained, showed the capacity of the virus to mutate. The team found multiple examples of two SNPs differentiating genomes within the same clusters. In one cluster they even identified a three-SNP difference. So the teams definition of a link was based on the existence of two SNPs or less. But at the same time, they said that SARS-CoV-2 has an overall low genetic diversity. This meant it was also entirely possible for multiple clusters to produce exactly the same genome. As a result, any findings from genetic tests should only be assessed with reference to additional epidemiological information like the assumption the Casula case came from Victoria. When comparing the NSW genomes to the international dataset, many international genomes clustered closely and would fall within two SNPs of our index cases. [This supports] the requirement for epidemiological evidence of local acquisition and contact tracing to confirm genomic clustering, they said.

05.01.2022 Is it time to adopt Brazils dietary guidelines? Dr Rosemary Stanton OAM | 15 September, 2016 | Australias first dietary guidelines were released in 1981. They have changed a bit since, although the main advice stressing the need for lots of vegetables, plus fruit and wholegrains and the importance of limiting sugar, salt, saturated fat and alcohol remains. Sadly, the messages of the guidelines have not sunk in. Just 7% of adults meet the modest recommendations for vege...Continue reading

05.01.2022 Is this the key to better ageing? Lisa Yates FOOD FACTOR...Continue reading

04.01.2022 http://www.lifehack.org//7-effective-ways-kick-your-belly-

04.01.2022 Low back pain is a leading cause of global disability- something that chiropractors are well aware of. The longer you have it, the more likely it can become intractable. Chiropractors treat the cause of low back pain. Taking pharmaceuticals to cover it up does not lead to lasting results and just makes it harder to rehabilitate in the long term. See your chiropractor and get out of pain early.

04.01.2022 Headache or Migraine Symptoms? Pop A Pill And Hope The Pain Goes? There is a Better Alternative! Chiropractic treatment for headaches and migraine symptoms has proven to be safe, with fewer side effects than painkillers such as Nurofen or Panadol.. A study on a large group of patients receiving chiropractic care discovered a 90% reduction in headache pain!... Our Chiropractors will also provide a detailed guide with helpful stretches and exercises to do after your appointment! Book in online anytime this week with our clinic chiropractor Dr. Chris Webster to save 25% on your initial 30 minute consultation or pop in for a quick 15 minute consulation on us (complimentary!). Only available to new patients, please register your interest on our wall or private message our page to take advantage one of the above offers! - > https://essclin.cliniko.com/bookings#service We believe everybody should be able to live pain - free without medication! - > https://essclin.cliniko.com/bookings#service

03.01.2022 Is it time to adopt Brazil's dietary guidelines? Dr Rosemary Stanton OAM | 15 September, 2016 | Australia's first dietary guidelines were released in 1981. They have changed a bit since, although the main advice stressing the need for lots of vegetables, plus fruit and wholegrains and the importance of limiting sugar, salt, saturated fat and alcohol remains. Sadly, the messages of the guidelines have not sunk in. Just 7% of adults meet the modest recommendations for vege...Continue reading

03.01.2022 Keep up Vitamin B intake- green leafy vegetables are great !

02.01.2022 Fermented foods are great for human health Beneficial Effects of Probiotics from Kimchi by | Jun 4, 2020| 2019, Probiotics, Recent Posts | Written by Jessica Patella, ND. This study demonstrates that Lactobacillus plantarum 200655 isolated from kimchi could have potential health benefits as a probiotic for older people....Continue reading

01.01.2022 In these troubled stay at home times, some great tips about losing weight TOP 5 TIPS FOR HEALTHY WEIGHT LOSS Many of us have experienced excess weight gain at some point in our lives. Whether its due to over-indulgence while on holiday, a slower metabolism as we age, stress and hormone-related weight gain, a sedentary lifestyle, or another reason, shifting that extra weight can be challenging if you dont know where to start. ...Continue reading

01.01.2022 20 years on, what happens to men who forgo prostate surgery? Rachel Worsley | 14 July, 2017 | Men who are managed by observation only after diagnosis of low-risk prostate cancer live as long as those managed with radical prostatectomy, 20-year data from a US study show.... There was a 0.7% difference in overall survival rates between immediate surgery and observation for low-risk prostate cancers, according to the latest follow-up of the PIVOT study. The randomised trial of 731 men with localised prostate cancer showed that surgery was not associated with any significant all-cause or prostate cancer mortality benefit compared with observation. During 19.5 years of follow-up, deaths due to prostate cancer occurred in 7.4% of men who had surgery and 11.4% of men who had observation. But for men with low-risk disease, who accounted for most cases, the absolute difference in mortality was less than 0.7% Men who opted for prostatectomy had high rates of adverse effects such as incontinence and erectile and sexual dysfunction compared with observation. The study investigators said prostatectomy might help men with intermediate-to-high risk prostate cancers enjoy a longer life expectancy, but was overused for men with low-risk disease. Men with low-risk and PSA-based screening-detected disease can safely avoid harms and costs of early radical intervention or of biopsy-guided active surveillance with delayed radical treatment, they concluded. Professor Mark Frydenberg, a urologist at Monash Medical Centre, Melbourne, said management of prostate cancer had changed in the 20 years of the PIVOT study, and there was now more emphasis on observation rather than surgery. Active surveillance is becoming far more popular now and really becoming the standard of care for low-risk disease, he said. Victorian data showed that around 80-90% of men with low-risk disease were now managed by active surveillance or observation, compared with 20-30% five years ago, he added.