HT NPR.org
A link to this video was part of an NPR online article.
I have plenty of old tee shirts.
I will have plenty of homemade cotton masks to comply with the CDC recommendation.
Survival strategies
Meat Intake and Colorectal Polyps
Meat Intake and Colorectal Polyps
Research professor of medicine Martha Shrubsole, Ph.D., and colleagues at Vanderbilt University Medical Center have published the first study to evaluate intakes of meat, cooking methods and meat mutagens and risk of developing sessile serrated polyps (SSPs, also called sessile serrated lesions). Shrubsole previously reported that consuming high levels of red meat increased the risk of developing all types of polyps, but that the likelihood of developing SSPs was two times greater than the risk of developing adenomas and hyperplastic polyps (HP).
Conventional colorectal adenomas are the precursor lesions for most colorectal cancers. SSPs, however, represent an alternative pathway to carcinogenesis that may account for up to 35 percent of colorectal cancers. Because a diagnostic consensus for SSPs was not reached until 2010, few epidemiologic studies have evaluated risk factors.
Any Polyp Type Raises CRC Risk
A finding of any type of polyp in the colon increases the risk for colorectal cancer (CRC), according to new findings from a large Swedish study.
At 10 years, the cumulative colorectal cancer incidence was 1.6% among patients with hyperplastic polyps, 2.5% among those with sessile serrated polyps, 2.7% for tubular adenomas, 5.1% for tubulovillous adenomas, and 8.6% for villous adenomas, as compared with 2.1% for the control group.
However, a higher risk for colorectal-related death was only observed in patients with sessile serrated polyps, tubulovillous adenomas, or villous adenomas.
The study was published online March 16 in Lancet Gastroenterology & Hepatology.
Boldface sections are mine.
I had my first virtual visit with my physician yesterday. I mentioned that I was postponing my colonoscopy this year for pandemic reasons. She said that’s fine, don’t worry about it. I read this article today. Now I know why I’m on a three year callback.
Covid-19 Buzz Cut – Day One – 03.29.20
I am back in my home office learning and sharing about shelter in place. Yesterday my son helped me cut my hair. He’s been cutting his own hair since medical school. As the doctor inspected my work he said,
“You missed a few spots.”
So he finished up what I started.
Today I researched “essential” businesses.
Barbershops are not considered “essential”
I expected this hence the shelter in place buzz cut.
Yes, it’s real short. Top view.
Backside view.
Step It Up!
Previous studies have been done on step counts and mortality. However, they were conducted primarily with older adults or among people with debilitating chronic conditions. This study tracked a representative sample of U.S. adults aged 40 and over; approximately 4,800 participants wore accelerometers for up to seven days between 2003 and 2006. The participants were then followed for mortality through 2015 via the National Death Index. The researchers calculated associations between mortality and step number and intensity after adjustment for demographic and behavioral risk factors, body mass index, and health status at the start of the study.
They found that, compared with taking 4,000 steps per day, a number considered to be low for adults, taking 8,000 steps per day was associated with a 51% lower risk for all-cause mortality (or death from all causes). Taking 12,000 steps per day was associated with a 65% lower risk compared with taking 4,000 steps. In contrast, the authors saw no association between step intensity and risk of death after accounting for the total number of steps taken per day.
Higher daily step count linked with lower all-cause mortality
I am so screwed.
Gut Check! Two Mediterranean Diet Studies
In conclusion, these two outstanding studies support the fact that (1) it is not the quantity of calories per se that matters but the quality of the diet and (2) even in subjects of advanced age, adherence to a MedDiet is rapidly associated with different metabolic effects and reduced disease risk factors.
Mediterranean diet, gut microbiota and health: when age and calories do not add up!
This is Not About YOU
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New to WFH? Read This Article
How to maintain your mental health while working from home
Pretty good article online at Fast Company.
I’ve been working from home since 2006. As a result social distancing and hoarding come naturally now. The article has several good suggestions and well worth reading.
Personally I would add one more suggestion to the list: your favorite music. Today is a Willie Day.
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020
This is an excerpt from the latest CDC report cited above and below.
OlRedHair: Yes, our younger generations need to take this situation very seriously.
Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19) — United States, February 12–March 16, 2020. MMWR Morb Mortal Wkly Rep. ePub: 18 March 2020. DOI: http://dx.doi.org/10.15585/mmwr.mm6912e2external icon.
Among 508 (12%) patients known to have been hospitalized, 9% were aged ≥85 years, 26% were aged 65–84 years, 17% were aged 55–64 years, 18% were 45–54 years, and 20% were aged 20–44 years. Less than 1% of hospitalizations were among persons aged ≤19 years (Figure 2). The percentage of persons hospitalized increased with age, from 2%–3% among persons aged ≤9 years, to ≥31% among adults aged ≥85 years. (Table).
Among 121 patients known to have been admitted to an ICU, 7% of cases were reported among adults ≥85 years, 46% among adults aged 65–84 years, 36% among adults aged 45–64 years, and 12% among adults aged 20–44 years (Figure 2). No ICU admissions were reported among persons aged ≤19 years. Percentages of ICU admissions were lowest among adults aged 20–44 years (2%–4%) and highest among adults aged 75–84 years (11%–31%) (Table).
Among 44 cases with known outcome, 15 (34%) deaths were reported among adults aged ≥85 years, 20 (46%) among adults aged 65–84 years, and nine (20%) among adults aged 20–64 years. Case-fatality percentages increased with increasing age, from no deaths reported among persons aged ≤19 years to highest percentages (10%–27%) among adults aged ≥85 years (Table) (Figure 2).
COVID-19 – Oklahoma 03.19.20
I’ve spent most of my life learning about what kills people. Hey, it’s a job and I love it.
The numbers in Oklahoma are blessedly small. Too small for statistical significance but there are some interesting aspects to these numbers. The 2 out of state positives are professional basketball players. We shouldn’t expect a huge increase from out of state since Oklahoma is not exactly a vacation tourist type destination and no one is traveling much nowadays. The first positives were in Tulsa county. That number hasn’t really moved much but Oklahoma county numbers have, a clear indicator of community spread.
The most disturbing numbers are the positives ages 18-64. This is not Wuhan. This is not Italy. This is not Iran. This is not Spain. This is Oklahoma.
Stay safe and act accordingly to your specific locale.
| Positive (In-State) | 29 |
| Positive (Out-of-State) | 2 |
| Negative | 378 |
| PUIs Pending Results | 110 |
| County | COVID-19 Cases by County* |
|---|---|
| Canadian | 2 |
| Cleveland | 4 |
| Jackson | 1 |
| Kay | 2 |
| Oklahoma | 14 |
| Payne | 1 |
| Tulsa | 4 |
| Pawnee | 1 |
| Total | 29 |
| Age Group, Years | COVID-19 Cases* |
|---|---|
| 00-04 | 1 |
| 05-17 | 0 |
| 18-49 | 13 |
| 50-64 | 10 |
| 65+ | 5 |
| Total | 29 |
| Age Range | 0-75 yrs |
| COVID-19 Cases by Gender | |
|---|---|
| Female | 13 |
| Male | 16 |
| Total | 29 |
Data Source: Acute Disease Service, Oklahoma State Department of Health.
*As of 2020-03-18 at 07:00 AM.
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