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.

 

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.

Community Factors and Life Expectancy

“When we controlled for historical life expectancy, we found three additional community factors that each exert a significant negative effect — a greater number of fast food restaurants, higher population density, and a greater share of jobs in mining, quarrying, and oil and gas extraction,” Dobis said. “For example, for every one percentage point increase in the number of fast food restaurants in a county, life expectancy declined by .004 years for men and .006 years for women.”

Community factors influence how long you’ll live

Journal Reference:     Elizabeth A. Dobis, Heather M. Stephens, Mark Skidmore, Stephan J. Goetz. Explaining the spatial variation in American life expectancy. Social Science & Medicine, 2020; 246: 112759 DOI: 10.1016/j.socscimed.2019.112759

 

COVID-19 – Coronavirus Deep Dive

What were the demographics of the forty-one admitted 2019-nCoV patients included in this study?

  • Most were men (30/41 patients; 73%)

  • Median age = 49 years

  • 13/41 patients (32%) had underlying disease (e.g. diabetes, hypertension, cardiovascular disease, COPD, cancer)

What kind of symptoms did the forty-one admitted 2019-nCoV patients included in this study have?

  • Fever (40/41 patients; 98%)

  • Cough (31/41 patients; 76%)

  • Myalgia or Fatigue (18/41 patients; 44%)

  • These three symptoms were the major ones. There were patients who had sputum production, headache, hemoptysis, and diarrhea; however, these symptoms were less common.

  • Dyspnea occurred in 55% later in the course, with mean time to onset of dyspnea at 8 days.

Here’s a nice short summary of a recent study published in Lancet.  The balance of the source article can be found at emDOCs.net

And if you want to maintain your sanity regarding this emerging infectious disease threat avoid social media. 

Social media, for all its many ills and its few redeeming qualities, identifies idiots.

Can we turn serious for a minute? Are you on social media, talking to people that you don’t know about things that you know nothing about? If so, what are you doing? There’s a great big wonderful wide world out there. Why not trying exploring it? Talk to people. See things. Read stuff that is longer than 14 words.

Berry Tramel: Garth Brooks’ Barry Sanders jersey brings out the idiots, thinking he was endorsing Bernie Sanders

 

 

Binge Drinkers Bingeing More

Binge Drinkers Drinking More

The CDC looked at self-reported data from the Behavioral Risk Factor Surveillance System to assess binge-drinking trends from 2011 to 2017.

During this time, the overall prevalence of binge drinking decreased from 18.9% to 18.0%. However, among those who binge drank, the total number of binge drinks consumed annually per adult increased 12%.

LINK(S):

MMWR article (Free)

Anyone surprised?

Craft breweries, adaptive reuse, and neighborhood revitalization in: Urban Development Issues Volume 57 Issue 1 (2018)

Source: Craft breweries, adaptive reuse, and neighborhood revitalization in: Urban Development Issues Volume 57 Issue 1 (2018)

The month isn’t over yet the events of the past few weeks already make this a memorable year. My contract with a large insurance company that shall not be named ended. I was with the client for nearly ten years. When I tell people I’ve contracted with a single client for ten years mouths drop open. In the gig economy this is about as rare as rare gets. Who contracts with a single client for ten years? Friday January 10th was my last day. Two days later I was in Lynchburg Virginia. Sometimes life moves quickly. When you get to the same stage and age in life as me you’ll come to appreciate the memories more and more with each passing year. But this trip was special and I want to capture and share these memories before they fade away. For me every day is another opportunity to learn something. Here’s what I learned from five days in Lynchburg.

“Don’t go around saying the world owes you a living. The world owes you nothing. It was here first.” Mark Twain

It’s Nice to Get Out of the House

I’ve been working from home since 2006. Seriously, I don’t get out much and when I do I try to practice my social skills. Working alone at home, or being face down in your smartphone (which makes you dumb), or severe anxiety where you need your benzos, all can erode what little you have left of social interaction skills. The Boss knows this all too well. The last business trip was over 2.5 years ago and placing me in a situation where I have to interact with others can be dicey.

“Be nice.”

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“Be professional. Don’t be yourself.”

“The hardest challenge is to be yourself in a world where everyone is trying to make you be somebody else.”

ee cummings

The Boss knows at the minimum I’ll try to behave. Hopefully I passed the audition.

Staying in a Nice Hotel and Eating Out is Pretty Awesome

I had an excellent stay at the Virginian. The hotel was a block away from my new client’s office and the room was stocked with bottled water from local springs and a Keurig coffee maker. I did what I always do when I arrive in a hotel room with a coffee maker. I check the coffee supply for correctness. As I suspected the K-cup selection was all wrong. I had four servings of DECAF. I immediately went down to the front desk with the K-cups in hand.

“Mr. Lee, is there a problem?”

I handed the coffee to the front desk employee and stated in a low firm voice,

“This is so wrong.”

The very nice young woman at the front desk agreed and allowed me to exchange my four K-cups of DECAF to the real caffeinated kind. I also left a note next to the brewer for housekeeping to restock with only real coffee NO DECAF. The rest of my stay went quite well. The room was comfortable, quiet, and I had plenty of coffee.

Eating Restaurant Food Causes Obesity

I arrived in Lynchburg late on a Sunday evening and the only food available at the hotel was at the rooftop bar. There was local craft beer on tap. I ate there three times during my stay. When you work from home you eat a lot of leftovers. Some days you eat leftover leftovers. By the time Saturday rolls around you simply have to go out to eat. Taking all of my meals outside of the house this week was awesome despite needing to loosen my belt a notch by Wednesday. The team treated me to dinner at The Depot Grille, a renovated old train stop that had nice local craft beer on tap. Before I left town I was introduced to The Water Dog which was more of a Millennial type establishment that had even more nice local beers on tap. After seeing the (beer) menus I thought to myself I could live here.

Despite the proximity of some fine eateries I took most of my meals at the company cafeteria. This company amenity should never be taken for granted. I had plenty of good food, freshly prepared at reasonable prices. When you’re on business expense this is kind of important to avoid any potential criticism of your spending habits when someone else is paying. So the accountants will be happy I found Benny’s.

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I had forgotten how easy it is for me to put the weight back on. Over the years I’ve moved away from the standard American diet (SAD) because it was my diet that was the proximate cause for ballooning up to 370 pounds. It might have been more but I stopped weighing myself at 370 (for obvious reasons). For this trip I relaxed my dietary preferences and ate whatever I wanted to. I haven’t weighed myself since the trip ended but my belt fits again at its usual belt hole. I’m easing back into my usual dietary routine. And I have no regrets about passing on the fried tofu sandwich at The Depot Grille. I didn’t want anyone to think I was a vegan.

“Look for the human connection as you make your journey. Connect us to the people who connected with you.” William Zinsser

There are Really Nice People in Lynchburg

During my week in Lynchburg I met some very nice people. The people you work with are just as important to your happiness as the work itself. I ate lunch at the underwriter table in the company cafeteria all week. I figured I needed as many contacts as possible once I started work in the system and needed guidance. I may work by myself from home but no one ever works alone.

It’s just a job. Grass grows, birds fly, waves pound the sand. I beat people up.

Muhammad Ali

The Boss has told me change is good and my new adventure will be good.  I know she’s right.  And I am thrilled with the opportunity.

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