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Welcome to our Doctors - 4U® Articles Section.

In this area, Doctors-4U® will be regularly posting articles of Interest, especially for you. Please remember to come back soon!

     
 
 
     
     
     
     
     
     
 

How to feel healthier
The dangers of boiling water in a microwave oven
Salt & hypertension
What is disease?
How Germs Invade the Body
Kinds of Disease
What is a Psychosomatic Disorder?
Managing Vertebral Fractures with Cement!
Percutaneous Vertebroplasty - What is it?
Health Minister Denies plans for ID Card Scheme
Drug Green Light Causes Concern
Breakthrough targeting cancer
Pill for fewer periods
Body piecing - Queensland to ban some under 18's

" Scalpel" tourism: the benefits and risks revealed
World first spray on contraceptive
New hope for women with advanced breast cancer
Aneurysm : Study aims for early detection
A natural way to prevent heart attack
When it's important to act in time (Heart attack)
Faulty ventolin inhalers recalled
More support for the aged to stay at home & more residential care places for the aged
Changing the face of surgery - Australia's first robotic-assisted surgery
Australian HIV Vacine
New ADHD Medication
First Steps to Test for Bipolar Disorder
Chronic Lower Back Pain Treat with the Blomberg Technique - Available through Medicare!
Breast Examination - The Self Examination Pad
Catching the Flu
Asthma Control
Scientists develope new Asthma tests
Rotary joins forces in struggle against cancer
New treatment for life threatening lung disease
Increase in Private Health Funds
30% Rebate under threat
Bulk Billing Incentives from Feb 1, 2004

PM's promise hit by pay rise

Vioxx class action commenced in Brisbane
Radical new relief for eczema sufferers
The Doctor many believe can cure cancer
Back pain fixed with cement
Flu Virus 2005
Weight Loss Spray
Exercise for a Healthy Heart
Alzheimer's drug
Circumcision could cut HIV Infection
Doctors ease pain of Circumcision

 



 

 


How To Feel Healthier!

  • If you want to feel healthier, less stressed, less tired and more in control of your weight and even your appearance there is something you can do about it! Furthermore it doesn't come from your Pharmacist or on prescription from your Doctor.

    Well it is regular physical exercise that can help you to achieve all of this! The more you have good physical exercise the healthier you will be. Exercise can come from every thing you do, like working around the garden, or around the house. Walking up stairs, playing with the children or even planned exercise workouts and various sports. Good exercise will help your body to function properly and help it to work the way it was intended.

    Research shows that physical activity is one of the most effective age reducing factors known to man. So if you would like to live longer, simply by controlling your lifestyle and your approach to life you can enjoy a markedly improved quality of life!

    We often think of people as in shape or out of shape. Fit or not fit. However the question "are you fit?" cannot really be answered with a simple "yes" or "no." Every one of us has some level of fitness. On the other hand many people could feel healthier if they increased their level of fitness even by just a modest amount. Doing so also helps protect us in many cases from long-term diseases.

    It is not necessary for exercise to be hard or rigorous for us to improve our fitness and quality of health. Reports tell us that even moderate activity is enough. Exercise performed at a low and moderate intensity will help us to stay fit and healthy. That being so it appears we can forget that old line, "no pain-no gain." Research has shown at the Harvard and Stanford Universities that mental, social, physical and intellectual activity can keep people vital and alert as they age. Sound too easy? We suggest you put on those walking shoes and head out the door as often as you can. At least once a day!
    Let that be your goal!

    When you first commence exercising remember to do it regularly and build up slowly. And if you do it with regularity, you will find that is more significant than exercising hard and then doing nothing for a few days. Remember, what ever we do above what we are currently doing is better than nothing! There are many ways we can become active and improve our health. For example we can increase our physical activity even more, by taking up dancing or some other physical activity to help that cardiovascular system of ours. How often during the day do you take a deep breath? Think about it! When you do you may then come to realise that you do need that exercise. Consider playing a sport, joining a health club or gym or even join an aerobics class.

    For those mature age persons you will find regular walks are an extremely good way to help you with your level of fitness. Lawn bowls as a sport is enjoyed by all ages. Dancing is excellent for the mature age person because apart from the physical exercise it is good for socialising and also good for the memory.

    Research has also shown that even older people who may have some serious health problems can benefit from an exrecise program even to the extent of reducing the mortality rate.This may be because exercise has been shown to improve cardiovascular and musculoskeletal health, as well as general well being and quality of life.

    This is good news for older people with health problems because it shows anyone can benefit from exercise and that it's never too late to begin exercising.

    Doctors-4U suggests if you are contemplating an exercise routine - and especially if you have any serious medical conditions you should first get a clearance from your Doctor. He or She may be able to recommend a supervised course or program in your area.

    This article is intended to help people of all ages and all levels of fitness. If you are not exercising as you should we hope this article has provided enough information and suggestions to motivate you to become more active and healthier! Remember, plan the changes that will lead to a more healthier and active lifestyle for you, and then do something about it!
    It is your choice!

    Good luck, good health and good enjoyable exercising!


    Please remember before commencing any exercise program consult your Doctor and be guided by her/his advice!



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    The dangers of boiling water in a microwave oven
  • We feel people who use microwave ovens should be made aware of what can happen if one is not careful. These ovens can be dangerous and we all need to be conscious of this when using one. When used properly they can be very handy accessory in the home. However, because these ovens can be dangerous we felt it appropriate to place this article here for everyone to see. By doing so hopefully it may prevent any serious accidents in the future.This article was e - mailed to us from a concerned person in America and we thank that person sincerely for the article. It reads as follows:-

    "My 26-year old son decided to have a cup of coffee. He took a cup of water and put it in the microwave to heat it up (something that he had done numerous times before).
    I am not sure how long he set the timer for, but he told me he wanted to bring the water to a boil. When the timer shut the oven off, he removed the cup from the oven. As he looked into the cup, he noted that the water was not boiling, but instantly the water in the cup "blew up" into his face. The cup remained intact until he threw it out of his hand. However all the water had blown out of the cup and into his face due to the build up of energy. His whole face is blistered and he has 1st and 2nd degree burns to his face which may leave scarring. He also may have lost partial sight in his left eye. While at the hospital, the doctor who was attending to him stated that this is a fairly common occurrence, and water (alone) should never be heated in a microwave oven. If water is heated in this manner, something should be placed in the cup to diffuse the energy such as a wooden stir stick, tea bag, etc. It is however a much safer choice to boil the water in a jug or kettle."

  • The Microwave suppliers response:
    Microwaved water and other liquids do not always bubble when they reach boiling point. They can actually get superheated and not bubble at all. The superheated liquid will bubble up out of the cup when it is moved or when something like a spoon or tea bag is put into it. To prevent this from happening and causing injury, do not heat any liquid for more than two minutes per cup. After heating, let the cup stand in the microwave for thirty seconds before moving it or adding anything into it. I hope this helps. Should you need any further assistance, please contact us.

  • Our View
    This maybe so however we urge everyone to place something in the cup first and be sure never to heat the contents of a cup for more than 2 minutes!


  • This is a response from a Scientist:

"Thanks for the microwave warning. I have seen this happen before. It is caused by a phenomenon known as super heating. It can occur anytime water is heated and will particularly occur if the vessel that the water is heated in is new, or when heating a small amount of water (less than half a cup), What happens is that the water heats faster than the vapor bubbles can form. If the cup is very new then it is unlikely to have small surface scratches inside it that provide a place for the bubbles to form. As the bubbles cannot form and release some of the heat that has built up, the liquid does not boil, and the liquid continues to heat up well past its boiling point. What then usually happens is that the liquid is bumped or jarred, which is just enough of a shock to cause the bubbles to rapidly form and expel the hot liquid. The rapid formation of bubbles is also why a carbonated beverage over flows when opened or after having been shaken"


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  • This Article is brought to you with our compliments and the compliments of the National Heart Foundation. Our sincere thanks to them for this interesting information on a very important subject!
    Also remember the National Heart Foundation is grateful for donations and you can be sure they go to a worthy cause. You can contact the National Heart Foundation by telephone or by e-mail from their Web site www.heartfoundation.com.au/ You can also make a donation on line if you wish!

  • Salt and Hypertension (High Blood Pressure)

    What is 'salt'?

    The chemical name for salt is’ sodium chloride'. Salt provides our bodies with the minerals 'sodium' and 'chloride', which are both needed for us to function normally.

    Which foods contain salt?


    Salt is found in almost every food we eat, but the amount present in different foods varies a great deal. Most of the salt we eat (about 75%) comes from processed foods. High salt processed foods include soy sauce, processed meats, canned soups, canned anchovies, and stock cubes. About 15% of the salt we eat comes from the salt we add at the table or in cooking.
    Most fresh foods (vegetables, fruit, nuts and unprocessed meats) are naturally low in salt and contribute little to the salt we eat.

    How much salt do I need?

    We do need to eat some salt. The amount of salt in our food is measured in millimoles (mmol) or milligrams (mg) of sodium. The current recommendation is that we eat no more than 100mmol (or 2300mg) of sodium per day. You can easily get your requirements from the natural salt in fresh foods, so there is no need to add salt to a healthy eating plan.

    What's wrong with eating too much salt?

    Most of us eat more salt than we need. Eating too much salt can lead to high blood pressure (also called hypertension). High blood pressure increases your risk of heart disease and stroke. If you already have high blood pressure, eating too much salt may make it worse.

    High blood pressure affects almost a third of people who are over 50 years of age. Almost one half of Australians have high blood pressure before they reach the age of 70.

    Enjoying a healthy eating pattern that is low in salt is one way to help control your blood pressure, or avoid high blood pressure altogether. The effect salt has on blood pressure varies from person to person. Elderly persons are usually more sensitive to changes in salt intake.

    How can I eat less salt?
  • Avoid high salt foods
  • Avoid processed foods such as processed meats, commercial sauces, soups, packet seasoning and stock cubes (other than those that are labelled'no added salt ' low salt', or salt reduced).
  • Avoid potato chips/crisps, high salt take away foods and salted nuts.
  • Enjoy plenty of fresh vegetables and fruit.
  • Choose foods normally processed without salt and foods labelled'no added salt', 'low salt' or 'salt reduced'.
  • Choose low salt breads and cereals.
  • Choose packaged foods with a sodium content of no more than 120 milligrams per 100 grams (note: some 'salt reduced' foods don't meet these recommendations).

    Low salt and low sodium foods are defined as foods with a sodium content of no more than 120mg/100g (or 120mg/100ml for liquid foods). Look at the “Nutrition Information” panel on the package and read the sodium content in the “per 100g” or “per 100ml” column.
NUTRITIONAL INFORMATION
Servings per can: 1 Serving Size: 220g
  Per 220g Per 100g
ENERGY 373kJ 233kJ
  89Cal 55Cal
PROTEIN 0.8g 0.5g
FAT 0.2g 0.1g
CARBOHYDRATE 20.8g 13.0g
DIETARY FIBRE 2.2g 1.4g
SODIUM 18mg 11mg
POTASSIUM 197mg 123mg

  • If the sodium content is given in grams instead of milligrams per 100g, convert to milligrams by multiplying by 1000 (e.g. 1.2g/100g = 1200mg/100g).

    Salt reduced foods

    It is ideal for people with hypertension to choose 'no added salt' and 'low salt' foods. If these are not available the 'reduced salt' version of the food, although not ideal, is still a better choice than the regular product.

    However, foods that are labelled 'salt reduced' are not necessarily low salt foods. It is a good idea to read the nutrition information panel to check the actual amount of salt in the 'reduced salt' product.

    For a food to be called 'salt reduced', its sodium content must be reduced from that of the standard product by at least 90mg/100g and must not exceed a total of 600mg/100g. In other words, it is possible for a salt reduced food to contain as much as five times more salt than the maximum allowed for a low salt food (120mg/100g).

    Avoid adding salt at the table
  • To flavour food use freshly ground pepper, fresh or dried herbs, vinegar or balsamic vinegar, lemon juice, fresh mustard (made from powdered mustard), and fresh garlic or garlic powder.
  • Buy commercial no-added-salt sauces.
  • Try making your own sauces, pickles and chutneys without adding salt.
  • Vegetable salt, rock salt, sea salt, garlic salt and celery salt are no different to ordinary salt and should be avoided.
  • Potassium chloride is another product often used as a salt alternative. You should check with your doctor before using it.

  • Avoid using salt in cooking

  • This includes cooking salt, onion salt, celery salt, garlic salt, MSG, beef and chicken stock cubes, stock powder, soup cubes, gravy powder and soy sauce. Instead, use:
  • acidic (tart) flavours such as vinegars, and fruit juices such as lemon, lime, plum, tamarind and pineapple juice;

  • curry spices such as cumin, cardamon, cinnamon, ginger, turmeric, chilli, clove, coriander, pepper and mustard;

  • other flavours such as fresh herbs, garlic, onion, chives, spring onion, horseradish, table wine, sherry;

  • ' no added salt', 'low salt', or 'reduced salt' varieties of stock powders and stock cubes (available in most supermarkets).

    How long does it take to get used to a low salt eating pattern?

    It will take time to adjust to a low salt eating pattern, but be patient! Although food may at first taste bland, after a month or so it will taste quite acceptable. If you're having trouble, try reducing your salt intake gradually, in a stepwise fashion, until your taste buds get used to the other flavours in foods.

    Some people may no longer need medication for their blood pressure, or may require less medication, if they eat less salt, if they make changes to their eating habits like eating more vegetables and fruit, and if they become more physically active.

    Is there ever a problem with reducing salt intake?

    People with kidney disease, or those taking certain medications (such as lithium or diuretics) should check with their doctor before changing the amount of salt they eat. Women who are pregnant should also talk to their doctor before making any changes.

    Do we ever need to take extra salt?

    After heavy sweating, for example in hot weather or when exercising, you may need to drink more water but you won't need more salt. Your body automatically adjusts by making sweat less salty and passing less salt into the urine. It is very unlikely you will ever need extra salt unless advised by your doctor.

    What else can I do to help lower blood pressure?

    To help lower blood pressure, apart from limiting salt intake, it is important to:
  • Achieve and maintain a healthy weight - Reducing excess weight can lower blood pressure in most people. Being overweight, particularly excess weight carried in the abdominal area, are risk factors for coronary heart disease and diabetes. Being physically active, limiting alcohol intake and healthy eating (see below) can assist with weight loss.
  • Be physically active - The Heart Foundation recommends that people include 30 minutes or more of moderate intensity physical activity (such as brisk walking) on most, if not all days of the week, for health benefits. The amount of activity can be accumulated in shorter bouts, such as three 10-minute walks.
  • Limit alcohol intake - If you drink alcohol, limit yourself to one or two drinks per day.

    How can I further reduce my risk of heart disease and stroke?

  • Apart from high blood pressure, other risk factors for heart disease and stroke include cigarette smoking, a high blood cholesterol and diabetes. To help lower your risk:

  • Be smoke free - For information on quitting smoking call Quitline 131 848;

  • Enjoy healthy eating to help lower blood cholesterol levels by choosing mainly plant-based foods such as bread, cereals, rice, pasta, vegetables, fruits and legumes (dried peas, beans and lentils), and moderate amounts of lean meats, poultry, eggs, fish, reduced-fat dairy products and polyunsaturated and monounsaturated margarine and oils.

    For more information contact the Heart Foundation's telephone information service Heartline on 1300 36 27 87 (cost of local call).



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    What is a disease?

    A disease is a condition that impairs the proper function of the body or of one of its parts. Every living thing, both plants and animals, can succumb to disease. People, for example, are often infected by tiny bacteria, but bacteria, in turn, can be infected by even more minute viruses.

    Hundreds of different diseases exist. Each has its own particular set of symptoms and signs, clues that enable your Doctor to diagnose the problem.

    A symptom is something a patient can detect, such as fever, bleeding, or pain. A sign is something a doctor can detect, such as a swollen blood vessel or an enlarged internal body organ.

    Every disease has a cause, although the causes of some remain to be discovered. Every disease also displays a cycle of onset, or beginning, course, or time span of affliction, and end.

    An epidemic disease is one that strikes many persons in a community. When it strikes the same region year after year it is an endemic disease.

    An acute disease has a quick onset and runs a short course. An acute heart attack, for example, often hits without warning and can be quickly fatal. A chronic disease has a slow onset and runs a sometimes years-long course. The gradual onset and long course of rheumatic fever makes it a chronic ailment.

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    How Germs Invade the Body
    Humans live in a world where many other living things compete for food and places to breed. The pathogenic organisms, or pathogens, often broadly called germs, that cause many diseases are able to invade the human body and use its cells and fluids for their own needs.
    Ordinarily, the body's defense system can ward off these invaders.

    Pathogenic organisms can enter the body in various ways. Some, such as those that cause the common cold, pneumonia, and tuberculosis are breathed in. Others, such as those that cause venereal diseases enter through sexual contact of human bodies. Still others, such as those that cause bacillary dysentery, cholera, and typhoid fever get in the body through contaminated food, water, or utensils.

    Insects can spread disease by acting as vectors, or carriers. Flies can carry germs from human waste or other tainted materials to food and beverages. Germs may also enter the body through the bite of a mosquito, louse, or other insect vector.

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    Kinds of Disease
    Infectious, or communicable, diseases are those that can be passed between persons such as by means of airborne droplets from a cough or sneeze. Tiny organisms such as bacteria and fungi can produce infectious diseases. So can viruses. So can tiny worms. Whatever the causative agent might be, it survives in the person it infects and is passed on to another. Or, its eggs are passed on. Sometimes, a disease-producing organism gets into a person who shows no symptoms of the disease. The asymptomatic carrier can then pass the disease on to someone else without even knowing he has it.

    Noninfectious, or noncommunicable, diseases are caused by malfunctions of the body. These include organ or tissue degeneration, erratic cell growth, and faulty blood formation and flow. Also included are disturbances of the stomach and intestine, the endocrine system, and the urinary and reproductive systems. Some diseases can be caused by diet deficiencies, lapses in the body's defense system, or a poorly operating nervous system.
    Disability and illnesses can also be provoked by psychological and social factors. These ailments include drug addiction, obesity, malnutrition, and pollution-caused health problems.



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    What is a Psychosomatic Disorder?

    Diseases thought to be caused, at least in part, by emotional factors are known as psychosomatic disorders. The term comes from the Greek psyche, meaning "spirit" or "soul," and soma, meaning "body" and refers to the effect of the mind on the body's health. Other terms used to describe psychosomatic disorders are psychophysiologic disorders, psychogenic diseases, and organ neuroses.

    In psychosomatic disorders, repeated emotional stress can cause dysfunction or structural damage in the body's tissues, organs, and organ systems by chronically stimulating the involuntary nervous system and the glands of internal secretion. This process is in contrast to disorders caused by bacterial or viral infections. A headache, for example, can stem from a common cold or from muscle tension caused by stress. The headache of a cold disappears when the infection is gone, but headaches from continued emotional stress may be self-perpetuating. Tightened muscles in the neck, shoulders, and back increase the person's stress, which in turn increases tension in the muscles, which increases stress--setting up a vicious cycle. Chronic tension headaches often progress to chronic back pain, which can become disabling.

    The theory of psychosomatic disorders was proposed in the 1950s and 1960s by Franz Alexander and his colleagues at the Chicago Institute for Psychoanalysis. They suggested that specific personality traits and specific conflict situations created particular psychosomatic disorders. For example, asthma was thought to result from a conflict between the need for dependency (wheezing was a symbolic cry for mother) and the fear of dependency. If the condition persisted over several years, it could result in damage to the respiratory system. Patients with peptic ulcers were thought to equate the need for love with the need for food, much like an infant. As a result, the stomach continuously secreted digestive enzymes that eventually damaged the stomach lining.

    Most scientists believe Alexander's theory is too rigid, but as yet there is little agreement on the exact causes of psychosomatic disorders. Although many people often develop these disorders during periods of high stress in their lives, no one knows why some people develop one ailment and some another. Some investigators have tried to determine whether patients with the same disorder share a common personality trait. One theory holds that a particular emotional trauma, especially one occurring in childhood, causes illness in later life.

    On the other hand, researchers have been able to identify two types of emotional stress that contribute to the development of psychosomatic disorders. Stress that originates in childhood can remain as an unconscious, unresolved conflict that adversely affects the body. For example, children whose parents punish them whenever they show anger may grow up learning to repress their angry feelings. As a result, they may develop chronic stomach pain, back pain, or headaches. The second type of emotional stress arises from such life situations as the death of a loved one, divorce, job loss, or illness. Although this type of stress may be of shorter duration, it can be more severe and cause greater physical damage.

    The body's reaction to stress can result in a variety of ailments: high blood pressure (hypertension), peptic ulcers, bronchial asthma, migraine headaches, ulcerative colitis, insomnia, skin diseases, and allergies. As in the case of all psychosomatic disorders, patients are usually unaware of the emotional conflicts underlying their conditions. This fact can make it difficult for a Doctor to diagnose the true cause of a psychosomatic disorder. A hypertensive patient, for example, may not know that he is repressing his anger and may believe instead that he is cooperative and mild-mannered.

    Although the causes of psychosomatic disorders begin in the mind, the physical symptoms are real and may even be life threatening. These disorders are treated first through traditional medical therapy. Drugs can be used to lower blood pressure, decrease the production of digestive enzymes, and relax respiratory passages.

    Psychotherapeutic approaches then are used to help patients express emotions more constructively and to resolve long-term emotional conflicts. Likewise, private or group counseling can enable people to cope with stressful situations. Techniques such as self-hypnosis, conscious relaxation, and biofeedback have helped many people retrain their physical responses to stress.

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Managing vertebral fractures - with cement!
With compliments of ACA Channel 9
19 August 2003
Reporter: Jane Hansen

Vertebral fractures are common among severe osteoporosis sufferers but up until recently there have been few alternatives to manage the pain. Now, as ACA reports, a procedure known as vertebroplasty - which involves an injection of concrete into the fracture - is giving patients new hope of an improved quality of life.

It's hard to believe but just 24 hours ago, Marie Englund could barely move after a fall fractured her spine and she says the pain was agonising.

"I couldn't even talk, it crossed under my chest, it was agony," she says. "It's the most terrible pain and I can't describe it."

Within hours, Marie's fracture was pinpointed and treated with an injection of cement by specialist Dr William Clark, which he says stops the movement in the broken bone and abolishes the pain almost immediately.

Sydney-based Professor Terry Diamond says the treatment is a remarkable improvement on traditional therapies, which have largely been ineffective for many years.

"Bracing of the spine is very difficult to do so treatment has centred on heat and cold packs and analgesia with rehabilitation," he says. "Six to six months is the natural history for how long spinal fractures take to heal."

For Margaret McGuiness, who fractured her spine just a few days ago, undergoing vertebroplasty seems a little daunting but she fears the alternative.

"There's no alternative really," she says. "Only sitting in a chair with painkillers."

According to Dr Clark, Margaret's spine actually looks as though there is a fracture right through the middle of the vertebral body and these types of injury tends to be very painful. That's why this procedure - which involves the same cement orthopaedic surgeons have been using for many years to glue hip joints - is so appealing.

"We mix up the cement by adding some liquid to some powder and we have a working time of about three to four minutes to inject the cement," explains Dr Clark.

An hour later, the local anaesthetic has worn off and Margaret is resting more comfortably.

The therapy is by no means a cure for osteoporosis but it's an effective treatment that returns the quality of life to the elderly and in some cases saves lives. Without the procedure, 90-year-old World War II veteran Gordon McIlvene may not have survived after fracturing his back two years ago.

Professor Diamond says Gordon's severe back pain began when he got off the bus he'd caught into town. The pain ended up getting much worse.

"[He] was eventually wheelchair-bound and started to get secondary infection in his lungs because of the pain," says Professor Diamond. "He's the classic patient who is at risk of pneumonia, ending up in hospital, getting clots in the legs and dying from a pulmonary event - in this group, the therapy is amazing."

For Gordon, he's back to his cheeky self, ready and looking forward to marching at next year's ANZAC Day parade.

"They [surgeons] do things behind your back, you know?" he jokes. "I still don't know what they actually did but I've been alright ever since!"

A Special thank you to ACA Channel 9 for this article..
www.ninemsn.com/aca 19th August 2003..

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Percutaneous vertebroplasty: what is it?

With Compliments of ACA Channel 9
19 August 2003

Information in the following fact sheet has been provided by Associate Professor of Medicine, Terry Diamond.

What is a vertebral fracture?

The spinal column comprises a number of vertebral bodies (cervical, thoracic and lumbar). With severe osteoporosis, a vertebral body can fracture either spontaneously following a cough, sneeze or with minimal trauma such as lifting a small shopping bag.

The fracture is associated with severe, excruciating back pain, requiring narcotic analgesia and hospitalisation. Patients are usually elderly and may develop significant complications following fracture, such as pneumonia, blood clots and even death (increased by as much as eight-fold).

Until recently, analgesia, bracing, heat packs and physiotherapy offered some benefit.

What is vertebroplasty?

Vertebroplasty or cementoplasty is a technique whereby liquid cement is injected through a fine needle into a vertebrae body under careful X-ray screening.

How does it work?

The cement is injected in liquid form and rapidly undergoes a thermal reaction and solidifies. When the liquid substance is injected, it first dissipates throughout the fine fractured trabecular network of the vertebral body and then solidifies, acting as a solid support for the pain-sensitive vertebral endplates and the spinal column above. This process results in dramatic pain relief.

Who can benefit from this treatment?

Vertebroplasty was first developed in 1987 for the treatment of spinal tumours. It is now recognised as a very effective modality for treating acute painful vertebral fractures in elderly osteoporotic patients. This procedure is predominantly of benefit in individuals who have MRI evidence of acute vertebral fractures.

What are the benefits/

Vertebroplasty results in prompt pain relief and allows for the rapid rehabilitation of patients, thereby preventing hospital admission and fracture-related complications.

The procedure is performed on a day-only outpatient service. The overall reduction in costs and bed days associated with acute vertebral fractures treated by successful vertebroplasty may have significant savings on the ailing health economy.

Are there any drawbacks?
· Not all patients are suitable for vertebroplasty. This technique is indicated for treating patients with acute severe osteoporotic vertebral fractures. It is not a technique for treating chronic vertebral deformities.
· Vertebroplasty is contraindicated in individuals who are on blood thinners (anti-coagulants) and those in whom the fracture deformity impinges on the spinal cord.
· It is not without risk. Complications may be related to cement allergy, bleeding from the procedure and leakage of cement into surrounding structures and blood vessels.
· Vertebroplasty should currently be reserved for the elderly patient (60+), since the long-term risks of increased spinal stiffness associated with recurrent fractures remains unknown.

Is there any other treatment required after vertebroplasty?

It is important to note that vertebroplasty only treats the symptoms. Most patients have severe underlying osteoporosis placing them at high risk of recurrent fractures. Treatment with appropriate anti-osteoporotic drug therapies is indicated. Moreover, an optimal rehabilitation program with hydrotherapy is indicated after the procedure, so as to allow the individual to return to his/her pre-fracture lifestyle.

Who performs this procedure?

Complications are very rare but can be significant. Vertebroplasty is very much operator-dependent. It is imperative that vertebroplasty only be undertaken in tertiary care referral centres with highly trained and skilled radiologists with optimal radiological imaging equipment.

How effective is it?

Recent research (Diamond et al, American Journal of Medicine 2003) indicates when compared to conservative therapy, vertebroplasty results in prompt pain relief and rapid rehabilitation. In experienced hands, it is considered a safe and effective procedure for treating acute osteoporotic vertebral fractures.

A Special thank you to ACA Channel 9 for this article..
www.ninemsn.com/aca

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Health Minister denies plans for ID card scheme
Saturday August 30.


Federal Health Minister Senator Kay Patterson has denied the Commonwealth is considering an all-in-one health identification card.

There have been claims the Federal Government plans to issue every Australian with an ID card to track their health record from birth.

In Perth in Western Australia, Senator Kay Patterson said the Federal Government was conducting trials with volunteers so information can be coordinated between state and federal health providers.

But she says reports of a health ID card are wrong because they would compromise privacy issues.

"Health information is very, very important information to individuals," she said.
"It's important that if people are involved in a trial what's involved they are all volunteers and the privacy commissioner has been consulted at every point in these trials."

A Special thank you to ACA Channel 9 for this article..
www.ninemsn.com/aca

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Mon 1 Sep 2003
Drug green light sparks concern

A heated debate is underway in the medical community over a decision to extend the range of painkillers being sold in supermarkets and corner stores. Some experts claim the drugs can have dangerous side-effects and say they should be sold only in pharmacies.

The National Drugs and Poisonings Scheduling Committee (NDPSC) has recommended that ibuprofen, a drug also known as Nurofen, Act 3 and several other brands, be rescheduled for sale in supermarkets and corner stores from January 1 next year.

But across the medical spectrum, experts are concerned the green light has been given. "In this particular case it's a wrong decision," said John Bell of the Pharmaceutical Society. "Ibuprofen drugs are commonly taken for pain relief. They are actually anti-inflammatory drugs for muscle and arthritic conditions but also have pain relief benefits. But it can have serious risks like kidney damage and stomach ulcers."
The problem is, according to gastro entomologist Dr Danny Stiel, that supermarket accessibility could lull people into thinking it's harmless.

"Hundreds of people of people in Australia die from ulcers each year of bleeding and other complications and that can only increase if we allow them to be more widely available," he said. But the dangers increase if they're already taking - as millions of Australians do - other prescription anti-inflammatory medication.
"Like Voltaren, like Celebrex, Vioxx, Feldene - all of these have the potential to interact or exacerbate the side-effects of these products," said Mr Bell.

Pharmacists say the more they know about ibuprofen, the more people take it and the more concerns they have. It's already known to trigger asthma attacks and now there's a new finding raising alarm for women trying to get pregnant.

"The new study shows that ibuprofen, like aspirin, which used to be taken to try and avoid miscarriage actually, doubles the risk of miscarriage," said Professor Robert Jansen from Sydney IVF.

Specialists say the public should be warned:
"There should at least be prominent marking to that effect if they're not sold in the circumstance where a pharmacist can explain the use of the drugs," said Professor Jansen. According to John Bell, the recent data has confirmed the belief of many that there is no place on the supermarket shelf for ibuprofen - in their view it is not a grocery-shelf item.

Source: National Nine News

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