Welcome to Friday’s Overnight Health Care.

President TrumpDonald John TrumpState Department inspector general fired House passes massive T coronavirus relief package Analysis: Most states fall short of recommended coronavirus testing levels as some reopen MORE formally introduced the new head of his “Operation Warp Speed,” a public-private partnership to push for a vaccine to prevent COVID-19.

The administration is also standing behind a rapid diagnostic test from Abbott despite new accuracy concerns, and more members have been added to the White House’s coronavirus task force.

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We’ll start with vaccines:

Trump touts accelerated push on coronavirus vaccines 

There are a couple of new faces in the administration’s coronavirus response efforts: Former pharmaceutical executive Moncef Slaoui and Army Gen. Gustave Perna are heading up the Operation Warp Speed vaccine development effort.

Slaoui will serve as the project’s chief scientist while Perna will serve as its chief operation officer. Trump joined them in the White House Rose Garden on Friday to tout the effort.  

“When I say quickly, we’re looking to get it by the end of the year if we can, maybe before,” Trump said. 

Trump described the project as “a massive scientific industrial and logistical endeavor unlike anything our country has seen since the Manhattan Project.” He said the project would begin to manufacture vaccines as they go through trials so that a proven vaccine would be ready to distribute once trials are completed.

Read more here.  

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Related: Trump says administration is ‘looking at’ making coronavirus vaccine free

 

House set to pass massive $3T response bill tonight…but there are some defections

At least two progressive House Democrats have announced plans to vote against the $3 trillion coronavirus relief package their party will bring forward for a vote Friday. 

Rep. Pramila JayapalPramila JayapalOvernight Health Care: Trump touts accelerated push on vaccines | House set to pass trillion bill | COVID-19 now spreading fastest in small, rural counties Progressives to buck party by voting against T coronavirus relief bill House Democrats seek to codify environmental inequality mapping tool  MORE (D-Wash.) said in a statement that she will be voting “no” on the bill because, among other things, the legislation does not guarantee “affordable and accessible health care for everyone,” guarantee enough forgivable loans to minority-owned small businesses and doesn’t safeguard pensions. 

“At the core, our response from Congress must match the true scale of this devastating crisis. The Heroes Act —while it contains many important provisions — simply fails to do that,” said Jayapal, who co-chairs the Congressional Progressive Caucus.

Health insurance dispute: One of her complaints is that the bill includes premium subsidies so that workers can maintain their health insurance coverage if they are eligible for COBRA, a program that allows employees who have been laid off to stay on their old employer’s health plan.

Jayapal said that the provision would be a giveaway to the health insurance industry, while leaving people who can’t afford to stay on their plan left to “risk it.”

Read more here. 

Related: Tax provisions in House Democrats’ bill would cost $883 billion: analysis

Bipartisan bill aims to help smallest businesses weather the coronavirus crisis

 

Trump team confident in Abbot test despite new study

The Trump administration is still confident in a rapid COVID-19 diagnostic used to test President Trump and staff despite a new study showing it may be missing nearly 50 percent of infections. 

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“We still have confidence in the test or we wouldn’t have it on the market,” Department of Health and Human Services Secretary Alex Azar said Friday on Fox Business.

Azar said the test may be missing infections because of “user error.”

Azar’s comments come a day after new study from New York University, which has not yet been peer-reviewed, found the Abbott ID NOW test missed 48 percent of positive cases when using dry nasal swabs.  

The Food and Drug Administration said it is working with Abbott to analyze the information, and said negative test results that are not consistent with a patient’s symptoms should be confirmed with another test. 

Context: Trump has spoken highly of the Abbott tests, which can deliver results in as little as five minutes, without the uncomfortable deep nasal swab required of other tests. Rapid diagnostic testing will be an important tool for states to use in reopening their economies and preventing another wave of infections, but quality concerns are worrisome. 

Read more here.

 

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White House adds new members to virus task force

The White House on Friday added five new members to the coronavirus task force, signaling a new focus on reopening the economy and developing vaccines.

Who’s new: The additions include Labor Secretary Gene Scalia, National Institutes of Health Director Francis Collins and Secretary of Agriculture Sonny PerdueGeorge (Sonny) Ervin PerdueOvernight Health Care: Trump touts accelerated push on vaccines | House set to pass trillion bill | COVID-19 now spreading fastest in small, rural counties House poised to pass coronavirus relief bill: What you need to know today House Republican introduces bill to give meatpacking plants liability shield MORE. They also added Peter Marks, director of the Center for Biologics Evaluation and Research at the Food and Drug Administration, and Thomas Engels, administrator of the Health Resources and Services Administration.

What it means: Trump has been eager to reopen the country in order to address the lagging economy, which he and his advisors view as a key to his re-election. The White House had initially planned to scale back the work of the task force in early June but Trump backed off those plans last week after public outcry. Still, Trump signaled that the task force would shift its focus to reopening the economy, as well as the development of vaccines and therapeutics.

Read more here.

 

COVID-19 now spreading fastest in small, rural counties

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Small, rural counties that had to date escaped much of the damage from COVID-19 are now seeing an increasing amount of infections, as the pandemic spreads out from urban centers.

A new analysis shows nearly three-quarters of Americans live in counties where the virus is now spreading widely. Another 200 counties have seen significant growth in infection trends in the last week, making them high-prevalence counties — areas where the virus has infected at least one in a thousand people. 

The problem: Many of these counties are now beginning to open, thinking they are in the clear. Those counties also tend to have smaller health care systems that could become more easily overwhelmed if they are hit with a crush of cases. 

As more and more states take their first steps toward reopening businesses, some scientists are worried that the increasingly political lens through which people view the coronavirus will discourage those most at risk of suffering the worst consequences from taking the steps they need to protect themselves.

Read more here.

 

What we’re reading

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Trump Seeks to Force Hospitals to Open Books as They Fight Virus (Bloomberg)

‘We’re just horrified’: why a Springsteen sideman took on nursing homes (New York Times)

Growing friction between White House, CDC hobbles pandemic response (Washington Post)

JetBlue’s founder helped fund a Stanford study that said the coronavirus wasn’t that deadly (Buzzfeed News)

 

State by state

Study ties ‘Obamacare’ to fewer cancer deaths in some states (NBC News) 

 F.D.A. halts coronavirus testing program backed by Bill Gates in Seattle area (New York Times)

As Congress weighs COVID liability protections, states shield health providers (Kaiser Health News)

As Florida prepares to enter ‘full phase one’ of reopening, coronavirus deaths reach 1,917 (Click Orlando)

Former Director of National Intelligence (DNI) James ClapperJames Robert ClapperTucker Carlson: Flynn case was domestic spying operation ‘hidden under the pretext of national security’ Clapper: ‘Routine’ to ask to ‘unmask’ unknown individuals in intelligence reports GOP senators hit the gas on Obama-era probes MORE said Thursday it is “routine” to “unmask” American citizens who have been caught up in surveillance of foreign individuals as Republicans spark an uproar over allegations that officials spied on former national security adviser Michael Flynn.

“Over the six and a half almost seven years when I served as DNI I would say perhaps once or twice a week perhaps,” Clapper said on CNN when asked how frequently he would request an American’s identity to be revealed. 

“It’s a routine thing. It’s appropriate and legitimate when you have a valid foreign intelligence target engaging with a U.S. person. Is it, for example, an insider, someone in the government engaging with a foreign adversary? So it’s important from the standpoint of potential jeopardy to national security that you understand what’s going on.” 

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Clapper was one of several Obama-era officials named on Wednesday by the Trump administration and Republican senators who they say asked for documents that led to Flynn being “unmasked” from intelligence reports between the 2016 election and President TrumpDonald John TrumpSusan Rice says she would ‘certainly say yes’ to be Biden’s VP Jim Jordan requests documents from Pompeo regarding Hunter Biden, Burisma  Graham rebuffs Trump over Obama testimony: ‘It would be a bad precedent’ MORE’s inauguration. 

Government officials typically redact the names of American citizens in intelligence reports they receive in order to protect their privacy, though it is common for officials to request that the names be revealed, or “unmasked,” to provide the government with context about the material.

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Clapper maintained that officials do not know the individual who will be unmasked prior to making their request, dismissing claims that the government was working to target Flynn.

“Again, if I’d known that, there wouldn’t have been a need to ask,” he said.

Clapper requested officials “unmask” Flynn three times, though he said he does not recall what prompted his requests. 

Flynn was being scrutinized at the time for discussions he had with then-Russian Ambassador Sergey Kislyak about the Obama administration’s sanctions on Moscow. Flynn ultimately pleaded guilty in December 2017 to lying to federal agents about conversations he had with the Russian diplomat, but he has since sought to withdraw his plea and is in the midst of a closely-watched court battle after the Justice Department announced it was dropping charges. 

“There was general concern about the number of engagements with Russians that we were seeing happening. We may not necessarily have known what the content of these engagements were, but there were numerous engagements by representatives of the Trump camp with Russians. So that was a general concern anyway,” Clapper said, noting he saw no evidence of collusion between the Trump campaign and Russia.

Still, Republicans have pointed to the list of names released Wednesday as evidence that Flynn was targeted as part of a politically-motivated investigation to try to handicap Trump’s presidency.

“The records are one step forward in an important effort to get to the bottom of what the Obama administration did during the Russia investigation and to Lt. General Flynn,” Sens. Ron JohnsonRonald (Ron) Harold JohnsonJim Jordan requests documents from Pompeo regarding Hunter Biden, Burisma  Clapper: ‘Routine’ to ask to ‘unmask’ unknown individuals in intelligence reports The Hill’s Morning Report – Presented by The American Investment Council – Trump takes his ‘ready to reopen’ mantra on the road MORE (R-Wis.) and Chuck GrassleyCharles (Chuck) Ernest GrassleyClapper: ‘Routine’ to ask to ‘unmask’ unknown individuals in intelligence reports The Hill’s Morning Report – Presented by The American Investment Council – Trump takes his ‘ready to reopen’ mantra on the road GOP senators hit the gas on Obama-era probes MORE (R-Iowa) said in a joint statement Wednesday.

Trump on Wednesday weighed in, calling the unmasking “a massive thing.”

The Transportation Security Administration (TSA) will begin checking passengers’ temperatures at around a dozen airports in the coming days as concerns grow over air travel during the coronavirus pandemic.

People familiar with the matter told The Wall Street Journal that the details of the plan are still being fleshed out, and it is as of yet unclear which airports will adopt the new scanning procedures. A government official told The Journal that the rollout of the proposal will cost under $20 million.

Airlines have been pushing for the government to adopt greater safety measures to reassure passengers who have grown jittery about flying. Demand for air travel has plummeted over 90 percent amid transportation restrictions. 

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Sources familiar with the matter told The Journal there have been concerns over the TSA’s taking responsibility for the screening, with some saying the measures do not fall within its security mandate. 

The TSA told The Hill it does not have any additional information “at this time.” 

The scanners are expected to be a mix of tripods that can scan a number of people at one time as well as handheld devices. Those with a temperature of 100.4 degrees Fahrenheit or higher will be flagged.

An administration official told The Journal that a pilot program for temperature checks was run at Washington Dulles International Airport outside of Washington, D.C. in April. 

However, airport and airline officials have expressed concern over what to do with passengers who are flagged. An administration official told The Journal that they will be turned over to officials with the Centers for Disease Control and Prevention (CDC).

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ANDOVER, MA — Officials at Fox News issued a statement Monday afternoon saying that State Sen. Barbara L’Italien (D-Andover) did not identify herself to producers, who thought she was Rep. Ann Kirkpatrick (D-AZ). Producers had booked Kirkpatrick on its Fox and Friends morning show as a Democratic lawmaker who was reportedly booed for supporting Immigration and Customs Enforcement at a recent public appearance.

Fox said it had booked Kirkpatrick with her press contact, who confirmed the appearance on the segment by email. But when the segment started, it was L’Italien who appeared on camera in front of Kirkpatrick’s campaign logo.

“Despite speaking to producers prior to the interview, L’Italien did not identify herself as anything other than Kirkpatrick until she was live on air, at which point we ended the interview,” Desiree Dunne, Executive Producer of Fox & Friends First, said in a statement.

The aide Fox spoke to is named Joe Katz. While he now works for L’Italien, he reportedly worked for Kirkpatrick several years ago. L’Italien is in the crowded race to replace Rep. Nikki Tsongas (D-Lowell) in Congress. Tsongas has announced she would not seek reelection. Her campaign issued a release shortly after the segment aired.

“I’m actually here to speak directly to Donald Trump,” L’Italien said on air as the two hosts looked on, visibly confused. “I feel that what’s happening at the border is wrong. I’m a mother of four, and I believe that separating kids from their parents is illegal and inhumane. I’m actually Barbara L’Italien, I’m a state senator representing a large immigrant community and running for Congress in Massachusetts.”

Host Jillian Mele attempted to rebut L’Italien’s points, claiming families had been reunited at the border, then cut L’Italien off the air. “That didn’t go as planned,” Mele said.

In a post on Twitter, Mele’s co-host Rob Schmitt claimed L’Italien’s campaign had lied to get the candidate on air.

Never miss another local news story: Get free local news alerts right to your inbox.

Dave Copeland can be reached at dave.copeland@patch.com or by calling 617-433-7851. Follow him on Twitter (@CopeWrites) and Facebook (/copewrites).

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CALIFORNIA – The Carr Fire burning in Northern California has become one of the largest and deadliest wildfires in state history.

Cal Fire updated its list of the top 20 largest California wildfires Friday, with the Carr Fire landing 20th on the list. By Friday evening, the list was already outdated as the fire in Shasta and Trinity counties grew to 133,924 acres, which would make it the 19th largest wildfire, surpassing the July 2016 Soberanes Fire that burned 132,127 acres in Monterey County.

As of Friday evening, the Carr Fire has destroyed 1,070 homes, 21 commercial structures and 492 outbuildings, according to Cal Fire. Another 188 homes, 23 commercial structures and 60 outbuildings have been damaged. The blaze was 39 percent contained.

The Thomas Fire, which sparked in December 2017, became the largest wildfire after blackening 281,893 acres in Santa Barbara and Ventura counties. It surpassed the October 2003 Cedar Fire that scorched 273,246 acres in San Diego.

The Carr Fire has also become the 13th deadliest wildfire in state history. Six people have died as a result of the fire, including a firefighter and a bulldozer operator.

The Griffith Park Fire was the deadliest wildfire in California history. The October 1933 blaze killed 29 people in Los Angeles County. The October 2017 Northern California wildfires, however, were collectively more deadly.

As California copes with another devastating wildfire season, here’s a look back at the largest and deadliest blazes in state history.

Top 20 Largest California Wildfires

*As of Aug. 3, 2018

FIRE NAME (CAUSE) DATE COUNTY ACRES STRUCTURES DEATHS 1. Thomas Fire
(under investigation) December 2017 Ventura & Santa Barbara 281,893 1,063 1 2. Cedar Fire
(human related) October 2003 San Diego 273,246 2,820 15 3. Rush Fire
(lightning) August 2012 Lassen 271,911 CA / 43,666 NV 0 0 4. Rim Fire
(human related) August 2013 Tuolumne 257,314 112 0 5. Zaca Fire
(human related) July 2007 Santa Barbara 240,207 1 0 6. Matilija Fire
(undetermined) September 1932 Ventura 220,000 0 0 7. Witch Fire
(powerlines) October 2007 San Diego 197,990 1,650 2 8. Klamath Theater Complex Fire
(lightning) June 2008 Siskiyou 192,038 0 2 9. Marble Cone Fire
(lightning) July 1977 Monterey 177,866 0 0 10. Laguna Fire
(powerlines) September 1970 San Diego 175,425 382 5 11. Basin Complex Fire
(lightning) June 2008 Monterey 162,818 58 0 12. Day Fire
(human related) September 2006 Ventura 162,702 11 0 13. Station Fire
(human related) August 2009 Los Angeles 160,557 209 2 14. Rough Fire
(lightning) July 2015 Fresno 151,623 4 0 15. McNally Fire
(human related) July 2002 Tulare 150,696 17 0 16. Stanislaus Complex Fire
(lightning) August 1987 Tuolumne 145,980 28 1 17. Big Bar Complex Fire
(lightning) August 1999 Trinity 140,948 0 0 18. Happy Camp Complex Fire
(lightning) August 2014 Siskiyou 134,056 6 0 19. Soberanes Fire
(illegal campfire) July 2016 Monterey 132,127 68 1 20. Carr*
(human related) July 2018 Shasta & Trinity 131,896 1,567 6

* Fire is not contained and totals are likely to change.

NOTE: There is no doubt that there were fires with significant acreage burned in years prior to 1932, but those records are less reliable, and this list is meant to give an overview of the largest fires in more recent times, according to Cal Fire.

Top 20 Deadliest California Wildfires

*As of Aug. 3, 2018

FIRE NAME (CAUSE) DATE COUNTY ACRES STRUCTURES DEATHS 1. Griffith Park Fire
(unknown) October 1933 Los Angeles 47 0 29 2. Tunnel Fire
(rekindle) October 1991 Alameda 1,600 2,900 25 3. Tubbs Fire
(under investigation) October 2017 Napa & Sonoma 36,807 5,643 22 4. Cedar Fire
(human related) October 2003 San Diego 273,246 2,820 15 5. Rattlesnake Fire
(arson) July 1953 Glenn 1,340 0 15 6. Loop Fire
(unknown) November 1966 Los Angeles 2,028 0 12 7. Hauser Creek
(human related) October 1943 San Diego 13,145 0 11 8. Inaja Fire
(human related) November 1956 San Diego 43,904 0 11 9. Iron Alps Complex Fire
(lightning) August 2008 Trinity 105,855 10 10 10. Redwood Valley Fire
(under investigation) October 2017 Mendocino 36,523 544 9 11. Harris Fire
(under investigation) October 2007 San Diego 90,440 548 8 12. Canyon Fire
(unknown) August 1968 Los Angeles 22,197 0 8 13. Carr Fire*
(human related) July 2018 Shasta & Trinity 131,896 1,567 6 14. Atlas Fire
(under investigation) October 2017 Napa & Solano 51,624 781 6 15. Old Fire
(human related) October 2003 San Bernardino 91,281 1,003 6 16. Decker Fire
(vehicle) August 1959 Riverside 1,425 1 6 17. Hacienda Fire
(unknown) September 1955 Los Angeles 1,150 0 6 18. Esperanza Fire
(arson) October 2006 Riverside 40,200 54 5 19. Laguna Fire
(powerlines) September 1970 San Diego 175,425 382 5 20. Cascade Fire
(under investigation) October 2017 Yuba 9,989 266 4

* Fire is not contained and totals are likely to change.

NOTE: Fires with the same death count are listed by most recent, according to Cal Fire. Several fires have had four fatalities, but only the most recent are listed.

---

Photo: Forest burns in the Carr Fire on July 30, 2018, west of Redding, California. Photo by Terray Sylvester/Getty Images

Smart work, very focused and directed to meet individual needs is necessary.

Embrace risk and failure – Take calculated chances and learn form the mistakes.

Do ordinary things in an extra ordinarily manner everyday. Basics executed consistently win.

Focus on the absolute need to do, no fluff.

Take one step at a time. When volleyball player Karch Kiraly was asked how he prepared to win a Gold medal he answered ” I never did. I only prepared to win the next play.”

Quelles sont les régions de France où l’on vit le plus vieux ? Une récente étude de l’Insee révèle les zones géographiques qui comptent le plus d’aînés en bonne santé. Voici tous les secrets des centenaires.

L’espérance de vie augmente globalement un peu partout dans le monde. Lors du recensement 2005 de l’Insee (1), elle atteignait 83,8 ans pour les Françaises (championnes d’Europe avec les Espagnoles) et 76,7 ans pour les Français (au 6e rang européen). Aujourd’hui, une analyse géographique (2) basée sur les données de 2001-2002 permet de dresser un tableau de la France où l’on vit le plus vieux.
On meurt plus tôt dans le Nord
Trop de stress, de pollution, de fast-food… La capitale et l’Ile-de-France sont souvent accusées de tous les maux par ses détracteurs provinciaux. Et bien voilà une étude qui devrait redorer un temps le blason de cet endroit tant décrié ! Selon une étude de l’Insee, l’Ile-de-France est aujourd’hui la région où les hommes vivent le plus longtemps (77,3 ans), devant le quart sud-ouest de l’hexagone.
A l’inverse, l’espérance de vie est minimale pour les hommes et les femmes domiciliés au nord et au nord-est du pays, et dans un espace central correspondant à une diagonale Champagne-Auvergne. Pour les femmes, ce sont les Pays de la Loire qui présente la longévité la plus élevée. Globalement, les différences entre régions se sont atténuées au cours de la seconde moitié du XXe siècle. C’est principalement la mortalité après 60 ans qui conditionne les écarts observés. Et pour les fans des Iles et des cocotiers, il est à noter que les habitants des départements d’outre-mer meurent en moyenne plus précocement qu’en métropole.
Les secrets des centenaires
Comment mettre tous les atouts de votre côté pour atteindre un âge canonique ? Plusieurs études ont tenté de percer les secrets des centenaires (3, 4 et 5). Toutes trouvent chez ces heureux aînés les mêmes caractéristiques. Outre un bagage génétique particulier, ils ont des facteurs de risques cardiovasculaires, de diabète et de cancer très bas. Quelques conseils pour faire comme eux :
– Conserver un taux de mauvais cholestérol (LDL-Cholestérol) aussi bas que possible réduit son risque cardiovasculaire ;
– Pratiquer régulièrement une activité physique et ne pas céder à des comportements trop sédentaires réduit le risque cardiovasculaire, le risque de diabète mais également de cancer ;
– Arrêter de fumer réduit le risque cardiovasculaire et le risque de cancer ;
– Adopter un régime sain en respectant quelques règles élémentaires d’équilibre alimentaire ;
– Modérer sa consommation d’alcool en restant en-dessous des seuils (3 verres maximum par jour pour les hommes et 2 pour les femmes) pour réduire son risque cardiovasculaire et son risque de cancer ;
– Conserver une tension artérielle dans la norme (en dessous d’une valeur de 14 pour la pression systolique et de 9 pour la pression diastolique) après un repos de quelques minutes. Au-dessus, on parle d’hypertension artérielle. Une étude française de 2006 a même révélé le lien entre l’abaissement de la fréquence cardiaque de repos et la réduction du risque de mortalité. Et l’on sait comment réduire son rythme cardiaque : pratique régulière d’un exercice physique régulier, arrêt du tabac et adoption d’un régime alimentaire équilibré ;
– Prendre la vie du bon côté permettrait selon plusieurs études de vivre plus longtemps. L’anxiété, la dépression, le stress et même les tendances colériques pourraient être reliées à une augmentation du risque cardiovasculaire (6, 7 et 8) ;
– Eviter de s’exposer trop longtemps au soleil durant l’été entre 12h à 16h. En un mot, éviter la “toast attitude“ comme le rappelait dernièrement l’Institut national du cancer ;
– Eviter le surpoids en adoptant une alimentation et une hygiène de vie adaptée ;
– Se faire vacciner.
David Bême
1 – Enquête annuelle de recensement 2005 : les résultats – Insee – 17 janvier 20062 – Insee Première n°1114 – décembre 20063 – Eur J Cardiovasc Prev Rehabil.2006 Dec;13(6):993-9954 – Arch Gerontol Geriatr Suppl.2004;(9):425-4305 – Mech Ageing Dev.2005 Feb;126(2):263-76 – JAMA 1998; 279:1720-17267 – Epidemiology 2001 ; 12180-185
8 – Arch Intern Med. 2002;162:901-906
Un livre pour en savoir plus :
En forme naturellement, de 20 à 100 ans ! Les conseils de votre kiné-ostéopatheDe Edouart Berthelot-LebrunEditions Souffle d’or340 pagesPrix : 24 eurosClick Here: cheap INTERNATIONAL jersey

L’ostéoporose touche plus de 3 millions de femmes en France, mais une sur cinq seulement est diagnostiquée. Cette fragilité osseuse, qui survient après la ménopause, augmente avec l’âge. On croit souvent que cette maladie va provoquer uniquement des fractures du col du fémur ou des tassements vertébraux. Mais en réalité, la fragilité touche tous les os, et souvent cette maladie est à l’origine de fractures du poignet. D’ailleurs, après la ménopause, une fracture du poignet suite à un traumatisme bénin doit être considérée comme un véritable signal d’alarme, témoin d’un risque accru de « casse » plus grave. Car cela peut marquer le début d’une cascade de fractures, dont celle du col du fémur sera l’ultime étape.
Pour diagnostiquer l’ostéoporose, il existe un examen : l’ostéodensitométrie, qui permet d’évaluer la densité osseuse. Cet acte est remboursé depuis 2006 chez les personnes qui présentent des facteurs de risque. Or un antécédent de « fracture périphérique survenue sans traumatisme majeur » (le poignet notamment) est un facteur de risque, tout comme une ménopause précoce, des prédispositions familiales, un traitement prolongé à la cortisone… En cas de fragilité osseuse avérée, des traitements existent, notamment les fameux biphosphonates. Alors n’hésitez pas à consulter.Source : Conférence de presse de l’Alliance pour une meilleure santé osseuse, février 2007.

Les bouleversements hormonaux liés à la puberté ne sont pas sans effet sur l’insuffisance veineuse. Et certains jeunes souffrent dès l’adolescence de troubles douloureux. Une douleur qu’il faut savoir écouter et prendre en charge au plus tôt pour limiter le risque de complications.

L’hérédité joue un rôle important dans l’insuffisance veineuse. Si vous souffrez de jambes lourdes, si vous avez des varices, il y a de fortes chances pour que vous laissiez ces troubles en héritage à vos enfants. Une raison de plus pour surveiller attentivement leurs jambes…
Pourquoi s’intéresser spécialement à la puberté ?
Le Dr Schadeck, phlébologue, aime à comparer les problématiques dentaires et veineuses. Pour lui, comme pour nous tous, il est naturel d’emmener ses enfants chez le dentiste afin d’effectuer des contrôles préventifs, alors pourquoi ne pas consulter un phlébologue dans le même souci de prévention ? Cela s’impose tout particulièrement lorsque il y a des antécédents familiaux. En effet, on sait aujourd’hui qu’un garçon dont l’un des parents souffre de troubles veineux a 25 % de risque d’en souffrir également. Un chiffre qui passe à 62 % pour les femmes. Lorsque les deux parents sont variqueux, l’enfant a 90 % de risque de connaître les mêmes problèmes.
La puberté et les changements hormonaux qui l’accompagnent peuvent annoncer les premiers troubles veineux. Un déséquilibre entre progestérone et oestrogène peut altérer les parois veineuses. Moins toniques, elles se distendent peu à peu et le sang stagne dans les jambes. Second facteur de risque la mise en place précoce d’une contraception orale chez les très jeunes femmes, elle est susceptible d’aggraver des troubles veineux déjà présents. C’est pourquoi la meilleure solution si vous avez un doute est de consulter. Les examens de dépistage sont indolores et rapides.
Les signes d’alerte
Si aucune hérédité n’entre en jeu et que votre enfant n’a aucun symptôme pas de panique, inutile de courir chez le phlébologue. En revanche, certaines attitudes doivent vous faire penser à des troubles veineux et vous amener à vous interroger.
– Si l’enfant a du mal à rester très longtemps dans une position (debout ou assis) ou s’il doit s’arrêter fréquemment pour s’asseoir lors de longues périodes de marche, course ou sauts ;
– S’il surélève ses jambes de lui même, c’est une façon de soulager l’inconfort en limitant l’effet de la pesanteur sur le sang ;
– S’il adopte spontanément la position allongée à plat ventre pour toutes les activités ludiques ou studieuses (devoirs, jeux, lecture ou encore télévision) ;
– Enfin s’il présente déjà des varicosités (fines veinules rouges ou violacées, apparentes à la surface de la peau) ou même des varices.
Toutes ces raisons doivent raisonnablement vous amener à en parler à votre médecin qui saura vous orienter.
Que faire chez l’adolescent atteint de maladie veineuse ?
Lorsque la maladie est débutante, il n’est pas utile de “traiter“ immédiatement. Le médecin aura tout le loisir de suivre l’évolution de la maladie veineuse et d’intervenir en amont des problèmes. Il indiquera cependant à votre enfant quelques règles simples à suivre : éviter le surpoids, marcher régulièrement, surélever les jambes au possible. En bref respecter une hygiène de vie saine.
Si des traitements devaient être prescrits, les veinotoniques soulagent considérablement les douleurs et le recours à la sclérothérapie est possible pour prévenir l’évolution des varices.
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Une étude scientifique menée par le psychiatre Serge Stoléru se propose de recruter via internet une cinquantaine de pédophiles récidivistes… Le but de cette recherche est double :
– Comparer l’efficacité thérapeutique de deux traitements médicamenteux : l’acétate de cyprotérone, commercialisé sous le nom d’Androcur ® et la leuproréline, commercialisée sous le nom d’Enantone ®. Chacun d’eux s’est montré efficace dans la prévention des rechutes de type passage à l’acte, mais ils n’ont jamais été comparés. Quel que soit le médicament prescrit, une aide psychothérapique par une psychologue ou une psychiatre sera proposée ;
– Afin de mieux comprendre les mécanismes de déclenchement de l’acte pédophile, l’étude cherche à préciser les régions du cerveau qui s’activent au moment où un patient pédophile ressent un désir sexuel. Pour cela, nous proposerons au patient de passer un examen par scanner cérébral (IRM fonctionnelle et Pet-Scan) au cours duquel des images d’enfants (sans aucun caractère pornographique) lui seront présentées.
Les patients qui seront accueillis à Paris, Suresnes, Lyon et Villejuif devront avoir présenté au moins une rechute avec passage à l’acte alors qu’ils étaient traités par psychothérapie ou par médicaments.
Le traitement chimique ne fera pas l’économie d’un suivi psychologique. Sa finalité est de pouvoir apporter une aide chimique aux délinquants incapables de réprimer leur libido et leurs pulsions sexuelles. Si ces médicaments peuvent réussir à diminuer l’érection sans la supprimer, certains doutent qu’il puisse modifier les fantasmes et les représentations du criminel sexuel. Cette étude devrait durer deux ans.Source : Communiqué de l’Inserm – 13 mai 2007Click Here: Cheap France Rugby Jersey