Health and Fitness for Sunday August 29, 2010

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Oklahoma man gets double hand transplant LOUISVILLE, Ky. (UPI) -- An Oklahoma man has received a double hand transplant in an operation lasting more than 17 hours, hospital officials say. Richard Edwards, of Edmond, got his new hands at Jewish Hospital Hand Care Center in Louisville, the Courier-Journal reported. Edwards made his living as a chiropractor before losing both hands when his truck caught fire in 2006; unable to escape, he was severely burned on his face, back, arms and hands. Surgeons from Kleinert Kutz & Associates and the University of Louisville performed the surgery. It is the nation's third double hand transplant; the nation's first five single hand transplants also took place at Jewish Hospital. Edwards saw his new hands for the first time Friday, exclaiming: "Ooh, awesome. I am a blessed man," hospital officials said. The lead surgeon in the case said Edwards is doing better than expected. Dr. Warren C. Breidenbach of Kleinert Kutz said the hand movements "are already four weeks ahead of our other patients." Edwards was able to form a fist with his left hand and can move the wrist and each finger in both hands, the newspaper said. "Movement is good and better than I anticipated," Breidenbach said. "We are in good shape, and I don't see anything to be overly concerned about." Hospital officials said Edwards will be monitored closely for infection and any sign his body is rejecting the transplants. Copyright 2010 by United Press International
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Hospital-acquired infections = longer stay ROCKVILLE, Md. (UPI) -- U.S. patients who acquired infections while hospitalized had to stay an average of 19 days longer than those who didn't get an infection, officials say. A report by the Agency for Healthcare Research and Quality, part of the U.S. Department of Health and Human Services, says for patients with a hospital-acquired infection, the rate of death in the hospital, on average, was six times as high as the rate for patients without an infection. The report finds the cost of a hospital stay for a person without an infection acquired in the hospital is, on average, $9,377, but treating an infection acquired in the hospital costs about $43,000 more than the original treatment cost. Federal health officials say: -- In 2007, about 45 percent of patients with hospital-acquired infections were 65 or older, 33 percent were ages 45-64 and 22 percent were ages 18-44. -- The top three diagnoses in hospitalized adult patients who acquired infections were septicemia, bacteria in the blood, at 12 percent; adult respiratory failure at 6 percent; and complications from surgical procedures or medical treatment at 4 percent. -- The infection rate peaked in 2004 and 2005 at 2.3 per 1,000 stays but declined to 2.03, a rate similar to that of 2000. Copyright 2010 by United Press International
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Diabetes impairs but does not end sex CHICAGO (UPI) -- Many middle-aged and older adults with diabetes are sexually active but their activity might not be very rewarding, U.S. researchers suggest. Lead author Dr. Stacy Lindau, associate professor of obstetrics and gynecology and of medicine at the University of Chicago, says the study involved nearly 2,000 people ages 57-85. The study finds almost 70 percent of men with diabetes who have a partner and 62 percent of partnered women with diabetes engaged in sexual activity two or three times a month -- a level comparable that of those without diabetes. Men diagnosed with diabetes were more likely to express a lack of interest in sex and to experience erectile dysfunction, while both men and women report a higher rate of orgasm difficulties, such as climaxing too quickly or not at all. "Patients and doctors need to know that most middle age and older adults with partners are still sexually active despite their diabetes," Lindau says in a statement. "However, many people with diabetes have sexual problems that are not being addressed." Almost half of the women do not have a partner and those who have partners are more likely than men to avoid sex because of a problem and less likely to discuss such as problem with a doctor. The findings are published in the journal Diabetes Care. Copyright 2010 by United Press International
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Walkers' brains better connected CHAMPAIGN, Ill. (UPI) -- U.S. researchers suggest walking enhances brain circuit connectivity and brain function. Moderate walking for 40 minutes three times per week for a year -- rather than just stretching and toning -- helped increase brain function in older adults. University of Illinois at Champaign study leader Art Kramer and colleagues looked at brain regions functioning together -- especially the "default mode network" that dominates brain activity while passively observing or simply daydreaming. The study, published in Frontiers in Aging Neuroscience, finds in healthy young brains, activity in the default mode network quickly diminishes when a person engages in an activity requiring focus on the external environment. The researchers also say default mode network connectivity significantly improved in the brains of the older walkers. "The higher the connectivity, the better the performance on some of these cognitive tasks, especially the ones we call executive control tasks -- things like planning, scheduling, dealing with ambiguity, working memory and multitasking," Kramer says in a statement. Kramer and colleagues used functional magnetic resonance imaging to measure brain activity in 32 adults, ages 18-35, as well as in 65 previously sedentary people age 59 to over 80 -- before, as well as six and 12 months, after joining either a walking group or a stretching and toning group. Copyright 2010 by United Press International
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