March 2, 2018

Mayo Clinic in the News Weekly Highlights for March 2, 2018

By Emily Blahnik




CNBC, Why unlikely partnerships will spark the health-care revolution by John Noseworthy — Our team from Mayo Clinic — the 150-year-old health-care organization that invented the first group practice of medicine — was looking to learn from a start-up in Chinatown. Innovation springs up in unlikely places through unconventional collaborations. Late last year health-care industry watchers were abuzz with speculation when CVS and Aetna announced a merger designed to improve health-care delivery and lower costs through vertical integration. More recently, Amazon, Berkshire Hathaway and JP Morgan Chase revealed their plan to start a nonprofit health-care company for their combined U.S. workforce to accomplish the same goal. Additional coverage: Becker’s Hospital Review

Wall Street Journal, Less-Invasive Liver-Donor Surgery May Shorten Transplant Waiting List by Dana Wechsler Linden — At Mayo Clinic in Rochester, Minn., Julie Heimbach, surgical director of liver transplantation, recruited one of the leading practitioners of laparoscopic liver-donation surgery in South Korea, Choon Hyuck David Kwon, to help Mayo’s doctors develop their skills. Surgeons at the clinic are now using laparoscopy for the first part of the operation, which enables them to make a somewhat smaller incision and avoid cutting muscle. Several other American hospitals have reached out to Dr. Kwon as well. But even among surgeons who believe it’s crucial to encourage more living donors, some argue that urging doctors to perform laparoscopy isn’t the way to do it.

Los Angeles, NBA notes: Jimmy Butler has successful surgery to repair injured meniscus — Timberwolves All-Star guard Jimmy Butler underwent successful meniscus surgery on his right knee, Minnesota announced Sunday. The team said the operation was performed by the team's orthopedic surgeon, Diane Dahm, at Mayo Clinic in Rochester, Minn. Butler will be sidelined indefinitely. The team says further updates on his progress will be issued as he begins rehabilitation. Additional coverage: KARE 11, Pioneer Press, Chicago Tribune, USA Today, KTTC, Star Tribune, Atlanta Journal-Constitution, New York Times, Chicago Sun Herald, ABC News, Chicago Sun-Times, ESPN, US News & World Report

Washington Post, Bad genes don’t mean you are doomed to heart disease and early death by Marlene Cimons — ...Iftikhar Kullo, a cardiovascular genetics researcher at the Mayo Clinic, agrees. “If you’re dealt a bad hand by your family, it doesn’t mean you are determined to have heart disease,” he says. “You can reduce that risk. . . . The first layer is lifestyle. The next layer is drug therapy. Risk is a scale that you can dial up or down.” Additional coverage: Chicago Tribune

Wall Street Journal, Dietary Advice Based on the Bacteria in Your Gut by Charles Wallace — …Perhaps because of these concerns, DayTwo, which bases its dietary advice on an algorithm licensed from the Weizmann Institute that connects microbiome composition with predicted glucose responses, has joined with Mayo Clinic to duplicate the Israeli study on 329 people in the U.S. The goal is to ensure that the diet advice works as well for Americans, whose genetics and diet are different from many Israelis. Nicholas Chia, assistant director of the Center for the Individualized Medicine Microbiome Program at Mayo Clinic, says the results of the follow-up study were close to the Weizmann’s Institute’s findings. “That’s a pretty good sign that we’ve replicated the Israeli study and that it continues to work,” he says.

HealthDay, Why the Flu Makes You Feel So Miserable by Dennis Thompson — According to Dr. Gregory Poland, "As a result of fighting off the infection, our body releases an army of chemicals, and those are meant to stimulate the immune system. Think of them as chemicals released into the blood to flog the immune cells of the body to rev up, divide, and attack these viral infidels." Poland is a vaccine expert with the Mayo Clinic in Rochester, Minn. Additional coverage: WebMD, Medical XpressKTTC

Reader’s Digest, 7 Silent Signs of Serotonin Syndrome by Alyssa Jung — With treatment, serotonin syndrome symptoms typically disappear quickly, but left untreated it can be deadly. “Serotonin is responsible for regulating the nervous system, including body temperature, muscle tone, and behavior, gut motility, and constriction of the blood vessels in the body. When levels are high, the different body systems regulated by serotonin get over-stimulated,” says Jeahan Colletti, MD, an emergency medicine physician at Mayo Clinic in Rochester, Minnesota.

Advisory Board, 3 ways Mayo Clinic's OB Nest creates a consumer-focused pregnancy experience by Haley Wiesman — One way to drive recommendations and volumes to your obstetrics program is to deliver on patient experience. Mayo Clinic recently tested a program aimed at improving the patient experience by designing a new model of pregnancy care. The program piloted 14 alternative prenatal care options, offered to women with low-risk pregnancies. During the course of the project, the Mayo team derived insights to create a single cohesive model of care, "OB Nest," which is now successfully offered at Mayo Clinic Rochester.

Post-Bulletin, Brede: Noseworthy was the right Mayo leader for the times by Ardell F. Brede — Just like Rochester’s history is intricately intertwined with Mayo Clinic’s, Mayo CEO and President Dr. John Noseworthy and the city have worked together with the support of our community to help put Mayo Clinic and Rochester on a dynamic path for the future. With the announcement of Dr. Noseworthy’s retirement last week, I wanted to share some reflections on our shared time as leaders in defining Rochester’s future. From my perspective, Dr. Noseworthy’s mandate coming into the CEO’s office was unlike any shouldered by his predecessors. Gone were the days of, “If Mayo builds it, they will come.” Health care has become more competitive than ever. Dr. Noseworthy and his leadership team also have had to navigate the shifting complexities of American health policy.

Post-Bulletin, Mayo Clinic spinoff lauded for innovation by Jeff Kiger — Fast Company magazine recently named a young Mayo Clinic spinoff firm to its top 50 Most Innovative list along with giants like Apple and Amazon. Mayo Clinic helped launch the genetic testing company OneOme in 2014. The firm tests patients’ genetic makeup to match which of more than 350 prescription drugs will be the most effective for them. “We partnered with three scientists out of Mayo and built the company together,” said CEO Paul Owen. The Minneapolis-based company still licenses technology for Mayo Clinic, which has a financial interest in OneOme. Additional coverage: Twin Cities Business

Post-Bulletin, Noseworthy served as chief storyteller by Jeff Kiger — Health care is going through a time of great transition, and some credit Dr. John Noseworthy for his skill in steering Mayo Clinic through uncharted waters. “As leader of this organization for eight years, he has done a remarkable job on how well as he’s managed that changing landscape from Davos to the White House to Rochester,” said Richard Davis on Tuesday, after Noseworthy announced that he will retire as Mayo Clinic’s CEO and president at the end of 2018…During his time as CEO and president, Mayo Clinic has collected many awards as the top medical institution in the U.S. Revenue has also grown under his leadership.

Post-Bulletin, Helicopter parents do their children a disservice by Craig Swalboski — That parenting style is being seen more often today in youth and high school sports, even among parents who aren’t that way in other aspects of their children’s endeavors. “Sports once may have been just about getting kids out of the house and moving,” said Danielle Johnson, a Wellness Physical Therapist in the Mayo Clinic Department of Medicine’s Healthy Living Program. “Sports today tend to be more expensive and can require a huge time commitment from kids and parents just to feel they are staying competitive with their peers.  With this big of an investment on the line, it’s easy for parents to slip into being too heavily involved.  This new environment of sport seems to bring out the ‘helicopter parent’ in many people who would not consider themselves overly involved in other avenues of their kids’ lives.”

Post-Bulletin, Answer Man: Graham's ties to Rochester go way back — In 1986, he was the keynote speaker at the ceremonies in Jacksonville, Fla., when Mayo opened its group practice there. And, for many years in between, Graham was a familiar face in the Med City. The mighty Post Bulletin archives are replete with interviews Graham granted to our reporters.

KTTC, Children's Museum teams up with Mayo Clinic for kids' surprise activity by Ala Errebhi — Children receiving medical care at Mayo Clinic received a welcome distraction, courtesy of the Rochester Children's Museum Tuesday morning. On the 16th floor at the Children's Center, right by the appointment desk, children enjoyed a big arts and crafts table. The Children's Center and the Minnesota Children's Museum teamed up to bring the fun and new activity to kids. So while they were waiting for their appointments, they could create anything they'd like and let their imaginations run wild. Additional coverage: KIMT, Post-Bulletin

KAAL, FluMist recommended to fight flu next season — This flu season is one that many of us will likely remember. It's been one of the deadliest in recent memory. The Centers for Disease Control and Prevention is re-introducing an old friend to fight the flu next season, FluMist.“It’s back,” said Mayo Clinic Pediatrician Dr. Robert Jacobson. “We have evidence that it works as well as its injected form and that it can be recommended again by the advisory committee on immunization practices and other groups that make recommendations for our country.” Dr. Jacobson says in past years, the CDC hasn't recommended the FluMist because it wasn't providing enough protection.

KIMT, Fire Fighters train for the future by Jeremiah Wilcox — The Rochester Fire Department is training students from the Mayo Clinic School of Health Sciences on victim extrication at vehicle accidents. Captain Holly Mulholland tells us that she’s seen an increase in calls in the last three years. She also adds that they respond to "Several hundred injury accident calls per year." Additional coverage: KTTC, KAAL

KIMT, Panel approves new way to fight the flu by Jeremiah Wilcox — Robert Jacobson is a pediatrician at Mayo Clinic “This has been a bad year…This is due to H3N2.” Doctor Jacobson also said that none of the flu vaccines worked this year.“Maybe averaging about thirty five percent protection in preventing the flu.” He also adds that more than half of people don’t get the vaccine. “That’s the main reason…that’s the main reason we have continued outbreaks. Our children is going to school with children who didn’t get vaccinated and they bring it home to a place where no one got vaccinated.”

Star Tribune, Quiet, please: Noise pollution may damage the heart — In researching the link between noise pollution and heart disease, experts warn that there are also factors that can complicate the findings. For instance, people who live in heavily populated areas more likely to be plagued by noise are also exposed to more particle pollution in the air, which can also cause heart problems. …Still, said Steve Kopecky, a professor of medicine specializing in cardiovascular diseases at the Mayo Clinic, noise and how it affects health is something to consider. "I think it's something we need to pay more attention to in terms of our everyday living," he said.

Minneapolis/St. Paul Business Journal, For Mayo Clinic, a banner year for tech licensing: "It’s exactly what we wanted" by Katharine Grayson — Mayo Clinic Ventures, which licenses Mayo-invented technologies to businesses and invests in startups, generated record revenue in 2017 — thanks partly to the sale of a startup with Twin Cities operations. Rochester, Minn.-based Mayo released its year-end financial results last week. For Mayo Clinic Ventures, revenue climbed to $66 million in 2017, up from $35.1 million a year earlier. There wasn’t a single blockbuster deal that drove the spike, said Jim Rogers, Mayo’s chair of business development. However, the sale of Mayo spinoff VitalHealth Software Corp. played a notable role.

Twin Cities Business, Newly-launched Southeast Minnesota Angel Fund Makes First Two Medtech Investments by Don Jacobson — One of the recipients is Sonex Health LLC, of Rochester, maker of the SX-One MicroKnife, which is described as an “ultra-low profile” surgical device allowing physicians to perform carpal tunnel release surgery through a single micro-incision using ultrasound guidance. The company was founded in 2014 by Mayo Clinic physicians Dr. Darryl Barnes and Dr. Jay Smith, as well as by chief financial officer Aaron Keenan. Sonex is currently a tenant in the Mayo Clinic Business Accelerator, which is operated by RAEDI.

KEYC Mankato, Department Of Health's Annual 'Adverse Health Events' Report Sees Slight Increase — The report shows that the number of adverse events in Minnesota hospitals continues to rise slightly over the past four years. "This is an opportunity for us to look at these events and work as an enterprise to look at interventions that are working or helping to prevent these," Dr. Jennifer Johnson, Lead for Clinical Quality Outcomes at Mayo Clinic Health System in Mankato said. Of the 341 adverse events reported between Oct. 2016 and Oct. 2017 103 resulted in serious injuries and 12 led to deaths, compared to four deaths in 2016.

Owatonna People’s Press, Opioid abuse still uncommon in Steele County, but officials warn of uptick by William Morris — Tyler Oesterle, medical director for Mayo Clinic’s Fountain Centers treatment network, said there are a number of reasons parts southern Minnesota has so far been spared the brunt of the storm. But he worries that could be changing in the near future. “Honestly, I think we’re headed in that direction,” he said. “We’ve seen an uptick, we’re just lagging behind.”

Mankato Free Press, Falls biggest patient threat, report shows by Dan Linehan — Mankato’s hospital is piloting an effort to engage patients in preventing falls, including by laying out expectations and making a verbal agreement between patients and staff. “We’re emphasizing the reasons we need to be there helping them,” said Dr. Amy Brien, Mayo Clinic Health System’s patient safety officer for southwest Minnesota. She also said the hospital continues to emphasize the importance of assessing and reassessing each patient’s risk for falls, including when nurses change shifts and transfer care of patients.

WKBT La Crosse, Mayo to partner with Boys and Girls Club for Big Blue Dragon Boat Festival — Preparations are underway for La Crosse's annual Big Blue Dragon Boat Festival. Mayo Clinic Health System announced its plans for the day alongside this year's new co-presenters, the Boys and Girls Club of La Crosse. Event organizers hope the new partnership will bring fresh ideas to the sixth annual festival. Additional coverage: La Crosse Tribune

WKBT La Crosse, Heart attack survivor praises exercise as life-changing by Madalyn O’Neill — An area grandmother whose 7-year-old granddaughter saved her life with a 911 call is now being honored as a heart health survivor. Donna Bryan's granddaughter knew to call 911 when her grandma couldn't breathe in January. It turned out her lungs were full of fluid…At the gym inside Mayo Clinic Health System’s cardiac rehabilitation center in La Crosse, Bryan works out several times a week, and her angels take the form of physical therapists. "It's really fulfilling to see people doing that well and feeling that well,” exercise physiologist Rachel Decker said. Ironically, it took a heart attack last summer to get Bryan as healthy as she is. Medical staff at Mayo Clinic Health System saved her life.

WKBT La Crosse, Get a quick start on better heart health — Since February is American Heart Month, it's a great time to think about the health of your heart. "Heart disease is the leading cause of death for men and women," says Anita Inveiss, M.D., a family medicine physician at Mayo Clinic Health System. "Fortunately, small changes can make a difference when it comes to improving your heart health." If you can go from a sedentary lifestyle to being active for one hour a week, you've greatly reduced your risk for heart disease, says Dr. Inveiss.

WKBT La Crosse, New vaccine protects adults against Hepatitis B by Madalyn O’Neill — …Still, Mayo Clinic Health System's Dr. Ala Dababneh would recommend the vaccine to any adults prone to infected bodily fluid exposure, including paramedics or even world travelers, and wants to be careful not to single out a certain group such as drug users."Some populations tend to get blamed for certain things,” he said. “Really, the point of new vaccine is to provide a benefit, and anybody who can be at risk for Hepatitis B should get the vaccine."

La Crosse Tribune, Sister's kidney donation saves life of 18-year-old from Hokah by Eric Timmons — When 18-year-old Jake Knutson was accidentally whacked in the face with a baseball bat by a little league player he was coaching last June, he had no idea where the injury would lead him. The bat hit Jake with enough force to shatter his jaw, breaking it in two places. But when he got to the ER, the doctors quickly became concerned that the Hokah teenager had bigger problems than a broken jaw…Jake was transferred to the Mayo Clinic in Rochester, where doctors there determined he’d need a kidney transplant.

WIZM-AM, Flu season has past its peak — Cases at Mayo Health System in La Crosse have finally started to level off, after weeks of what the CDC called an epidemic in several states. "It is possible for it to jump up. However, historically, it hasn't done that," Mayo infection preventionist Kellee Dixon said. "It does kind of do a natural bell curve, and once we see that peak, it will trail off before it dies out for the season."

WIZM-AM, Mental health screenings for depression recommended for children by Drew Kelly — Mayo Health System pediatrician C.J. Mengah in Onalaska says kids are talented at hiding their issues. "You see these kids that you've seen year in, year out, and you think they're OK and they're doing good in school," Mengah said. "Then they fail their PHQ9 and these are depressed kids. And you get these kids help and things just go so much better. Suicide is the number one killer of kids aged 10 to 17. Mengah says therapy at a young age can make a huge difference.

Florida Times-Union, More than 6,000 successful organ transplants have been performed at the Mayo Clinic in Jacksonville by Charlie Patton — Surgeons at Mayo Clinic’s Jacksonville campus completed their first solid organ transplant — a liver transplant — on Feb. 26, 1998. As of the beginning of 2018, Jacksonville’s transplant program has achieved 6,234 total solid organ transplants. That includes 3,275 total liver transplants; 1,863 kidney transplants; 580 lung transplants; 308 heart transplants; kidney/pancreas transplants; 8 heart/lung transplants. The transplant program began as a liver transplant program. Kidney transplant was added in 2000, and heart and lung transplants were added in 2001. Today, the program includes liver, kidney, lung, heart and pancreas transplants. as well as multi organ procedures such as kidney/pancreas transplants. Since the program’s inception, patients from all 50 states and 25 countries have received transplants on the Jacksonville campus.

ActionNewsJax, Opioid deaths that equal donations — Dr. Christopher Croome is interviewed.

Becker’s Hospital Review, 1 in 3 early clinical trials post exaggerated results, Mayo Clinic study finds by Megan Knowles — For chronic medical conditions, researchers may considerably exaggerate the results of over one-third of early clinical trials, according to a study published in Mayo Clinic Proceedings. The study authors examined 70 articles published in medical journals between 2007 and 2015, which included the results of 930 clinical trials. "This phenomenon of exaggerated early results was present in a whopping 37 percent of the studies we reviewed," said Fares Alahdab, MD, lead study author. "Physicians and patients should be cautious about new or early clinical trial evidence. Exaggerated results could lead to false hope as well as possibly harmful effects." Additional coverage: HealthDayMedical News TodayMinnPostCBC

Business Insider, A 24-year old got a mysterious disease where her body attacked her brain — and scientists are learning it's more common than they thought by Erin Brodwin — The Mayo Clinic's new study, published in February in the journal Annals of Neurology, suggests that cases of autoimmune encephalitis aren't nearly as rare as researchers once believed. By drawing on data from the Rochester Epidemiology Project, a medical records database in Olmsted County, Minnesota, the researchers were able to estimate that roughly 1 million people across the globe had autoimmune encephalitis at some point in their life. Each year, roughly 90,000 people may develop AE, they estimated. "No prior studies evaluated this," Eoin Flanagan, the lead author on the paper and an autoimmune neurology specialist at the Mayo Clinic, said in a statement.

Healthcare Dive, Mayo Clinic reports $12B in revenue for 2017 by Les Masterson — Mayo Clinic's expenses increased from about $10.5 billion in 2016 to nearly $11.3 billion in 2017. The system said it spent 65% of expenses, or $7.3 billion, on salary and benefits and $535 million on the staff pension plan. Critics have questioned the healthy margins and revenue numbers large nonprofit systems like Mayo have posted, but CFO Dennis Dahlen said in a statement the organization’s earnings are being invested in the medical practice, education and research, its employees and its communities.  “It’s also vital to invest in the financial security of our staff and to equip them with technology and infrastructure to best serve our patients,” Dahlen said.

Medscape, Adjuvant Chemo in Endometrial Cancer: Benefit Only for Some by Pam Harrison — In an accompanying editorial, Sean Dowdy, MD, and Gretchen Glaser, MD, both of the Mayo Clinic in Rochester, Minnesota, disagree with the authors' cautious interpretation of PORTEC-3 findings, stating that "the significant improvement in failure-free survival seen in patients with stage III disease seems to justify the accompanying toxicity." The editorialists point out that women aged 70 years or older derived the greatest benefit from chemoradiotherapy, as determined on the basis of multivariate analysis. Given this, "providers should council elderly patients of this potential benefit of chemoradiotherapy," they comment.

SELF, Do I Really Need to See a Doctor for Blood in My Poop? by Korin Miller — 1. You have hemorrhoids. Around three out of four adults will deal with these piles of swollen anal or rectal veins at some point in their lives, according to the Mayo Clinic. You can get them when you strain too much when trying to poop, according to the Mayo Clinic. Pregnancy, which causes constipation and increases pressure on your lower body (including your anus), is another main cause. Sometimes you won’t even realize you have hemorrhoids, but straining to poop—and the resulting irritation—can make a hemorrhoid bleed, according to the Mayo Clinic.

MedPage Today, Most SCAD Should Be Treated Conservatively by Crystal Phend — The condition occurs overwhelmingly in women, accounting for up to 35% of myocardial infarctions (MIs) in those under age 50, Sharonne Hayes, MD, of the Mayo Clinic in Rochester, MN, and colleagues wrote in the statement, published in Circulation. The presentation is almost always as an acute coronary syndrome (ACS) with elevated cardiac enzymes, which appears consistent with atherosclerotic disease but does not stem from it, she and her colleagues noted…It's only recently that evidence has developed to counter the traditional medical school teaching that this is an incredibly rare condition that should be worked up with an angiogram, Hayes told MedPage Today in an interview. "There's been a sea change in our understanding of this condition over the past 7 or 8 years. Wow, we were missing it all these years. And people are still missing it." Additional coverage: News-Medical.netTCTMD

People, Woman Who Suffered Fertility Struggles Devastated After 'Perfect' Rainbow Baby Dies Suddenly — According to the Mayo Clinic, physical factors associated with SIDS can include: brain defects, low birth weight and respiratory infection. While there is no guaranteed way to prevent SIDS, the Mayo Clinic recommends several sleep safety tips here.

Finance & Commerce, MN Snapshot: Rochester gears up for major projects by Anne Bretts — The snow is still falling, but across Rochester old buildings are being torn down, construction fences are going up, and developers are securing building permits for an array of projects on the drawing board for the 2018 building season. Much of that construction is related to the first projects tied to the Destination Medical Center. The $5.6 billion, 20-year public-private initiative aims to build upon Mayo Clinic’s success and create a world-class hub for medical and biotech industries.

Physician’s Practice, The State of Mobile Health in Today's Practice — Steve Ommen, associate dean and medical director of connected care at Mayo Clinic, says the data around the technology needs to develop as well. "The wearable devices have largely focused on simple biometrics to date, that we didn't previously have a large archive of data that we knew was a true signal of someone's health. Now that more people are using them and there are large databanks of biometric data, the big data [crowd] can develop algorithms to predict [health behaviors]," he says. Ommen adds that the sensors that drive these wearable devices are evolving into more specific uses for the patients who need this kind of tracking the most. "I think wearables are coming, but there is a lot of work to be done."

Healio, Financial burden common among adults with graft-versus-host disease — “Chronic graft-versus-host disease is a major complication that contributes to the long-term morbidity and mortality of the procedure,” Nandita Khera, MD, MPH, hematologist at Mayo Clinic in Scottsdale, Arizona, said during her presentation. “It is likely these patients may suffer from higher financial burden because of the need for intense medical follow-up and treatments, as well as impaired functional status preventing return to work.”

Healio, Sleeve gastrectomy with liver transplantation improves outcomes for obesity — “The multidisciplinary management of obese patients with decompensated liver disease before, during and after [liver transplantation (LT)] has become an important challenge,” Daniel Zamora-Valdés, MD, from the Mayo Clinic, Minnesota, and colleagues wrote. “Weight reduction through lifestyle modifications has been shown to benefit obese patients with [nonalcoholic steatohepatitis (NASH)]; however, this is difficult to achieve and sustain, particularly for patients with longstanding, severe medically-complicated obesity (MCO).”

Healio, Extracorporeal photopheresis shows promise for bronchiolitis obliterans syndrome — “Immunosuppressive therapies — mainly steroids and calcineurin inhibitors — are used to slow BOS progression; however, the prognosis remains dismal with OS of 10% to 20% at 5 years,” Mehrdad Hefazi, MD, fellow of hematology-oncology at Mayo Clinic in Rochester, Minnesota, told HemOnc Today. “Beyond steroids, there are currently no standard treatment options, with different institutions using different treatments based on their experience and the response in each patient.”

Healio, As widespread flu activity continues, diabetes compounds dangerous risks — In addition to the compounded health risks that accompany influenza and diabetes, patients with diabetes are more vulnerable to secondary infections after influenza than healthy adults, said Adrian Vella, MD, professor of medicine and consultant in the division of endocrinology, diabetes, metabolism and nutrition at Mayo Clinic in Rochester, Minnesota. “People who have poor glycemic control are likely to be immunosuppressed and, therefore, are more susceptible to secondary infections after the flu,” Vella told Endocrine Today. “The second thing is that flu takes every person as it finds him, so to speak. So, the existence of any underlying complications of diabetes will exacerbate things.”

Guam Daily Post, Heart issues affecting younger people — Many of the heart disease risk factors are the same for everyone. Lifestyle choices, such as lack of exercise, obesity, smoking and drinking alcohol excessively, are risk factors that affect many adults. But Dr. Regis Fernandes, a Mayo Clinic cardiologist, says such behaviors seem to be more prevalent in younger people now than in the past. Ian Roth talks with Fernandes about the other big reason millennials, people born between 1982 and 1994, may be at higher risk for developing heart disease at a younger age than previous generations.

Healthline, Ouch! Kidney Stone Cases Continue to Rise in the U.S. — The latest study was published earlier this month in the journal Mayo Clinic Proceedings. In it, researchers said young women saw the biggest jump in kidney stone incidence. The incidence rate of kidney stones in women ages 18 to 39 jumped more than fourfold, from a 1 in 1,612 chance in 1984 to a 1 in 284 chance in 2012. Additional coverage: Allure

Romper, Early Signs You're Going To Be Induced, According To An Expert by Abi Berwager Schrier — According to the Mayo Clinic, the induction procedure, depending on your circumstances, could include using synthetic prostaglandins to ripen your cervix. These prostaglandins are placed inside your vagina. “After prostaglandin use, your contractions and your baby's heart rate will be monitored. In other cases, a small tube (catheter) with an inflatable balloon on the end is inserted into the cervix. Filling the balloon with saline and resting it against the inside of the cervix helps ripen the cervix,” the Mayo Clinic noted.

Seeker, Winter Olympians Face Same Brain Injury Risks as Boxers and Football Players by Ian Graber-Stiehl — According to Mayo Clinic researcher Kevin Bieniek, consecutive blows are thought to shear blood vessels around sulfi, folds in the brain, releasing proteins and instigating an inflammatory response. Normally this aids recovery. Ad nauseum, it toxifies the brain. “You start to get this aggregation of this protein called tau. It’s a protein that’s found in everybody’s brain. It normally functions to stabilize these processes,” Bieniek told Seeker. But with regular hits, “it builds up, forming aggregates, and it eventually leads to neurodegeneration.”

Rheumatology Advisor, The Gut Microbiome and Rheumatoid Arthritis: Understanding the Connection by Jasenka Zegarac — In an interview with Rheumatology Advisor, Veena Taneja, PhD, associate professor of immunology in the Department of Immunology and Rheumatology at the Mayo Clinic in Rochester, Minnesota, discussed the latest insights about the association between the gut microbiome and RA.

South China Morning Post, Why heart attacks are leading cause of death in women, and why many women are unaware of the higher risks they face by Anthea Rowan — Dr DeLisa Fairweather, director of translational cardiovascular diseases research and associate professor of immunology at the Mayo Clinic in the US state of Florida, says the risk of heart attack in women is different from that in men. “Women exhibit unique risks for heart attacks because of how hormones affect inflammation. Oestrogen increases antibody responses in women, which provides women with extra protection against infections, but increases the chance that antibodies may bind to vessels in the heart and increase the risk for a heart attack,” she says.

Diagnostic Imaging, What to do About Burnout in Radiology by Deborah Abrams Kaplan — In another sign that at least one well known institution is tackling the issue, Stanford Medicine hired Tait Shanafelt, MD, last fall as chief wellness officer. Stanford is the first U.S. academic medical center to create a position like this, and they specifically acknowledged that physician burnout is reaching an all-time high. Previously, Shanafelt held a similar position at the Mayo Clinic, running a successful program to combat physician burnout, improve wellness and increase doctors’ sense of fulfilment. Shanafelt’s Mayo Clinic initiative targeted leadership, organizational culture, the practice environment and systems, bringing burnout rates down 7 percent over two years, while at the same time nationally, the physician burnout rate rose 11 percent using the same metrics.

TechCrunch, Helix holds first close on a planned $200 million investment in its genetic services marketplace by Jonathan Shieber — Plans are underway with the Mayo Clinic, a Helix investor and one of the leading medical research institutions in the U.S., for a range of new services and Helix has also partnered with other groups on population health services that could have broad implications for the industry.

Psych Congress, One-Third of Physicians at Major US Hospital Are 'Burned Out' by Scott Baltic — Dr. Colin P. West, of Mayo Clinic in Rochester, Minnesota, told Reuters Health by email that these results “generally align with what we have learned from previous studies of physician burnout, including the impact of burnout on turnover.” The finding that high emotional exhaustion levels is associated with higher patient satisfaction with PCP communication, Dr. West said, “is consistent with the theory that physicians who invest the most in their patients’ care may paradoxically be more prone to burnout. . . . High patient satisfaction scores do not mean burnout is absent.”

Science Daily, Breast cancer and lymphoma treatments save lives, but may make heart failure more likely for some — A team of researchers at Mayo Clinic found the elevated risk of heart failure occurred as early as one year after cancer diagnosis and persisted 20 years after patients completed cancer therapy. Among those with cancer, having diabetes or receiving high doses of doxorubicin -- a type of chemotherapy -- were found to be especially risky for future heart health. The study, part of Mayo Clinic's Rochester Epidemiological Project, is one of the the first to the researchers' knowledge to directly compare the rate of heart failure in cancer versus non-cancer patients who were well-matched for age, gender and heart disease risk factors, such as diabetes and high blood pressure.

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