The Sentinel: 08/30/23

More men than women die from melanoma; tips for men to stay alive longer

by Paul Arco
OSF Healthcare

Let’s face it, fellas. We’re not always the best when it comes to taking care of ourselves.

That includes protecting one of our most vital and largest organs – our skin.

It’s that time of the year when people are outdoors for several reasons – sporting activities, vacations, and working outside jobs.

But under the brilliant sun rays lurks a potential danger especially to men – skin cancer, more specifically melanoma.

According to the American Cancer Society, more than 97,000 new melanomas will be diagnosed this year (58,120 in men and 39,490 in women). Nearly 8,000 people will die from melanoma, the majority – nearly 5,500 of them – will be men.

“Men are more likely to develop skin cancer, in fact twice as likely, to develop melanoma over time because of several different reasons, whether that's related to the type of job that they do because men tend to work outdoors more often," says Ben Guth, a nurse practitioner for OSF HealthCare. "It can be education related where they aren't taught what to look for when it comes to signs and symptoms of skin cancer. And finally, they just don't use sunscreen when they go outside, which is very protective when it comes to sunburns and developing skin cancer in the future.”

There are other factors. Some research suggests that women’s sun-damaged skin seems to heal better than men. And men tend to have thicker skin, which makes it more susceptible to UV damage which can lead to melanoma.

The good news is that if caught early, melanoma and most skin cancers are highly curable. The problem, however, is most skin cancers don’t have symptoms until it reaches the later stages. So that makes it even more important to take care of our skin and know what to look for.

It starts with education.

“I think you need to have a well-rounded approach when it comes to protecting yourself from the sun and that education comes, one, from primary care providers and dermatologists," says Guth. "We educate on the importance of sunscreen, applying it every two hours, especially when outside. The American Academy of Dermatologists recommend using at least an SPF of 30 and that being a broad spectrum and even water-resistant, depending on the type of work or activity you’re doing outside.”

When applying sunscreen, don’t forget to lotion up around the ears, behind the neck and on top of the scalp, especially men who are balding. Ask your partner for a hand to get to those hard-to-reach spots.

While not everyone is a fan of using sunscreen lotion, don’t despair. There are other ways to help keep your skin protected this summer.

“There several other options if you don't like sunscreen or the greasy feel on your skin – wearing long sleeve shirts and pants, especially those that block sun, wearing a big hat, whether that's a baseball cap or a wide-brimmed hat with sunglasses," says Guth. "And you can also find areas of shade or protection from the sun especially during those high times where the sun is most strong, especially between 10 a.m. and 2 p.m.”

Guth strongly recommends men make a standing appointment for a skin checkup.

“If you have a dermatologist, it's good to have annual skin checks especially if you've had lesions in the past or had skin cancer in the past and had them removed," says Guth. "Outside of that men should just be talking with their provider about their concerns.”

Guth adds that if something doesn’t look or feel right, talk to your primary care provider or dermatologist. Don’t wait. And remember to always pack your sunscreen, even on those cloudy days.

Like smoking, it’s never too late to stop ignoring the dangers to our skin.

Drinking too much water, even when dehydrated, can be hazardous to your health

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Fatal heart attack risks may be higher during days with extreme heat & air pollution

The combination of soaring heat and smothering fine particulate pollution may double the risk of heart attack death, according to a new study of more than 202,000 heart attack deaths in China. The study published today ...

Therapeutic dental treatment can reverse the effects of gum disease

by Tim Ditman
OSF Healthcare

Kent Splaingard, DMD, recalls decades ago when he learned his mother had stage three gum disease. Her dental providers told her that dentures were likely in a few years.

But after thirty years of treating his mother, Dr. Splaingard says she lost just one tooth.

“I always point it out here,” Dr. Splaingard says, gesturing to where the tooth was. “I remember taking that tooth out thinking, ‘What a failure.’ But I really look back at it and say, ‘What a success.’ Mom had her teeth all her life.”

The mouth is like a picture window into the body’s health.

It’s a prime example of how therapeutic dental treatment can reverse the effects of gum disease. And it’s something he sees weekly with patients at OSF HealthCare in Alton, Illinois. Dr. Splaingard is a retired private practice dentist and an instructor at Lewis and Clark Community College in nearby Godfrey. He and his students regularly see OSF patients who need extra dental attention.

It’s important work, Dr. Splaingard says, because our body functions as a whole. Advanced gum disease will likely make other medical conditions worse.

“The mouth is like a picture window into the body’s health,” he says.

Gum disease basics

Dr. Splaingard says gum disease is a bacterial infection caused by poor oral hygiene. The bacteria embed into the gum tissue, and that typically results in a low-grade chronic infection (in other words, a problem over a longer period). Left untreated, your gums will constantly be red (not the normal pink), swollen and sore. Bleeding is possible, too.

Photo:6493990/Pixabay

“You see a lot of debris on the teeth. You may see a film of bacteria. You also see a white-ish coating on the soft tissue,” Dr. Splaingard adds.

“You also see the social and economic problems with the people who can’t chew properly. The poor nutrition they may be getting,” he adds.

Treatment for gum disease is a combination of thorough cleaning by a dental professional, treatments that stop bacteria from reproducing and antibiotic medication. In severe cases, a dental specialist may perform surgery. That could involve pulling some or all of a person’s teeth.

Prevention

Dr. Splaingard says gum disease can be passed down genetically, but general prevention goes back to what dentists have told you since you were a kid.

Brush and floss regularly. The American Dental Association recommends brushing twice per day and flossing once per day. If you have questions about frequency, talk to your dentist.

See a dentist regularly. Twice per year is a good starting point, but some people who need extra attention could go four times per year.

In between those appointments, watch your teeth and gums and let your dentist know if something doesn’t seem right.

“It’s education, motivation and self-treatment,” Dr. Splaingard says.

How to spot Medicare scams and protect yourself

More than 65 million people in the United States were enrolled in Medicare as of February 2023, with more people becoming eligible and enrolling each year. Anyone on Medicare is at risk of Medicare-related fraud, and the Medicare program continues to warn people to watch out for ...

Fatal heart attack risks may be higher during days with extreme heat & air pollution

Fatal heart attack risks may be higher during days with extreme heat & air pollution

by The American Heart Association

Our findings provide evidence that reducing exposure to both extreme temperatures and fine particulate pollution may be useful to prevent premature deaths from heart attack, especially for women and older adults

DALLAS — The combination of soaring heat and smothering fine particulate pollution may double the risk of heart attack death, according to a new study of more than 202,000 heart attack deaths in China. The study published today in the American Heart Association’s flagship journal Circulation.

"Extreme temperature events are becoming more frequent, longer and more intense, and their adverse health effects have drawn growing concern. Another environmental issue worldwide is the presence of fine particulate matter in the air, which may interact synergistically with extreme temperatures to adversely affect cardiovascular health," said senior author Yuewei Liu, M.D., Ph.D., an associate professor of epidemiology in the School of Public Health at Sun Yat-sen University in Guangzhou, China. "However, it remains unknown if and how co-exposure to extreme temperatures and fine particulate pollution might interact to trigger a greater risk of death from heart attack, which is an acute response potentially brought on by an acute scenario and a great public health challenge due to its substantial disease burden worldwide."

AHA Logo To examine the impact of extreme temperatures with and without high levels of fine particulate pollution, the researchers analyzed 202,678 heart attack deaths between 2015-2020 that occurred in Jiangsu province, a region with four distinct seasons and a wide range of temperatures and fine particulate pollution levels. The deaths were among older adults with an average age of 77.6 years; 52% were older than age 80; and 52% were male. Particulate exposure on the day of each death and one day before death were included in the analysis.

Extreme temperatures were gauged according to the daily heat index (also referred to as apparent temperature) for an area, which captures the combined effect of both heat and humidity. Both the length and extremeness of heat waves and cold snaps were evaluated. Heart attack deaths, or case days, during these periods were compared with control days on the same day of the week in the same month — meaning that if a death occurred on a Wednesday, all other Wednesdays in the same month would be considered control days. Particulate levels were considered high on any day with an average level of fine particulate matter above 37.5 micrograms per cubic meter.

"Our findings provide evidence that reducing exposure to both extreme temperatures and fine particulate pollution may be useful to prevent premature deaths from heart attack, especially for women and older adults," Liu said.

Compared with control days, the risk of a fatal heart attack was observed at the following levels:

18% higher during 2-day heat waves with heat indexes at or above the 90th percentile (ranging from 82.6 to 97.9 degrees Fahrenheit), increasing with temperature and duration, and was 74% higher during 4-day heat waves with heat indexes at or above the 97.5th percentile (ranging from 94.8 to 109.4 degrees Fahrenheit). For context, 6,417 (3.2%) of the 202,678 observed deaths from heart attack happened during heat waves with heat indexes at or above the 95th percentile (ranging from 91.2 to 104.7 degrees Fahrenheit) for three or more days.

4% higher during 2-day cold snaps with temperatures at or below the 10th percentile (ranging from 33.3 to 40.5 degrees Fahrenheit), increasing with lower temperatures and duration, and was 12% higher during 3-day cold snaps with temperatures at or below the 2.5th percentile (ranging from 27.0 to 37.2 degrees Fahrenheit). For context, 6,331 (3.1%) of the 202,678 observed deaths from heart attack happened during cold spells with temperatures at or below the 5th percentile (ranging from 30.0 to 38.5 degrees Fahrenheit) for 3 or more days.

Twice as high during 4-day heat waves that had fine particulate pollution above 37.5 micrograms per cubic meter. Days with high levels of fine particulate pollution during cold snaps did not have an equivalent increase in the risk of heart attack death.

Generally higher among women than men during heat waves.

Higher among people ages 80 and older than in younger adults during heat waves, cold snaps or days with high levels of fine particulate pollution.

The mean age of all individuals who died from a heart attack in Jiangsu from 2015-2020, including during non-extreme temperature events, was 77.6 years old; 52.1% of these individuals were over 80 years old.

The researchers estimated that up to 2.8% of heart attack deaths may be attributed to the combination of extreme temperatures and high levels of fine particulate pollution (> 37.5 micrograms per cubic meter), according to WHO targets.

Reducing exposure to air pollution and reversing the negative impact of poor air quality on cardiovascular health, including heart disease and stroke, is essential to reducing health inequities in Black and Hispanic communities.

"Strategies for individuals to avoid negative health effects from extreme temperatures include following weather forecasts, staying inside when temperatures are extreme, using fans and air conditioners during hot weather, dressing appropriately for the weather, proper hydration and installing window blinds to reduce indoor temperatures," said Liu. "Using an air purifier in the house, wearing a mask outdoors, staying clear of busy highways when walking and choosing less-strenuous outdoor activities may also help to reduce exposure to air pollution on days with high levels of fine particulate pollution. To improve public health, it is important to take fine particulate pollution into consideration when providing extreme temperature warnings to the public."

In a 2020 scientific statement and a 2020 policy statement, the American Heart Association details the latest science about air pollution exposure and the individual, industrial and policy measures to reduce the negative impact of poor air quality on cardiovascular health. Reducing exposure to air pollution and reversing the negative impact of poor air quality on cardiovascular health, including heart disease and stroke, is essential to reducing health inequities in Black and Hispanic communities, those that have been historically marginalized and under-resourced, and communities that have the highest levels of exposure to air pollution.

The investigators recommended additional research about the possible interactive effects of extreme weather events and fine particulate pollution on heart attack deaths in areas with different temperature and pollution ranges to confirm their findings. The study did not include adjustments for any adaptive behaviors taken by individuals, such as using air conditioning and staying indoors, when temperatures are extreme or pollution levels are high, which could cause misclassification of individuals’ exposure to weather and alter their risk patterns. These results also may not be generalizable to other regions in China or other countries due to potential variations of adaption capacity and temperature distribution.

Photo Gallery | SJO defeats Monticello in Week 1 at Dick Duval Field

St. Joseph-Ogden quarterback Logan Smith dives into the end zone to score the first touchdown on Dick Duval Field's newly installed turf surface on Friday. Smith scored five times and three a 31-yard TD in the Spartans 40-14 win over visiting Monticello.