TOP MEDICAL NEWS, HEATHLY TIPS AND OPINIONS

Any medical information published on this website is for your general information only and is not intended as a substitute for informed medical advice. You should not take any action before consulting with your physician or a health care provider. The Kenkou Group, LLC and its affiliates cannot be held liable for any damages incurred by following advice found on this website. 


MONTH: JULY

| 07.01.15 | New Recommendations to Achieve Healthy Sleep 

The American Thoracic Society (ATS) has released a policy statement with recommendations for clinicians and the general public on achieving good-quality sleep and getting enough sleep.

"Sleep plays a vital role in human health, yet there is a lack of sufficient guidance on promoting good sleep health," said Sutapa Mukherjee, MBBS, PhD, chair of the ATS committee that produced the document.

"In this statement, with an eye towards improving public health, we address the importance of good quality sleep with a focus on sleep health in adults and children; the effects of work schedules on sleep; the impact of drowsy driving; and the diagnosis and treatment of obstructive sleep apnea and insomnia."

The statement is published in the June 15 issue of the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

Key recommendations include the following: 

  • Good-quality sleep is critical for good health and overall quality of life.

  • Short sleep duration (6 hours or less per 24-hour period) is associated with adverse outcomes, including mortality.

  • Long sleep duration (>9 to 10 hours per 24-hour period) may also be associated with adverse health outcomes.

  • The optimal sleep duration in adults for good health at a population level is 7 to 9 hours, although individual variability exists.

  • Because drowsy driving is an important cause of fatal and nonfatal motor vehicle crashes, all drivers (occupational and nonoccupational) should receive education about how to recognize the symptoms and consequences of drowsiness.

  • Better education is needed for the general public and healthcare providers regarding the effect of working hours and shift work on sleep duration and quality and the association of sleepiness with workplace injuries.

  • Sleep disorders are common, cause significant morbidity, and have substantial economic impact, but they are treatable. However, many individuals with sleep disorders remain undiagnosed and untreated.

  • Age-based recommendations for sleep duration in children should be developed. These should enable the child to awaken spontaneously at the desired time through implementation of regular wake and sleep schedules.

  • For adolescents, school start times should be delayed to align with physiologic circadian propensity of this age group.

  • Healthcare providers should receive more education on sleep hygiene and encourage patients to maximize their sleep time.

  • Public education programs should be developed to emphasize the importance of sleep for good health.

  • Better education/awareness is needed of the importance of early identification of groups at high risk for obstructive sleep apnea (in children and adults).

  • Better education of physicians as to the effectiveness of cognitive-behavior therapy for insomnia rather than immediate implementation of hypnotics and sedatives, and structural changes to increase access to this therapy.

- Medscape News

 

| 07.01.15 | Novel Drug Promising for Sexual Dysfunction in Women

MIAMI — For men with sexual dysfunction, sildenafil (Viagra, Pfizer Inc) has been available for the past 18 years. Now, women who have problems with sexual function may have their own drug, researchers say.

Bremelanotide (BMT), a novel heptapeptide melanocortin-receptor-4 agonist, given subcutaneously, yielded improvements in the number of satisfying sexual events, frequency, and intensity of desire and a reduction in distress over level of sexual desire, according to the results of a phase 2B dose-ranging study presented here at the American Society of Clinical Psychopharmacology (ASCP) 2015 Annual Meeting.

"It has been difficult to find a drug to help women with sexual dysfunction, and we've really not had anything, because you're talking about desire," lead author Anita H. Clayton, MD, from the University of Virginia, in Charlottesville, told Medscape Medical News.

"From a psychiatrist's perspective, it's like studying depression. Women tell you what their symptoms are, but there is no blood test for sexual dysfunction, and it's harder to measure desire than it is an erection," Dr Clayton said.

- Medscape News

 

| 07.01.15 | Antidepressant May Aide in Treatment of Anxiety 

MIAMI — The selective serotonin reuptake inhibitor (SSRI) and 5-HT1A receptor partial agonist vilazodone (Viibryd, Forest Laboratories, Inc), currently approved for the treatment of major depressive disorder (MDD) in adults, is also effective in relieving anxiety symptoms in patients with generalized anxiety disorder (GAD).

"Some physicians assume that all antidepressants work for anxiety disorders, and that is not the case," lead author David Sheehan, MD, professor emeritus, University of South Florida College of Medicine, Tampa, told Medscape Medical News.

-Medscape News

MONTH: JUNE

| 06.08.15 | NUTRITION: Bamboo Water Is Now a Thing - It's made from the same Bamboo Pandas eat at the zoo! (...of course we Love this!)

Bamboo, a grass more likely to fill a panda’s plate than your water bottle, has now entered the realm of weird flavored waters. Bamboo Water is sugared, bottled H20 spiked with bamboo extract, a green liquid that forms inside bamboo leaves during photosynthesis. This potion costs about two bucks a bottle. It’s sustainable, too. Bamboo farmers often toss the leaves when they’re harvesting the strong stems that are often used in construction materials, so leaves are generally wasted. The company, Bamboo Beverages, says it uses the same species of bamboo that giant pandas eat. From what we can tell, it’s currently the only bamboo water company on the market.

“Bamboo is my life,” says co-founder Vincent Villanis, who grew up brewing bamboo tea with his family in the Philippines, then later moved to Toronto and became a bamboo farmer. (He also created a bamboo beer.) “During high school in the Philippines, they’d teach you jungle survival,” he says. “Splitting the bamboo, or creating a hole in the bamboo where there’s water, would be your safest bet to survive from dehydration.”

Read more here!

- Time News

 

| 06.08.15 | Moderate Exercise Reduces Risk for Gestational Diabetes

Moderate exercise during pregnancy can decrease the risk for gestational diabetes by 31% and also can reduce maternal weight gain, according to a meta-analysis of randomized controlled trials published online June 3 in the British Journal of Obstetrics and Gynecology.

"Exercise is not something to be feared during pregnancy — the moderate levels of exercise used in these studies had significantly positive effects on health and were found to be safe for both mother and baby," lead author Gema Sanabria-Martinez, MSc, from Virgen de la Luz Hospital in Cuenca, Spain, said in a journal news release.

Gestational diabetes, a common complication during pregnancy, is linked to more serious problems, such as preeclampsia, hypertension, premature birth, higher rates of caesarean delivery, and later type 2 diabetes in the mother. Children born to women with gestational diabetes also have a higher risk of developing type 2 diabetes and obesity later in life.

Excessive weight gain during pregnancy poses similar health risks. Women with excessive weight gain may also have difficulty losing the weight after pregnancy, increasing their risk for obesity.

Women who exercised during pregnancy did not experience any adverse effects related to exercise.

"[O]ur study has important clinical and public health implications, because it provides support for the recommendation to advise mothers to engage in [physical activity] programmes as an effective and safe strategy to experience healthier pregnancies," the authors conclude. "[T]hey will have less risk of [gestational diabetes] and they will avoid excessive weight gain and, as a consequence, improve the health status of their offspring."

- Medscape News

 

| 06.08.15 | Embattled Dr Oz Show Hires Physician From Consumer Reports

After recent criticism that it dispenses unscientific medical advice, the television show hosted by Mehmet Oz, MD, has hired a preventive medicine specialist from Consumer Reports magazine to head its medical unit.

The new hire, Michael Crupain, MD, directs the magazine's Food Safety and Sustainability Center, which has delved into such matters as safe-to-eat shrimp. Dr Crupain completed a residency in preventive medicine at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland, and earned a Master's degree in public health there as well.

He also completed 2 years of a neurosurgery residency program before leaving to serve as the director of quality assurance and regulatory affairs of a biomaterials company called Endomedix for 2 years.

Dr Crupain will report to work at the Dr Oz Show later this year in time to help produce the fall season. The medical unit soon to be under his command researches and approves scripts, evaluates guests, orders and edits medical animation, and works with a medical advisory board, according to a news release from the show. It quotes him as saying that he is "passionate about studying evidence-based and best-practice approaches to preventing disease."

Dr Crupain also will "lead efforts to enhance the show's ongoing dialogue with the medical community," according to the news release.

- Medscape News

 

| 06.04.15 | Eat Green – Eat Kale!

Benefits of eating Kale:

  • Packed with antioxidants such as vitamin C, beta-carotene, kaempferol, quercetin and have been reported to have a higher ORAC, which stands for Oxygen Radical Absorbance Capacity which help fight against diseases and disorders such as: cardiovascular disease, asthma, diabetes, Alzheimer’s and arthristis. Plus, antioxidants keep your skin looking healthy by preventing loss of skin elasticity and wrinkles!
  • Evidence suggest that the loads of glucosinolates found in Kale help prevent Cancer and even suppress the growth of cancerous tumors.
  • Filled with pro-vitamin A, Kale is listed as one of the best foods to fight UTI’s (Urinary Tract Infections)!

Don’t let health fail, eat some Kale!

- healwithfood.org & The Kenkou Group, LLC

 

| 06.04.15 | Best Evidence Yet!: Ejaculation Reduces Prostate Cancer Risk

NEW ORLEANS — Good news, men: you may be able to decrease your risk for prostate cancer by ejaculating — frequently, according to research presented here at American Urological Association 2015 Annual Meeting.

The frothy advice is not new but is now backed up by the "strongest evidence to date" on the subject, according to lead author Jennifer Rider, ScD, MPH, an epidemiologist at the Harvard T.H. Chan School of Public Health in Boston.

"There is no modifiable risk factor for developing prostate cancer," Dr Rider told Medscape Medical News. "It would be exciting to tell men that there was a way to modify their risk."

However, she noted that these are observational data and urged caution when "interpreting them."

The results are "fascinating," said Jesse Sammon, MD, a urologist at the Henry Ford Hospital in Detroit, who attended Dr Rider's presentation. "It was the highlight of the session on cancer epidemiology; the moderator called it the 'study most likely to be tweeted'."

The data come from nearly 32,000 men in the prospective Health Professionals Follow-up Study, who now have been followed for 18 years.

During the study period, 3839 men have been diagnosed with incident prostate cancer, 384 cases of which were lethal.

"Safe sexual activity could be good for prostate health."

- Medscape News

 

| 06.04.15 | Desk Workers Should Stand, Walk 2 Hours During Workday

Employees in predominantly desk-based occupations should be swapping their seats for their feet and accumulating 2 hours a day of standing and strolling walking during working hours, and eventually that should progress to 4 hours daily, according to a consensus statement published online June 1 in the British Journal of Sports Medicine.

Workers are advised to break seat-based tasks by periodically standing up to work, using sit-stand desks, and taking short active standing breaks, advises an expert panel led by John P. Buckley, PhD.

In other recommendations, the panel advises company health promotion programs to make staff members aware that prolonged sitting, aggregated from work and leisure time, may raise the risk for cardiometabolic diseases and premature mortality, independent of the individuals' exercise levels outside the office.

- Medscape News

 

| 06.01.15 | A Career-Ending Sports Injury Spurred This Entrepreneur to Create Two Seven-Figure Businesses 

As a pro-football player, Lewis Howes suffered a devastating wrist injury playing Arena Football that landed him on his sister’s couch for months in 2007 and 2008–and abruptly ended his planned career.  “I was broke, sleeping on my sister’s couch for about a year and half, recovering from surgery,” he recalls. “I had a full arm cast on. I couldn’t work out.”

- Forbes 

 

| 06.01.15 | Multiple Sclerosis Survival Improving

"Most individuals with MS can expect to live long lives," lead author, Ruth Ann Marrie, MD, University of Manitoba, Winnipeg, Canada, commented to Medscape Medical News. "However, there is still a gap of around 6 to 7 years between MS patients and the general population."

She noted that previous work has estimated a 10-year mortality gap, so these results suggest that the gap may be shortening.

- MedScape News

 

| 06.01.15 | Brain Cancers Like Beau Biden’s Kill Approx. 15,000 Adults Each Year

A variety of malignant brain and central nervous system tumors kill about 15,000 people in the United States each year, often after difficult courses of surgery, radiation and chemotherapy, according to experts and data from various cancer organizations.

-Washington Post

 

| 04.27.2015 | Heroin Use Rising in the US

Heroin use in the United States, though still uncommon relative to the use of other illicit substances, has risen significantly since 2002, a new report indicates.  Rachel Lipari, PhD, and Arthur Hughes, from the Substance Abuse and Mental Health Services Administration (SAMHSA), report that 681,000 Americans aged 12 years and older, or 0.3% of the population, used heroin in 2013.  An estimated 169,000 individuals aged 12 years and older used heroin for the first time in the e year.  People seeking treatment for heroin addiction increased from 277,000 in 2002 to 526,000 in 2013. 

- Medscape News

 

| 04.27.2015 | COPD Tied to Elevated Risk for Sudden Cardiac Death

Individuals with chronic obstructive pulmonary disease (COPD) have a greater than one third overall increased risk for sudden cardiac death (SCD) compared with healthy age- and sex-matched adults, according to new research from the Rotterdam Study.

- Medscape News

 

| 04.20.2015 | Stretching Won't Prevent Tendon Injuries

Tendon injuries are common in sports, and there are many schools of thought on how to avoid them. But a new analysis of past research finds that stretching doesn't help and might even raise the risk of injury for some.  "Stretching is often viewed as an empirically accepted method to prevent sports injuries, including tendinopathy," write the authors, led by Janne A. Peters from the University Medical Center Groningen in the Netherlands.

"However, there is no scientific evidence that confirms this," they point out March 31 in Journal of Science and Medicine in Sport.  "These are injuries that affect not just elite athletes but also adults who like to exercise, and they tend to be overuse issues," said Dr. David Geier, an orthopedic surgeon and former director of sports medicine at the Medical University of South Carolina, who was not involved with the study.

There was no evidence that stretching was beneficial but some that it might increase the risk of injury in people who already had problems with their knees or the patellar tendon. This was also true for so-called eccentric training, a method of doing muscle contractions.

"While I do think that there may be some role for hormone replacement therapy or shoe inserts for active individuals in a preventative or treatment sense for these problems, someone who is interested in pursuing one of these treatments should consider speaking to an orthopaedic surgeon or to his or her doctor," Geier said. "For instance, people have different anatomy of their feet, such as high arches or flat feet, and might benefit from shoe inserts or orthotics, while others might not."

He noted that physicians often see patients with these problems who have been in pain for many months.

"Often, if they had taken steps when they started having soreness along the patella tendon or Achilles tendon, such as taking a few days off or seeing a doctor or physical therapist, they could have limited the issue before became a much larger and more challenging problem," Geier said.

- Reuters Health

MONTH: FEBRUARY 

| 02.19.2015 | FDA Clears Sale of First Direct-to-Consumer Genetic Test 

The US Food and Drug Administration (FDA) announced today that they have authorized marketing of a direct-to-consumer genetic test from 23andMe.The test is designed to identify healthy individuals who carry a gene that could cause Bloom Syndrome in their offspring."

The FDA believes that in many circumstances it is not necessary for consumers to go through a licensed practitioner to have direct access to their personal genetic information," said Alberto Gutierrez, PhD, director of the Office of In Vitro Diagnostics and Radiological Health in the FDA's Center for Devices and Radiological Health, in the agency press release.                                  

Bloom Syndrome is an autosomal recessive disorder, which means that carriers may be unaware that they carry a mutation in the BLM gene, but their child could be affected. The syndrome is characterized by short stature, usually under five feet, sun sensitivity, and an increased risk for cancer.  

- Medscape News

 

| 02.17.2015 |  New Recommendations Call for Iodine in All Prenatal Vitamins

Endocrinology groups are applauding a new recommendation from a dietary-supplement trade association that calls for iodine supplementation in all prenatal vitamins prescribed for pregnant and breastfeeding women.

"A number of organizations have been trying to get iodine in prenatal vitamins," endocrinologist Alex Stagnaro-Green, MD, from the University of Illinois College of Medicine, Rockford, and chair of the ATA task force on thyroid disease during pregnancy and postpartum, told Medscape Medical News. "This is a huge win for public health, from my perspective and the perspective of the ATA."

"So, women of childbearing age are the subpopulation of Americans with the lowest iodine levels yet have the greatest need during pregnancy and breastfeeding, for the neurodevelopment of the fetal and neonatal brain," he told Medscape Medical News.

- Medscape News

 

| 02.17.2015 | Economics Not Cause of Racial Disparity in Kids' Diabetes Care

Socioeconomic status plays no role in the sharp racial disparities found in the treatment of pediatric type 1 diabetes and in the outcomes of that treatment, a new study published online February 16 in Pediatrics reveals.

Previous research has documented a racial divide in the number of African Americans put on insulin pumps and in the generally poorer levels of glycemic control found in blacks. But some theorized that socioeconomic differences accounted for much of the disparity.

Steven M Willi, MD, from the Diabetes Center for Children's Hospital of Philadelphia, Pennsylvania, and colleagues have used the Type 1 Diabetes Exchange Clinic Network registry data on 10,704 children visiting 60 pediatric endocrinology practices in 31 states to look at racial disparities in diabetes care among children. The study found that higher income did little to equalize insulin pump use for African Americans. Use of an insulin pump is associated with tighter glycemic control than multiple daily injections of a fixed insulin dose, the two methods of insulin delivery compared in the study. The study confirmed lower use of insulin pumps for black and Hispanic children across the board.

"Let's say the pump is the best and everyone should be on the pump. When you slice up their data and look at African American kids on pumps vs white kids on pumps, the African American kids are still higher [for HbA1c levels]," he said.

Pump use lowered HbA1c levels, but not as much in blacks as it did in white or Hispanic children. "They're higher by the same percentage no matter what method of diabetes control they use. We in the diabetes community are failing.

Dr Willi said the elevated HbA1c levels in black children suggest that there may be an independent component contributing to higher HbA1c, meaning HbA1c fails to accurately reflect mean blood glucose. This could be something genetic, for example.

In an accompanying commentary, Stuart A Chalew, MD, from Children's Hospital, New Orleans, Louisiana, noted that HbA1c levels in African Americans were higher than in white or Hispanic children, no matter the method of diabetes control employed.  "Despite all the innovations with continuous glucose monitoring and all sorts of fancy ways to give insulin, kids are not doing well. Most kids are not getting to the targets. And African American kids are doing the worst," Dr Chalew told Medscape Medical News.

-Medscape News

 

| 02.13.2015 | Disabled Elderly Decline Sharply After ICU

Seniors admitted to the hospital intensive care unit (ICU) were more likely to die or sharply decline soon after their release depending on how well they functioned beforehand, according to a new study.

"Providers can really help categorize people . . . and give them advice on what their ICU experience might be like," said lead author Dr. Lauren E. Ferrante of Yale School of Medicine in New Haven, Connecticut.

"The less disabled you are, the better your outcomes are going to be," she told Reuters Health.

A person was classed as minimally disabled if he or she was able to do all or almost all of the 13 functional tasks without help. Those with mild to moderate disability needed help with about three tasks, and those with severe disability averaged only four functional activities.

Roughly 25%of the participants died in the ICU or within 30 days of discharge, and another 25% experienced functional decline after their hospitalization.

Based on continuing interviews, more than 50% of those who remained alive had become severely disabled, according to the results in JAMA Internal Medicine.

- Medscape News

MONTH: DECEMBER

| 12.29.2014 | Excercise Helps Menopause Symptoms and Quality of Life
Women reported better health and fewer menopause symptoms if they were exercising regularly, including strength and balance training. 
Medscape News

 

| 12.29.2014 | Self-Exam and Clinical Exam Find Similar Breast Tumors
Women's self-exams and physical exams by a doctor both detect breast cancer tumors at about the same size, but older women are more likely to have a tumor discovered via doctor's examination, according to a new Swiss study.
In 236 women, tumors were detected during clinical exam, while 712 women had discovered their own tumors.

"It is encouraging and perhaps to be celebrated that women are detecting similar rates of cancers and this should arm women with confidence that they are performing this task well," said Victoria Harmer, Team Leader and Clinical Nurse Specialist in the beast care unit at Imperial College Healthcare NHS Trust in London, who was not involved in the new study.
Reuters Health Information

 

| 12.24.2014 | Holistic Nutritional Tip - Beets!
Studies have shown that the high levels of unique antioxidants and anti-inflammatory agents found in beets contribute to reduction in the risk of many types of cancers. The betalin compound found in beets, which gives them their red color, helps to capture troublesome toxins and flush them out of the system via the urinary tract. Beets support the detoxification process in the body.
The Kenkou Group

 

| 12.23.2014 | New Diabetes Drug hits the Market
The US Food and Drug Administration (FDA) has approved the diabetes drug Liraglutide (Saxenda, Novo Nordisk) for the treatment of obesity. Patients should be evaluated after 16 weeks and the drug discontinued if the patient has not lost at least 4% of baseline body weight. 

The FDA approved Liraglutide for weight loss under a risk evaluation and mitigation strategy consisting of a communication plan to inform healthcare providers about the serious risks of the drug.
Medscape News

 

| 12.23.2014 | FDA to lift 31 Year Ban on Gay Men Donating Blood
The US Food and Drug Administration (FDA) next year will formally propose lifting a 31-year-old ban on blood donations from men who have sex with men (MSM), allowing them to give blood provided they have not had sex with men during the previous year. The FDA instituted its ban in the early days of the AIDS epidemic on the basis of fears of HIV entering the blood supply. It applies to any man who has had sex with another man since 1977. The GLMA, formally known as the Gay and Lesbian Medical Association, issued a statement today saying that although the FDA's announcement is "a step in the right direction," the 1-year deferral period for MSM "continues to perpetuate stigma among gay and bisexual men."
Medscape News

 

| 12.23.2014 | 2015 Health Insurance Enrollment Counts as of December 19th, 2015
Nearly 6.4 million have obtained health insurance coverage through healthcare.gov as of December 19th. Of that,
1.9 million are new sign-ups while the remainder are manual and automatic re-enrollees, HHS Secretary Sylvia Mathews Burwell announced. 
Modern Healthcare

 

| 12.22.2014 | FEDS can NO LONGER raid Medical Marijuana Dispensaries!
Federal agents will no longer be able to raid medical marijuana dispensaries in states where medial marijuana is legal under a provision included in the $1.1 trillion spending law President Obama signed December 16th. 
"This is a victory for so many," [Rep. Dana]Rohrabacher said in a statement, "including scores of our wounded veterans, who have found marijuana to be an important medicine for some of the ailments they suffer, such as PTSD, Epilepsy, and [Multiple Sclerosis]."
The move is also a victory for medical marijuana advocates and dispensary owners and operators. 
Medscape News

 

| 12.22.2014 | Increase of Concussion Treatment in School-Age Athletes
A large increase in the numbers of U.S. school-age athletes receiving treatment for concussions is likely due to new laws and increased public awareness, a new study suggests.
HealthDay News

 

| 12.22.2014 | More Children in the U.S. Are Getting Type 1 Diabetes
More children in the U.S. are getting Type 1 Diabetes, according to new research. A recent study by Jean Lawrence, ScD, MPH, found a large rise in the disease among non-Hispanic White children. 
In Type 1 Diabetes, the body makes no or little insulin, the hormone crucial to allow sugar to get in to cells for energy. It's more often diagnosed in childhood. 


From 2002 to 2009, the number of kids with Type 1 Diabetes rose from 24 per 100,000 to 27 per 100,000. The most pronounced increase was in children 5 to 9 years old, says Lawrence.
WebMD Health News

 

| 12.15.2014 | Nutritional Tip - Water!
Women consume a total of 91 ounces (that's about 2.7 liters) per day - from all food and beverages combined. For men, it's about 125 ounces a day (or 3.7 liters). Depending on your diet, about 25% of the water you consume comes from your food. 
The Kenkou Group

 

| 12.17.2014 | Fractures Are Major Cause of Older Women's Hospitalizations
For U.S. Women age 55 or older, bone fractures due to osteoporosis lead to more hospitalizations and greater healthcare costs than heart attack, stroke or breast cancer, according to a new study.
Between 2000 and 2011, 4.9 million women over age 55 were hospitalized for osteoporotic fracture of the hip, pelvis, arm, leg or spine, compared to 3 million for stroke, 2.9 million for heart attack and 700,000 for breast cancer.
Medscape News

 

| 12.10.2014 | Holistic Nutritional Tip - Mint!
Peppermint, throughout history has been used successfully to treat indigestion, nausea, headaches, and diarrhea. 
Spearmint was used to remedy weak stomach, vomiting and fevers and was also used as a mild diuretic. 
The Kenkou Group

 

| 12.5.2014 | Nutritional Tip - Grapefruit!
Half of a grapefruit contains the total amount of Vitamin C your body needs in one day!
The Kenkou Group

 

| 12.1.2014 | Demand for U.S. Plastic Surgery Rises in Selfie Era
Plastic surgeons in the United States have seen a surge in demand for procedures ranging from eye-lid lifts to rhinoplasty, popularly known as a nose job, from patients seeking to improve their image in selfies and on social media. Dental hygienist Jennifer Reynolds was always self-conscious about her looks, never took selfies and felt uncomfortable being tagged in photographs posted on social media. The 34 year old from Costa Rica who live in
New York opted for plastic surgery on her nose and now feels ready for prime time on social media. 
"I definitely feel more comfortable right now with my looks," Reynolds explained. "If I need to take a selfie, without a doubt, I would have no problem."
Reuters Health Information