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Should you worry if you have a fainting spell?

Drinking lots of liquids helps prevent fainting and is especially important in warm weather.

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A fainting spell can be inconsequential, or it can signal a serious health issue. It's important to learn why you faint.

What you should know about anesthesia

Many procedures require anesthesia, and which of the four types you have can affect your recovery.

If you've ever had a tooth filled without Novocaine, you know the difference anesthesia can make. Anesthesia—whether it numbs your mouth or puts you into a full sleep—is designed to keep you comfortable during a procedure that otherwise might be hard to tolerate physically, emotionally, or both. "We have four goals: to see that you have no pain, that you're drowsy or unconscious, that your body is still so that the surgeon can work on it, and that you aren't left with bad memories of the procedure," says Dr. Kristin Schreiber, an anesthesiologist at Harvard-affiliated Brigham and Women's Hospital.

There are four basic kinds of anesthesia—local, which is typically administered to numb a small area; regional, which numbs a larger area, like your hand, arm, or foot; neuraxial (spinal or epidural), which is injected near the spine and numbs the lower half of your body; and general, which works in the brain to render you completely unconscious and unable to sense pain. The type used depends upon the procedure you're having, your state of health, and, often, your preferences.

New drug shows promise for early Alzheimer's disease

Researchers from the biotechnology company Biogen have reported that a new drug reduced the amount of amyloid plaques—the brain deposits associated with dementia—and slowed cognitive decline in people with early Alzheimer's disease. They presented the report March 20, 2015, at the International Conference on Alzheimer's and Parkinson's Diseases in Nice, France.

The researchers studied 166 people ages 50 to 90 who had been diagnosed with mild Alzheimer's. The participants were randomly assigned to receive either a placebo or one of four different doses of the drug aducanumab—an antibody that attaches to amyloid deposits and turns the immune system on them.

Vocabulary improves with age, research shows

Harvard researchers Joshua Hartshorne and Laura Germine have added to the growing body of research indicating that, in some respects, our cognitive function is improving, not declining, as we age. Their report, published online March 15, 2015, by Psychological Science, indicates that our vocabulary skills keep improving past retirement age.

The researchers wanted to understand how and when reasoning and memory change over the life span as a basis for distinguishing normal from abnormal aging. They recruited 48,000 volunteers of all ages and had them complete online tests that measured brain processing speed, memory, emotional intelligence, and vocabulary.

Listening to your favorite music may relax your arteries

Music has charms to soothe a savage breast, as the 17th-century poet William Congreve wrote. In fact, music might soothe your heart by relaxing your arteries, a small study hints.

Researchers measured arterial stiffness in 20 healthy young adults before and after they listened to 30 minutes of classical music, rock music, or nothing (as a control). They used a technique called carotid-femoral pulse wave velocity (PWV). This measures the time it takes for the pulse to travel to the carotid artery in the neck versus the femoral artery in the leg. Longer pulse times suggest stiffer arteries, which translates to a higher risk of cardiovascular problems. Higher "wave reflections" (another measure of artery health) are also linked to heart disease risk.

Tips to avoid caregiver stress

A number of strategies can help lighten the load of caregiving, such as delegating tasks to family and friends, using support services such as respite care, and taking some time for exercise and socializing.

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Stay well when caring for a loved one by maintaining your physical and emotional health. Caring for yourself means you'll be able to care for another.

Ask the doctor: Do I need a tuberculosis test?

Q. Why is my doctor checking me for tuberculosis? I thought that was eradicated long ago

A. It would be wonderful if tuberculosis (TB) had been eradicated long ago, but unfortunately that's not the case. It is true that the annual number of new cases in the United States has been dropping over the past 20 years; in 2013, there were about 9,500 new cases. However, around the world, particularly in developing nations, TB remains a huge problem. In 2013, there were nine million new cases of TB, and 1.5 million deaths from TB, in the world.

Did youthful fun in the sun put you at risk for an eye condition now?

It's never too late to protect your eyes against sun damage. Look for sunglasses that block 95% to 100% of both UVA and UVB rays.

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Excessive sun exposure can cause damage that shows up many years later.

Adding a diuretic to your blood pressure drug

Diuretics can augment the blood pressure-lowering effects of other drugs, such as ACE inhibitors.

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It may boost the effect of your current medication.

Pay attention to heat wave warnings this summer

If your weather forecaster warns about a heat wave this summer, take it seriously. A study by Harvard researchers found that people with certain conditions were at an increased risk of winding up in the hospital during periods of high heat. Their work was published Dec. 23, 2014, in The Journal of the American Medical Association.

Researchers analyzed hospitalization rates for specific diseases among 23 million Medicare beneficiaries between 1999 and 2010. What sent older adults to the hospital most often during a heat wave? Heatstroke, fluid and electrolyte disorders, kidney failure, urinary tract infections, and sepsis (a dangerous blood infection). For some diseases, the risk of hospitalization was elevated for up to five days after a heat wave day, suggesting that preventing and treating heat-related illnesses is crucial both during and after a heat wave.

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