The changing nature of coronary artery disease

Growing numbers of people have microvascular disease, which is caused by problems in the network of tiny blood vessels in the heart rather than blockages in the heart’s major arteries. Evidence for this trend comes from large studies using diagnostic imaging tests coupled with heart disease registry data. Experts believe today’s higher rates of obesity, diabetes, high blood pressure, and chronic kidney disease is changing how cardiovascular disease is manifested.

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Decoding your breast cancer risk

Breast cancer risk assessment scores can enable clinicians to estimate a woman’s risk of developing invasive breast cancer over the next five years, as well as her lifetime risk. The tools ask users about myriad factors that influence breast cancer risk. But risk calculators don’t necessarily provide the kind of precision and insight some women seek. A risk score can’t tell a woman for certain whether she will or won’t develop breast cancer. Risk calculators typically also don’t determine when or how often most women should seek mammograms.

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Fresh-faced through the years

With age, people develop brown spots, wrinkles, and sagging skin. Women are more likely than men to invest money and time to look younger. Sun protection and a variety of skin care products can help, including those containing alpha-hydroxy acids, retinols, vitamin C, and hyaluronic acid. Minimally invasive cosmetic procedures can also ease signs of aging. These include injections of botulinum toxin (Botox) or hyaluronic acid, laser treatments, and chemical peels. Skin care and treatments should be customized to each person.

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Hidden hurdles to mental health care

A quarter of American adults live with a mental health disorder such as anxiety, depression, obsessive-compulsive disorder, or post-traumatic stress disorder. But more than half don’t seek help. Internal and external barriers may stop them from getting the care they need. Internal barriers are emotions or excuses people make to avoid treatment. External barriers include cost or difficulty finding a provider who can meet someone’s individual needs. To push past obstacles, people can investigate less-expensive mental health programs or reframe guilt-inducing thoughts.

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