http://anupamghose.com/2018/10/03/want-to-lose-weight-try-vegetable-juice/#
Day: 10/03/2018
Fluoride: Poison on Tap
Godmother of intelligence.
Is fasting the fountain of youth?
For the past year and a half, Keith Taylor and his wife have adopted a lifestyle that includes fasting on a regular basis. “For six days per week we don’t eat until around 5 pm, but eat as much as we want and whatever we want from 5 pm until we go to bed. It is not a diet in the classic sense — we do not restrict WHAT we eat or HOW MUCH we eat, but rather just WHEN we eat,” Taylor said in an email.
Research on fasting
How fasting may help you live longer
Fasting factors to consider
Mediterranean Diet May Cut Stroke Risk for Women
But men did not reap the same benefit from the diet, which concentrates on fish, fruits, nuts, vegetables and beans, and avoids meat and dairy products.
“Simple changes in dietary habits may bring a substantial benefit regarding reducing stroke, which remains one of the leading causes of death and disability worldwide,” said lead researcher Dr. Phyo Myint. He is clinical chair of medicine at the University of Aberdeen School of Medicine in Scotland.
Although the Mediterranean diet is considered healthy, this study could not prove that the diet itself caused stroke risk to drop.
In addition, why men’s risk for stroke isn’t also lowered isn’t yet clear, Myint said.
But, “it is widely acknowledged that men and women are very different with regard to normal physiology,” he added.
Women have unique stroke risk factors that include using oral contraceptives or hormone replacement therapy. And during pregnancy, having preeclampsia and gestational diabetes are considered risk factors for stroke, Myint pointed out.
“It may be that certain components in the Mediterranean diet may influence risk of stroke in women more than in men,” he said.
For the study, the investigators collected data on more than 23,000 men and women, aged 40 to 77, who took part in a large cancer study. The participants were followed for 17 years.
The researchers found that, overall, those who followed a Mediterranean diet cut their risk for stroke 17 percent. When looking at men and women separately, however, women saw a reduction in risk of 22 percent, while men saw a 6 percent drop in risk. The risk reduction among men, however, might be so small that it is a “chance” finding, the scientists added.
Moreover, among those with a high risk for stroke, the risk was lowered 13 percent for those who followed a Mediterranean diet, the findings showed. This association, however, was mainly due to a 20 percent reduction in risk among women, the researchers found.
According to Samantha Heller, a senior clinical nutritionist at NYU Langone Medical Center in New York City, “The Mediterranean eating style, which has great variations among several different cultures, is characterized by foods high in anti-inflammatory compounds, including fiber, vitamins, minerals and healthy plant compounds.”
Previous research has suggested that the Mediterranean diet reduces the risk of heart disease, type 2 diabetes, certain cancers, obesity and declines in thinking skills, she said.
Foods such as olive oil, zucchini, lemons, hummus, tabouleh, pasta, eggplant, lentils, tomatoes, artichokes, salads and spices are staples in many parts of the Mediterranean, Heller explained.
“In contrast, the typical Western diet is high in foods that increase inflammation, such as burgers, hot dogs, steak, butter, sodium, sugary beverages, fried foods, fast and junk foods, all of which have been associated with increased risks of chronic diseases,” she said.
Heller suggests skipping the ham and cheese on white bread with mayo for lunch, and instead trying hummus on whole wheat pita with cucumbers and tomatoes. For dinner, try going meatless a few nights a week with a pasta primavera, roasted vegetables, Greek salad, quinoa and lentil-stuffed lettuce wraps, she added.
Easing Sleep Apnea May Be Key to Stroke Recovery
Patients in the study typically used the CPAP mask — “continuous positive airway pressure” — to ease their nighttime breathing difficulties.
The investigators found that, among stroke patients, “treatment of sleep apnea with CPAP therapy provides significant benefits, even greater than the benefits of tPA, the FDA-approved drug treatment for stroke,” said study lead researcher Dr. Dawn Bravata.
“That’s a substantial clinical effect,” she said. “The added good news for stroke patients is that CPAP has been used as a sleep apnea therapy for many years, and it has an excellent safety record.” Bravata is a research scientist with the Regenstrief Institute and Roudebush VA Medical Center in Indianapolis.
According to the researchers, sleep apnea is common among people who’ve had a stroke or mini-stroke, but few are currently diagnosed and treated for the condition. It’s estimated that two out of three stroke patients are thought to have the condition, which causes irregular breathing during sleep. Sleep apnea can lead to low oxygen levels, high blood pressure and an irregular heartbeat.
In the new study, Bravata’s group tracked outcomes for 252 people who had experienced a stroke or mini-stroke (known as a transient ischemic attack, or TIA) for up to one year. Patients were treated at one of five different hospitals in two states.
The patients were randomly divided into three groups: a control group who received standard care without sleep apnea treatment; standard care plus CPAP therapy; or enhanced care with CPAP therapy. Patients who used CPAP did so for an average of 50 percent of nights.
The researchers reported that 59 percent of patients who received CPAP therapy showed marked improvement in their recovery, in terms of improvements in neurological symptoms. This compared with 38 percent of those who didn’t get CPAP.
Timing of therapy may be key, as well, the study authors said.
“Usually, diagnosing sleep apnea is an outpatient service. But we need to make sleep testing acutely available to stroke and TIA patients in the hospital as part of their work-up,” she said, “just as we do brain imaging, lab testing and cardiac monitoring as part of the initial stroke/TIA evaluation.”
Two experts in stroke care believe the approach has real merit.
“This study is very interesting — it shows that a simple intervention, treating obstructive sleep apnea, can improve outcomes in stroke patients,” said Dr. Andrew Rogrove. He is director of stroke services at Northwell Health’s Southside Hospital in Bay Shore, N.Y.
Rogrove said it would be even more interesting to assess recovery rates when CPAP was used more frequently than the 50 percent of nights observed in this study.
Dr. Salman Azhar directs stroke care at Lenox Hill Hospital in New York City. He noted that several studies have shown sleep apnea to be a factor in poor stroke recovery.
Testing for sleep apnea shouldn’t add much to the burden of care for stroke survivors, Azhar added.
“With the current ease of doing home sleep studies, the diagnosis of obstructive sleep apnea has become much simpler and should be considered in all stroke patients with positive screening questionnaire results,” he said.
The findings were published earlier this month in the Journal of the American Heart Association.
Contact Lenses May Harbor Serious, Blinding Infection
In southeast England, cases of the infection, called Acanthamoeba keratitis, have tripled since 2011, a new study found.
The illness is typically tied to poor contact lens hygiene use.
The infection combines a tiny single-cell amoeba with the bacteria keratitis. Once the eye is infected, it causes the the cornea to become painful and inflamed due to this cyst-forming microorganism.
For one in every four of people infected, the disease results in a loss of most of their vision or blindness and they face prolonged treatment, the research team said.
While rare, outbreaks have also occurred in the United States, one ophthalmologist said.
“There have been a few outbreaks in the U.S., most notably from improper disinfection of contact lenses,” said Dr. Jules Winokur, who practices at Lenox Hill Hospital in New York City. He wasn’t involved in the new study.
“In clinical practice, we see cases of acanthamoeba on a regular basis, ” he said. “Most often, these cases present in patients wearing contact lenses who have been exposed to contaminated water, which could be from swimming pools, water parks or even showers at home.”
“The treatment of acanthamoeba can be prolonged and difficult,” Winokur explained. “Toxic medications and even corneal transplantation may be necessary treatments.”
The British study was led by Dr. John Dart, from University College London’s Institute of Ophthalmology. His team collected data on patients seen from 1985 to 2016 at Moorfields Eye Hospital.
They found an increase in cases of the disease from the eight to 10 a year seen in 2000 -2003, to 36 to 65 cases per year more recently.
Overall, 25 percent of those affected required corneal transplants to treat the disease or restore vision, the researchers said.
Dart’s team also conducted a second study, this time in people who wore reusable contact lenses daily. The study compared those 63 diagnosed with Acanthamoeba keratitis with 213 people who went to the eye hospital for any other reason.
Continued
In addition, people who wore their contacts in swimming pools or hot tubs were also at risk, as were those who showered or washed their face while wearing their lenses, the study found.
“People who wear reusable contact lenses need to make sure they thoroughly wash and dry their hands before handling contact lenses, and avoid wearing them while swimming, face washing or bathing,” Dart said.
“Daily disposable lenses, which eliminate the need for contact lens cases or solutions, may be safer and we are currently analyzing our data to establish the risk factors for these,” he added in a university news release.
Dart stressed that “this infection is still quite rare, usually affecting fewer than 3 in 100,000 contact lens users per year in South East England, but it’s largely preventable.”
“This increase in cases highlights the need for contact lens users to be aware of the risks,” he added.
Dr. Matthew Gorski is an ophthalmologist at Northwell Health in Great Neck, N.Y. He agreed that proper contact lens hygiene could prevent most cases of Acanthamoeba.
According to Gorski, that includes:
- Washing your hands with soap and water before handling contacts.
- Properly disinfecting, cleaning and storing your contacts, including never using tap water to clean contacts.
- Removing contacts from your eyes before water exposures such as swimming, showering or bathing.
- Removing contacts immediately and seeing your eye doctor if you have any eye pain, sensitivity to light, red eye or change in vision.
The study was published Sept. 21 in the British Journal of Ophthalmology.
Regular Bedtime Might Be Key to Better Health
The study of more than 1,900 older adults found that those who didn’t keep to a regular bedtime and wake time weighed more, had higher blood sugar, higher blood pressure and a higher risk of heart attack or stroke within 10 years.
Perhaps obesity disrupts sleep, said lead study author Jessica Lunsford-Avery, an assistant professor of psychiatry and behavioral sciences at Duke University in Durham, N.C.
“Or, as some research suggests, perhaps poor sleep interferes with the body’s metabolism, which can lead to weight gain, and it’s a vicious cycle,” she added in a university news release.
“With more research, we hope to understand what’s going on biologically, and perhaps then we could say what’s coming first or which is the chicken and which is the egg,” Lunsford-Avery said.
Irregular sleepers were also more likely to say they suffered from depression and stress than those who stuck to regular sleep patterns.
In terms of race, blacks made up the largest proportion of irregular sleepers, compared with whites, Asian-Americans or Hispanics, the researchers found.
The findings show an association between irregular sleep and health, but cannot prove that one causes the other, the researchers cautioned.
“From our study, we can’t conclude that sleep irregularity results in health risks, or whether health conditions affect sleep,” Lunsford-Avery said. “Perhaps all of these things are impacting each other.”
For the study, participants aged 54 to 93 used devices that tracked sleep schedules down to the minute. This enabled the researchers to pinpoint exact bedtimes.
The investigators also kept track of when participants went to bed and how long they slept. They found that people with high blood pressure tended to sleep longer, and obese people tended to stay up later.
Of all the things the team measured, however, keeping regular hours turned out to be the best predictor of heart and metabolic health. Irregular sleepers experienced more sleepiness during the day and were less active — perhaps because they were tired, Lunsford-Avery said.
The report was published Sept. 21 in Scientific Reports.
Voice Phishing Scams Are Getting More Clever
Most of us have been trained to be wary of clicking on links and attachments that arrive in emails unexpected, but it’s easy to forget scam artists are constantly dreaming up innovations that put a new shine on old-fashioned telephone-based phishing scams. Think you’re too smart to fall for one? Think again: Even technology experts are getting taken in by some of the more recent schemes (or very nearly).
Matt Haughey is the creator of the community Weblog MetaFilter and a writer at Slack. Haughey banks at a small Portland credit union, and last week he got a call on his mobile phone from an 800-number that matched the number his credit union uses.
Actually, he got three calls from the same number in rapid succession. He ignored the first two, letting them both go to voicemail. But he picked up on the third call, thinking it must be something urgent and important. After all, his credit union had rarely ever called him.
Haughey said he was greeted by a female voice who explained that the credit union had blocked two phony-looking charges in Ohio made to his debit/ATM card. She proceeded to then read him the last four digits of the card that was currently in his wallet. It checked out.
Haughey told the lady that he would need a replacement card immediately because he was about to travel out of state to California. Without missing a beat, the caller said he could keep his card and that the credit union would simply block any future charges that weren’t made in either Oregon or California.
This struck Haughey as a bit off. Why would the bank say they were freezing his card but then say they could keep it open for his upcoming trip? It was the first time the voice inside his head spoke up and said, “Something isn’t right, Matt.” But, he figured, the customer service person at the credit union was trying to be helpful: She was doing him a favor, he reasoned.
The caller then read his entire home address to double check it was the correct destination to send a new card at the conclusion of his trip. Then the caller said she needed to verify his mother’s maiden name. The voice in his head spoke out in protest again, but then banks had asked for this in the past. He provided it.
Next she asked him to verify the three digit security code printed on the back of his card. Once more, the voice of caution in his brain was silenced: He’d given this code out previously in the few times he’d used his card to pay for something over the phone.
Then she asked him for his current card PIN, just so she could apply that same PIN to the new card being mailed out, she assured him. Ding, ding, ding went the alarm bells in his head. Haughey hesitated, then asked the lady to repeat the question. When she did, he gave her the PIN, and she assured him she’d make sure his existing PIN also served as the PIN for his new card.
Haughey said after hanging up he felt fairly certain the entire transaction was legitimate, although the part about her requesting the PIN kept nagging at him.
“I balked at challenging her because everything lined up,” he said in an interview with KrebsOnSecurity. “But when I hung up the phone and told a friend about it, he was like, ‘Oh man, you just got scammed, there’s no way that’s real.’”
Now more concerned, Haughey visited his credit union to make sure his travel arrangements were set. When he began telling the bank employee what had transpired, he could tell by the look on her face that his friend was right.
A review of his account showed that there were indeed two fraudulent charges on his account from earlier that day totaling $3,400, but neither charge was from Ohio. Rather, someone used a counterfeit copy of his debit card to spend more than $2,900 at a Kroger near Atlanta, and to withdraw almost $500 from an ATM in the same area. After the unauthorized charges, he had just $300 remaining in his account.
“People I’ve talked to about this say there’s no way they’d fall for that, but when someone from a trustworthy number calls, says they’re from your small town bank, and sounds incredibly professional, you’d fall for it, too,” Haughey said.
Fraudsters can use a variety of open-source and free tools to fake or “spoof” the number displayed as the caller ID, lending legitimacy to phone phishing schemes. Often, just sprinkling in a little foreknowledge of the target’s personal details — SSNs, dates of birth, addresses and other information that can be purchased for a nominal fee from any one of several underground sites that sell such data — adds enough detail to the call to make it seem legitimate.
A CLOSE CALL
Cabel Sasser is founder of a Mac and iOS software company called Panic Inc. Sasser said he almost got scammed recently after receiving a call that appeared to be the same number as the one displayed on the back of his Wells Fargo ATM card.
“I answered, and a Fraud Department agent said my ATM card has just been used at a Target in Minnesota, was I on vacation?” Sasser recalled in a tweet about the experience.
What Sasser didn’t mention in his tweet was that his corporate debit card had just been hit with two instances of fraud: Someone had charged $10,000 worth of metal air ducts to his card. When he disputed the charge, his bank sent a replacement card.
“I used the new card at maybe four places and immediately another fraud charge popped up for like $20,000 in custom bathtubs,” Sasser recalled in an interview with KrebsOnSecurity. “The morning this scam call came in I was spending time trying to figure out who might have lost our card data and was already in that frame of mind when I got the call about fraud on my card.”
And so the card-replacement dance began.
“Is the card in your possession?,” the caller asked. It was. The agent then asked him to read the three-digit CVV code printed on the back of his card.
After verifying the CVV, the agent offered to expedite a replacement, Sasser said. “First he had to read some disclosures. Then he asked me to key in a new PIN. I picked a random PIN and entered it. Verified it again. Then he asked me to key in my current PIN.”
That made Sasser pause. Wouldn’t an actual representative from Wells Fargo’s fraud division already have access to his current PIN?
“It’s just to confirm the change,” the caller told him. “I can’t see what you enter.”
“But…you’re the bank,” he countered. “You have my PIN, and you can see what I enter…”
The caller had a snappy reply for this retort as well.
“Only the IVR [interactive voice response] system can see it,” the caller assured him. “Hey, if it helps, I have all of your account info up…to confirm, the last four digits of your Social Security number are XXXX, right?”
Sure enough, that was correct. But something still seemed off. At this point, Sasser said he told the agent he would call back by dialing the number printed on his ATM card — the same number his mobile phone was already displaying as the source of the call. After doing just that, the representative who answered said there had been no such fraud detected on his account.
“I was just four key presses away from having all my cash drained by someone at an ATM,” Sasser recalled. A visit to the local Wells Fargo branch before his trip confirmed that he’d dodged a bullet.
“The Wells person was super surprised that I bailed out when I did, and said most people are 100 percent taken by this scam,” Sasser said.
“The Wells person was super surprised that I bailed out when I did, and said most people are 100 percent taken by this scam,” Sasser said.
HUMAN, ROBOT OR HYBRID?
In Sasser’s case, the scammer was a live person, but some equally convincing voice phishing schemes — sometimes called “vishing” — use a combination of humans and automation. Consider the following vishing attempt, reported to KrebsOnSecurity in August by “Curt,” a longtime reader from Canada.
“I’m both a TD customer and Rogers phone subscriber and just experienced what I consider a very convincing and/or elaborate social engineering/vishing attempt,” Curt wrote. “At 7:46pm I received a call from (647-475-1636) purporting to be from Credit Alert (alertservice.ca) on behalf of TD Canada Trust offering me a free 30-day trial for a credit monitoring service.”
The caller said her name was Jen Hansen, and began the call with what Curt described as “over-the-top courtesy.”
“It sounded like a very well-scripted Customer Service call, where they seem to be trying so hard to please that it seems disingenuous,” Curt recalled. “But honestly it still sounded very much like a real person, not like a text to speech voice which sounds robotic. This sounded VERY natural.”
Ms. Hansen proceeded to tell Curt that TD Bank was offering a credit monitoring service free for one month, and that he could cancel at any time. To enroll, he only needed to confirm his home mailing address.
“I’m mega paranoid (I read krebsonsecurity.com daily) and asked her to tell me what address I had on their file, knowing full well my home address can be found in a variety of ways,” Curt wrote in an email to this author. “She said, ‘One moment while I access that information.’”
After a short pause, a new voice came on the line.
“And here’s where I realized I was finally talking to a real human — a female with a slight French accent — who read me my correct address,” Curt recalled.
After another pause, Ms. Hansen’s voice came back on the line. While she was explaining that part of the package included free antivirus and anti-keylogging software, Curt asked her if he could opt-in to receive his credit reports while opting-out of installing the software.
“I’m sorry, can you repeat that?” the voice identifying itself as Ms. Hansen replied. Curt repeated himself. After another, “I’m sorry, can you repeat that,” Curt asked Ms. Hansen where she was from.
The voice confirmed what was indicated by the number displayed on his caller ID: That she was calling from Barrie, Ontario. Trying to throw the robot voice further off-script, Curt asked what the weather was like in Barrie, Ontario. Another Long pause. The voice continued describing the offered service.
“I asked again about the weather, and she said, ‘I’m sorry, I don’t have that information. Would you like me to transfer you to someone that does?’ I said yes and again the real person with a French accent started speaking, ignoring my question about the weather and saying that if I’d like to continue with the offer I needed to provide my date of birth. This is when I hung up and immediately called TD Bank.” No one from TD had called him, they assured him.
FULLY AUTOMATED PHONE PHISHING
And then there are the fully-automated voice phishing scams, which can be be equally convincing. Last week I heard from “Jon,” a cybersecurity professional with more than 30 years of experience under his belt (Jon asked to leave his last name out of this story).
Answering a call on his mobile device from a phone number in Missouri, Jon was greeted with the familiar four-note AT&T jingle, followed by a recorded voice saying AT&T was calling to prevent his phone service from being suspended for non-payment.
“It then prompted me to enter my security PIN to be connected to a billing department representative,” Jon said. “My number was originally an AT&T number (it reports as Cingular Wireless) but I have been on T-Mobile for several years, so clearly a scam if I had any doubt. However, I suspect that the average Joe would fall for it.”
WHAT CAN YOU DO?
Just as you would never give out personal information if asked to do so via email, never give out any information about yourself in response to an unsolicited phone call.
Phone phishing, like email scams, usually invokes an element of urgency in a bid to get people to let their guard down. If call has you worried that there might be something wrong and you wish to call them back, don’t call the number offered to you by the caller. If you want to reach your bank, call the number on the back of your card. If it’s another company you do business with, go to the company’s site and look up their main customer support number.
Unfortunately, this may take a little work. It’s not just banks and phone companies that are being impersonated by fraudsters. Reports on social media suggest many consumers also are receiving voice phishing scams that spoof customer support numbers at Apple, Amazon and other big-name tech companies. In many cases, the scammers are polluting top search engine results with phony 800-numbers for customer support lines that lead directly to fraudsters.
These days, scam calls happen on my mobile so often that I almost never answer my phone unless it appears to come from someone in my contacts list. The Federal Trade Commission’s do-not-call list does not appear to have done anything to block scam callers, and the major wireless carriers seem to be pretty useless in blocking incessant robocalls, even when the scammers are impersonating the carriers themselves, as in Jon’s case above.
I suspect people my age (mid-40s) and younger also generally let most unrecognized calls go to voicemail. It seems to be a very different reality for folks from an older generation, many of whom still primarily call friends and family using land lines, and who will always answer a ringing phone whenever it is humanly possible to do so.
It’s a good idea to advise your loved ones to ignore calls unless they appear to come from a friend or family member, and to just hang up the moment the caller starts asking for personal information.