Pope Francis (Credit: X)
Pope Francis injured his right arm after suffering a fall earlier this week. According to the Vatican, while the 88-year-old pontiff did not break his arm, a sling was put on as a precaution. This incident comes just weeks after another fall on December 7, where he hit his chin on a nightstand, resulting in another, visible bruise. The pope's health has been a topic of ongoing speculation due to his age and medical history, which includes long bouts of bronchitis and mobility challenges. Often seen using a wheelchair or a cane, Francis also uses a walker within the Vatican's Santa Marta hotel, where he resides. Notably, his frailty has brought renewed attention to the risks of falls among elderly individuals and the steps one must follow to mitigate such falls.
A study published in Frontiers in Aging Neurosciences people get older, the bone density in the lower back and thigh bone decreases significantly. This raises the risk of osteoporosis (OP). Therefore it becomes pivotal to pay early attention to nutrition, exercise ability, vitamin D levels, and uric acid levels in older individuals to prevent Ostreopsis and mitigate fall risks. The risk of falls and bone injuries among elderly individuals underscores the importance of preventive measures for maintaining bone health and minimizing fall risks.
Elderly, particularly menopausal women, require a daily calcium intake of 1,200 mg, divided into two or more doses. This can be achieved through dietary sources such as dairy and non-dairy products or through supplements like calcium carbonate and calcium citrate. However, total daily calcium intake should not exceed 2,500 mg to avoid potential health risks.
Vitamin D is essential for calcium absorption and bone mineralization. While sunlight exposure helps synthesize vitamin D, older individuals often require supplements due to reduced skin synthesis and the limited availability of foods. Fortified milk and supplements containing 200–600 IU of vitamin D daily are recommended, with higher doses required for those with deficiencies. Severe cases may necessitate high-dose treatments, such as 50,000 IU weekly for up to three months, along with regular monitoring of calcium and vitamin D levels.
Regular exercise is vital for preserving bone mass and reducing fall risk. Weight-bearing activities, strength training, and balance exercises like brisk walking or skipping can enhance bone density and improve coordination. Experts recommend at least 30 minutes of moderate physical activity most days of the week, supplemented by strength training twice weekly. For individuals unable to engage in standard exercise routines, alternatives like vibrating platforms may help maintain bone health.
Falls remain a leading cause of fractures among individuals over 60. Addressing contributing factors such as balance issues, vision problems, and environmental hazards can significantly reduce risks. Preventive measures include regular vision checks, minimizing medications causing dizziness, improving home safety (e.g., installing railings and removing loose rugs), and wearing rubber-soled footwear. Hip protectors may also help mitigate the impact of falls.
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A new drug combination has shown promise in treating people diagnosed with diffuse large B-cell lymphoma (DLBCL), reducing the risk of progression or death by 51% compared to the current treatment alone.
The findings come from the Phase 3 EPCORE DLBCL-2 trial, which tested the addition of epcoritamab to R-CHOP, a standard chemotherapy and immunotherapy regimen used to treat DLBCL. The companies developing the drug, Genmab and AbbVie, announced the ]results on October 5.
The trial evaluated newly diagnosed patients with DLBCL and other large B-cell lymphomas who had an International Prognostic Index (IPI) score of 2 to 5, indicating varying levels of disease risk.
Patients received either epcoritamab plus R-CHOP or R-CHOP alone. The combination reduced the risk of disease progression or death by 51%, with a hazard ratio of 0.49 and a p-value below 0.0001. The benefit was seen in the trial’s primary higher-risk group as well as the broader population included in the study.
The companies said this is the first Phase 3 study of a bispecific antibody combination to demonstrate a significant improvement in progression-free survival in newly diagnosed DLBCL.
Also read: World Meningitis Day: Why 1 In 3 Meningitis Deaths Occur In Children Under 5
Epcoritamab is a bispecific antibody that engages T-cell. Unlike chemotherapy, which directly targets rapidly dividing cells, the drug is designed to bring the body’s immune cells into closer contact with cancer cells.
It binds to CD3 on T cells and CD20 on B cells, effectively directing T cells towards CD20-positive cancer cells so they can attack them.
R-CHOP, meanwhile, combines rituximab with cyclophosphamide, doxorubicin, vincristine and prednisone and has been a standard treatment for DLBCL for decades.
“DLBCL is an aggressive disease and the need to advance treatment options is critical. These positive topline results suggest that epcoritamab combined with R-CHOP could offer a new standard of care in newly diagnosed DLBCL patients,” said Daejin Abidoye, MD, Vice President, Therapeutic Area Head, Oncology, Solid Tumor and Hematology, AbbVie.
DLBCL is the most common type of non-Hodgkin lymphoma, accounting for around 25% to 30% of non-Hodgkin lymphoma cases worldwide. Although R-CHOP has improved outcomes, some patients still experience disease progression or relapse.
The new findings suggest that bringing a bispecific antibody into treatment from the time of initial diagnosis could improve how long patients remain free from disease progression.
“As an investigator with firsthand experience in both the landmark trial that established R-CHOP as a standard of care nearly 25 years ago and EPCORE DLBCL-2, it is particularly meaningful to see the potential benefit of bispecific antibody therapy in newly diagnosed diffuse large B-cell lymphoma,” said Gilles Salles, MD, PhD, Chief of the Lymphoma Service at Memorial Sloan Kettering Cancer Center.
But the combination is still investigational and has not been approved for newly diagnosed DLBCL. The companies said they plan to engage regulatory authorities globally based on the results.
Full trial data will also be presented at a future medical meeting, meaning detailed results, including the complete safety and survival data, are still awaited.
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The US and European Union are closely monitoring a suspected case of pneumonic plague in Russia’s Siberian region of Irkutsk after the death of a 28-year-old laboratory worker at an anti-plague research institute.
Nearly 200 people who may have had contact with the woman have reportedly been placed under medical observation. However, Russian authorities have not confirmed plague.
The woman, identified in reports as Darya Shipilova, worked at the Irkutsk Anti-Plague Research Institute. Reports said she may have accidentally broken a test tube containing Yersinia pestis while collecting samples on September 25.
Russia’s consumer safety watchdog, Rospotrebnadzor, said her diagnosis was “pneumonia of unknown etiology.” Expanded testing did not identify microorganisms associated with her professional activities.
Rospotrebnadzor said the sanitary and epidemiological situation in Irkutsk and Shelekhov remained stable and that special measures had been implemented following her death.
Also read: Russia Plague Outbreak: Lab Worker Dies Of 'Unknown Infection' After Suspected Exposure
The European Commission said it was “monitoring very closely” reports of the laboratory incident.
“We are aware of the reports concerning the laboratory incident in Russia, seemingly involving a pathogen causing plague,” European Commission spokesperson Eva Hrncirova said.
She said the Commission was in contact with the European Centre for Disease Prevention and Control and stressed that timely and transparent reporting and access to reliable epidemiological and laboratory findings are essential.
The EU also said it has strengthened its preparedness for health emergencies since the Covid-19 pandemic.
The US State Department said it was monitoring the reports in coordination with the CDC and other agencies.
CDC officials said many details of the incident remain unconfirmed and urged Russian authorities to share accurate information promptly and transparently. They noted that plague is a known and treatable disease, with common antibiotics particularly effective when treatment begins early, and that cases occur naturally in several parts of the world.
US officials also urged Russia to “share accurate information quickly and openly.” Secretary of State Marco Rubio said the situation was “not cause for alarm” but was a reason for focus and continued monitoring.
Read More: Russia Plague Scare: Could It Trigger A New Pandemic? Experts Explain
WHO said it was aware of the reports and was working to verify the details with Russian health authorities, including laboratory results, contact tracing and the health status of contacts.
Based on unofficial information available, WHO said the public-health risk to the general population appeared low, while noting that the assessment could change as more information becomes available, POLITICO reported.
READ: ‘American Covid’ Strain Drives 50% Surge in UK Hospital Admissions: XFG Symptoms to Know
Pneumonic plague is caused by Yersinia pestis and can spread directly between people through respiratory droplets.
However, a suspected case does not mean an outbreak or pandemic is underway. Rapid diagnosis, isolation, contact tracing and prompt antibiotic treatment would be critical if plague is confirmed.
“Transparency, rapid diagnosis and effective contact tracing would be the most important factors in managing an outbreak,” said Dr Richard Hirschson, a specialist general physician at Sydney Adventist Hospital.
In a post on social media platform X, the expert said that a local laboratory exposure would not necessarily translate into global spread. He added isolation and preventive antibiotic treatment for exposed contacts could help limit transmission if pneumonic plague were confirmed.
Plague is caused by Yersinia pestis, a bacterium generally found in small mammals and their fleas.
Pneumonic plague occurs when the infection affects the lungs and is the form most capable of spreading directly between people.
It can become rapidly life-threatening without treatment, but plague is treatable with antibiotics when diagnosed and treated promptly.
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More than two hours of daily screen time could be associated with around 2.8 million healthy years of life lost to depression and 240,000 healthy years lost to obesity worldwide each year, according to a new three-paper series published in The Lancet.
However, the authors stressed that these are illustrative estimates, not precise measurements of the global health burden, because the certainty of the underlying evidence is low.
"Our global projections of how many healthy years could be lost to depression and obesity linked to excessive screen time are intended to be illustrative of the possible scale of harm," said Dr. Falk Müller-Riemenschneider of the National University of Singapore. "They should not be taken as an accurate measurement of harm."
The series, authored by 13 global experts, argues that simply limiting screen time may not be enough to protect children and young people from digital harms.
Also read: US Surgeon General Issues Advisory To Limit Children's Screen Time
The experts analyzed 121 reviews covering around 9 million people under 25.
They found consistent associations between problematic digital media use — defined as addiction-like patterns rather than simply time spent online — and:
The review also found some potential benefits. Moderate digital media use was associated with higher well-being, while active video game use was associated with higher well-being and healthier lifestyles.
The authors therefore argue that what young people do online, how platforms are designed and how they are governed may matter as much as how long they spend online.
Read More: Can 'Eye Strain' Lead To Brain Cancer? Experts Explain
Features such as infinite scroll, autoplay and personalized recommendation feeds are designed to capture attention and collect data, the authors said.
"Most digital platforms are designed by companies to capture attention and collect data, not to protect health," said Dr. Jay Shaw of the University of Toronto.
He added that more research is needed into how specific platform features influence digital media use rather than focusing only on time spent online.
Series chair Professor Ilona Kickbusch said governments must make children's health and online safety a global policy priority.
"Governments have let technology companies write their own rules, leading to business models built to capture attention and collect data, with health treated as an afterthought," she said.
The authors call for coordinated action by technology companies, governments and international bodies rather than relying on a single intervention such as age limits.
Their recommendations include:
"A key recommendation of our series is that governments should require technology companies to share data on how their features affect users' health with vetted public-interest researchers," said series author Louise Holly.
The series also included a Youth Advisory Group of six young adults aged 23 to 30.
"The health risks and harms associated with digital systems are preventable," said Dr. Salman Fitrat Khan of India. "Governments shouldn't wait for 'perfect' evidence before acting for our generation and the ones coming after us."
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