December – Safe Toys and Gifts Awareness

This month’s recognition is not addressing cardiac conditions, diabetes, or arthritis. In fact, the topic discussed herein is quite diverse, but it affects out most treasured gifts – our children. We don’t always stop to think we have the capability to harm a child but selecting an inappropriate gift could inflict the harm we try so hard to avoid.

With the holidays upon us, we are likely to find ourselves in department stores and scanning gift catalogs for that right something for a child or children, and, there are seemingly thousands of items from which to choose. Before making any purchases; however, keep in mind that in the year 2007 alone, toy makers recalled over 19 million toys worldwide. Yes, 19 million! The reason? Some contained small parts that could easily be removed and swallowed, others contained lead-based paint, and still others contained magnets. [Read more...]

November – Gastric Cancer Awareness

Stomach cancer is the fourth most common cause of cancer and the second leading cause of cancer-related deaths worldwide. In fact, in 2012 the American Cancer Society estimates there will be 21,320 new cases diagnosed and an additional 10,540 deaths from the condition during the year. Most of the individuals will be over 70 years of age. This is likely related to the fact that gastric cancer is difficult to diagnose and goes undetected until major problems set in during the later stages of the condition. It is estimated that one in every 112 individuals will develop gastric cancer, with a slighter higher percentage of those affected being men.
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October – Health Literacy Awareness

Some of the most noted issues recognized during the month of October include breast cancer awareness, bullying prevention, Down’s syndrome, Sudden Infant Death Syndrome, and a host of other better known topics. Did you know the month also covers mental illness, bone and joint health, infection prevention, respiratory care, stuttering, psoriasis, and a great deal more? However, regardless of the topic, it is important to be able to understand the information. I’ve chosen to cover health literacy. Health literacy is a person’s ability to understand health information that will allow him or her to make the best decisions possible regarding health and medical care.
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September – Whole Grains, Fruits and Veggies Awareness

As I have said so often in the past, obesity in our country is almost a national health crisis. More than 60% of all adults and one in every three children are either overweight or truly obese. In fact, over the past three decades, childhood obesity rates in our country have tripled. We now lead and nurture a different lifestyle than we once did. For example, many of us walked to school. We went outside afterward and were active jumping rope or playing touch football. Now parents drive their children to school or have them take a bus. With after school activities cut for financial reasons across the country and because almost every home has multiple computers and televisions, our children return home from school to sit in front of the television, surf the net, or play computer games until dinner time. This simply isn’t healthy but is a lifestyle we have created and even grown to accept. So, how do we fight this epidemic of obesity? Well, it may be more simple than we might ever expect and the choices are many.

We think about fruits, vegetables and whole grains when we plan our daily or weekly meals but likely don’t purchase a sufficient quantity of the right foods when we shop. Personally, I prefer fresh produce whenever possible but whether fresh from the market, home-grown, frozen, dried, or canned, the right choices can help keep us and our children healthy and also keep our weight down all year long.

We’ve all seen a typical food pyramid at one time or another. In 2011, My Pyramid was replaced with My Plate which was intended to make recommendations easier to understand. Essentially, the plate is divided into sections comprising fruits, vegetables, grains, proteins and dairy.

Fruits can be 100% juice, canned, fresh, frozen, or dried. Generally speaking, 1 cup of fruit or 100% fruit juice or a half cup of dried fruit can be considered as 1 cup. Two cups are the daily recommendation for this category.

Vegetables are actually divided into 5 sub-groups and include those that are dark green such as mustard greens, spinach and broccoli to name a few; beans and peas such as split peas, black beans and lentils; starchy vegetables such as corn, potatoes and green peas; red and orange vegetables such as tomatoes, acorn squash and sweet potatoes; and ‘others’ such as cucumbers, green beans and iceberg lettuce. The amount of vegetables to be consumed depends on a person’s age, gender and level of activity. The average woman should have 2 ½ cups daily up to the age of 51, at which time the recommendation is reduced to 2 cups. The average man should consume 3 cups until the age of 51 and 2 ½ cups thereafter. It is recommended individuals of both sexes vary their vegetable consumption from all five subgroups daily but select from them over the period of a week.

Protein comprises foods made from eggs, nuts, processed soy products, meat, poultry, seafood, and even peas and beans. The recommendation for women between the ages of 31 and 50 is 5 ounces daily. If they are physically active for more than 30 minutes per day, they may be able to consume more and still remain within their needs calorie wise. For men from the ages 31 to 50, 6 ounce equivalents are recommended that drops to 5 ½ ounces once they become 51 or older. Again, those men more active may be allowed more each day.

It is recommended that 8 ounces of seafood be included in a person’s diet each week unless a vegetarian diet is being recognized. In that case, processed soy products, beans and peas should be substituted.

Finally, let’s consider grains, specifically whole wheat flour, oatmeal, whole cornmeal, cracked wheat and brown rice. Most refined grains are enriched, meaning that specific B vitamins are added to the preparation process. While some controversy remains and some people are consuming gluten-free products, it is generally recommended that at least half a person’s grain consumption come from whole grain sources. The USDA’s recommendation in this category is 6 ounce equivalents for women between the ages of 31 and 50 and 5 ounces from age 51 on. For men, the recommendation is 7 ounces between the ages of 31 and 50 and 6 ounces from 51 years of age and up.

This all sounds rather complex but is meant to remind readers that we simply must make healthier choices if we are to protect ourselves from obesity, heart trouble, hypertension, high cholesterol levels, diabetes, and other medical conditions too numerous to mention. We can literally save millions of dollars annually by beginning now to make better choices in our lives that will benefit us all. Even more important than the wasted money is our good health. Join me in sidestepping potential medical issues and expenses. Begin today to shop healthy!

You can learn more about these recommendations at My Plate, Whole Grains Month and Fruits and Veggies – More Matters Month.

August – Immunization Awareness

August is recognized as National Immunization Awareness month. We tend to think of vaccinating our children but pay little attention to the fact that this very issue involves individuals of all ages.

Thanks to our conscientious pediatricians, babies and young children are well covered when it comes to completion of vaccines for measles, mumps and rubella (MMR), hepatitis A, varicella (chicken pox), polio, and more. One of the interesting reminders I relate to is that immunization can be compared with a set of steps, such as those in your home. A young child cannot “step up” or advance to enter school without proper immunization. He or she may slide briefly, but cannot advance to middle school or high school without having been properly immunized. To the best of my knowledge, every college application has a section on immunization and, you guessed it, mandates for such things as the hepatitis B series as a firm requirement for admission.
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Incorrect readings with improper BP cuff

DEAR DR. GOTT: There are many people incorrectly diagnosed with isolated systolic hypertension because the blood pressure cuffs in use are not designed to compensate for the presence of excessive fat or muscle tissue in large people. When discussing this point with a physician, I suggest this experiment: Have the person take his own BP, then wrap a 1/2” thick steak around the arm and take it again. The one physician (a woman) who actually did this was amazed to see her BP go from 115/75 to 165/62.

The medical community needs to develop better ways to measure BP. Heavily muscled and fat people (yes, I’m one) are being misdiagnosed with hypertension every day.

DEAR READER: In all honesty, I find your experiment rather gross, if only because it involves slathering raw beef over one’s arm and medical equipment. However, I can understand your point, as the steak represents excess fat/muscle tissue.
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July – Group B Strep Awareness

July is recognized as International Group B Strep Awareness month.

Group B strep is a common bacterial infection in adults who often experience no signs or symptoms. However, infected pregnant women can potentially pass this infection to their newborns during childbirth or within the first few months of life, sometimes with life-threatening consequences. Group B should not be confused with the more common group A strep that affects the throats of most of us at some stage during our lifetime.

Adults with this bacterial infection often are unaware of it. Pregnant women are most likely to know they are infected because of a screening test given during the third trimester. [Read more...]

June – Aphasia Awareness

Aphasia is an acquired disorder of communication that impairs an individual’s ability to process and understand both spoken and written language. The condition is much more common in our country than we might realize, affecting about one million people or one in every 250 in the United States. More than 100,000 Americans develop aphasia every year. While more common as we age, it can occur to anyone irregardless of gender, ethnicity, intelligence, etc. It results from injury to specific areas of the brain and can the result of a stroke, the presence of a brain tumor, infection, head trauma, or a neurological condition. Because the left side of the brain is most commonly affected and that side of the brain controls movement for the opposite side of the body, many individuals will suffer from generalized weakness or paralysis of the right leg and right arm.
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May – Hepatitis Awareness

Hepatitis refers to inflammation of the liver, as well as to several viral infections that affect the liver. Those we are most familiar with include types A, B and C, while D and E are less common.

Hepatitis A, as with all viral forms of hepatitis, results from infection. The incubation period ranges from 15 to 50 days from exposure, but symptoms generally present after approximately 28 days. The virus replicates in the liver and is shed in the feces. Transmission most commonly results from exposure to contaminated water, food or feces. The infection does not result in either chronic infection or chronic liver disease. Up to 15% of hep A patients run the risk of relapse of symptoms during the six month period following acute illness. The majority of hep A cases are found in men who engage in homosexual intercourse. The antibody production that follows infection will continue for life, thus protecting an individual against reinfection. The most successful means of prevention is through vaccination.

The incubation period for hepatitis B is anywhere from six weeks to six months. The highest concentrations of the B virus are found in blood, while lesser concentrations are found in bodily fluids such as vaginal secretions, wound discharge and semen. Primary risk factors associated with infection are through the sharing of needles for the illegal injection of drugs, engaging in unprotected intercourse with several partners or one infected partner, having a sexually transmitted disease/infection, and more. Successful prevention is accomplished through vaccination and through routine screening for women who are pregnant.

Hepatitis C is the most common blood-borne infection known in this country, affecting more than three million individuals. It is not commonly sexually transmitted with the highest risk of infection coming from injectable drug use with shared/contaminated needles. The virus can be detected through laboratory blood testing within one to three weeks following exposure. Those infected are at risk for chronic liver disease or other hep C related diseases and the individuals remain a source of transmission to others who share bodily fluids through kissing and through the transfusion of infected blood from unscreened donors. Occupational exposure for laboratory workers such as through being accidentally stuck with a contaminated needle can also cause infection. Sexual activity regarding potential transmission remains controversial; however, controlled studies indicate that up to 20% of individuals with acute hep C infection reported having a history of sexual exposure in the absence of other risk factors.

Hepatitis D can be acute or chronic but is uncommon in this country. It is an incomplete virus that only occurs in those infected with the hep B virus. It is transmitted through mucosal or percutaneous contact with infected blood. There is no vaccine available. Prevention is through vaccination of the hep B vaccine.

Hepatitis E is uncommon in this country. Transmission is through the ingestion of fecal matter, even in minuscule amounts. Outbreaks are often associated with contaminated water in countries that have poor-to-no sanitation facilities. There is no vaccination for this form of hepatitis.

Off the grid but still another form of the disorder is alcoholic hepatitis that is essentially inflammation of the liver caused exclusively by drinking alcohol to excess. Not all people who drink heavily develop alcoholic hepatitis. In some instances, the condition can occur in those who drink in moderation. People who have been diagnosed with alcoholic hepatitis must discontinue the habit if they hope to overcome the disorder. Those who continue the habit open themselves up to serious conditions such as cirrhosis and liver failure.

May is an extremely busy month for medical awareness, so it was a difficult decision to zero in on hepatitis. I have listed some of the other topics this month that readers might find of interest. Happy research.

Arthritis Awareness – www.arthritis.org
Healthy Vision – www.nei.nih.gov/healthyvisionmonth
Lupus Awareness www.lupus.org/newsite/pages/lupus
Melanoma Skin Cancer Detection – www.melanomamonday.org
Mental Health Awareness – www.mentalhealthamerica.net.go/may
Celiac Disease Awareness – www.americanceliac.org
High Blood Pressure – www.nhibi.nih/gov
Osteoporosis – www.nof.org

April – Alcohol Awareness

Alcoholism is a physical addiction prevalent in our society, affecting approximately 10% of all women and 20% of all men. It is defined as an inability to control the amount of alcohol consumed. What begins with one social drink can turn into an uncontrollable necessity for more and more alcohol. Over time the body becomes accustomed to the amount consumed but needs more to maintain the high received as the habit continues.

There is no single known reason for this abuse to occur. Some research indicates that specific genes may increase the risk of alcoholism; however, which genes are to blame remain unknown. Some key factors may increase a person’s risk of becoming an alcoholic, such as a family history, easy access, a stressful lifestyle, and low self-esteem. Those who develop a dependence on alcohol typically do so between the alarmingly young ages of 18 and 25. The problem appears almost epidemic in the United States.
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