Regional Food Bank Of Oklahoma To Expand Volunteer Center - News9.com - Oklahoma City, OK - News, Weather, Video and Sports |

Last year more than 48,000 volunteers donated their time to the Regional Food Bank of Oklahoma. That saved the non-profit nearly $3 million in labor, allowing more money to go to their mission which is feeding the hungry.

The food bank distributes enough food to feed more than 90,000 hungry Oklahomans each week. Knowing it's still not enough, an expansion of the Regional Food Bank is underway.

"We're real excited about adding more volunteer space so we can accommodate more people and then we're also putting in a production kitchen and we're going to be producing meals for children and we'll be able to use volunteers in the kitchen also," said Rodney Bivens, Executive Director for the Regional Food Bank.

Increasing the dry and frozen food storage space will allow more bulk donations, food purchases and increased distribution. The new production kitchen will allow them to make healthy meals on site for childhood hunger programs, like Summer Feeding and Kids Cafe.

"We're going to be producing 1,500 meals a day," said Bivens. "We're going to ramp that up to 5,000 in the first six months and eventually going to 10,000 a day, all for children."

The expansion also will improve the volunteer center to accommodate a growing volunteer base.

"Thirty-three percent of all the food that gets distributed and we distributed 47.8 million last year, so between 15 and 20 million pounds of food every year is touched by a volunteer, they're our life blood, we couldn't exist without them," said Bivens.

The renovations will help increase food assistance resources to some of the most underserved areas in central and western Oklahoma. There is a wide variety of volunteer opportunities.

Source : news9[dot]com
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How to Find Relief From Migraines

Woman with head in hands.

Migraines can last four to 72 hours, and the most common symptom felt is an uncomfortable throbbing pain on one side of the head.

Everyone gets a headache now and then, but are characterized by recurring attacks of moderate to severe headache pain. Often called migraines, these headaches are a common neurologic condition that can negatively affect an individual’s quality of life.

If you suffer from migraines, you are not alone. According to the National Headache Foundation and the American Migraine Study, more than 37 million individuals in the United States are affected by migraines, making them the second-most common type of headache. Migraines are most common among individuals ages 25 to 50, and migraines are three times more common in females than in males.

Migraines typically and may get better or worse as an affected individual ages. Research from the National Headache Foundation suggests that migraines tend to run in some families and that 70 to 80 percent of migraine sufferers have a family history of migraines.

Signs and Symptoms

Migraines may last four to 72 hours and can disrupt your life. Some individuals who get migraines experience , known as an aura, before the onset of the migraine. An aura involves a group of symptoms including vision changes. The most common symptom associated with migraines is a throbbing pain on one side of the head.

The signs and symptoms vary among individuals and may include:

Cause and Common Triggers

While the exact cause of migraines is not known, genetics and environmental factors have been identified as possible causes. Several triggers include:

Diagnosis

There is no single test for diagnosing migraines. If you suspect you are having a migraine, your doctor will review your and symptoms as well as conduct complete physical and neurologic exams. Other medical tests, such as computed tomography or magnetic resonance imaging, may be ordered to rule out other medical conditions.

Treatment

The are typically classified as preventive or pain-relieving medications. Treatment is determined by the frequency and severity of your migraines, the cause of your migraines, your other medical conditions, and your allergy history. Your pharmacist will explain how to take your medication. Some medications are taken daily, while others are taken at the onset of a migraine. In addition, several OTC products are marketed for the treatment of mild to moderate migraines. These products contain analgesics such as acetaminophen, ibuprofen and aspirin, as well as caffeine.

It is important to note that self-treatment of migraines is only recommended after a diagnosis has been confirmed. To prevent , contraindications or adverse reactions, it is important to discuss the use of these products with your doctor or pharmacist beforehand.

Some patients with migraines may find relief by using alternative remedies such as , acupuncture, relaxation techniques, and nutritional supplements.

Management and Prevention

The best way to prevent migraines is to take your medication at the first sign of a migraine or before being exposed to a known trigger. Keeping a headache diary may help you identify possible triggers. Lifestyle modifications may reduce the frequency and severity of migraines; modifications include avoiding known triggers, exercising regularly, taking medication as directed and not skipping meals.

You can ease the pain and discomfort associated with migraines by:

• Getting
• Keeping a headache diary to determine your headache triggers
• Resting and relaxing when possible, and reducing stress

Conclusion

Migraine pain can be unbearable, so it is important for you to take your medication as directed and to seek immediate medical care if you do not obtain relief or if your migraine worsens. If you are taking any other medications, have other medical conditions, or are pregnant or , you should never take any medication until you have consulted your primary health care provider.

Note: This article was originally published on Feb. 17, 2015 on . It has been edited and republished by U.S. News. The original version, with references, can be seen .


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Cardiac Rehab: Boosting Your Heart Recovery

Close up of man on treadmill.

Patients kick off their rehabilitation on the treadmill, walking at a slow pace then gradually speeding up.

If you’ve recently had a heart attack, or you’re recovering from surgery such as or stent placement – or you have a condition such as hardening of the arteries, angina or – you should ask your doctor about cardiac rehabilitation.

Cardiac rehab is proven to reduce your risk of future heart episodes. It offers a safe, medically supervised way to gradually build your activity tolerance. Programs take place in specialized exercise facilities within the hospital, and you wear a heart monitor while you work out. The rehabilitation team includes doctors, nurses, exercise physiologists, dietitians and others.

Insurance covers cardiac rehab, which typically lasts 36 sessions. Patients attend several times a week, and many programs offer a variety of classes and speakers on topics from  to to . People who’ve completed cardiac rehab say they , whole and energized – ready to reclaim their family, work and social lives. So what are you waiting for?

Starting Slow

When people enroll in the cardiac rehabilitation program at the Howard University Hospital Heart Center, they may feel hesitant at first – especially if they had experienced severe chest pain, says Dr. Otelio Randall, cardiologist and program director. But fear fades, he says, because “we are right there with them, and they start off at a very low level of exercise.”

Before patients start, the rehab team evaluates their EKG and echocardiogram results and looks over recordings from . As patients build their activity tolerance, an exercise physiologist monitors them every step of the way.

Patients start off on the treadmill. “They’re on a monitor, and the treadmill might go like 2 miles an hour,” Randall says, “and then we just gradually go up until we get them to what they should be able to do.” On recumbent bicycles, patients pick their own speeds, and the team sees how their hearts respond. “For instance, if the heart rate goes up too much, we’ll have them to do a lower load for a shorter period of time," he says.

If symptoms arise , the rehab team is prepared. “If it looks like there’s anything that might progress to cardiac arrest or arrhythmias, obviously, we would stop the patient,” Randall says. “But that hardly ever happens.” While a few patients may need repeat heart studies or procedures, most are able to complete program.

More Than Just Exercise

During cardiac rehab, patients learn how their heart medications interact with exercise. That could mean “deciding whether they can exercise safely on a beta-blocker [a blood-pressure drug] that might keep their heart rate from increasing,” Randall says. Diet education is a big part of Howard’s program – Randall has published studies on the several years ago. He considers it a “universal diet” because it reduces risk factors for , diabetes, obesity and, of course, heart disease.

Life doesn’t have to change forever after a heart episode, Randall says. “You can recover a lot of your activity if you go through a program that’s designed to build your muscles and evaluate what you’re capable of doing.”

‘I Want to Go to Rehab’

After her 2008 heart attack, Carolyn Thomas didn’t feel like herself. “I heard about this cardiac rehab and thought, ‘Whoa, that’s what I need,’” she says. “Because I knew that I had undergone this completely traumatic emotional and physical event.”

Supervised exercise was the draw for Thomas, who had always been extremely active. But now she felt feeble and fearful. “Little twinges and tweaks had me clutching my chest thinking, ‘Uh-oh, is it something? Is it nothing? Should I call 911?’” And she was taken aback by her limited activity tolerance; she couldn’t walk around the block without leaning on her son’s arm for support.

Cardiac rehab was “completely about confidence,” she says. “There was a difference between the old, sick person who kind of tiptoed into the first rehab class and the person who finished." 

Great Programs/Big Attendance Gap

Research is clear: Heart patients do better after cardiac rehabilitation. A  in the journal Circulation found that heart disease patients who completed 36 sessions had reduced risk of heart attack and death within the next four years, compared with those who did fewer sessions. A from the American College of Cardiology found that women with coronary artery disease who completed a 12-week program were two-thirds less likely to die during the 15-year study time frame than those who weren’t referred to cardiac rehab.

Many doctors fail to refer eligible patients, research shows, and that's a big problem. Only about 20 percent of patients who should receive cardiac rehab actually do, studies show. Access is another issue. Many people, , may be reluctant to take time away from work and family to attend.

Randall says he's not sure what keeps people away, but lack of awareness may be a factor. "Rehab is not a big moneymaking business," he says. "That might have something to do with it." But if doctors emphasize the benefits, he says, "Most patients will come – and they'll like it and come back." 

Thomas, who founded the widely followed , just ran an informal survey to learn whether the name “cardiac rehabilitation” was a turnoff to readers (it wasn’t). One reader described the programs as “long-term life insurance.”

Above and Beyond

Dr. James Beckerman, medical director of the cardiac rehabilitation program at the Providence Heart and Vascular Institute, could be describing your local gym: “We have treadmills, elliptical machines, exercise bicycles and hand-powered machines,” he says. “We also use free weights and bands. So it’s really quite a comprehensive exercise program. People are breaking a sweat and working out.”

Beckerman says many people in his Portland, Oregon, program like to track their data points, such as blood pressure, heart rate, fitness test results and weight. But cardiac rehab is not a weight-loss program, he emphasizes. “If you end up losing a couple of pounds in the process, that’s great if that’s something you needed to do,” he says. “But we’re not really here in that capacity. We’re looking at something even bigger.”

For cardiac rehab graduates – and anyone else interested in heart health – Beckerman runs the Providence , where people can learn about his eight-week “exercise prescription” and train for 5K races (as a start).

When it comes to cardiac rehab, he says, there’s an emotional and bonding benefit as well. “It helps normalize the idea that your journey is a journey you’re making with other people,” he says. “On some level, you’re all experiencing something that is very common, and you’re taking the stigma away from it.” The feedback he hears from rehab participants, he says, is “across-the-board awesome.”


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Asia Unites Against Poaching

Representatives from 13 Asian countries committed to immediate action to stamp out poaching at the conclusion of a four-day symposium hosted by the Nepal government in Kathmandu from February 2-6, 2015.

The Symposium: Towards Zero Poaching in Asia adopted five recommendations:

  • Swift and decisive action to elevate the importance and effectiveness of antipoaching initiatives and cooperation among all relevant ministries, departments and agencies within their borders, while at the same time strengthening international cooperation in the face of this serious criminal activity.
  • Adoption of the Zero Poaching Tool Kit and assessment of current antipoaching responses to determine improvements and close serious gaps.
  • Increase and improve collaboration as a successful antipoaching response is critically dependant on effectively engaging a diverse number of shareholders
  • Improve standards, training and support for rangers, other frontline staff and prosecutors.
  • Commit to identifying a Zero Poaching national contact point to effectively coordinate transboundary efforts to stop poaching.

Tika Ram Adhikari, Director General of Nepal’s Department of Wildlife Conservation and Soil Conservation, said: “Nepal was proud to host this vital conversation in Asia because we recognize that poaching is robbing us of our wildlife wealth, which includes tigers, rhinos and elephants. We cannot allow wildlife crime to continue to wrap its tentacles deeper into the region. Our individual efforts may win us a few battles, but we can only win the war if Asia presents a united front to stop the poaching, end the trafficking and wipe out demand.”

Mike Baltzer, Leader, WWF Tigers Alive Initiative, said: “This is the beginning of the end for poaching across Asia. WWF is proud to have supported this landmark meeting and is committed to be part of the new determined movement for Zero Poaching in Asia.”

Nepal was the natural host for the symposium having achieved zero poaching for two years in the past four years. At the symposium, representatives from local communities, protected areas as well as enforcement agencies shared their lessons lea

At the closing ceremony, Nepal’s legendary Chitwan National Park (CNP) also became the first global site to be accredited as Conservation Assured Tiger Standard (CA|TS).Despite the threats that CNP faces, the protected area has seen an increasingly effective management and protection regime. This further demonstrates the commitment of Nepal towards zero poaching.

Thirteen Asian countries participated in the symposium: Bangladesh, Cambodia, China, Viet Nam, Malaysia, Russia, Indonesia, Myanmar, Thailand, Nepal, India, Bhutan, and Lao PDR. Partner NGOs and other organisations included IUCN, TRAFFIC, CITES, UN Office on Drugs and Crime, US Department of Justice, SMART Partnership and Southern African Wildlife College.

WWF co-hosted the symposium with Global Tiger Forum, National Trust for Nature Conservation and the South Asian Wildlife Enforcement Network.

The symposium provides valuable direction on tackling poaching in advance of the Kasane Conference on the Illegal Wildlife Trade to be hosted by the Botswana government on 25th March 2015. This meeting follows the London Conference on the Illegal Wildlife Trade hosted by the UK government in February 2014, where 41 governments committed to taking “decisive and urgent action….” through the agreed declaration.

How to Stay Healthy During a Divorce

A wedding cake with figurine cake toppers facing different directions.

Divorced people face a heightened risk for some long-term chronic health conditions, research suggests.

Natalie Greggs, a family law attorney who practices in Allen, Texas, likens divorce to a death. The accompanying is comparable to a physical loss, she says, and affects you both physically and emotionally.

“I tell my clients, ‘Imagine how you’re going to react to this death, and how it’s going to impact every part of your body – your mind, your stomach, even your ability to walk,” Greggs says. “Self-care is the number one thing that gets you through the day.”

Not only does self-care help get you through the day during a divorce, it’s also important for your future well-being. Research suggests divorced individuals face a heightened risk for certain long-term chronic health problems – a scary prospect, considering that experts estimate the lifelong probability of a marriage ending in divorce to be 40 to 50 percent.

Going through a divorce? Here are some tips on how to stay sane, healthy and hopeful during the painful process.

Get some exercise. This is one of the first pieces of advice Greggs gives her clients. “If you’re not on a regular exercise routine, get on one,” Greggs says. “You don’t have to belong to a gym. You don’t have to do anything fancy. Just take a walk every day.”

Exercise helps your body produce feel-good brain chemicals called endorphins. It also increases self-confidence, improves sleep and reduces symptoms of anxiety, stress and depression, says Lindsay Hunt, a certified integrative nutrition coach and personal trainer based in Scottsdale, Arizona. Any type of physical movement counts as exercise: dancing, walking, yoga, swimming. The most important part, though, is finding something you enjoy. That way, you’ll be likely to repeat it on a regular basis.

Hunt recommends finding a friend or workout buddy to hold you accountable. That person will make sure you have no excuse to stay on the couch.

Overhaul your diet. When we're sad, we tend to gain or . During a divorce, these ups and downs can quickly veer out of control.

“I had a slender client who, over the course of a year, proceeded to lose probably 50 pounds,” Greggs recalls. “By the end of her case, she was skeletal.” In contrast, Mikki Meyer, a licensed marriage and family therapist who practices in New York City, describes a patient who gained nearly 100 pounds.

If you’re binging on unhealthy foods, Hunt recommends taking a pre-emptive approach. Eat three square meals a day, and make sure to combine protein, fat and carbohydrates. Doing so keeps your blood sugar stable, preventing dips that lead to cravings. And make sure to avoid sugar, artificial ingredients, salty foods, excessive caffeine intake and alcohol.

More motivation to consider your diet: It also . “Eating the right foods may ease depression and calm anxiety” during a divorce, Hunt says. She recommends drinking plenty of water, as studies indicate that dehydration can increase cortisol levels, or stress hormones. Also, a diet high in antioxidants might ward off depression – so make sure to fill your plate with fruits and veggies.

Additional research suggests omega-3 fatty acids, which are found in fatty wild fish and nuts, support brain function and elevate mood. Steel-cut oatmeal is a soothing comfort food that provides serotonin-boosting complex carbohydrates. And bone broth is full of minerals, like magnesium, that the body can easily absorb. It’s simple to make into soup and promotes healthy digestion when your stomach is upset.

Can’t eat? Drink protein shakes or green vegetable juices, or add gelatin and quality whey proteins to your smoothies. And consider increasing your intake of protein and healthy fats, such as eggs, avocados and nuts. This way, you won’t drop too many pounds.

“It is important to feed your body even if you are not hungry, as our immune systems become extremely vulnerable and weak during times of sadness and stress," Hunt says. "Finding foods that are comforting and easy to get down is important for your health."

Stick to a normal schedule. “Consistency is important” for your emotional health, Greggs says. “Show up to work on time. Have your routine. Make [yourself] and your children go to bed when you usually go to bed. Don’t act like the divorce is ending your life.”


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How Young Is Too Young to Run?

A group of kids get ready to run on a race track.

Here's what parents should consider before sending their little ones to the starting line.

Nicholas Sullivan ran his first race at age 7. It was only a mile, and it wasn’t enough for the now fourth-grader in Little Silver, New Jersey. “He just kept saying he wanted to run more, he wanted to run the 5K, 5K, 5K,” says Nicholas’ dad, Bob Sullivan, a former professional tennis player who now coaches.

So Nicholas spent the summer running with his parents, slowly , one half-mile at a time. By the fall, at age 8, he , clocking in at an impressive 28 minutes. The next year, at age 9, he ran it in 22 minutes. This past fall, at age 10,​ Nicholas crossed the finish line in under 20 minutes​. “Over the last three years, he’s gotten to be very good – like off the charts good,” Sullivan says.

So good, in fact, that other parents in his neighborhood have suggested he try out for the junior Olympics. That’s when Sullivan pulled the breaks.

“As a coach, it’s easy for me to want to become overly structured with anything,” says Sullivan, who’s .​ “But given [Nicholas’] age, I’ve been the exact opposite. All I’ve been trying to do is keep it fun – fun, fun, fun.”

Sullivan’s approach is the right one, say ​experts who study and treat young athletes. While there’s no question that is critical for physical and mental health, as well as for developing lifelong , how exercise is presented and pursued matters, says Skye Donovan​, a physical therapist and associate professor of physical therapy at Marymount University, who researches .

​On one end of the spectrum, she says, there are overweight and obese kids who never find sports they like, which raises their risk for obesity as adults. On the other end, there are kids​ whose parents pressure ​them into a sport, leading to burnout, "and now they don’t want to do it anymore,” she says. “So we can have two totally different prongs coming in with the same results of having people not engaged in lifelong fitness.”

Growing Bodies

The son of two runners, Nicholas didn’t need any convincing to take up the sport. "It’s just so much fun," he says. "I love to run with my mom and my dad." ​But just because he often runs with his parents doesn't mean he does, or should, maintain an adult's . These days, Nicholas runs up to 25 miles a week – spread between four days – while his dad runs closer to 50 miles weekly​.

​So far, Sullivan says, he and his wife have been "very, very careful with how much he runs because now he really likes it, and he’s showing a lot of natural talent for it.”

Tailoring children’s to their age is important, says Donovan, a runner and volunteer marathon coach through the Leukemia & Lymphoma Society's Team in Training Program.​ “Kids are not just little adults – they have different physiology,” she says. For instance, children take in more heat on a hot day and lose more heat on a cold day than adults due to their greater body surface area to body mass ratio, according to the , which discourages before age 18.

Kids also face unique risks when it comes to overuse injuries. For example, children’s bones grow faster than​ muscle tendons during growth spurts, which can affect their flexibility and make them more prone to injury, IMMDA says. Given their shorter strides, kids also pound the pavement more often per mile, which increases the risk of stress fractures.

“The longer they’re doing this repetitive activity at this young of an age without having appropriate muscle development, and [without] having a coach help them with flexibility training and strength training, that really kind of puts them at risk for developing injuries long term,” Donovan says.


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Knee Replacement: What to Consider

A doctor places a bandage on a patient's knee after surgery.

Quality of life and activity after surgery can be important factors in the decision-making process.

Fred Kozlo, 61, vice president of Nexus Protective Services in Calgary, Alberta, likes his left knee better than his right knee. He’s OK with the standard right partial knee replacement he had done five years ago in Canada. But he’s ecstatic about the left he had less than a month ago in Arizona, which involved computer-assisted surgery with robotic technology. For Kozlo, short-term recovery has been much smoother the second time around.

Partial or Total Knee

The knee joint is made up of three separate areas, or compartments: the medial or inside part of the knee, the lateral or outside part of the knee and the patellofemoral compartment at the front of the knee, beneath the thighbone. If you have damage from arthritis confined to just one compartment of your knee, along with significant pain and disability despite medical treatment, you might be a candidate for partial knee replacement.

Yet orthopedic surgeons say too many people who could get a partial replacement – which spares healthy surrounding bone and tissue – receive a instead.

There are “distinct” advantages to opting for partial knee replacement if you’re a suitable candidate with , says Dr. Andrew Pearle, founder of the Computer-Assisted Surgery Center at the Hospital for Special Surgery in New York City. “It tends to be a more natural-feeling knee,” he says. “It tends to be a more athletic knee – you can play more sports on it.” Partial knee replacement involves a “much quicker return to work and is a lot less expensive to go through,” he adds.

Longevity or Satisfaction

Pearle just published a comparing partial and total-knee procedures in the Journal of Bone and Joint Surgery. For patients 65 and older, partial knee replacements led to lower lifetime costs and higher quality of life. However, because of the need for eventual revisions, partial knee replacement was less cost-effective in patients under 65.

Having the longest-lasting implant isn’t always top priority for patients, Pearle says. “In most studies, about 10 to 20 percent of people who had a total knee replacement are not satisfied,” he says. While implant longevity is important, he says, quality of life and activity after surgery also matter – and people with partial knee replacements tend to have higher satisfaction scores.

Standard or Robotic Surgery

Standard partial knee replacement uses X-ray images and relies on the surgeon’s visual assessment of the knee and direct manual surgery.

The robotic partial knee procedure used for Kozlo, called MAKOplasty, involves CT scanning, which allows the surgeon to build a virtual model of the patient’s knee and make a preoperative plan. With computer assistance, the surgeon guides the programmed robotic arm in resurfacing the damaged part of the knee.

In both methods, the surgeon places metal components on the ends of the thigh bone and tibia (the larger leg bone below the kneecap). These metal pieces are cemented in place. Then, the surgeon places a plastic insert between the metal pieces to allow smooth movement of the knee.

Partial knee replacement is increasingly being performed as an outpatient surgery. 

Do Patients Notice?

Front view of the knee after robotic partial knee replacement. 

Dr. Stefan Tarlow, an orthopedic surgeon with Advanced Knee Care in Scottsdale and Mesa, Arizona, performed Kozlo’s recent knee replacement. Tarlow switched entirely over to the robot-assisted method in 2011. With traditional surgery, “there are many factors we can’t control when we use our eyes and skill,” he says. “For a partial knee replacement, the precision in which we can adjust how that implant is placed in the patient’s knee is, I think, critical.”

While surgeons agree that robot-assisted surgery increases the precision of bone cuts to within a single millimeter or less, the issue is whether patients experience an appreciable benefit. For his part, Dr. Sharat Kusuma, director of adult reconstruction at the Grant Medical Center in Columbus, Ohio, isn’t sure.

Side view of the knee after robotic partial knee replacement.


“The question is – does it make a difference?” Kusuma says. “Is it clinically relevant?” It might be, he says. But without more and longer-term data to back that up, it’s too soon to tell. Kusuma did a , published in the September 2014 Journal of Arthroplasty, comparing results with manual and robotic techniques. He found no significant differences in patients’ outcomes, which were “excellent” for both groups.


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East Meets West: Treating Infertility With Acupuncture and Modern Medicine

An infectious disease expert says people should put their faith in science, not “magic.”

Acupuncture can increase blood flow to the pelvic area, regulate the menstrual cycle and trigger ovulation, experts say.

The ancient Chinese practice of acupuncture is fast-becoming an accepted supplement to modern-day assisted reproductive technology that helps become parents.

“More doctors are open to referring patients to for their reproductive health as well as for their emotional well-being,” says Mimi Baker, a licensed acupuncturist in Princeton, New Jersey, who practices traditional Chinese medicine and works in conjunction with fertility experts.

Dr. Frederick L. Licciardi, a professor at the NYU Langone Fertility Center, where he directs the Fertility Wellness Program, says more women are seeking ancillary services while they pursue fertility treatments. The program offers acupuncture, yoga, psychological services, nutrition and mind-body classes.

“Women and couples face many pressures when they are undergoing fertility treatment. Anything we can do to promote their emotional well-being and make the process easier so they can continue with their treatment is beneficial,” says Licciardi, a and co-founder of the fertility center.

About 7.4 million women of childbearing age have used infertility services, according to the U.S. Centers for Disease Control and Prevention. Assisted reproductive techniques include medication, artificial insemination and in vitro fertilization, which involves the transfer of an embryo created in a laboratory dish to the uterus.

An ancient form of traditional Chinese medicine, acupuncture involves the painless placement of ultrathin needles into strategic points on the body to balance Qi (pronounced chee) – a form of “life energy” believed to flow throughout the body. A blocked Qi can lead to physical and emotional illness.

“Acupuncture helps to stimulate the body’s own healing mechanism,” says Baker, who is treating an increasing number of women in their mid-30s to early 40s.

Experts believe acupuncture can increase blood flow to the pelvic area (which could help with embryo implantation), regulate the , trigger ovulation and reduce the side effects of medications associated with assisted reproductive technology. It also increases the release of endorphins, the body’s mood-enhancing hormone that reduces stress and relieves pain.

“A lot of good hormonal things happen when people are deeply relaxed,” says Steve Blumenthal, a licensed acupuncturist with the Green Hills Natural Health Clinic in Nashville, Tennessee, and a fellow of the American Board of Oriental Reproductive Medicine. Women with fertility issues represent about 70 percent of his practice.


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Best Foods to Eat While Pregnant

 the best foods to eat during pregnancy

Even if you are already packing the value of an alphabet of vitamins and minerals in your daily meals length, may still worry that you are not taking enough questions right nutrition - especially if your appetite is not very close to Additionally speed through queasies early pregnancy. Enter, Stage Left, "nutritional superstars" - some familiar faces and some rising stars that reduce home with his performance in the sand on the diet

At 11 weeks of pregnancy, pregnancy these power foods twelve pack an amazing amount of nutrients in just a few bites, which makes them particularly effective when efficiency is a priority (like when you are too sick to eat a lot when you are gain weight too quickly, or when you win enough not fast). Place all the suite "" foods in your wish list:

  1. Avocados: Loaded with folic acid (vital to forming your baby's brain and nervous system), potassium, vitamin C, and vitamin B6 (which not only helps baby's tissue and brain growth, but may also help with your morning sickness), avocados are a delicious way to get your vitamins. Spread some ripe avocado on your whole grain roll as a healthy substitute for mayo. Keep in mind that avocados are high in fat (though the very good kind) and calories, so heap them on your plate only if you're having trouble gaining weight.

  2. Broccoli:Cruciferous favorite, packed with lots of vitamins A and C, calcium bonus (better build these baby bone) America, as well as children folate friends. Stir in pasta or stews, stir-fried with seafood or chicken, served with steam (with or without dressing), or buried in diving.

  3. Carrots: What's up, Doc? Here's what: Carrots are tops when it comes to vitamin A, so important for the development of bones, teeth and baby eyes. They are perfect for chewing on the road, but also perfectly destroy almost anything (meatloaf cake salad). Carrots are also a good source of vitamins B6 and C and fiber to keep things movin '.

  4. DHA eggs: The old egg is always a good egg, with a low calorie high protein punch in a tasty package. But here's the news: science now allows us to stir, fry, boil eggs or better, of course responsible for DHA, a type of omega-3 (the "good fat") fatty acids, which is an important component of the brain and of the retina, and is essential for brain development and training of the eye in the fetus. Also note that always loved eggs.

  5. Edamame: Green pods are really ready soybeans - and they taste much better than they sound. Packed with protein, calcium, folic acid, vitamins A and B, edamame can be emptied by a handful as a snack (pepper, and you will never lose chips), or thrown in almost all of the soup is cooking, pasta cooked by frying succotash. They are also free replacement gas beads. So no edamame forget mom.

  6. Lentils: Branch grain protein and folic acid, vitamin B6 and iron. The lenses are the gut (and spouse) and friendly plant easily absorb a variety of flavors from other foods and condiments.

  7. Lentils: Branch grain protein and folic acid, vitamin B6 and iron. The lenses are the gut (and spouse) and friendly plant easily absorb a variety of flavors from other foods and condiments.

  8. Mangoes: sweet revenge to avoid any plant, mangoes contain more vitamins A and C delicious bite bitten by a salad. This tropical favorite, also full of potassium, is particularly versatile, a perfect complement to sweet and savory dishes. Mix it in smoothies or soups, sauces or cut into pleasures, just a spoon and enjoy.

  9. Nuts: Nuts are full of important minerals (copper, manganese, magnesium, selenium, zinc, potassium, calcium and even) and vitamin E. And even if they are high in fat, is particularly good for you to type. So, in short, go nuts with nuts (in moderation, if the rapid rise freely if you are winning slowly) and throw them in salads, pasta, meat and fish, baked goods.

  10. Oatmeal: Here's a good reason to feel his oats (and eat often). They are full of fiber, B vitamins, iron and a number of other minerals. Fill in your breakfast bowl with them, but do not stop there. You can add oats - and all its nutritional superpowers - for pancakes, muffins, cakes, cookies, even cake.

Can You Be Allergic to Marijuana?

Closeup of a Marijuana plant

Allergic reactions to marijuana can range from sneezing and rashes to anaphylaxis.

About seven years ago, Kathryn Wick was going about her job as a child crimes detective in Texas when she entered a house that literally took her breath away. “It felt like my throat was just like shut completely off – I couldn’t breathe,” says Wick, 30. She left the scene and went to a hospital, where she was treated with two EpiPens and a hefty dose of the severe allergy medication Prednisone. "I come to find out," Wick says, "they found a whole bunch of marijuana in the house." Still, she brushed her reaction off as a fluke and went back to work.

Then it happened again – this time, at a house on the other side of the county. “As soon as I entered the door, I was done,” Wick says. After that, any time she was around pot or even near anyone who had been around it, she lost her breath and felt so itchy she'd scratch her neck until it bled. “I’d blow up like a red balloon, and my throat would swell,” Wick says.

By then, Wick knew it wasn’t a fluke: She was allergic to marijuana.

“They say it helps with glaucoma, it helps with cancer patients – and I’m so thrilled that it does that,” says Wick, who now works in a hospital. “But I’m sitting over here in the corner saying, ‘What about me?’”

'A New Challenge' 

Researchers don't know how many people are allergic to marijuana, but reports of reactions – which range from sneezing and rashes to anaphylaxis – to both marijuana exposure and use are on the rise, according to a  published this month in the Annals of Allergy, Asthma & Immunology.

“It wasn’t necessarily a surprise that a pollinating plant could cause allergies,” says paper co-author Thad Ocampo, an allergist at Wilford Hall Ambulatory Surgical Center in San Antonio, Texas, an Air Force medical treatment facility. “But I was surprised by the variety of allergic conditions that have been attributed to cannabis use and exposure.” 

Anecdotally, allergists have seen more patients with the allergy in their clinics, too. , an allergist in Englewood, Colorado, and clinical professor of medicine at the University of Colorado School of Medicine, has seen two patients in the past year with the allergy. That’s about the same number of patients he’s seen with it in his last 30 years of practice.

“With increasing exposure given the availability of marijuana, my guess is there will be increasing sensitization, especially [with]​ patients who have other allergies, and we will be seeing more,” Silvers says. “This is a new challenge for the allergy community.”

It’s unclear what the exact allergens are – be it the pollen, THC​ (the main ingredient of cannabis that alters brain function) or another compound of the marijuana plant Cannabis sativa, the Annals paper says. In all likelihood, people react to different compounds or combinations of compounds, says ​, an allergist-immunologist and president of the American College of Allergy, Asthma & Immunology. “A lot of people think of an allergen as just the pollen grain, but actually, it’s at the biochemical level,” he says.

Marijuana's illegal status in ​many states, including Texas,​ only complicates matters by making the allergy difficult to study, identify and treat. On the flip side, more widespread marijuana production and use in the places where it is legal – and even where it’s not – is a nightmare for people like Wick, who have to go to greater lengths to avoid exposure.

“If it becomes legal in Texas,” she says, “I’ll have to be sitting at home on disability to stay alive.”

Life in a Bubble

After pinpointing the cause of her reactions, Wick sought help from an allergist. But when she called around and told the clinics what she was allergic to, "I got laughed at," she says. It took her more than a dozen tries before she found Dr. David Engle​r,​ an allergist at the ​Houston Allergy and Asthma Clinic, who agreed to see her. “He said, ‘I don’t make fun of anybody’s allergies because you never know when it’s real,’” Wick remembers. “‘And yours is real.’”

Still, confirming her allergy with a skin test – – isn't always possible, particularly in places like Texas where the substance is illegal. Engler says the U.S. Drug Enforcement Administration denied his office’s request for a small sample of cannabis extract that would be used to test for Wick’s allergy, then destroyed. There’s also no blood test commercially available, he says.

So in Wick’s and other patients’ cases, the allergy is often identified simply by taking a thorough clinical history. “By history, her diagnosis is so certain, and it’s not really going to change my treatment,” Engler says.

Like with any allergy, the best way to treat a marijuana allergy is to avoid it. For people who only react to smoking or ingesting the substance, that sounds easy – not to mention, always legal. But for people like one of Silvers’ patients, who developed a skin reaction after working in a marijuana cultivation facility, avoiding the allergen could mean being out of a job. “The more exposure, the worse the allergic reaction,” Silvers says.

Then there’s the rarer, more severe cases like Wick’s. For her, avoiding people who have recently smoked, places where people have lit up or even air that carries the plant’s pollen is simply not practical. “It’s a daily struggle,” Wick says. “That’s the hardest part – trying to live in a little bubble.”

What’s more, unlike some other allergies, a marijuana allergy can’t yet be treated through desensitization – a process of exposing patients to allergens to lessen their reactions – since there’s no cannabis extract commercially available.

So for Wick, treatment comes down to being prepared. When she goes grocery shopping, she’s in and out of the store by 8:30 a.m., when other shoppers start to flood in. When she travels – which is rarely – she packs a kit filled with EpiPens, Benadryl and steroids. She used to love to go out dancing, but she doesn't do that anymore. She taught her two daughters, ages 6 and 12, how to inject her with​ an EpiPen.​ ​She's canceled plans to visit Colorado and the District of Columbia. And most days, she only travels between home and work, where she wears nylon sleeves under her uniform​.  

Wick also tries to take three shots of an every two weeks. The medication helps her throat stay open in the case of a reaction. “I may be scratching blood off my neck, but I can breathe,” Wick says. “If I can breathe, I’m good.”

Still, Wick can’t always take the shots. Her tab is about $500 a month after insurance and the​ medication company chip in. (While insurance companies don’t recognize marijuana allergies, they do acknowledge asthma, which Wick also has.)

Despite her medication lapses, Wick’s bigger concern is that her , too. “I hear all the time that people wish their kids were allergic to weed, and I tell them, no they don't,” she says. “Hopefully by the time [my children] grow up, there will be some kind of cure.”


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All Women Should Lift Weights

Woman with a barbell exercising in gym

One expert says women need to lift to prevent the natural loss that occurs with less activity over the years.

It wasn’t long ago that we all realized just how unhealthy obesity can be, and . Indeed, obesity is a leading cause of preventable death, and thinner people tend to have healthier vital signs and blood markers in general. But generalizations only help you understand so much about the complex notion of .

As physiology and medicine research evolved, so has the understanding of what’s healthy. Even though you may be predisposed to one body shape or another – you can’t help that – research indicates that the healthiest bodies are those that reflect the hard work of a , including resistance training.

Most People Just Don’t Resistance Train

“The American College of Sports Medicine recommends weightlifting for all adults at least twice a week, with three times a week being optimal,” says Michele Olson, ACSM fellow and professor of exercise physiology at Auburn University at Montgomery in Alabama.

Despite what the ACSM recommends, most Americans fall short of that mark. According to a 2011 survey administered by the Centers for Disease Control and Prevention, only 29 percent of adults meet the minimum recommended weightlifting schedule. Compare that with 52 percent of adults who get the minimum recommended cardio minutes per week, according to the same survey.

That may be because the rush of endorphins that occurs after cardio exercise feels so much better than finishing a good weightlifting set. That doesn’t mean that lifting weights is any less beneficial, though.

“You burn calories lifting weights and are engaged in movement when lifting weights, both of which help forestall and help us move better with less chance of strains and joint problems,” Olson says.

Importance for Women

Weightlifting is especially important for women, even though women are less likely to make a habit of it. Whether it’s due to the tired myth that women can bulk up from weightlifting, or because they’re just less comfortable in the weight room, it could be costly.

Because women have less muscle than men to begin with, Olson says, “we need to lift weights to prevent the natural loss that occurs with less activity as we age.”

So if you’ve been avoiding lifting weights because you think you’ll get mannish or bulky? “That’s the last thing you should fret about. Women do not have the levels of anabolic hormones than men have,” Olson says, and that’s key to building larger muscles.

Fitness expert and personal trainer Joey Thurman of agrees. “I do hear that still,” he says, but points to as proof to the contrary. In such competitions, women and teens who weigh less than 100 pounds themselves can lift two to three times their own weight, and they appear no more bulky than other athletic women.

Additionally, studies have provided evidence that weight training has similar effects on blood pressure and cholesterol as aerobic exercise. And especially in older adults, weight training has been shown to improve fitness and mood independent of cardio training.

“Studies link weightlifting to lower anxiety and better overall mental health,” says Thurman, who trains both men and women, though his clientele is primarily female.

One of the top reasons women should lift weights is because women are more prone to bone and joint issues as they age. “The muscle tells the bone where to go, not the other way around,” Thurman says. “As you increase your muscle strength, you’ll improve your posture and support your joints.”

Core training is key for balance and joint strength alike. “Balance is highly linked to strong hip and core muscles,” Olson says. “Training your core will effectively strengthen those core and balance muscles to prevent falls and lessen the stress to the knee joints.”

Weight Loss

Too much weight may wreck your joints just as much as injuries, but lifting weights can help prevent both of those. Several independent studies over the past decade have provided evidence that resistance training is just as important to fat loss and health markers as aerobic exercise.

One of the most recent studies appeared in the journal Obesity in December 2014. The large study looked at more than 10,000 men ages 40 and up. The men who did the most weight training had gained less belly fat over a 12-year period than those who did similar amounts of aerobic exercise. A similar study of 164 women was carried out in 2006, with similar results: Weight training as we age better than cardio does.

That’s because your muscles are responsible for your metabolism, Thurman says. “The more muscle you have the higher your metabolism, and the more energy you’re going to have,” he says, and that will help carry you through more workouts.


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My Travels With COPD

A close-up of a senior citizen woman wearing an oxygen tube.

Taking a flight or cruise with portable oxygen is possible, but it requires a little extra planning.

For most passengers, keeping electronic devices charged is an annoyance. But for people flying with , keeping their portable oxygen powered – so they can breathe – is a serious challenge. But while it takes careful planning and occasional troubleshooting, people with COPD can reach all sorts of destinations.

Frequent Flyer

Suitcase packed? Check. Portable oxygen concentrator with paperwork? Check. Medication in carry-on bag? Check. Once again, Jean Rommes, 70, is ready to travel. Between her consulting and advocacy work, Rommes flies twice a month or so throughout the U.S. and to Canada. With COPD, she’s found advance preparation is the key to (usually) smooth trips.

Well before departure date, Rommes gets all her ducks in a row. She checks airline websites for their rules on portable oxygen concentrators, battery limits, medical forms for doctors to sign and information on passenger assistance. “With the airlines I typically fly, I call ahead of time and tell them I’m going to be flying between hither and yon,” she says. As she lists upcoming flight numbers, they can update her records for three or four flights at a time and she’s set.

At the airport, it only takes a minute or two for security to wand over her oxygen machine. But it does takes extra time to get from point A to point B. If Rommes is flying through Chicago, for instance, she might need to ask for a wheelchair or cart, depending on the O’Hare Airport concourse.

Some plane cabins are better pressurized than others, she says, which can affect the oxygen setting she chooses. Independent as Rommes is, she says having travel companions can be really helpful. “It’d be something I’d appreciate – having someone else to carry all that stuff would be great.”

Experience makes flying much easier, Rommes notes. The COPD Foundation offers information for .

COPD Journey

Tonya Hidalgo already misses her mother. Last week, Brenda Cross of Mooresville, North Carolina, died at 70 after nearly two decades of coping with COPD. But Hidalgo has great memories to look back on, including their travels together.

It’s a sad reality that constant shortness of breath turns some into shut-ins. But Hidalgo was determined not to let that happen to her mother.

In later years, as Cross’ condition worsened, the family stuck closer to home with road trips, storing two 50-pound tanks, her oxygen concentrator and a supply of batteries in the car. During their 2012 Disney World trip, Hidalgo says, her mother “had a blast” going on rides with her 2-year-old grandson.

Earlier in 2003, while Cross was still able to fly, Hidalgo surprised her with a two-week trip to the island of Oahu. But landing in mile-high Denver for their connecting flight was rough – the issue of altitude hadn’t previously occurred to them. When the cabin doors opened, it was as if the air was sucked out of her lungs, Cross told her daughter. She had “a really bad breathing attack,” Hidalgo says, and “we debated getting back on the airplane and heading straight back home.”

But her mother took a puff from her inhaler, turned up the oxygen and allowed airline personnel to wheel her to the next gate. Once acclimated and calm, Hidalgo recalls, her mother said, “Let’s continue on.” They later learned that Hawaii, with its trade winds and good air quality, is a big draw for people who live with breathing problems.

As they walked away from the airplane after landing in Honolulu, Hidalgo’s mother called her name. “I was thinking to myself, ‘Oh no, what’s wrong?’” she says. “And I turned and looked at her, and she had this huge smile on her face. She said, ‘I can breathe.’”

Cruising With COPD

If you’re anxious about taking a cruise while on oxygen, it might help to know your travel agent is also a . That’s the case with Sea Puffers, which organizes trips for clients with COPD to destinations such as Alaska, Barcelona, Russia, Hawaii and the Greek Isles.

Co-owners Holly Marocchi and Celeste Belyea make all the oxygen arrangements, both for clients’ flights to port cities and the cruises themselves. They supply spare oxygen equipment for clients who’ve underestimated their needs and make sure enough scooters are on board for those with mobility issues. "Everything has to be on the ship when we leave the initial port,” Marocchi says. “There’s no stopping at Wal-Mart along the way to pick up anything more.”

Sea Puffers doesn’t provide respiratory care on ship – they leave that to the cruise line’s medical staff. Hesitant travelers with COPD should know “that there are other people with the same fears," Marocchi says. "They’re apprehensive about it too. I try to explain every single, solitary detail months in advance of going on the cruise.” That way, she says, people can relax and enjoy their vacations.

International Travel Drama

You’ve heard the complaint: “Next thing you know, the airlines will be charging us to breathe!” That’s no joke for Russell Winwood, 48, of Brisbane, Australia. After he and his wife purchased economy-class tickets for a flight to the U.S., they hit a snag with the Australian carrier.

“They had a rule where you could only plug in your oxygen machine if you traveled at premium, premium economy or business class,” he says. “We weren’t told until after we had purchased the economy tickets. So they wanted us to pay for an upgrade, which was $2,000 Australian ($1,523 U.S.) for each of us. And we refused.”

After much back and forth, Winwood says, the airline finally agreed to a free upgrade, three days before the flight. During the trip from Brisbane to Los Angeles, however, the alarm on his oxygen machine sounded.

“We found out that the power you plug in has only the power to charge mobile phones and laptops – it won’t actually charge a portable oxygen machine.” Luckily, his battery supply was enough to get to their destination – with about 10 minutes of power to spare. “It was cutting it a bit close,” he says. So was their return flight back from Miami to Australia, but they made it. "It seems to me that most airlines aren't set up to cope with people with oxygen terribly well," Winwood says.

The Transportation Security Agency has information on .

One thing Winwood noticed was how air quality in different cities affected his breathing. He struggled with the exhaust fumes in Los Angeles and did better in the fresher sea air of Miami. Traveling in Australia, he stays away from hotels and restaurants that allow smoking, and says for travelers with COPD, it's about avoiding that set off flare-ups.

Although he has just 30 percent lung function, Winwood has completed three . And two years ago, he walked up Mount Kosciuszko, the highest mountain in Australia. So he’s not one to be held back from exploring the world.

“We never thought for a million years we’d have to go through all the drama we have to be able to travel,” Winwood says. “But now that we’ve been overseas, we’re aware of what we have to do for next time. Don’t let traveling with COPD stop you – just get out there and do it would be my advice.”


Corrected on March 20, 2015: A previous version of this story misspelled the name of Brenda Cross’ hometown.

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Is Salt the Newest Workout Supplement?

Salt shaker on checked tablecloth.

In a recent study, Half Ironman athletes who took salt capsules replaced more than 70 percent of the sodium they lost from sweat.

You’ve got a hydration pack full of your favorite , and you endure the gooey mess that is energy gel every 45 minutes, just like the package says. But for optimum endurance performance, you may also need your saltshaker, suggests new research published in the Scandinavian Journal of Medicine & Science in Sports.

For the study, scientists from the Exercise Physiology Laboratory at the Camilo José Cela University in Spain studied 26 athletes competing in a – which consists of 1.2 miles of swimming, 56 miles of cycling and 13.1 miles of running.

During the race, half of the triathletes drank their regular sports drinks along with 12 salt capsules divided into three doses, while the rest drank their regular sports drinks and took 12 placebo capsules. On average, those who consumed the extra salt ended the competition 26 minutes before those who stuck to sports drinks.

Why? Because they replaced more of the sodium they sweated out during the competition, says lead author Juan del Coso Garrigós, researcher at the Camilo José Cela University. The salt-takers replaced about 71 percent of the sodium they lost from sweat, while the placebo group only replaced about 20 percent of the electrolyte.

Sodium, , is critical both to performance and staying healthy during particularly sweaty workouts. “When sodium levels get too low, total body water drops and blood volume drops, which leads to fatigue and performance declines,” says board-certified sports dietitian and certified strength and conditioning coach Marie Spano. “An athlete may experience muscle cramps, decreases in strength, and hyponatremia – dangerously low blood-sodium levels, which leads to edema, headache, confusion and can cause brain swelling and death.”

“I absolutely believe salt supplementation is not just beneficial, but necessary for athletes,” Spano says. “When I have athletes double the amount of sodium in their sports drinks, the first thing they typically say is that they feel so much better while training.”

Why Sports Drinks Aren’t Always Enough

“By using only sports drinks, it’s impossible to replace all the salt lost by sweatingendurance activities, such as marathons, long-distance triathlons and ultra-endurance trails,” says del Coso Garrigós, who notes that sweat contains two to three times higher concentrations of salt than do electrolyte-placement drinks. “Most sport drinks contain 20 to 25 millimoles of sodium per liter, while it is well-known that sweat contains between 20 to 60 millimoles per liter. Salty sweaters can even lose 100 millimoles of sodium per liter of sodium in sweat.”

So why do sports drinks, which, after all, are made to replenish nutrients and electrolytes that are lost during exercise, not contain enough sodium to replace what’s lost? Spano and del Coso Garrigós agree: Because it would taste bad.

“Taste is elemental to sport drink sales,” he says. “If companies included more salt in their commercially available drinks, the drinks would be more effective at preventing dehydration and performance decline but, at the same time, the enjoyable taste of the drink would diminish and so would their sales." 

Do You Need More Salt?

Exactly how much salt you need depends on how much salt you’re losing. A lot of variables play into that amount. First and foremost, – both in terms of how much they sweat and in how much sodium they lose in every bead of the stuff, says del Coso Garrigós. Meanwhile, your exercise’s duration, intensity and environment (think: hot and humid or cool and dry) all affect how much you’ll sweat.

For that reason, he says most people can stick to sports drinks for any exercise that lasts under two hours. However, if they are big sweaters, into  or , salt could help them both feel and perform better. For a quick 20-minute strength-training workout, you shouldn’t even need a sports drink. Water is just fine.

If you're heading out on a long run, bike or other sweat-drenching activity, though, Spano recommends doubling your sports drink’s sodium. Add 100 milligrams (that’s about a pinch) of table salt to every 8 ounces of sports drink in your bottle or pack. So, if you’re planning on chugging 32 ounces of grape greatness during your run, you’ll also want 1/8 teaspoon salt, she says. Keep it in a baggie to eat throughout your run, or just dump it straight into your sports drink. It doesn’t look like much in that measuring spoon, but you should feel a big difference during your workout, she says.

or are sensitive to sodium? You may experience a slight increase in blood pressure immediately after supplementing with salt during exercise, but that’s not necessarily a bad thing, says del Coso Garrigós. When your blood pressure increases, you become thirstier, which helps you to drink more during your workout and stay better hydrated. And if you’re trying to cut down on your overall sodium intake, you can combat the salt taken in during exercise by making your meals later in the day low-sodium, Spano says. Win-win.


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Keep an Eye on Your Eyes

Close-up of a very blue eye.

A recent survey found 44 percent of 2,000 adults said they were more fearful of losing their sight than developing Alzheimer’s, Parkinson’s or even heart disease.

According to a new report from The Vision Council, an industry group, 1 in 28 Americans ages 40 and up suffers from low vision, a visual impairment that cannot be repaired by glasses, , medicine or surgery. This number is guaranteed to grow in coming years as the population ages and eyesight declines. Every day an estimated 10,000 baby boomers turn 65, making them members of a very vulnerable group: Low vision is most prevalent among those 65 and older.

Many may find this news distressing. Forty-four percent of 2,000 adults in a recent survey said they were more fearful of losing their sight than developing Alzheimer’s, Parkinson’s or even . While vision loss cannot be restored, oftentimes it can be delayed or prevented. Read about these common low-vision disorders, and learn how to best improve and possibly save your own eyesight:

Cataracts

The National Eye Institute reports that more than 24 million people in the U.S. have cataracts.This figure is expected to jump to nearly 40 million by 2030.

is the clouding of the natural lens of the eye, which can cause people to feel like they’re viewing the world through a dirty window or windshield, says Dr. Robert Noecker, director of glaucoma at Ophthalmic Consultants of Connecticut in Fairfield and assistant clinical professor of ophthalmology at Yale University.  

Typical symptoms include cloudy or blurred vision, poor sight at night, double vision in one eye, faded colors and the need for frequent changes to one’s eyeglasses or contact lens prescriptions.

A cataract can occur in only one eye or both. The most common cause is the unavoidable act of aging – folks 60 and older should have a comprehensive dilated eye exam once every two years. Exposure to UV light and lifestyle factors such as and alcohol use can also contribute.

“Cataract surgery fixes the problem,” Noecker says. During the procedure, the affected lens is removed and replaced with a plastic one, ensuring “the cataract is gone forever.” But surgery is not without risks. Noecker notes that infections, while rare, can happen and patients should consider all options before choosing surgery.

If the symptoms are not severe – meaning vision loss doesn’t affect day-to-day activities such as driving and reading – then brighter lighting, magnifying lenses and new eyeglasses can help.

There are steps people can take to reduce their chance of developing cataracts. Says Dr. Rachel Bishop, chief of the consult services section at the National Eye Institute: “The first is not smoking. The second is protecting their eyes from sunlight by wearing sunglasses. UV light exposure is associated with cataract but also with other problems in the eye, so we recommend people wear UV-protection sunglasses when out in the bright daylight.” A diet full of leafy greens and other antioxidant-rich foods such as blueberries, beans, nuts and artichokes is also recommended.

Glaucoma

The National Eye Institute reports that almost 3 million people in the U.S. have glaucoma, which the agency expects will become 4 million by 2030.

“Glaucoma is a condition in which the optic nerve, the cable that hooks the eye up to the brain, is damaged by pressure inside the eye,” says Dr. Evan Waxman, associate professor of ophthalmology at the University of Pittsburgh School of Medicine and vice chair of education for the UPMC Eye Center. “[It] impairs the peripheral vision in a slow sneaky way that people often don’t notice until quite a bit of damage is done.”

In fact, glaucoma causes no pain and initially there may be no symptoms. But as the disease progresses, and if left untreated, the ability to view objects to the side or out of the corner of the eye will disappear, leading to what one may describe as tunnel vision. Then the central vision will diminish until it too is completely gone.

“Glaucoma is the most common cause of vision loss in African-Americans,” Waxman says. Everyone older than 60 is especially at risk, particularly Latinos, along with people who have a of the condition.

Glaucoma is not preventable but most vision loss from glaucoma is. “The key is getting an eye exam to pick up on the changes in the early stages and begin treatment,” Bishop says. And while there is no cure, it can be controlled through prescription eye drops, laser treatment and sometimes surgery, all of which can lower eye pressure, thus saving the optic nerve from further damage.

Age-Related Macular Degeneration

The National Eye Institute reports that more than 2 million people in the U.S. have age-related macular degeneration; this figure is expected to increase to more than 3.5 million by 2030.

Age-related macular degeneration is a condition that causes the central area of the retina, called the macula, to deteriorate, leading to the inability to see fine detail, explains Dr. Malvin Anders, chief of ophthalmology at Los Angeles County-USC Medical Center and an associate professor of clinical ophthalmology at the University of Southern California’s Keck School of Medicine. Due to the blurring of the central vision, affected activities can include driving, reading and sewing.

There are two forms of AMD: dry and wet. Dry AMD is caused by the breakdown of light-sensitive cells in the macula, resulting in a gradual loss of central vision. Wet AMD stems from the growth of abnormal blood vessels beneath the retina and bleeding into the macular region, leading to a more rapid loss of central vision.

In its most severe stages, Anders notes, macular degeneration can cause central blind spots. In milder forms, images, especially lines, may become distorted or wavy. AMD, however, does not lead to actual blindness as the peripheral vision is always preserved.

“As the name suggests, age-related macular degeneration is a disease of aging,” Anders says, primarily affecting those ages 60 and up. It’s more common among Caucasians than African-Americans or Latinos, and people with a family history have a higher risk. Smoking can also double one’s odds of developing AMD.

There is no treatment for early AMD, though at that stage there may be no symptoms or vision loss. If you have the disease, a comprehensive dilated eye exam at least once a year can help determine if the condition is worsening. Laser therapy can stop any bleeding if present, while an injection of drugs can stop blood vessels from leaking.

“Good nutrition, control of cholesterol and blood pressure, and cessation of smoking are important factors in preventing the progression of macular degeneration,” Anders advises. These behaviors can also reduce your risk. And, Anders adds, a diet full of “fruits and vegetables rich in antioxidants, such as broccoli, collard greens, kale, kiwi, spinach and zucchini is especially of value.”


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Serves Kindness, Free Coffee To Promote Food Bank

More than 675,000 Oklahomans are at risk of being hungry, one in four being a child. However, the Regional Food Bank of Oklahoma is turning the tide on hunger through its Food for Kids program. Area businesses like thePerk Place in Edmond, are jumping on board to help.

 

"This is something we've centered our business around," Perk Place Owner Jeff Meyer said.

 

Jeff and Natalie Meyer took the plunge about six weeks ago and opened their own business in Edmond.

 

"When we began this journey, it was real important for us that value and generosity were part of who we are," Jeff said.

 

That's why their coffee shop serves up more than food and hot and cold beverages. It's a shop with a cause.

 

"We have children of our own, so the thought of a child going without food is heartbreaking," said Natalie Meyer, owner of Perk Place. "So whatever we can do to help, you know, end child hunger, hunger for anyone in general, we want to be a part of that."

 

Monday through Saturday, Perk Place offers free coffee between 7 a.m. and 8 a.m. to get people in their doors and then, in turn, hope their patrons will add a donation to the generosity jar to help feed a child.

 

"We truly think that it tugs at their heart," Jeff said.

 

The Meyer's say $0.25 of each purchase at the café also goes to the Food for Kids program, which currently serves 18,500 chronically hungry children in Oklahoma. In just nearly six weeks, they've raised more than $700.

 

"We've had a great response and a lot of people," said Jeff. "I think it's been a passion of ours for a long time, and we're truly blessed to be in this position."

 

For every $200 raised, a child is provided with a backpack full of food each weekend throughout the school year. In the past year, the Regional Food Bank of Oklahoma had 51 cause-marketing partners, which raised a total of $368,842 for Food for Kids.

 

The Future of Birth Control for Women

Gynecologist discussing birth control pills with teenage girl.

With a number of emerging options, the future of female birth control is bright.

A longer-lasting contraceptive ring. A pill prescription that’s only a videoconference away. A condom that’s easier – and more pleasurable – to use.

Welcome to the future of female , which researchers and reproductive health experts agree is full of potential and possibilities. Here’s a sampling of emerging trends and technologies, which will someday allow for enhanced protection against pregnancy and sexually transmitted diseases; ensure that individuals have easy access to contraceptives; and hopefully provide a more enjoyable sexual experience for women.

Contraceptive Rings

Currently, contraceptive rings like the NuvaRing offer women monthly protection against pregnancy. Every month, a woman inserts the ring – which releases low, continuous doses of the hormones estrogen and progestin – into her vagina. Before her period, she takes out the ring; afterwards, she replaces it with a fresh one.

The Population Council – a nonprofit that conducts biomedical and public health research – recently finished two Phase 3 clinical trials on a new contraceptive ring that can be left inside the body for up to one year. Unlike other contraceptive rings, this ring contains Nesterone – a form of progestin – and a hormonal product called ethinyl estradiol.

But the ring isn’t just long lasting; it confers other benefits as well. It doesn’t contain estrogen, meaning it’s safer and more effective for obese women and , says Diana Blithe, program director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s Contraceptive Discovery and Development program, which helps fund the project. And this ring doesn’t need to be refrigerated, unlike its counterparts – meaning it’s ideal for women who might not have constant access to electricity.

If approved by regulatory authorities, this contraceptive ring will be the first long-lasting, reversible contraceptive that’s completely under a woman’s control.

Condoms

: Lubricated vs. unlubricated. Ribbed vs. unribbed. Small, regular or large. Reservoir tip vs. no reservoir tip. But even though the U.S. Food and Drug Administration approved the female condom in 1993, women still have fewer options than males when it comes to fit, comfort and satisfaction.

Together, contraceptive researchers and the Bill and Melinda Gates Foundation are trying to change this. In 2013, the latter provided 11 grants to help researchers develop a variety of condom designs – and several are for females.

Various prototypes in the works include an air-infused condom, which could be inserted into the vagina with greater ease; a reusable applicator that could be used to insert female condoms; and a condom that’s designed to better fit the female body by mirroring its natural contours. The overall goal? To make female condoms – which are 95 percent effective at and STDs with proper use – more pleasurable and convenient to use.

Contraceptive Gels

Researchers at the Population Council are developing a contraceptive gel for females, according to John Townsend, the organization's vice president and director of reproductive health. The gel contains both Nestorone, a form of progestin, and estradiol, a form of estrogen that’s the same as the estrogen made in a woman’s body. It’s applied to and absorbed through the skin, and is designed to suppress ovulation.

Phase 1 and 2 clinical trials have already been conducted in Chile, the Dominican Republic and the U.S., and future Phase 3 studies are in the works for both the U.S. and Europe.

Over-the-Counter Birth Control

“Right now, there's no pharmaceutical company in this country that has committed to taking [an] oral contraceptive … over the counter,” says Vanessa Cullins, vice president for external medical affairs at Planned Parenthood. “But there are some that are actually expressing the interest.”

According to Cullins, various factors – including lawsuits and the possibility of rare health complications – have previously prevented oral contraceptives and the from becoming available in pharmacies without a prescription. However, she says, she and other reproductive health advocates are optimistic that this might change within the next 10 years.

Telemedicine

Thanks to an increasingly digitized world, telecommuting is the new normal. Why rearrange your schedule or spend hours in traffic to see a doctor if refilling your birth control prescription could be as simple as switching on your computer and logging into a videoconference?

“People want to do things when it's convenient for them,” and that includes checking in with their birth control provider, Cullins says. “Convenience might mean 2 a.m., 3 a.m., 4 a.m. And you don't need a face-to-face appointment for much of preventive health care. Contraception is preventive health care.”

Planned Parenthood recently began offering online health services for birth control and . Patients are able to converse with a provider face-to-face through a secure video consultation system. They’re also able to request birth control or an STD test kit and treatment in the mail.

So far, the program is only available in Minnesota and Washington state. However, Cullins is hopeful that similar services – and not just through Planned Parenthood – will be available on a widespread basis in the near future.


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Babies' body mass index may predict childhood obesity

Great CHOP study is the rate of childhood obesity may be related to child growth standards

 

Body mass index (BMI) during childhood can help predict whether a child will be obese within four years. In a study on childhood obesity IMC-child relationship in a cohort with most black children, researchers at Children's Hospital of Philadelphia (CHOP) say that a better understanding of child growth models can be the first efforts more effective in preventing obesity.

 

Everolimus-eluting stents or bypass surgery for multivessel coronary disease

test results and registry studies have shown the long-term mortality is lower after coronary artery bypass surgery (CABG) after percutaneous coronary intervention (PCI) in patients with multivessel disease. These previous analyzes did not assess PCI with drug-eluting stents second generation. In a registry study of contemporary clinical practice, the risk of death associated with PCI with everolimus-eluting stents was similar to that of the CRC. PCI was associated with an increased risk of myocardial infarction (in patients with incomplete revascularization) and repeat revascularization, but a lower risk of stroke.