Sudden Infant Death Syndrome (SIDS) is the leading cause of infant death in the United States. The Safe to Sleep campaign aims to change that. TV5 Health Advisor Dr. Jonathan Wood joined Jim Morris on TV5 News at 5 to talk about it.
LONG-TERM USE OF PROTON PUMP INHIBITORS
By- Dr. Joan Marie Pellegrini
PPI’s (Proton Pump Inhibitors) is a class of popular drugs used to treat GERD (Gastro esophageal Reflux Disease). Some trade names for these drugs are Nexium, Protonix, Prevacid, and Prilosec. These drugs have been on the market for decades and considered quite safe. They are used to reduce the acid in the stomach. In general, their use is indicated for 2-8 weeks to treat esophagitis, gastritis and other acid-related conditions. However, many patients are on these drugs for years and even decades. PPI’s are the 3rd most commonly prescribed medication at over 100 million prescriptions per year. There does not appear to be any problem with short term use. However, there is rising concern for long-term use.
Data has suggested that long term use can impair absorption of nutrients from the stomach. In particular, calcium and iron are better absorbed in an acidic environment. With long term absorption problems, a patient can develop anemia (low blood counts) and be at increased risk of fractures. Other problems associated with PPI use are increased flatulence, possibly an increase in the risk of some infections such as C difficile colitis and pneumonia, a decrease in effectiveness of some drugs (Plavix is one of these drugs but the data on this is confusing and controversial).
PPI’s have not been shown to reduce the risk of esophageal cancer as was once thought. The PPI helps to relieve the symptoms of reflux but does not actually cure reflux.
Many experts feel that if every patient were to adhere to guidelines to modify their diet, exercise, and manage to lose weight that up to 90% of patients on PPI’s would not actually need the medication.
Clearly there is a role for PPI’s. Since their introduction they have been considered a fantastic drug. PPI’s have dramatically reduced the rate of complications from acid-related disease such as ulcers and gastritis.
Therefore, if you have been on one of these drugs for a long time, it is my recommendation that you have a discussion with your physician about its use. Are you suffering any of the adverse side effects? Is the drug effective for you? Is there another alternative? Do you actually need a PPI? Would now be the time to start a diet and exercise regimen that may help with some of your symptoms (many overall benefits!)?
By: Dr. Anthony Ng
With the recent news of shooting and violence in the news, such as nationally of the young child shot in Chicago, and the mass shooting in Washington, DC, as well as local acts of violence within our local Maine communities, many have been wondering if there is a way that we can tell or predict who will be such likely perpetrator of violence. The hope is that we can prevent such violence from happening, short of the ongoing debate on gun control. The answer is both yes and no.
By- Dr. Joan Marie Pellegrini
Several years ago the National Cancer Institute funded a large trial looking at screening for lung cancer in high-risk patients and the results have been recently released. High risk was defined as amount and length of time of tobacco exposure (1). Patients (2) were randomized to a chest x-ray versus a low dose CT scan annually for three years. The results showed that CT scanning could lead to a 20% decrease in lung cancer deaths. This is mostly because screening patients with CT found many more early stage cancers which could be treated with a cure.
There may be more you may realize to the term “Man’s Best Friend”…By: Dr. Jonathan WoodThe benefits of pet ownership sometimes seem obvious to those of us who have them: pets are loyal, they’re non-judgmental, they reduce our stress, they sense our mood and respond appropriately, and they’re generally just wonderful to have around. But research over the past several years is starting to elucidate distinct medical benefits beyond our qualitative sense that “pets make us feel good”. Research is starting to solidify the notion that our pets actually do make us healthier. For example:A recent report out of UCLA studied 76 heart failure patients and assessed their anxiety levels before and after 3 interventions. One group received a visit from a volunteer, one group received a visit from a volunteer with a dog (with which the patient was allowed to interact), and a control group received no visit at all and remained at rest. Vital signs, stress hormone levels and anxiety questionnaires were evaluated for each patient before and after the interventions.While the blood pressures and hormone levels decreased in both interventions, the apparent positive effect of the dog on anxiety was most dramatic: a 24 percent drop in anxiety levels in the dog group versus a 10 percent drop in the volunteer-alone group and no change in the control group! This study is consistent with a number of studies of the effects of animals and pets on health and disease over the past 15-20 years. This phenomenon has even spawned a new type of therapeutic approach with specific goals and guidelines, known as “animal-assisted therapy” or “pet-facilitated therapy”. What are some of the health benefits of pet ownership or of animal-assisted therapy? Below are a few examples:· Two studies suggest strongly that pet ownership improves 1-year survival after heart attacks.· ACE inhibitors lower blood pressure quite effectively in patients with hypertension, but they have little effect on the increases that occur with mental stress. However, in patients who own pets and take ACE inhibitors, these stress-induced increases are significantly blunted.· Male pet owners have significantly lower systolic blood pressures, triglyceride levels, and cholesterol levels than non-pet owners.· Psychiatric patients with a variety of disorders have been shown to have significantly decreased levels of anxiety following animal-assisted therapy sessions when compared with controls.· Some studies suggest that medication use and cost can be significantly reduced in settings where pets are actively involved in therapy. · Several studies show that pet owners make fewer medical appointments and have fewer minor illnesses. In addition, people who acquire pets show significant improvements in measures of psychological well-being and these effects are maintained over time.· Several aspects of child health are also improved by animal and pet contact on a number of different levels:o The presence of a dog during a child’s physical exam decreases stresso The cognitive development of children appears to be enhanced by pet ownership.o Measures of children’s self-esteem is enhanced by pet ownershipo Children who own pets show more capacity to empathize than those who do not.o Children with autism who have pets seem to exhibit more pro-social behaviors than those who do not.And the list goes on and on. Although these are very difficult studies to perform and invariably there are many factors involved in health maintenance, it seems clear that there are many physiologic and psychosocial benefits of pet ownership and of animal use in therapeutic settings. Many of the effects appear to be the result of decreased stress. As the underlying neurochemical basis for stress-related illness becomes clearer, it will become easier to quantify these effects and allow us to better advocate for using our furry friends to improve health.In the meantime – – enjoy your pets as you always have and revel in the fact that you are probably healthier because of them!For more information on the health benefits of pets, visit some of these web sites:· The CDC’s website on the heath benefits of pets:http://www.cdc.gov/healthypets/health_benefits.htm· The Delta Society – a non-profit group whose mission is “improving human health through service and therapy animals”:http://www.deltasociety.org· The 1987 consensus statement from the National Institutes of Health on this subject:http://consensus.nih.gov/1987/1987HealthBenefitsPetsta003html.htm
By: Dr. Amy MoviusThis week, many schools are starting preseason training for fall sports and the weather has been hot and humid. With these conditions, it is very important to be aware of the potential for climatic heat stress, especially as some of these kids will be abruptly increasing their activity after a leisurely summer break.Heat-related illness happens when the body has increased heat production (as with exercise) and/or a decreased ability to transfer heat to the environment (think uniforms/ sports equipment). It can be fatal and treatment to decrease body temperature should begin as soon as any symptom(s) are recognized. So what are the symptoms? An early one is cramping. Heat exhaustion, which happens when the body has lost too much water and salt, can occur next. Persons with heat exhaustion sweat profusely and have cold, pale, and clammy skin. Heat stroke is the most extreme type of heat-related illness and happens because the body temperature is so high that cells are damaged. Persons with heat stroke are red and hot with dry skin, and confusion. Though heat and humidity are beyond human control, there are lots of other ways to prevent heat illness in child athletes. A summary of recommendations from the AAP (American Academy of Pediatrics) is as follows:1. Everyone in leadership positions for youth sports should emphasize awareness, education, and implementation of heat illness risk-reduction strategies to all staff that oversee/ assist with these sports.2. Capable staff and treatment facilities readily should be readily available.3. Young athletes should be educated on proper sports preparation, prehydration/hydration, honest reporting of any symptoms, and other issues such as getting enough recovery time and rest to reduce their risk of heat stress.4. Athletes should be given an opportunity to acclimatize to preseason practice and conditioning in the heat, typically over a 2 week period. There are specific guidelines for American youth football available.5. Appropriate fluids should be readily accessible to athletes and consumed at regular intervals before, during and after exercising.6. Activity should be modified based on the degree of heat. This can include lowering intensity, shortening duration, and/or increasing breaks during practice sessions. 7. Athletes should avoid or limit participation when ill or recovering from illness.8. Athletic staff needs to receive training in how to monitor athletes for signs and symptoms of heat illness. They should be directed to immediately stop sport participation and start treatment of any individual they suspect may have any of these signs or symptoms. 9. Any athlete with symptoms of heat illness should not resume activity that day.10. An emergency action plan should be clearly in place.11. There should be at least 2 hours of rest between separate events occurring on the same day.12. In extremely hot conditions, sessions should be canceled or rescheduled.For more information on heat related illnesses, please consider the references below.1. Climatic Heat Stress and Exercising Children and Adolescents. Council On Sports Medicine and Fitness and Council on School Health Pediatrics 2011: 128:e741, Luke et al.2. Heat Injury Prevention Practices in High School Football. Clin J Sport Med. 2007:17(6):488-493, Jardine. 3. Heat Illness and Heat Stroke. Pediatrics in Review 2007:28:249-2584. HealthyChildren.org – Heat Related Illness
Eastern Maine Community College is going smoke-free. Faculty, administrators and students came together to make their campus a healthier place.Starting in January, the campus will be tobacco-free.The college wants to reduce second-hand smoke damage and will offer healthy eating and living education.
By: Dr. Jonathan WoodArbovirus infections in Maine?(A mosquito-borne virus is called an “arbovirus”)This week, the Maine CDC released an alert about finding the Eastern Equine Encephalitis virus (EEE) in one of their “mosquito pools” in mid-July. This is the earliest in the season that such a virus has been isolated in Maine. West Nile Virus (WNV) and EEE are two important causes of seasonal mosquito-borne viral encephalitis in the northeast. These viruses which infect humans through mosquitos are called “arboviruses” and are worthy of our attention.In 2012, there were over 5600 proven cases of WNV in the US, about 50% of which affected the nervous system. 60% of “neuroinvasive” cases were hospitalized and 1% died. There was one case of neuroinvasive disease in Maine, which suggests that there were 30-70 non-neuroinvasive cases that were not diagnosed.EEE is much less common, with only 15 proven cases nationally in 2012. However, all of these affect the brain and 9 of 15 occurred in New England. This is a very serious disease with a death rate of 36-70%. Vermont, New Hampshire, and Massachusetts have already isolated arboviruses in 2013. These were mostly isolated from mosquitos, but also from horses and, in the case of New Hampshire, from humans. Again, these viruses can cause severe brain and nervous system disease. Since there is no specific treatment for these viruses, preventing transmission is very important. The Maine CDC suggests the following for preventive measures to protect against WNV, EEE, and other arbovirus infections:• Use an EPA approved repellent when outdoors, especially around dawn and dusk – always follow the instructions on the product’s label • Wear protective clothing when outdoors, including long-sleeved shirts, pants, and socks • Use screens on your windows and doors to keep mosquitoes out of your home • Avoid being outdoors at dawn and dusk when many species of mosquitoes are most active • Drain artificial (non-natural) sources of standing water It has been a bad year for rain and mosquitos, as any walk in the woods or visit to camp will attest. Keep safe and keep the mosquitos away! Be smart!More Information: More information on arboviral illness is available at Maine CDC’s Vector-Borne Disease website at http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/index.shtml. Information on pesticides and repellents is available at the Maine Board of Pesticides Control website at http://www.maine.gov/agriculture/pesticides/public/index.htm#mosquito.
By- Dr. David PrescottShould You Share Your Problems With Others? People who struggle with excessive anxiety or depression often face a dilemma. Should they talk about their concerns with other people? On the one hand, other people are sometimes able to help us to gain a fresh perspective that helps break up our worry or sadness. On the other hand, talking about a problem over and over may lead a person to conclude that their life is truly sad and that there is no solution. The Argument in Favor of Talking About Problems: One line of psychological research suggests that getting support and encouragement from others helps people with depression or anxiety work through their feelings. Particularly with depression, people often become excessively isolated and withdrawn. Historically, psychologists and counselors have encouraged people to share their difficult feelings and worries. The theory goes that keeping things bottled up inside you will only make things worse. The Argument Against Talking About Problems: On the other hand, telling a friend or family member about your worries and sadness may backfire. Reactions can vary from unsympathetic to critical or harsh. In some cases, repeatedly talking about your unhappiness may reinforce the idea that your life is in tough shape. Recent research suggests that for teenage girls, talking frequently with a close friend about personal worries actually make depression and anxiety worse, through a dynamic called co-rumination. Co-rumination is defined as the tendency to spend too much time talking over problems and dwelling on negative feelings. It appears that co-rumination leads people to feel worse, rather than better. Sometimes, talking repeatedly about a problem or negative situation can eventually drive friends away. Finding A Middle Ground for Talking About Your Problems: Like many things affecting your mental health, the best approach to talking your problems with others is to find a middle ground. People who feel isolated and alone would probably benefit from reaching out to others. However, if you find yourself stuck in a rut, having the same conversation about the same worries or negative events repeatedly, a change in tactic is probably in order. Tips for How to Constructively Talk About Anxiety and Depression: One solution to the dilemma of whether or not it will help to talk with others about your worries or depression, is to strive to have your conversations end up in a constructive or positive place. Characteristics of helpful conversations include: · Identify Small Steps Towards Action: Simply describing negative feelings such as excessive anxiety or depression may not help you feel better. Rather, think of a small step you could take to do something different to cope with your feeling or situation. · Challenge your negative thinking: The feelings we have about others or about an event in our life depend on the lens through which we view them. Challenge your typical ways of looking at other people or other events. Is there a more positive way to view things? · Let go of unattainable goals: Sometimes our frustrations come from setting a goal that is unrealistic or beyond our control. For example, your solution to cope with a person who criticizes you may be for that other person to change their attitude. Changing someone else is usually unattainable, or at least unrealistic. Try to shift your goal to something that you can control. · Distract Yourself From a Problem or a Worry: Try not to have the same worrisome conversation over and over. If you and a friend seem to always end up talking about the same problematic people or situations, purposefully direct your conversations to another topic. Or better yet, go do something to take your mind away from your worries. For More Information: American Psychological Association “Psychology Topics”: http://www.apa.org/topics/depress/support.aspx
By: Dr. Amy MoviusA reality of our increasingly hectic world is the ongoing availability of new conveniences, large and small, directed at “making life easier”. One such – seemingly small – example is laundry detergent pods. Instead of measuring/pouring liquid or powder into a washing machine, a premeasured detergent “pod” can be popped in and, presto, the laundry is good to go.There can be unintentional effects of new amenities and so is the case for laundry pods. Small children, especially less than 5 yrs., have been known to ingest them, presumably because they are colorfully attractive and a size and shape suggestive of candy. Though the membrane of these pods is very sturdy when handled, it readily dissolves when moist – think saliva. When a child puts a laundry pod in their mouth the membrane begins to melt and the pod easily bursts.Laundry pods were first marketed in Europe in 2001 and here in N. America in 2010. The cumulative experience over these more than 10 years has revealed that toxicity from these products is no small matter. The symptoms of detergent pod ingestion have consistently been reported more severe than those of “non-pod” laundry detergent ingestion. Add to that a study from the United Kingdom in 2009-2010 showing that laundry pods were the most common accidental household cleaning product ingestion, and the scope of the problem becomes clearer.So what happens when a pod is ingested? Vomiting often occurs within minutes. This can be followed by difficulty breathing from swelling of the upper airways (mouth/throat) and/or irritation lower in the lungs. Breathing may be affected to the point that a ventilator is needed to breathe for the child until this inflammation subsides. Lastly, for unclear reasons children may become very lethargic or “comatose” following pod ingestion and can require a ventilator temporarily for this reason as well. Eye and skin exposure have also been reported, though ingestion is most common.Prevention is the best tool we have. Awareness of the appeal these pods have to young children is an important first step. As such, these products should be kept both out of sight and out of reach. If a child does have a laundry pod exposure, call poison control or seek immediate medical care if the child has already developed symptoms. References:1. Center for Disease Control and Prevention, Health Hazards Associated with Laundry Detergent Pods – United States, May – June 2012. MMWR October 19, 2012. 2. Williams et al, Exposure to Liquid Detergent capsules: A Study Undertaken by the UK National Poisons Information Service. Clinical Toxicology 20123. Fraser et al, Liquid Detergent Capsule Ingestion in Children: An Increasing Trend. Letter, Arch Dis Child, November 20124. Wood and Thompson, Liquitabs – a Thorough and Comprehensive Review of the UK National Data. Clinical Toxicology 2009
By- Dr. Jonathan WoodHeat-related illness it real. Even in Maine, where thankfully we don’t experience months of extreme heat, we still experience hot days that can be dangerous or even fatal. Last week was a good example of this with daily temperatures repeatedly in the 90′s across the state.People suffer heat-related illness when their bodies are unable to compensate and properly cool themselves. The body normally cools itself by sweating. But under some conditions, sweating just isn’t enough. In such cases, a person’s body temperature rises rapidly. Very high body temperatures may damage the brain or other vital organs.Several factors affect the body’s ability to cool itself during extremely hot weather. When the humidity is high, sweat will not evaporate as quickly, preventing the body from releasing heat quickly. Other conditions related to risk include age, obesity, fever, dehydration, heart disease, mental illness, poor circulation, sunburn, and prescription drug and alcohol use.Because heat-related deaths are preventable, people need to be aware of who is at greatest risk and what actions can be taken to prevent a heat-related illness or death. The elderly, the very young, and people with mental illness and chronic diseases are at highest risk. However, even young and healthy individuals can succumb to heat if they participate in strenuous physical activities during hot weather. Gradations of heat-related illness:Heat Cramps – usually associated with strenuous activity and depletion of minerals through excessive sweating and inadequate replacement.Heat Exhaustion – can occur over time even without exercise. It results from ongoing losses without adequate replacement. Symptoms include heavy sweating, paleness, weakness, dizziness, headache, nausea and vomiting, and fainting.Heat Stroke – the most severe form. The body loses its ability to regulate its temperature. The sweating mechanism fails and the body is unable to cool down. Consequently the body temperature rises rapidly, potentially resulting in critical illness and death. Symptoms include all the symptoms of heat exhaustion except the skin is red, hot, and dry. The temperature rises quickly over 103 and confusion or unconsciousness can ensue.What can you do to prevent heat-related illness?Stay Cool· Go to an air-conditioned place if at all possible. (e.g. library, mall, senior center)· Wear loose fitting, light clothing.· Avoid being outdoors and if so, rest in shady areas.· NEVER leave children (or pets) in parked cars, even if it is “not too hot” and even if the windows are cracked. Temperatures rise frighteningly fast in this environment and can quickly result in heat stroke.Stay Hydrated· Drink more water than usual. (during exercise, drink 16-32 oz per hour)· Avoid sugary drinks and alcohol, as these cause you to lose more body fluid.· Don’t wait to get thirsty – – stay ahead of it!Stay Alert:· Know your risk factors. If you are elderly or overweight or have heart disease or high blood pressure, you need to be particularly careful and wary.· Know your medications. Ask your doctor if any put you at particular risk.· Pay attention to warnings about heat waves.· Check up on relatives and neighbors who are high risk.· Pay attention to your body. Seek medical advice early if you experience symptoms of heat-related illness.Knowledge and common sense are the keys to avoiding the dangers associated with extreme heat in the summertime!For more detailed information, visit the CDC’s “Extreme Heat Prevention Guide”
Your Health While TravelingBy. Dr. NgSummer is here. Families and individuals are planning trips to take. While people are planning on what to do on these trips, one of the most overlooked thing to plan for is health care while traveling. While we all wish to have fun, healthy and safe trips, sometimes the unfortunate may happen. One may become sick or hurt. People who travel overseas have a 50 percent chance of suffering a travel related illness. What does one do when one becomes sick or injured while traveling away from home? There are many things one can do to prepare for any health emergencies while traveling as well as once a health emergency occurs. When one is planning a trip, whether it is domestic or international, one should have a list of your current contact information. You should let someone know of your trip itinerary. One should also make a list of any health issues that you may have. This list should also include any food or drug allergies. Having a Medicalert bracelet can be helpful for those with chronic health conditions such as diabetes or seizures. One should include emergency contact information so other cans contact individuals traveling with you and someone back home. Preparing a small travel first aid kit can be very helpful. A list of your current medication would be important and pack enough of your medications to last you a few extra days beyond your trip, to account for any potential travel delays. You should consider packing your needed medication in your carry-on luggage so that you don’t miss any of your medication if your luggage gets delayed.One should check for any health alert in the area you are traveling to both domestically and internationally. One can obtain this information from the Center for Disease Control travel website.
Mary Lavanway is a dietician with Hannaford. She visited out studios to share some healthy ideas for athletes.Mary’s Recovery DrinkAgain after exercise remember to replete with fluid, carbohydrates and protein with in 30 minutes of finishing your activity!Fruit Smoothie:4 oz pasteurized liquid egg substitute5.3oz Dannon vanilla Greek yogurt4 oz vanilla Almond Milk1 cup frozen Blueberries4 oz cranberry juicecrushed ice (as needed)Mix together in a blender and enjoy!
Healthy Living – July 2, 2013Dr. David Prescott – Eastern Maine Medical Center Behavioral MedicineOne In Three People are Significantly Sleep Deprived: According to the Center for Disease Control (CDC), about 30% of people who work a day shift are sleep deprived enough to experience significant impairment in daily functioning. Compared with other states, Maine ranks about the middle in terms of the number of people with sleep deprivation. The body’s need for sleep is strong: people who are sleep deprived often exhibit microsleep episodes where a 10-15 second interval of sleep occurs. We often refer to this as “nodding off.” Short and Long Term Effects of Poor Sleep: Most of us are familiar with the short term effects of poor or insufficient sleep. Common short term effects of poor sleep include moodiness, irritability, and disinhibition.In addition, chronic poor sleep is associated with a number of health problems including: · High blood pressure· Increased risk of heart disease and stroke· Depression and bipolar disorder· Obesity and DiabetesWhat Causes Poor or Insufficient Sleep? Over 70 different sleep disorders have been identified by sleep experts. Many of these require a thorough medical workup in order to be properly diagnosed. However, psychologists have found that many of the factors which contribute to difficulty falling asleep or poor sleep quality can be addressed by changing certain behaviors, thoughts, and lifestyle habits. Most people can achieve better sleep by studying their sleep habits and making some simple changes. Psychological Remedies for Improved Sleep: · Teach Your Body When and Where to Sleep: Your body responds to what psychologists call stimulus cues to prepare for sleep. These cues include time of day and place where you sleep. You can help train your body to go to sleep by having a regular bed time (stick to it!) and making your bed a place that is only for sleeping (rather than watching T.V. or reading, for example). · Get Regular Exercise: Regular exercise and activity helps relieve stress and assists you in falling asleep. Most experts suggest that you exercise at least 2-3 hours before you go to bed. · Monitor What You Eat and Drink Before Going to Sleep: Alcohol, heavy meals, or caffeine before sleeping all increase the risk of poor sleep. While alcohol may make you feel a bit drowsy, it actually can disrupt sleep. · What Are You Telling Yourself?: Many people describe being flooded with worries as soon as they try to go to sleep. Some of these worries are better left for the next day. Other worries, such as thinking “I’ll be miserable tomorrow if I don’t get to sleep” can be usefully changed through Cognitive-Behavioral Therapy. Changing thinking patterns often helps you fall asleep and stay asleep. For More Information: American Psychological Association: www.apa.org/topics/sleepNational Sleep Foundation : www.sleepfoundation.orgNIH National Center for Sleep Disorders Research www.nhlbi.nih.gov/sleep
By- Dr. Jonathan WoodAlmost 80,000 times each year people check into Emergency Departments for lawnmower injuries. More than 9,000 of those victims are children, despite the fact that the American Academy of Pediatrics strongly warns against children being anywhere near lawnmowers, much less operating them. Walk-behind mowers result largely in extremity injuries, while riding mowers often include injuries to other parts of the body, including the head and torso.How can you reduce the risk of serious lawnmower injuries to children? Here are a few common sense ideas, as well as some others you may not have considered. 1. A lawn mower is a dangerous tool. The energy of a mower blade is three times the muzzle energy of a .357 Magnum pistol, one of the world’s most powerful handguns. The blade can throw a piece of debris, like a stone or piece of wire, at speeds up to 100 miles per hour. The result – one fourth of all hand and foot injuries caused by mowers include amputations of fingers, toes, hands, or feet. And the injuries are messy and complicated.2. Children should never ride a mower with an adult. Each year a number of children suffer severe, and in some cases fatal, injuries after falling off a mower and then being run over.3. The American Academy of Pediatrics recommends that a child be at least 12 years old before operating a power push mower, and be at least 16 to operate a riding mower. These age recommendations assume that the child is large enough to physically handle the equipment. Careful instructions and review of the operating manuals should be part of the routine of teaching a child or teenager how to use the mower. Ignorance is an accident waiting to happen.4. Children should not be around a yard being mowed. Debris thrown by a mower can easily cross a yard and strike a child. Additionally, mower noise prevents operators from hearing the usual cues that children are near. Subsequently, 5 percent of lawnmower injuries to children occur when the mower backs over them because the operator does not see them. So – – clear the yard before mowing, of both debris and of children. The American Academy of Pediatrics has issued strongly stated advice about how to best prevent injuries from lawnmowers. Please refer to the following web page for a nice synopsis: AAP Safety Tips http://pediatrics.aappublications.org/content/suppl/2008/02/25/107.6.1480.DC1/p2_1480.pdfBe safe! Don’t bend the rules when it comes to lawn mowing… the risks are too great!
The streets are starting to get busy again in Bar Harbor and businesses are excited.”So far it’s good, good flow of traffic, seems like people are willing to spend. It seems good so far,” said Leon Debbah, one of the owners of Debbah’s, a gift shop on Main Street. While the weather hasn’t been ideal, having been in business for more than 50 years, Debbah’s has a pretty good idea of what’s to come.”It’s going be a great season. We see a lot of people coming in, a lot of Mainers, a lot of people excited to be here, so I think it’s going be really good,” said Debbah. After six seasons of working at Ben and Bill’s Chocolate Emporium, Matt Buckley knows there’s nothing better than the height of the season.”You just get that rush and you just work and you keep going. It’s a lot of fun especially in a place like this. A lot of nice people to work with, a lot of nice people coming in,” said Buckley. From both near and far.”We come downtown, we walk around, hit the restaurants, Acadia Park,” said Dick Deshaies, a regular visitor from New Hampshire. “We were in Boston last week for our grand daughter’s graduation and this week we wanted to see the East Coast,” said Chris Bowen from California. This coastal town is a quite different than those on the western shores.”Less hustle and bustle, this is more relaxing…and a lot more lobster,” said Bowen. Will they come back?”If we live long enough, we will certainly try,” she laughed. “We’re from Wisconsin and we’re picking up our daughter from coastal studies for girls,” said Colleen Johnson. This family wished they could extend their trip. “One more day would have been helpful there is always more you want to do and see,” said Johnson. “You get the chance to see the big water of course. It’s a little different from the Great Lakes,” said Scott Johnson. “It’s pretty much the same, just the ocean and the accents,” said Julie Anne Johnson.
Anxiety Disorders: Anxiety Disorders, which include things like phobias, obsessive compulsive disorder, or panic disorder, are among the most common types of mental health problems. About 18%, or one in five people will experience a clinical anxiety disorder in a 12-month period. Unfortunately, less than half of the people with anxiety disorders receive any type of treatment. Estimates are that about 37% of people with anxiety disorders receive any type of treatment. Social Phobia – One Type of Anxiety Disorder: One common type of phobia is termed social phobia, or social anxiety. Typically, symptoms of social phobia are first evident in the early teenage years. Social phobia impacts about 15 million Americans, and it causes everyday social situations to become fraught with anxiety and embarrassment. Defining Social Phobia: Social Phobia was long associated with being shy or timid, and its impact on people’s lives was minimized. However, in the early 1980′s, psychologists and other researchers began to focus on how social anxiety could be debilitating for some people. The essence of Social Phobia is:· Overwhelming anxiety and self-consciousness when a person interacts with others. · Intense, chronic fear of being watched and judged by others. · Extreme fear of doing things that will cause embarrassment during a social interaction. · Intense physical and subjective anxiety in most social situations: for example, feeling sick to your stomach, sweating, or racing heart. The Avoidance Trap: Many people attempt to cope with anxiety through avoidance. People with social phobia, for example, may go to great lengths to avoid social interactions. The difficulty with this approach is that the relief from anxiety is only temporary, and it often makes it more difficult for the person to engage in social interactions in the future. While the saying “face your fears” borders on overused, the principle behind this is actually good psychology!Avoidance teaches us that our anxiety can only be reduced by finding a way out of an anxious situation. Upon closer scrutiny, this is not true. There are lots of ways to reduce anxiety. However, if we avoid anxiety producing situations we never allow ourselves to learn ways to cope. Treatment for Social Phobia: All anxiety disorders, including Social Phobia, have an excellent change of improving with treatment. People with social phobia often would like to be with other people more often, or would like to reach out to friends. However, when the moment comes, they typically experience extremely high levels of anxiety and feel compelled to change their plans. Treatment can help people with social phobia overcome this pattern of fear and avoidance. The types of treatment that are effective include: · Cognitive Behavioral Therapy: Cognitive Behavioral Therapy involves identifying and changing thinking patterns which cause and perpetuate anxiety. These thinking patterns, and the behavior that follows, can be changed to break the cycle of escalating anxiety and avoidance of social interaction. · Behavior Therapy: Behavior Therapy, like systematic relaxation training, can be used to teach specific skills to reduce anxiety. It can also help people develop strategies other than avoidance for coping with anxiety. · Medications: The most commonly used medications for social phobia are anti-anxiety medications, or a class of antidepressant medications called SSRIs (selective serotonin reuptake inhibitors) often help make anxiety more manageable. Medications are often a helpful adjunct to “talk” therapies. “Behind every stressful thought there is a desire for things to be other than they are.” – Toni BernhardFor More Information: Acadia Hospital www.acadiahospital.org National Institute of Mental Health www.nimh.nih.gov/health/publications American Psychological Association www.apahelpcenter.org
Cultural Battles, Individual SolutionsBy- Dr. David PrescottIn Maine, as in the United States, about one in four children between the ages of 10-17 are obese or morbidly obese. In medical terms obesity is typically defined as a body mass index greater than 25. (Body mass index is calculated by dividing one’s weight in kilograms by height in meters.) Over the past 20-30 years, obesity rates in both children and adults have risen dramatically. Environmental Factors Contributing to Obesity: Experts in obesity and public health note that many of the factors that have contributed to the rise in obesity in both children and adults have to do with large scale shifts in our society and even in the way that our cities and towns are designed. Such factors include: · Increased number of fast food restaurants. · People dine out more frequently than in the past. · Fewer people walk to school or work. · Food and drink choices in many places are predominantly high in sugar and calories. Obesity and Mental Health Problems: While the causes of obesity may be largely rooted in societal and perhaps biological factors, the impact of obesity is felt by individuals. Examining the role of emotions in eating and obesity often helps individuals cope more effectively and improve their overall health. Common mental health problems linked to obesity include: · Depression – people who are obese are more likely to also be depressed. The relationship between obesity and depression is not completely understood, but it appears likely that they tend to develop together, without one clearly causing the other. · Binge Eating Disorder – binge eating disorder is characterized by repeatedly eating large quantities of food. When you have binge-eating disorder, you may be deeply embarrassed about gorging and vow to stop. But you feel such a compulsion that you can’t resist the urges and continue binge eating· Bulimia – bulimia is characterized by secretive eating binges often followed by purging the body of food, either by vomiting, using laxatives, or exercise. Bulimia is potentially life threatening and should be treated by a mental health professional. Psychological Strategies for Coping with Eating Problems: Whether your child has a diagnosable mental health problem like depression, or simply struggles with being overweight, psychology and mental health strategies are an important part of coping. Here are a few places to begin: · Think about what you eat and why: Most of us eat according to habits and patterns. Developing better eating habits begins by writing down what you eat and why you were eating. It sounds simple, but asking yourself “Why am I eating now?” is a helpful question. · Develop a variety of ways to cope other than eating: If your child tends to eat to cope with stress, boredom, excitement, or sadness, help them think of several things besides eating that they could do to cope. · Don’t obsess over “bad” days: Nobody is perfect at anything. If your child has a ‘bad’ eating day, move on. Try not to obsess over that particular day. · Get support from friends or family: Like all struggles, improving your health and weight is easier if you have people to support you. It is hard to imagine someone having too much support!· See a mental health professional: If your child has significant and ongoing struggles with depression, binge eating, or bulimia, s/he should be seen by a psychologist or other mental health professional for a full evaluation. FOR MORE INFORMATION: American Psychological Association Mind/Body Health: http://www.apa.org/helpcenter/obesity.aspxEastern Maine Medical Center WOW Program (Way to Optimal Weight): http://www.emmc.org/pediatric_servicesAmerican Academy of Pediatrics: http://www2.aap.org/obesity/
A teenage girl from Glenburn disappears. A body is found. Police believe it’s her. A yound man from Orono is charged with murder.TV 5 Health Advisor, and Grief Counselor, Dr. Anthony Ng joined Jim Morris on TV5 News at 5 to help.
By: Dr. Amy MoviusChances are, you have met somebody whose life has been affected by Klinefelter Syndrome, but didnâ€™t know it. In fact, they might not know it either.Klinefelter syndrome is the most common chromosomal disorder in males, and affects 1 in every 500-600 boys. This condition occurs when an extra X chromosome(s) is passed onto the baby. Whereas other disorders with extra chromosomes â€“ such as Downâ€™s syndrome â€“ produce physical findings that are obvious, Klinefelter syndrome does not. Because of this it is estimated that only 25% of these boys/men, are ever diagnosed, and less than 10% are diagnosed before puberty. This does not mean that boys with Klinefelter syndrome donâ€™t have any symptoms. All of them have abnormally small testes and low testosterone levels. They also commonly have developmental challenges, especially with speech. The â€œtypicalâ€ boy/man with Klinefelter is very tall, has narrow shoulders and broad hips, very little body hair, gynecomastia (extra breast tissue) and small testes. These patients can have behavioral and learning challenges, psychiatric disease, increased risk of some cancers, increased type II diabetes, fractures due to low bone density, and a host of other problems. They are generally sterile.Unless the syndrome is detected by prenatal testing, baby boys with Klinefelter Syndrome are rarely diagnosed. Toddlers may come to diagnosis during evaluation for speech delay, which at least 50% of patients have. Currently, patients who are diagnosed before puberty are suspected of having the more severe physical and behavior symptoms. More patients are diagnosed when puberty is delayed or incomplete. Adult men are diagnosed often when seeking medical help for infertility or develop male breast cancer.Missed diagnosis means missed treatment. Treatment of these patients should be multidisciplinary and may include speech therapists, psychologists, neurodevelopmental specialists, primary care providers, endocrinologisst, urologists and fertility specialists. All patients with Klinefelter should start lifelong testosterone therapy at puberty. This therapy can promote normalization of body proportions and more normal secondary sex characteristics. It is reported to improve general behavior and work performance and may reduce the chance of developing osteoporosis, breast malignancy, diabetes and other problems.References:1. Groth et at, Klinefelter Syndrome-A Clinical Update. J Clin Endocrinol Metab, January 2013, 98(1):20-302. Bojesen and Gravolt, Klinefelter Syndrome in Clinical Practice. Nature Clinical Practice, Urology. April 2007 Vol 4 No 4 OR www.nature.com/clincalpracticedoi:10.1038/ncpuro07753. Visootsak and Graham, Klinefelter Syndrome and Other Sex Chromosomal Aneuploidies. Orphanet Journal of Rare Diseases 2006, I:42 OR www.ORJD.com/content/1/1/424. Bojesen et al, Prenatal and Postnatal Prevalence of Klinefelter Syndrome: A National Registry Study. J Clin Endocrinol Metab 88:622-626, 2003