Medical Update 2016

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MEDICAL UPDATE 2016 • PAGE 2 • MARCH 26 APRIL 1, 2016


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BY MELISSA ERICKSON | MORE CONTENT NOW

| ANXIETY |

STUDYINGSTRESSPSYCHOLOGISTS GROUP FINDS AMERICANS’STRESS LEVELS ARE DOWN BUT STILL TOO HIGH

P H O T O B Y P I X A B A Y . C O M

Feeling stressed? You’re not alone. While the economy may beimproving, finances continue to be a burden especially on youngadults and parents, according to a recent study from the AmericanPsychological Association.

More than one in four people report feeling stressed over moneymost or all of the time, according to the “Stress in America: Paying

With Our Health” survey. Stress over money has remained the samefor 59 percent of respondents or gotten worse (29 percent) in thelast year.

There is a link between well-being and financial security, the reportfound, with nearly three-quarters of participantsreporting feeling stressed about money at somepoint in the past year, and some of them sayingthat they sacrificed health care because offinances.

“When people are financially challenged, itmakes sense their stress level could go up,” saidDr. Norman Anderson, the chief executive officerand executive vice president of the AmericanPsychological Association. “Many industries in

the economy have shown improvement, but we

still know many people aren’t benefiting and arestill concerned about economic well-being.”

On a positive note, Americans’ stress levels aretrending downward: The average reported stresslevel is 4.9 on a 10-point scale, down from 6.2 in 2007. However,regardless of lower stress levels, it appears that Americans are livingwith stress levels higher than what we believe to be healthy — 3.7on a 10-point scale — and some (22 percent) say they are not doingenough to manage their stress.

“This year’s survey continues to reinforce the idea that we are living

with a level of stress that we consider too high,” Anderson said.“Despite the good news that overall stress levels are down, it appearsthat the idea of living with stress higher than what we believe tobe healthy and dealing with it in ineffective ways continues to beembedded in our culture. All Americans, and particularly thosegroups that are most affected by stress — which include women,younger adults and those with lower incomes — need to address

this issue sooner than later in order to better their health and well-being.” A few more of the 2015 Stress in America survey’s findings:

• Nearly one in five Americans say that they have either consideredskipping (9 percent) or skipped (12 percent)going to the doctor when they needed healthcare because of financial concerns.

• Stress about money also impacts relationships:Almost a third of adults with partners (31 percent)report that money is a major source of conflict intheir relationship.

• Women are more stressed than men. Fifty-onepercent of women said that stress keeps them

awake at night, compared to only 32 percent ofmen.

The report also uncovered good news aboutstress management. Americans who say theyhave someone they can ask for emotionalsupport, such as family and friends, report lower

stress levels those without emotional support. Unfortunately,some Americans say that they do not have anyone to rely on foremotional support. According to the survey, 43 percent of thosewho say they have no emotional support report that their overallstress has increased in the past year, compared with 26 percent of

those who say they have emotional support.

This year’s surveycontinues to reinforce

the idea that we areliving with a levelof stress that we

consider too high.”—

Dr. Norman Anderson


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We believe that becausethe results of this trialare so compelling, and

the problem of theincreasing prevalence

of peanut allergyso alarming, new

guidelines should beforthcoming very soon.”

— Dr. Rebecca S. Gruchalla

Are peanut allergies preventable? A groundbreaking new studyshows that the key to preventing peanut allergies in children maybe exposing them to the food early and regularly.

That’s hopeful news for parents who want to protect their childrenfrom potentially life-threatening food allergies. More than 2 percentof children in the United States are allergic to peanuts, and that

number continues to increase, according to The Associated Press.

The study ’s results are counterintuitive to current thought thatavoiding peanuts will help ward off peanut allergies.

About the study

The five -year, British-b ased study, publishedin February by the New England Journal ofMedicine, found that the risk of peanut allergiesdrops 81 percent when infants are exposed early:“Consumption rather than avoidance seems toprotect against developing peanut allergy,” saidDr. Gideon Lack of King’s College.

“The early introduction of peanuts significantlydecreased the frequency of the developmentof peanut allergy among children at high riskfor this allergy,” the LEAP (Learning Early AboutPeanut Allergy) study concluded.

“Prior to 2008, clinical practice guidelinesrecommended avoidance of potentially

allergenic foods in the diets of young childrenat heightened risk for development of foodallergies,” said Dr. Daniel Rotrosen, director ofthe National Institute of Allergy and InfectiousDiseases’ Division of Allergy, Immunology and Transplantation. “While recent studies showed

no benefi t from al lergenavoidance, the LEAP study isthe first to show that earlyintroduction ofdietary peanuti s a c t u a l l y

beneficial andi d e n t i f i e s a n

effective approach to manage a serious public health problem.”

According to the study, 3.2 percent of infants that were givenpeanut products tested positive for peanut allergies as 5-year-oldscompared with 17.2 percent of the babies who did not eat peanutsduring the study.

“Food allergies are a growing concern, not just in the United Statesbut around the world,” said Dr. Anthony S. Fauci, director, NationalInstitute of Allergy and Infectious Diseases. “For a study to showa benefit of this magnitude in the prevention of peanut allergy iswithout precedent. The results have the potential to transform howwe approach food allergy prevention.”

What’s next

What does this new research mean for parents?Experts like Dr. Rebecca S. Gruchalla advisecaution. The allergist and immunologist who

practices in Dallas wrote an editorial in the NewEngland Medical Journal about the study.

“We believe that because the results of thistrial are so compelling, and the problem ofthe increasing prevalence of peanut allergy soalarming, new guidelines should be forthcomingvery soon,” she wrote. “In the meantime, wesuggest that any infant between 4 months and

8 months of age believed to be at risk for peanutallergy should undergo skin-prick testing for

peanuts. If the test results are negative, thechild should be started on a diet that includes2 grams of peanut protein three times a weekfor at least three years.”

A follow-up study called LEAP-On will ask

all LEAP study participants to avoidpeanut consumption for one year. These results will determine

whether continuous peanutconsumption is required to

maintain a child’s toleranceto the food.

STUDY SUGGESTS GIVING KIDS PEANUTSEARLY ON MAY PREVENT ALLERGIES

BREAKTHROUGHPEANUTALLERGY

PHOTOS BY PIXABAY.COM

| ALLERGIES |


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BY SHERRY PHILLIPS | AMERICAN PROFILE

Eating right, exercising, getting recommended checkups and paying attention to whatyour body is telling you can help keep your colon healthy and functioning properly.

Test your colon IQ with this quiz:

| COLON HEALTH QUIZ |

Test yourCOLON IQ6

questions

to make sure

you know

colon facts

A division of Gatehouse Media73 Buffalo Street, Canandaigua NY 14424

585.394.0770 • www.MPNnow.com

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Superior Reach | Targeted Delivery

Irritable bowel syndrome

(IBS) typically involves:

a) diarrhea

b) constipation

c) both

Healthy people have a

bowel movement:

a) once a day, every day

b) whenever they feel

the need

c) three or four times

a week

1

2

3

4

Oatmeal, dates, lentils, purslane

and spinach help keep your digestion

“regular” because they’re loaded with:

a) antioxidants

b) dietary fiber

c) fructose

Assuming you’re in good health,

you should schedule your first

colonoscopy when you’re old

enough to:

a) drive

b) buy beer legally

c) join AARP

If you’re constipated, cut

down your consumption of:

a) fruit juiceb) coffeec) milk

“Occasional irregularity”

can be caused by:

a) overeatingb) your work schedulec) both

5

6SEE ANSWERS ON PAGE 7...


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PROPER CONTACT LENS CARELESSENS RISK OF EYE INFECTION

BY MELISSA ERICKSON | MORE CONTENT NOW

BIGSTOCK.COM

“Good vision contributes to overall well-being and independencefor people of all ages, so it’s important not to cut corners on

healthy contact lens wear and care,” Dr. Jennifer Cope, a medicalepidemiologist at the CDC.

Tens of millions of pe ople enjoy the benefits of contact lenses,but many don’t follow the simple instructions of caring for them.

“Patients frequently fail to practice some of the healthy contact

lens habits that they are taught when they beginto wear contact lenses. Doctors should remind

them how to appropriately care for their contactlenses, especially as new information aboutthe best contact lens care methods becomes

available,” said Dr. Jeffrey J. Walline, chairman ofthe American Optometric Association’s ContactLens and Cornea Section.

Contact lens wearers have many common badhabits.

“Some of the main actions that patientsshould avoid when it comes to contact lensesare: sleeping in them unless prescribed by

the doctor and examined on a regular basis,wearing contact lenses that are not prescribed

by a doctor either from a retail store or from afriend, and wearing contact lenses for longerthan suggested by their eye doctor,” Walline said.

The CDC stud y found that four- fi fth s of contact lens weare rsadmitted keeping their contact lens cases for longer thanrecommended, and more than half said they add new solutionto the existing solution instead of emptying the contact lenscase first. About half reported wearing their contact lenses whilesleeping.

Most contact lens wearers close their eyes to

safety recommendations, with bad habits

that increase their risk of eye infections.

Nearly all of the 41 million Americans who use contact

lenses admit they engage in at least one type of risky

behavior that can lead to infection, according to a

recent study by the Centers for Disease Control and

Prevention. Nearly one-third of contact lens wearers

have sought medical care for potentially preventable

problems such as painful or red eyes.

Patients frequentlyfail to practice some

of the healthy contactlens habits that

they are taught whenthey begin to wear

contact lenses.” — Dr. Jeffrey J. Walline

Each of these behaviors boosts the risk of eye infections by fivetimes or more, according to the CDC.

In addition to uncomfortable contacts and red eyes, ‘impropercontact lens care can lead to an eye infection, which is extremelypainful and can lead to permanent loss of vision. Sight is veryimportant to our everyday activities, so patients should not put

their eyes at greater risk of infection by improper care,” Wallinesaid.

To reduce the r isk of eye infections:

• Wash your hands with soap and water and

dry them before touching contact lenses.

• Remove contacts before sleeping,showering or swimming.

• Rub and rinse contacts in disinfectingsolutions each time you remove them.

• After each use, rub and rinse the contactlens case with solution, dry the case with aclean tissue and store it upside down with the

caps off.

• Don’t add fresh solution to old solution.• Replace contact lens cases at least onceevery three months, and carry a pair ofbackup glasses in case you have to remove

your contact lenses.

“Patients should attend visits as suggested by the eye doctor,”Walline said. “Occasionally well checks by the doctor uncoverissues that can be treated before they cause poor vision ordiscomfort.”

| EYE CARE |


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ANSWERS1-C: Between 10 percent and 20 percentof Americans — more women than men— suffer from IBS, which causes diarrheaand constipation, as well as abdominalpain and gas. If symptoms includeunexplained weight loss or bleeding, that

could be a sign of a more serious illness.See your doctor for a complete colon

examination.

2-B: Healthy people may have a bowelmovement once a day, more than oncea day, or only three or four times a week.What’s “normal” varies from person toperson.

3-B: The U.S. Department of Agriculturerecommends that men 50 and younger

consume 38 grams of dietary fiberdaily and women should consume 25grams. Recently, the Institute of Food Technologists drew attention to dates andpurslane as under-appreciated sourcesof fiber. A handful of dates provides 3.3

grams of dietary fiber — about the sameas a half cup of spinach—and a one-cup

serving of purslane, which you can steamor sauté like spinach, provides 3.1 grams.

4-C: If you’re in good health and youdon’t have a family history of colon canceror inflammatory bowel disease, youshould have your first colonoscopy at age50. If the results are normal, you probablywon’t need another for 10 years.

5-B: The caffeine in coffee is a diuretic,which makes you urinate more frequently.

It also draws water from your stool,making it harder to expel. To counterthe effects of caffeine, for every cup ofcaffeinated fluid you drink each day youshould drink two cups of caffeine-freefluid such as water or juice.

6-C: Your colon has its own internal clock.Disrupting your body’s natural rhythmby working the night shift or rotatingshifts can cause constipation or cramping. The same holds true when you overeat.If you’re feeling constipated, high-fiberfoods such as whole grain bread, beansand berries, and noncaffeinated fluids mayhelp. (It’s important to add both; the fluidsprevent bloating.) Then get out of your

chair and take a walk; sedentary peopleare prone to constipation.

A cross between a skateboard and a Segway, hoverboards don’tactually levitate, but “two-wheeled, self-balancing mini scooter”doesn’t have quite the same ring.

These pricey gadgets can cost anywhere from a couple hundredto over $1,000, and they’re not as easy to ride as you may think.Check out YouTube to see cringe-worthy hoverboard fails —videos of people falling off them.

Even more serious, there have been reports of the boardscausing fires and explosions. The federal Consumer ProductSafety Commission is “actively investigating hoverboard-

related fires across the country,” said Elliot F. Kaye, commissionchairman.

“Every consumer who is riding a hoverboard, who purchasedone to give as a gift during the holidays or who is thinkingabout buying one deserves to know if there is a safety defect,”Kaye said.

Hoverboards run on lithium-ion batteries, and the commissionfound that these can overheat, explode and catch fire. Intesting, “some models caught fire during the charging stageand others caught fire while in use. Our expert staff is lookingparticularly closely at the configuration of the battery packsand compatibility with the chargers,” Kaye said.

While the fire hazard is getting significant attention, the dangerof falls should not be overlooked, Kaye said. There have beendozens of reports of injuries in emergency rooms across thecountry.

“While any part of the body may be injured during a fall, themost common injuries are extremity injuries, particularlywrist fractures, but the most serious injuries would be headtrauma,” said American Academy of Orthopaedic Surgeons

HOVERBOARD

safetyFires, falls

make this hottoy a concern

spokesperson Dr. Basil R. Besh,

medical director of the FORM Hand,Wrist & Elbow Institute of Fremont,

California. Injuries reported tothe Consumer Product SafetyCommission include concussions,fractures, contusions/abrasionsand internal organ injuries.

While there is no safety standardin place for hoverboards, “theseshould be treated like similarwheeled devices, such as non-motorized scooters, roller blades

and bicycles,” Besh said. Thatmeans at a minimum “riders shouldwear helmets and elbow andknee pads as well as wrist guards.Comfortable, non-slip footwear is

also advisable to minimize slips offof the hoverboard,” Besh said.

Other tips from the ConsumerProduct Safety Commission:

• Avoid buying the product at a

location like a kiosk or on a websitethat does not have informationabout who is selling the product

and how they can be contacted ifthere is a problem.

• Do not charge a hoverboardovernight or when you are not ableto observe the board.

• Charge in an open area away fromitems that can catch fire.

• Let the device cool for an hourbefore charging.

• If the product comes partiallycharged, leave it in that state untilit is ready to be used.

• Look for the mark of a certifiednational testing laboratory. Whilethis does not rule out counterfeits,the absence of such a mark meansyour safety is likely not a priority forthat manufacturer.

• Do not ride near vehicular traffic.

F L I C K R / B E N L A R C E Y


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