Healthy Utah | April '13 by Healthy Magazine

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The decision to have vision correction surgery can be one of the most important and rewarding decisions you can make. Three factors that can make a dramatic difference in a successful surgical outcome are: determining the procedure best suited to your unique visual needs, using the best available technology, and finding a surgeon with the knowledge and experience to use that technology. PROCEDURES: Hoopes Vision offers a full range of vision correction procedures including blade-free LASIK, PRK, ICL, refractive lens exchange, and custom laser cataract surgery, to customize a solution for your unique vision needs. We select the right procedure based on prescription, age, lifestyle, and the results from our thorough, complimentary evaluation* using the most advanced testing equipment available. EXPERIENCE: Most doctors agree that a key component of successful vision correction surgery is experience. An experienced surgeon will know what to look for when screening a patient, how to handle the unexpected, and what options will yield the best results for a patient’s unique vision. Hoopes Vision is home to the most experienced LASIK surgeon in Utah, the most experienced ICL surgeon in the US and among the most experienced custom laser cataract surgeons in the country. TECHNOLOGY: Using the most advanced technology for vision correction surgery can increase safety and improve results. Hoopes Vision was the first in the Salt Lake Valley to use safer, blade-free LASIK technology. We were first in Utah to provide wavefront-optimized treatments to reduce halo and glare at night, and Hoopes Vision is the first in the world to offer multiple laser cataract platforms, including the Alcon® LenSx™ and Optimedica® Catalys™ lasers, to provide our patients with an unequalled level of accuracy, precision and customization.

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UTAH

14 38 40 48 18 20 22 50 54

04.13

Brainpower

Volume XIII, № 4

BRAINPOWER TO INFINITY... This month's Editor's Note explores the idea that “A person is limited only by the thoughts that he chooses.”

THE POWER OF A Positive perspecive Ten ways your outlook can enrich your life.

THE MANY KINDS OF SMART You think you know what intelligence is, but it’s time to get reacquainted.

BRAIN BATTLE Comparing the U.S. with the world, we can muse, ' Is We Smart or Ain’t We Smart?'

HANDLING JERKS! According to new research, the brush off, or silent treatment, may make you more productive, if not smarter

fitness IMMUNE-SYTEM BOOSTING EXERCISE Is there anything a good sweat can't do? It certainly boosts immune function.

FITNESS BY THE NUMBERS There are dozens of numbers that swirl around us, but what do all these numbers really mean, and which ones truly matter when it comes to setting exercise goals? INTERVAL TRAINING Hot & heavy versus slow and steady. How interval training can beat distance training

Wellness WHEN BRAINS ATTACK Researchers have in recent years verified what many a proverb has preached for centuries: treat your body well, and your mind will thank you. nutrition notes In the 'brown vs white' debate, is it always healthier to choose the darker fare? The answers may surprise you.

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BRAINPOWER

To Infinity...

I remember preparing a speech when

I was a teenager and grabbing a small book sitting on my parents bookshelf. I think it was the first taste I had of the power of thought and persuasion. The key quote of James Allen’s wonderfully simple, yet powerful book has served as a theme of sorts in my life.

“A person is limited only by the thoughts that he chooses.” - James Allen, As A Man Thinketh Limits. Thoughts. Choices. Can it really be that simple? There have been times, particularly as a financially struggling graduate student and young father, when I questioned the logic’s veracity. I thought rich, but I wasn’t (at least, not by how I shallowly defined riches back then). But the essence is that our lives, no matter where they started or where they are currently situated, are unlimited. We are not limited by the life we now live. However, we may be limited by our failure to think big, or by our assumption that we’re ‘doing the best we can.’ Look at your life and ask yourself—am I really doing my best? What could I be doing better? What am I missing because I’m not doing better?

UTAH written by john a. anderson, editor in chief

Self-help gurus seem to unanimously concur that any time you’re ready to go beyond your life’s current limitations, you’re capable of doing that by choosing new thought patterns. In terms of income, this idea suggests that we receive our current income simply because that is the amount we have limited ourselves to earn. So, is it possible to bring in 5, 10, 20 times more by changing our self-limiting thoughts? There’s an easy way to find out. You must know others, perhaps less educated, less skilled or even less intelligent, who earn much more than you.

Question is, why? There’s a stimulating story recounted by Cynthia Kersey in her book Unstoppable about UC Berkley college student George Dantzig (Google him). George was a hard working college student who often focused on his studies late into the night. It caused him to oversleep one morning, and he arrived 20 minutes late for class. He jotted down the two math problems on the board, assuming they were the homework assignment. After many days working through the problems, George ultimately had a breakthrough and turned in the assignment to the professor the next day. A couple of days later, George received an early morning call from his energized professor. Turns out that the morning George was late for class he missed the professor announce that the two equations on the board were essentially unsolvable mathematical mind teasers that even Einstein hadn’t been able to answer. George Dantzig missed the thought-limiting explanation and, working without any imposed constraints, had solved not one, but two problems that had stumped mathematicians for centuries. Essentially, George solved the problems because he didn’t know he couldn’t. Limitations must be comforting to us because we love imposing them on others and ourselves. But, on occasion, when we sit back and consider the tremendous reservoirs of potential within us, we just might embrace the reality that we are immensely capable of doing virtually anything we determine. It’s a matter of how—not if—we can do it. Once you make up your mind to do something, it’s wonderful how the mind initiates the process of figuring out how. Take a moment and think about that.

HEALTHY UTAH APRIL 2013

APRIL 2013

Volume XIII, № 4 Editor-in-Chief John A. Anderson | john@healthy-mag.com Medical Directors Steven N. Gange, M.D. Lane C. Childs, M.D. Publisher Kenneth J. Shepherd | ken@healthy-mag.com Marketing Director Timothy Howden | timothy@healthy-mag.com Account Director Heather Hooke | heather@healthy-mag.com Design Editor Phillip Chadwick design@healthy-mag.com Managing EditorS Michael Richardson | Emma Penrod editor@healthy-mag.com Online editor Ashley Whiting | ashley@healthy-mag.com DIRECTOR OF OPERATIONS Sandy Wise | 801.369.6139 Circulation Manager Ron Fennell | distribution@healthy-mag.com Contributing writers Brooke Kittel, Darrin F. Hansen, David Joachim, Douglas H. Jones, Robert Jones, Aubrey Merrill, Lisa Mathews, Stuart B. Porter, Mark Saunders Circulation

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Healthy Utah® Magazine 256 Main St., Suite F l Alpine, UT 84004 (801) 369.6139 l info@healthy-mag.com To be included in our free online directory, please e-mail your contact information to directory@healthy-mag.com PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission.

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Percent of women WHO LIE AWAKE AT NIGHT BECAUSE OF STRESS.

American Psychological Assoc.

Use Your Head

A well-known aging nun study from the University of Kentucky showed that nuns using more complex sentence structure and thought patterns were less likely to develop Alzheimer’s as they aged. Many other studies have shown that using your head—whether it is reading, doing crossword puzzles, games or being actively engaged in intellectual pursuits reduces your risk of dementia. So don’t forget to use your head and exercise your brain!

Harnessing the power of your brain

in the news / brainpower

49% neuro numbers

Just imagining yourself eating a food, bite by bite, reduces how much you eat, reports the journal Science. Using this technique with a popular candy caused subjects to eat 61% fewer pieces. The reason? Visualizing eating a food can trick your mind and reduce your desire for more.

eat the rainbow Stay hydrated for brainpower and stabilityy.

They say that you can’t teach an old dog new tricks, but when it comes to the brain, scientists have discovered that this old adage simply isn’t true. The human brain has an astonishing ability to adapt and change—even into old age. This ability is known as neuroplasticity. With the right stimulation, your brain can form new neural pathways, alter existing connections, and adapt and react in ever-changing ways. The brain’s incredible ability to reshape itself holds true when it comes to learning and memory. You can harness the natural power of neuroplasticity to increase your cognitive abilities, enhance your ability to learn new information, and improve your memory.

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HEALTHY UTAH APRIL 2013

For the latest in news and research go to healthy-utah.com

Believe it or not, your brain rusts as you get older. The end result is Alzheimer’s, or as many call it, “old timer’s disease.” But thankfully, nature has provided the perfect WD-40 lubricant. It is the rainbow of colorful fruits and vegetables—the dark purples of blueberries, the deep reds of pomegranates, the rich green of kale and collards, the bright orange of sweet potatoes. All these colorful foods provide powerful antioxidants. That’s a good thing, because, as a recent study in the Journal of the American Medical Association found, people who ate more dietary antioxidants had 70% less Alzheimer’s and dementia. This is one powerful way to control one of the major causes of all disease—rusting or oxidative stress. Eat 8 – 10 servings (1/2 cup = 1 serving) of these lifesaving colorful fruits and vegetables a day to protect your brain.

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Spinal Cord Stimulation: Tiny electrical impulses are sent to the nerves through small, flexible medical wires. Those impulses mask the pain signals going to the brain Discography: Investigates and establishes the role of intervertebral discs in the production of low back pain. Radio frequency (RF) Nerve Ablation: A therapeutic procedure designed to decrease or eliminate pain symptoms within spinal facets by temporarily deactivating minor nerves around the spine. Rehabilitation Therapy: Land and aquatic based therapies administered by certified physical therapists, athletic trainers and sports kinesiologists.

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The SMART Clinic, fully staffed by board certified physicians, provides a comprehensive diagnostic, management and treatment facility with hospital and surgery center credentialing-the highest credentials possible. Their ground breaking endoscopic and minimally invasive treatments are equally as effective as conventional surgery-without the risk, pain, scarring and lengthy recovery associated with traditional, invasive procedures.

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in the news / brainpower

when your body blows your mind

The Nose Goes

Of those under the age of 65, about 1-2 percent have almost completely lost their sense of smell, according to the National Institutes of Health. Of those 65 and over, more than half have little to no sense of smell, called anosmia.

White People Gray the Fastest

Average age when graying of hair begins:

Caucasian: 20's-30's Asian: Late 30's African: 40's Tears of Women Repel Men

Researchers in Isreal had women watch a sad movie alone, and then captured their tears in vials. Men were given the vials to smell. Another group was given vials of saline that weren’t tears. “Men who sniffed tears judged pictures of women's faces to be less sexually attractive,” authors wrote in Nature.

HEALTHY UTAH APRIL 2013

Such a Pain

Researchers from Stanford assessed sex differences in reported pain for more than 11,000 patients and 250 conditions. For almost every problem, women reported higher average pain levels. In total, they reported their pain to be 20 percent higher than men, across all conditions.

Beans Beans

the Magical Fruit Beans can be an excellent source of nutrition, and may decrease the risk of chronic illness, but many people don’t eat them because they fear the resulting flatulence, researchers from Arizona State University found. Researchers arranged a study comparing the effects of pinto, black-eyed peas and baked beans on test subjects. Less than 50 percent reported increased flatulence from the beans, leading researchers to say that “people's concerns about excessive flatulence from eating beans may be exaggerated.”

Why Do Aging Eyes Turn More Red? Look into the eyes of a child and you see beautiful, clear, innocent and all white eyes. Age seems to cloud that fresh, white look of eyes. The publication, Ethology, published a study in 2011 which found that people with red eyes seemed sadder, less healthy and overall, less attractive than those with whiter eyes. The question is, why do eyes turn red as we age?

Experts suggest that, over time, our bodies produce less water components for our tears. Tears are an amalgamation of three layers—oil, water

and mucin. Mucin is made from the goblet cells in our conjunctiva. Water makes up the central layer, made mostly from the lacrimal glands. And since the water component tends to decrease with age, the result is redness and dryness. Many people especially experience redness after eyelid surgery because the eyes are more open. This causes tear film to evaporate quicker resulting in dryness and redness. Lasik surgery can also cause the same effect. That’s why it’s important for your doctor to measure the amount of tears you produce before performing any of these procedures. And just like sun exposure can prematurely age our skin, it is also a big reason why our eyes become red. Dr. Boxrud says to always wear sunglasses when outside because they work like sunscreen for your eyes.

Healthy-Utah.com

Surprising research about the way people think

Make Men’s Minds Falter Researchers from the Netherlands gathered male and female subjects and had them take cognitive tests. As part of the test, researchers told participants that an observer would watch them via a camera. Women performed the same regardless of who watched them, but men performed worse when they knew a woman was watching. Even the prospect of a female observer resulted in score declines.

67 neuro numbers

Percent of those who change their order to something more healthful after seeing a food's fat and calorie content on a menu. Source : Technomic Inc.

Alzheimer’s disease hits women harder. About 5.2 million Americans over the age of 65 have Alzheimer’s, and 3.4 million of these people are women, versus only 1.8 million men. The minds of men and women are built differently, but researchers aren’t sure exactly why the discrepancy is so large.

ALZHEIMER'S

Women

in the news / brainpower

It’s In Your Head

Just Friends? Maybe, but less likely for boys, new research from the University of Wisconsin-Eau Claire shows. Researchers gathered pairs of heterosexual friends of opposite genders and privately asked each about their feelings toward the other. It turns out that young men experience more attraction to their female peers than vice versa. Furthermore, the results showed, men overestimate how attracted their female friend is to them, and women underestimate how attracted their male friends are to them. But it goes deeper. Men often desire “romantic dates” with their friend, but that desire doesn’t diminish when the girl has a boyfriend. The same is not true for women. So it may be that men have a harder time than women at being “just friends.”

Change: It’s Not Over Yet A recent study of more than 19,000 people showed that people believe they have changed in the past, but won’t change in the future, even though they actually will. “People, it seems, regard the present as a watershed moment at which they have finally become the person[s] they will be for the rest of their lives,” the paper says, which came from researchers at the National Fund for Scientific Research in Belgium, and a University of Virginia psychologist, Timothy Wilson. Change seems to be a constant part of life, even if people don’t realize it. For example, the average 33-year-old in the study expected less change in the next decade than the average 43-year-old said had actually happened in the previous decade, reported Scientific American.

American Intelligence

A Gallup poll of 1,000 randomly chosen Americans found that about 25 percent didn’t know which country the United States gained its independence from, and 18 percent thought the sun revolves around the earth.

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HEALTHY UTAH APRIL 2013

Brainpower

Ways Your Outlook

Can Enrich Your Life Written By Victor M. Parachin

From time to time all of us could enhance the quality of our living by considering ways to nurture ourselves. Here are ten ways to enrich your life.

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A bit of fragrance always clings to the hand that gives roses. -Chinese Proverb

HEALTHY UTAH APRIL 2013

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Healthy-Utah.com

Writer Joseph Goldstein tells of an experiment he did that helped him better understand the power of our speech to impact the mind. He decided that for a period of three months he would not speak about any third person. “That is, I wouldn’t speak to someone about someone else.” Here is what came to light for him during that three-month experiment when he eradicated gossip from his life: “First, my mind became much less judgmental, because I wasn’t giving voice to the various judgments in my mind.... And as I judged others less, I found that I judged myself less as well. Second, I discovered in this experiment that about 90 percent of my speech was eliminated. This silence led to a lot more peace in my mind. It was astonishing to see so clearly how much of the time our talk is about other people.”

he simple e x periment G oldstein did proved to be emotionally expansive, spiritually enlightening, and soul nourishing for him. From time to time all of us could enhance the quality of our living by considering ways to nurture ourselves. Here are ten ways to enrich your life.

1 | See the good in every person

The story is told of a man who worked for a large corporation at their head office skyscraper. His only duty was to operate an elevator. Although there were three elevators servicing his side of the building, most people favored his elevator because he greeted everyone who entered through his doors with kindness and joy. One executive of the corporation frequently described the elevator operator by saying: “This is our million-dollar employee. He is just as important as the top executives in our company, because all our customers love him.” When asked the secret of his popularity and influence, the elevator operator replied: “I look for God in everyone, and it gives me such joy.”

2 | Forgive yourself

Author D. Patrick Miller, in A Little Book of Forgiveness, offers this soulnourishing wisdom: “Never forget that to forgive yourself is to release trapped energy that could be doing good work in the world. Thus, to judge and condemn yourself is a form of selfishness. Self-prosecution is never noble; it does no one a service.” Just as you forgive others for their slights, misstatements, and errors of judgment, forgive yourself. Then move on.

4 | Maintain a spirit of goodwill

When dealing with other people, believe the best about them, see the best in them, hope for their best, and work for the best possible outcomes in your relationships with them.

5 | Give up revenge

“A man who studies revenge keeps his own wounds green,” observed philosopher Francis Bacon. There is great wisdom in Bacon’s observation. Harboring ill will toward another and cultivating dreams of retaliation only keep inner anxiety and agitation alive. By giving up revenge you avoid compromising your own goodness and losing your moral advantage. Be guided by the insight of this Asian proverb: “He who seeks revenge digs two graves.”

6 | Create your own inspirational book

Of course, you can visit a bookstore and select from any number of fine inspirational books. But why not create your own personal and meaningful inspirational book? Buy a simple blank spiral notebook. Then whenever you come across an uplifting quotation, write it in your book. When you read a prayer that moves you, transcribe it into your book. Or write out Bible verses that you find to be especially encouraging. You can even illustrate your book by cutting out of other magazines peaceful scenes from nature—forests, lakes, rivers, majestic mountains, etc. Just leafing through your personal inspirational book will restore calmness to an anxious spirit and will brighten a moment with joy and pleasure.

3 | Learn to bend in order not to break 7 | Be a Person of Integrity A favored proverb among seasoned mariners advises: “We cannot direct the wind, but we can adjust the sails.” By that they mean we ought to adjust and adapt ourselves to circumstances over which we have no control. Resisting such events is not only counterproductive, but can create even more problems. Go with the flow, and learn to bend in order not to break. Consider the lesson learned by one man who was “downsized” by his employer. His disappointment quickly turned into major depression when, after several months, he was unable to find a similar position with comparable salary. Then he decided to roll with the reality rather than remain depressed, anxious, and feeling helpless. He decided to volunteer at his local school and church. “They were thrilled to have someone with my experience,” he said. The man also saw a doctor, who prescribed an antidepressant. He began to help out at home and “fell in love with [his] wife all over again.” Deciding that money was no longer his main priority, he found a job at a lower salary. “The loss of my job gave me back my life,” he said. “I sent my former employer a thank-you note for firing me and giving me a new life.”

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Say what you mean and mean what you say. Keep your life free of deception and duplicity. “Humans have a need to be moral. Living by time-honored values—honesty, generosity, kindness, respect--is good for our emotional and physical health,” says Hal Urban, Ph.D., author of Life’s Greatest Lessons. “Dishonesty—even the “everyone’s doing it” kind—sucks up energy. ... Integrity, on the other hand, brings us peace of mind ... increases our self-respect ... and cements important relationships. When we form the habit of choosing integrity—action by small action—we become the people we were meant to be,” he adds.

8 | Lavish Others with Kindness

Find creative ways to spontaneously and generously lavish other people with kindness. When it comes to acts of kindness, go the extra mile and double someone’s pleasure when you act. One day a woman entered a New York City soup kitchen and donated a beautiful diamond ring. The director, Dorothy Day, received it graciously. The mission workers wondered what Day would do with it. Would she take it to a diamond merchant and sell it? That act would certainly have been understandable, since the ring would easily bring a sizable cash gift to the mission. >>>

HEALTHY UTAH APRIL 2013

That afternoon Day gave the diamond ring to an old woman who lived alone and often came to the mission for her meals. “That ring would have paid her rent for the better part of a year,” someone said critically to Day. However, Day replied that the woman could sell it if she liked and spend the money for rent, a trip to the Bahamas, or keep the ring to admire. “Do you suppose God created diamonds only for the rich?” she asked her critic.

9 | Seek Out Beauty Daily

“Walk in the park. Listen to music. Buy yourself flowers. Connecting with the beauty of the world around you is deeply healing,” writes Mike Riley, coauthor with Howard Bronson of the book The Good Bye Book: How to Heal a Broken Heart in 30 Days.

10 | Practice Citizenship

Writer Howard Fast once observed: “Patriotism ... applies to true love of one’s country and a code of conduct that echoes such love.” Show pride in your country by working to make the lives of every citizen better. Your own spirit will be elevated, knowing that you had a hand in improving the lot of another person. Consider the example of Rose Espinoza, who recently moved back to her childhood community of La Habra, California. When she was growing up, it was a close-knit community where people cared about each other. It was a great place to raise a

“

c ontin u ed

Do you suppose God created diamonds only for the rich?

”

-Dorothy Day

family, she and her husband, Alex, believed. “To my shock, La Habra had turned into a town where gangs of kids roamed the streets making trouble,” she discovered shortly after returning. Her husband was equally dismayed and observed: “Looks like those kids don’t have anywhere to go when school’s out.” His observation was enough to send Rose into action. With a folding table and a few chairs, she and her husband converted their garage into a makeshift classroom. Then they passed flyers out around the neighborhood offering to tutor for a few hours every day after school. When the garage door opened in September 1991, kids came in droves both to learn and to hangout in a safe place. Whenever a new student wanted to join, Rose asked their parents to help by tutoring kids in subjects such as English, math, and writing. Other parents were persuaded to help by providing snacks or setting up. Older students tutored younger ones, and when there was no room in the garage, kids spread out across the lawn to do their homework. Today there are three additional tutoring sites with books, desks, and computers. “Things in La Habra have really changed. Crime has gone down, student performance has risen dramatically, and my town is a lot more like the community I remember from my girlhood. How did it happen? I think a lot of citizens decided that we had to band together to help,” Rose says proudly. COPYRIGHT 2007 Gale Group

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How to exercise To boost your Immune system increase the body’s ability to deal with infections. During moderate exercise, immune cells circulate through the body more quickly and are better able to kill bacteria and viruses. Some studies have shown that a regular program of brisk walking can bolster the immune system including the antibody response and the natural killer (T cell) response.

20-40 X 5

Regular exercise such as brisk or moderate walking for 20-40 minutes every day, 5 days a week will increase the body’s ability to deal with infections.

here are so many things that can affect how we feel. Everywhere we go, we are exposed to germs and some of those aren’t very nice. Add busy schedules that don’t allow us to get proper rest, hectic routines that don’t allow us to eat properly and everyday stresses that can weaken our body’s efforts to stay healthy and we may just come down with something ugly. Exercise has so many benefits and several

HEALTHY UTAH APRIL 2013

studies show that moderate, consistent exercise can actually help your immune system. The intensity and duration of exercise needed for supporting the immune system is less than the required amount needed for the best cardiovascular training. Regular exercise such as brisk or moderate walking for 20-40 minutes every day, 5 days a week will

After exercise ends, the immune system generally returns to normal within a few hours, but consistent, regular exercise seems to make these changes a bit more long lasting. “When moderate exercise is repeated on a near-daily basis, there is a cumulative effect that leads to a long-term immune response,” says Dr. David Nieman. We know that exercise also can boost our mental wellness as well. Psychological stress can also impair immunity and lead to an increase of cold and flu infections. It is not always clear whether exercise alone boosts the immune system directly or if it works through a link with the brain and the nervous system. Too much exercise at high levels can affect your immune system in a negative way. Exercising at a higher intensity or lasting for more than 90 minutes can actually

temporarily suppress your immune system. It can also make you susceptible to illness for up to 72 hours after the exercise session. When the body is stressed from higher levels of intensity, the body will produce certain hormones that temporarily lower immunity. Cortisol and adrenaline (stress hormones) have been linked to increased susceptibility to infection in extreme exercisers. If you are training for a long distance event or an extreme exercise situation, allow your body and your immune system to recover properly. If you are already ill, you should also be careful of working out too hard. Your immune system is already taxed by fighting your infection and additional stress from a tough workout could prolong your recovery. In general, if you have mild cold symptoms and no fever, light or moderate exercise may help you feel a little better and actually boost your immune system. Intense or long duration exercise will only make things worse and keep you down longer.

About the Author

Lisa Mathews

Treehouse Athletic Club 801-553-0123 TacFitness.com

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Here’s an overview of some key fitness figures that can be used to measure the success of your exercise and nutrition program:

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BMI (Body Mass Index): BMI is a tool that measures weight relative to height and creates a standard formula for determining whether an adult is of a healthy weight (typically 18 – 24.9) or overweight (25 and above). To find out where you rank, ask your doctor, check out a website like weightwatchers.com with a BMI calculator or purchase a BMI scale at locations such as www.cvs.com.

Amp up your workout by kicking up your speed.

bmi [ ] A tool used to calculate whether an adult is of a healthy weight . Find yours.

Blood Pressure: So 120/80 and below is considered normal blood pressure, but what does that mean? The top number represents systolic pressure or the active part of the heartbeat while the bottom represents diastolic pressure or the moment the heart rests between beats. The higher the numbers, the harder the heart is working to pump blood, which isn’t healthy for the long term. Studies show that exercise provides a drug-free way to lower blood pressure.

Heart Rate:

A healthy, resting heart rate for an adult should measure in around 60-80 beats per minute, but can fall much lower with regular exercise (Lance Armstrong’s is 32!). Life Fitness recommends that exercisers reach 50 – 85% of their max heart rate for an optimal workout.

Healthy Inches: Keeping tabs

Fitness by the numbers Know Which Numbers Make For Better Health Walk into a gym and hop on a machine, step into the doctor’s office or read the newspaper. When it comes to our health, there are dozens of numbers that swirl around us from weight to blood pressure to heart rate. But what do all these numbers really mean, and which ones truly matter when it comes to setting exercise goals? 20

HEALTHY UTAH APRIL 2013

on the inches you’ve lost can be better than simply watching for pounds. Exercising means building muscle and losing fat and that may not show on the scale. Commit to measuring the circumference of your chest, waist, hips and thighs every four weeks to see if you’re truly slimming down. Fit Tips are provided by Life Fitness, the leader in designing and manufacturing high-quality exercise equipment for fitness facilities and homes worldwide.

Rev up your fitness routine with online workout videos. Visit Healthy-Utah.com.

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Fast and Heavy

Vs.

After completing the shuttle, rest for two minutes, then do it again. It sounds brutal, and it is brutal. The sudden changes in direction transitioning into full sprints gives your muscles an excellent workout, and strengthens those fast twitch muscles that distance running doesn’t touch.

2. The Jog/Sprint/Walk:

Slow and Steady

Has your daily jog become boring? Change it up.

How interval training can beat distance training

Dr. Barbara Lockhart, a BYU exercise science professor, says she hasn’t run more than a mile in forty years. But that doesn’t jive with the fact that Lockhart recently completed a day-long hike without a problem. Her secret? Interval training.

What It Is

Interval training is when you do any kind of intense activity to get your heart rate up, and then let your heart rate go down again. Then you repeat the process multiple times. For example, you sprint 800 meters. Then you rest for a minute. Then you go again at near 100 percent capacity.

Who’s Doing It

Interval training seems to spit in the face of accepted get-fit tactics, which say sustained high heart beat is the way to go. But Lockhart, author of CardioWaves: Interval Training for MindBody Wellness, says steady state exercise isn’t the king of fitness. “You see people go round and round the track,” she says. “But that isn’t how today’s athletes train.”

“When done properly, it can improve performance and help you get faster,” she says. She warns, however, that the length of rest and interval times during a workout depends on what the person is training for, and that intervals improperly done can result in injury.

Why

This kind of training improves how well the heart delivers oxygen to the muscles, and how well those muscles receive that oxygen. It is better than regular aerobic exercise at improving the cardiovascular system. In short, interval training improves athletic capacity in ways that steady state training cannot.

Other Benefits: • • •

•

Short time commitment, great results. Muscle toning. Mental benefits: You train yourself to lower heart rate, which helps when you want to lower stress. Integrate body and mind: Learn how to control your body better with the constant mental exertion that distance training doesn’t always demand. You don’t give up stamina (remember Lockhart can hike all day, no problem).

She says modern athletes, even distance runners, do interval training, splitting their workouts into sections of high intensity and rest.

One woman Lockhart worked with ran a nine-minute mile in her runs. The woman started interval workouts, and decreased her mile pace to seven minutes, even though she ran less mileage to train.

Lora Erickson, nationally ranked triathlete and USATF certified running coach in Bountiful, Utah, says she and her athletes utilize intervals in training regularly.

Still, Lockhart says, it isn’t a matter of either or. Steady state workouts have their scientifically proven benefits, as do interval workouts. Mixing it up might be what you need.

HEALTHY UTAH APRIL 2013

WALK JOG SPRINT

Running Interval Workouts to Try 1. Shuttles:

Some shudder at this word. Shuttles are a form of interval training that really hits. But it is effective, and can be done almost anywhere, be it a basketball court, football field or on the track. In a typical shuttle, you will run about five yards to a marker or line, and then run back to the starting point, all at full speed.

But you don’t stop there. You turn around and run at full speed to a marker ten yards away, turn around and run back. Repeat the process at 15, 20 and 25 yards.

Jog slowly for few minutes, then break into a sprint for 100 yards or so. Then slow to a walk to let your heart rate go down again. Then start jogging, and repeat the process. This should be more difficult than a regular jog at first, even if you do it for less time. An advantage of running like this is that the more vigorous the exercise, the more calories burned, according to the Mayo Clinic.

3. The Tapered Workout:

This workout can be done on a track or any flat surface, really. Start by sprinting for 30 seconds. Then rest for 30 seconds. Then sprint for a minute. Rest for a minute. Follow the same pattern for a two-minute sprint, twominute rest, and a then a fourminute sprint and a four-minute rest. But you aren’t done there. Repeat the sprints and rests, but this time go backwards, tapering off the workout.

Interval Training and HGH An additional benefit of interval training is that is boosts production of natural Human Growth Hormone (HGH), Lockhart says, which steady rate exercise doesn’t do. HGH is important for calcium retention, bone strength, muscle mass and for synthesizing protein. HGH has also been tied

to slowing aging and offsetting diseases. In a study published in the Annals of Internal Medicine in 2010, researchers found that growth hormone improved a sprinter’s capacity significantly over a placebo group. Healthy-Utah.com

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food / breaking news

New Study Slams Processed Meat

When ten people put the same food in their mouths, each are having a different experience, smell and taste researchers say. About a quarter of the world are supertasters, researchers say, programed by their DNA to have a more intense dining experience. At the other end of the spectrum are people who have a rather dull eating experience. The rest of us fall somewhere in between, according to a Wall Street Journal report. The University of Florida Center for Smell and Taste’s Linda Bartoshuk told the WSJ that it is like some people live in a neon food world, while others live in pastel food world. Professional chefs are often supertasters, and women more often have this trait than men, research shows.

In a new study published in BMC Medicine, researchers collected data from almost 500,000 people in 10 European countries, and found that the more processed meat a person consumed, the higher the risk for premature death from cancer and cardiovascular disease. “We estimated that 3.3 percent of deaths could be prevented if all participants had a processed meat consumption of less than 20 grams per day,” study authors wrote. Processed meat, processed red meat in particular, is generally high in fat and salt. In addition, meats like hamburger and sandwich meat are often processed with salt, nitrate, phosphates or sweeteners, all additives that researchers suggest may be behind the negative health consequences. The data for the study subjects extended over 13 years. None of the subjects reported major illness at the time the study began. Those people who ate more than 160 grams of processed, preserved meat per day, equal to about three pieces of bacon and one sausage, had a 70 percent increased risk of dying from heart disease. They also had an 11 percent increased risk of dying from cancer, the BBC reported. Interestingly, the study results don’t condemn the consumption of non-

Supertasters

HEALTHY UTAH APRIL 2013

processed red meat, in moderation. In fact, consumption of small amounts of red meat improved health. Sabine Rohrmann, a professor of epidemiology at the University of Zurich, said the preservatives may be why red meat is okay while processed meat isn’t. Rohrmann advises that people eat between 300 and 600 grams of meat per week, to get the vitamins and minerals that meat offers. In addition to diet, lifestyle factors also came into play, researchers found. The data showed that people who ate processed meat the most were also more likely to live unhealthy lifestyles, such as not exercising and smoking. They also ate the fewest fruits and vegetables and drank more alcohol. Processed meat generally includes ham, bacon and sausage, according to the study. Poultry was not shown to be dangerous. These findings are valuable for their enormous sample size, but the findings themselves are not revolutionary. A systematic review of research from researchers at Harvard’s Department of Epidemiology in 2010 found similar results, that consumption of processed meats increased the risk of heart disease and diabetes mellitus.

Recent research finds some pros and cons of being a supertaster: ±±

They tend to avoid eating vegetables, which can have serious health consequences.

±±

They tend to like salty food.

±±

They tend to be leaner, eating less food.

±±

They might be able to better fend off sinus infections because of a bitter taste receptor in the nose.

The intensity of flavor has an effect on what people eat, naturally. But how do you know if you are just being picky of if you really have a higher quantity of more sensitive taste buds? Supertasters say that broccoli, cabbage, spinach, grapefruit and coffee taste very bitter, according to Scientific American. Since supertasters have more taste buds than others, there are simple tests you can do to see if you have lots of taste buds. ±±

Dye a small area of the tongue, and count the papillae. Compare that number with others.

±±

Taste a bitter chemical such as PROP or PTC, purchasable online, which are compounds similar to those found in dark green vegetables. It will be bitter to most, but awful for supertasters.

The American Institute for Cancer Research says that consumption of processed meat increases chances of getting colorectal cancer, with any portion, and therefore avoidance is recommended.

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Your child. Your orthodontist. Whether you’re considering clear aligners, retainers or today’s braces, an orthodontist is the smart choice. Orthodontists are specialists in straightening teeth and aligning your bite. They have two to three years of education beyond dental school. So they’re experts at helping you get a great smile – that feels great, too.

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HEALTHY UTAH APRIL 2013

>> Advisor Allergies

answers to common spring allergy questions Seasonal allergic rhinitis, spring allergies, is one of the most common allergic conditions in the United States, affecting

35.9 million people. This condition is responsible for approximately 16.7 million office visits to health care providers each year, according to the American Academy of Allergy, Asthma & Immunology (AAAAI). I wanted to answer some common questions about spring allergies.

Q: I love to garden but my

allergies make my eyes water and I begin sneezing. What tips can you give me so I can continue my hobby? You may be able to adjust your gardening schedule to help your allergies. Different pollens are released at different times of the day; by avoiding the peak pollen release times, you may be able to reduce your symptoms. An allergist/immunologist can help you deal with your symptoms

HEALTHY UTAH APRIL 2013

in other ways as well, including medications and immunotherapy.

Q:My family likes to travel over the summer. What tips are there for traveling with allergies?

Be prepared to treat or prevent allergy symptoms by having medications available or by starting preventative medications before you leave. Close your windows and use the air conditioner to help keep out pollen and mold spores. Outdoor air pollution can worsen allergy symptoms; to avoid this, plan biking or hiking in the early morning or at night when the air quality is better. Before beginning a lengthy car trip, turn on the air conditioner or heater and open the windows for 10 minutes to help remove dust mites and/or molds that may be in the system.

Q: How can I find out what the pollen levels are in my area?

Visit my website at www. rockymountainallergy.com and follow the pollen counts!

Q: When does the spring allergy season end?

Allergy seasons vary throughout the country. In general terms, early spring is the time for tree

pollens. Grass pollen usually is present in the late spring, early summer, and weed pollens are present in the late summer and early fall. In warmer climates, each of these seasons may start earlier; vice versa for colder climates. Some parts of the country have less weed pollens than others, so their prime pollen season may end earlier.

Q: How can I get relief during this time of year?

An allergist/immunologist can answer more of your questions regarding spring allergies and can develop a treatment plan to lessen symptoms by prescribing medications and environmental control methods. It is important to find someone board certified by the American Board of Allergy and Immunology. They are specially trained to treat all types of allergies and asthma.

On average, you will receive higher quality of care at lower cost. I see patients in three locations including Murray, Layton, and Heber City. Call 801-775-9800 or visit www. rockymountainallergy.com.

About the Author Douglas H. Jones, MD Rocky Mountain Allergy, Asthma & Immunology 801-775-9800 rockymountainallergy.com

Dr. Jones specializes in the diagnosis and treatment of all conditions relating to allergies, asthma and immune system disorders. He is board certified by the American Board of Allergy and Immunology and the American Board of Internal Medicine. He earned his MD from Penn State University and completed his specialty training at Creighton University.

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HEALTHY UTAH APRIL 2013

Beauty Mistakes Everyone Makes A crease curse

Normal movement of the face when talking, listening or just thinking creates folds in the skin that can make heavy makeup look awful. Apply foundation sparingly, especially on the forehead, and wherever folds of skin naturally appear on your face.

Match the eyebrows

Unless you want a ton of second glances of the undesirable kind, make sure you match, and not just with clothes.

Blending the hairline

Don’t let makeup make your face look two-toned. Pull your hair up before you do makeup, so you know the exact position of your hairline. Missing that line make it look like are literally wearing a mask.

When moist is dry

When water evaporates off of the skin, it has the tendency to dry out skin. Sprays that contain other moisturizing ingredients are better.

Changing shade

Mixing scents

Your lotion has a scent. So does your shampoo, your conditioner and many other beauty products. On top of that, you wear perfume. It’s a bit of a puzzle, and it can get ugly if you lose track of the pieces.

Don’t replace shaving cream with body wash

Cut corners when shaving, and you’ll probably cut yourself, and not be happy with how your skin feels.

Let it dry

Hair changes in terms of how porous it is, meaning that soaking wet hair won’t absorb beauty products the same way damp and dry hair will.

HEALTHY UTAH APRIL 2013

When choosing makeup, go for products that match your complexion, not for products that you think will give you a desired complexion. A natural look is always the most beautiful.

Discard old makeup

Lipstick tubes and small bottles can be havens for bacteria. Don’t use this as an excuse to blow money on beauty products every week, but be aware of the potential health risk.

Picking polish

This bad habit, however satisfying, has the potential to damage the nail itself.

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Why perfume and cologne are staples of attraction Written by Stardocs staff

Fragrance can make a smile seem brighter, a touch feel more exhilarating and an attraction go deeper. Here are seven reasons why humans have used perfume and cologne for millennia.

Scent Sense

Memory

HEALTHY UTAH APRIL 2013

Your scent may be what people remember about you, since memories tied to smell can be stronger than recollections triggered by other cues, according to Scientific American. A person has 40 million olfactory receptor neurons inside the nasal cavity. Each time we smell a new smell, information is imprinted onto a specific part of our brain, and we develop a library of smells. Smells can take us back to preteen years, whereas visual memories are most often from around the age of twenty.

Identity

There is something comforting about owning your own aroma. Before long, it can form part of your identity. People recognize your scent, and your presence becomes not just seen and heard, but inhaled.

The Smell of Energy

Smells can relax us, but also wake us up. Researchers from Austria found that participants who smelled East Indian Sandalwood oil had an elevated pulse rate and greater attentiveness. Sandalwood is used in many fragrances.

Better Mood

A pleasant smelling scent on a person can do what grandma’s apple pie does: bring a sense of happiness, or at least improve mood. And this translates to action. Researchers from the University of Bretagne-Sud in France had study participants “accidentally” drop a glove in odorless environments and pleasant-smelling ones. People were more likely to help in environments that smelled good. Make your own environment pleasant.

Send a Message

The simple fact that a person is wearing perfume or cologne around you can be an indicator of respect, attraction and more. In this way, any scent can be effective, because a person feels desired.

Smell and Emotion

“The areas of the brain that process smell and emotion are as intertwined and codependent as any two regions in the brain possibly could be,” writes renowned smell expert Rachel Herz in her book The Scent of Desire. The loss of smell has been tied to depressive symptoms like loss of motivation and loss of interest in previously pleasurable pursuits, to a more severe degree than people who lose their vision. What comes in through the nose affects our emotion, so our fragrance matters.

Relax

Those knotted up in tension can feel a sense of relaxation when certain smells come through the nose. Ask any guy, the agreeable scent of a woman is enough to take his mind off his troubles, at least for a moment. Researchers from the University of Miami School of Medicine found that smelling lavender fragrance improved people’s mood and helped them feel more relaxed. The effects were similar to those derived from massage and music. Similar responses occur when people smell bornyl acetate, which comes from conifer oils and gives the pine-needle-like odor. It is used in soap and bath products.

Crazy Stuff Humans Put On Their Bodies Ambergis: A solid,

waxy, flammable substance produced by a sperm whale’s digestive system.

Castoreum:

Odorous sacs of the North American beaver, which it uses to mark its territory.

Civet: Odorous sacks of civets, an animal related to the mongoose. Rock Hyrax: Petrified excrement of the rock hyrax, a rodent resembling a guinea pig, found in Africa and the Middle East.

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Fragrance Facts

Choose Your Weapon

Award-winning, bestselling perfumes in America and across the Atlantic.

Can’t Smell Can’t Love

For both sexes, those who have no sense of smell have trouble socializing and finding love, according to research published in Biological Psychology. The mental pressure of not knowing if you smell bad or good might lead to insecurity, which is an issue for females who can’t smell, researchers found.

Demand to Smell Good

Market research firm Global Industry Analysts predicts that the global market for fragrances and perfumes will reach $33 billion by 2015.

Stages of Aroma

Each perfume has three stages of aroma, called notes: Top notes: This is what you smell directly after putting the perfume on. Middle notes: This is the smell that emerges when the light molecules of the top notes dissipate. This is the central essence of the perfume. Base notes: When combined with the middle notes, base notes should bring depth to the aroma, creating the core smell the perfume is meant to make.

Top Smells for Men:

Dolce & Gabbana Light Blue Dolce & Gabbana for Men Boss, Hugo Boss John Varvatos - John Varvatos L’Homme Libre - Yves Saint Laurent Un Jardin Sur Le Toit - Hermès

J'adore, Christian Dior:

Mandarin, champaca flowers, ivy, African orchid, rose, violet, Damascus plum, amaranth wood, blackberry musk.

Lolita Lempicka, Lolita Lempicka: Anise, spicy wood, licorice, velvet.

Suede, Michael Kors:

Mandarin, orange blossom, water lily, violet leaves, tuberose, jasmine, gardenia, michelia, sandalwood, frangipani, musk and cashmere.

Amber Oud, Kilian:

Amber, oud (evergreen native to southeast Asia), bay leaf, cedarwood, vanilla.

Viva La Juicy, Juicy Couture:

Mandarin, wild berries, honeysuckle, jasmine, gardenia, amber, carmel woods, vanilla, sandalwood, praline.

Beyoncé Pulse, Coty Inc.:

Pear blossom, peony, jasmine, Madagascar vanilla, blue orchid.

Bottega Veneta, Coty Prestige: Jasmine sambac, Brazilian pink peppercorn, bergamot, Indian patchouli, oak moss.

Violet Blonde,Tom Ford:

Violet leaf, Italian mandarin, baie rose, Tuscan orris, Jasmine Sambac, cedarwood, vetiver, soft suede.

Flower, Kenzo:

Bulgarian rose, parma violet, white musk

Eau Sauvage - Dior

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HEALTHY UTAH APRIL 2013

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Sleep On It

Dream Scheme

Dreaming is closely tied to the phenomenon of gaining insight subconsciously. In a study involving a maze, participants who reported dreaming about some aspect of the maze during a nap showed ten times the improvement compared to others. Harvard psychologist Deirdre Barrett says that dreaming is really just thinking, but in a slightly different state than how we think with our eyes open. “We’re still focused on the same issues which we are awake— worries, hopes, fantasies,” she says. “In this different state, our brain thinks much more visually and intuitively, less verbally and logically.” Barrett says dream breakthroughs often come when the “solution benefits from being represented visually, because dreams are so vivid in their visual-spatial imagery.” They also come when “you’re stuck because the conventional wisdom is just plain wrong.”

How shuteye works to solve your problems Edgar Allen Poe called sleep “little slices of death.” Perhaps his tone would be less morbid if he knew what modern science now tells us: that sleep is very much alive. The body restores itself when we hit the hay, which makes sense, but sleep also does wonders for how we think and solve problems.

Remembering What Never Happened Stickgold’s research supports this idea. For one of his studies, he had a group of students shown lists of words, which they were to remember for a later test. One list had words like “nurse,” “sick,” “cotton” and about ten more words related to medicine, without the word “doctor.”

Working Hard While Hardly Working

One group was trained in the morning and tested in the evening, and the other group was trained in the evening and tested in the morning.

Harvard sleep scientist Robert Stickgold compares sleeping to the elves and the shoemaker fairytale. In the story, the shoemaker leaves cut pieces of leather on his workbench in the evening so he can make the shoes in the morning. But the next day he finds perfectly made shoes.

When the participants came back at their respective times, they were shown words and asked to remember if they’d seen the words. When shown the word “doctor,” about half of the participants raised their hand to say they had seen the word, even though they hadn’t.

“This is not a fairy tale,” Stickgold says. “This is what happens for us each and every night. Sleep is sewing together the pieces of our memory.”

This is because the word “doctor” was the gist of everything they had learned previously. The brain took a short cut, even though the students didn’t tell it to.

When we sleep, our brains take all of our experiences and extract the gist of them, Stickgold explains. During sleep is when our brain discovers the rules of our lives, and insight is fostered.

Two specific findings from this study show the power of sleep: 1. People tested after a night’s sleep actually remembered more than the people who were tested later in the same day.

HEALTHY UTAH APRIL 2013

2. People tested after a night’s sleep extracted a larger number of “gist” words, from other lists.

According to Barrett, the brain is active outside of consciousness even when we are awake, so problems are getting solved sub-consciously even when we aren’t sleeping. But it might take sleep to bring the solution to the surface.

But what does this mean exactly? Their brains consolidated the information during the night, and discovered the “rule” of the experience. Our brains want to see how things fit together, and so it does much of that work when we are asleep.

“Some ‘dreamed solutions’ may just be those answers finding a way into consciousness when our dreaming brain has more room for them,” she says, “because we're not processing a lot of sensory input, balancing, moving, etc.”

Solving Problems Without Thinking In another study, participants were given a set of problems with a recurring theme. Participants weren’t told this, but there was a trick to the problems that would allow each individual problem to be solved 80 percent faster. Again, there were groups who slept on it and groups who didn’t. The results showed that people who slept on it were 2.5 times more likely to figure out the trick to the problems than those who didn’t. “It’s an amazing phenomenon,” Stickgold says. “You can gain these insights, when you didn’t even know there was an insight to find, just by sleeping on it.”

For those anxious to harness the power of sleep, there are things people can do, according to Barrett:

›› Think of the problem before bed. ›› Visualize an image of the problem. Barrett says you can even assemble something on your bedside table that represents the problem. ›› Don’t jump out of bed when you wake up, because about half of the dream content is lost if you get distracted. ›› If you don’t recall a dream, try to discern a particular emotion. It helps the dream come to mind. Barrett says she did a weeklong study with students, following this protocol. Half were able to dream of the problem, and a fourth of the students solved their particular problem.

Healthy-Utah.com

Lifetree Clinical Research is conducting a Research Study on Depression. Compensation may be up to $1625. To see if you qualify call (801)892-5135 or visit LifetreeResearch.com

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HEALTHY UTAH APRIL 2013

Brainpower

Improved Life Through

DEEP BRAIN STIMULATION Nearly 20 years ago, Connie Angel was diagnosed with Parkinson’s disease, the second most common movement disorder in the U.S. For most of that time, she took medication to control the characteristic and debilitating symptoms of muscle rigidity, tremors, and impaired balance. However, as the disease progressed she began having trouble walking and even moving. The medicine she had been taking didn’t seem to be as effective as it had been in the past. Connie consulted with Lauren Schrock, MD, Assistant Professor of Neurology, and Paul House, MD, Assistant Professor of Neurosurgery, at the Movement Disorders Center at the University of Utah Clinical Neurosciences Center (CNC). Together, they agreed she should undergo deep brain stimulation (DBS) surgery, a procedure in which Dr. House implants a neurostimulator device under the skin near the patient’s collarbone and then threads the wires to the parts of the brain that control movement. Dr. Schrock then programs the device to send electrical impulses to these areas to block the abnormal nerve signals that cause the tremors.

HEALTHY UTAH APRIL 2013

The surgery was a success, and Connie still marvels at the changes it made in her life. She walks better, the involuntary movements have ceased, and she has significantly reduced her medication. “It’s amazing what a difference it’s made,” says Connie. “I can live a fairly normal life now. It’s not a cure, but it’s another tool in my arsenal to fight the disease.” Connie’s story and outcome, while it may sound futuristic, is a common one that patients experience more frequently at the University of Utah. As a patient at the Movement Disorders Center, individuals can benefit from extensive research programs and an integrated team of medical professionals who work with each patient and their family to determine the most appropriate treatment plan for specific movement disorders including Parkinson’s disease, Huntington’s disease, Tourette’s syndrome, dystonia, ataxia and tremors. With skilled fellowship trained neurologists and neurosurgeons, the CNC is home to the only clinical research program in the Intermountain West dedicated exclusively to movement disorders. “Millions of people throughout the U.S. live with the struggles and frustrations associated with movement disorders,” says

David Shprecher, DO, Assistant Professor of Neurology. “While cures are still being sought, advancements in the way we treat movement disorders are staggering and can provide patients with ways to live their lives in a manner they have not experienced for a number of years.” For Connie, she continues to see Dr. Schrock for regular follow-up visits. She is pleased with the attentiveness of the staff and says, “The people there are very professional. I feel safe in the environment that is created there, and I know my needs will be met as well as they can be. I’m very thankful for that.” For information about the Movement Disorders Center at the University of Utah, visit utahmovementdisorders.com, or call 801-585-7575.

About the Author

Lori Fairbanks

freelance writer living in the Salt Lake City area.

Healthy-Utah.com

Brainpower

Balancing Brainwaves How neurofeedback can help treat ADHD, anxiety and more David is a 10 year old boy, in the top 10 percent of his fifth grade class. He actively participates in class discussions and is able to complete a timed math test with a few minutes to spare. But David hasn’t always excelled in school. In fact, last year he was the most disruptive student in class. He had a difficult time sitting in his seat and often stared out the window, allowing his imagination to soar out into the clouds. David was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD ) in the third grade. His teacher often called his mom for help to manage his classroom behavior; he rarely completed his school work and his learning plummeted. The family needed help and didn’t want to put their young son on medication that could result in awful side effects. During the summer, before entering the fourth grade, the parents stumbled across neurofeedback training. Neurofeedback is a natural form of EEG Biofeedback (or brain wave training) that monitors brain wave activity, and with the help of a computer, produces sounds and images to help the brain heal itself. Sensors

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on the scalp monitor moment to moment information received from the brain and helps the child become aware of his/her own psychological functioning. This awareness is usually an unconscious one, allowing the child to relax and indulge in a computer game or watch a favorite DVD during training. Neurofeedback training is led by a Quantitative EEG Assessment (QEEG) or brain map. The QEEG records the brain’s electrical activity, measuring brain wave frequencies. The data is then compared to a national database of children the same age to determine which brain wave frequency is ‘out of balance’. Neurofeedback training is then used to help the brain balance itself through traditional classic conditioning. Just like Pavlov’s dog was trained to salivate to the sound of a bell in the early 1900s, the child’s brain is reinforced naturally by the reward sounds produced by a computer. The history of neurofeedback began in 1924 when Hans Berger (a German psychiatrist) discovered that the brain produces electrical signals that can be measured. He published 14 reports of

his EEG discoveries and it wasn’t until the 1960s when Joe Kamiya popularized neurofeedback to help patients achieve a state of calmness (also known as an Alpha State). Since the 1960s, practitioners have conducted hundreds of studies to prove the effectiveness of Neurofeedback to help treat ADHD, alcoholism/substance abuse, epilepsy, headache, increase focus, and to induce relaxation. Neurofeedback includes the behavioral, cognitive, and subjective aspects of the brain’s activity and meets the American Psychological Association’s definition of an evidence-based intervention.

Neurofeedback is: • Non-invasive • Non-toxic • Non-pharmacological • Few (if any) side effects • Long lasting

To learn more about Neurofeedback and to receive a Consultation at no cost, visit www. utahneurotherapy.com or call 385-212-4141. •

HEALTHY UTAH APRIL 2013

Brainpower

SMART Smart

Smart

The many kinds of smart You think you know what intelligence is, but it’s time to get reacquainted. For you, calculus is impossible, the location of Estonia is a mystery and Shakespeare is boring. You must be stupid, right? Living in a society that places tremendous value on the ability to crunch numbers, analyze text and remember facts, we are sometimes so caught up in cognitive abilities or inabilities that we paint a self-portrait that looks dumb.

HEALTHY UTAH APRIL 2013

But intelligence is more than what shows up on a report card.

More Than One Intelligence

Expanding what intelligence means all started with influential American psychologist and Harvard professor Howard Gardner. He was researching the development of cognitive abilities in normal and gifted children, as well as the breakdown of cognitive ability among people with disorders. As part of his research, he studied how children mastered skills in multiple areas, ranging from singing to drawing to story-telling. This research led him to propose that there are not one but nine types of intelligences, a theory that flipped the whole idea of “smart” on its head. “Try to forget that you have ever heard of the concept of intelligence as a single property of the human mind,” he writes in his book Frames of Mind, “or of that instrument called the intelligence test, which purports to measure intelligence once and for all.” He writes that full understanding of the realm of human cognition requires a far wider set of competencies than logic and linguistics.

The Value of Other Types of Smart

If our educational system places so much weight on certain types of intelligence, what do the other ones matter?

Consider the GED, a test young people take to get the equivalent of their high school diploma. Research shows that people who pass this test are just as intelligent, cognitively, as high school graduates. This is amazing because the average preparation time for the GED is 32 hours. Compare that to the thousands of hours high school students spend in class. But the University of Chicago’s James Heckman, a Nobel Prize Winning economist, found that there was a crucial difference between the two groups: ›› ››

Those with a GED were about as successful later in life as high school dropouts who didn’t get a GED. Those who graduated from high school were much more prosperous.

Why? Because of non-cognitive skills, Heckman says, which are known by many other names: personality, character and soft skills, to name a few, which can be broken down into things like grit, curiosity, self-regulation and optimism. “We now have very hard evidence that you have to have soft skills in order to succeed,” he says. Heckman argues that tests like the SAT and IQ tests shouldn’t be the main measure of a person, since skills in sociability, communication and self-control are just as important. Healthy-Utah.com

Gardner’s Nine intelligences

Famous People and their intelligences (gardnerschool.org)

Linguistic:

the capacity to use language well.

T.S. Eliot, Abraham Lincoln, Charles Dickens

Logical/ Mathematical:

understanding principles of why things work, and how to manipulate quantities.

Albert Einstein, John Dewey

Musical Rhythmic: hearing and understanding patterns, thinking in musical terms.

Mozart, Ella Fitzgerald, Jack White

Spatial:

understanding spatial parameters, within the mind.

Pablo Picasso, Frank Lloyd Wright

Naturalist:

Smart Isn’t What it Used to Be

Thinking about intelligence in terms of IQ, among educators and policymakers, can be traced back to studies published in the mid-1990s, writes author Paul Tough in his book How Children Succeed.

seeing patterns in nature and generally being in tune with how nature works.

Making Smarts Smarter

understanding your own self and emotions well.

understanding other people and human interaction.

Ronald Reagan, Mother Theresa, Oprah Winfrey

Existential:

understanding ultimate realities of life.

“Unless grossly impaired, all human beings possess the capacity to develop the several intelligences,” he writes. Tough says that this opens the door for students who feel limited by their test scores.

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Confucius

Interpersonal:

Raising one’s IQ is difficult, if not impossible. Not so for noncognitive or soft skills, Gardner writes. They can be learned, since they come through not only genetic potential, but through environment, instruction and personal motivation.

“The research I write about in How Children Succeed shows that when young people are able to develop character strengths like grit and perseverance and academic tenacity,” he says, “they can succeed far beyond what their test scores would predict. I hope as more young people hear that message, they'll take heart, work harder, and go farther.”

activist who helped preserve Yosemite)

Intrapersonal:

“The cognitive hypothesis has become so universally accepted that it is easy to forget that it is actually a relatively new invention,” he writes. Thanks to advocacy from people like Tough, Heckman and Gardner, however, new forms of education are popping up. The Gardner School of Arts and Sciences in Vancouver, Washington, for example, has a core value of teaching the “whole child,” using Gardner’s multiple intelligences.

Charles Darwin, John Muir (19th century

C.S. Lewis

Bodily/ Kinesthetic:

physical control, bodily movement and coordination.

Charlie Chaplin, Hussein Bolt HEALTHY UTAH APRIL 2013

B r a i n

America

B a t t l e :

vs.

the

W r i t t e n by M i c h a e l R i c h a r d s o n

Is We Smart or Ain’t We?

World Intelligence War

“How many stars are on the American flag?”

the reporter asks the American teen.

“52”

International comparisons of test scores show that Americans aren’t the brightest academically, though they are well above the world average. The International Association for the Evaluation of Educational Achievement (IEA) ranked American students as follows, out of 60 countries:

“What countries border the United States?”

“...Mexico, aaaand South America.”

Fourth grade reading: 6th Fourth grade math: 9th Eight grade math: 12th Fourth grade science: 7th Eight grade science: 13th

“Is New Mexico a state or a country?”

“Ummm….” “Name a country that starts with ‘U’.”

“Europe.” Pitiable displays of knowledge such as this make Americans look astonishingly ignorant. Media outlets grab onto interviews like these and international statistics which put America far below other countries in academics, and proclaim that America is getting dumber. But a closer look at the statistics, along with the voices of some intelligence experts, say panic time might be farther down the road than the newspapers suggest.

HEALTHY UTAH APRIL 2013

But these tests aren’t measures of intelligence. They just measure how well students are learning curriculum in their own countries, and provide direction to policymakers who decide which direction to take the education system. Still, does this mean American children are lagging behind in learning the things they need to know to be competitive in the world?

Getting Better

American students have consistently improved their mathematics, science, and reading achievement since TIMSS and PIRLS (renowned international math and literary tests) began assessing children in 1995 and 2001, respectively, according to Dr. Ina Mullis, Executive Director of the TIMSS & PIRLS International Study Center at Boston College. It’s just that other countries, such as Hong Kong and Korea, have continued to progress at a faster rate. “What is important, though, is that results need to be considered within the context of the country,” she says. Besides, a “rank” doesn’t always mean very much, according to a Brown Center Report on American Education, which comes from the Brookings Institute, a nonprofit private research group. When a country ranks slightly higher than another, unless the gap is significantly wide, it doesn’t mean anything, according to common statistical standards. Healthy-Utah.com

Brainpower

IQ Comparisons

But again, these tests aren’t a measure of intelligence. Academics is one thing, but is IQ changing, and if so, how? Influential social scientist James Flynn spent decades studying the IQ scores of different nations, and found that each generation has higher IQ scores than the preceding generation, which is now called the “Flynn effect.” He theorizes this effect comes because we have developed practices of thinking and discerning in terms of the skills tested on intelligence tests. Intelligence research is enormously controversial, especially when comparing the intelligence geographically. A prime example of controversial research is that of Richard Lynn, an English researcher who claims that the IQ of the world’s northern hemisphere is greater than that of the southern hemisphere.

World

His book published recently, Intelligence: A Unifying Construct for the Social Sciences, claims that surviving in the northern hemisphere required greater cognitive ability in humans because of the cold, pressuring these peoples to enhanced intelligence. Lynn and his coauthor Tatu Vanhanen write that this difference in IQ is related to economic differences among the countries of the world. Lynn says that IQ levels are falling currently across the world, because people with low IQ are immigrating to other parts of the world. His research has been criticized for using faulty data, drawing unfounded conclusions and even for being racist.

What People at the Top Say

But US policymakers don’t take these results lightly. US Secretary of Education Arne Duncan says that the marks among younger American students are encouraging, but that the gains are not sustained later is a serious problem. “Learning gains in fourth grade are not being sustained in eighth grade—where mathematics and science achievement failed to measurably improve,” he said in press release. “That is unacceptable if our schools are to live up to the American promise of giving all children a world-class education.” A “world-class” education is consistently defined by standards set among developed countries such as the East Asian countries of Singapore, Hong Kong, Korea, Chinese Taipei and Japan, along with the other nations such as Finland, Russia, Northern Ireland and Denmark.

Whether or not Lynn’s research is valid, it shows how convoluted the intelligence debate can get.

I Done Collidge

Looking at the American college status might provide only a narrow perspective on intelligence, but understanding the status of higher education in America provides a glimpse into… well, the height of American brainpower. After all, college is where people go to get specialized skills and specialized knowledge.

States that Educate:

States with the highest percentage of advanced level students in 4th and 8th grades. Top Five: Massachusetts Vermont New Jersey New Hampshire Minnesota Facebook.com/HealthyUT

28: Utah

Worst Five: Mississippi District of Columbia West Virginia New Mexico Louisiana

56%

complete their four-year degree

Are Americans going to college? Yes, but they don’t always complete the journey. The US has among the highest college dropout rates in the world, according to research from the Harvard Graduate School of Education. Just 56 percent of American college students complete their four-year degree within six years. One reason might be a lack of preparation. A recent report from College Board, the nonprofit that administers the SAT, found that only 43 percent of the 1.66 million students who took the test posted scores showing they are ready for college. Students seem to be getting worse and worse at reading skills, though that may have to do with growing diversity among test takers.

It’s There, Just Grab It

The irony is that there is an incredible amount of information available to today’s young people on the internet, and other places. In his book The Dumbest Generation, Mark Bauerlein argues that despite a plethora of new digital tools, American kids are no brighter than before. He says the digital age has stolen young people’s attention away from important knowledge and placed it on the superficial.

“The world delivers facts and events and art and ideas as never before, but the young American mind hasn’t opened,” he writes. It’s pretty harsh, but he may have a point. Maybe American youngsters are smart enough, but are just distracted from or uninterested in learning important knowledge.

Money Matters

Ignorance isn’t the only culprit of college dropout rates though. The Harvard research found that college costs have skyrocketed in the past twenty years. Student debt can go above $50,000, which is terrifying for graduates entering a shaky job market. Still, community colleges and online course allow students to get their foot in the academic door without too much financial pain.

So is America smart or dumb? That question is more complex than the most intricate calculus problem, so don't expect a yes or no. HEALTHY UTAH APRIL 2013

Brainpower

Stuck in a Stigma

Americans often aren’t right in the head about mental illness, and the consequences are many W r i t t e n by M i c h a e l R i c h a r d s o n

A condition of the lungs? Normal. A disease of the skin? Unfortunate but normal. A sickness in the mind? Crazy.

relationships and increased difficulty in building connections in the community, securing housing, and obtaining employment,” says Rebecca Glathar, Executive Director of Utah’s National Alliance on Mental Illness (NAMI) chapter. “Children who experience discrimination and stigma may be scarred for life.” Another result is that an alarming number of sick people don’t get the treatment they need, either out of shame or because they don’t know how or where to find it.

The irony is apparent but so goes much of the societal perception of mental illness. Often, we aren’t sure how to act towards people who have an invisible illness with symptoms we don’t understand. We may carry misperceptions about the realities of illnesses like bipolar disorder, schizophrenia and mood disorders, or even wrongfully ostracize the mentally ill, and the damage is far-reaching.

psychiatric care should be put in an institution

“Among the consequences of discrimination and stigma for adults who have mental illnesses are lowered selfesteem, disrupted family

Mental health care has made significant progress in recent decades. Bizarre treatments of decades past have been replaced with effective support programs,

HEALTHY UTAH APRIL 2013

Solving this problem depends largely on eradicating harmful myths that permeate society.

Change Your Mind: The Myths of Mental Illness Myth: People who need

therapy and medication, allowing the mentally ill to lead fulfilling and successful lives.

Myth: The mentally ill are violent

The vast majority of people with a mental illness are not violent. This myth may be a reason why most people say they would rather not have a mentally ill person marry into their family or be a close work associate.

Myth: Children don’t get mentally ill

On the contrary, children experience some of the same

54 million

Americans are affected by one or more mental disorders in a given year, according to Mental Health America

mental illnesses as adults, though it often is manifested differently, according to Clair Mellenthin, a psychotherapist at Wasatch Family Therapy in Utah. An estimated 20 percent of children experience some kind of serious to moderate mental problem, according to the American Psychological Association (APA). Some kids are biologically prone to certain mental conditions, like anxiety and negativity, but outside influences are often at the root of the problem, Mellenthin says. Divorce, adoption, trauma, abuse and a host of other common problems can cause mental illness in children.

Myth: The mentally ill can’t be cured; treatment doesn’t work The only truth behind this statement is that some mental illnesses never totally leave a person. But modern treatment and medication make normal life possible, according to Mellenthin. >> Continued 44 Healthy-Utah.com

Learn About A Clinical Research Study For Patients With Schizophrenia f you know someone who has been diagnosed with schizophrenia, you may be interested in learning about a clinical research study taking place now.

This study will evaluate whether or not the study medication, which is given once every 3 months, will delay symptoms of relapse once patients with schizophrenia have been stabilized. Key Study Eligibility Requirements: • 18 – 70 years of age • Diagnosed with schizophrenia for at least one year Additional criteria will be reviewed at the screening visit to determine eligibility for the study. Study volunteers will: • Be provided research-related medical care and medication at no cost • Be reimbursed for study-related expenses We are actively seeking volunteers for this study. To learn more about this research study, please contact:

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A TOUGH CHOICE

The Centers for Disease Control (CDC) estimates that 80 to 90 percent of mental disorders are treatable using medication and other therapies.

Myth: Mental illness has something to do with moral character A General Social Survey in 2006 found that about a third of Americans endorsed the view that schizophrenia and depression are a result of “bad character.” Mellenthin says some people think that the mentally ill just needed to read religious texts and will be fine.

Hope The good news is that attitudes have already started to change. National and global campaigns have launched in

Author Liza Long writes about the challenges brought on by her mentally ill child Michael, who exhibited dangerous behavior at an early age. Her son’s social worker told her that the only way she would get the help she desperately needed is if she pressed criminal charges against her 13-year-old son, who had threatened her.

Mental Illness and Prison:

“No one wants to send a 13-year old genius who loves Harry Potter and his snuggle animal collection to jail,” she writes. “But our society, with its stigma on mental illness and its broken healthcare system, does not provide us with other options.”

73% 55%

in state prisons have mental health problems - Bureau of Justice Statistics

the past decade to eradicate the stigma of mental illness, helping improve attitudes and increasing willingness to interact with the mentally ill. The programs may even reduce suicide rates. President Obama has recently called for increased dialogue on the subject of mental health, and has pushed for the Department of Health and Human Services to create regulation in the new health

care plan that broadens coverage for mental illness.

Mental Illness Today

State NAMI organizations offer support, advocacy and education to erase stigma. Organizations like these can provide needed shelter from the misperceptions of others. “We affirm that there is hope and there is help,” Glathar says. “Treatment is possible. Individuals and families do not have to face the challenges of mental illness alone.”

There are five major categories of mental illness: 1.

Unnecessary Shame

Less than 60 percent of Americans with a serious mental illness receive treatment.

-The Substance Abuse and Mental Health Services Administration (SAMHSA)

BETWEEN

Since violence, incurability and flawed morality are often stereotypically tied to mental illness, families and individuals are understandably hesitant to admit to any mental problems and seek medical help.

80% 90 %

people who commit suicide have some kind of diagnosable mental illness. Suicide is the 8th leading cause of death in America.

-Centers for Disease Control and Prevention)

“It is sometimes easy to forget that our brain, like all other organs, is vulnerable to disease.”

HEALTHY UTAH APRIL 2013

4. 5.

Anxiety disorders (affect an estimated 40 million Americans): The most common. Includes panic disorders, obsessive compulsive disorders and phobias Mood disorders: depression ( affects more than 14 million Americans), bipolar disorder (affects 5.7 million Americans) Schizophrenia (2.4 million Americans): hallucinations, delusions, withdrawal Dementias: Alzheimer’s (5.3 million), diseases affecting memory Eating disorders

-Source: National Institute of Mental Health, CDC There are a host of mental illnesses. Not included in the list above are personality disorders, which are characterized by rigid personality traits that are often unacceptable in normal society. NAMI Utah: Website: http://www.namiut.org/ 1600 West 2200 South Suite 202 West Valley City, UT 84119 801-323-9900 Toll-free 877-230-6264 NAMI Idaho: 4097 Bottle Bay Road Sagle, ID 83860 208-242-7430 E-mail: namiidaho@yahoo.com Website: www.nami.org/sites/ namiidaho

Mental Health America

females males

>> from 42 “You can learn how to cope with it, you can have a very happy, fulfilling, productive life,” she says.

Healthy-Utah.com

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Dr. Backonja, a board-certified neurologist in the Salt Lake City area, is participating in an international research study (clinical trial) with a new investigational medication given at this earlier stage, to see if it can slow the symptoms of the disease. Qualified participants will receive the study medication and careful medical monitoring throughout the trial. There is no cost to participants. If you have questions about a loved one’s memory and would like more information about this trial, please contact: Lifetree Clinical Research Cher Struck Director of Recruiting 801-269-8200 cstruck@crilifetree.com www.lifetreeresearch.com

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First Hand

Brainpower

One Family’s Struggle with Stigma When asked how life might have been different if there were no stigma attached to their illness, Wendy says it would have changed pretty much everything.

Support

First, stigma significantly undermines the acquiring of needed support, Wendy says. “Both of our children would have been more receptive to getting help sooner,” she says. “I could have gotten one of my children an IEP (Individualized Education Program) much sooner instead of fighting him/ her tooth-and-nail on the idea that ‘special education is for stupid people.’ This would have eliminated years of struggling with school.” Wendy says one of her children threatened that “you will drag me kicking and screaming to see a counselor.” “We finally did,” she says. “Not kicking and screaming, necessarily, but there were times the counselor had to come out to the car to conduct the session.” Wendy needed support too, and stigma delayed it.

HEALTHY UTAH APRIL 2013

“All of us would have gotten support from and been able to give support to others much sooner,” she says. “I can’t believe how many people in our [church] literally came out of the woodwork to share their own or their family’s experience with mental illness—but not until I got up in [church] one day and talked about everything that had been going on and how hard it had been.”

Friends

Wendy says her kids feel more comfortable telling their friends they went to juvenile detention than telling them they went to the hospital for a mental illness. “Apparently it is more socially acceptable to be thought a criminal than to be thought someone with a mental illness—especially when you are in junior high,” she says. The social consequences of stigma extend further. “One of my kids would not feel like such a failure as he/ she watches his/her friends graduate college, get jobs, get married and have children—all things that he/she has been so far unable to do because of illness,” she says.

Wendy Fayles, of Utah, has three children, two of whom have been diagnosed with one or more mental illnesses.

Wendy adds that her kids feel shame from their behaviors, such as self-harm, even though these tendencies go hand-inhand with mental illness. “[Without stigma], one of my children would probably have more than a handful of friends, although this issue might have as much to do with behaviors as it does stigma,” she says.

Siblings and Parents

But the challenges of stigma extend to the whole family. “My child without the illness would not have to worry so much about what a potential spouse is going to think about our family, or at what point during the dating process you reveal you have two siblings with bipolar disorder,” Wendy says. “My husband and I wouldn’t need to feel embarrassed about the many times we’ve had police/ ambulance/fire trucks at our house because of our children’s actions.” Wendy says she and her husband have moved beyond embarrassment though. “We’ve moved on to ‘Whatever,’” she says.

Understanding

Wendy says that stigma results in a lack of communication, which hurts family relationships. Without it, things would be different. “I would have been better able to understand and support some of my family members when I was younger,” she says. “It has only been in the past few months that I learned my “crazy aunt” had actually had paranoid schizophrenia. Growing up, I just thought she was weird. But I finally started putting two and two together and asked one of my cousins if her mom had a mental illness. That was when I discovered that yes, she had. I learned about her struggles to raise her family despite having a serious illness, and I learned about the many talents she had that no one was aware of because of the illness. I feel sad that I missed out on knowing her better when she was alive. I feel sad that I was judgmental. All because of stigma.”

Wendy Fayles currently serves as a family and consumer mentor for Utah’s National Alliance on Mental Illness.

Healthy-Utah.com

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injection which helps thoroughly cleanse the liver, a crucial factor in successful weight loss.

HCG—Patients continue to experience excellent success when HCG protocol is followed under our practitioners’ supervision. MD Diet offers both 23-day and 40-day HCG programs, and we’re confident that patients can experience fantastic results. For a limited time, MD Facebook.com/HealthyUT

Visit MD Diet Clinic at our two convenient locations:

3655 S. State Street Salt Lake City, UT 84115 Phone: (801)293-3100 E-mail: info@mddietclinic.com 337 E. University Parkway Orem, UT 84058 Phone: (801)226-1800 E-mail: info@mddietclinic.com

Special Offer Please enjoy one Free protein pudding on your next doctors visit! Offer expires April 15, 2013.

HEALTHY UTAH APRIL 2013

Brainpower

Handling

Oh, that we could all be so level-headed. We've all encountered the rogue miscreants of society, whether at the office, or a little league game, or driving down the highway, societal jerks abound. So, from the perfect zinger to the middlefinger salute, what's truly the best (i.e.— most productive) way to deal with a jerk? Very simple—Ignore him. W r i tten by john a . an d erson

ccording to new research, the brush off, or silent

While ignoring the obnoxious and tuning out a tantrum is easier said than

treatment, may make you more productive, if not

done, it's much more productive and healthy than engaging the schmuck.

smarter, according to the Journal of Social and

Interfacing with jerks is mentally consuming, so muzzling your quick

Personal Relationships.

comeback—no matter how tempting—frees up extra cognitive energy that can instead be applied to more productive activities, says lead researcher

Researchers at Baruch College at the City University of New

Kristin Sommer, Ph.D., an associate professor of psychology at Baruch.

York asked participants to either ignore or interact with a friendly, pleasant person, and then someone behaving

And, though you will most likely not be able to avoid the jerks in life

obnoxiously. Afterward, the volunteers were tested to assess

altogether, (think team member, neighbor, co-worker), you can still bolster

thought patterns and how well they could control their

your brain by using what the researchers call partial ostracism: Treat it

behavior. Not surprisingly, those who ignored the jerks

like a speeding ticket episode, with simple responses like “yes” and “no,”

scored better on the test than those who clashed with the

and you'll still boost productivity and won't deplete cognitive resources,

obnoxious.

Sommer says.

HEALTHY UTAH APRIL 2013

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HEALTHY UTAH APRIL 2013

Brainpower

When Brains Attack:

How the mind can make the body sick W r i tten by E M M A P E N RO D

Researchers have in recent years verified what many a proverb has preached for centuries: treat your body well, and your mind will thank you. But this healthy equation can be flipped on its head. Mental anguish can become so intense that it spills over into the realm of the physical in individuals with illnesses classified as somatoform disorders. These conditions, previously known as psychosomatic disorders, all revolve around symptoms created in the mind but experienced in the body—symptoms that can range in severity from a perceived deformity or phantom pain to actual illness or disability, such as blindness or paralysis. Somatoform disorders are generally divided into one of four

HEALTHY UTAH APRIL 2013

classifications, defined according to the symptoms the patients manifest.

Body Dysmorphic Disorder Body dysmorphic disorder is the most common of the four somatoform disorders—affecting about 1 percent of the population— though still quite rare when compared to more common issues such as depression. It is generally associated with anorexia, and can exist simultaneously with an eating disorder, but it is not limited exclusively to issues of weight. People with body dysmorphic disorder are convinced that some

part of their body is deformed, or otherwise unsightly, according to Mitch Harris, a psychologist with Salt Lake-based non-profit Valley Mental Health. A person with genuine body dysmorphia may become obsessed with a perceived deformity, such as unusually thin hair, that in some cases may not exist or is not nearly as severe as the patient’s distress suggests. In order for body dysmorphia to be officially diagnosed and treated as a psychiatric disorder, the problem must become so pronounced that it begins to interfere with everyday functioning. When someone becomes so distraught about the shape of her nose that she refuses to leave the house, it’s time to seek help, Harris says. Those with body dysmorphic disorder often seek help from dermatologists or plastic surgeons before they seek psychiatric care. Harris say he believes there is a real possibility that those with serious

body dysmorphia could get caught up in rituals of repeated, excessive medical procedures, just as patients with other types of somatoform disorders are currently known to do, as appearance-altering industries continue to grow.

Hypochondriasis Perhaps the most well-known somatoform disorder, though not the most common, is hypochondriasis, an obsessive fear of serious illness. Hypochondriacs oftentimes frequent doctor’s offices, reporting symptoms of diseases like cancer. When the doctor returns to report the good news—that the hypochondriac has a clean bill of health—the patient is often frustrated, to the surprise of his doctor, according to Harris. The hypochondriac may then check with a different doctor, and then another, possibly becoming convinced that the medical system is working against him, or that his doctors are simply Healthy-Utah.com

n tio ica rm Fo

“The patient doesn’t come in and ask for help to stop believing they are sick”

or conditions in various, unrelated locations on the body. He may be seeing other doctors or specialists for these symptoms, usually to little effect.

inept and incapable of positively identifying his condition. Conversely, some hypochondriacs become so terrified of their imagined illness that they begin to shun doctors, though this is uncommon. Hypochondriasis, like body dysmorphic disorder, is a problem of perception. Though the disorder itself does not yield outwardly notable symptoms, the patient may become hyper-vigilant, constantly checking himself for signs of disease. Common symptoms, such as headache, or normal body functions, such as the sound of the heart, may be interpreted by hypochondriacs as signs of serious illness.

Conversion Disorder Conversion disorder is unique among somatoform disorders in the speed with which it develops. Generally, it is the result of extreme mental conflict, Harris says. An individual who is required against her will to testify in a trial, as a witness of the crime, may suddenly become blind. In other cases, a limb will stop working, or the person may have an inexplicable seizure. Though it’s often associated with women, Harris said one of the most well-known examples of conversion disorder occurred among fighter pilots during the world wars. A number of pilots lost their vision just before flying highrisk missions, only to regain sight a few days later. Because the symptoms are often abrupt and dramatic, conversion disorder is usually more quickly identified and treated than other Facebook.com/HealthyUT

somatoform disorders. Someone who has just had a seizure will, under most circumstances, be rushed to the hospital. When tests there reveal no brain activity consistent with seizures, doctors will order a psychiatric evaluation instead of additional tests or medication. In some cases, the trigger for conversion disorder may have occurred years before the onset of physical symptoms. According to Harris, the condition is sometimes indicative of emotional turmoil that has been suppressed for too long. Where some individuals may have uncontrolled outbursts of anger under similar circumstances, in those with conversion disorder, the body elects to act as an outlet for the in-drawn stress.

Somatization Disorder Like conversion disorder, individuals with somatization disorder generally experience real, physical symptoms that defy medical explanations. Unlike conversion disorder, somatization disorder generally takes time to diagnose, and patients complain of multiple symptoms. Those with somatization disorder usually accrue a lengthy medical history, according to Harris, which may begin with the patient seeking—and generally receiving— treatment for a gastrointestinal condition that is difficult to diagnose, such as irritable bowel syndrome. After a period of ineffective treatment that could last for years, the patient may mention other symptoms to his doctor, like a believed neurological condition, sexual dysfunction, migraines or other random pains

After some time and research, one of the patient’s doctors connects the dots and adds another specialist to the patient’s medical regimen—a psychologist. Somatoform disorders are especially frustrating, according to Harris, because the symptoms are very real to the patient, and in some cases difficult to resolve. Many patients receive unnecessary medical treatment for years before the condition is discovered, Harris says, because the patients embark on long quests for treatment, and move on when a doctor begins to suspect there is no physical reason for the illness. “The patient doesn’t come in and ask for help to stop believing they are sick,” he says. Instead, Harris says, those with somatoform disorders often avoid people who deny that the problem is rooted in some physical cause, preferring more sympathetic individuals. For example, a patient might shun psychologists, but gravitate toward the nurses at a doctor’s office. Though rare, Harris says there is still a need for increased awareness of somatoform disorders, especially among medical professionals, and to reduce the stigma many patients face at the hands of friends and family, who may in some cases accuse those with somatoform disorders of faking to get attention. “One of the most important things to do is to not think of these disorders as not serious. Realize that it is real and difficult and painful,” he says. “These things can happen to people who think it’s not OK to have a mental illness, but it is OK to have a physical illness. Help them realize that it’s OK to seek help.”

Nope, you read that wrong. Formication has nothing to do with sexuality, and everything to do with imagined physical sensations. Formication—the medical term for a creeping or prickling sensation occurring without reason on or below the skin—is not considered a somatoform disorder by itself, but in some cases can lead to somatic-type delusions.

Formication can occur for a number of reasons. It commonly presents during menopause, and as a symptom of some medical conditions, such as diabetes. It’s also a known side-effect of some drugs and toxins, such as cocaine and mercury, as well as some prescription drugs. In some rare circumstances, formication can induce delusional parisitosis, where the patient becomes inconsolably convinced they are infested with parasites.When delusional parisitosis occurs independently of schizophrenia, drug use, or medical conditions that may induce formication, it is classified as a somatictype disorder.

HEALTHY UTAH APRIL 2013

>> Advisor Women's Health

The C-Section

Epidemic

When I was born in 1961, the Cesarean delivery rate in the U.S.A was just under 5% despite all the wonderful advances in modern medicine during that time. Ironically, the one area where patient care may have actually declined is obstetrics. The national Cesarean rate now hovers around 30%, with nearly 1/3 of all births performed via Cesarean. But why? THEre are certainly multiple factors for this, with our general impatience as a society being one of the leading factors. We want what we want, and we want it now! Back in 1961, only a very few women were induced. The classical definition of a woman’s due date was considered to be 40 weeks from the first day of her last menses, plus or minus 2 weeks. In fact, it was not uncommon for a woman to go 3-4 weeks beyond her due date before her obstetrician would even consider induction of labor. Of course, I am not advocating a return to 43 or 44 week pregnancies, but multiple studies have shown a very substantially increased risk of Cesarean delivery in first-time mothers who have their labors induced. In fact, in one study, if a first time mother was induced with an unripe cervix, nearly one half ended up with a Cesarean. In addition to causing an increase in a Cesarean, early elective delivery has recently been targeted for corrective action by several large national organizations. The LeapFrog Group, National Quality Forum, and the Institute for Healthcare Improvement, have all made it a national priority to reduce the early (prior to 39 weeks) elective delivery rate. This has reference to mainly mothers who have had prior vaginal deliveries.

administration.” This makes sense because active labor is defined as regular uterine contractions along with a cervical dilation of at least 4 cm. Therefore, by simply waiting until you are at least 4 cm before getting an epidural you can cut your own risk of a C-section in half.

In the July 2012 publication of OB/GYN News, when referring to elective inductions, “Primiparous women (first time mothers), had a thirteen-fold increased risk for Cesarean deliveries compared with multiparous women. Therefore, I personally do not start first time mothers until 41 weeks EGA to try to avoid that 13 times increased risk of Cesarean with induction. Along with the clause that “patience is a virtue,” the exact same study aforementioned was referenced, showing that women who receive an epidural prior to 4 cm dilation have double the risk for a Cesarean compared to later epidural placement. The actual quote is “The risk of a C-section doubled in women undergoing induction of labor who received an epidural before 4 cm dilation, compared with later epidural

In summary, your own mother was right when she said that “patience is a virtue.” By waiting for spontaneous labor rather than induction, by waiting for an epidural until cervical dilation of 4 cm and waiting for a “ripe” cervix if you do choose induction, you can greatly reduce your own chances of a C-section, as well as the increased risk that goes with an operative delivery.

HEALTHY UTAH APRIL 2013

Another finding, also demonstrating the importance of patience, found that a Bishop’s score of less than 5 also doubles the risk for C-section. Thus, waiting until you have a Bishop’s score of 9 or greater also enhances your chances of a normal delivery. And finally the liberal use of VBAC or vaginal birth after a Cesarean delivery will further help decrease the alarming C-section rate. Only about one-fifth of patients who are safe and eligible candidates for a TOLAC (Trial of labor after Cesarean), actually undergo a trial of labor after Cesarean. However, about 80% of my patients who undergo a TOLAC are successful in having a vaginal delivery. We should encourage rather than discourage the use of VBAC.

Call 801-692-1429 to visit with Dr. Saunders and to find out more “pearls of wisdom.”

About the Author Mark Saunders, MD

Obstetrics & Gynecology Personal Care 801-692-1429 drsaundersobgyn.com

Healthy-Utah.com

>> Advisor Hormone Therapy

Women: What’s Your Biggest Complaint? 1. What is the most common health complaint of women in the U.S. today? a. being overweight b. heart disease c. PMS d. Fatigue

2. Which hormone in a woman’s body causes her the biggest problems in #1 above? a. testosterone b. estrogen c. thyroid d. cortisol

3. What hormone is most responsible for putting weight on a woman’s tummy? a. thyroid b. insulin c. progesterone d. cortisol

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Hopefully you got all three questions right, because your total quality of life depends on it! The answer to #1: d. Fatigue. It is by far the most common complaint that women say affects their lives on a daily basis. Can you guess what the most common prescription is given for that fatigue? Antidepressants. In our opinion, that is just masking the problem, not helping it. There are answers! Question #2: c. Thyroid. But so many women say, “My doctor checked my thyroid and said that ‘everything looks good.’” Those are 3 very dangerous words. Our question: if everything looks so good, then why do you feel so lousy and tired all the time? The problem is that they don’t check the right things to see if the thyroid isn’t working right. Very frustrating, and something we hear from women everyday in our clinic.

Question #3: b. Insulin. Its nickname is “The Fat-Storing Hormone.” For any overweight person, if you can get your insulin under control, your tummy shrinks. This is not diabetes, it’s insulin resistance, and it is so easy to get insulin under control. We can show you how to deal with all three of the questions above. It’s our specialty. For more information, call 801-576-1155 or go to utahwellnessistitute.com for more information. Start living today.

About the Author Robert Jones, Dc

Utah Wellness Institute Hormone Therapy 801-576-1155 See online: uthealth.com/robertjones

Having a healthy balance of hormones is critical to a fulfilling life—and this is our specialty. Our wellness program also includes nutritional analysis and modifications, whole-food dietary supplementation, personalized exercise programs, a blockbuster medical weight loss program if needed, and education regarding your pH balance.

HEALTHY UTAH APRIL 2013

Is Brown Really Better? Written By Jennifer Matlack

Is it always healthier to choose brown foods over white? The answer may surprise you.

Sugar: No.

Rice: Yes.

Sugar is sugar. The major differences between turbinado sugar, otherwise known as "natural" or "raw" sugar, and white sugar are the size of crys-

Why are brown eggs more expensive?

Many people think that brown eggs must be better than white eggs because they're more expensive, but that's not the case. What makes brown eggs more expensive is as simple as size -- the chickens that lay brown eggs are larger than those that lay white eggs and thus their feed costs more. As a result, the brown eggs are priced higher.

tals and the presence of molasses, which gives darker sugar its color. Otherwise they have about the same amount of calories and carbohydrates.

"Unlike white rice, where nutrients are stripped away, brown rice still has the whole grain in one piece, so it's full of fiber, vitamins and minerals," says Rachel Brandeis, M.S., R.D., an Atlanta-based spokesperson for the American Dietetic Association.

Bread: Depends.

Eggs: No.

"Some manufacturers add caramel coloring in place of whole-grain

The only difference between a white and a brown egg is the color of the shell, and

flour to achieve a brown color," says Brandeis. The first word in the list of ingredients should be whole, signifying that the grain is still intact. But the next doesn't have to be wheat. Any whole grain — oat, corn or rye — is rich in fiber and antioxidants.

that's determined by the hen's breed. Still, not all eggs are created equal. Some farmers fortify chicken feed with nutrients such as omega-3 fatty acids or vitamins, which end up in the yolk, making a truly good egg.

Matches Made in Nutrition Heaven Combining foods the right way

Some foods are lonely.

Okay, maybe that’s a lie. But some foods definitely are much better with a partner. And it isn’t about taste, though finding the right combinations is what makes food enjoyable. Matching the right foods is important for nutritional health. Some nutrients don’t do their work very well unless supplemented by other vitamins and minerals. For example, nonheme iron, which is an essential mineral found in dark leafy green and other plants, isn’t easily absorbed in the body. Vitamin C, which can be found in citrus, other fruits, bell peppers and more, helps raise the acidity of intestines, which allows this specific type of iron to be absorbed more easily. So combining a spinach salad with bell peppers creates more than just

HEALTHY UTAH APRIL 2013

a beautiful dish. It is a nutritional winner.

Here are some other combinations to try: Whole Grains & Yogurt:

Most yogurts contain probiotics, meaning healthy bacteria that are excellent for the gut. Whole grains help feed these bacteria. Try yogurt with granola, or oats.

Oatmeal & Orange juice:

The Antioxidants Research Lab at the U.S. Department of Agriculture says combining these two things helps keep arteries clean and prevents heart attacks

with two times the efficacy when eaten together, compared with eating them alone. Components of the two help stabilize LDL cholesterol.

Whole wheat & peanut butter:

Whole wheat is excellent for one’s health, but it doesn’t contain all the amino acids needed to make a complete chain which is important for muscle. Peanut butter has some of the amino acids that wheat doesn’t.

W ritten by S tardo cs M e d ia

absorbed when eaten with fat. Eat some bacon with your breakfast fruit (which is no problem for most of us), and eat some vegetables with olive oil.

Tomatoes & Avocadoes:

Tomatoes are abundant with lycopene, which is an antioxidant known as a carotenoid. It may reduce the risk of cancer and cardiovascular disease. Fats supplement the production of carotenoids, meaning that an avocado’s healthy fat combined with tomato is a winning team.

Vitamins & Fat:

There are two types of vitamins: fat-soluble and water-soluble. Fat-soluble vitamins, which include A, D and E, are best activated and

Healthy-Utah.com

>> Advisor Surgical Weight Loss

Is it my gallbladder? frequently associated with nausea. The pain becomes worse after eating, especially greasy or fatty food.

How It Works

The gallbladder is a pear shaped organ very similar in size and shape to a regular un-inflated balloon. In your body it is deep to your lowest right ribs next to the liver. It acts as reservoir for bile made by the liver to help absorb fats into the intestinal wall. The bile is like soap. The bile travels from the liver ducts into a single channel called the common bile duct. It is very similar to branches of a tree connecting to the trunk. It then empties into the first part the small intestine. There is a partially closed valve that causes the bile to back up into the gallbladder. A signal is sent to the gallbladder causing it to squeeze when food enters the intestine, and “soap” mixes with the food. This signal is stronger with higher fat.

How and Why Problems Occur

If there is an imbalance of the chemicals in the bile, crystals form that then act like sand in an oyster and can continue to grow over time and eventually form “gallstones”. When the gallbladder receives a signal to squeeze after eating, the gallstones can get “stuck” in the narrow neck.

Symptoms are most commonly pain in the middle to right upper abdomen that can radiate around to the back and Facebook.com/HealthyUT

The symptoms can last from a few minutes to several hours or occasionally days. If the stone stays “stuck”, the gallbladder can get inflamed or become infected. When symptoms are suspicious for gallbladder disease the best first test is an ultrasound. This test sends sound waves through the gallbladder that bounce back to show an image of stones.

Another functional condition that can cause gallbladder symptoms is referred to as biliary dyskinesia. When the gallbladder or bile system is not working correctly the symptoms can be the same as the symptoms of gallstones. There is not much known about what causes this condition and there can be a large range of severity of the discomfort or amount of pain experienced. Removing the gallbladder in this case may relieve the symptoms.

How Do I Know If My Pain Is From My Gallbladder? Infrequently, symptoms can be vague or cross with other possible disease conditions.

Some other causes of similar location and type of pain are ulcers, heartburn, abnormal function of the intestinal tract, all of which can mimic gallbladder disease to some degree. The non functioning or malfunctioning gallbladder will result in a normal ultrasound study. Additional testing of function with a hippuronic indolic diacetic acid (HIDA) scan will show the function of the

gallbladder and can indicate disease. Normal function of the gallbladder is defined as more than a 38 percent “squeeze." A “squeeze” amount less than 38 percent is considered abnormally low function and is commonly referred to as “Biliary Dyskinesia,” which literally means abnormal movement of the bile system.

The Procedure

The gallbladder is most commonly removed by a Laparoscopic operation (small incisions with a lighted scope and thin long instruments). It can generally be performed with three or four small entry spots in 30-40 minutes in uncomplicated circumstances, and the patient can go home the same day.

Recovery

Most people can have the procedure as an outpatient and return to desk type jobs in 5-7 days. More strenuous or physically active jobs will take longer. As a general rule activity as tolerated seems to work the best with very little adverse consequences. There are general risks of surgery. Specific risks for removing the gallbladder include damage to the biliary duct system, injury to other organs, bleeding, or failure to improve symptoms.

The second part of the HIDA scan testing for gallbladder function happens when an artificial chemical hormone cholecysekinin (CCK) is injected at the end of the study. This chemical causes the gallbladder to squeeze. The action can be measured “squeeze." If CCK causes the same typical symptoms that a patient has been experiencing when they ingest fatty foods, even with normal “squeeze," there is still a high likelihood of improvement or resolution of symptoms by removing the gallbladder.

When to Consider Removing the Gallbladder CHOLECYSTECOMY

Only 20 percent of people who have gallstones will have symptoms. If there are no symptoms then a cholecystectomy is usually not indicated. Removal of the gallbladder for Biliary Dyskinesia is generally only for persistent or severe symptoms as this condition doesn’t lead to infected or dangerous conditions.

Side Effects

There are some people who can develop diarrhea after cholecystectomy, have some food be upsetting, more commonly fatty food, or have urges for bowel movement with larger meals. Most people resume normal activity and diet without any difficulty.

About the Author Darrin F. Hansen, MD, FACS Utah Lap-Band 801-LAP-BAND UtahLapBand.com

HEALTHY UTAH APRIL 2013

Photos: Philip Jourdan

Burnt Orange Crème Brûlée page 59 The best crème brûlée I ever tasted was at the now defunct but still memorable Léon de Lyon restaurant in France. I could never reproduce the exact texture and, unfortunately, was never allowed to learn their secret. After years of trying to create the perfect crème brûlée, I finally came up with a recipe that I like enough to share. As for Léon’s crème brûlée—well, it might just have been the sweet Muscat wine I drank with it that made it taste so good.

Tip If you do not have a kitchen torch, preheat broiler. Place jars on baking sheet; sprinkle with a little brown sugar and place under broiler until golden. Remove from oven, sprinkle with remaining brown sugar, top with orange slices and place under broiler for about 2 minutes, until sugar browns to a dark color.

Steps:

1. In a bowl, whisk egg yolks and sugar until pale and thick. Set aside. 2. In a saucepan over medium heat, bring cream, milk and orange zest to a simmer. Gradually add to egg yolk mixture, whisking until incorporated. Stir in orange liqueur. 3. Pour custard into prepared jars, First: dividing equally. Place jars in baking pan, spaced evenly apart and not • Preheat oven to 325°F (160°C) touching the sides of the pan, and • Four 8-ounce (250 mL) wide-mouth jars, buttered add enough hot water to come • Baking pan large enough to accommodate the jars halfway up the sides of the jars. Bake in preheated oven for 35 minutes or • Kitchen torch, optional (see Tip) until center of custards is still wobbly. Remove from oven and transfer jars to a wire rack to cool for 30 minutes. Ingredients: Cover jars with plastic wrap and 6 large egg yolks refrigerate overnight. 4. Place jars on a baking sheet. Sprinkle 1⁄2 cup granulated sugar - 125 mL a little brown sugar over each 11⁄2 cups heavy or whipping (35%) cream - 375 mL custard. Using kitchen torch, burn 2⁄3 cup whole milk - 150 mL sugar just until it melts. Place orange slices over melted sugar. Sprinkle 2 tbsp finely grated orange zest - 30 mL with remaining brown sugar, dividing 1 tbsp orange-flavored liqueur - 15 mL equally. Using torch, heat until sugar 3 tbsp packed brown sugar, divided - 45 mL has caramelized and orange rind is a little burnt. Serve immediately. 1 orange, sliced thinly Makes 4 servings

HEALTHY UTAH APRIL 2013

Healthy-Utah.com

They’re Finally Here:

Sientra ‘Gummy Bear’ Implants! ®

The latest breast implant technology – for a safer, more natural looking result!

Actual Client

It’s time to achieve the perfect you! Dr Kirk Moore is the first Plastic Surgeon in Utah to offer, to those that qualify, the new “Gummy Bear” Sientra implants with his exclusive Practically Pain-Free, Rapid Recovery Breast augmentation procedure. The new Sientra Gummy Bear technology, combined with Dr. Moore’s specialzed practically ®

pain free technique, offers his patients the most advanced breast augmentation procedure available in today’s market. Make the most of your spring with the confidence you’ll gain, thanks to Dr. Kirk Moore and Just The Right Curves.

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For more information visit UtahBreast.com/HealthyUtah or call 801.528.7851 HEALTHY UTAH APRIL 2013 57

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play/ april 2013

recreation 12-27

CE Ava Us ilab le

Tulip Festival

More than 250,000 tulips cover the 55 acres of Thanksgiving Point's Gardens, providing an awesome spring experience. On Fridays and Saturdays, musicians and vendors come to bring the festivities to the Tulip Festival. Come any time from 10 am to 8 pm.

801-768-2300

Featuring Regina Benjamin, MD, MBA Surgeon General, United States of America

www.thanksgivingpoint.org

Gary R. Herbert Governor, State of Utah

Joyce R. Gaufin President Elect, APHA Independent Consultant

Jon Fielding, MD, MPH, MBA Director, Los Angeles Co. Department of Public Health

Pamela S. Perlich, PhD Senior Research Economist, University of Utah

April 9–10, 2013

Preconference April 8

Quality Improvement in Public Health and Knowledge Cafe preconference sessions are open registration!

9-10Early Registration 2013 Utah PublicOgden Health Conference Deadline: Eccles Conference Center

12-27

Embrace the future and renew public health April 3 2415 Washington Blvd., Ogden as this years Utah Public Health Conference, Register held at the Ogden EcclesatConference Center. Featured presenters and speakers include United States Surgeon General Regina Benjamin, MD.

upha.org/conference 801-587-3595

Glass Blowing Class

Work with experienced glassblower Treavor Holdman to create your own dream piece. A morning and evening class are available, and take place at Thanksgiving Point’s Art Institute.

801-766-4111

upha.org/conference

15 Runners Clinic's "Run Fit" Class

The Runner's Clinic "Run Fit" class is an eight week class designed to prepare runners of every ability for the Spring/Summer running season. Mon, April 15, 2013 @ 6:30 PM - 8:00 PM University Orthopaedic Center

artinstitute.bluestep.net

Contact Laura LaMarche 801-587-2222

Hurricane Mud Run

This 5K is anything but tame, with 10 military style obstacles. Sponsored by the National Guard, the event takes place in Hurricane, Utah.

435-680-5343 hurricanemudrun.com

27 Thanksgiving Point Half Marathon

The Half Marathon begins 7 am at Electric Park and leads runners through Thanksgiving Point's Gardens, The Children's Discovery Gardens at the height of the annual Tulip Festival and the Thanksgiving Point golf course. The race finishes at Thanksgiving Point's Electric Park.

801.768.2300 thanksgivingpoint.org/halfmarathonpreview

health

For the latest in news and research go to healthy-utah.com

Amasa Trail Run

Come participate in this organized trail run at the Kane Creek trailhead in Moab Utah. Distances range from about 6 miles to almost more than 14 miles, providing different intensity options.

Timp Triathlon

A Splash distance triathlon: 5K run, 10 mile bike ride and a 350 meter swim.

www.t3triathlon.com/race/timp-triathlon-a-5k

HEALTHY UTAH APRIL 2013

6/15

American Fork Canyon Half & 5k

Join us for the American Fork Canyon Half & 5k. Not only do you get to participate in a great cause, but the course is breathtaking, running through one of the most beautiful canyons in all of Utah. Not to mention FREE French toast at the finish line provided by Kneaders! This race supports the fight against cancer, and 100 percent of proceeds benefit patients in our community who need cancer treatments but cannot afford the full cost of their care. Runners can "Race in Honor" of someone they know who has fought, or is fighting the battle against cancer. 801.855.3279 www.

afcanyonhalf.com

Healthy-Utah.com

arts & entertainment

Utah At A Glance:

8-22 Park City Spring Chamber Music Festival

The Park City Chamber Music Society brings in many professional musicians to provide intimate, high-calibre classical settings.

435-649-5309

www.pcmusicfestival.com

9-12 The Little Mermaid, Children’s Ballet Theatre

Choreographed especially for children of all ages, this ballet is something families can enjoy together. It will be presented at Kingsbury Hall in Salt Lake City.

801-581-7100

11-30

Enchanted April, a Musical

An adaption of Elizabeth von Arnim’s novel, The Enchanted April, this musical tells the story of four English women in the early 1900s who decide to live in an Italian castle for a month, and in it change and rediscover love and joy. Directed by Emmy nominee Elizabeth Hansen, the play will show at the Brinton Theater, part of the Covey Center for the Arts in Provo.

801-852-7007

kingsburyhall.utah.edu

www.coveycenter.org

Wheeler Brothers

This award winning band from the good music factory that is Austin, Texas will perform at the State Room in Salt Lake City. Their music sounds old and Texan, but with a modern twist and enthusiasm that everyone can enjoy.

800-501-2885

www.thestateroomslc.com

17 17 Bon Jovi: Because We Can Tour

Bon Jovi is touring to play music from their new CD “What About Now,” and will play at the Energy Solutions Arena.

Married for 51 years, Judy Cook has four children and twelve grandchildren and a Master’s Degree in child development. She is an award winning classical Japanese artist and community theater performer, and now works in a special education kindergarten. She will represent Utah at the American Mothers National Convention in New York.

2013 Healthiest Counties in Utah

801-355-SEAT

2013 Utah Mother of the Year: Judy Cook

www.energysolutionsarena.com

Morgan

Cache

Utah

Wasatch

Summit

Source: County Health Rankings The rankings look at 25 factors, including rates of smoking, obesity and premature death, as well as community factors like income, education and access to quality health care.

Park City Gallery Stroll

Come enjoy some of Utah’s finest arts from 6-9 pm during Park City’s Gallery Stroll. Enjoy special exhibits and new showcases with light refreshments while strolling around one of Utah’s most popular cities.

www.parkcitygalleryassociation.com

28 Morrissey

Lead singer of the Smiths, Morrissey is known as inspiration for countless musicians for decades. He will perform at the University of Utah’s Kingsbury Hall.

801-581-7100 kingsburyhall.utah.edu

HOME SCHEDULE APRIL

1 PORTLAND TRAILBLAIZERS 3 DENVER NUGGETS 5 NEW ORLEANS HORNETS 9 OKLAHOMA CITY THUNDER 12 MINNESOTA TIMBERWOLVES your area, For more events in ealth.com. visit uth ured, call 801.369.6139 To have your event feat lth.com. or email events @uthea

Facebook.com/HealthyUT

HEALTHY UTAH APRIL 2013

H ealt hy M AG A Z IN E aE s th e t i c s & L a s e r

jeffrey Ayers, MD Medical Director

Elase Medical Spa 801-495-2737 See online: uthealth.com/elase

A ll e r g y & A s thma

Douglas H. Jones, MD

Rocky Mountain Allergy, Asthma & Immunology 801-775-9800 See online: uthealth.com/jones

Ba r i at r i c M e d i c i n e

O. Layton Alldredge MD, FACS

South Valley Surgical 801-571-9511 See online: uthealth.com/alldredge

Ba r i at r i c M e d i c i n e

Darrin F. Hansen MD, FACS

Utah Lap Band 801-LAP-BAND (801-527-2263) See online: uthealth.com/hansen

Ca r d i o lo g y

Amanda Donohue, DO

Jordan Valley Medical Center 801-263-2370 See online: uthealth.com/donohue

C H IRO P R A C T IC

Shannon Parisi, DC Suzanne Cronin, DC

Salt Lake Chiropractic 801-907-1894 See online: chirosaltlake.com

d e n tal : C o s m e t i c

Walter Meden, DDS

Elite Smiles 801-572-6262 See online: uthealth.com/meden

H E A LT H D IREC TORY eye care

Orthopedics/sports med

Hoopes Vision Correction Center 801-568-0200 See online: uthealth.com/hoopes

Salt Lake Regional, Precision Joint Replacement Center 866-431-9355 See online: uthealth.com/slregional

eye care

A n e s th e s i o lo g y

Hoopes Vision Correction Center 801-568-0200 See online: uthealth.com/hoopes.jr

Women's Oblation Services 972-897-4475 See online: uthealth.com/sloantaylor

Phillip C. Hoopes ,MD

Phillip C. Hoopes, Jr., MD

Don Bigelow, DDS, PC

K. Don Dental 801-424-0600 See online: uthealth.com/bigelow

s pa

RedRiver Health and Wellness Center

801-446-2822 See online: uthealth.com/redd

Seasons Salon and Day Spa 801-223-9356 See online: uthealth.com/seasons

H o r m o n e T h e r ap y

Sk i n c a r e

Utah Wellness Institute 801-576-1155 See online: uthealth.com/robertjones

South Valley Dermatology 801-569-1456 See online: southvalleydermatology.com

inFertilit y

S P INE C A RE / SUR G ERY

Utah Fertility Center 801-492-9200 See online: uthealth.com/foulk

The Smart Clinic 801- 676-7632 See online: uthealth.com/smartclinic

Insurance

V e i n T r e atm e n t

Joshua James Redd, DC – Chiropractic Physician

Robert Jones, Dc

Russell A. Foulk, MD

Stephen L. Barlow Md, Vice president

SelectHealth 801-442-5038 See online: uthealth.com/selecthealth

Insurance

Dennis Harston MD, MBA – CMO

Altius Health Plans 800-377-4161 See online: uthealth.com/altius

Lane C. Childs, MD, FACS

Western Urological Clinic 801-993-1800 See online: uthealth.com/childs

m e n ’ s h e alth D e n tal : G e n e r al

William carroll, DDS

Roseman University of Health Sciences 801-302-2600 www.roseman.edu

Steven N. Gange MD, FACS

Western Urological Clinic 801-993-1800 See online: uthealth.com/gange

m e n ’ s h e alth Diabetes

Andrew Peiffer MD, PhD

Juvenile Diabetes Research Foundation 801-530-0660 See online: uthealth.com/jdrf

Men’s Health Center 801-580-8855 See online: uthealth.com/men

Laura Western

fitness

Lora Erickson

Blonde Runner Health LLC 801-608-5516 See online: uthealth.com/blonderunner

fitness

BROOKE KITTEL

Treehouse Athletic Club 801-553-0123 See online: uthealth.com/treehouse

SLOAN TAYLOR, M.D.

F u n c t i o n al M e d i c i n e

m e n ’ s h e alth D e n tal : G e n e r al

Aaron Hofmann, md

O r th o d o n t i c s

Brandon W. Fairbanks DMD

Fairbanks Orthodontics 801-766-4660 See online: uthealth.com/fairbanks

Orthopedics/sports med

Trevor Magee, md

Salt Lake Regional, The Center for Precision Joint Replacement 866-431-WELL (9355) See online: uthealth.com/slregional

i f yo u w o u l d l i ke to b e co n s i d e r e d f o r a b c 4' S healt hy u tah PROVIDER DIRECTORY , pl e a s e e - ma i l u s at D IREC TORY @ h e alth y - mag . co m o r c all 801.36 9 . 2 5 2 3 60 HEALTHY UTAH APRIL 2013

Autumn Spencer Cosmetologist, Owner

Dr. Douglass Forsha

Scott Adelman, MD

Harrison Lazarus MD, FACS

21st Century Vein Clinic 801-263-0778 See online: uthealth.com/lazarus

W e i ght lo s s

KELLI BEHLE, FOUNDER

MD Diet Utah Company phone 801-293-3100 See online: uthealth.com/mddiet

W e i ght lo s s

Steven e. warren, MD

Align Wellness 801-673-3274 See online: uthealth.com/warren

H ealt hy U tah E x p e r t Pa n e l C L INIC A L RESE A RC H 801-269-8200 Lynn R. Webster, MD, FACPM, FASAM | LifeTreeResearch.com C o s m e t i c S u r g e r y 801-528-6811 Kirk Moore, MD | Just The Right Curves C o s m e t i c S u r g e r y 801-418-8172 Trenton C. Jones, MD | Cascade Cosmetic Surgery Center D e n tal : c o s m e t i c 801.262.0744 Rodney s. Gleave, DMD | Cosmetic & Implant Dental Arts D e n tal : FA M I LY 801-829-1756 Joe Maio, DDS | Apex Family Dental PA IN M A N A G E M EN T 203- 895-4160 Tim Speicher, PhD ATC LAT CSCS | PRT-I.com P e r s o n al T r a i n e r s 801-427-8420 Nick & Preston Rainey | Body4Change, LLC P r e g n a n c y / Ba b y 877-UCB-STEM Eliott Spencer, PhD, Co-Owner | Utah Cord Bank W EI G H T LOSS 801-656-2717 Denise Hall-Carter, CEO, Owner | Salus Lifestyles W o m e n ’ s H e alth 801-692-1429 Mark Saunders , MD | Dr. Saunders OB/GYN V e i n T r e atm e n t 801-262-2647 Mountain Medical Vein Center and Medspa YO G A 435-225-6529 JT, Studio Manager | BE HOT Yoga & Pilates Studio YO G A 801-467-6909 Alexandra Bassett, Director | Yoga Central

Healthy-Utah.com

Kylie Conway Brent Hunsaker

Weeknights 4, 6 & 10 Facebook.com/HealthyUT

HEALTHY UTAH APRIL 2013

Healthy-Utah.com

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