Morning Journal - Stay Healthy 2011

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 2

Keep the flu away by washing your hands Every time you touch something and then touch your skin, eyes, nose or mouth, you are at a risk of catching an infection. In fact, this is the most common way of catching a cold or flu. The Centres for Diseases Control & Prevention, Atlanta (USA) recommends frequent washing of hands. Some critical times to wash hands: • Before handling a baby and after changing diapers. • Prior to eating or cooking food and after handling raw meat. • Before handling/meeting a patient or tending a sore and after touching a wound or visiting a health facility. • After using the toilet or touching anything dirty. • Before wearing contact lenses. • After sneezing, coughing or using a tissue. • After helping someone with a runny nose How to wash hands • Wet your hands and apply enough soap. • Rub palms together for at least 20 seconds. • Rub between your fingers as well as up to the wrist. • Rinse well with clean water.

• Dry with a clean towel immediately. Never leave hands wet for long, since it’s easier to attract dirt on wet surfaces. • Clean nails too as they are a vital but ignored part of hand hygiene. Antibacterial soaps are effective in killing bacteria, thereby preventing many a disease. The active ingredient in most is triclosan, an antibacterial agent. Use these with care as they could be a build up of bacterial resistance. Alcohol rubs can also be used when water is not available. A high percent of alcohol can kill germs effectively as the base of these are mostly isopropyl alcohol or ethanol.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 3

Reducing anxiety can help Alzheimer’s patients According to a recent New York Times article, there is mounting evidence that reducing both the anxiety level of those suffering from Alzheimer’s Disease and other types of dementia and relieving the stress their caregivers experience may be more effective than drugs in treating the disorders which now afflict tens of millions of Americans. “There’s actually better evidence and more significant results in caregiver interventions than there is in anything to treat this disease so far,” said Lisa P. Gwyther, education director for the Bryan Alzheimer’s Disease Research Center at Duke University. The Times reports that the National Institute on Aging and the Administration on Aging are now financing caregiving studies on “things that just kind of make the life of an Alzheimer’s patient and his or her caregiver less burdensome,” said Sidney M. Stahl, chief of the Individual Behavioral Processes branch of the Institute on Aging. “At least initially, these seem to be good nonpharmacological techniques.” Susan Frenger, Director of Salem-based Visiting Angels a non-medical agency that provides in-home care for Alzheimer’s sufferers in Mahoning, Columbiana, and Stark counties, said her practical experience validates the findings of the growing body of scientific research. “Moving is stressful, even for young people,” Ms. Frenger said. “But it is especially difficult for seniors

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who are suffering from memory loss. In many cases the home a senior loves and feels comfortable in is the one familiar touchstone that remains in their lives. That’s why we are committed to working with families to do everything possible to keep Alzheimer’s patients at home for as long as possible.” Ms. Frenger also noted that because no real clinical treatment for Alzheimer’s and other types of dementia exists, 11 million people with these disorders are cared for at home by family members. “That situation creates an incredible amount of stress for family members who must find a way to work, maintain their own home, and care for a loved one suffering from a disease that is extremely difficult to deal with,” she said. The Times reported that reducing caregiver stress is considered significant enough in dementia care that federal and state health agencies are adopting programs giving caregivers education and emotional support. “We’ve recognized for some time that providing respite for family caregivers plays a significant role in managing Alzheimer’s,” Ms. Frenger said. “I’m encouraged that the research now being done is catching up with our reallife experience.”


M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 4

How to Choose an Emergency Department ---Salem, Ohio---January 17, 2011---A trip to the emergency department (ED) is a troubling thought for most people. Planning ahead however, can save you time and money, while ensuring that you will get the best care possible. Before you are faced with an urgent need for medical care, pick your preferred facility. There are a number of factors to consider when evaluating one facility against another. For circumstances requiring transportation by ambulance, you may not be able to choose where the emergency medical personnel take you. Additionally, if an accident or illness occurs while you are away from home, you will be taken to the location that EMS personnel consider the best prepared to care for your injuries. However, most emergency department patients are transported by family or friends and can go to their preferred facility. With several choices available in each area, how can you select the emergency department that is right for you? Insurance Coverage First, determine which emergency facilities are accepted by your insurance plan, and under what conditions the costs are covered. Familiarize yourself with the specific benefits of your insurance plan so that you know what percentage of care will be covered and what co-payments will be required. Highly-qualified Staff Staff qualifications and accreditation of the facility are also important. The

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ED should be staffed by physicians who are board-certified in emergency medicine and nurses who are specially-trained to provide emergency care. The facility should also be in good standing with the state. Meeting Your Needs: Hospital Emergency Department or Immediate Care Does the facility provide the kind of care you need or are likely to need in the future? If you suffer from a chronic health condition that may require emergency intervention, selecting a hospital emergency department will provide you with around-the-clock access to advanced care for life-threatening situations. Along with this comes on-site access to sophisticated technology and diagnostics such as CT Scans, laboratory testing and cardiac monitoring. People managing chronic conditions or recovering from illnesses are often advised by their doctors to be alert for specific symptoms that require a trip to the hospital emergency department. For patients not suffering from chronic health conditions, there is a list of general symptoms that most doctors agree requires an immediate trip to the ED. Theses symptoms include difficulty breathing, chest pain and stroke symptoms. If minor ailments, such as colds, earaches, cuts, sore throats or muscle strains often affect your family, treatment at an immediate care facility will be the most efficient and cost effective. Like traditional emergency departments, urgent care facilities are open after hours when doctors’ offices are closed. Patients don’t need appointments and can simply walk-in. If you have a minor emergency during normal business hours, it is recommended that you call your physician’s office first and find out if you should come in for an office visit, or report to immediate care. Even though immediate care facilities are more affordable than traditional EDs for caring for minor emergencies, a doctor’s visit is still the most economical choice. For patient convenience, many hospitals offer on-site immediate care clinics for these services. Hospital-based immediate care clinics allow minor injuries to be treated in an area dedicated to this level of care, helping to reduce crowding conditions. Your Doctor’s Privileges Another important consideration is staff privileges. Make sure that your physician has privileges at the hospital you have selected for your emergency care. If you are admitted to the hospital for treatment at a facility where your regular doctor does not have privileges, they will not be involved in your inpatient care. If you were treated at the hospital’s immediate care facility, obtaining your electronic medical records for follow-up with your family doctor will be easier if he or she is affiliated with the emergency facility you have chosen.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 5

Fight cold and flu germs (NAPS)—According to the Centers for Disease Control and three parts warm water and use disinfectant wipes in between. Prevention, Americans get an average of four colds a year. With 65 percent of them caught at home, the kitchen is often the most For more cleaning tips and information, visit www.Clean common breeding ground for germs. aphoria.com and for more information on Merry Maids visit www.merrymaids.com. These tips can help your kitchen get a “clean bill of health”: 1. Make sure all the things that are commonly touched are disinfected on a daily basis, including faucets, cabinets, the microwave and refrigerator. Other culprits are light switches, telephones, keyboards and remote controls. 2. Because germs like moisture (the highest bacteria counts are found in sinks, mops and sponges), pop sponges in the microwave on high for one minute daily. 3. There is a difference between cleaning and disinfecting, say the pros at Merry Maids. Cleaning means removing dirt, whereas disinfecting means the removal of germs; therefore: • Disinfect countertops weekly with a mixture of one part bleach to

To fight germs, forgo the “kitchen towel” and use disposable antibacterial wipes on sur faces you touch most.


M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 6

Healthy Climate® Heat Recovery Ventilators According to the U.S. Envorinmental Protection Agency (EPA), North Americans spend up to 90% or more of their time indoors and the air inside the average home is up to five times more polluted than the air outside.** The solution is a Healthy Climate® heat recovery ventilator (HRV), which improves the quality of indoor air. Using a patented aluminum core (HRV), these systems exchange stale air from inside your home with fresher outdoor air. Fresh air for a cleaner, more comfortable home. A Healthy Climate® HRV system lets you enjoy the fresh-air feel of an open window, with virturally little or no heat or energy loss. Working as the lungs of your home, HRVs supply air into the home and exhaust stale air out. Ideal for cooler climates, and HRV transfers heat. The HRV system places the control of air quality and air exchange in your hands. A simple, economical way to freshen the air! To ensure the best air quality, every home should have proper outdoor ventilation. Many newer, high-efficiency homes which are tightly moisture and pollutants. A Healthy Climate® HRV is a simple and effisealed, have little or no ventilation, leading to an unhealthy buildup of cient way to freshen the air by proviing balanced ventilation.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 8

Good and good for you! Grapefruit and Peanut Salad Flatbread pound whole wheat pizza dough (or ready-made whole wheat lavash, naan, or flatbread) Flour for dusting Olive oil cooking spray 8 ounces fresh mozzarella cheese, sliced thin 1 tablespoon extra virgin olive oil 1 teaspoon aged balsamic vinegar 3 cups baby arugula 1/4 cup red onion, sliced thin 1/4 cup snipped fresh basil 1/8 teaspoon sea salt Freshly ground pepper to taste 2 grapefruit, peeled and segmented 1/4 cup roasted, salted peanuts, coarsely chopped Preheat oven to 450˚F and line 2 baking sheets with parchment paper. If using pizza dough, divide into 2 equal portions and roll each into a thin oval on a lightly floured board (about 9 x 13 inches). Place on prepared baking sheets and spray with cooking spray. Top with equal amounts of cheese and bake for 8 to 10 minutes or until crusts are golden brown.

Crunchy Peanut Chicken Strips with Spinach Salad

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In large bowl, whisk together olive oil and balsamic vinegar; add arugula, onion, and basil, tossing gently to coat. Season with salt and pepper. Divide arugula mixture among flatbread and top with grapefruit segments and peanuts; serve immediately.

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Would like to announce his practice relocation to 1285 E. Pidgeon Rd., Suite B, Salem, OH 44460 (next to State Farm) We are accepting new patients of all ages, and accept Aultcare Provide, Medicare, traditional Medicaid, Anthem Blue Cross, Aetna, Humana, Medical Mutual, PRM, Secure Horizons and United Healthcare insurances. Dr. Scott is an Orthopedic Certified Chiropractor providing active rehabilitation, massage therapy and chiropractic treatment for sports injuries, personal injuries, work injuries and general pain and discomfort.

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Preheat oven to 425˚F. Stir together tortilla chips, 2 tablespoons peanut flour, chopped peanuts, Mexican seasoning and garlic powder in a shallow dish. Dip chicken into remaining peanut flour, then in egg whites, then into tortilla chip mixture, pressing to evenly coat. Place on a baking sheet and sprinkle any remaining crumb mixture over chicken. Coat liberally with cooking spray and bake for 20 to 25 minutes or until chicken is golden brown, coating with nonstick cooking spray several times during cooking. While chicken is cooking, in large bowl, whisk together all dressing ingredients until smooth. Gently toss spinach, red pepper and onion in dressing. To serve, divide dressed salad among plates and top with 2 to 3 chicken strips.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 9

Use it or Lose it! The holida ysa re overa n d n ow itistim e foryou to ta k e ca re of...w ell,you .The New Y ea risa perfecttim e to getu p a n d getm ovin g,even ifyou re on e of the m illion sw ho ha ve a rthritis. “O n e ofthe w orstthin gsyou ca n do isbecom e seden ta ry,”sa ysCha rity Ricia rdi,W elln essCoordin a torforShepherd ofthe Va lley.“O n e ofthe im porta n t pa rtsofw ha tI do a tShepherd isto help ou rresiden tsm a in ta in theirflexibility,m obility,a n d in depen den ce.The A rthritisFou n da tion exercise progra m isa fu n ,low -im pa ctw a y to en cou ra ge you to k eep m ovin g a n d ou rA ctivity Directorsa n d I a re certified to tea ch it.” The A rthritisFou n da tion Exercise Progra m isa com m u n ity ba sed,recrea tion a lgrou p exercise a n d edu ca tion progra m design ed specifica lly forpeople w ith a rthritisa n d rela ted disea ses.The progra m ’sm u ltiple com pon en tshelp redu ce pa in a n d stiffn essa n d help m a in ta in orim prove m obility,m u scle stren gth,a n d fu n ction a la bility.The progra m isdesign ed fora n yon e w ith a rthritisorrela ted rheu m a ticdisea sesorm u scu losk eleta lcon dition s.Cla ss pa rticipa n tsra n ge from people w ho a re older,seden ta ry,a n d very lim ited by im pa ired join tm obility to those w ho a re rela tively a ctive w ith on ly m ild join t in volvem en t. Itisa n eviden ce-ba sed progra m ,w hich m ea n stha titha sbeen scien tifica lly eva lu a ted a n d ha sproven ben efits.Cla sspa rticipa tion ca n : •Redu ce levelsofpa in ,stiffn essa n d fa tigu e •Im prove stren gth •Im prove a bility to fu n ction in depen den tly in da y-to-da y life •In crea se sen se ofselfw orth a n d beliefin selfhelp stra tegiesfora rthritis •Im prove overa llhea lth sta tu sa n d socia la ctivity Gen era lgoa lsforthe progra m a re to: •Decrea se depression a n d im prove m ood •Im prove physica la bility •Im prove perform a n ce ofda ily a ctivities •In crea se pa rticipa n ts’selfw orth •Restore orm a in ta in join tra n ge ofm otion •Im prove ba la n ce a n d coordin a tion Shepherd ofthe Va lley offerscla ssesto the com m u n ity throu ghou tthe yea r.Cla ssesru n for8 w eek s,m eetin g 2-3 tim esa w eek .Ea ch cla ssisa bou ta n hou ra n d in clu desa hea lth edu ca tion piece,a w a rm u p,stretchin g a n d stren gthen in g exercises,ca rdiova scu la ren du ra n ce w ork -ou t,cooldow n ,a ba la n ce a n d coordin a tion a ctivity,fin ishin g w ith a rela xa tion a n d brea thin g exercise. A tShepherd,w e do n ota gree tha tw ithou tpa in there isn o ga in .Cla sspa rticipa n tsa re en cou ra ged to listen to theirbodiesbeca u se p a in isa w a rn in g. Ifthe pa in su dden ly getsw orse du rin g a n exercise,stop doin g it.Ifyou rjoin tsa re in fla m ed,on ly gen tly m ove itthrou gh the ra n ge ofm otion .Itism ore im porta n tto try to rea ch fu llra n ge ofm otion ra thertha n m ovin g fa st.Ifdiscom fortla stsm ore tha n tw o hou rsa ftercla ss,cu tdow n on repetition the n ext cla ss. Form ore in form a tion on w hen the n extcla ssessta rt,ca llCha rity Riccia rdi,Shepherd ofthe Va lley W elln essCoordin a tora t330-530-4038,ext.2054.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 1 0

Your breast health - take the quiz using minimal invasive techniques. It usually does not require any surgical procedure.

By John C. Green, D.O., FACOS Each year more than 200,000 women will be diagnosed with breast cancer. All women have some risk but some are at a higher risk than others. Take this simple quiz to evaluate your risk: Did you have your first period before age 12? Did you have your first child after age 30? Are you childless? Did/ does your mother have breast cancer? Do you have sisters who have breast cancer? Do you have any daughters with breast cancer? Have you had a breast biopsy? Was your biopsy premalignant (LCIS, or ADH)? Was your biopsy early cancer ( DCIS)?

Yes Yes Yes Yes Yes Yes Yes Yes Yes

____ ____ ____ ____ ____ ____ ____ ____ ____

score: 1 pt. 1 pt. 1 pt. 2 pts. 2 pts. 2 pts. 2 pts. 2 pts. 2 pts.

If you score 4 pts. or higher you may be at high risk now. This does not mean you will get breast cancer, but your risk should be evaluated by a health professional. You may only to continue breast self exams, routine mammograms, and regular scheduled breast exams with your doctor. Common asked breast health questions: How often should I have a mammogram? Yearly starting at the age 40 or earlier with higher risk. What is a breast biopsy? It is the removal of a small amount of breast tissue for microscopic evaluation and can be performed as an office or outpatient procedure

If I have breast cancer must I have a mastectomy? NO. Most breast cancers can be removed using smaller incisions, and tissue resulting in the same cure rate as a mastectomy. I had a mastectomy, is there any procedure(s) to help with the loss of my breast? YES. In many cases the breast mound can be reconstructed with onco-plastic techniques using your own tissue or implants to give a more pleasing look. My mother/sister/maternal aunt had breast cancer is there any testing to see if I will have the same? YES. You and your loved one with breast cancer can be BRAC tested for determining your risk. This involves a simple blood test. I have been diagnosed with fibrocystic disease, does this mean I will have breast cancer? No. Your risk is not any higher in most cases than the general public. “ADVANCED BREAST CARE”, has returned to the area with the addition of John C. Green, D.O., FACOS, to the staff of East Liverpool Professionals, LLC; a group of surgical specialists in ENT, OB-GYN, General, and Breast Surgery. Dr. Green brings a wealth of experience related to breast care and surgery from multiple years of experience sub-specializing in breast surgery. He is the only surgeon in the county-wide area employing onco-plastic surgical techniques for immediate, or delayed, reconstruction following breast lumpectomy or mastectomy for breast cancer surgery.

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M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 1 1

Substance abuse: Recognizing the signs "The boy was 18 years old. His mother didn't know he was using drugs, a mixture of marijuana, cocaine and something else. He didn't die right away. The boys he was with beat him up. His skull was cracked." The grandfather of 14 children shook his head, feeling the grief for the family who had lost the child. He worried, however, because one of his grandchildren was having similar problems. "He was a good looking boy. He was just trying to find his place in the world." How many of our youth are at risk for substance abuse? Some facts that have been reported in one study help to put things into perspective. Of youth surveyed, it was determined that the first use of alcohol is around age 13 and marijuana, 14. Of teens who binge drink, 39 percent drink alone, 58 percent drink when they're upset, 30 percent drink when they are bored and 37 percent drink to feel high. Most teens don't know a 12-ounce can of beer has the same amount of alcohol as a shot of whiskey. Children in grades 5-6 report they've been pressured by classmates to drink beer; 30 percent to try marijuana and 34 percent to try cigarettes. Eighteen percent of females and 39 percent of males say its OK for boys to force sex I the girl is stoned or drunk. "If you know what to look for, you can tell when someone is using something," someone noted. But do parents, grandparents and other influential adults in a child's life know the signs and symptoms? The Mayo Clinic advises that someone is addicted if they have to have their drug of choice one or more times a day. They may try to stop using on their own but they can't. They keep a supply oftheir drug and spend more money on drugs even if they can't afford it. And if they don't have money enough, they will steal to support their addiction. When they can't deal with their problems they rely on drugs to help them. They spend more oftheir time and energy on finding ways of getting and using drugs. The symptoms and signs for substance abuse vary with the substance being used. You can find so much more information about these at www.theantidrug.com.

Some signs to get you started on your learning experience-and if you have children you do need to become knowledgeable-are: • Has your child suddenly changed friends? • Has your child's performance at school begun to decline? Is (s)he missing school? Are grades dropping? • Is your child suddenly more secretive about possessions, activities and admitting a parent into their bedroom? • Does your child use "coded" language? Have you heard the number four-twenty (420)? Do you know what that means? (Time to do drugs.) Someone using or abusing substances may instant message the code, have a sticker on their car or backpack. You should call your teen up on it if this happens at your house. • Is your child wearing clothes that refer to drug use? • Is (s)he borrowing more money more often? • Is drug paraphernalia in your child's envirorunent? • Is there evidence of inhalant abuse, such as rags and paper bags? • Is your child using eye drops to hide red eyes or dilated pupils? • What about using mouthwash or breath mints to cover up the odor of alcohol? • Are your prescription drugs missing? Our children are our most important natural resources. Parents and grandparents want to protect their younger family members in an ever-changing world filled with pressure from peers and social mores that may conflict with their family's values. Knowledge is a key and parents are the most important anti-drug prevention tool there is. Family Recovery Center promotes the well being of individuals, families and communities. The agency offers education programs in county schools, treatment and prevention programs which you can learn more about by visiting our web site at www.familyrecovery.org.

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You can reach us at 964 N. Market St., Lisbon; phone, 330-424-1468 or e-mail, info@familyrecovery.org.

964 N .M a rketS treet•Lisb on ,O hio


M o r n i n g J o u r n a l • S t a y H e a l t h y 2 0 1 1 • M o n d a y, J a n u a r y 2 4 , 2 0 1 1 • P a g e 1 2


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