Healthy Life, 2018 by NCCOAST

2018

healthy life Brain Food

Foods to help boost the brainâ&#x20AC;&#x2122;s energy

PLUS Focus on Fitness | Playing it Safe in the Sun | Pet Health

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2018

healthy life Vol. 2 â&#x20AC;&#x201C; 2018 Published by:

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Entire contents, maps, advertisements and graphic design elements copyright 2018 NCCOAST. Reproduction is strictly prohibited without the publisherâ&#x20AC;&#x2122;s consent. Though every effort has been made to ensure the accuracy of all advertising and editorial copy contained herein, the publisher may not be held responsible for typographical errors. NCCOAST and employees, agents or representatives of the same may not be held responsible for any actions or consequences derived as a result of following advice or instructions contained herein. NCCOAST reserves the right to refuse any advertising or editorial content deemed inappropriate, misleading or in violation with the law. To request additional copies, or to advertise in our next edition, please call 252-247-7442.

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Chicken Soup - Good for More than the Soul

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Focus on Fitness Playing it Safe in the Sun Read More for Better Health Brain Food Fruits and Vegetables May Lower Risk of PAD Digest the Potential Benefits of Probiotics Exploring Robotic Joint Replacement The Beat of Your Heart - New Guidelines Suggest aFib Screening May Help Prevent Strokes Pet Health â&#x20AC;&#x201C; Growing Rates of Pet Obesity Business Index

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Chicken Soup

is Good for More than the Soul

Cold season never seems to take a year off. Experts estimate that colds are so widespread that very few humans escape infection. Some people come down with colds more than once per year. That should not come as too great a surprise, as there are now thought to be more than 200 different strains of cold. For the past 50 years, researchers studied two classes of viruses responsible for a total of roughly 100 different incarnations of the common cold. Two years ago, after development of molecular techniques to look at the viral genome, researchers found a third class of rhinoviruses, according to Dr. James Gern, an asthma specialist at the University of Wisconsin School of Medicine and Public Health. This discovery doubled the number of potential cold viruses. While thereâ&#x20AC;&#x2122;s no cure for the common cold, cold remedies have been around for centuries. Chicken soup remains one of the more popular cold remedies. Grandmothers have long espoused the virtues of chicken soup with regard to treating colds, but now research is backing up those claims. Researchers have long examined the potential health benefits of chicken soup in an attempt to understand why it seems to be such an effective tonic at treating colds. A 1998 report found that broth may help improve the function of the tiny hairs in noses called cilia. The cilia help prevent contagions from getting into the body. Hot fluids also can help increase the movement of nasal mucus, helping to relieve stuffiness and congestion. Chicken soup also can help reduce inflammation, which often results as the immune system works to fight the cold virus. A study in the journal Chest found that chicken soup appears to inhibit neutrophil chemotaxis, which is the movement of certain immune cells to mucus membrane surfaces. As a result, mucus production is inhibited and cold symptoms are reduced. Chicken soup is loaded with immune-boosting vegetables and other ingredients that provide phytonutrients. The American Cancer Society defines phytonutrients, or phytochemicals, as plant compounds like carotenoids, lycopene, resveratrol, and phytos-

terols that are thought to have health-protecting qualities. Chicken soup may also contain onions and garlic, which are believed to have natural antibacterial or antiseptic properties. An easily digestible comfort food, chicken soup also helps a person feel better because it effectively delivers vitamins and minerals. While some profess that homemade chicken soup is the key to fighting a cold, many commercially-made soups fit the bill as well. The salt, steam, vegetables, chicken protein, and soothing broth combine to form a worthy adversary to the common cold. Ingredients 2 pounds bone-in chicken thighs, skinned and trimmed 3 medium carrots, cut 1 celery root, cut 1 medium leek, chopped 2 garlic cloves, finely chopped Fresh thyme Fresh sage thyme sprigs 1 fresh rosemary sprig 1 bay leaf 1 1/2 teaspoons table salt 1 teaspoon black pepper 8 cups chicken broth 2 cups wide egg noodles 1 tablespoon fresh lemon juice Directions: Place chicken, carrots and leeks into 6-quart slow cooker with herbs and broth. Cover and cook on LOW 6 hours or until chicken and vegetables are tender and chicken separates from bone. Remove chicken and dice meat, discarding bones. Return meat to slow cooker. Stir in noodles and parsley and cook on high for 20 minutes or until noodles are tender. Stir in lemon juice. Serve immediately.

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FOCUS on fitness

Do you Need a Trainer? Why Yes, Yes you do… By Jayme Limbaugh

There are a multitude of benefits for using personal trainers no matter who you are, from weight loss to injury prevention and post physical therapy training. Personal trainers aren’t just for the elite or movie stars anymore. They are a necessity for many of us, and we don’t even know it! I mean who doesn’t want to move feel better with less pain? The investment into your health through personal training pays dividends for years, as it has the potential to save you valuable dollars in the future through injury prevention, weight maintenance and overall health. As a busy mother of two amazing and highly energetic little boys, a personal trainer is an absolute necessity to me. I often cut my personal time short to get them to all their extracurricular activities and have a healthy meal on the table at night. After both of my son’s deliveries, I had low back pain. To address this issue, I met with Pauline Juhle owner of Because We Run and Lucas Jordan of Lucas Jordan Fitness of New Bern. They helped me strengthen the muscles I had injured during pregnancy and delivery through exercises specific to my injuries and pain. I also used the training for motivation to lose the baby weight! Within one year, I felt better, looked better and was pain free. In fact, I was better than BEFORE pregnancy! So, yes, even personal trainers use personal trainers! Now that you know some of the benefits for using a personal trainer, here are some valuable questions you should ask every potential trainer: Ask for their certifications. There are so many certifications out there, but only a few are NCCA (National Commission for Certifying Agencies) accredited and are recognized as the standard for the field. Some of the top certifications out there include: ACSM, NSCA, ACE, and NASM. It takes serious work to complete these certifications, and it’s important to trust someone who has put in the time and effort. It is also important to verify their certifications are still current. This can be done easily by going to their certifying organizations website and search for a

professional. Ask about their degrees. There are many opportunities for personal trainers to obtain postsecondary education. College teaches separate classes for the variety of traits necessary to be a proficient and knowledgeable Personal Trainer. Like any other professional field, it takes many years of education and experience to excel in Personal Training. Check references. It is always good to follow up with current and former clients and ask how they are doing with the personal trainer. Beyond education and current credentialing, meshing with the trainer’s personality is crucial to a client’s success. There must be rapport or you may not enjoy your sessions as much as you could. Don’t judge a book by its cover. Don’t get me wrong, make sure your trainer walks the walk, but be sure to select the personal trainer whose expertise best matches your goals. Sometimes we choose trainers because they have the body we want or because they look tough or easy. Always remember, they work out with what works best for them, and that may not work for you. Also, don’t overlook someone because they don’t look how you think a personal trainer should look. I have seen this time and time again. Clients will come in and say, “I don’t want to train with her because I don’t think she will be tough enough!” Those same clients, after some convincing and complimentary sessions with the easy personal trainer, become clients for life and achieved amazing results. In conclusion, there are various important benefits to hiring a personal trainer. Whether you are considering personalized training to stay motivated, reduce medications, improve mood or feel better, make sure you ask each potential trainer for their credentialing and make sure he or she is a good fit for you. If you ever have any questions please let me know. Jayme Limbaugh is a mother, wife, avid knitter, coffee addict, aspiring wellness entrepreneur and owner of Anytime Fitness and Crystal Coast Wellness Center.

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Playing it safe in the Sun

Skin cancer is a significant threat that does not discriminate based on age, gender or ethnicity. According to the Skin Cancer Foundation (SCF), each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon. The incidence rates of skin cancer is alarming, but the good news is that skin cancer is highly curable if detected early and treated properly. Adults concerned about the threat posed by skin cancer can take a proactive approach by learning about the three main types of this often preventable disease. While there are certainly people who are more prone to skin cancer, anyone who spends time in the sun should be careful to avoid a too much exposure. Exposure to the sun can increase a person’s risk for various forms of skin cancer, including melanoma. The SCF notes that blistering sunburns suffered in early childhood especially increase a person’s risk of developing melanoma, though sunburns later in life also can increase that risk. In addition, people who live in places that get substantial sunlight, such as North Carolina, tend to develop more skin cancers than people who live in areas with less sunlight. Tanning booths and beds also increase exposure to ultraviolet rays, which increase one’s melanoma risk. The more moles a person has also plays a role. The more moles, the greater his or her risk for melanoma. Moles are classes as being normal or atypical. Normal moles are small, brown blemishes or beauty marks that appear in the first few decades of life. Atypical moles known as “dysplastic nevi” can be precursors to melanoma, and people with such moles are at greater risk of developing the disease. It can be difficult to distinguish between normal and atypical moles, though the SCF notes that atypical moles that itch, bleed, crust, ooze, swell, or are elevated from the skin might be in particular danger of becoming melanomas. Atypical moles that are bluish-black in color or become persisting open sores are also at greater risk of becoming melanomas. Of course people with fair skin need also take extra precaution as they are more susceptible to sunburn. Likewise, people whose immune systems have been compromised are at greater risk of developing melanoma than those whose immune systems are working at full strength. Roughly 10 percent of people diagnosed with melanoma have a family member who also has been diagnosed. People whose

mother, father, siblings or children have developed melanoma are considered to be in families that are prone to melanoma. In fact, each person with a first-degree relative who has been diagnosed with melanoma has a 50 percent greater chance of developing the disease than someone with no such family connection.

Types of Skin Cancer

Melanoma, carcinoma, the language alone is a little overwhelming. Here’s a breakdown of the most common types of skin cancer. Basal cell carcinoma – The American Cancer Society notes that roughly eight out of 10 skin cancers are basal cell carcinomas. Basal cells are in the lower part of the epidermis, or skin, which is known as the basal cell layer. Basal cell carcinomas typically develop on the head and neck or other areas of the body that are exposed to the sun. Though they rarely metastasize, basal cell carcinomas can spread to other areas of the body if left untreated. The SCF notes that basal cell carcinomas may look like open sores, red patches, pink growths, shiny bumps or scars. Basal cell carcinomas can be a byproduct of cumulative exposure to the sun or even intense, occasional sun exposure. Squamous cell carcinoma – Squamous cell carcinomas most commonly appear on areas of the body that are exposed to the sun, though the SCF notes they also may occur on the

mucous membranes and genitals. According to the SCF, in the United States alone, more than one million people each year are diagnosed with squamous cell carcinoma, which is mainly caused by cumulative sun exposure over the course of a lifetime. Year-round exposure to ultraviolet light and UV rays from the sun, as well as UV exposure from tanning beds, can take a toll on the skin’s squamous cells over time, ultimately leading to squamous cell carcinoma. Squamous cell carcinomas may look like scaly red patches, open sores, warts, or elevated growths with a central depression. In addition, squamous cell carcinomas may crust or bleed. Melanoma – Though they are far less common than basal and squamous cell cancers, melanomas are more likely to grow and metastasize if left untreated. Melanomas develop when unrepaired DNA damage to skin triggers mutations that cause the skin cells to multiply rapidly and form malignant tumors. Ultraviolet radiation from sunshine or tanning beds is most often the cause facts & of the damage configures nected to melanomas. Melanomas typically ● Each year in the U.S. over 5.4 million resemble moles, and cases of nonmelanoma skin cancer are some may even develtreated in more than 3.3 million people. op from moles. Melanomas are often black ● Over the past three decades, more peoor brown, but the SCF ple have had skin cancer than all other cannotes that they also cers combined. may be pink, red, pur● One in five Americans will develop skin ple, blue, white or even cancer in the course of a lifetime. skin-colored. Early detection of melanoma ● One person dies of melanoma every hour before it spreads to (every 54 minutes). other parts of the body ● An estimated 87,110 new cases of inis essential, as the SCF vasive melanoma will be diagnosed in the notes that melanoma U.S. in 2017. is hard to treat and ● An estimated 9,730 people will die of potentially fatal once it melanoma in 2017. has begun to spread. ● On average, a person’s risk for melanoma doubles if he or she has had more than five sunburns. ● Between 40 and 50 percent of Americans who live to age 65 will have either basal cell carcinoma or squamous cell carcinoma at least once. ● Regular daily use of an SPF 15 or higher sunscreen reduces the risk of developing squamous cell carcinoma by about 40 percent and the risk of developing melanoma by 50 percent ● The annual cost of treating skin cancers in the U.S. is estimated at $8.1 billion: about $4.8 billion for nonmelanoma skin cancers and $3.3 billion for melanoma.

What to Look For Skin cancer is one of the most pervasive types of cancer, and just about everyone is at risk of getting it. The American Cancer Society says that, over the past 30 years, more people have had skin cancer than all other cancers combined. Melanoma, while not the most common form of skin cancer, is the deadliest form of the disease. According

to the Skin Cancer Foundation, if melanoma is recognized and treated early, it is almost always curable. One way to detect melanoma early is to be aware of moles and new growths on the skin. Brown spots, growths and moles on the body are often harmless, but they may be indicative of skin cancer. Experts say that anyone who has more than 100 moles is at greater risk for melanoma than others. Knowing one’s skin and being aware of any changes is key to detecting skin cancer much more promptly. The Ugly Duckling sign was introduced in 1998 and relates to the observation that nevi, or moles, on the body tend to look like one another – much like all the ducklings in a flock will resemble one another. However, a mole that is unlike the other, or an “ugly duckling,” may indicate the presence of skin cancer. Nevi may present in different patterns, which are deemed normal to a particular person. An outlier, or a mole that doesn’t fit the pattern, could raise a red flag. The outlier may be darker than surrounding moles or it may be smaller or more jagged around the edges. The Ugly Duckling sign is often used with another diagnostic tool called ABCDE, an acronym for the detection steps: Asymmetry, Border, Color, Diameter, and Evolving. Asymmetry: If an imaginary line is drawn through the middle of the mole and the two halves of the mole do not match up, this could be a warning sign. Normal spots tend to be symmetrical. Border: The borders of early melanoma tend to be jagged or notched, while regular moles have even borders. Color: A mole with multiple colors might be melanoma. Diameter: Melanomas tend to be larger than the diameter of a pencil eraser. Large spots should be investigated. Evolving: If a mole starts to change all of a sudden by growing or changing color, or even if it

Protect Yourself

Since its inception in 1979, The Skin Cancer Foundation has always recommended using a sunscreen with an SPF 15 or higher as one important part of a complete sun protection regimen. Sunscreen alone is not enough, however. Other suggestions include: ● Seek the shade, especially between peak sun – 10am-4pm ● Do not burn. ● Avoid tanning and UV tanning beds. ● Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses. ● Use a broad spectrum sunscreen with an SPF of 15 or higher every day. For extended outdoor activity, use a water-resistant, broad spectrum sunscreen with an SPF of 30 or higher. ● Apply 1 ounce of sunscreen to your entire body 30 minutes before going outside. Reapply every two hours or immediately after swimming or excessive sweating. ● Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months. ● Examine your skin head-to-toe every month. ● See your physician every year for a professional skin exam. More information about skin cancer and how to prevent it is available at www.skincancer.org.

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for Better Health

The availability of digital content has made it easy to forget how pleasurable it can be to pick up a good book and get lost in a story. In fact, a Huffington Post/YouGov poll of 1,000 adults in the United States found that 28 percent hadn’t read a single book in the previous 12 months. Researchers at the Yale School of Public Health analyzed 12 years of data from the University of Michigan’s Health and Retirement Study concerning reading habits. Among the 3,600 participants over the age of 50, those who read books for as little as 30 minutes per day over several years were living an average of two years longer than those who didn’t read. Studies have shown that reading improves fluency and story retention while providing a host of additional benefits to young children. However, the perks do not end with the passing of adolescence. Data published in the journal Neurology found reading regularly improves memory function by working out the brain. This can help slow a decline in memory and other brain functions. Frequent brain exercise can lower mental decline by 32 percent, according to research published in The Huffington Post. Studies even suggest that reading can help a person be more empathetic to others’ feelings. Research published in the journal Science showed that reading literary works (not popular fiction) cultivates a skill known as “theory of mind,” which is the “ability

to ‘read’ the thoughts and feelings of others.” Reading also can be calming, helping to reduce stress as a result. By losing oneself in a book, worries and stress can melt away, says research conducted at the University of Sussex. Measuring heart rate and muscle tension, researchers discovered that study participants needed just six minutes to relax once they began reading. There are many other reasons why reading is good for the mind and body. The following tips can help men and women find more time to read. Find small minutes to read. Busy people may think they don’t have the time to devote to reading, but if they read in small intervals, the amount of time will add up. Read during commutes (if you’re not driving), while in physicians’ waiting rooms or during a lunch hour. It’s okay to quit. If you’re a few chapters into a book and it’s not striking your fancy, it’s okay to trade up for a more interesting tale. Don’t feel obligated to finish a book if you are not engaged. Read paper books. Reading printed books can be a welcome, relaxing change from looking at screens all day. This may inspire you to read more and for longer periods of time. Join a book club. A book club allows you to engage with fellow readers and can be all the motivatation you need to read more often.

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BrainSuperfoods Foodto Boost Brain Power You may be taking care of your body, but are you taking care of your brain as well? The brain is vital for everyday functions, yet few pay close attention to it. Fifty-three percent of adults believe brain fitness can be improved a lot. But only 10 percent consider it a top priority compared to other health issues. A great place to start is with our diet. Small dietary changes can help boost our cognitive ability with minimal efforts. These super foods identified by researchers can help memory, concentration and focus and most are healthy for the rest of our body as well. By incorporating a few of these natural resources a day, we can ensure that our brains are getting exactly what they’re craving.

Water is about as simple and clean and a food or beverage can be – and it seems nature gave it to us for a reason. Staying hydrated helps memory, reasoning, attention span and concentration while flushing those unwanted toxins away.

Eggs, which sometimes get a bad rap, are full of choline, which helps fetal brain development in pregnant women and bethane, which produces hormones that elevate our happiness levels.

Used regularly to add a little flavor, sage has also been found to give our brain’s shortterm memory and recall ability a boost while also promoting the connectivity between different areas of the brain. Of note, sage also has anti-inflammatory properties.

Spinach, rich in antioxidants that help clear out the brain’s toxins has long been recognized as a great source of brain health. The Tufts study, however, found that students who consistently ate more spinach performed better on tests that measured memory and learning ability.

Avocado is one of the healthiest fruits available. It is full of monosaturated fats which help keep blood sugar levels level along with vitamins B and C, folate and vitaman K, which helps prevent blood clots and improves brain function.

Blueberries, which are rich in antioxidants and polyphenolics, improve short-term memory and concentration according to a study completed at Tufts University. The berries can help clear away toxins that tend to accumulate in the brain. Researcher, Dr. Shibu Poulose refers to these colorful summer treats as the brain’s natural housekeepers.

Tomatoes are full of lycopene, an antioxidant that helps protect against the free radical cell damage common in the development of dementia and Alzheimer’s.

Caffeine it seems isn’t all bad after all. We know it can boost concentration and focus, but a study at Harvard University found that it also reduces a person’s chance of developing depression in people who drink 2-3 cups of coffee a day.

Bone Broth is noted for being great for the digestion, which in turn benefits the brain. A secondary benefit? It also helps boost the immune system and helps improve joint health.

Dark chocolate, like we really needed another excuse! Not only does it contain caffeine, which improves mental acuity and focus, but it is also packed full of flavonoids, which are effective at increasing blood flow. The more blood flow, the more oxygen our brain is getting, so across the board, blood flow equals increased brain function.

Oily fish, like salmon, mackerel or trout help improve memory and keep us sharp. A New Zealand study found that the DHA-rich food improved both shortterm and long-term memory.

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Fruits and Vegetables may Lower Risk of PAD Pain in the lower extremities may be indicative of a condition called peripheral artery disease, or PAD. According to the National Heart, Lung, and Blood Institute, PAD occurs when plaque builds up in the arteries that carry blood to the limbs, head and organs, contributing to atherosclerosis, or a hardening of the arteries. Blocked blood flow and eventual limited oxygen supply to these areas can cause pain and numbness. When severe enough, PAD may lead to tissue death. Discomfort due to PAD usually occurs when a person is walking or exercising, because the muscles are not getting enough blood during these activities to meet their needs, says the American Heart Association. Those with diabetes may confuse pain with neuropathy, and the elderly may think pain from PAD is a normal sign of aging and stiffness. When undiagnosed, PAD can lead to further complications, including increased risk for heart attack, stroke, and coronary artery disease. Even amputation of a limb may be necessary. However, PAD is preventable when taking a few steps to improve diet. According to new research published by the American Heart Association, eating more fruits and vegetables may reduce the risk of developing PAD, which affects an estimated 8.5 million people in the United States alone. Researchers examined dietary data from roughly 3.7 million men and women, with an average age of 64. Approximately 6.3 percent of the subjects had PAD, and 29.2 percent indicated they ate three or more servings of fruits and vegetables each day. The discovery was those who reported eating three or more daily servings of fruits and vegetables had an 18 percent lower risk of PAD than those who reported eating less of these foods. The association between fruit and vegetable consumption and lower PAD risk remained even after accounting for age, gender, race, smoking status, and various cardiovascular risk factors. “Our current study provides important information to the public

that something as simple as adding more fruits and vegetables to your diet could have a major impact on the prevalence of life-altering peripheral artery disease,” said Dr. Jeffrey Berger, study coauthor and associate professor of medicine and surgery at New York University School of Medicine in New York City. Researchers also said their study confirmed that Americans’ overall fruit and vegetable intake remains dismally low. The association of fruit and vegetable intake and lower PAD risk persisted after accounting for age, gender, race, smoking status and multiple other cardiovascular risk factors. Researchers noted older white women were most likely to eat three or more servings of fruits and vegetables daily, while younger black men were the least likely to report daily intake of three or more servings of fruits and vegetables. Low fruit and vegetable intake was particularly associated with PAD among current and former smokers. “Our study gives further evidence for the importance of incorporating more fruits and vegetables in the diet,” said Dr. Sean Heffron, study coauthor and instructor in medicine at New York University School of Medicine. “One-on-one dietary assessments and counseling for PAD patients, as well as greater public health awareness of the importance of fruit and vegetable consumption, are both needed.” Saturated fats, trans-fats and sodium can contribute to the formation of plaques that lead to PAD. Replacing these foods with more vegetables and fruits that are naturally lower in saturated fats can help, as can increasing dietary fiber consumption. One way to incorporate these types of foods is to adhere to a Mediterranean diet, which offers high proportions of legumes, fruits, vegetables; moderate amounts of fish and dairy; and limited meat and meat products. Peripheral artery disease can be a warning sign of cardiovascular trouble. Altering one’s diet may help naturally prevent or treat this condition.

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Fall & Winter 2017

A CAROLINshore

18 2017-20

EXPLORING COASTAL CAROLINA

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Digest the Potential Benefits of Probiotics We hear it just about everywhere today, from television commercials to medical professionals. But is “probiotic” a marketing buzzword designed to boost sales, or is there really something to the trend of adding probiotics supplements to daily diet? It might be hard to envision bacteria and yeast – which are often painted in a negative light and associated with various illnesses – being beneficial to health. However, it’s important to note that the body is full of bacteria, and some of it can be helpful, particularly to the digestive system. While probiotics, or those helpful bacteria and yeasts, occur naturally in the body, they also can be found in a growing number of foods and supplements. Yogurt, with its “live and active cultures,” is one source of probiotics. Others include kefir, kombucha, buttermilk, granola bars, cottage cheese, sour cream and soy milk. A panel of experts convened by the International Scientific Association for Probiotics and Prebiotics found that a growing body of evidence supports the notion that probiotics can promote a healthy balance of intestinal bacteria, which has been linked to a wide range of health benefits. Since the mid-1990s, when probiotics first appeared on many people’s radars, clinical studies have suggested that probiotic therapy can help treat several gastrointestinal issues, delay the development of allergies in children and treat and prevent vaginal and urinary infections in women. The Harvard Medical School notes that two large reviews suggest that probiotics reduce antibiotic-associated diarrhea by 60 percent when compared with a placebo. Antibiotics can kill harmful and beneficial bacteria in the gut. Probiotics help restore the balance. This may prove helpful to those with various gastrointestinal diseases, such as Crohn’s disease and ulcerative colitis. There’s also interest in how gastrointestinal health may be linked to mental health. According to data published in the Journal of Neurogastroenterology & Motility in an article titled, “Effect of Probiotics on Central Nervous System Functions in Animals and Humans: A Systematic Review,” a review of 15 human studies found supplementing with bifidobacterium and lactobacillus strains for one to two months can improve anxiety, depression, autism, obsessive-compulsive disorder and memory. Research is still being conducted on probiotics’ influence on heart health, vaginal health, inflammation, immune system function, weight loss, and even some skin disorders like eczema. Researchers also are looking into whether probiotics can be useful in treating the common cold or reducing the severity of the flu. The Mayo Clinic says side effects to probiotics are rare, and many healthy adults can safely add probiotic-heavy foods or supplements to their diets, however, their use should be discussed with a doctor prior to taking them.

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Sisters describing their mother’s experience at a Ridge Care assisted living community. Sisters describing their mother’s experience at a Ridge Care assisted living community.

TECHNOLOGY

Exploring

Robotic Joint Replacement by Dr. Jeffrey Moore

Joshua Robinson, Triworks Studios photo

Moore Orthopedics and Sports Medicine is pleased to share news about a highly innovative new treatment option for total knee replacement, total hip replacement and partial knee resurfacing. Drs. Jeffrey Moore and John Spellman trained at the Miami Anatomical Research Center and are now certified for the Makoplasty RIO Robotic Arm Interactive Orthopedic system. Dr. Moore has been designated a robotic surgery “Champion” by Stryker Orthopedics, developer of the Makoplasty technology. The Makoplasty Rio System features robotic arm technology with intelligent surgical instruments and a high-definition visualization system to pre-plan and treat each patient uniquely and with consistently reproducible precision. This new technology will assist the surgeons at Moore Orthopedics in attaining optimal results for their patients previously unattainable with conventional instrumentation. Other benefits may include a smaller incision, minimal hospitalization, reduced blood loss, less scarring, rapid recovery and the ability to return to an active lifestyle quickly. What is osteoarthritis? Joint cartilage is a tough, smooth tissue that covers the ends of bones where joints are located. It helps cushion the bones during movement; and because it is smooth and slippery, it allows for motion with minimal friction. Osteoarthritis (OA), the most common form of arthritis, is a wear and tear condition that destroys joint cartilage. Sometimes as the result of trauma or just repetitive movement, the cartilage wears down. This can occur quickly over months or slowly over many years. Cartilage destruction can result in painful bone-on-bone contact, along with swelling and loss of motion. Osteoarthritis usually occurs later in life and may affect only one joint or many joints. Symptoms of OA of the knee: ● Pain while standing or walking short distances, climbing up or down stairs, or getting in and out of chairs ● Pain with activity ● Start up pain or stiffness when activities are initiated from a sitting position ● Joint stiffness after getting out of bed ● Swelling in one or more areas of the knee ● A grating sensation or crunching feeling in the knee during use How is OA treated? The opportunity for early intervention is important as osteoarthritis is the most common form of arthritis and a leading cause of disability worldwide, according to the American Academy of Orthopedic Surgeons. Whether your OA is mild or severe, your physician will most likely recommend certain lifestyle changes to reduce stress on your knee joints.

Additional disease and pain management strategies may include: physical therapy, steroid injections, lubricant injections, non-steroid anti-inflammatory drugs (NSAIDs), and over-the-counter pain medications such as acetaminophen or topical pain relieving creams. Unfortunately, sometimes arthritis does not respond to non-surgical solutions, and pain can no longer be controlled by medication. Osteoarthritis shouldn’t keep people from doing the things they love to do. If you’ve been diagnosed with osteoarthritis (OA) of the hip or knee, you may be a candidate for MAKOplasty. MAKOplasty total knee, total hip, and partial knee resurfacing are performed using the highly advanced RIO Robotic Arm System and are designed to assist surgeons in attaining a new level of reproducible precision in surgery. The RIO System enables the surgeons at Moore Orthopedics to complete a patient specific pre-surgical plan that details the technique for bone preparation and customized implant positioning using a CT scan of the patient’s bone anatomy. During the procedure, the system creates a 3-dimensional, virtual view of the bone surface and correlates the image to the pre-programmed surgical plan. As the surgeon uses the robotic arm, its tactile, auditory, and visual feedback limits the bone preparation to the diseased areas and provides for real time adjustments and more optimal implant positioning and placement for each individual patient. The MAKOplasty Rio System was purchased by Carteret Healthcare Medical Center to ensure a Center of Excellence in Carteret County. When looking for relief, you will want to be sure that you are receiving care from a high-quality center. Moore Orthopedics’ goal is to provide patients with the latest information and best treatment options available to help patients enjoy an active and healthier lifestyle. It is our hope that this innovative technology will enable patients return to mobility and their active lifestyle with confidence. If you would like to learn more about this procedure and whether it is a good treatment option for you or someone you know, contact Moore Orthopedic at 252-808-3100. Learn more about MAKOplasty at www.makoplasty.com and www.mooresportsmed.com. Our surgeons also periodically present free community educational seminars on the topic … watch for announced events. Dr. Moore has been practicing orthopedics in Carteret County for 29 years. His practice, Moore Orthopedics & Sports Medicine, is located in Morehead City at East Coast Square at 4218 Arendell St. Dr. Spellman sees patients at the Moore Orthopedics office in Cedar Point.

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The

Beat

of your

HEART

New Guidelines Suggest aFib Screening May Prevent Strokes Palpitations of the heart or uncomfortable sensations in the chest can be distressing. Thoughts of heart attack may come to mind, and that anxiety can only exacerbate the situation. While heart attack might be the first thing people think of when experiencing chest discomfort, atrial fibrillation may be to blame for such feelings. Atrial fibrillation, commonly referred to as aFib, is a quivering or irregular heartbeat that may lead to heart-related complications. The American Heart Association says that at least 2.7 million Americans are living with aFib. Although treatable, without proper diagnosis, AFib may lead to blood clots, stroke and even heart failure. Many people with aFib experience no symptoms at all and are unaware they have it until it is discovered during a physical examination. For those who experience symptoms, The Mayo Clinic lists these as some of the more common: ● Palpitations, which can be sensations of a flip-flopping in the chest or even a racing feeling. ● Fatigue ● Reduced ability to exercise ● Lightheadedness ● Chest pain or shortness of breath ● Dizziness and weakness When the heart is working normally, it contracts and relaxes in a beat. When a person has aFib, the upper chambers of the heart, called the atria, beat irregularly. They quiver and do not move the blood into the ventricles in an effective manner. This irregularity can cause pooling or clotting of blood. A proper diagnosis from a physician is needed before treatment can begin. An examination may include an EKG or ECG, which will show the heart’s electrical activity as line tracings on paper. The spikes and dips in the tracings are called waves. An EKG will determine if the heart is pumping correctly. AFib is more common among people with clogged arteries or diabetes and may develop following valve surgery. AFib also is more common in people with coronary heart disease. As a person

ages, his or her risk for aFib increases. Stress can also be a major factor in triggering aFib, according to stopafib.org. Once AFib is diagnosed, managing risk factors and restoring a heart to normal rhythm becomes the priority. Doctors use a variety of medications to control heart rate, which may include beta blockers and calcium channel blockers. Medications to prevent stroke also may be prescribed. Screening for asymptomatic atrial fibrillation in people age 65 and over and treating it with anticoagulant medications could prevent many thousands of strokes worldwide each year, says a top-level panel of experts in Circulation, the journal of the American Heart Association. An international collaboration, AF-SCREEN, is behind a global push to introduce national screening programs. AFib accounts for as many as one in three strokes. This happens because the abnormal heart rhythm can allow blood clots to form inside the heart. About 10 percent of ischemic strokes are caused by afib that is first detected at the time of stroke. Asymptomatic aFib not uncommon and can be easily detected by simply taking the pulse, or by handheld ECGs that provide a diagnosis in less than a minute. “Strokes from afib are larger, more severe, and harder to survive than other strokes,” says Mellanie True Hills, founder and CEO of StopAfib.org, an organization for people living with atrial fibrillation. “To be able to protect vulnerable people from ever experiencing one will spare them and their families a lot of heartache.” Those with concerns about their heartbeat and stroke risk can take action. “If you are aged 65 years or over, then you can see your doctor to check your pulse, or check your own at home to see if it’s regular like a clock,” she says. “If it’s irregular, you can have an ECG and get your afib diagnosed and medicated.” Widespread screening for asymptomatic aFib among people age 65 years and over could be a potent way to prevent strokes and the burden of stroke-related harm. Learn more about screening at the AF-SCREEN International Collaboration website www.afscreen.org.

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Guide ▪ Holiday Gift ▪ Holiday Events ▪ Decoy Festivals ▪ Train Show Bash ▪ Boatshop ▪ Jumble Sale ▪ At the Aquarium Connection ▪ Chamber ▪ Property Watch ▪ Emerald Tidings ▪ Book Bag ▪ Events Calendar ▪ Mayors’ Notes Atlantic Beach Emerald Isle Pine Knoll Shores

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PET health

Growing Rates of Pet Obesity Many pet owners would never intentionally harm their companion animals. In fact, pet owners often go above and beyond to ensure their animals are well cared for and content, from gourmet pet food to maintaining a full toy box full of goodies for them to explore. Many well-meaning people, however, may be inadvertently harming their pets with something they provide each and every day: food. Obesity is on the rise among pets. The Association for Pet Obesity Prevention says that 54 percent of dogs and 59 percent of cats in the United States were categorized as overweight or obese in 2016. That marks an increase from 52.5 percent and 58.3 percent, respectively, from four years ago. The majority of veterinarians think that pet obesity is a significant problem and nearly half of pet owners admit that their vets have discussed a pet’s ideal weight with them during pet health visits. Weight and Appearance Body weights for pets are based on breed ideals and may not necessarily apply to dogs and cats of mixed breeds. For example, a golden retriever should weigh between 65 and 75 pounds. A domestic cat should weigh between eight and 10 pounds. But vets will consider a host of variables to determine if a given pet is a healthy weight. Vets advise that dog owners should be able to easily feel and count dogs’ ribs when they run their fingers across the side of the animal. Pets viewed from above should display an hourglass

figure that includes an indentation near the midsection. The absence of this “waist” may indicate a problem. When observing a pet from the side while he or she is standing, a slight upward slope of the stomach should be visible. A low-hanging abdomen means abdominal fat may be present. Health Problems & Weight The Purina Pet Care Center found that overweight pets may live two years less than ideal weight pets. Reduced life span is not the only problem, as carrying extra pounds can contribute to various maladies. These include osteoarthritis and poor joint health, type 2 diabetes, ligament injuries, heart and respiratory disease, kidney disease and cancer. Exercise & Food Just like humans, pets need a combination of physical activity and caloric moderation to maintain healthy weights. Daily caloric needs for indoor cats range from 180 to 200 calories per day. The larger a dog is, the more calories it needs. Pet owners should work with their veterinarians to map out a diet and exercise regimen that can help their overweight pets shed pounds. Vets also can help determine if weight gain is due to illness or food habits. Pets need to maintain healthy diets and engage in exercise to maintain ideal body weights that will keep them healthy for years to come.

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