Health&Wellness May 2020 by Rockpoint Publishing

PLEASE TAKE ONE M

Vol. 17 • Issue 8 • May 2020

EMOTIONAL IMPACT OF

C O R O N AV I R U S CABIN FEVER IS A REAL THING

STAYING HEALTHY FUN EXERCISES

I N YO U R L I V I N G R O O M

SOCIAL DISTANCING

IT WORKS!

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FEATURES

of the Safety Signal

GENERAL DENTISTRY Whitening Your Teeth: What to Consider

Coronavirus and Its Emotional Impact

INTEGRATIVE MEDICINE Being Mindful—Being Kind

What is a Novel Coronavirus?

Coronavirus and the Psychology

Women's Heart Health

Exercise in Your Own Living Room

Nutrition & Immune Health

Social Distancing Works!

Health&Wellness Magazine can be found in 20 central Kentucky counties and is distributed to over 90% of medical facilities, including chiroprator’s, eye doctor’s and dentist’s offices. You can also pick up your FREE copy of Health&Wellness at most grocery and convenience stores as well as many restaurants throughout Central KY.

COLUMNS FAMILY DOC A Look at Weight Loss Medications

CONTENTS

MAY 2020: STAYING HEALTHY

Health&Wellness is a proud product of

DEPARTMENTS 10

PET HEALTH

IN THE NEWS

EVENTS CALENDAR

NATURE'S BEAUTY

FOOD BITES

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© Copyright HEALTH&WELLNESS Magazine 2020. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.

RENT THIS CABIN

In the Beautiful Red River Gorge CAMPING CABINS AND PRIMITIVE CAMPSITES ALSO AVAILABLE

FROM THE

EDITOR

Tanya J. Tyler, Editor | Share your story: editor@healthandwellnessmagazine.net

Dear Friends, How are you holding up? In these days of pandemic and confusion, when we have been asked to shelter in place and practice social distancing, it can be hard to keep calm and optimistic. We don’t know what will happen next – when the virus will subside, when we can once again go outside, back to work and play worship, when our world returns to a more familiar keel. Our condolences go out to all our readers and friends who have lost a loved one to COVID-19. We will continue to bring our message of Health & Wellness and hope, showing you ways to cope with the topsy-turvy metric of today and giving you solid, beneficial information. We will get through this – together. Here’s to your health,

Tanya

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May 2020 | Read this issue and more at www.healthandwellnessmagazine.net |

WHAT IS A

HandWmagazine

NOVEL

CORONAVIRUS A novel coronavirus is a new coronavirus that hasn’t been previously identified. The virus

causing coronavirus disease 2019 (COVID-19) isn’t the same as the coronaviruses that commonly

circulate among humans and cause mild illness, such as the common cold.

INFORM AT I O N P R O V ID E D BY THE CE N T E R S FO R DI SE ASE CON TR OL AN D P RE V E N TI ON ( CDC)

Coronaviruses are a large family of viruses. Some cause illness in people while others only infect animals. Rarely, animal coronaviruses infect and can spread between people. This is what was suspected to have occurred with the virus that causes COVID-19. The virus was first detected in Wuhan City, Hubei Province, China. The first infections were related to a live animal market, but the

virus is now spreading person to person. It seems to be spreading easily and sustainably in the community (community spread) in affected areas. Community spread means people have been infected with the virus in a certain area.

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Coronaviruses are a large family of viruses. Some people infected with the COVID-19 virus have no symptoms. When the virus does cause symptoms, common ones include: • low-grade fever • body aches • coughing • nasal congestion • runny nose • sore throat COVID-19 can also cause more severe symptoms, such as high fever, severe cough and shortness of breath. Coronaviruses are generally thought to be spread from person to person through respiratory droplets. A person who is actively infected with COVID-19 can spread the illness to others. For this reason, the Centers for Disease Control and Prevention (CDC) recommends these patients be isolated either at home or at the hospital (depending on how sick they are) until they’re better and no longer pose a risk of infecting others. How long a person is actively sick can vary, so deciding when to release someone from isolation is made on a case-by-case basis using these requirements: • The patient is free of fever without the use of fever-reducing medications. • The patient is no longer showing symptoms, including cough. • The patient has tested negative on at least two consecutive respiratory specimens collected at least 24 hours apart. You have probably been self-quarantining at the recommendation of health and governmental officials. Quarantine means separating a person or group of people to prevent the possible spread of the disease. A quarantine is appropriate when one or more people have been exposed to a contagious disease (although they may not have developed any symptoms) to avoid infecting others who haven’t been exposed. For COVID-19, the recommended quarantine period is 14 days from the last date of exposure. Fourteen days is the longest incubation period for similar coronaviruses. Other viruses, like the common cold or flu, spread more during the cold weather months, but that doesn’t mean it’s impossible to become sick with these viruses during other months. It is not yet known whether warmer temperatures will affect the spread of COVID-19. There is much more to learn about the transmissibility, severity and other factors associated with COVID-19; investigations are ongoing. To protect yourself and others from COVID-19, practice the following: • Wash your hands often with soap and water for at least 20 seconds. If soap and water aren’t available, use a hand sanitizer with at least 60 percent alcohol. • Avoid touching your eyes, nose, and mouth with unwashed hands. • Stay home when you are sick. • Cover your mouth with a tissue when you cough or sneeze. • Disinfect frequently touched surfaces and objects with standard household cleaners. • Wear a face mask.

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OPENING SUMMER 2020

CORONAVIRUS

AND THE PSYCHOLOGY OF THE SAFETY SIGNAL URGENT, AGGRESSIVE ACTION URGED By Dr. Tom Miller, Staff Writer With the COVID-19 global pandemic, the World Health Organization (WHO) (www. who.int) has asked countries to take urgent and aggressive action. World leaders continue to hold international teleconferences with health officials to address the most effective ways to protect the public and develop health policies for the coronavirus, which has caused multiple illnesses and deaths worldwide. The virus is thought to spread mainly from person to person through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people nearby or can be inhaled into the lungs. There is currently no vaccine to prevent coronavirus. While it’s still unclear exactly how much of the current coronavirus outbreak has been fueled by asymptomatic, mildly symptomatic or presymptomatic individuals, the risk of contagion exists. A yet-to-be-published article in the Centers for Disease Control and Prevention’s journal, “Emerging Infectious Disease,” reports the time between cases in a chain of transmission is less than a week. More than 10 percent of patients are infected by someone who has the virus but does not yet have symptoms, according to Dr. Luren Meyers, a professor of integrative biology at the University of Texas Austin, who was part of a team of scientists from the United States, France, China and Hong Kong examining the viral threat. The urgency has created stress for all ages, resulting for some in disabling fear, a hallmark of anxiety and stress-related disorders. Researchers at Yale University and Weill Cornell Medicine report on a novel way to help combat the anxiety experienced at times such as these, when life events such as the spread of COVID-19 trigger excessive fear and the absence of a safety signal. In humans, a symbol or a sound not associated with adverse events can relieve anxiety by accessing an entirely different brain network than that activated by fear and worry. Every person must find their own safety signal, whether that is a mantra, a song, a person or even an item such as a stuffed animal that represents safety and security for them.

The CDC (www.cdc.gov), WHO and other reputable agencies advocate addressing the coronavirus by: • washing your hands frequently with soap and water for at least 20 seconds. Or use a hand sanitizer containing at least 60 percent alcohol. Cover all surfaces of your hands and rub them together until they feel dry. • maintaining social distance from others beyond your immediate family. • creating your own safety signal by following the recommendations of the CDC. • avoiding touching your eyes, nose and mouth with unwashed hands. • covering coughs and sneezes. • wearing a face mask. • staying home if you’re sick. • sheltering in place. • cleaning and disinfecting frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets and sinks. Sources and Resources

• Centers for Disease Control and Prevention www.cdc.gov/coronavirus/2019-ncov/about/ index.html • Huang, C., Wang, Y., Li, X. et al. (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395:497-506. [PMID: 31986264] doi: 10.1016/S01406736(20)30183-5 • World Health Organization www.who.int

About the Author Thomas W. Miller, M.S., Ph.D., ABPP, is a Professor Emeritus and Senior Research Scientist at the Center for Health, Intervention and Prevention at the University of Connecticut, and Professor, Department of Gerontology, College of Public Health, and Department of Psychiatry, College of Medicine, at the University of Kentucky.

EVERY PERSON MUST FIND THEIR OWN SAFETY SIGNAL.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2020

CORONAVIRUS TIMELINE DECEMBER 2019

A cluster of severe pneumonia cases of unknown cause was reported in Wuhan, Hubei Province, China. The initial cluster was epidemiologically linked to a seafood wholesale market in Wuhan, although many of the initial 41 cases were later reported to have no known exposure to the market.

JANUARY 7, 2020

A novel strain of coronavirus belonging to the same family of viruses that cause severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) was subsequently isolated from lower respiratory tract samples of four cases.

JANUARY 30, 2020

The World Health Organization declared the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak constituted a public health emergency of international concern.

FEBRUARY 28, 2020

More than 80,000 confirmed cases were reported worldwide as of Feb. 28 of this year.

IMPORTANT TO KNOW SYMPTOMS

Infection with SARS-CoV-2 can be asymptomatic or result in mild to severe symptomatic disease. About 97.5 percent of those who develop symptoms will do so within 11.5 days of infection. These estimates imply that, under conservative assumptions, 101 out of every 10,000 cases will develop symptoms after 14 days of active monitoring or quarantine. Itâ&#x20AC;&#x2122;s still unclear exactly how much of the current coronavirus outbreak has been fueled by asymptomatic, mildly symptomatic or pre-symptomatic individuals.

INCUBATION

The median incubation period is estimated to be 5.1 days.

May 2020 | Read this issue and more at www.healthandwellnessmagazine.net |

HandWmagazine

CORONAVIRUS AND ITS

EMOTIONAL IMPACT CABIN FEVER IS A REAL THING

By Dr. Tom Miller, Staff Writer

he coronavirus (COVID-19) pandemic has exposed us to a whole new world. How are you feeling these days? Are you bored, disinterested, indifferent, fatigued? Are you tired of the monotony? Feelings like these can endanger your emotional health. Some experts have suggested it is like having cabin fever. This expression has existed since around 1900. Originally it referred to someone who was isolated in a remote area during the winter. Because they had to stay indoors for many days at a time, it could make a person feel trapped with feelings of hopelessness, isolation and depression. The New Cambridge Dictionary defines cabin fever as â&#x20AC;&#x153;the feeling of being angry and bored because you have been inside for too long.â&#x20AC;?

There are a number of steps you can take to cope effectively.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2020

THE ONSET OF CORONAVIRUS HAS LED TO ISOLATION, SOCIAL DISTANCING AND SELF-QUARANTINE FOR MANY. The American Medical Association and the American Psychiatric Association characterize the symptoms of cabin fever as a lack of patience, feeling tired and being unproductive and unmotivated. There are periods of sadness and depression rooted in intense isolation and loneliness, along with lethargy. Some clinicians believe cabin fever is a sort of clinical syndrome, while others feel it is linked to such disorders as seasonal affective disorder and claustrophobia. In the wake of the COVID-19 pandemic, you may be feeling additional stress. Health care professionals and the Centers for Disease Control and Prevention urge everyone to adapt to the challenges of this extraordinary time in our lives. The onset of coronavirus has led to isolation, social distancing and self-quarantine for many. There are a number of steps you can take to cope effectively with these prolonged periods of social isolation and quarantine.

• Set reasonable, realistic plans and daily and weekly goals. Planning for specific needs such as groceries and health care, including medications, is essential. If not, last-minute needs may not be attainable. • Keep your brain healthy by working crossword puzzles, reading, playing board games or enjoying other mental exercises. Stimulating your mind can help you keep moving forward and reduce feelings of isolation and helplessness. • Looking at photo albums can stimulate both emotions and cognitive well-being. Keeping connected with others through audio and visual media can meet some of our social needs. • Spend time outdoors in the back yard, viewing nature in all its splendor. If you can’t get out, sit by an open window. If you are able to go outside, even for a short time, take advantage of that opportunity. • Maintain daily routines for eating and

sleeping. Take the time to increase your energy levels and motivation by making good dietary choices. Recognize during periods like these you may not feel very hungry, but continue to maintain proper nutritional balance. Avoid giving in to the temptation of high-calorie, high-fat snacks and comfort foods. Keep drinking plenty of water. • Exercise can release endorphins that improve your feelings of situational depression. Regular physical activity can help burn off extra energy. Search online for workout videos. Sources and Resources

• American Medical Association COVID-19 Guide https://app.svwps.com/americanmedicalassociation/ama/covid19/index.html • Centers for Disease Control and Prevention www.cdc.gov/coronavirus/2019-ncov/ about/index.html

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pet health

Looking for the best pet care options for the health and wellness of your 4-Legged friends? Then welcome to our “Pet Health” Section, where we will bring you the finest businesses in Central Kentucky that will tend to the care and well-being of our furry loved ones. In this issue we feature “Uptown Hounds,” an upscale pet resort in downtown Lexington that will pamper your pooch in the way he or she deserves, as well as all the good things that are happening at the Lexington Humane Society.

IT’S KITTEN SEASON

AT THE LEXINGTON HUMANE SOCIETY

hile some places around the United States may experience kitten births year round, the local Lexington area can go entire cold seasons without seeing kittens at your Lexington Humane Society (LHS). The time when the greatest number of kittens are born during the year is from the beginning of spring through late fall. This is “Kitten Season”! During Kitten Season, LHS needs community members to volunteer their hearts and homes to orphaned kittens in need of TLC or momma cats (called queens) who need a place to rest

with their babies. There are different types of foster needs during kitten season. LHS looks for foster families to help care for bottle babies, transitional kittens, weaned kittens, unsocialized kittens and queens with litters. Fostering is a highly rewarding experience that benefits homeless animals and is fun for you and your family! As a foster parent, you are an invaluable part of the Humane Society’s lifesaving team. You make an impact on community animal welfare by directly shaping the future of your foster animals and by helping LHS care

for and find forever homes for thousands of animals each year. Last year alone, 600 special-case animals were helped through the LHS foster care program … and with your participation, we can help even more! Are you interested in becoming a foster parent for your Lexington Humane Society? Call (859) 233-0044 to learn more! Special thanks to our foster care program sponsor, Merck Animal Health.

“MAY” I SWIM?

pet health by Uptown Hounds 11

DOGGIE “COOL POOL” NOW OPEN AT UPTOWN HOUNDS!

By David Bryan Blondell, Special Sections Dir.

f you’re a dog in Lexington in the month of May, it’s the BEST time of the year: the re-opening of Uptown Hounds’ dog-only pool! Yes, for pet owners who want nothing but the best for their beloved dogs, the month of May means some well-deserved and much-anticipated swim time for Fido, as well as getting their pet the equally deserved upscale experience at Uptown Hounds as summer nears. America’s Uptown Hounds Luxury Resorts was created as an all-inclusive, high-quality, high-energy environment where your four-legged family member can play, primp, relax and stay. And let’s face it – your pooch deserves the best care you can provide when it comes to a place to board them during the day or for an extended period of time. Conveniently located in downtown Lexington near office buildings, the University of Kentucky campus and all the downtown hospitals and healthcare facilities, Uptown Hounds’ guests — pets AND their owners — have a multitude of luxurious amenities to enjoy. Uptown Hounds features large, plush hotel

suites for short and long-term boarding, private daycare rooms, a top-notch grooming Salon & Spa and a boutique with the finest of toys, treats, food and pet-related merchandise. In addition, extremely large heated indoor and manicured outdoor play areas provide your pooch the most fun and friendly environment possible. Moreover, the beautiful marble floors and walls and the upscale fixtures that are part of the facility’s luxurious decor simply reflect the upscale treatment that your four-legged member of royalty deserves! The Daycare Services at Uptown Hounds are considered second to none, with newly expanded weekday hours of 6:30 a.m. to 7:30 p.m. Monday through Friday to make it more convenient for working owners. In addition, there are new weekend Daycare hours: Saturday and Sunday from 8 a.m. to 5:30 p.m. Once there, the friendly Pet Services Staff makes sure your dog is well-cared for and is having a happy, fun stay with up to three play-time sessions with its new-found friends (grouped by weight and activity level). Individual playtime and extra attention is also offered, as is supervised usage of the popular 30-foot-by-50foot outdoor pool during its seasonal operation.

In addition to Uptown Hounds’ weekly daycare services, a special new weekend daycare schedule is now available: Saturday and Sunday from 8 a.m. to 5:30 p.m.! Also inquire about the “Daycare Referral Bonus.” Which brings us to the month of May as the most anticipated time of the year for owners and pets alike: the opening of the oversized doggieonly pool! Fondly referred to as the “Cool Pool,” this very popular and in-demand venue provides hours of fun for Uptown Hounds’ clients (only) to bring and watch their dogs romp and stomp and have the best time of their lives! (Towels and life jackets are available; Staff will provide supervision for pool use during Daycare or Boarding visits.) UPTOWN HOUNDS Continued on Page 12

Enjoy the“COOL POOL” at Uptown Hounds!

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*A Special Note about our upcoming events: With the wellbeing of our community in mind, we're canceling upcoming events until further notice (adoption centers still open). Check back in next month for our pet event updates.

JUNE*(TBD) 6 MUTT STRUT

Grab your tennis shoes and your four legged friend! Join your Lexington Humane Society for our 1-mile Fun Walk or 5K race on Saturday, June 6th at Keeneland. Festivities kick off at 8 am, with the chip timed 5K beginning at 9 am and the Fun Walk starting shortly after. There will be local vendors before and after the run/walk so come early and stay late to support the animals at LHS! Please note: For the safety of your pet, retractable leashes will not be permitted at the event. Keeneland , 4201 Versailles Rd, Lexington, KY 40510

UPTOWN HOUNDS continued from Page 11

Poolside chairs and tables with large umbrellas surround the pool, giving shade and a comfortable place to rest — for owners and swimmers alike! “May” I swim? At Uptown Hounds, the answer is “Absolutely!” Summer is almost here, and Uptown Hounds recognizes the proper, professional care of your pets is among the most important considerations you have. For anyone wanting to give as much love and special care to your dogs as they give you, this May please give America’s Uptown Hounds

Luxury Resorts a try. Please visit the Website at www.UptownHounds. com or call Guest Services at (859) 2552275. A new texting service is now available as well — text any questions or boarding requests to (859) 255-2275. Uptown Hounds is conveniently located just off South Broadway at 466 Angliana Avenue, just a 1/2-mile from

downtown and a block from The Red Mile. They invite you to take a quick tour of the facility and look forward to welcoming you and your dog as part of the Uptown Hounds family! Note: As the conditions surrounding the pandemic and its restrictions change, please call Uptown Hounds or visit their Website to verify what services are currently being offered or affected.

WOMEN'S

HEART

HEALTH

A GROWING PROBLEM

T H ER E A RE S TEP S YO U C A N TA K E N OW TO I M P R OVE C AR DI OVASCUL AR HE ALT H

By Jamie Lober, Staff Writer

UK HealthCare has named heart disease as the leading cause of death among women in Kentucky.

t found Kentucky women are at much higher risk for developing cardiovascular disease than women in other states, since two-thirds of Bluegrass women are overweight or obese, and a quarter of them smoke. Your best defenses against heart disease are having annual checkups and making modifications to your lifestyle. Strategies such as eating well, exercising for 30 minutes a day and avoiding tobacco can make a huge difference in your health. If you’re not used to being active, start by incorporating extra movement or steps into your daily routine. This could include anything from doing housework to gardening to taking the stairs instead of the elevator. It could also entail parking farther back in the parking lot when you go shopping. Take a brisk walk around your neighborhood with your family. Eventually you can work your way up to jogging or dancing. Find activities you enjoy and will stick with. Tell your doctor about your exercise plan before starting something new to be sure it is safe for you. Eating well means following a balanced diet and cooking at home instead of frequenting restaurants. To get the most benefit for your heart, choose more fruits, vegetables, foods with whole grains and healthy protein. Pay attention to the nutrition facts label so you know what is in the foods you buy. The main things you should avoid are fried foods, most processed foods and deli meats, sodas and salty snack items. Your mental health matters just as much. All women are encouraged to find ways to manage stress and relax whether it’s through mindfulness, meditation, yoga, prayer or hobbies they enjoy. Both stress and depression can affect overall wellness including heart health. The American Heart Association suggests making art, playing a musical instrument, reading a book or magazine, meet-

ing a friend, going for a walk in nature, taking a relaxing bath or listening to music as ways to cope. Positive self-talk can also help women develop a healthier outlook. There is no reason to struggle in silence. Reach out to a trusted counselor or psychologist if you need to talk to a professional. Try to create an open and honest relationship with a healthcare provider so you can understand your risk for heart disease. You should know your blood pressure numbers, good and bad cholesterol numbers and triglycerides and what to do to control them. It is important to know your blood sugar figures and if you are at risk for diabetes. Be aware of your body mass index and discern if you need to lose weight for health reasons. Having a schedule for recommended screenings can help you stay on top of your heart health. It is never too late to make positive changes for your health. If you are a smoker, make plans to quit. If you are struggling with eating healthily, consult with a dietician or nutritionist for suggestions. If you think you are having a heart attack, call 911 without delay. Every second counts. Fast treatment can be lifesaving and will prevent damage to your heart muscle. The Centers for Disease Control and Prevention says common heart attack symptoms in women include unusually heavy pressure on the chest; sharp upper body pain in the neck, back and jaw; cold sweats not related to menopause; severe shortness of breath; unusual or unexplained fatigue; unfamiliar dizziness or lightheadedness; and unexplained nausea. Be aware that women’s heart attack symptoms often differ from men’s. If you take measures to stay healthy and know how to react quickly in the case of a heart attack, you will be on the road to good cardiovascular health.

May 2020

Classes such as Doga (yoga for you and your dog) have become more popular ways to enjoy exercise.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2020

EXERCISE

IN YOUR OWN LIVING ROOM JUST BECAUSE YOU CAN’T GO OUT DOESN’T MEAN YOU CAN’T STAY IN SHAPE The current lockdown enforced in light of the COVID-19 pandemic means many people are now unable to go to the gym or take part in their usual fitness activities and classes. You may be among those worried about how you will continue to stay fit without leaving home. Many fitness classes have now gone online. That means you can still take part in alternative and fun fitness classes from the comfort of your own living room. Bami Kuteyi, founder of Bam Bam Boogie Dance Fitness (www.bambamboogie.com), has migrated her entire class timetable online. “People are seeking out more ‘fun’ exercise options now as it’s all about the aesthetic of the experience, especially for millennials where things need to be Instagrammable to even consider attending,” she said. “Traditional exercise seems mundane and outdated by comparison. The focus is only on losing weight and fitting into this skinny mold, which is no longer necessarily the ideal or desirable look. Also, traditional fitness classes are taught in a more militant way, whereas new fun exercise classes are much more uplifting, focusing on support and creating a community for overall wellness, which includes mental health, as well as physical health.” Classes such as Doga (yoga for you and your dog), Burlesque and Twerk After Work have become more popular ways to enjoy exercise. They’re perfect to do at home to aid mental health and stay fit despite being unable to leave the house. Mahny Djahanguiri, founder and author of Doga, said, “Doga is mainly for humans, but it’s a great way for owners to strengthen the bond that already exists between you and your dog. If you’re stressed and tense, your dog will pick up on it and it will show in their behavior. Yoga is a great way to relieve this tension and it helps to make your dog feel relaxed while also spending extra time with them.” It’s important to block out the intimidating images of what counts as fitness these days and find something you enjoy doing. “There is so much pressure for people to stay fit and conform to the unrealistic body images that are now widely available on Instagram,” said Fiona Comport, marketing communications manager with Sculpsure. “However, if you don’t enjoy the exercise, you’re not going to do it. That’s why it’s so important to find something you enjoy, especially when you’re exercising from home.”

New fun exercise classes are much more uplifting.

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HELPING YOU STAY HEALTHY AT HOME CONNECT TO OUR PROVIDERS VIRTUALLY WITH A UK TELECARE APPOINTMENT You can feel confident knowing that UK HealthCare is here to care for your medical needs. Through UK TeleCare, we can see you in the safety and comfort of your own home. Using your phone, tablet or computer, you can set up the following types of care: • Urgent care • Primary care • Specialty care • Follow-up care

TWO OPTIONS AVAILABLE UK TeleCare UK TeleCare allows you to continue with regularly scheduled primary and specialty care appointments through a video visit with your provider. To schedule a TeleCare visit, contact the respective clinic directly. ukhealthcare.uky.edu/telecare

UK Urgent TeleCare UK Urgent TeleCare is available for sudden-onset symptoms such as fever, cough, congestion, respiratory difficulties or sore throat. This is similar to visiting an urgent care clinic. To make an Urgent TeleCare appointment, call: 833-739-0225 ukhealthcare.uky.edu/ urgent-telecare

May 2020

NUTRITION &

IMMUNE HEALTH IMPORTANT INFORMATION DURING A PANDEMIC FOODS THAT HAVE NUTRIENTS THAT SUPPORT IMMUNE HEALTH Vitamin C: Broccoli, Brussels sprouts, citrus fruits, chili and sweet peppers, strawberries, cherries, raspberries Zinc: Meat and shellfish, legumes (beans), nuts and seeds, eggs and dairy products Vitamin A: Eggs and dairy products, fish, liver, orange and yellow vegetables and fruits Vitamin D: Cod liver oil & fish Tuna, salmon, sardines, Egg (yolk) Mushrooms

By Sara Police, Ph.D

The novel coronavirus, or COVID-19, pandemic has created many health-related questions related to nutrition, dietary supplements and lifestyle strategies that can modulate the immune system. Currently, there are no FDA-approved vaccines, drugs or protocols to treat infection with COVID19. However, several nutrients have specialized functions related to the immune system. Vitamin C Vitamin C became famous as an immune-boosting super vitamin because of work done by two-time Nobel Prize winner Linus Pauling. Pauling claimed large doses of vitamin C could prevent the common cold, as well as cancer and cardiovascular disease. The bold claims related to chronic diseases have

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been dismissed, but consumers frequently reach for orange juice and vitamin C supplements when they’re feeling ill. A meta-review looking at the efficacy of vitamin C supplementation demonstrates modest benefit. The data suggests this type of supplementation can curb the duration of a cold, making it shorter by maybe a day (Hemilä and Chalker, 2013). Currently, there is no evidence to demonstrate supplemental vitamin C is advantageous for prevention or treatment of COVID19 infection. However, a clinical trial is underway to investigate whether vitamin C infusion versus a placebo improves the prognosis of ICU patients with COVID-19. The study, currently in its recruitment phase, is based in China (Clinical Trials, 2020). Zinc Zinc is a trace mineral vital to the maintenance and development of immune cells that detect and fight infections. Zinc deficiency results in immune cell dysfunction and increased susceptibility to infectious diseases. Basic research has G demonstrated O O D that when zinc levels are increased within a cell, viral replication decreases. However, increasing dietary zinc does not increase intracellular zinc. Cell membranes have gatekeepers are NandEspecial W transporters S ! required to let zinc “in.” Interestingly, chloroquine (a drug used to treat malaria) can open a channel to help zinc get inside a cell. The combination of chloroquine, zinc and antibiotics as a treatment protocol has been prescribed and some reports indicate success (Dador, 2020). However, more research is needed to confirm the safety and efficacy of this treatment protocol. Clinical studies are currently investigating this regimen in the context of COVID-19 therapeutics.

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individual inc Vitamin D Vitamin D is both a nutrient and hormone. Sunlight helps sythesize it in the body. Spring is barely here, even healthy adults SCREENING SAVES LIVES AsoKentucky A Kentuc Uninsured or Underinsured may have low levels of vitamin D. People at higher risk of vitamin D but ONLY if you get tested! This program is funded by the includes legal Resident insufficiency or deficiency include those who are housebound, night Uninsured: No public/private health insurance Kentucky Underinsured: High deductible Colon plan withCancer green card ho shift workers and the elderly. Vitamin D hasIncludes important Legalfunctional Immigrants: out-of-pocket maximums greater than 5% of work/student Call 859-309-1700 or 877-597roles in suppressing inflammation, providing adaptive immunity Screening Program green card holders individual income refugees support via dendritic and T cells and increasing the production work/student visa of 4655 A Kentucky IL-10 (an anti-inflammatory or “friendly” cytokine). refugee Vitamin D also to discuss eligibility! stimulates the maturation of critically important immune cells. A Kentucky Resident Resident There is no evidence that supplementation with any of the CREENING includes legal immigrants: Includes S Legal nutrients described above will assist with COVID-19 treatment green card holders Immigrants: or prognosis. Many health benefits conferred through nutrition BUT ONLY IF YO work/student visas involve synergistic relationships between various components of refugees • green holders C A L L card 859 .309.1700 Funding provided by: nutrients and food substances, not within a sole vitamin, mineral Don’t let cost keep you from being • work/student visa Kentucky or compound. A whole-foods approach that limits processed foods Colon Cancer Screening Program TO DISCUSS screened for colon cancer. • refugees and focuses on foods recognizable in nature can encompass all the You may qualify S C R E Efor N I NaG free SAVES LIVES nutrients described above (and more) and will include fiber (vital to colonoscopy if you are: BUT ONLY IF YOU GET TE S Tgoing E D ! back for your fol BU T O NLY IF Not gut health) and antioxidants (critical for cellular protection).

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References: •

• Dador, C. Even as chloroquine shows potential for treating COVID-19, doctors warn caution needed. ABC 7 News. https://abc7.com/coronavirus-covid-19-chloroquinehydroxychloroquine/6082485/ • Hemilä, H. and Chalker, E. Vitamin C for preventing and treating the common cold. Cochrane Database of Systematic Reviews 2013, Issue 1. Art. No.: CD000980. DOI: 10.1002/14651858.CD000980.pub4 • Zhang, L. and Liu, Y. (2020). Potential interventions for novel coronavirus in China: A systematic review. Journal of Medical Virology, 92(5), 479–490. doi: 10.1002/jmv.25707

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May 2020

A LOO K AT

WEIGHT LOSS MEDICATIONS

OBESITY FACTORS PATIENTS CAN’T CONTROL INCLUDE THEIR METABOLISM, HORMONES & GENETICS. By Dr. Diana C. Hayslip, Family Practice Associates of Lexington, P.S.C.

or most people, losing weight is a challenge that requires them to make lifestyle changes. They must focus on diet and exercise, reducing caloric intake while increasing physical activity. It is best to follow a low-carbohydrate diet that emphasizes eating plenty of fresh fruits and vegetables and eschews sugar and processed foods. However, for many people, no matter what they do, the weight just doesn’t drop off as they hope. They need a little more help in the form of medications specifically designed to stave off obesity. One such drug is Qsymia, which is often prescribed for adults with a body mass index (BMI) of 30 or more. According to the Centers for Disease Control and Prevention, BMI is a person’s weight in kilograms divided by the square of their height in meters. A person with a BMI below 18.5 is considered underweight, while a BMI of 30 or more indicates obesity. Qsymia has been approved by the U.S. Food and Drug Administration (FDA). It contains topiramate and phentermine, which help you eat less by reducing your appetite and making you feel more satisfied. Another weight-loss drug, Contrave, is believed to work on two areas of the brain – the hunger center and the reward system – to reduce hunger and help control cravings. Contrave contains bupropion and naltrexone. The former is usually prescribed for depression and smoking cessation, while the latter is used to combat alcohol and opioid dependence. People who take Contrave start out by taking one tablet once a day and gradually work up to taking two tablets twice a day at four weeks. In one study, patients taking Contrave lost approximately two to four times more weight than they did with diet and exercise alone.

Belviq is another FDA-approved drug that can be used in conjunction with a reduced-calorie diet and increased exercise to help patients lose weight. In a major clinical trial, people taking 10 milligrams of Belviq twice daily were able to lose weight and maintain their weight loss for two years. The drug also seems to improve blood pressure and cholesterol levels. Obesity is not only caused by lifestyle choices. Factors patients can’t control, such as their metabolism, hormones and genetics, also play a part. People taking Saxenda follow a progressive four-week dose escalation, beginning at 0.6 milligrams and working up to the full 3-milligram dose. This dose escalation was designed to reduce the possibility of developing gastrointestinal symptoms. Saxenda is administered once daily by subcutaneously injecting it into the abdomen, thigh or upper arm. As with the other medications, patients must stick to a reduced-calorie diet and increase their physical activity to see results. Obesity puts you at risk for a long list of health complications, including high blood pressure, diabetes and stroke. If you believe one of these medications will help you, research each one carefully, noting its side effects, contraindications and other precautions. Discuss with your primary care physician whether you are a viable candidate for taking one of these weight-loss aids. About the Author

Dr. Hayslip is a native of Ohio. She joined Family Practice Associates of Lexington in 2007. Dr. Hayslip’s goal as your family physician is to “help you feel better and stay healthy.”

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General Dentistry.

May 2020

WHAT TO CONSIDER IF YOU’RE THINKING ABOUT

WHITENING YOUR TEETH

ver time, teeth can take on stains from consuming everything from coffee and tea to foods with tomato-based sauces and even some medicine. This darkens teeth’s natural color. Whitening your teeth can be one of the simplest and most effective aesthetic procedures in dentistry to make you happier with your smile. Before starting any whitening treatment, there are a few items to consider. Timing is critical when incorporating teeth whitening into a treatment plan. If you are having treatment performed, such as restorative dentistry, which may include fillings or veneers made of porcelain or ceramic, this work should take place after whitening because these materials won’t change color during any whitening process. Also, keep in mind that if you whiten before having restorative dental work done, your dentist may want to allow your teeth time after whitening to remineralize to better ensure restoration longevity. It’s a good idea to have your teeth cleaned right before starting any whitening treatment. Removing any tartar or other sediments, which may block whitening products from reaching some areas, can be beneficial to your results. During your cleaning, your dentist can speak to realistic expectations for your teeth should you pursue whitening. Following your cleaning, it will be essential to maintain good oral hygiene practices to avoid future unwanted build-up on teeth. People often ask if do-it-yourself, at-home options or over-the-counter products are as useful as in-office treatments dentists can provide. Studies have shown results are about the same, so these can be a viable option for some. The difference is the time it takes to achieve those results. With inoffice whitening, the time commitment to achieve results is significantly reduced, but patients will pay more for the convenience of the treatment. Individuals can roughly expect to complete five days of in-home treatment to achieve the same results as one hour of in-office whitening. The strength of ingredients in do-it-yourself options can vary greatly. Additionally, if you use an at-home kit, be sure to follow directions carefully to avoid potential side effects such as increased tooth sensitivity or bleached/burned gums. Also, keep in mind overuse of at-home whiteners can damage tooth enamel (the protective outer layer on teeth) and gums, so follow instructions! If you choose an at-home option, look for products that carry the American Dental Association (ADA) Seal of Acceptance; these items meet the ADA’s criteria for safety and efficacy. Whether you choose in-office or at-home treatment, not all stains can be removed. Darkness caused by tooth decay, long-term use of a particular medicine or trauma (“internal” stains) can not be removed during a whitening process. Whitening can be used to address “external” stains such as those obtained from eating and drinking. Some people will be more sensitive to the whitening process than others. There are various strategies for dealing with sensitivity from whitening. Some people find using desensitizing toothpaste helps them, while others may take a two- or three-day break between at-home treatments. Alternatively, if you go the DIY route, you may look for a product with lower strength. Talk with your dental care provider for suggestions. Certain groups of people should avoid whitening their teeth. These include people who have gum disease, pregnant or breastfeeding women and adolescents who still have primary or baby teeth. Additionally, the Academy of General Dentistry recommends teenagers wait until they are least 14 years old to allow the pulp of their teeth to fully form and thus reduce possible sensitivity that could occur during the whitening process.

THE STRENGTH OF INGREDIENTS IN DO-ITYOURSELF OPTIONS CAN VARY GREATLY.

Depending on the type of treatment being used, individuals undergoing orthodontic care may also want to wait until their treatment is over before starting any whitening process. Whichever whitening option you choose, remember results will not last forever. Your lifestyle choices, including your oral hygiene routine and what you eat and drink, will continue to impact the appearance of your teeth. You may elect to whiten again in a few months or years. You can also consider changing your habits to try to keep your teeth whiter longer. Whether you decide on an in-office or an at-home treatment, both can help whiten your smile. Be sure to keep in mind the sequencing of any dental work you may be planning, speak with your dental provider about your goals before you start whitening and follow instructions no matter which route you choose. About the Author

Dr. Robert Taylor is an Assistant Professor at the University of Kentucky College of Dentistry. His clinical interests include surgery, endodontics, clinical teaching, and curriculum development. Dr. Taylor sees patients at the UK Dentistry Faculty Practice Clinic, located in the Dental Science Building at 800 Rose Street, Lexington. More information about UK Dentistry is available at www.ukhealthcare.uky.edu/dentistry.

ABOUT UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY Clinic Info: 859-323-DENT (3368) • ukhealthcare.uky.edu/dentistry UK Dentistry offers expert, personalized care for the general and specialty dental and oral health needs of adults and children. We're committed to improving Kentucky, and beyond, one smile at a time.

Integrative Medicine.

BEING MINDFUL–

BEING KIND “Be kinder than necessary because everyone you meet is fighting some kind of battle.” —J.M. BARRIE, AUTHOR OF PETER PAN

ur Stress Epidemic. Even before the current pandemic, surveys over the past couple of years showed increasing levels of anxiety, depression, chronic pain, sleep disturbance, substance abuse, addiction, loneliness and suicide. Sadly, these trends have affected Americans of all ages, including teens and youth. New polls taken during this coronavirus pandemic show even more people are anxious about the possibility of themselves or their loved ones becoming seriously ill or dying. Anxiety over personal finances, food and medication shortages, a possible long-term impact on the economy and overall uncertainty is having a negative impact on mental health and the general quality of daily life. Stress Management. Although stress does not necessarily cause any particular disease, it can be a contributing factor in the development of symptoms of conditions affecting every organ system. In addition to healthy eating and physical activity, stress management is a foundation of physical, mental and emotional health and well-being. One of the most powerful tools of stress management is group support, social connection, friends and family. The pandemic-related social distancing and working from home have disrupted cherished habits of social engagement and support. The interpersonal group format of mindfulness-based stress reduction (MBSR) is one reason it is the gold standard mindfulness approach to managing stress.

The Science of Kindness at UCLA. The UCLA Bedari Kindness Institute supports rigorous interdisciplinary scientific research on the benefits of kindness to individuals, groups and societies. Combining evolutionary, biological, psychological, economic, cultural and sociological perspectives, the Kindness Institute seeks to overcome barriers to the intentional and skillful use of kindness to solve physical, mental, emotional, spiritual, interpersonal and international problems. Guided by the evidence from world-class research, the Kindness Institute also seeks to educate individuals, institutions and leaders about the practice of kindness, empathy and respect with the goal of creating kinder, more humane societies. They articulate their mission by saying, “We don’t just want people to learn about kindness – we want people to DO kindness.” An example of the Kindness Institute’s mission to bridge science and spirituality is their research and education about contagious kindness – how witnessing acts of kindness can motivate observers to be kind, too. To foster an individual and collective culture of kindness, the Kindness Institute provides mindfulness awareness training to students, faculty and staff and underserved Los Angeles communities. The Science of Kindness at Harvard. The Center for Mindfulness and Compassion at Harvard Medical School considers mindfulness and compassion to be basic human capacities that support health and

well-being. The center seeks to enhance health and well-being by integrating mindfulness and compassion into medicine, healthcare and society through research, education, public health and clinical practice. In addition to the intensive eight-week MBSR course, the center offers guidance in short practices that can be integrated through ordinary daily activity – a little bit and often. Hand Washing with Mindfulness/Kindness. Contagious kindness begins by offering kindness to yourself as the foundation for offering kindness to others. It doesn’t take any extra time to practice mindfulness and kindness; it just takes remembering. And you can train yourself to remember by using cues such as the hand washing we are all doing during this pandemic. • Standing at the sink, looking at your hands – seeing your parents, grandparents and all your ancestry right there in your hands. • Recalling the acts of kindness you have shone recently with your hands. • Turning on the water, dispensing the soap – noticing the texture and temperature. • Feeling yourself touching yourself, intentionally bringing kindness into this tiny self-massage. • Drying and gazing deeply into your hands – vowing to use them in kindness toward yourself and others. Simple Kindness Phrases. Cultivate the self-care habit of saying some simple phrases throughout your day, during hand washing,

waking up, bathing, eating, driving, walking, working, alone, being with others, going to sleep – anywhere, anytime. • For yourself: May I be safe. May I be happy. May I be well. May I be peacefully at ease. • For others: May you be safe. May you be happy. May you be well. May you be peacefully at ease. And may we all be filled with kindness. Resources

• Harvard University Center for Mindfulness and Compassion https://www.chacmc.org/ • Loving Kindness audio recordings (4-minute and 11-minute versions) at the Mind Body Studio Web page http://www.mindbodystudio. org/?page_id=1594 • UCLA Bedari Kindness Institute https://kindness.ucla.edu/

About the Author: Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine and integrative holistic medicine. He is on the family practice faculty at the University of Kentucky College of Medicine, Saybrook College of Integrative Medicine and Health Sciences (Pasadena) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers individual consultations and group classes in stress management, mindfulness and relaxation training. He can be reached through his website at www.mindbodystudio.org.

ABOUT MIND BODY STUDIO Mind Body Studio

517 Southland Drive, Lexington • 859.373.0033 • www.mindbodystudio.org Offering integrative medicine consultations and experiential health and wellness education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship with each other and the earth.

May 2020

I N

T H E

N E W S By Angela S. Hoover, Staff Writer

Cosmetic Chemicals Cause DNA Damage to Breast Cells

Scientists Baffled to Find Women Without Olfactory Bulbs Can Still Smell

Two common chemicals used in cosmetics and sunscreen were found to cause DNA damage in breast cells at surprisingly low concentrations. Oxybenzone (ultraviolet filter benzophenone-3 or BP-3) and propylparaben (PP), an antimicrobial preservative, were the specific chemicals studied by University of Massachusetts Amherst researchers. D. Joseph Jerry, professor of veterinary and animal sciences at UMass Amherst, and his colleagues decided to investigate whether PP and BP-3 have estrogenic effects at concentrations relevant to population exposures. “We know estrogen can promote breast cancer,” Jerry said. “It’s not toxic unless the cells have estrogen receptors.” They found a new mechanism by which estrogens and xenoestrogens – environmental chemicals that act like estrogens – may promote breast cancer. Jerry also serves as science director of the Pioneer Valley Life Sciences Institute and codirector of the Rays of Hope Center for Breast Cancer Research in a partnership between UMass Amherst and Baystate Medical Center. “The new research offers more sensitive tools to screen for the potential deleterious effects of environmental chemicals, which would be overlooked by methods currently used,” Jerry said. He notes federal agencies such as the Food and Drug Administration typically screen for the toxicity of these chemicals in cell lines that don’t have estrogen receptors. Previous research on the impact of BP-3 and PP focused on the exposure necessary to activate specific genes in cancer cells or accelerate their growth, but the new research shows DNA damage in breast cells with estrogen receptors occurred at concentrations that are one-tenth to one-thirtieth of that required to stimulate proliferation or gene expression. “There may be a risk at lower levels than we would have previously understood,” Jerry said. The results were published Jan. 15 in the journal Environmental Health Perspectives.

A small group of people seem to defy medical science, according to Israeli researchers. The accidental discovery was made while they were conducting a different study involving imaging the brains of patients with a normal sense of smell using MRI. An ad called for subjects with a good sense of smell. One 29-yearold woman was missing the olfactory bulbs that are needed to smell – yet she could smell better than the average person. The olfactory bulbs are in the region in the front of the brain that processes information about smells from the nose. Based on current medical understanding and her MRI, this woman shouldn’t be able to smell at all. The researchers found this unique ability in 0.6 percent of women, but not in men. It’s unclear how these women can smell without olfactory bulbs, but the research suggests the human brain may have a greater ability to adapt than previously thought. Their findings were published Nov. 6 in the journal Neuron.

may events MAY 2020

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Daily Mondays Centered Community Space APRIL THRU JUNE

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Mondays Post-partum Support Group with Sarah Wylie Van Meter

Every Monday at 11:00am Attending this group will give birth parents a time and safe place to feel supported and be in community during their postpartum time journeys. Those who join will be in attendance to each other and to themselves as we exchange ways to care for our own bodies, our emotions, our babies, and our partnerships. Babies of all ages and stages are welcome. Come with or without your baby/babies and don’t fret if you arrive late. Donations-based class. Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington.

Mindfulness-Based Stress Reduction (MBSR)

Brent Oliver

Every Monday 8:00pm-9:00pm The “gold standard” mindfulness at Centered Studio, 309 N. program worldwide. Relax the Ashland Ave. Suite 180 in body, quiet the mind, open the Lexington. Mindfulness Meditation heart. 8 week course on Mondays is a welcoming meditation 6:00-8:30 PM. Orientation April community open to everyone. We 6th. Learn to promote resilience, define mindfulness as concentration prevent burnout, cultivate compassion and manage stressrelated chronic conditions. Instructor: John A. Patterson MD, MSPH, FAAFP. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at www. mindbodystudio. org/?page_ id=1262. UK Wellness Program offers deep discount e.net smagazin s e for UK employees, n ll e w d healthan -calendar.html retirees and ce a r / spouses.

power, sensory clarity, and equanimity all working together. Donations-based class.

Tuesday/Friday Gentle Community Yoga w/ Lauren Higdon & Terry Fister

Every Tuesday and Friday at 10:30am-11:30am at Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis! Donations-based class.

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May 2020

COVID-19 NOTICE

In an effort to contain the COVID-19 outbreak, many events have been canceled or delayed. Check online for up-to-date information.

ARE YOU IN NEED OF A MAMMOGRAM? WOULD YOU LIKE A TAKE-HOME COLON CANCER SCREENING KIT?

IMPROVING KENTUCKY AND BEYOND, ONE SMILE AT A TIME. Read our article in this monthâ&#x20AC;&#x2122;s issue to learn about points to consider when thinking about whitening your teeth.

HAVE YOU RECENTLY BEEN DIAGNOSED WITH CANCER? Give us a call today! We may be able to help you!

ukhealthcare.uky.edu/dentistry

(859) 309-1700 www.kycancerlink.org Sponsored in part by:

May 2020

N AT U R E ' S

Echeveria SUCCULENTS ARE EASY TO GROW AND FULL OF VARIETY By Tanya Tyler, Editor Health&Wellness Not everyone has a green thumb. If you are one of those who can barely coax a weed to grow in your garden, perhaps you should investigate the endless possibilities of lowmaintenance succulents such as Echeveria. The Echeveria cactus is a rosette-forming succulent plant with foliage that comes in a variety of shapes and colors. Its small triangular leaves grow out from a central point called a rosette (because the leaves give the plant a floweror rose-like appearance. You may already be familiar with some of these plants, such as hens and chickens, which can take root and take off in many different types of garden venues. Offsets or baby plants nestle against the mother rosette, but these are easy to separate and grow. You can also start new plants from leaf cuttings, according to Gardening Know How. Just lay the leaf on the surface of the soil. It will root within a few weeks, and a small rosette will grow next to the rooted leaf. Echeveria is named after Atanasio Echeverría y Godoy, an 18th-century Mexican botanical artist and naturalist. He participated in the Royal Botanical Expedition to New Spain in 1787. The expedition sought to compile an inventory of the fauna and flora in New Spain. Echeverria created almost 200 images of different plant species. He was also part of the Guantanamo Commission, which traveled across Cuba and collected

B E A U T Y

3,700 specimens and found 27 new species. Echeverría later served as an art director at the Academy of San Carlos in Mexico. Currently there are about 150 species of Echeveria. They are native from Texas to Central America. Echeverias come from higher altitudes so they like dry air, lots of light, cool night temperatures and good air circulation. Outdoors, they love a spot with all-day sun or a place with morning shade and afternoon sun. Echeveria come in many varieties, colors and textures. Their thick-leaved rosettes are firm to the touch. They have whimsical names such as Lipstick, Fun Queen, Galaxy Blue, Morning Beauty, Topsy Turvy and Mexican Firecracker. The classic types of this succulent are blue-gray or gray-green in color. There are also green, purple and multicolored varieties as well. They make a stunning, intriguing display when grouped together on a windowsill, in a planter or gardenscape. In the summer, some even produce pink, orange or peached-colored flowers. Echeveria are drought resistant, but they do like to receive regular deep watering and occasional fertilizing. Be sure not to overwater your Echeveria. Soft rots and root rot occur when the plant is too wet. Water the plant from below, not by wetting the

leaves of the rosettes. Most will tolerate shade. They thrive in well-lit interiors and grow well in either containers or garden beds. The best way to grow Echeveria in an unglazed clay pot, which allows water to evaporate. Mulch around it with gravel or sand to help prevent weeds and conserve moisture. Let the soil dry out completely before you water it again. Viva Echeveria! Sources and Resources

• Costa Farms (www.costafarms.com) • Gardening Know How (gardeningknowhow.com) • How Stuff Works (www.howstuffworks.com) • Leafy Place (www.leafyplace.com) • Mountain Crest Gardens (www.mountaincrestgardens.com)

Viva Echeveria!

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2020

Compiled by Angela S. Hoover, Staff Writer

Ketogenic Diets May Help With Asthma

Does an Apple a Day Keep Menopause Symptoms Away?

Even low concentrations of some allergens can cause severe inflammation of the bronchi in those with asthma. This inflammation is accompanied by increased mucus production, which makes breathing even more difficult. Innate Lymphoid Cells (ILC) that were discovered a few years ago play a central role in this process. These cells perform an important protective function in the lungs by regenerating damaged mucus membranes. To do so, they produce inflammatory messengers from cytokines, which stimulate division of the mucosal cells and promote mucus production. Ordinarily, this mechanism is useful because it allows the body to quickly repair damage caused by pathogens or harmful substances. The mucus transports the pathogens out of the bronchial tubes and protects the respiratory tract against re-infection. “With asthma, however, the inflammatory reaction is much stronger and longer than normal,” said Dr. Chistoph Wilhelm from the Institute for Clinical Chemistry and Clinical Pharmacology. He is also a member of the Cluster of Excellence ImmunoSensation at the University of Bonn. The ILCs multiply rapidly during this process and produce large amounts of pro-inflammatory cytokines. Scientists hope to slow down ILC division to better control the excessive reaction. Some pathways were significantly more active in dividing ILCs. They primarily ensure cells are supplied with energy and the building blocks they require for reproduction. They use fatty acids to do so. Fatty acids help the cell membrane form a thin skin with which cells separate themselves from their surroundings. Researchers questioned what happens if cells are forced to use those fatty acids elsewhere. The researchers put asthmatic mice on a primarily fat-based diet with very little carbohydrates and proteins. With this ketogenic diet, the cells got their energy by burning fat. However, this meant they lacked fatty acids, which they need for the formation of new membranes during cell division. The division activity of the ILCs in the mice decreased dramatically. “The prevalence of asthma has increased over the last few decades. Perhaps this is also related to an increasingly common high-sugar and high-fat diet,” Wilhelm said. The scientists next want to see if a ketogenic diet can prevent asthma attacks in humans. The research was published April 7 in the journal Immunity.

New research from the North American Menopause Society (NAMS) found higher intakes of certain fruits and vegetables can result in fewer menopause symptoms. Previous studies found dietary factors may play a critical role in estrogen production, metabolism and, consequently, menopause symptoms. In particular, consuming fruits or following a Mediterranean style diet, which is characterized by a high content of vegetables, fruit, cereals and nuts, was linked to fewer menopause symptoms and complaints. This study found some fruits and vegetables exacerbated menopause symptoms while others decreased them. Citrus fruits, green leafy and dark yellow vegetables worsen menopause symptoms compared to other fruits and vegetables. “There is ample evidence a healthy diet rich in fruits and vegetables has a beneficial effect on health in a myriad of ways, but additional study is needed to determine whether various menopause symptoms may be affected by dietary choices,” said Dr. Stephanie Faubion, NAMS medical director. The results were published Feb. 18 in NAMS’ journal.

Dietary factors may play a critical role in estrogen production, metabolism and, consequently, menopause symptoms.

May 2020 | Read this issue and more at www.healthandwellnessmagazine.net |

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I N FORM AT I O N P R O V I D ED BY T H E C EN T ERS FO R D I S EAS E CO N T R O L AN D P RE V EN T IO N (C D C )

SOCIAL DISTANCING WORKS! I

t’s a new phrase for most of us: social distancing. As the coronavirus pandemic widens, health officials have been advocating social distancing as the best way to prevent the spread of COVID-19. Social distancing, also called physical distancing, means deliberately keeping physical space between yourself and other people outside of your home to avoid spreading illness. Staying at least 6 feet away from other people lessens your chances of catching and/ or spreading COVID-19. COVID-19 spreads mainly among people who are in close contact for a prolonged period. The disease spreads

when an infected person coughs, sneezes or talks and droplets from their mouth or nose launch into the air and land in the mouths or noses of people nearby. The droplets can also be inhaled into the lungs. Recent studies indicate people who are infected but do not have symptoms likely play a role in the spread of COVID-19 as well. The Centers for Disease Control and Prevention (CDC) recommends we: • Stay at least 6 feet from other people. • Do not gather in groups. • Stay out of crowded places and avoid mass gatherings.

• Cover your mouth and nose with a cloth face cover or mask when you’re around other people in public. • Avoid using any kind of public transportation, ridesharing or taxis if you can. • Maintain the recommended distance between yourself and other people you encounter even when you’re out walking your dog. Many grocery stores and other venues that are still open have marked places where customers must stand. Don’t think of it as an inconvenience purposely put in place to annoy you. It has been proven social distancing really

Stay at least 6 feet from other people.

does work and helps to flatten the curve. You may want to consider enlisting a grocery delivery service or order your medications on line. The CDC says when COVID-19 is spreading in your area, everyone should limit close contact with individuals outside your household in indoor and outdoor spaces. Since people can spread the virus before they know they are sick, it is important to stay away from others whenever possible, even if you have no symptoms. Social distancing is especially important for people who are at higher risk of getting very sick. These include people whose health is already compromised, those with

underlying health concerns and people age 60 years and older. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or eyes. However, health officials do not think this is the main way the virus spreads. COVID-19 can live for hours or days on a surface, depending on factors such as sunlight and humidity. Social distancing helps limit contact with infected people and contaminated surfaces. Although the risk of severe illness may be different for everyone, anyone can get and

spread COVID-19. A person may have been exposed to the virus without knowing it (for example, when traveling or out in the community) or they could have the virus without feeling symptoms. Everyone can play a role in slowing the spread and protecting themselves, their family and their community. You can stay connected with family, coworkers and loved ones through phone calls, video chats and social media. Together we can stop the spread of COVID-19. The sooner we all comply, the sooner we will all be together again at work, worship, at restaurants and other social settings.

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