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With warmer weather upon us and Memorial Day just around the corner, many will be heading out to swimming pools and lakes to cool off. This is a good time to educate ourselves on water safety and how to prevent recreational water illnesses (RWIs) and injuries. May 21-27, 2012, is the eighth annual Recreational Water Illness and Injury (RWII) Prevention Week and below you will find valuable information from the Centers for Disease Control and Prevention (CDC) regarding how we can protect ourselves from RWIs and drowning.

Report from the CDC: Recreational Water Illness and Injury Prevention Week 2012

Swimming is one of the most popular sports activities in the United States (1). Although swimming is a physical activity that offers numerous health benefits, pools and other recreational water venues are also places where germs can be spread and injuries can happen.

May 21–27, 2012, the week before Memorial Day, marks the eighth annual Recreational Water Illness and Injury (RWII) Prevention Week. Recreational water illnesses (RWIs) are caused by germs spread by swallowing, breathing in mists or aerosols of, or having contact with contaminated water in swimming pools, hot tubs/spas, water play areas, interactive fountains, lakes, rivers, or oceans. RWIs can also be caused by chemicals in the water or chemicals that evaporate from the water and trigger indoor air quality problems. In addition to illnesses, injuries—such as drowning and slips, trips, and falls—can occur in or around the water.

RWII Prevention Week 2012 Theme: Preventing Drowning and RWIs

Drowning Prevention

Drowning is the leading cause of injury death among children 1–4 years old. Every day, 10 people die from drowning; two of those ten are children under the age of 15 years. Of drowning victims who survive and are treated in emergency departments, more than half are hospitalized or transferred for further care. These individuals often experience brain damage that might result in long-term disabilities, including memory problems, learning disabilities, or permanent loss of basic functioning (for example, permanent vegetative state).

To prevent drowning:

• Everyone (adults and children) should know how to swim,
• Caregivers should know CPR,
• All boaters and weaker swimmers should use lifejackets, and
• Backyard swimming pools should be separated from the house and yard by a fence with a self-closing and self-latching gate.

CDC’s Injury Center has additional drowning prevention tips on its Injury Prevention Program’s Resources webpage.

RWI Prevention

You share the water you swim in with everyone who enters the pool. Contrary to popular belief, chlorine does not kill germs instantly. Once germs get in the pool, it can take anywhere from minutes to days for chlorine to kill them. Swallowing just a little water that contains these germs can make you sick with a recreational water illness (RWI). RWIs include a wide variety of infections, such as gastrointestinal, skin, ear, respiratory, eye, neurologic, and wound infections. The most commonly reported RWI is diarrhea caused by germs such as Crypto (short for Cryptosporidium), Giardia, Shigella, norovirus and E. coli O157:H7.

With the number of RWI outbreaks on the rise, swimmers need to take an active role in helping to protect themselves and prevent the spread of germs. The simple steps below can help you protect yourself and other swimmers from germs in the water you swim in.

Three Steps for All Swimmers

1. Don’t swim when you have diarrhea.
2. Don’t swallow the pool water. Avoid getting the water in your mouth.
3. Practice good hygiene. Shower with soap before swimming and wash your hands after using the toilet or changing diapers. Germs on your body end up in the water. 

Three Steps for Parents of Young Kids

1. Wash your child thoroughly (especially the rear end) with soap and water before swimming. Even invisible amounts of fecal matter can end up in the pool.
2. Check diapers every 30–60 minutes. Change diapers in a bathroom or a diaper-changing area and not at poolside. Germs can spread in and around the pool.
3. Take your kids on bathroom breaks every 60 minutes. Waiting to hear “I have to go” may mean that it’s too late.

CDC’s Healthy Swimming website offers a variety of useful materials for the public, including brochures, posters, videos, podcasts, and fact sheets on its Resources webpage.  Last year’s Healthy Swimming Video Contest Winner and Runner-Up videos are also available on the Healthy Swimming Videos/TV webpage.

References:

1) US Census Bureau. 2012 statistical abstract of the United States. Recreation and leisure activities: participation in selected sports activities 2009  [PDF - 152 KB]

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Having just celebrated Mother’s Day, it is a perfect time for women to look at how they are living their lives and to check in on how they watching out for their health. Sometimes women forget to take care of themselves because of their busy schedules at work and at home. The National Women’s Health Week helps women to learn how to put their health at the top of their priortiy list and gives them the ways to do so.

The following is from womenshealth.gov – a project of the U.S. Department of Health and Human Services Office on Women’s Health.

National Women’s Health Week is a weeklong health observance coordinated by the U.S. Department of Health and Human Services’ Office on Women’s Health. It brings together communities, businesses, government, health organizations, and other groups in an effort to promote women’s health. The theme for 2012 is “It’s Your Time.” National Women’s Health Week empowers women to make their health a top priority. It also encourages women to take the following steps to improve their physical and mental health and lower their risks of certain diseases:

• Visit a health care professional to receive regular checkups and preventive screenings.
• Get active.
• Eat healthy.
• Pay attention to mental health, including getting enough sleep and managing stress.
• Avoid unhealthy behaviors, such as smoking and not wearing a seatbelt or bicycle helmet.

Learn more about National Women’s Health Week.

In the news

• Presidential Proclamation – National Women’s Health Week 2012
• HHS Secretary Kathleen Sebelius on National Women’s Health Week

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Our eyes are very important to us and it is for that reason we want to make sure we take care of them and learn ways to make them healthy. In the latest Vision Service Plan’s newsletter, EnVision, it discusses four bad habits that we must stop if we want to have healthy eyes. Make sure to check it out and see what habit(s) you need to stop!

The following article is from VSP EnVision Newletter: April 2012

You may be surprised at some of the simple things you could be doing that can damage your eye health and vision. Breaking these bad habits starts with learning what’s okay—and what’s not—when it comes to your eye care routine.

Are your contacts really clean?

Some of the most common mistakes that contact lens wearers make are not cleaning, disinfecting, and storing their lenses properly. Make sure to follow your eye doctor’s and lens manufacturer’s instructions for handling and taking care of your contact lenses. Remember:

• Always wash your hands before handling your contact lenses.
• Replace your contacts and case regularly.
• Clean and store your lenses according to your doctor’s instructions.
• Never re-use or “top off” contact solution.

The damage control approach

“It’s important to get your eye exam annually, not just when something goes wrong or you think you need new glasses,” says J. Bradley Oatney, O.D., a VSP doctor at Riverview Eye Associates in Columbus, OH. “Your VSP doctor can be a valuable resource in helping to identify the effects of conditions such as hypertension, elevated cholesterol, and diabetes which can all be devastating to your eyesight.”

• Tell your doctor if you’re experiencing eye strain, double vision, pain, or dry eyes, or if you’re seeing spots or lights.
• Before you leave, schedule your next appointment.

Digital device overdose

Do you find it hard to tear your eyes away from your smart phone? You’re not alone—and, you’re in the company of many eye strain sufferers. “To ease eye strain, I recommend the 20-20-20 rule,” says Dr. Oatney. “Simply look away from your screen and look at something 20 feet away for 20 seconds every 20 minutes.”

Computer screen glare can be a problem too. Arrange the lights in the room so they don’t shine directly on your computer screen, or move your computer to another location if necessary. Other solutions include non-glare coating for glasses, glare-reducing contact lenses, and anti-glare screen options.

When sharing isn’t caring

Do you occasionally use your friend’s mascara, eye drops, or contact solution, or let others borrow yours? Doing this can spread unwanted bacteria and make you and your eyes sick. So, keep your eye products to yourself. A few final reminders:

• To avoid an eye infection, don’t let the tip of your eye drops bottle actually touch your eyes.
• After an eye infection, replace any makeup or applicators that come in contact with your eyes. You don’t want that infection all over again!

The content of this article is for general informational awareness purposes only. Please consult your eyecare doctor or physician for actual advice.

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April 24th is World Meningitis Day and it is important that we make ourselves aware of how serious this disease is and to know the symptoms and steps to take to prevent it. Roughly 4,000 people get bacterial meningitis each year in the US. According to the Centers for Disease Control and Prevention (CDC), about 15% of meningococcal disease survivors will have disabilities that will be long-term, such as deafness, loss of limb(s), nervous system problems, or brain damage. The following information is from the CDC and goes into details about the disease, the symptoms and ways to prevent it.

Meningococcal Disease: Help Prevent It

Meningococcal disease is a serious, vaccine-preventable infection. The meningococcal conjugate vaccine is recommended for all 11-18 year olds. Kids should get this vaccine at 11-12 years of age and a booster dose at age 16.

Did you know that there are approximately 1,000 cases of meningococcal disease in the United States each year? Meningococcal disease can be very serious — even life-threatening — in 48 hours or less. Meningococcal disease can refer to any illness that is caused by Neisseria meningitidis, also known as meningococcus bacteria. The two most severe and common illnesses caused by Neisseria meningitidis include meningitis (infection of the fluid and lining around the brain) and septicemia (bloodstream infection).

Symptoms of Meningococcal Disease

Symptoms of meningococcal disease are usually sudden onset of fever, headache, and stiff neck. It can start with symptoms similar to influenza (flu), and will often also cause nausea, vomiting, sensitivity to light, rash, and confusion. Even with antibiotic treatment, people die in about 10-15% of cases. About 15% of survivors will have long-term disabilities, such as loss of limb(s), deafness, nervous system problems, or brain damage.

How Meningococcal Disease Spreads

Meningococcal disease can be spread from person to person. The bacteria are spread by exchanging respiratory and throat secretions during close (for example, coughing or kissing) or lengthy contact, especially if living in the same dorm or household. Many people carry the bacteria in their throats without getting meningococcal disease. Since so many people carry the bacteria, most cases of meningococcal disease appear to be random and aren’t linked to other cases. Although anyone can get meningococcal disease, adolescents and college freshmen who live in dormitories are at an increased risk.

Meningococcal Disease Prevention

The good news is that there’s a vaccine to help prevent meningococcal disease and it can prevent two of the three most common disease-causing strains. The vaccine is routinely recommended for all 11 through 18 year olds. Kids should get the first dose of this vaccine, known as the meningococcal conjugate vaccine (MCV4), at their 11-12 year old check-up. Now, teenagers are recommended to get a booster dose at age 16. If your teenager missed getting the vaccine at his/her check-up, ask the doctor about getting it now…especially if your child is heading off to college to live in a dorm.

CDC created a video to help you learn more about meningococcal disease and how to prevent it. This video features a CDC doctor who is an expert in meningitis and, most importantly, a concerned mom. You can download the video or podcast at CDC-TV or access it on your mobile phone.

Vaccines for Teens

Your preteen or adolescent is at risk for other diseases like pertussis (whooping cough) and HPV that can be prevented with vaccines. If your child hasn’t had a check-up within the last year, make an appointment now and ask your child’s doctor what vaccines are recommended.

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If you have a child with autism or know someone who does, you probably have been paying close attention to recent reports which show that autism rates have grown significantly in the past few years. According to the Centers for Disease Control (CDC), autism rates have grown by 23% since their last report in 2009 and there has been a 78% increase since their first report in 2007.  These are high numbers and it is an important public health concern that needs attention.

The CDC has provided valuable information that helps us to see what the progress is on the search for the causes and the risk factors of ASDs. Also, the CDC continues to develop resources to help identify children at an early age that have ASDs. Below are some highlights from the CDC’s latest report on ASDs:

CDC estimates 1 in 88 children (11.3 per 1,000) has been identified with an autism spectrum disorder (ASD).

• This marks a 23% increase since our last report in 2009. And, a 78% increase since our first report in 2007. Some of the increase is due to the way children are identified, diagnosed and served in their local communities, although exactly how much is due to these factors in unknown.
• The number of children identified with ASDs varied widely across the 14 ADDM Network sites, from 1 in 47 (21.2 per 1,000) to 1 in 210 (4.8 per 1,000).
• ASDs are almost 5 times more common among boys (1 in 54) than among girls (1 in 252).
• The largest increases over time were among Hispanic children (110%) and black children (91%). We suspect that some of this increase is due to greater awareness and better identification among these groups. However, this finding explains only part of the increase over time, as more children are being identified in all groups.
• There were increases over time among children without intellectual disability (those having IQ scores above 70), although there were also increases in the estimated prevalence of ASDs at all levels of intellectual ability.
• More children are being diagnosed at earlier ages—a growing number of them by age 3. Still, most children are not diagnosed until after they reach age 4, even though early identification and intervention can help a child access services and learn new skills. This is why CDC’s Learn the Signs. Act Early. program is essential. Through this program, CDC provides free tools to help parents track their child’s development and free resources for doctors and educators. CDC is also working with states and communities to improve early identification.
• CDC also provided leadership in establishing Healthy People 2020 objectives and supporting the American Academy of Pediatrics recommendation that all children be screened by age 2, because early screening and diagnosis improve access to services during a child’s most critical developmental period.

To learn more about autism and to find resources to help understanding the risk factors and causes as well as to learn about the Study to Explore Early Development (SEED), click here to visit the Center for Disease Control’s website.

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Many of us strive for younger and healthier looking skin. We use sunscreen and drink water hoping that will be enough to give us that glow we want. There are other ways though as the article from Eatingwell.com brings out below. Another healthy resource for our skin is the food that we eat! Below is a recipe from Eatingwell.com that is not only healthy and delicious, but it helps your skin in many ways as well.

Keep your skin looking younger and smoother with these healthy skin foods.

Sunscreen helps keep your skin healthy and beautiful, protecting it from the outside in—but key nutrients in certain foods can shield your skin from damage from the inside out: vitamin C, lycopene, omega-3s, caffeine and isoflavones in soy. Better yet, many of the same foods that can boost your defenses against skin cancer (the most common type of cancer) will also help keep your skin smoother and ward off wrinkles. These recipes are packed with foods that are good for your skin.

Edamame Succotash with Shrimp

We give succotash—traditionally a Southern dish made with corn, lima beans and peppers—an update using edamame instead of limas and turn it into a main dish by adding shrimp. To get it on the table even faster, purchase peeled, deveined shrimp from the fish counter instead of doing it yourself. Make it a meal: All you need is a warm piece of cornbread to go with this complete meal.

 Servings, about 1 1/2 cups each

Active Time: 30 minutes

Total Time: 30 minutes
Ingredients

• 2 slices bacon
• 1 tablespoon extra-virgin olive oil
• 1 bunch scallions, sliced, or 1 medium onion, diced
• 1 red bell pepper, diced
• 2 cloves garlic, minced
• 1 1/2 teaspoons chopped fresh thyme
• 1 10-ounce package frozen shelled edamame, (see Tip), thawed
• 1 10-ounce package frozen corn, (about 2 cups), thawed
• 1/2 cup reduced-sodium chicken broth, or vegetable broth
• 1 tablespoon cider vinegar
• 1/4 teaspoon salt
• 1 pound raw shrimp, (26-30 per pound), peeled and deveined
• 1/4 teaspoon lemon pepper

Preparation

1. Cook bacon in a large nonstick skillet over medium heat until crisp, about 5 minutes. Leaving the drippings in the pan, use tongs to transfer the bacon to a plate lined with paper towels; let cool.
2. Add oil to the pan. Add scallions (or onion), bell pepper, garlic and thyme and cook, stirring, until softened, about 3 minutes. Stir in edamame, corn, broth, vinegar and salt. Bring to a simmer; reduce heat to medium-low and cook for 5 minutes.
3. Meanwhile, sprinkle shrimp on both sides with lemon pepper. Scatter the shrimp on top of the vegetables, cover and cook until the shrimp are cooked through, about 5 minutes. Crumble the bacon and sprinkle it on top. (continue reading…)

Something we all need but many of us seem to not get enough of is sleep. We may be going to bed too late, getting up too early, tossing and turning, stressed, have a racing heart from a cup of coffee or all of the above! No matter what our sleep issue may be, we need to have a restful night’s sleep in order to feel good the next day. The following information is from RealAge.com and it has valuable tips that may lead you to nights of peaceful sleep.

Sleep Better in 9 Steps

Follow these steps to get a good night’s rest.

Give Yourself the Gift of Great Sleep

When we think of our health and different ways to improve it, we can’t forget about our eyes. In the latest newsletter, EnVision, provided by Vision Service Plan (VSP), there are some great tips to follow to help keep our eyes healthy.

Get a handle on your bucket list: 9 ways to keep your eyes healthy

People usually create bucket lists to record the things they want to do before they die, but here’s a new spin on that concept. This bucket list is designed to guide you through your eye health journey over the next 10 ½ months—until 2012 “kicks the bucket.”

Here are some of our favorite tips to keep your eyes healthy this year. Put this list on your fridge or somewhere it will catch your eye.

Schedule an eye exam. You’ve heard this over and over, and here it is again. An annual visit to your VSP doctor is the best way to manage your eye health and catch early signs of chronic conditions like diabetes, high blood pressure, and high cholesterol.

Protect your eyes from the sun. Your eyes, like your skin, need protection from the sun year-round, not just in the summer. Dress up in some stylish UV protection sunglasses to face whatever weather the new year brings.

Include more fish in your diet. The omega-3 fatty acids in fish are just plain good for you, and they can help prevent dry eye syndrome.

Improve your exercise regimen. Sticking to a regular fitness schedule can help prevent high blood pressure, diabetes, and many other conditions that can affect your eyes.

Say “no” sometimes. Cut something out of your schedule to avoid high levels of stress that can lead to high blood pressure and blood vessel damage in your eyes.

Experiment with a healthy new recipe each month. Give your go-to meals a break and try something new. Try kale, dandelion leaves, squash, or raw bell peppers for a new twist on getting your veggies and vitamins.

Keep an eye on your beauty regimen. Makeup has a shelf life. This goes for eye drops and other eye medications too. Old eye products are a breeding ground for bacteria. Replace your makeup every three months at least.

Put together an eyecare first aid kit. Include a portable eyewash bottle, hand sanitizer, eye drops, back-up glasses or contacts, and an antihistamine and/or decongestant.

Treat yourself. That’s right! Grab some dark chocolate, blueberries, wine, or any other antioxidant-rich food and indulge your taste buds while taking care of your eyes.

Your eye health is a lifelong project, but you’ve gotta take it one step—or year—at a time. So give the items on this list a shot and keep an eye out for more eye health tips in upcoming editions of EnVision.

The content of this article is for general informational awareness purposes only. Please consult your eyecare doctor or physician for actual advice.

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It is Valentine’s Day which is filled with love, flowers, hugs and CHOCOLATE! In fact, many of us may be reaching into a box of chocolate that we got from our Valentine or a box that is sitting on the kitchen counter at the office. Perhaps you can think twice before you grab that chocolate and try a healthier alternative such as this delicious recipe from Eatingwell.com.

Chocolate Fondue

From EatingWell:  January/February 2008

The chocolate will stiffen if it gets cold, so enjoy it while it’s still warm. Skewer and dip anything you like—pear slices, dried apricots, even marshmallows.

2 servings | Active Time: 15 minutes | Total Time: 15 minutes

Ingredients

• 3 ounces bittersweet chocolate, chopped
• 2 tablespoons heavy cream
• 1 tablespoon brewed espresso, (see Kitchen Tip)
• 1/2 teaspoon vanilla extract
• Pinch of salt
• 1 banana, peeled and cut into 8 pieces
• 8 1-inch chunks fresh pineapple
• 4 strawberries

 Preparation

1. Place chocolate, cream, espresso, vanilla and salt in a medium microwave-safe bowl; microwave on Medium, stirring every 20 seconds, until melted, 1 to 2 minutes. (Alternatively, see “No Microwave?” below.)
2. Pour the chocolate mixture into a serving bowl. Serve with fruit.

Nutrition

Per serving : 345 Calories; 19 g Fat; 10 g Sat; 2 g Mono; 20 mg Cholesterol; 54 g Carbohydrates; 4 g Protein; 7 g Fiber; 81 mg Sodium; 382 mg Potassium

3 Carbohydrate Serving

Exchanges: 2 fruit, 1 carbohydrate (other), 4 fat

Tips & Notes

• Make Ahead Tip: Equipment: Fondue forks or bamboo skewers

• Kitchen Tip: If you don’t have an espresso maker, look for instant espresso powder at your supermarket.
• No Microwave? Place chopped chocolate in the top of a double boiler over hot, but not boiling water. Gently stir until almost melted. Remove from the heat and stir until the chocolate melts completely.

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February 3, 2012 is National Wear Red Day – a day that Americans learn about and reflect on the dangers of having an unhealthy heart and wear read in support for women’s heart disease awareness. Back in 2004, the American Heart Association (AHA) knew they had work to do when cardiovascular disease claimed the lives of nearly 500,000 each year. People were not seeing the seriousness of having a healthy heart and knowing what the warning signs were. It was because of this that the American Heart Association created Go Red For Women which was a way to present the facts and provide women with the knowledge and tools they need to take care of their hearts.

With heart disease continuing to be the number one killer of women – 1 in 3 deaths each year, it is no wonder why the American Heart Association is so passionate about getting their message out about heart health. Below you will find valuable information from the American Heart Association’s Go Red For Women website that spells out the warning signs of a heart attack in women. It is very important to educate yourself on how to have a healthy heart because you may save not only your own life but you can help your friends and family as well.

Overview

More women die of cardiovascular disease than from the next four causes of death combined, including all forms of cancer. But 80 percent of cardiac events in women could be prevented if women made the right choices for their hearts involving diet, exercise and abstinence from smoking. Make it your mission to learn all you can about heart attacks and stroke — don’t become a statistic. CALL 9-1-1

Heart Attack

A heart attack occurs when the blood flow to a part of the heart is blocked, usually by a blood clot. If this clot cuts off the blood flow completely, the part of the heart muscle supplied by that artery begins to die.

Signs of a Heart Attack:

1. Uncomfortable pressure, squeezing, fullness or pain in the center of your chest. It lasts more than a few minutes, or goes away and comes back.
2. Pain or discomfort in one or both arms, the back, neck, jaw or stomach.
3. Shortness of breath with or without chest discomfort.
4. Other signs such as breaking out in a cold sweat, nausea or lightheadedness.
5. As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting and back or jaw pain.

If you have any of these signs, don’t wait more than five minutes before calling for help. Call 9-1-1…Get to a hospital right away.

Stroke

Stroke is the No. 3 cause of death in America. It’s also a major cause of severe, long-term disability. Stroke and TIA (transient ischemic attack) happen when a blood vessel feeding the brain gets clogged or bursts. The signs of a TIA are like a stroke, but usually last only a few minutes. If you have any of these signs, don’t wait more than five minutes before calling for help.

Call 9-1-1 to get help fast if you have any of these, but remember that not all of these warning signs occur in every stroke.

Signs of Stroke and TIAs

1. Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
2. Sudden confusion, trouble speaking or understanding
3. Sudden trouble seeing in one or both eyes
4. Sudden trouble walking, dizziness, loss of balance or coordination
5. Sudden severe headache with no known cause

Also, check the time so you’ll know when the first symptoms appeared. It’s very important to take immediate action. Research from the American Heart Association has shown that if given within three hours of the start of symptoms, a clot-busting can reduce long-term disability for the most common type of stroke.

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This Sunday many of us are going to be hosting or attending a Super Bowl party. The main thing people are thinking about besides the game will be about the food that will be surrounding them. Below is a delicious recipe from Eating Well that is sure to be a crowd-pleaser.  This chili recipe can serve as the main course during the Super Bowl, but click here to view some healthy choices for appetizers and desserts to complete your game day menu!

Ultimate Beef Chili

From EatingWell:  January/February 1999, The Essential EatingWell Cookbook (2004)

Offer garnishes, such as reduced-fat sour cream and grated Cheddar cheese (about 1 tablespoon each per person), chopped scallions and chopped fresh tomatoes. Serve with warmed corn tortillas and a green salad topped with orange slices.

12 servings, 1 cup each | Active Time: 1 hour | Total Time: 3 1/4 hours

Ingredients

• 1 pound beef round, trimmed and cut into 1/2-inch chunks
• Salt & freshly ground pepper, to taste
• 1 1/2 tablespoons canola oil, divided
• 3 onions, chopped
• 1 green bell pepper, seeded and chopped
• 1 red bell pepper, seeded and chopped
• 6 cloves garlic, minced
• 2 jalapeno peppers, seeded and finely chopped
• 2 tablespoons ground cumin
• 2 tablespoons chili powder
• 1 tablespoon paprika
• 2 teaspoons dried oregano
• 12 ounces dark or light beer
• 1 28-ounce can diced tomatoes
• 8 sun-dried tomatoes, (not packed in oil), snipped into small pieces
• 2 bay leaves
• 3 19-ounce cans dark kidney beans, rinsed
• 1/4 cup chopped fresh cilantro
• 2 tablespoons lime juice

Preparation

1. Season beef with salt and pepper. Heat 1 1/2 teaspoons oil in a Dutch oven over medium-high heat. Add half the beef and cook, stirring occasionally, until browned on all sides, 2 to 5 minutes. Transfer to a plate lined with paper towels. Repeat with another 1 1/2 teaspoons oil and remaining beef.
2. Reduce heat to medium and add remaining 1 1/2 teaspoons oil to the pot. Add onions and bell peppers; cook, stirring frequently, until onions are golden brown, 10 to 20 minutes. Add garlic, jalapenos, cumin, chili powder, paprika and oregano. Stir until aromatic, about 2 minutes.
3. Add beer and simmer, scraping up any browned bits, for about 3 minutes. Add diced tomatoes, sun-dried tomatoes, bay leaves and reserved beef. Cover and simmer, stirring occasionally, until beef is very tender, 1 1/2 to 2 hours.
4. Add beans; cook, covered, stirring occasionally, until chili has thickened, 30 to 45 minutes. Remove bay leaves. Stir in cilantro and lime juice. Adjust seasoning with salt and pepper.

Tips & Notes

• Make Ahead Tip: Cover and refrigerate for up to 2 days or freeze for up to 2 months.

• For a hot, smoky chili, add 1 tablespoon chopped chipotle pepper in adobo sauce.

Nutrition

Per serving: 235 Calories; 5 g Fat; 1 g Sat; 2 g Mono; 24 mg Cholesterol; 31 g Carbohydrates; 17 g Protein; 11 g Fiber; 496 mg Sodium; 582 mg Potassium

Nutrition Bonus: 52 mg vitamin c (90% dv), 38% dv fiber, 35% dv vitamin a, 4 mg iron (20% dv).

Carbohydrate Serving: 1 1/2

Exchanges: 1 starch, 1 1/2 vegetable, 2 1/2 lean meat

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A recent study, published in The Lancet, shows that in order to get an accurate blood pressure reading, doctors should take the patient’s blood pressure in both the right and left arm. The findings showed that there was a difference in systolic blood pressure between the two arms – about 15 milimeters of mercury (mm Hg). This difference in the blood pressure is linked to an increased risk of peripheral artery disease (PAD) which is a condition where there is a narrowing of the arteries, especially in the legs and feet. The 15 millimeters difference of mercury in the two arms means the individual is 2.5 times more likely to have PAD and the risk of cerebrovasular disease is 1.6 times higher. It was also associated with a 70% greater risk of dying from heart disease.

The Lancet study brings out the fact that there already is an existing guideline for doctors showing that they should always take blood pressure readings from both arms. Dr. Christopher Clark, the lead author in the study said,  ”Recommendations to measure both arms exist in both British and American blood pressure managment guidelines.” He goes on to say, “This is out there as guidance, but it’s guidance that isn’t regularly followed.” A difference of just 10 millimeters was enough to raise the risk of peripheral vasular disease so having the difference of 15 millimeters should be enough to make more doctors pay attention to the guidelines.

Why would there be a difference in readings between the two arms? The authors of the study hypothesized that it could be the narrowing or hardening of a person’s arteries, especially on one side of their body.

Dr. Clark said, “If we don’t know to measure both arms, we’re not going to make the right diagnosis and the right treatment choices for our patients.” Since many doctors only measure one arm, the next time you visit your doctor, make sure to remind them to take your blood pressure readings in both arms. By doing this you are ensuring that you will receive the most accurate readings and more likely a correct diagnosis.

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The following information is from the American Heart Association and explains how to understand blood pressure readings which is very important if we are to monitor our health. It is especially important to understand these numbers if we suffer from high or low blood pressure as well as other health conditions.

Step 1:  About High Blood Pressure – Understanding Blood Pressure Readings

What do the blood pressure numbers mean?

Blood pressure is typically recorded as two numbers, written as a ratio like this: 117/76 mm Hg (read as “117 over 76 millimeters of mercury”.

Systolic

The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts).

Diastolic

The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood).

What is the AHA recommendation for healthy blood pressure?

This chart reflects blood pressure categories defined by the American Heart Association.

* Your doctor should evaluate unusually low blood pressure readings.

How is high blood pressure diagnosed?

Your healthcare providers will want to get an accurate picture of your blood pressure and chart what happens over time. Starting at age 20, the American Heart Association recommends a blood pressure screening at your regular healthcare visit or once every 2 years, if your blood pressure is less than 120/80 mm Hg.

Your blood pressure rises with each heartbeat and falls when your heart relaxes between beats. While BP can change from minute to minute with changes in posture, exercise, stress or sleep, it should normally be less than 120/80 mm Hg (less than 120 systolic AND less than 80 diastolic) for an adult age 20 or over. About one in three (33.5%) U.S. adults has high blood pressure.

If your blood pressure reading is higher than normal, your doctor may take several readings over time and/or have you monitor your blood pressure at home before diagnosing you with high blood pressure.

A single high reading does not necessarily mean that you have high blood pressure. However, if readings stay at 140/90 mm Hg or above (systolic 140 or above OR diastolic 90 or above) over time, your doctor will likely want you to begin a treatment program. Such a program almost always includes lifestyle changes and often prescription medication for those with readings of 140/90 or higher.

If, while monitoring your blood pressure, you get a systolic reading of 180 mm Hg or higher OR a diastolic reading of 110 mm HG or higher, wait a couple of minutes and take it again. If the reading is still at or above that level, you should seek immediate emergency medical treatment for a hypertensive crisis.

Even if your blood pressure is normal, you should consider making lifestyle modifications to prevent the development of HBP and improve your heart health.

Which number is more important, top (systolic) or bottom (diastolic)?

Typically more attention is given to the top number (the systolic blood pressure) as a major risk factor for cardiovascular disease for people over 50 years old. In most people, systolic blood pressure rises steadily with age due to increasing stiffness of large arteries, long-term build-up of plaque, and increased incidence of cardiac and vascular disease.

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YIELD: 12 servings (serving size: 1 wedge)

COURSE: Desserts, Pies/Pastries

Ingredients

• Streusel:
• 3/4 cup regular oats
• 1/2 cup packed light brown sugar
• 1/2 teaspoon ground cinnamon
• 1/4 teaspoon ground nutmeg
• Dash of salt
• 2 tablespoons chilled butter, cut into small pieces
• Filling:
• 3 cups (1/2-inch) cubed peeled Anjou pear (2 large)
• 2 cups fresh cranberries
• 2/3 cup packed light brown sugar
• 2 1/2 tablespoons cornstarch
• Remaining ingredient:
• 1 unbaked 9-inch deep-dish pastry shell

Preparation

Nutrition Guidelines for Healthy Living

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Cooking Light NOVEMBER 2007

This delicious recipe is from Cooking Light.com and it is perfect for the holidays! Enjoy!

This pie’s strength lies in the amalgamation of many different textures and flavors. Crisp pear and tart cranberries are held in an ooey-gooey brown-sugar filling, topped with a crunchy, nutty streusel. Using a premade crust means there’s almost no work involved. Assembly takes maybe five minutes―throw it in the oven, and you’re done.

If you can’t find fresh cranberries, use thawed frozen ones. A prepared pie shell yields a stellar dessert with little effort. Serve with vanilla ice cream.

YIELD: 12 servings (serving size: 1 wedge)

COURSE: Desserts, Pies/Pastries

Ingredients

Streusel:

• 3/4 cup regular oats
• 1/2 cup packed light brown sugar
• 1/2 teaspoon ground cinnamon
• 1/4 teaspoon ground nutmeg
• Dash of salt
• 2 tablespoons chilled butter, cut into small pieces
• Filling:
• 3 cups (1/2-inch) cubed peeled Anjou pear (2 large)
• 2 cups fresh cranberries
• 2/3 cup packed light brown sugar
• 2 1/2 tablespoons cornstarch
• Remaining ingredient:
• 1 unbaked 9-inch deep-dish pastry shell

Preparation

Preheat oven to 350°.

To prepare streusel, combine first 5 ingredients in a medium bowl; cut in butter with a pastry blender or 2 knives until mixture resembles coarse meal.

To prepare filling, combine pear, cranberries, 2/3 cup brown sugar, and cornstarch in a large bowl; toss well to combine. Spoon pear mixture into pastry shell; sprinkle streusel over pear mixture. Bake at 350° for 1 hour or until bubbly and streusel is browned. Cool at least 1 hour on a wire rack.

Nutritional Information

Amount per serving

• Calories: 240
• Calories from fat: 31%
• Fat: 8.2g
• Saturated fat: 2.4g
• Monounsaturated fat: 3.1g
• Polyunsaturated fat: 0.8g
• Protein: 1.6g
• Carbohydrate: 41.5g
• Fiber: 2.4g
• Cholesterol: 5mg
• Iron: 0.8mg
• Sodium: 118mg
• Calcium: 27mg

Nutrition Guidelines for Healthy Living

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The following information is from the American Heart Association and it explains what high blood pressure is and helps us to understand how our body works and how we can take care of ourselves no matter what our blood pressure levels are. Since 76.4 million U.S. adults have been diagnosed with high blood pressure, it is important that we take the time to learn about this disease and know how to help prevent and treat it.

Over the next few weeks we will provide further information regarding blood pressure conditions that can help us to be more aware of the symptoms, the precautions we can take and solutions to fight the disease.

What is High Blood Pressure?

High blood pressure, also known as HBP or hypertension, is a widely misunderstood medical condition. Some people think that those with hypertension are tense, nervous or hyperactive, but hypertension has nothing to do with personality traits. The truth is, you can be a calm, relaxed person and still have HBP.

Let’s look at the facts about blood pressure so you can better understand how your body works and why it is smart to start protecting yourself now, no matter what your blood pressure numbers are.

By keeping your blood pressure in the healthy range, you are:

• Reducing your risk of your vascular walls becoming overstretched and injured
• Reducing your risk of your heart having to pump harder to compensate for blockages
• Protecting your entire body so that your tissue receives regular supplies of blood that is rich in the oxygen it needs

Blood pressure measures the force pushing outwards on your arterial walls.

The organs in your body need oxygen to survive. Oxygen is carried through the body by the blood. When the heart beats, it creates pressure that pushes blood through a network of tube-shaped arteries and veins, also known as blood vessels and capillaries. The pressure — blood pressure — is the result of two forces. The first force occurs as blood pumps out of the heart and into the arteries that are part of the circulatory system. The second force is created as the heart rests between heart beats. (These two forces are each represented by numbers in a blood pressure reading.)

The problems from too much force.

Healthy arteries are made of muscle and a semi-flexible tissue that stretches like elastic when the heart pumps blood through them. The more forcefully that blood pumps, the more the arteries stretch to allow blood to easily flow. Over time, if the force of the blood flow is often high, the tissue that makes up the walls of arteries gets stretched beyond its healthy limit. This creates problems in several ways.

• Vascular weaknesses
  First, the overstretching creates weak places in the vessels, making them more prone to rupture. Problems such as strokes and aneurysms are caused by ruptures in the blood vessels.
• Vascular scarring
  Second, the overstretching can cause tiny tears in the blood vessels that leave scar tissue on the walls of arteries and veins. These tears and the scar tissue are like nets, and can catch debris such as cholesterol, plaque or blood cells traveling in the bloodstream.
• Increased risk of blood clots
  Trapped blood can form clots that can narrow (and sometimes block) the arteries. These clots sometimes break off and block vessels and the blood supply to different parts of the body. When this happens, heart attacks or strokes are often the result.
• Increased plaque build-up
  The same principle applies to our blood flow. Cholesterol and plaque build-up in the arteries and veins cause the blood flow to become limited or even cut off altogether. As this happens, pressure is increased on the rest of the system, forcing the heart to work harder to deliver blood to your body. Additionally, if pieces of plaque break off and travel to other parts of the body, or if the build-up completely blocks the vessel, then heart attacks and strokes occur.
• Tissue and organ damage from narrowed and blocked arteries
  Ultimately, the arteries and veins on the other side of the blockage do not receive enough freshly oxygenated blood, which results in tissue damage.
• Increased workload on the circulatory system
  Think of it this way: In a home where several faucets are open and running, the water pressure flowing out of any one faucet is lower. But when pipes get clogged and therefore narrow, the pressure is much greater. And if all the household water is flowing through only one faucet, the pressure is higher still.

When the arteries are not as elastic because of the build-up of cholesterol or plaque or because of scarring, the heart pumps harder to get blood into the arteries. Over time, this increased work can result in damage to the heart itself. The muscles and valves in the heart can become damaged and heart failure can result.

Damage to the vessels that supply blood to your kidneys and brain may negatively affect these organs.

You may not feel that anything is wrong, but high blood pressure can permanently damage your heart, brain, eyes and kidneys before you feel anything. High blood pressure can often lead to heart attack and heart failure, stroke, kidney failure, and other health consequences.

Take the time to learn about what the numbers in your blood pressure reading mean.

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World AIDS Day began in 1988 and is observed December 1 each year with the purpose is to raise awareness of the AIDS caused by the spread of HIV infection. It is recognized by political figures and health officials worldwide. On November 8th, Secretary of State Hillary Rodham Clinton spoke about her goal for an “AIDS Free Generation”. You can view this speech by visiting PEPFAR or by clicking here to go directly to the video. Since 1995, the President of the United States has given an official speech on World AIDS Day. To read the proclamation that President Barack Obama gave earlier today, click here.

This year the theme for World AIDS Day 2011 is ‘Getting to Zero’. According to unaids.org, this year the global community has committed to focusing on achieving 3 targets: “Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths”.  With stats like the following ones from unaids.org, it is crucial that we increase our awareness and seek out what we can do as individuals to help.

At the end of 2010 an estimated:

• 34 million [31.6 million – 35.2 million] people globally living with HIV
• 2.7 million [2.4 million – 2.9 million] new HIV infections in 2010
• 1.8 million [1.6 million – 1.9 million] people died of AIDS-related illnesses in 2010

On November 30, 2011, a report by the WHO, UNICEF and UNICEF and UNAIDS Global Report on the global HIV/AIDS response showed that having increased access to HIV services resulted in a 15% reduction of new infections over the past decade and a 22% decline in AIDS-related deaths in the past five years.

“It has taken the world ten years to achieve this level of momentum,” says Gottfried Hirnschall, Director of WHO’s HIV Department. “There is now a very real possibility of getting ahead of the epidemic. But this can only be achieved by both sustaining and accelerating this momentum over the next decade and beyond.”

The report highlights what steps have been working to combat AIDS:

• Improved access to HIV testing services enabled 61% of pregnant women in eastern and southern Africa to receive testing and counseling for HIV – up from 14% in 2005.
• Close to half (48%) of pregnant women in need receive effective medicines to prevent mother-to-child transmission of HIV (PMTCT) in 2010.
• Antiretroviral therapy (ART), which not only improves the health and well-being of the infected people but also stops further HIV transmission, is available now for 6.65 million people in low- and middle-income countries, accounting for 47% of the 14.2 million people eligible to receive it.

The report brings out what steps still have to be taken:

• More than half of the people who need antiretroviral therapy in low- and middle-income countries are still unable to access it. Many of them do not even know that they have HIV.
• Despite the growing body of evidence as to what countries need to focus on to make a real impact on their epidemics, some are still not tailoring their programmes for those who are most at risk and in need. In many cases, groups including adolescent girls, people who inject drugs, men who have sex with men, transgender people, sex workers, prisoners and migrants remain unable to access HIV prevention and treatment services.

Other sites to visit to learn more about World Aids Day and what you can do to help:

http://www.worldaidscampaign.org/

http://www.unaids.org

http://www.avert.org/world-aids-day.htm

http://www.youtube.com/theonecampaign

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During this festive time of year many of us find it hard to resist all the delicious food that is in front of us while at work, at home and at social gatherings throughout the holidays. These situations can be very challenging for those with diabetes. Below you will find some useful information provided by the Centers for Disease Control and Prevention on how diabetics can enjoy the celebrations and stay healthy.

The following is from CDC.gov:

Having diabetes shouldn’t stop you from enjoying holiday celebrations and travel. With some planning and a little work, you can stay healthy on the road and at holiday gatherings with friends and family.

The most important step in managing diabetes during holiday travel and festivities is preparing. Know what you’ll be eating, how to enjoy a few traditional favorites while sticking with a healthy meal plan, and how to pack necessary supplies for a trip, and you’re all set to celebrate!

Feasts and Parties

Before you go, take these steps to make sure you stick to your healthy meal plan.

• Eat a healthy snack to avoid overeating at the party.
• Ask what food will be served, so you can see how it fits into your meal plan.
• Bring a nutritious snack or dish for yourself and others.

You don’t have to give up all of your holiday favorites if you make healthy choices and limit portion sizes. At a party or holiday gathering, follow these tips to avoid overeating and to choose healthy foods.

• If you’re at a buffet, fix your plate and move to another room away from the food, if possible.
• Choose smaller portions.
• Choose low-calorie drinks such as sparkling water, unsweetened tea or diet beverages. If you select an alcoholic beverage, limit it to one drink a day for women, two for men, and drink only with a meal.
• Watch out for heavy holiday favorites such as hams coated with a honey glaze, turkey swimming in gravy and side dishes loaded with butter, sour cream, cheese or mayonnaise. Instead, choose turkey without gravy and trim off the skin, or other lean meats.
• Look for side dishes and vegetables that are light on butter, dressing and other extra fats and sugars, such as marshmallows or fried vegetable toppings.
• Watch the salt. Some holiday favorites are made with prepared foods high in sodium. Choose fresh or frozen vegetables that are low in sodium.
• Select fruit instead of pies, cakes and other desserts high in fat, cholesterol and sugar.
• Focus on friends, family and activities instead of food. Take a walk after a meal, or join in the dancing at a party.

Traveling for the Holidays

Leaving home to visit friends and family means changing routines. Make sure you remember to take care of your diabetes while traveling. Check blood glucose (sugar) more often than usual, because a changing schedule can affect levels.

Remember Your Medication

• Pack twice the amount of diabetes supplies you expect to need, in case of travel delays.
• Keep snacks, glucose gel, or tablets with you in case your blood glucose drops. (continue reading…)

Today is World Diabetes Day and its purpose it to raise global awareness of diabetes. World Diabetes Day was started by the International Diabetes Federation (IDF) and the World Health Organization (WHO) and is celebrated on November 14th to mark the birthday of Frederick Banting, who along with Charles Best, played an important role in the discovery of insulin in 1922 which has been a life-saving treatment for diabetics. The campaign is in the spotlight each year on November 14th however, it works year round to help educate people on what the risks are and how to prevent diabetes.

WHO estimates that more than 346 million people worldwide have diabetes. Almost 80% of diabetes deaths occur in low- and middle-income countries. The IDF issued a report that estimates that 552 million people could have diabetes in two decades’ time based on factors like aging and demographic changes. The group says that about one adult in 13 has diabetes.

Gojka Roglic, head of WHO’s diabetes unit, said the projected future rise in diabetes cases was because of aging rather than the obesity epidemic. Most cases of diabetes are Type 2, the kind that mainly hits people in middle age, and is linked to weight gain and a sedentary lifestyle. Roglic went on to say that a substantial number of future diabetes cases were preventable. “It’s worrying because these people will have an illness which is serious, debilitating, and shortens their lives,” she said. “But it doesn’t have to happen if we take the right interventions.”

The slogan chosen for this year’s campaign is: Act on Diabetes. Now.

Five key messages have been developed to inform the outputs and deliverables of the 2011 campaign:
• Diabetes kills: 1 person every 8 seconds, 4 million people a year
• Diabetes does not discriminate: all ages, rich and poor, all countries
• Diabetes can no longer be ignored: 4 million lives lost a year, 1 million amputations a year, millions lost in income and productivity
• Life-saving care, a right not a privilege: education, medicines, technologies
• Choose Health: demand healthy food and environments, keep active, eat well. You can make a difference.

Click here to view a  short video from the IDF.

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Last month we featured an article that discussed the Million Hearts national campaign that has the goal of preventing 1 million heart attacks and strokes over the next 5 years. In the article we mentioned we would feature articles to help educate readers on what heart disease is, as well as what cardiovascular disease and strokes are. We hope our readers will be able to learn what causes these conditions and what they can do to help prevent them. The following article is from the Million Hearts website and it discusses what things you can do to help prevent heart disease and stroke.

About Heart Disease & Stroke

PREVENTION

Heart disease and stroke are an epidemic in the United States today. The good news is that many of the major risk factors for these conditions can be prevented and controlled.

Remember Your ABCS

Keep the ABCS in mind every day and especially when you talk to your doctor:

• Appropriate Aspirin Therapy
• Blood Pressure Control
• Cholesterol Control
• Smoking Cessation

Talk to Your Doctor

Share your health history, get your blood pressure and cholesterol checked, and ask if taking an aspirin each day is right for you.

Control Your Blood Pressure and Cholesterol

High blood pressure is one of the leading causes of heart disease and stroke. One in 3 U.S. adults has high blood pressure, and half of these individuals do not have their condition under control.

Similarly, high cholesterol affects 1 in 3 American adults, and two-thirds of these individuals do not have the condition under control. Half of adults with high cholesterol do not get treatment.

If your blood pressure or cholesterol is high, take steps to lower it. This could include eating a healthier diet, getting more exercise, and following your doctor’s instructions about medications you take.

Eat Healthy for Your Heart

What you eat has a big impact on your heart health. When planning your meals and snacks, try to:

• Eat lots of fresh fruits and vegetables.
• Check the labels on your food and select those with the lowest sodium. Too much sodium can increase your blood pressure.
• Limit foods with high amounts of saturated fat, trans fat, and cholesterol. You can find this information on the Nutrition Facts label.
• Cook at home whenever possible. This way, you’re in charge of the ingredients and you know exactly what you and your family are eating.

 

Get Moving

Obesity can increase your risk for heart disease and stroke. To keep your body at a healthy weight and to fight high blood pressure and cholesterol, make physical activity part of your daily routine. Try to fit in 30 minutes of moderate-intensity exercise on most days of the week. For example, you could take a brisk 10-minute walk 3 times a day, 5 days a week.

Quit Smoking

Cigarette smoking greatly increases your risk for heart disease. If you’re a smoker, quit as soon as possible, and if you don’t smoke, don’t start. You can also support smoke-free policies in your community and try to avoid secondhand smoke.

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