Tuesday, January 8, 2013

6 Simple Steps to Keep Your Heart Healthy

A healthy heart -- and a healthier you -- starts today with these quick tips from the experts.

Keeping your heart healthy is so simple it can be put into catchy, two-word phrases: Eat right. Get exercise. Don’t smoke.

Putting those heart-healthy catch phrases into action, of course, isn’t so simple.  Which matter most? How can you put them into daily practice?

Here are practical heart health hints you can use every day.

Adults need at least 30 minutes of exercise five or more days a week for heart health. But improving cardiovascular and overall health isn’t only about sweating on a treadmill or climbing stairs, say the pros. Getting out to play is exercise too, and improving heart health is just as easily about kickball with your kids, walking the dog, or shooting hoops with colleagues during your lunch break.

Get a total of at least 30 minutes of exercise daily -- and you don’t have to do it all at once. Aim for a 10-minute morning walk perhaps, a short workout with hand weights at lunch, and some digging in the garden before dinner, and you’ve met your goals.

To get the full benefits of aerobic exercise "folks should get their heart rate up so they’re somewhat breathless, but can still carry on a conversation," says Susan Moores, RD, MS, a registered dietitian and American Dietetic Association spokeswoman. She adds that all kinds of exercises are important, from strength training and aerobics, to flexibility and stretching exercises.

"Nobody’s going to keep an eye on your medical health other than you," says Elaine Magee, MPH, RD, author of Food Synergy, and WebMD’s "Recipe Doctor." "You are in charge."

That’s an easy thing to forget, especially when talking about the ho-hum pragmatism of routine health exams. Yet getting regular blood pressure, blood sugar, and cholesterol checks, as well as physical exams are important steps in maintaining heart health.

"Anything you can find out about what’s going on inside your body the better," says Magee. Especially true when you consider that heart-threatening conditions like high blood pressure and high cholesterol are "silent" -- meaning there’s almost no way to know you have them unless you get tested.


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FDA Approves New Blood Thinner Eliquis

heart and fda approval stamp

Dec. 31, 2012 -- The FDA has approved the blood thinner Eliquis to prevent stroke in people with atrial fibrillation.

AFib is the most common type of irregular heartbeat and affects about 3 million Americans.

People with AFib are about five times more likely to have a stroke.

Eliquis is approved only for use in people with AFib that is not caused by a heart valve problem. People with prosthetic heart valves should not take Eliquis.

In its approval, the FDA cited a clinical trial of Eliquis in more than 18,000 people with AFib.

The results showed that people who took Eliquis twice a day had 21% fewer strokes than those on the blood thinner warfarin.

AFib raises the risk of stroke because if the heart doesn’t beat strongly and regularly, blood can pool in the heart and become more likely to form clots.

Blood clots in the heart can cause a disabling stroke if the clots travel to the brain,” says Norman Stockbridge, MD, PhD, of the FDA’s Center for Drug Evaluation and Research. “Anti-clotting drugs lower the risk of having a stroke by helping to prevent blood clots from forming.”

Eliquis is now the third new blood thinner to be approved as an alternative to warfarin since 2010. Pradaxa, produced by Boehringer Ingelheim, was approved in 2010, and Xarelto, marketed by Johnson & Johnson and Bayer AG, was approved in 2011.

The approval of Bristol-Myers Squibb and Pfizer’s Eliquis comes six months after the agency delayed its decision on the new blood-thinning drug.

Researchers say these new alternatives to warfarin are easier to take and are believed to be safer than warfarin, also known as Coumadin.

People taking warfarin must have their blood tested regularly because the drug can raise the risk of life-threatening bleeding.

Although researchers say people taking the new types of blood thinners do not have to be monitored as closely, the risk of life-threatening bleeding is still an issue.

There is no agent that can rapidly reverse the anti-clotting effect of Eliquis and the other new-generation blood thinners.

FDA says health care professionals should counsel people taking Eliquis and other blood thinners about the symptoms of possible bleeding, such as, paleness and fatigue.


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Kim Kardashian and Kanye West expecting first child


Kim Kardashian and Kanye West are expecting their first child together, it has been confirmed.

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20-Minute Home 'Clean-Ups' for Better Family Health

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WebMD Feature Reviewed byMelinda Ratini, DO, MS

Doing a thorough, deep clean of your whole home can take several hours -- hours you don't always have available. Make the most of your valuable time with faster, smarter solutions for getting at those places  where germs, dust, and allergens lurk.

20-Minute Bathroom Blitz

Once your children are old enough to sit safely in the tub and play for a bit, you can toss in a variety of bath toys and get the bathroom sanitary -- if not sparkling -- during 15 or 20 minutes of tub time. You’re still within arm’s reach should any water mishaps occur. All you need is some distilled white vinegar to clean and kill most bathroom germs without having to worry that the kids tub will be inhaling harsher chemicals.

The toilet. Toilets are where most of our bathroom germs come from -- urine is actually sterile, but feces are decidedly not. Flushing can send all kinds of bacteria, germs, and fungus into the air. Pour about two cups of white vinegar or disinfectant into the bowl, and then use a spray bottle to spray more onto all the hard surfaces of the toilet (including the rim and handle). Let it sit about 10 minutes while you handle one of the other tasks. Then wipe down the outside and scrub the bowl with a toilet brush. The sink. Spray your sink with vinegar and wipe thoroughly. Don’t forget the handles and faucet. The shower. If you have a glass shower door, regularly spraying it with vinegar prevents residue from building up.

 

20-Minute Kitchen Cleanup at Breakfast or Lunch

If you’re like most busy moms, your kids eat at least one meal in the kitchen sitting at the counter or island or in a breakfast nook or dining area nearby. During the 20 minutes it takes them to eat, you can tackle a fast kitchen clean-up that will leave everything more healthy and hygienic.

Spray all hard surfaces -- countertops, sink, cupboard fronts, taps, and faucets -- with a disinfectant cleaner (or distilled white vinegar) and let it sit for 10 minutes. Do a fast purge of the refrigerator. Dump leftovers that are more than 2 days old and other foods that are past their expiration date. Check the crisper drawers and toss withering lettuce and moldy strawberries. Replace old sponges. Take out the trash. Before you put a new bag in the trash can, spray down the sides with cleaner and wipe. Bags often leak or overflow and bacteria can collect on the bin.

Ask the kids to put their dishes in the dishwasher when they are finished eating (or help them, if they’re little). Then spray the kitchen floor with disinfectant cleaner or distilled white vinegar and let them use dirty dish towels to wipe it clean. Toss the dishtowels in the next load of laundry.

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Pediatricians Promote Benefits of Recess

little girl playing on jungle gym

Dec. 31, 2012 -- The American Academy of Pediatrics has two New Year's resolutions for schools: Keep the school nurse and don't drop recess.

The recommendations are part of two new policy statements published in Pediatrics.

The American Academy of Pediatrics (AAP) says there's a growing trend in schools to take away recess and use the time to teach subjects.

"There is pressure on schools to increase performance on standardized testing, and a lot of times teachers are using withdrawal of recess as a punishment for children," says Robert Murray, MD, a co-author of the recess policy statement and a professor at the Ohio State University in Columbus.

"Recess is an important part of the school day that should not be cast off without thinking," he says. 

It is not a reward, he says. Recess is necessary and important to help children learn and grow.  

"No matter what kind of recess, whether indoors or outdoors, structured or unstructured, kids need a safe place to play," Murray says. "And the equipment should be good and people who supervise should be well-trained."

The benefits of recess are many. "The child who gets regular breaks in the day performs better cognitively in the classroom and gets a lot of social and emotional benefits," he says. "Recess provides kids with the chance to be creative and play with others just for the fun of it."

It doesn't have to be a full hour or half-hour either, he says. Recess can come in shorter bursts of play time sprinkled throughout the school day. "We need to carve out time that belongs to a child."

Recess is not the same as physical education or gym either, says the policy statement's co-author Catherine Ramstetter, PhD. She is a health educator at the Christ College of Nursing and Health Sciences in Cincinnati.

"Recess promotes a healthy learning environment. Importantly, recess should be used as a complement to physical education classes, not a substitute," she says. "It would be ideal if every school had deep pockets to build huge, amazing playgrounds. But every kid will play differently anyway, and every school doesn't have the resources. We need to protect recess as it benefits the whole child."

A second AAP policy statement wants schools to assign important roles for a school doctor and school nurse.

School doctors serve school districts as advisors, consultants, volunteers, team doctors, or school district doctors.

But there's no single set of rules for states and school districts about what a school doctor should do. The new policy statement wants all school districts to have a doctor to oversee health services.

What's more, school doctors should help coordinate policy and practice plans for kids with chronic health conditions, such as diabetes and asthma. The AAP policy statement says kids spend about seven hours a day,180  days a year, in school. During that time they may only see their doctor once a year.


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Kids Use Kitchen Items for Risky Games and Highs

Dec. 28, 2012 -- Common kitchen items like ground cinnamon and marshmallows are increasingly being used by kids for dangerous choking games and cheap, easy highs, a toxicologist warns.

"A lot of these spices and household products are around all year. But during the holidays, kids are out of school. So they have less structure and may spend more time on the Internet, where they can learn about choking games and other ways to get high," says Christina Hantsch, MD, of Loyola University Health System in Maywood, Ill. 

"There is always something new out there. So parents have to educate themselves and their children and have a relationship where they can talk about things they have heard of that may very well be risky."

So just what are kids doing with these spices and products? 

Hantsch says the emergency room at her hospital saw 12 preteen kids who took the "cinnamon challenge." During this challenge, kids swallow cinnamon without any water. This results in a cough and burning sensation that can lead to breathing issues and choking.

Videos of the cinnamon challenge on the Internet have gone viral, which is why it is increasing in popularity. In 2011, poison centers in the U.S. received 51 calls about exposure to cinnamon among teens. In the first three months of 2012, they received 139 calls, she says.

The "chubby bunny" marshmallow challenge has similar risks. In this game, kids stuff as many marshmallows into their mouth as they can, and try to say "chubby bunny." Two kids choked to death during this game.

"It is a little concerning that we are starting to see these things in younger children and preteens who are not aware of the serious consequences," she says.

Other kitchen and household products are also risky. Ground nutmeg can be snorted, smoked, or eaten in large amounts to produce marijuana-like effects, Hantsch says. "We are talking about large quantities, not a little bit in your Chai tea."

Kids are also using aerosol whipped cream and aerosol cooking spray to produce a laughing-gas effect.  

Other risky behaviors include drinking hand sanitizer, which often has an alcohol base. "Even a mouthful can make someone feel inebriated," she says. Some may sniff glue and magic markers to get high. "They may sniff them directly or have the product in a bag that they hold over their mouth and nose."  

Besides the free time and lack of structure, the holidays can be times of stress and emotional tumult for children and teens. "They may be more upset and anxious and more likely to explore or self-medicate," says Scott Krakower, DO. He is the medical director of the Mineola Community Treatment Center at the North Shore-Long Island Jewish Health System in Mineola, N.Y.


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The Great Gatsby Trailer


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DIET TRIALS: The Raw Juice Diet


We put the Raw Fairies five-day Glow detox cleanse to the test. Hungrily.

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