Mittwoch, 30. September 2015

Health Disparities in the United States: Social Class, Race, Ethnicity, and Health


Outstanding Academic Title, Choice magazine


The health care system in the United States has been called the best in the world. Yet wide health disparities persist between different social groups, and many Americans suffer from poorer health than people in other developed countries. Donald A. Barr’s Health Disparities in the United States explores how socioeconomic status, race, and ethnicity interact with socioeconomic inequality to create and perpetuate these health disparities. Examining the significance of this gulf for the medical community, cultural subsets, and society at large, Barr offers potential policy- and physician-based solutions for reducing health inequity in the long term.


This popular course book, which has been fully updated, now incorporates significant new material, including a chapter on the profound effects of inequality on child development, behavioral choices, and adult health status. An essential text for courses in public health, health policy, and sociology, the second edition analyzes the complex web of social forces that influence health outcomes in the United States. This book is a vital teaching tool and a comprehensive reference for social science and medical professionals.


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Health Disparities in the United States: Social Class, Race, Ethnicity, and Health

Dienstag, 29. September 2015

Pharmacy students and faculty reach out with health fair


It’s easy to think of pharmacists as people who just count your pills, but Julia Lees said they do much more.


“Yeah, we count pills, but also if your doctor prescribes you three medications that all do the same thing for you and they cause your kidneys to fail, we are the ones to catch that,” said Lees, a third year pharmacy student at Temple. “Patients don’t realize how pharmacists can help them.”


This misconception about pharmacists is one of the reasons why Temple’s chapter of the American Pharmacists Association-Academy of Student Pharmacists holds an annual health fair to educate students, faculty and the community about topics like migraines, smoking, sexual health and immunizations. This year’s health fair, held in the Student Center Sept. 18, was organized by Lees, who is the president of APhA.



Leigh Webber, program manager of the School of Pharmacy, hands out nutritious food samples during an annual health fair. | Daniel Sebastian TTN

Leigh Webber, program manager of the School of Pharmacy, hands out nutritious food samples during an annual health fair. | Daniel Sebastian TTN



The event, “Giving Back to Temple,” featured science fair-like poster boards that detailed each health topic while students and faculty from the pharmacy department were on hand to give more information. For the students, Lees said it was a chance for them to take what they learn in the classroom and educate Temple’s student community, which could actually use the information given to them for their daily lives, like with nutrition.


“We try to cover all the topics that are most common in a patient population,” Lees said.


This year was also special for the health fair in that three other organizations involved in clinical pharmacy, consulting pharmacy and hospital pharmacy, participated with their own poster board presentations.


Although there was much work that came with preparing for the event, Lees said it was worth the effort to reach out and educate the people who did stop by the health fair.


“Even if people said they only looked at one board or if they looked at all of them, it still made a difference to me,” she said. “I was very happy that we were there to give that knowledge to Temple University students and the community.”


Lees has been passionate about APhA’s mission of furthering pharmacy students’ impacts ever since she started pharmacy school—she has been involved in a leadership position for APhA since her first year.


“I fell in love with the APhA’s message of promoting the pharmacist’s voice as a student,” Lees said. “It’s not just one aspect of healthcare or patient care. It’s everything you can think of. It’s pharmacy laws, policy, international pharmacy. It’s so many opportunities to become involved.”


The Philadelphia-founded organization is the largest in Temple’s School of Pharmacy, and Lees hopes future events and initiatives of the APhA will become more available to students and the Philadelphia community. On Oct. 24, the organization will give presentations to high school students as part of “Upward Bound,” where members will cover topics like counterfeit medications, street drugs and allergies.


This year, Lees is adamant about educating pharmacy students on the opioid drug called Naloxone, also known as Narcan. This life-saving drug is essentially an antidote to the effects of overdoses on heroin, cocaine or oxycodone. Lees is organizing a training event where students can learn from a specialist about the drug and how to administer it to a patient.


For the future, as Lees hands off the presidency to another student, she hopes to get the word out more effectively around campus on the information pharmacy students have to give back to Temple.


“We are pharmacy school students,” Lees said. “This is how we want to contribute to Temple University.”


Albert Hong can be reached at albert.hong@temple.edu.



Pharmacy students and faculty reach out with health fair

Montag, 28. September 2015

Smart Watch Health Fitness Running Pedometer Smartwatch/ Sport Smart Bracelet Support Bluetooth

Features:


Color: Black,blue,red


Band Material: ABS Plastic + TPU + AL


Body Dimensions: 30X18X 9mm


Standby time: 36 Hours


Application system: Andriod 4.3 or later/IOS 7.0 or later!!


You must install the APP”Zeroner” first, then you can connect with bluetooth.


How to use it , how to Pairing and Sync Date:


Go to App store or play store, download this APP: “Zeroner” and install it. Open APP Zeroner, make sure your mobile device connect with internet via WIFI or 3G.


Screen 0.49′ OLED Display


Battery 40mA Li-polymer


Three-proof Grade IP67


Standby time 4 days Standby time 4 days



Functional features:



Pedometer


Can whenever and wherever possible to step View the current training situation and remaining unfinished step number.



Sleep Monitoring


Intelligent monitoring to sleep at night Up in the morning can see sleep last nightThere will be five diagram



Bluetooth:


smart wristband via Bluetooth to sync to healthy bracelet APP, Energy consumption, sleep data at a glance



Stopwatch:


May at any time enter the Stopwatch Test, check the current run time Long standby



Message/Call Reminder


It would remind you when you getting a message or a phone call,It can even have the Call ID Display



Calories Counter



Low radiation:


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1pc Bluetooth Smart Bracelet


User manual


Product Features



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Smart Watch Health Fitness Running Pedometer Smartwatch/ Sport Smart Bracelet Support Bluetooth

Can Man Buns Lead to Male Baldness?


71st Annual Golden Globe Awards - Arrivals

(Photo : Jason Merritt | Getty Images Entertainment)



Man buns have become the new face of hipster, and the fact that Hollywood celebrities like Leonardo DiCaprio love to wear it only adds to its growing popularity. But can it cause some problems, say, male baldness?


The answer seems to be yes, according to one Canadian doctor, Jeff Donovan. In an interview with Globalnews Canada, Dr Donovan, who is a board-certified dermatologist specializing in hair loss and hair transplantation, it may trigger traction alopecia.


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Alopecia is the general term for hair loss. One of the most common types is alopecia areata, which causes the hair to naturally fall off. An autoimmune disease, the body’s immune system attacks the follicles, preventing the hair from growing.


Traction alopecia, however, is not an autoimmune condition. However, it can still cause gradual hair loss due to the amount of force applied to the hair. Although the hair can withstand a certain amount of force, constant pulling and the application of a much greater force can be potentially damaging.


Another dermatologist, Dr Sabra Sullivan, speaking in Mic, tends to agree with Dr Donovan’s explanation. The said article also shared that although traction alopecia is more associated with women based on the studies conducted many years ago, the same effect may still happen to men. Dr Sullivan said she had already seen the condition in men wearing man buns.


A New York hairstylist, Dennis Zuniga, also mentioned in Mic that once the follicles have already been damaged due to regular pulling, the hair may no longer grow again.  


The good news is that men don’t have to stop wearing the man bun altogether. The general rule agreed by both doctors and other experts is to make the knot a little bit loose to reduce the force applied on the hair. It may also help to avoid wearing the hairstyle constantly.


Aside from man buns, traction alopecia may happen for those who regularly wear in braids.  


 



Can Man Buns Lead to Male Baldness?

COMPETITION: WIN a 10 week weight loss programme

Monday, 28th September, 2015 11:38am



COMPETITION: WIN a 10 week weight loss programme




COMPETITION: WIN a 10 week weight loss programme



How to enter:


To enter to win a 10 week weight loss programme worth €300, just click here


 


“I invested in myself and it has paid off”


Stephanie Finn is enjoying improved health and is two dress sizes smaller thanks to Motivation.



Having carried excess weight since she was a child, 27- year-old Stephanie Finn from Moate had tried every diet under the sun to lose weight but to no success. It wasn’t until she started having stomach problems (which turned out to be gallstones) that Stephanie knew she had to make some serious changes to her lifestyle. Having watched her brother lose several stone in weight after joining Motivation in Mullingar, Stephanie decided to commit to the programme, and now at the end of her 20 weeks she has dropped two dress sizes and feels healthier and happier than ever.


“I tried so many different diets in the past and nothing had ever worked. Then late last year I became quite sick. It turned out that I had gallstones and I was looking at between six to eight weeks before I could get them out. I was so sick I decided to try Motivation to see what I could do to change my lifestyle in the meantime,” explains Stephanie. “That was in May and I weighed 11 stone 11 pounds. My first Motivation appointment was so different to anything else I had tried. The main thing I found was that the girls in Mullingar were so welcoming. No other diet offers you the one-to-one sessions, which I found great. You really build up a connection with the girls because they have been through exactly the same as you and know what you’re going through. “I discussed why I wanted to lose weight. They gave me a weight questionnaire that identifies bad eating habits.



So it’s more than going on a diet – it’s all about identifying your bad eating habits, and the emotional connection to eating. “My problem was portion size, the amount of food I was eating,” admits Stephanie. “I was always eating on the run and I got into the habit of having takeaways every weekend. Then there were certain foods that I perceived as good for me but they weren’t. I learned how to plan ahead for meals rather than eating on the run all the time. “It also educates you. You know what’s in the food you’re eating, and you know what it’s going to do to your body if you eat the wrong foods. Once you understand that, it’s easier to stay away from the foods that are bad for you.” For Stephanie the changes were instantaneous. “I noticed the weight dropping o_ immediately. Within the first  two to three weeks I had lost seven pounds. It


was coming off in the first week. By the time my operation came around I was feeling so much better in myself that I wondered whether I needed it at all.


 


“Now I’m at the end of my 20-week programme and there’s such a big change in my life. I can’t believe how much weight I’ve lost until I see a photo of myself and or go shopping for clothes. I’m now 9 stone 11 pounds, so I’ve lost two stone – that’s two dresses sizes.” Losing weight has not only had a positive e_ ect on Stephanie physically but emotionally too. “I feel like a completely different person. I used to be a lot more moody and negative, now I’m not a negative person any more. I’m not as tired as I once was and I have loads of energy.”


So what advice would Stephanie give to people thinking of joining Motivation?


“A lot of people are put off by the cost of the programme but what I would say to them is that you are investing in yourself. It is definitely worth it and in the long run it does pay off.


For me, I have asthma and I would buy a new inhaler every week. Now, since I’ve lost all the weight I don’t need them any more so the programme is actually saving me money and saving my health. So it’s well and truly worth it.


“It’s also worth it from a support point of view. If you’re having a bad week, you can ring up one of the girls because you really develop a relationship with them, and they will give you the encouragement you need. “My advice is to invest in yourself and take the Motivation programme. It’s worth it.”




COMPETITION: WIN a 10 week weight loss programme

Back Hair Laser Extraction

Are you a sufferer of back hair? Does your wife or girlfriend wince when you remove your tee shirt? There might be help for you with laser back hair removal.


Laser hair removal is a trend that is sweeping the nation. With renovations in laser technology, these procedures are safer as well as less expensive than ever before, and the results are longlasting. The majority of treatments utilize an extremely low degree laser that is targets the affected area. The energy of the laser enters the pigment in the hair and causes the shaft to warm up, killing the hair. The follicle is also made ineffective, stunting new hair growth. Although the hair follicle deactivated, the surrounding skin is unharmed by the treatment.


Of course, this treatment has several applications for men and women, however one of one of the most preferred is back hair laser extraction. Previously, men needed to go through uncomfortable shaving, foul-smelling dilapitory chemicals or shaving their backs to eliminate the hair that a lot of females find distasteful.


Certainly, the kind and also quantity of hair will certainly determine how much your treatment prices. Darker or olive skinned clients will call for more therapies than all-natural golden-haireds, and hair density as well as thickness varies extensively. Various lasers are even utilized to deal with different skin color groups, so make certain to ask if your therapy facility could manage your needs. Rates generally begin at around $200-225, yet back hair laser extraction can run much greater, because of the bigger area being dealt with. You must likewise expect to return for numerous treatments, as hair is removed in particular parts of the development pattern only.


Although it could appear initially pricey, back hair removal utilizing laser therapies is in fact economical in the future. Generally the hair does not grow back, as well as most facilities supply retouch for the few that do, as part of the bundle. If your back hair is an embarrassing problem, invest in yourself and also attempt hair laser elimination for your back!



Back Hair Laser Extraction

Fertility Treatment & Tips: Exercise, Dieting May Boost Fertility In Women With PCOS


  • Australia Celebrates Baby Boom

  • (Photo : Ian Waldie/Getty Images) SYDNEY, NSW – JUNE 07: A pregnant woman holds her stomach June 7, 2006 in Sydney, Australia. Australia is currently enjoying a baby boom, with the Australian Bureau of Statistics registering a 2.4% increase in births from 2004 to 2005, which represents the highest number of births since 1992. The Australian Federal Government has been encouraging people to have more babies, with financial incentives and the slogan by treasurer Peter Costello to ‘have one for mum, one for dad, and one for the country’. The Federal Government has identified falling fertility rates and the ageing population as long-term problems for Australia’s growth and prosperity.


For women who struggle with polycystic ovarian syndrome (PCOS), getting pregnant could be a challenge. However,  a healthy diet and  exercise can improve the fertility in women who have PCOS, a new  study says.


According to Womenshealth.gov, PCOS is the most common cause of infertility among women due to absence of ovulation. Among the  underlying problem with PCOS is hormonal imbalance, where the ovaries produce more androgens than normal, which can lead to acne, excessive hair growth, weight problems and problems with ovulation. PCOS affect a woman’s menstrual cycle.


Normally, the ovaries where a woman’s eggs are produced have tiny fluid-filled sacs called follicles or crysts. As the egg grows the follicle builds up fluid, when the egg matures, the follicle breaks open and release the egg. The egg then travels to the fallopian tube for fertilization, otherwise known as ovulation.


For women with PCOS, the ovary doesn’t produce all the hormones it needs for an egg to fully mature, ovulation does not occur. However, here’s a good news, every woman can do something to raise her chance of fertility.


“The findings confirm what we have long suspected – that exercise and a healthy diet can improve fertility in women who have PCOS,” says study co-author Dr. Richard S. Legro, professor of obstetrics and gynecology and public health sciences at Penn State College of Medicine in Hershey, PA. Several other studies also associate a better lifestyle such as diet and exercise to increase chances of fertility, Herald Current reports.


The study involved 149 obese and overweight women who were between 18 to 40 years old and were diagnosed with PCOS. Aside from being obese and overweight, those women have no other major medical conditions. They were randomly assigned to take birth controls, change their lifestyle, and a combination of both. After the interventions, the participants were given medication to induce ovulation, HNGN reports.


After the follow-up period, five (10 percent) of those who took birth control pills got pregnant, 13 (26 percent) of those who changed their lifestyle through diet and exercise, and 12 (24 percent) did both. The study also discovered that combining birth control pills with lifestyle medication improves ovulation.


“The research indicates preconception weight loss and exercise improve women’s reproductive and metabolic health,” Legro said in a press release. “In contrast, using oral contraceptives alone may worsen the metabolic profile without improving ovulation. Lifestyle change is an important part of any fertility treatment approach for women with PCOS who are overweight or obese.”


The study was published in the Journal of Clinical Endocrinology & Metabolilsm for its Sept. 24 issue.


 


 



Fertility Treatment & Tips: Exercise, Dieting May Boost Fertility In Women With PCOS

Sonntag, 27. September 2015

Men"s Health All Access + 15 Free Guides


Men’s Health is an essential read for guys who want to look better, feel better, and live better. But Men’s Health isn’t just a magazine. It’s the solution for every bit of chaos, confusion, or suffering that the world can inflict on the male of the species. Belly fat. Fatheaded bosses. Exercise plateaus. Exercise excuses. Her boredom. His boredom. The fast-food menu. The wine list. We give men the tools, strategies, and motivation to handle all of this and more. Subscribe to the digital edition of Men’s Health now to access the latest cutting-edge workouts, weight-loss strategies, health tricks, and tons of other useful stuff in every issue.


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Yoder"s Good Health Recipe

Yoder’s Good Health Recipe is a unique all-natural herbal tonic that has been used by satisfied customers for over seventeen years. It’s an old family recipe that combines the goodness of aged apple cider vinegar and fourteen herbs and spices. Product Features


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All of our herbs are either organic or wild-crafted. No pesticides or chemicals are used in their growing or processing.


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Yoder"s Good Health Recipe

Samstag, 26. September 2015

SmartBook for Coonect Core Concepts in Health



SmartBook is the first and only adaptive reading experience. Fueled by LearnSmart – the most widely used and intelligent adaptive learning technology – SmartBook identifies what you know and don’t know, and highlights what you need to learn. It even figures out what material you are most likely to forget. SmartBook helps you study smarter, not harder, and get the grades you want.


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SmartBook for Coonect Core Concepts in Health

Freitag, 25. September 2015

Talking about the birds and bees

Sex education, sexual harassment and sexual minorities have been made topics of everyday discussion by a group at the Delhi University (DU).


The Gender Studies Group, which is an independent organisation of DU students, has released booklets on issues that concern youngsters and about which they have incomplete information. These include queries about the body, sexual harassment and sexual minorities.


Since the group is based in DU, hostel and accommodation on campus has also been added as a topic of discussion.


One of the booklets released by the group is titled ‘Body’.


It talks about the definition of gender, which includes transgenders, consent in a sexual relationship, basic anatomy of the male and female reproductive organs and the myths attached to them. It also talks about health, hygiene, contraception and date rape.


Shreya Gupta, one of the editors of the booklet and a member of the group, said: “As part of gender studies, we conducted a number of seminars with students and found that there are a lot of misconceptions and half-cooked information available to them when it comes to issues like sexual health and sexual harassment. This is why we decided to come up with these booklets.”


“We have taken help of NGOs like TARSHI (Talking About Reproductive and Sexual Health Issues) and Jagori in compiling these booklets,” Ms. Gupta added.


Talking about the initiative, Prabhleen from Jagori said: “We extended support to the group since it is an extremely important step. The booklets they have brought out have been designed in a way that they provide relevant information without misguiding students. Also, it is very contemporary.”


The booklet on sexual minorities, for instance, talks about the LGBTQIA – Lesbian, Gay, Bisexuals, Trans, Queer, Intersex and Asexual — and explains each term.


It also talks about common myths related to homosexuality. Among these are questions like whether homosexuality is natural or not and if homosexuality is wrong?


A representative from TARSHI said: “They (Gender Studies Group) referred to our ‘The Blue Book’ for the booklets. In the absence of a comprehensive sexuality education curriculum for schools, we feel that it is a great initiative. There is considerable lack of appropriate information among the youth on issues related to gender and sexuality.”


The booklets are available at select places at Delhi University, including The Delhi School of Economics. The group, meanwhile, is soon planning to distribute these in individual colleges.


The booklets provide relevant information without misguiding the students



Talking about the birds and bees

8 Ways to Have More Oral Sex

Otherwise, consider these rules for fellatio etiquette. And for hundreds more tips and techniques to make sex more incredible for both of you, check out How to Pleasure a Woman, the complete guide to becoming a master lover!


DON’T . . .


Pressure her: Guilt-tripping your gal into giving head will only succeed in making her resentful. Instead, stick to telling her how much you love her blowjobs and letting her decide if she wants to take a trip downtown, Ghose says.


Manhandle her head: Pushing her head down onto your penis while she’s giving oral can strain her neck and make it hard to breath. “Let her lead and control the depth and rhythm,” says Jill McDevitt, Ph.D., a sexologist who teaches in-home Fellatio 101 classes. This will work in your favor: Some women are turned on by giving head because it puts them in control.


Bark orders: Commands like “deeper” or “slow down” can come off as criticism. And surely you’d never want to criticize a woman who’s giving you a freaking blowjob! Giving guidance can be a good thing, though, if you phrase your requests in a positive way, says Ghose. As in: “It’s so hot when you use your tongue on me, baby.”


Leave her hanging: You’re fully satisfied after your orgasm, but she’s probably not—so don’t just zip up your pants and get on with your day. Let her know that her turn is next, even if it’s not right this second, Ghose says. Say: “I’m so relaxed right now and I really want to focus on you next. Give me a few minutes or an hour.” Just make sure she knows this isn’t the end. (When her turn comes, follow the step-by-step instructions here to give her the best orgasm she’s ever had.)


DO . . .


Rave about it: Women love to know that they’re driving their guys wild, so don’t forget to speak up. “The more you moan and tell her, ‘That feels so great,’ ‘You look so sexy right now,’ or ‘You are so good at this,’ the more into it she’ll be,” Ghose says. On the other hand, if you lay there silently, she may feel insecure and wonder if she’s doing it right.


Make her comfortable: The more physically comfortable a woman is during the act, the longer she can stick with it. So be considerate of how she’s situated down there. “If she’s on her knees, give her a pillow to kneel on, or move to the bed,” says Ghose. “Hold her hair back if it’s getting in her mouth. Switch up positions so she doesn’t get a kink in her neck.”


Tidy up downstairs: Be aware of your personal hygiene before unzipping. If you’ve just worked out (or had a particularly sweaty day), a quick shower would be the polite thing to do. “Just remember, the more pleasant the aroma, the better,” says Ghose.


A little manscaping can go a long way, too. Men who go hairless actually get more head, research from Indiana University finds. You don’t have to be completely bare, but try trimming your pubes down to ¼ inch to give her more access and prevent her from catching any curlies in her teeth.


Negotiate the exit strategy: Despite what you see in porn, many women do not enjoy swallowing or taking cum shots to the face. To make sure your big finish is as fun for her as the rest of the experience, give her a heads up before ejaculating and ask her where you can come, says McDevitt.



8 Ways to Have More Oral Sex

Health and Fitness Educational Activity Board Game Board Game

Become the “coach of the came”, go to school with junk food boy “littles kent”, junk food girl “lizzy love” and the funny characters of lunchbox kids! move your pawn around the board and try to earn healthy golden lunch tickets by answering the pop quiz questions correctly from categories such as cafeteria “food and fitness awareness”, science lab “difficult”, library “healthy research” and cool facts “interesting, funny, unique” but watch out for spaces like “roofus ate your homework” or “missed the bus…go back home”. Don’t land on “couch potato” or you will have to roll lemons with the food dice to get out. If you don’t roll lemons everyone will have to stand up and jog in place for 20 counts to help you get off the couch and back in the game. Don’t get caught sleeping in class or you must go visit “cap’n olive” the principal…he will take your golden tickets away. Try your luck pulling a “snack card”, but watch out… if it is an unhealthy snack you advance to nurse “cindy”, where you must roll an apple with the food dice or do an exercise challenge to get out. Maybe you will get lucky and pull a healthy “snack card” to trade in with a “get fit challenge card” for a healthy golden lunch ticket. You will laugh yourself silly when your opponent lands on your front yard space and must complete your yard’s exercise challenge. Frog jumps, jumping jacks, push-ups or abdominal crunches. With so much fun and action you won’t even realize that you just learned what a whole food is and which foods are the best choices for a “healthy lunchbox kids lifestyle”. So have fun with the best fitness board game lunch box kids. Made in the USA with recycled materials.


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Health and Fitness Educational Activity Board Game Board Game

Purina Pro Plan Wet Cat Food, Focus, Adult Urinary Tract Health Formula Chicken Entrée, 3-Ounce Can, Pack of 24

Pro Plan Adult Urinary Tract Health Formula Chicken Entree Canned Cat Food is made with real chicken. It is specially formulated to help support the feline urinary tract system, and bolster your cat’s key protective systems – the immune system, digestive system and skin & coat systems – while it meets all the energy and nutritional needs of a healthy cat. Guaranteed Analysis: Crude Protein (min) 12.00%, Crude Fat (min) 3.5%, Crude Fiber (max) .20%, Moisture (max) 78.00%. Ingredients: Water sufficient for processing, meat by-products, chicken, wheat gluten, corn starch-modified, natural and artificial flavors, soy flour, potassium chloride, taurine, tricalcium phosphate,salt, caramel color, Vitamin E supplement, thiamine monoitrate(Vitamin B-1), Vitamin A supplement, ferrous sulfate, zinc sulfate, maganese sulfate, pyridoxine hydrochloride(Vitamin B-6), niacin, calcium pantothenate, riboflavin supplement(Vitamin B-2), copper sulfate, Vitamin D-3 supplement, Vitamin B-12 supplement, meandione sodium bisulfite complex(Source of Vitamin K activity), folic acid, cobalt carbonate, potassium iodide, biotin.


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Purina Pro Plan Wet Cat Food, Focus, Adult Urinary Tract Health Formula Chicken Entrée, 3-Ounce Can, Pack of 24

Seminar planned on digestive health



GRASONVILLE — Grasonville Senior Center will host a free digestive health seminar on Thursday, Oct. 1, at 11:30 a.m.




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Seminar planned on digestive health

Donnerstag, 24. September 2015

Longer fasts might help with weight loss but Americans eat all day long


It’s official: Americans’ 24/7 culture of work, entertainment and digital connectivity now also extends to our dietary consumption patterns, new research finds.


Americans’ erratic, round-the-clock eating patterns, suggests the new study, have probably contributed to an epidemic of obesity and Type 2 diabetes. But they can be changed, and the restoration of a longer nighttime “fast” shows promise as a means to lower weight and better health, researchers add.


In a study that detailed the consumption patterns of just over 150 nondieting, non-shift-working people in and around San Diego for three weeks, researchers at the Salk Institute in La Jolla found that a majority of people eat for stretches of 15 hours or longer most days — and fast for fewer than nine hours a night.


We snarf a tidbit at a midmorning meeting, nibble for much of the afternoon, knock back a drink or two with dinner and keep noshing till bedtime. Fewer than a quarter of the day’s calories were consumed before noon, they discovered. And more than a third of participants’ average daily calories, the research revealed, were consumed after 6 p.m.


Despite participants’ typical claim to consuming three meals a day, “a breakfast-lunch-dinner temporal pattern was largely absent,” the researchers wrote in an article published Thursday in the journal Cell Metabolism.


The participants ate and drank pretty much all day, researchers found. The 10% of eaters whose consumption “events” were most limited averaged 4.22 a day. The 10% who ate most frequently averaged 15.5 noshes per day. Fewer than 10% of participants went for more than 12 hours without eating.


In fact, just over 12% of participants’ daily average intake of 1,947 calories happened after 9 p.m., the researchers found.


And generally, that final 12% of the day’s calories was extra: Computing participants’ average caloric needs for maintenance of body weight, the researchers reckoned that, typically, all calories consumed by participants after 6:36 p.m. were over and above those needed to keep their collective weight stable.


The result appears to be a formula for steady weight gain and metabolic disturbance.


In mice being fed high-fat chow, the Salk researchers’ past studies have shown that among those allowed to eat anytime, obesity was rampant. When researchers compressed the animals’ “feeding day” to eight or nine hours, those with the long fast stepped up their calorie consumption when they were allowed to eat.


Both groups of mice ended up taking in equal calories. But the fasting mice were less likely to be obese, and had lower levels of systemic inflammation, fatty liver disease, worrisome cholesterol and metabolic disturbance than those allowed to eat whenever they wanted.


Pointing to such research, the Salk researchers have suggested that a nightly fast of 10 to 12 hours might do much more than just limit the consumption of excess calories: Even without changing daily calorie intake, a lengthy nighttime fast appears to “reset” a circadian clock disturbed by 24/7 feeding and drive up the body’s ability to burn off extra calories.


While humans cannot have their chow taken away for half the day, the authors wrote, their “erratic daily rhythm of eating/fasting … can be manipulated to obtain desirable health benefits.”


To demonstrate those benefits, the researchers recruited eight of the study’s participants, all of whom were overweight or obese, and whose general “eating day” normally spanned more than 14 hours.


Participants in this small pilot study were shown their long and erratic patterns of daily feeding, and asked to make one change only: to limit their consumption of anything with more than five calories to a 10- to 12-hour span each day, then to fast for the remaining 12 to 14 hours.


Over 16 weeks, the study participants lost an average of just over 7 pounds. They rated their sleep satisfaction and daily energy levels as increased, along with their level of nighttime hunger.


Their consumption records suggest that not all of their weight loss was the result of a metabolic reset. Participants cut their daily calories consumed by 20% on average: Unlike rats, who compensated for fasting by eating more during their brief eating day, these participants simply did without the excess food.


It will take longer and more regulated trials to determine whether such weight loss was purely a function of reduced calorie consumption, or whether there were metabolic benefits that aided weight reduction, the authors acknowledged.


The new study deployed a smartphone app specifically designed for the research — available here.


Researchers said the app is available to anyone willing to contribute his or her data to a Salk Institute study being conducted under customary academic strictures. After two weeks, the program generates and shares with the participant a “feedogram,” which precisely records and analyzes his or her dietary intake patterns.


Follow me on Twitter @LATMelissaHealy and “like” Los Angeles Times Science & Health on Facebook.


Copyright © 2015, Los Angeles Times




Longer fasts might help with weight loss but Americans eat all day long

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Dienstag, 22. September 2015

'Sex 101' Greets First-Year Students at Northwestern

28 for incoming Northwestern University first-year students to teach them about their sexual and reproductive health. The class, a MOOC sexual health …



"Sex 101" Greets First-Year Students at Northwestern

Going Vogue: Fighting HIV in L.A.'s Emerging Ball Community

Every Saturday, a large number of well-heeled and mostly straight patrons line up outside the Standard, a ’70s-chic hotel in the heart of downtown Los Angeles, and wait up to an hour to obtain access to its rooftop bar. But for a very different clientele — black queer and gender-nonconforming youth in their early 20s — the second floor is a haven about which only a handful know. If you’re one of the roughly 100 attendees of the Banjee Ball, you can skip the line and walk right in. 


Inside the Spin Room, near the second-floor escalator, leather sofas and cabaret tables are pushed against the walls. Across the cleared-away floor, young black men are voguing fiercer than anyone in Madonna’s iconic music video. And the show hasn’t even started. This is rehearsal. 


The Banjee Ball is a voguing ball started by Reach L.A., a nonprofit that organizes community and health services for black and Latino gay, bi, and transgender youth. It happens once a month and is one of several events the organization started in the late ’80s and early ’90s to give at-risk youth a safe space. As a gathering, its underground vibe carries on the generations-old tradition of ball culture, which can be traced back to New York City as early as the 1930s and is most iconically depicted in the 1990 documentary Paris Is Burning. 


LaQuan Lewis, a young black man from south Los Angeles, stands by a column charging his iPhone. “I’m here with these guys,” he nods at a girl and boy standing nearby watching the warmup. “We have our own group and we’re here looking for dancers. There’s a lot of really good ones here.” Lewis’s group, La Losta, is one of several troupes or “houses” starting across the city. “It’s awesome. It’s a place where everyone can just do their thing.”


It certainly is. Absent of any homophobia, this is a space where gender nonconformity is cheered on by the thickening crowd, which is made up mostly of black men and women in their early 20s. Many are in drag, and some are wearing costumes and masks. As the boundary between stage and audience blurs, the music cranks up a few decibels and black lights flicker on across the ceiling, casting everyone in neon.


For generations, ball culture has been a place of escape and defiance for young black and Latino gay, bi, and transgender men who were disenfranchised in their communities and kicked out of their homes. The Banjee Ball is no different. According to Brian Toynes, program manager of sexual health and education at the Los Angeles LGBT Center, many attendees at the ball come from poorer neighborhoods, have no health insurance, and also no knowledge of PrEP (pre-exposure prophylaxis), a daily treatment which last year was proven up to 99 percent effective at preventing HIV transmission.


This is a problem, since these young men comprise the demographic that is highest at risk for HIV. According to the Centers for Disease Control, 25 percent of young black gay or bisexual men will become HIV positive by age 25. By the age of 40, that number goes up to 60 percent.


To better reach this demographic, the Los Angeles LGBT Center is bringing the fight to the ball. Partnering with Reach L.A., the organization has started setting up tables at the events where it provide information about its testing services for HIV and other sexually transmitted infections. 


For Toynes, this is familiar territory. He worked for the Gay Men’s Health Crisis in New York for six years and was involved with the large house and ball scene there. “I hired a lot of staff and we threw an event called the House of Latex, which was one of the largest balls in the United States,” he says. “We had 4,500 people show up to the event in midtown New York. It was a great opportunity for us to do HIV testing and to provide health care.”


The House of Latex Ball has become an ongoing tradition in New York City, drawing thousands of attendees every year. “There were big segments of that community that passed away from HIV/AIDS,” Toynes says. “So we were honoring those individuals while also reaching the younger folks.”


Jeffrey Rodriguez, program manager of sexual health education at the L.A.LGBT Center, says the group;s presence at the balls is vital, since many attendess do not live in or near West Hollywood, where information on HIV and PrEP is readily available. “It’s an opportunity to offer PrEP services to people who maybe didn’t know it was available or affordable or accessible,” he says. 


Stronger involvement with the house and ball community is just one of the center’s plans for the year ahead. This fall, the center’s small West Hollywood clinic, called the Spot, will close, and its HIV and STI testing services will transition to its new West Hollywood location on Santa Monica Boulevard, which is set to open in early October. The significantly larger space is designed to accomodate the increased traffic the Spot has been seeing.


The center is also partnering with the Latino Equality Alliance to open a new location in east L.A.’s Boyle Heights, which is a predominantly Latino neighborhood. Dustin Kerrone, director of sexual health programs at the LGBT Center, hopes these new locations will reach demographics that have been difficult to reach in the past. “Our biggest goal right now is racial diversity,” he says. 


But West Hollywood is not be the best location to reach black gay and bi men. “The problem is that we’re a very segregated city,” Rodriguez says. “You have south L.A. You have east L.A. You have west L.A. We’ve got all these different parts of the city, and who actually lives in those parts? West Hollywood is predominantly white. South L.A. is predominantly black.”


However, Kerrone believes a change is under way. “From polling people who go out at night, we’re seeing a big influx of Latino and African-American people coming in to West Hollywood to party,” he says. “They’re coming into West Hollywood because there are more gay bars in the area now. There used to be a place called Catch One that just recently closed that was around since the ’70s. It was a black gay and LGBT bar that just recently went out of business. So we’re seeing a lot more integration.”


But surveys at the balls reveal a bigger problem than just geographic location. Last July the LGBT Center partnered with Reach L.A. to hold a ball downtown. While there, representatives from the Center handed out questionnaires to see how racism affects LGBT black and Latino youth. “We wanted to look at how these micro-aggressions impact mental health, decision making, and health outcomes,” Toynes says. 


On the survey, attendees were given a list of experiences and asked to rate their response to them from “Did not happen/Not applicable to me” to “It did happen and it bothered me EXTREMELY.” The experiences included “Being rejected by potential sex or dating partners because of your race/ethnicity,” “Reading personal ads that say ‘White People Only,"” and “Not having any LGBT of color as positive role models.” 


The surveyors found that many attendees felt a very strong racism from white LGBT people, which has been widely analyzed as a complicit factor in the disproportinate HIV rates among black gay and bi men. And according to Rodriguez and Toynes, the problem is compounded when black American culture tends to hold a distrust of medicine in general. Many black LGBT people, they say, see medicine as an establishment run by the wealthy and the white. These feelings adds to the divide that workers at the Los Angeles LGBT Center must cross in order to reach both at-risk and HIV-positive black men.


“Because of the history of black culture in this country, there’s no trust,” Rodriguez says. “The feeling among many black gay and bi men is that no one cares about this community.”


Last Friday there was no presence from the LGBT Center at the Banjee Ball. But Rodriguez says the center is waiting for its new West Hollywood location to open before increasing its outreach. “We want to make sure that we can promote our services and actually be able to see as many individuals as we can,” he says.


As the show gets ready to start, Lewis says that attendance is slimmer this month than at previous events. But spirits are high. Whenever someone new joins the runway, they are greeted with cheers and hugs. This is a fraternity of kids hardly old enough to drink who have found a place where they can show their talent, explore their sexual and gender identities, and meet others.


It is alarming to think that these confident, progressive-minded young men are the ones HIV statistics lean against, that racism from LGBT injures, and that large organizations like the Los Angeles LGBT Center struggle to reach. They slay the runway till 2 in the morning, at which time everyone reluctantly files out through the Standard’s elegant lobby and back into the world outside. 


Photography by Miriam Brummel.



Going Vogue: Fighting HIV in L.A."s Emerging Ball Community

FODMAP diet may offer relief for chronic digestive problems

So you’ve eliminated the lactose. The fructose. You’ve gone gluten-free. And yet you’re still getting ambushed by those embarrassing bathroom emergencies.


Life should be a gas — not give you it. But many everyday foods containing certain kinds of carbohydrates may be working against you.


“You really have to listen to your body,” said Vivian Serata, clinical nutritionist at Englewood Hospital and Medical Center.


For those with patience, determination and a good nutritionist to help out, there is the FODMAP diet, a six-week process-of-elimination program to help people with irritable bowel syndrome and other chronic digestive illnesses figure what exactly they can and cannot tolerate when eliminating things like lactose isn’t enough.


“Patients with irritable bowel syndrome have visceral hypersensitivity in their guts. They are more sensitive to particular foods than others,” said Dr. Bhavik Bhandari, assistant professor of medicine at Rutgers Robert Wood Johnson Medical School and an attending physician at the school’s Crohn’s and Colitis Center.


Eliminating certain types of carbohydrates known as FODMAPs, Australian researchers have found, can sometimes help alleviate stomach problems. FODMAP stands for — get ready now — fermentable oligosaccharides, dissaccharides, monosaccharides and polyols. In short, they are food building blocks that share small-chain sugars and fibers that some people can’t tolerate.


“Our guidelines for irritable bowel syndrome say first go lactose-free and then reduce gas-forming foods. So beans, raisins, … wheat germ, caffeine, that sort of thing. If you eliminate those, and you’re still having symptoms, this clearly requires the elimination of a lot of other food products,” or the FODMAPs, Bhandari said. “Wheat, barley, rye, fruits, apples, mangoes, watermelon, high-fructose corn syrup, apricots, cherries, cauliflower, chewing gum. Essentially, what you do is go on a diet from six to eight weeks and remove all of these high FODMAP foods and then slowly reintroduce them to see what your body is sensitive to. It’s a very broad elimination diet.”


Other FODMAPs prevalent in the American diet include onion, garlic, pears, mushrooms, asparagus, honey and more, according to researchers.


“When these foods are digested, they create specific types of carbohydrates that cannot be absorbed properly. So it drags more water into the intestine, and since they stay in the intestine, they are rapidly fermented by the bacteria in your gut. That’s what leads to the problems,” Bhandari said.


Low-FODMAP foods include almond, coconut, rice, or soy milks; bananas; bell peppers; blueberries; carrots; cucumbers; grapes; oats; potatoes; quinoa; rice; spinach, kale, and other leafy greens; tangerines; and tomatoes, according to nutritionists.


The diet isn’t new. It’s about 10 years old, actually. But Bhandari said more and more patients seem to have become aware of it recently. Does he think it works?


“There is definitely a subset of patients where this diet is very effective. But it should be done with a nutritionist, because it involves eliminating a wide variety of foods and it needs to be closely monitored,” he said. Bhandari noted it is important for those interested in the FODMAP diet to work with a nutritionist or gastroenterologist who can help you limit FODMAPs in conjunction with a balanced diet that still meets all your nutritional needs.


“My opinion is, it can be good for a lot of people, but it takes a certain person to do it,” said Serata. “You are eliminating a lot of foods, then re-introducing them. Ideally, you want to work with a dietitian and that dietitian needs to instruct the patient to keep a diary of what they are eating, to know what food is helping them or not helping them. I think it can help, absolutely. But the person has to be very dedicated.”


Experts estimate that 20 percent of the American population suffers from chronic digestive illnesses like IBS.


Bhandari and Serata both noted that the FODMAP diet is not a weight-loss plan and should not be used for those purposes.


Email: petrick@northjersey.com



FODMAP diet may offer relief for chronic digestive problems

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Montag, 21. September 2015

YMCA to hold Women's Wellness Day


  • Teen group helps clean Washington Theater for upcoming events


    Teen group helps clean Washington Theater for upcoming events


    Monday, September 21 2015 11:04 AM EDT2015-09-21 15:04:56 GMT




    More than 30 teenagers from several Quincy churches helped further plans to restore Washington Theater by picking up paintbrushes and vacuums Sunday afternoon. Members of Operation Serve, a youth development organization based at St. John Anglican Parish, spent a couple of hours sprucing up the 90-year-old theater for two upcoming events.


    More than 30 teenagers from several Quincy churches helped further plans to restore Washington Theater by picking up paintbrushes and vacuums Sunday afternoon. Members of Operation Serve, a youth development organization based at St. John Anglican Parish, spent a couple of hours sprucing up the 90-year-old theater for two upcoming events.




  • ‘It’s good to be prepared’: Colusa farmer reacts to situation, helps save life


    ‘It’s good to be prepared’: Colusa farmer reacts to situation, helps save life


    Sunday, September 20 2015 12:28 AM EDT2015-09-20 04:28:47 GMT




    When Terry Pope walked out of his farm shop that Monday afternoon, he knew immediately that something wasn’t right. He saw what looked like smoke coming from “the corner,” the nearby intersection of County Roads 1700 East and 2300 North.


    When Terry Pope walked out of his farm shop that Monday afternoon, he knew immediately that something wasn’t right. He saw what looked like smoke coming from “the corner,” the nearby intersection of County Roads 1700 East and 2300 North.




  • Perry woman charged with stealing from store


    Perry woman charged with stealing from store


    Monday, September 21 2015 4:50 PM EDT2015-09-21 20:50:06 GMT




    A Perry woman has been charged with felony stealing after an investigation by the New London Police Department. According to a probable cause statement filed in the case, Tammy Robinson, 39, is…


    A Perry woman has been charged with felony stealing after an investigation by the New London Police Department. According to a probable cause statement filed in the case, Tammy Robinson, 39, is…













  • YMCA to hold Women"s Wellness Day