2013年1月31日 星期四

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Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
Restless legs and iron deficiency in children
Jan 30th 2013, 06:00

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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • Nutrition-wise blog

  • Jan. 30, 2013

    Restless legs and iron deficiency in children

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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My children were never what you might call good sleepers as babies. But for one of my sons, the sleep issues continued into his toddler years. However, his midnight visits weren't accompanied by the usual request, "Mommy, can I sleep with you?"

Instead, my son would come to me out of sorts after flopping around in bed like a fish out of water and complain, "Mommy, my body hurts."

So, began the long climb out of iron deficiency.

Iron deficiency is strongly associated with restless leg syndrome in children. And restless leg in children is often underdiagnosed, passed over as growing pains. Another risk factor is family history. Thinking back, yes, there were nights during my pregnancies that I jumped out of bed to ease my restless legs. Iron deficiency can also be a result of celiac and other diseases. Fortunately, that isn't the case for my son.

My toddler started an iron supplement and it helped him sleep. Although doctors and pharmacists alike warned me that I'd struggle to get him to take it, I didn't and still don't.

It's two years later and we are still supplementing. Between growth spurts and the fact that iron is a difficult nutrient to absorb, it's taking time to work up to the iron level that our son's doctor targeted for him.

My son eats meat and some vegetables, not foods that all toddlers like. He's a milk drinker but not excessively so and juice is minimal. Of course, we have the typical toddler feeding issues of eating well one day and not another. And meal planning is a bit more complicated since it involves pairing iron and vitamin C rich foods. But I've got that one covered and I consider us lucky.

To the health of our children,

Katherine

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References
  1. Mayo Clinic finds restless legs syndrome in children linked to family history, iron deficiency. ScienceDaily.com. http://www.sciencedaily.com/releases/2005/01/050104113419.htm. Accessed Jan. 28, 2013.
  2. Picchietti A, et al. Restless legs syndrome: Prevalence and impact in children and adolescents: The Peds REST study. Pediatrics. 2007;120:253.
  3. Kotagal S, et al. Childhood-onset restless legs syndrome. Annals of Neurology. 2004;56:803.

Yoga, mindfulness and other tools can aid recovery
Jan 30th 2013, 06:00

If the stress in your life is more than you can cope with, get help right away.

  • National Suicide Prevention Lifeline
    1-800-273-TALK (8255)
  • Go to the nearest hospital or emergency room
  • Call your physician, health provider or clergy
  • National Alliance on Mental Illness
    www.nami.org
    1-800-950-NAMI (6264)

Infertility: An invitation to share your story
Jan 29th 2013, 06:00

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  • With Mayo Clinic certified nurse-midwife

    Mary M. Murry, R.N., C.N.M.

    read biography
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  • Pregnancy and you blog

  • Jan. 29, 2013

    Infertility: An invitation to share your story

    By Mary M. Murry, R.N., C.N.M.

I know that an entry about infertility in a pregnancy blog seems kind of crazy. Still, I want to acknowledge that not everyone can get pregnant or carry a pregnancy — and women who face infertility can find it difficult to talk about the experience and develop a strong support network.

At first, you probably assume that you're fertile. If you're not interested in pregnancy, you might go to great lengths to prevent it. Then, when the time is right, you stop using birth control — but nothing happens. That's when you start to reconsider your fertility.

When my husband and I got married, it was with the intellectual acceptance that we might not have children. You see, a few years earlier, Richard had been diagnosed with Hodgkin's lymphoma. He received chemotherapy and radiation. He was offered sperm banking, but he thought that he was young and didn't need to worry about something like that.

I say that I intellectually accepted the idea of no children because we hadn't even started to talk about babies at the time. When I came home from our honeymoon, though, I was pregnant. My husband walked around like king of the world. We had a beautiful baby girl. When she was 18 months old, I wanted another baby. This time we actively tried for pregnancy — without success. 

I was angry. I was a good mom and a good person. Why couldn't I have another baby?

After some time, I realized that I needed to let it go. I told myself to be grateful for the family we had, and we decided not to pursue infertility testing. I don't know if I would have stuck with that decision for the long haul because eventually I got pregnant again.

Roller coaster that it was, my experience with infertility was barely a taste of what many couples go through every day.

First is the discovery of the infertility. It doesn't matter whether it's the eggs or the sperm. Someone feels that it's their fault. There's guilt and pain. Then the couple begins a journey that's both emotionally and financially painful.

I thought that I experienced terrible baby hunger. I can't imagine the baby starvation experienced by women who have prolonged fertility issues.

If you've faced infertility, please consider sharing your story. I'd love to listen.

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Your 6 hourly digest for BBC News - Health

BBC News - Health
The latest stories from the Health section of the BBC News web site.
thumbnail VIDEO: Lewisham 'a dangerous precedent'
Jan 31st 2013, 16:44

Shadow health secretary Andy Burnham has said the government's decision to downgrade the A&E and maternity wards at London's Lewisham Hospital is "a dangerous precedent".

thumbnail VIDEO: Lewisham A&E downgrade announced
Jan 31st 2013, 16:15

A south London hospital will have its A&E downgraded to an "urgent care" ward and its maternity unit replaced with midwife-led facilities, Jeremy Hunt has confirmed.

thumbnail VIDEO: Sensors help stroke survivors walk
Jan 31st 2013, 12:50

A new interactive programme to help stroke survivors walk again is being developed in Lanarkshire.

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2013年1月30日 星期三

Your 6 hourly digest for BBC News - Health

BBC News - Health
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thumbnail VIDEO: Mandatory drug testing 'bonkers'
Jan 30th 2013, 17:32

Professor David Nutt has said the suggestion that people should face mandatory drug testing by their employers is "bonkers".

thumbnail AUDIO: John Hartson inspires listener
Jan 30th 2013, 17:11

5 live heard how John Hartson's battle with cancer inspired listener Ben Pilling to get himself checked out and diagnosed

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Your 6 hourly digest for BBC News - Health

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thumbnail VIDEO: Doctors to repair Malala's skull
Jan 30th 2013, 12:06

The Medical Director at the Queen Elizabeth hospital, Dr Dave Rosser, reveals how they are going to repair part of the skull of Pakistani schoolgirl activist Malala Yousafzai.

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2013年1月29日 星期二

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thumbnail VIDEO: 'Plastic surgeons are like car salesmen'
Jan 29th 2013, 18:27

Model and TV personality Alicia Douvall, who has had many cosmetic procedures, said she was encouraged to have more operations.

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Your 6 hourly digest for BBC News - Health

BBC News - Health
The latest stories from the Health section of the BBC News web site.
thumbnail AUDIO: Alicia Douvall on cosmetic surgery
Jan 29th 2013, 15:49

Former glamour model Alicia Douvall and plastic surgeon Nilesh Sojitra told 5 live about unregulated cosmetic surgery.

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Your 6 hourly digest for BBC News - Health

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The latest stories from the Health section of the BBC News web site.
thumbnail VIDEO: Soft drink sugar tax call
Jan 29th 2013, 07:45

Leading medical bodies are calling for a 20p-per-litre levy on soft drinks to be included in this year's Budget.

thumbnail VIDEO: Surgeons urge new guidelines on botox
Jan 29th 2013, 07:43

Only trained doctors, nurses and dentists should provide non-surgical cosmetic treatments such as Botox, according to the Royal College of Surgeons.

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2013年1月28日 星期一

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thumbnail VIDEO: New hope for Tourette's patients
Jan 28th 2013, 01:48

Young people with Tourette's Syndrome have been given new hope as a result of pioneering work by scientists in the East Midlands.

thumbnail VIDEO: Rise in number of 40-plus mothers
Jan 27th 2013, 13:04

Latest figures show that while the number of births in Wales is up overall, the group that has seen the biggest rise is mothers aged 40 and over.

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2013年1月25日 星期五

Your 6 hourly digest for BBC News - Health

BBC News - Health
The latest stories from the Health section of the BBC News web site.
thumbnail VIDEO: Rare heart defect baby goes home
Jan 26th 2013, 00:18

A baby born with part of her heart beating outside her body has left hospital for the first time.

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Your 8 hourly digest for Blogs - All topics

Blogs - All topics
Mayo Clinic experts blog about various health topics. // via fulltextrssfeed.com
Strategies for dealing with snack attacks
Jan 23rd 2013, 06:00

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  • With Mayo Clinic nutritionists

    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

    read biography
The Mayo Clinic Diet Book, learn more

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  • Nutrition-wise blog

  • Jan. 23, 2013

    Strategies for dealing with snack attacks

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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It's a couple of hours past dinner and you wander into the kitchen and open the cupboards looking for a snack. You're not alone. More than half of Americans are doing the same thing — snacking on impulse or as a treat or for no particular reason at all. That doesn't bode well for our waistlines.

Does that mean snacking is bad? Not necessarily. Snacking can be a strategy to control hunger and overall calorie intake, if done smartly.

Snack because you are hungry. Not because it looks good, smells good, or that you know it tastes good. Remind yourself that the opportunity to eat that same snack will present itself another day. Call it success if you can indulge less often rather than at every opportunity.

Snack if you're routinely hungry at a certain time of day. Plan for it. Be prepared with a low-calorie snack with some redeeming qualities such as key nutrients. Try fruits and vegetables alone or in combination with a moderate portion of lean protein or healthy fat. Good options include low-fat yogurt, an ounce of cheese, hummus or a few nuts.

If you're not hungry, don't snack. Instead ask yourself why you're drawn to snacking. Here are common triggers — and ideas for dealing with them:

  • Boredom? Try a new activity or tackle a few things on your to-do list.
  • Anxious? Try some deep breathing or other stress-management techniques.
  • Habit? Make a new one. Try exercising, playing a game or writing in a journal.

The next time a snack attack hits, ask yourself these questions: Are you hungry because you ate a light dinner three hours ago? Or do you and the chips have a regular date on the couch? If so, what else could fill your time before bed? Or are you just tired and need to go to bed?

Lastly, be honest with yourself. If you're going to snack despite all of the above, choose low-calorie snacks, such as raw veggies, and munch away.

To your health,

Katherine

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References
  1. Snacking in America. Hartman Group. http://www.hartman-group.com/hartbeat/snacking-in-america-infographic. Accessed Jan. 21, 2013.

Tap into the spiritual for help dealing with tragedy
Jan 23rd 2013, 06:00

If the stress in your life is more than you can cope with, get help right away.

  • National Suicide Prevention Lifeline
    1-800-273-TALK (8255)
  • Go to the nearest hospital or emergency room
  • Call your physician, health provider or clergy
  • National Alliance on Mental Illness
    www.nami.org
    1-800-950-NAMI (6264)

Avoid cold-weather pitfalls when you have diabetes
Jan 23rd 2013, 06:00

  • Living with diabetes blog

  • Jan. 23, 2013

    By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.

Controlling Your Diabetes

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My son, who has type 1 diabetes, recently mentioned that his insulin needs are higher in the winter. Do you find that your blood sugar levels and A1C are a little higher in the colder months? If you do, it might not be the colder weather itself that's responsible. Colder months provide a couple big potential pitfalls for diabetes management.

For example, from November to February, colder months in many places, there are several holidays that typically surround you with tempting foods, generally high in calories and carbohydrates. And if you live in northern climates, you're also dealing with extended winters that can discourage you from getting enough exercise.

Add together holiday foods and decreased activity and what do you get? Often times, you get weight gain and a decreased metabolism.

Here are some simple ways to enjoy colder weather without risking your health.

Test your blood sugar regularly to help you catch high or low blood sugar levels and keep your sugar levels under control.

Increase physical activity, even just a little activity such as a short walk a day. If it's too cold for that, be active in the comfort of your own living room with activities such as walking or jumping in place with an exercise DVD or exercise games on the Nintendo Wii or Xbox Kinect. I like to take an extra walk around a department store in winter months. Physical activity helps your blood sugar levels in several ways:

  • It keeps you warm! And the effects last beyond the time when you're actually exercising.
  • It keeps your mind active, too.
  • It increases sensitivity to insulin, which helps your body use insulin better, meaning you'll need less insulin.
  • It can affect your blood sugar for up to 48 hours, so if you take insulin, keep in mind that you may need to adjust your insulin dose.

Be mindful of what you eat — people tend to eat more during the winter months because of holidays, less daylight or shorter days and boredom. I find that I do best if I generally eat healthy meals and snacks and watch portion sizes.

Stay healthy — illness makes diabetes harder to control.

  • Get an influenza shot and pneumonia shot, as recommended by your doctor.
  • Stay home if you aren't feeling well.
  • Test your blood sugar more frequently for any rising trends.
  • Wash your hands regularly with hot water and soap or use hand sanitizer to avoid getting colds or respiratory viruses. I'm always mindful of washing my hands more frequently after shopping or a group activity. Many public places now offer antibacterial hand cleaner by the exit.

Seek counseling if you're feeling low, sluggish or sad. Don't be afraid to seek help! Winter months leave many people feeling blue. The stress of the holidays, finances, unpleasant cold weather and lack of sunlight can all contribute to depression. Being active and eating healthy foods also can help.

Stay hydrated — it can be a dry time of year, whether you're outside in the cold weather or inside with a heater. Drink plenty of fluids, and apply lotions to avoid dry skin.

Have a great week!

Peggy

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Dear Abby's connection to Mayo Clinic continues
Jan 22nd 2013, 06:00

  • Alzheimer's blog

  • Jan. 22, 2013

    By Angela Lunde

Alzheimer's Caregiving

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You may have heard that Pauline Friedman Phillips, or Dear Abby as she was known to many, died last week at the age of 94. She had been living with, and challenged by, Alzheimer's for more than a decade.

She wrote under the byline of Abigail Van Buren (Dear Abby) beginning in the mid 1950's. Her column was read daily by millions of people who sought her no-nonsense perspective, advice and wisdom.

Adoring fans followed her throughout her entire run as Dear Abby. In 2002, when her family revealed publicly that she had been diagnosed with Alzheimer's, her daughter, Jeanne, officially took over the column.

Pauline Phillips has a special connection to Mayo Clinic. Ten years ago, the Alzheimer's research facility where I work in Rochester, Minn., was named "Mayo Clinic Abigail Van Buren Alzheimer's Disease Research Clinic" in honor of a gracious gift from the family of Pauline Phillips. At that time, Edward Phillips, Pauline's son, made the following statement:

"My mother made a profound difference in the lives of generations of American families; in fact people throughout the world.  She suffers from Alzheimer's disease that has gradually stolen this precious resource from us ... It is our hope that this massive research undertaking by Mayo Clinic will make a major difference to those suffering from Alzheimer's and their families. We are proud to share a common vision with Mayo Clinic — to one day find ways to treat, cure and prevent this disease."

For me, Dear Abby validates a basic need we each have to reach out and feel connected to one another, hence, some asked her advice and millions read her responses.

We all need an affiliation and a sense that we aren't alone on this journey and that others share our vulnerabilities, struggles and doubts.

Dear Abby offered a window into the day-to-day lives of real people. Her combination of wit, humor and empathy, with an ample dose of candor connected a community of readers for over half a century.

In just a couple of months, another affirmation that you aren't alone on this journey will take place — and you're invited. The event is called Meeting of the Minds.

This is the Mayo Clinic and Minnesota-North Dakota Alzheimer's Association's annual conference for persons living with early stage dementia, families, caregivers, researchers, therapists and other caring professionals.

Themes for the conference center on well-being and caring, along with meaningful engagement, integrative therapies, spirituality, communication and research.

One special guest will be Pat Summitt. She's the winningest college basketball coach of all time. In August 2011, Summitt bravely shared her diagnosis of younger onset dementia, Alzheimer's type. Later that year, she started The Pat Summitt Foundation, a non-profit committed to Alzheimer's awareness, support and research at the local and national level.

For me, Meeting of the Minds is celebratory, a gathering of like-minded seekers of guidance, understanding and most importantly, connectedness. Together we gather to affirm our passion to the cause, extend compassion to one another and soak in the healing energy that I promise will be felt.

Please consider joining me at the St. Paul, Minn., River Center on Saturday, March 1. For details and to register, go to the Minnesota-North Dakota Chapter page of the Alzheimer's Association website.

Be forever in peace Pauline Esther Phillips, our Dear Abby.

I leave you with an excerpt for one of her columns:

"JUST FOR TODAY, I will live through this day only. I will not brood about yesterday or obsess about tomorrow. I will not set far-reaching goals or try to overcome all of my problems at once.

JUST FOR TODAY, I will be happy. I will not dwell on thoughts that depress me. If my mind fills with clouds, I will chase them away and fill it with sunshine.

JUST FOR TODAY, I will accept what is. I will face reality. I will correct those things that I can correct and accept those I cannot.

JUST FOR TODAY, I will refrain from improving anybody but myself."

— Abigail Van Buren

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