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Saturated fat advice 'unclear' By Michelle Roberts Health editor, BBC News

wapping butter for a sunflower spread may not lower heart risk, say British Heart Foundation researchers. Contrary to guidance, there is no evidence that changing the type of fat you eat from "bad" saturated to "healthier" polyunsaturated cuts heart risk. They looked at data from 72 studies with more than 600,000 participants. Heart experts stressed the findings did not mean it was fine to eat lots of cheese, pies and cakes. Too much saturated fat can increase the amount of cholesterol in the blood, which can increase the risk of developing coronary heart disease. Saturated fat is the kind of fat found in butter, biscuits, fatty cuts of meat, sausages and bacon, and cheese and cream. Most of us eat too much of it men should eat no more than 30g a day and women no more than 20g a day.

There has been a big health drive to get more people eating unsaturated fats such as olive and sunflower oils and other

non-animal fats - instead. But research published in Annals of Internal Medicine, led by investigators at the University of Cambridge, found no evidence to support this. Total saturated fat, whether measured in the diet or in the bloodstream as a biomarker, was not associated with coronary disease risk in the 72 observational studies.

And polyunsaturated fat intake did not offer any heart protection. Trans fats were strongly and positively associated with risk of heart diseases. These artificial fats, found in many processed food items and margarine spreads, should continue to be regulated and avoided, say the study authors. Lead researcher Dr Rajiv Chowdhury said: "These are interesting results that potentially stimulate new lines of scientific inquiry and encourage careful reappraisal of our current

nutritional guidelines." He added that the common practice of replacing saturated fats in our diet with excess carbohydrates (such as white bread, white rice, potatoes etc), or with refined sugar and salts in processed foods should be discouraged. "Refined carbohydrates, sugar and salt are all potentially harmful for vascular health," he said.

The British Heart Foundation said the findings did not change the advice that eating too much fat is harmful for the heart. Prof Jeremy Pearson, the charity's associate medical director, said: “This research is not saying that you can eat as much fat as you like. Too much fat is bad for you.” “But, sadly, this analysis suggests there isn't enough evidence to say that a diet rich in polyunsaturated fats but low in saturated fats reduces the risk of cardiovascular disease.”

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A new analysis finds that extreme sports have been linked to more than 4 million injuries since 2000, and now cause more than 40,000 head and neck injuries annually. AUTISM HAS A VOICE

On March 2, over 7,000 people kicked off the 2014 Autism Speaks Walk season in downtown West Palm Beach and raised over $229,000.

CHIROPRACTIC NEWS

“I Never Knew the Problem Was in my Head and Neck”

“Alongside taking any necessary medication, the best way to stay heart healthy is to stop smoking, stay active, and ensure our whole diet is healthy - and this means considering not only the fats in our diet but also our intake of salt, sugar and fruit and vegetables.”

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'Extreme Sports' Linked to 40,000 Head and Neck Injuries Per Year

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ver since the advent of the "X Games" in the mid-1990s, Americans have embraced socalled extreme sports such as mountain biking, skateboarding and snowboarding.

But experts are warning that the fun can quickly turn to tragedy when amateurs try to mimic stunts they've seen on television. A new analysis finds that extreme sports have been linked to more than 4 million injuries since 2000, and now cause more than 40,000 head and neck injuries annually.

"While we're been inventing and coming up with all these new sports, the conversation has been all about the excitement and not about the safety," said study coauthor Dr. Vani Sabesan, an assistant professor in the department of orthopaedic surgery at Western Michigan University School of Medicine in Kalamazoo, Mich.

"We know that youth tends to push the envelope and take things to the next level," she added. "So the tricks involved in these increasingly popular sports are becoming more and more

advanced every year. And that means more and more accident risk."

Snowboarding, the cold-weather cousin of skateboarding, was linked to more than 97,000 head or neck injuries. The researchers say there are now an estimated 7 million snowboarders across the United States.

Sabesan is slated to present her findings Friday at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS) in New Orleans.

Her team reviewed information collected by the National Electronic Injury Surveillance System between 2000 and 2011.

Although the focus was on accidents involving nonprofessional athletes, the database also collected statistics on seven sports that currently draw in seasoned sports figures participating in either the Winter or Summer versions of the X Games. Those include surfing, mountain biking, motocross, skateboarding, snowboarding, snowmobiling and snow skiing.

According to the study, these seven sports combined were linked to more than 4 million injuries occurring over the 11year period.

About one in every 10 of those injuries were to the head or neck. Head injuries accounted for the

Skiing ranked third on the head/neck injury list with more than 83,000 cases reported, followed by motocross with an excess of 78,000 injuries.

vast majority of that group (87 percent) when compared with neck injuries (17 percent).

About 2.5 percent of both head and neck injuries were classified as "severe," meaning they involved a fracturing of either the skull or bones of the neck.

Overall, the sport associated with the greatest number of head and neck trauma incidents was skateboarding, which produced more than 129,000 such injuries during the study. Sabesan's team point out that the number of Americans who skateboard has risen by nearly 50 percent, to more than 14 million, since 1999.

Overall, the annual number of head and neck injuries linked to extreme sports rose from just over 34,000 in 2000 to more than 40,000 in 2010.

Sabesan and her colleagues believe that parents -- as well as those involved in organizing extreme sports teams and events -- need to be aware of the risks.

"We have very young kids, and they're getting younger all the time, going 60 miles an hour down a ski hill," Sabesan noted. "So, the risk for life-altering accidents is real and serious." "Certainly, some sports have a higher risk for neck fractures, and others for concussion," she added. "But in general we need

to make sure protective equipment is available -- such as helmets and wrist guards -- and encouraged. And we need to make sure we provide medical care and team doctors on site, and that kids know that it's possible to get a concussion when doing these sports and are encouraged to seek medical help when there's any concern."

Newly elected AAOS president Dr. Frederick Azar said the study sheds light on a relatively unexplored subject.

"The preponderance of head and neck injuries is mind-boggling, although not surprising," said Azar, who is also chief of staff at the Campbell Clinic in Memphis, Tenn. "Because with extreme sports we're dealing with levels of height and speed and exertion that are not always as controllable as some of the more traditional sports." "This work is a baseline starting point to raise awareness of the nature of the problem so we can start looking for ways to maximize safety, " he added. "Particularly because we expect these kinds of sports to become even more popular in the coming years."

New device for preventing migraines approved by FDA

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By Laura Hundemer

he very first device used to prevent migraines has recently been approved by the FDA. The device called Cefaly will take the place of migraine drugs.

According to Crescent News, Christy Foreman, director of the Office of Device Evaluation at the FDA's Center for Devices and Radiological Health, said, "This may help patients who cannot tolerate current migraine medications for preventing migraines or treating attacks.� Cefaly is worn like a headband

and produces a low current of electricity that stimulates the trigeminal nerve. It will bring immediate relief to migraine sufferers and can be used even before migraine pain sets in.

According to The Almagest, the device will be available with a prescription to users over age 18. The FDA recommends that it is used once a day for 20 minutes.

The device is portable and battery-operated. It is a tremendous step in medicine, seeing as migraine headaches can be debilitating and affect about ten percent of the population globally.

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Global Health Tribune is a newspaper published every month in Palm Beach County. Copyright 2013, all rights reserved by SEA Publications, Inc. Contents may not be reproduced without the written consent of the publisher. The publisher reserves the right to refuse advertising. The publisher does not accept responsibility for advertisement errors beyond the cost of the advertisement itself. All submitted materials are subject to editing.

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Have you lost that spring in your step

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Arthur Hansen DPM, M.S.

eel pain is one of the most common chief complaints of patients in my office. I see it in the young, the old, the active, and the sedentary. It can be isolated to mostly the bottom of the heel, only the back of the heel, the sides of the heel or all over the heel. The pain is so incapacitating, the patient is usually limping and definitely lacking that “spring in their step.” It usually limits the activity of the sufferer to the point where rest and a visit to the podiatrist are necessary. When faced with a patient having heel pain, many diagnoses are considered. Injury, including fracture of the calcaneus (heel bone) or bone contusion, must first be considered. A thorough history from the patient about recent events, specifically any falls or jumps from high levels, is obtained. Acute and complete calcaneal

fractures are usually identified right away because they are very painful with associated swelling, redness, bruising and follow an identifiable injury. Most of these types of fractures are treated in the Emergency Room because of the pain and inability of the patient to bear weight. Complete calcaneal fractures are easily noticed on a plain x-ray. However, stress fractures of the calcaneus are sometimes more obscure. In the case of a stress fracture, the patient may or may not recall an injury. They relate pain, but not unbearable pain. And, while we do see some swelling and redness, the clinical presentation is not always absolute. Simple x-rays may show the stress fracture, but usually an MRI or CT scan is needed to identify. Treatment of calcaneal fractures ranges from casting and limiting weight bearing to surgical correction and ‘setting’ of the fracture depending on the severity of the injury.

Pain in the back of the heel is most often associated with the insertion of the Achilles tendon. After making sure the tendon has not ruptured, tendonitis is a common diagnosis. Tendonitis at the insertion on the heel bone is very painful. There is usually no prior recollection of injury and it hurts worse with the first few steps or at the beginning of exercise. The pain sometimes extends up the back of the ankle along the Achilles tendon. Calcifications can form in the

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tendon making it more prone to injury and rupture.

Pain in the back of the heel could also be painful bursitis. The area between the skin and the Achilles tendon is very small over the heel bone. Excessive rubbing or friction of the area can cause painful bursitis. Often times we find a ‘bump’ associated with the bursitis, known as a ‘pump bump’ or Haglund’s deformity. Rest, ice, a heel lift, stretching, physical therapy and anti-inflammatory medication are the first line of treatment for pain on the back of the heel.

Symptoms of pain on the inside of the heel which radiate up the inside of the ankle or down on the bottom of the foot with no

associated swelling or redness is classic for tarsal tunnel syndrome. Similar to carpel tunnel syndrome (which happens in the hand/wrist), tarsal tunnel syndrome involves irritation or entrapment of the nerve supplying the inside and bottom of the foot below the ankle. Antiinflammatory medication, cortisone, support, physical therapy and sometimes release of the nerve are common treatments for tarsal tunnel syndrome. Plantar Fasciitis and Heel Spur Syndrome are the most common heel pain diagnoses. Pain associated with these is on the bottom of the heel. Most patients describe the pain as sharp and stabbing, worse with the first few steps in the morning and excruciating. There is usually no

Get back on your Feet!

prior injury with a gradual increase in the pain over time. It may or may not be associated bone spurring on the bottom of the heel bone. Stretching, support, physical therapy, cortisone injections and anti-inflammatories are indicated for pain on the bottom of the foot.

Heel pain can be and is very debilitating to patients. It can interfere with all daily activities including walking, standing, shoegear, working, and exercise. Fortunately, most heel pain is alleviated with conservative measures. A thorough history and exam by your podiatrist can lead to the correct diagnosis and treatment which will get you back to being pain-free in no time.

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Autism Has a Voice By Deborah Lynn

hen Suzanne and Bob Wright established Autism Speaks in 2005, it was out of love for their grandchild who was diagnosed with Autism. It was because of that love and determination, along with a donation of $25 million dollars from their longtime friend Bernie Marcus, which has ultimately amounted to the leading advocacy organization that is dedicated to researching the cause, prevention, and in finding a cure for the disorder. In doing so, they gave a voice to all the families that have been tremendously impacted and left with the uncertainly of a disorder that is often misunderstood. On March 2, over 7,000 people kicked off the 2014 Autism Speaks Walk season in downtown West Palm Beach and raised over $229,000.

Autism is one of a group of developmental neurological disorders, called autism spectrum disorders (ASD) that can significantly affect a child’s social skills and their ability to communicate. Because it is a spectrum disorder, it will affect everyone differently and symptoms and their severity will

4 march 2014

vary from mild to severely impaired. ASD will appear in children under the age of three and although symptoms may improve over time, it is something that will be carried for a lifetime. As of March 2012, it has been reported that 1 in 88 children have been diagnosed with ASD, which was a dramatic increase of 23% since 2010. Boys are also five times more likely to be diagnosed with the disorder than girls.

Scientists do not know the exact cause; however researchers have identified a few genes that are associated with the disorder. Many are also concerned about the toxins in our environment, which are outside factors that can play a role and potentially aggravate an underlying condition which can present autistic-like symptoms in some children.

Due to other illnesses and handicaps, ASD can often be missed. However, there are some early indicators and if present, your child should be evaluated by an expert:

• No babbling or pointing by 12 months

• No single words by 16 months

• Not responding to their name

• Loss of language or social skills • Avoids eye contact

• Lack of smiling, social responsiveness, and expressions by nine months

• Restrictive or repetitive movements, such as rocking their body or flailing their arms

If you are concerned about symptoms that your child is exuding, there is a screening tool known as The Modified Checklist for Autism is Toddlers (M-CHAT) which was specifically designed for children between 16 and 30 months of age. The assessment can identify early signs of ASD and can be found at www.m-chat.org.

It’s because of organizations such as Autism Speaks which truly put forth such an unbreakable effort in order to get the necessary information to those parents and families in need of support, guidance, and answers when they are at such a tremendous loss.

World Awareness Autism Day is on April 2. If you would like to find out how you can show your support, or to find additional information about autism, visit www.autismspeaks.org today.

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Why It's Hard to Kick the Smoking Habit

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icotine withdrawal triggers changes to the brain that help explain why smokers have such a tough time quitting, a new study suggests.

Up to 80 percent of smokers who try to quit eventually start smoking again. This latest finding might lead to new ways to identify smokers who are at high risk for failure when they try to quit, the researchers said. The study might also lead to more intensive treatment to help smokers quit for good.

The researchers used fMRIs to scan the brains of 37 smokers, aged 19 to 61, immediately after they smoked and again after they had been smoke-free for 24 hours and were experiencing nicotine withdrawal.

The researchers discovered that nicotine withdrawal weakens brain connections associated with the ability to control cravings for cigarettes, according to the

study, which was published in this week's issue of the journal JAMA Psychiatry.

Specifically, they have trouble shifting from an inward-focused brain network to one that helps them have more control over their desire for cigarettes and focus on quitting smoking, the researchers said.

"Symptoms of withdrawal are related to changes in smokers' brains, as they adjust to being off of nicotine," study co-leader Caryn Lerman, head of the Brain and Behavior Change Program at the University of Pennsylvania, said in a university news release. "This study validates those experiences as having a biological basis."

"The next step will be to identify in advance those smokers who will have more difficultly quitting and target [them with] more intensive treatments, based on brain activity and network connectivity," she added.

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Energy Drinks Popular With Troubled Teens, Study Says finds.

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eens who are depressed or use alcohol or marijuana are more likely to consume energy drinks than their peers, a new study

Although the reasons for these apparent links are unclear, they are cause for concern due to the large numbers of teens who consume the caffeine-laden beverages, the researchers said.

The study authors surveyed more than 8,200 high school students in Canada. Nearly two-thirds of the students said they had consumed energy drinks at least once in the past year, and 20 percent said they consumed them once or more each month. Younger students were more likely to consume energy drinks than older students. "Marketing campaigns appear designed to entice youth and young adults," study author Sunday Azagba, a researcher at the Propel Center for Population Health Impact at the University of Waterloo, said in a university news release. "It's a dangerous combination, especially for those at an increased risk for substance abuse."

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The study will be published in the May issue of the journal Preventive Medicine. Although it showed an association between energy-drink consumption and alcohol or marijuana use, it did not prove a cause-and-effect link.

Popular brands of energy drinks include Monster and Red Bull. Previous research has linked energy drinks with harmful effects, including heart troubles, sleep problems, nausea and nervousness, according to the news release.

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Should Your Blood Pressure Be Lower Than You Think? DBP <90 mm Hg. (For ages 3059 years, Strong Recommendation – Grade A; For ages 18-29 years, Expert Opinion – Grade E)

damage your organs. In doing so, you are at risk for a heart attack, stroke, and kidney failure which is why it is imperative to get those numbers down with the proper treatment.

On February 5, The Eighth Joint National Committee (JNC 8) reported their evidence-based hypertension guidelines which focused on three questions related to blood pressure management. In the end, the panel made nine recommendations as a result of those questions which addressed guidelines and goals for the pharmacologic treatment of hypertension.

Dr. Ishan Gunawardene received his medical degree from St. Georges University. Dr. Gunawardene specializes in internal medicine and adult medicine and believes in providing the utmost in patient care and treatment. General consultations are also available.

A

Recommendation 3

In the general population <60 years, initiate pharmacologic treatment to lower BP at SBP ≥140 mm Hg and treat to a goal SBP <140 mm Hg. (Expert Opinion – Grade E)

In the general population aged ≥60 years, initiate pharmacologic treatment to lower blood pressure (BP) at systolic blood pressure (SBP) ≥150 mm Hg or diastolic blood pressure (DBP) ≥90 mm Hg and treat to a goal SBP <150 mm Hg and goal DBP <90 mm Hg. (Strong Recommendation – Grade A) Corollary Recommendation In the general population aged ≥60 years, if pharmacologic treatment for high BP results in lower achieved SBP (eg, <140 mm Hg) and treatment is well tolerated and without adverse effects on health or quality of life, treatment does not need to be adjusted. (Expert Opinion – Grade E)

Recommendation 2

In the general population <60 years, initiate pharmacologic treatment to lower BP at DBP ≥90 mm Hg and treat to a goal

Recommendation 6

In the general nonblack population, including those with diabetes, initial antihypertensive treatment should include a thiazide-type diuretic, calcium channel blocker (CCB), angiotensin-converting enzyme inhibitor (ACEI), or angiotensin receptor blocker (ARB). (Moderate Recommendation – Grade B)

Recommendation 7

In the general black population, including those with diabetes, initial antihypertensive treatment should include a thiazide-type diuretic or CCB. (For general black population: Moderate Recommendation – Grade B; for black patients with diabetes: Weak Recommendation – Grade C)

Recommendation 1

pproximately one in three people have High Blood Pressure (HBP or Hypertension) in the United States. Unfortunately, not everyone has symptoms or even realizes they have the disease. There are two measurements that are used when reading your blood pressure, Systolic, which is the top number and Diastolic, your bottom reading. Your Systolic reading is when your heart beats and pumps the blood which presses against your artery walls. Diastolic is the pressure in your arteries when your heart is between beats and at rest. If your blood pressure is consistently high, and left untreated, it can seriously

DBP ≥90 mm Hg and treat to a goal SBP <140 mm Hg and goal DBP <90 mm Hg. (Expert Opinion – Grade E)

Recommendation 8 Recommendation 4

In the population aged ≥18 years with chronic kidney disease (CKD), initiate pharmacologic treatment to lower BP at SBP ≥140 mm Hg or DBP ≥90 mm Hg and treat to goal SBP <140 mm Hg and goal DBP <90 mm Hg. (Expert Opinion – Grade E)

Recommendation 5

In the population aged ≥18 years with diabetes, initiate pharmacologic treatment to lower BP at SBP ≥140 mm Hg or

Advanced Medical, P.A. Internal Medicine & Family Practice

In the population aged ≥18 years with CKD, initial (or add-on) antihypertensive treatment should include an ACEI or ARB to improve kidney outcomes. This applies to all CKD patients with hypertension regardless of race or diabetes status. (Moderate Recommendation – Grade B)

Recommendation 9

The main objective of hypertension treatment is to attain and maintain goal BP. If goal BP is not reached within a month of treatment, increase the dose of the initial drug or add a

second drug from one of the classes in recommendation 6 (thiazide-type diuretic, CCB, ACEI, or ARB). The clinician should continue to assess BP and adjust the treatment regimen until goal BP is reached. If goal BP cannot be reached with 2 drugs, add and titrate a third drug from the list provided. Do not use an ACEI and an ARB together in the same patient. If goal BP cannot be reached using only the drugs in recommendation 6 because of a contraindication or the need to use more than 3 drugs to reach goal BP, antihypertensive drugs from other classes can be used. Referral to a hypertension specialist may be indicated for patients in whom goal BP cannot be attained using the above strategy or for the management of complicated patients for whom additional clinical consultation is needed. (Expert Opinion – Grade E)

Management of your blood pressure is vital in order to establish and prevent multiple complications for the many organs in your body. Studies have shown that you should be regularly checking your blood pressure readings at home which will give a more accurate reflection than during your office visit. By regularly monitoring your blood pressure at home and having it read in your physician’s office, your doctor will have a better understanding and be better equipped to prescribe not only the best treatment, but make the appropriate adjustments to your current treatment – if necessary.

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ere's the bad news: Heart disease is the leading cause of death in the United States, and 49 percent of adults have at least one risk factor for the disease. But the good news is that there are a number of things you can do to keep your heart healthy.

Exercise is a good place to start, said Dr. Judith Mackall, a cardiologist at University Hospitals Case Medical Center, in Cleveland.

Palomino Park III • 3347 State Road 7 Suite 206 • Wellington, FL 33449 Phone: 561.434.1935 • Fax: 561.434.3169

6 march 2014

Thirty minutes of exercise a day can provide major benefits for your heart, Mackall said in a medical center news release. If you can't do a single 30-minute workout, divide your exercise into three 10-minute sessions a day. Research shows

that this amount of exercise can improve cholesterol numbers and reduce weight and blood pressure within 10 weeks.

Healthy eating is also important, and you should consume at least five servings of fruits and vegetables a day as part of a balanced diet, Mackall said. This will reduce your risk of heart disease by helping manage blood pressure and decreasing inflammation. If you're a smoker, it's time to quit, Mackall said.

"If you smoke, you will knock off seven years of your life," she said. "And if you have cardiovascular disease and you smoke, you'll die 15 years sooner than you would otherwise."

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“I Never Knew the Problem Was in my Head and Neck” chiropractors practice what is known as traditional chiropractic. These are the ones most people think about when they have neck pain and back pain from an accident or fall, and they do a great job in getting people relief of their pain. I should know, I was one at one point.

Dr. Jonathan Chung is a Doctor of Chiropractic who focuses on Structural Correction and is primarily concerned with Structural Shifts of the spine. He graduated from the University of Central Florida with a B.S. in Microbiology and Molecular Biology. Dr. Chung then went on and received his doctorate from Life University's College of Chiropractic. Dr. Chung is certified in pediatrics from the International Chiropractic Pediatric Association, and is a Structural Chiropractic Researcher who has been published in scientific peerreviewed journals.

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A Precise and Gentle Approach to Structural Correction Comes to the Palm Beaches

or years, chiropractic has been a great source of relief for people suffering with back pain. It has come a long way from the days where it was considered unscientific quackery. It has even evolved to the point where chiropractors have developed different areas of focus. Most

While I was helping a lot of people get out of acute pain, I had a heart for people who suffered with chronic problems. I wanted to find a way to help more who had been having problems for months and years with no real long term solution. That’s when I decided to focus my practice on Structural Correction of the head and neck using the NUCCA Protocol.

affected, it can cause Secondary Conditions like chronic pain, migraines, vertigo, and TMJ/facial pain. This small shift is known as the Atlas Displacement Complex (ADC) also known as the Atlas Subluxation Complex. ADC is usually caused by things like falls, sports injuries, bad lifting technique or even accidents as slow as 15 mph. However, ADC can happen and last without symptoms for months, or even years.

What is NUCCA?

NUCCA is an extremely gentle and precise corrective procedure that takes the popping, twisting, and cracking out of the equation. While many chiropractic approaches focus primarily on increasing motion to the spine, a doctor who does NUCCA is focused on restoring the normal structural position of the spine so that it can stay in place.

In order to identify the presence of ADC, a full Structural Chiropractic Examination is necessary. Rather than relying just on our hands, we use a laser aligned upper cervical X-ray set up to get precision views of the upper neck. We also use thermographic and myographic technology to assess the condition of the nervous system. These tools allow us to create substantial changes in a short amount of time while being very gentle with our care.

No matter what the condition is, Structural Chiropractic is looking to build long term stability to the mechanics of the spine. We do this by taking Post X-rays and reassessment scans to verify that we have changed the spine and achieved our end goal. Once you’re there, we’ll teach you the best ways to keep it there. We aren’t here to make people dependent or addicted to adjustments, but to get you to the point where you can get your spine tuned up near the same frequency as a dentist.

The reason it works is because the way the head and neck affect the brainstem. When the top part of the neck shifts out of place, it starts to put stress on the muscles and ligaments of the spine, as well as the blood vessels, and nerves that go in and out of the spinal cord. While it can certainly cause neck pain, when the brainstem and spinal cord are

KEYSTONE CHIROPRACTIC WHEN THE SPINE SHIFTS

• arm pain • carpal tunnel (Wrist) • canal Stenosis • degenerated Joints • digestive disorders • disc herniation • dizziness (Vertigo) • dowager’s hump • Fatigue •  Fibromyalgia •  headaches •  hearing issues • itchiness •  low Back pain • mid Back pain • migraine headaches • muscle Spasm • muscle tension • Neck pain • Numbness/tingling • pinched Nerve • poor posture • rotator cuff • Shoulder pain • Sinus conditions • Spinal decay • Strength issues • thoracic outlet Syndrome • tmJ issues • upper Back pain www.globalhealthtribune.com

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Keystone chiropractic is focused on structural correction of the spine. We use state of the art technology and techniques to restore full function of the spine and nervous system to allow the innate recuperative capacity of the body to work optimally.

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Relay For Life of Wellington

elay for Life of Wellington held a team party at Bonefish Mac's Sports Grille on February 20. If you would like to learn more about Relay For Life, please visit their website at www.relayforlife.org.

David Marchsteiner, Johnny Meier, Howard Fabian, Scott Poritz, and Dr. Randall Laurich

Nina and Kayla Anschuetz.

Stacie and Philip Tonks.

Elio, Elia, and Donna Ricciardi.

Eric Lighs and Andrea Lerner.

Peggy and Bill Jupp.

Deborah Bosmans, Noelle Young, and Christina Fleming.

Bill Smith, R.J. Terlex, and Roxanne Lindsay.

Johnny Meier and Jim Wells.

Niki and Butch Williams.

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Connie Smith and Ann Juhasz.

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Improving Your Quality of Life different injuries, including strains, sprains, and other acute and chronic injuries. It is used to increase the speed, quality, and tissue repair. The cold laser increases blood supply, stimulates the immune system and stimulates the nerve tissue to function correctly. It is also known to develop new muscle tissue, new collagen, and drastically reduces inflammation. This is a great treatment for tennis elbow, shoulder and hip bursitis, and other sports-related injuries. These are some of our many options we use in our office.

By Randall F. Laurich, Jr.

Dr. Randall Laurich has been practicing chiropractic care for over 10 years. In 1998, he graduated from Sherman College of Chiropractic in Spartanberg, South Carolina. He has been the proud owner of the Wellness Experience since 2001 and is a licensed Chiropractor serving the Wellington community. He has continued his knowledge in the healthcare field. He has the finest, most innovative chiropractic technology in his office. Dr. Laurich treats cervical/ lumbar herniation, as well as other injuries associated with neck and back pain, with the DRX9000 and ProAdjuster. As a new patient, our team will provide you with a continuum of care beyond your expectations. Dr. Laurich uses a “whole person approach”. This approach to wellness means looking for underlying causes of any disturbance or disruption (which may or may not be causing symptoms at the time) and make whatever interventions and lifestyle adjustments that would optimize the conditions for normal function. Using this unique approach, Dr. Laurich is Head Chairman of the Health and Wellness Medical Committee in Wellington Florida.

or the last 15 years, I’ve seen many patients suffering each day from acute and chronic pain of the spine or other joints and muscles. Some of the aches and pains have been due to sports injuries, work-related injuries, auto injuries, or day-to-day activities which can cause injury. As time has gone on, I have learned what every person that walks through the front door of The Wellness Experience wants… a better quality of life. For the water skier and equestrian, they want to ski or jump without pain, or to perform better and make it around that last buoy or over that last jump as fast as possible. Or, even the 95-year-old lady or the 10-yearold child that may also be suffering. They all have one thing in common; they want to improve the quality of their daily activities or their overall performance. So, what exactly do we do to help assist that person looking for a change from the normal medical options? First and foremost, we determine their need and perform orthopedic and neurological examinations, review x-rays or an MRI (if presented), and perform a spinal evaluation. Once the patient is assessed, we then determine which treatment options will be most effective and educate them so they understand any of the

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side effects of care. We do have many different options, but because I am a chiropractor, the correction of a misaligned vertebra is the most effective way to reduce the pinching of a nerve. As chiropractors, we analyze the spine for the subluxated vertebra and correct that with a gentle adjustment.

We also use spinal decompression therapy to assist the body in reducing pressure on the nerve as a result of a discrelated injury. Two weeks ago, we had a patient present to the office with a herniated disc. She was so upset and felt that she

would never be able to work out again. After reviewing her MRI scans, she was examined and it was determined that decompression therapy was the correct option for that patient. After her second visit, she was out of pain and by the fifth visit; she was able to start working out again. These options are not for everyone and not everyone will have the same result, but over the last 11 years of using this therapy, we have been quite successful. Cold laser therapy is a drug free, painless, and non-invasive therapy used to treat a group of

We have a nutritionist, an acupuncturist, and a registered Chiropractic assistant on staff, all of whom are there to assist in improving our patients overall quality of life. At The Wellness Experience, we maintain the highest level of quality care and compassion for each and every patient while providing many different treatment options. If we cannot find the correct option for you, we will find the right provider for you and your loved ones. We have aligned ourselves with many doctors in the community that can assist you if we don’t have the correct solution.

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The Patient or any person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free service, a discounted or reduced fee service, examination, or treatment. This does not pertain to Medicare/Medicaid or Federal Insurance.

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march 2014 9


Health and Wellness Expo I t was a beautiful day for the Health and Wellness Expo in Wellington on Saturday, March 8. Hosted by the Wellington Chamber of Commerce, the Village of Wellington, and the Medical and Wellness Committee, the event was full of fun activities for adults and children alike. Among the many events were demonstrations from local organizations, educational activities, dancing, music, and other festivities. Chairmen, Dr. Randy Laurich from The Wellness Experience and his staff were on hand to

10 march 2014

give adjustments and help take away those aches and pains while Chairman, Johnny Meier from My Community Pharmacy was equally as helpful to any and all attendees with health and medication questions.

In addition to the many booths that filled the grounds of the amphitheatre, there was also a green market for those that wanted to purchase some wonderful items to take home.

If you would like to attend future events, visit the Wellington Chamber of Commerce website at www.wellingtonchamber.com.

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march 2014 11


O

Walk for Diabetes n Saturday, March 1, the Junior Diabetes Research Foundation (JDRF) Walk took place on the grounds of the Meyer Amphitheatre in West Palm Beach. This event is organized to help raise funds to research Type 1 diabetes (T1D), which affects about 5% of those diagnosed with the disorder. Along with the walkers, supporters, and educational booths, Congressman Patrick Murphy and Congresswoman

12 march 2014

Lois Frankel were both on hand to show their support and to cut the ribbon which started the walk.

JDRF currently holds over 200 walks every year in various locations and are committed to fight the disease. The West Palm Beach Walk has currently raised over $180,000, which is a little short of their goal of $236,900. If you would like to donate and help them reach their goal, visit the organization's website at www.jdrf.org.

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What exactly is Diabetes Mellitus? fasting blood sugar results are greater than 125mg.

Two Types of Diabetes

S

Shekhar V. Sharma, M.D. Board Certified in Internal Medicine

imply put, it is a metabolic condition that is characterized by high blood sugar levels that result from defects in insulin secretion, insulin action, or both. Normal fasting blood sugar levels should be below 100mg. The definition of fasting blood sugar level means the patient should have fasted (not eaten) for at least 12 hours prior to the blood test. The amount of glucose in a person’s body after fasting for 12 hours gives an indication of how well the body is processing sugar or glucose. A normal person would have lower results on the fasting blood sugar test then a person who has diabetes mellitus or pre-diabetes. Fasting blood sugar levels below 100mg is considered to be normal. Results between 100125mg are interpreted as pre-diabetic, while diabetes mellitus is diagnosed when

Type 1, formerly called Juvenile Onset or Insulin Dependent Diabetes Mellitus, is when the body completely stops producing any insulin. Insulin is a hormone that enables the body to use glucose found in foods for energy. In this type of diabetes, a patient has to take artificial insulin shots daily to survive. This form of diabetes is seen most often in children and young adults, but can rarely occur at an older age.

Type 2 Diabetes Mellitus, also called Adult Onset or NonInsulin-Dependent Diabetes is a result of the body not producing enough insulin or is unable to use the insulin that exists in the body. This generally occurs in people over 40 years of age, who are overweight, or have a family history of diabetes. This is more common than type 1 diabetes mellitus.

How do you know you have diabetes mellitus?

Below are some of the common

1. 2. 3. 4. 5. 6.

Being unusually thirsty Polyuria or frequent urination Weight-loss Blurry vision Increase in hunger Tingling or numbness of the hands and/or feet 7. Frequent urinary tract infections 8. Severe fatigue

How do you treat diabetes mellitus?

The first step is to get your diet under control. That means one has to be careful about eating excessive amounts of carbohydrates, sweets, and sugar. Daily exercise is very important in reducing the sugar levels because working muscles do require sugar for energy, thereby burning the sugar down for metabolism. However, I would recommend daily exercise only after being cleared for doing so by a Cardiac Stress Test. Because diabetes affects the eyes and can cause blindness; I recommend an annual eye examination as well as a foot examination by a qualified Podiatrist. A diabetic should also follow a program recommended by their doctor who's well-versed with diabetes mellitus. Your

physician will teach you how to monitor your daily blood sugar level and help you with a healthy meal and activity plan.

Why does a diabetic need to control his or her blood sugars?

The reason why it is imperative to monitor and control your blood sugar level is to prevent future complications which I list below. Fasting blood sugars should be below 110mg if you are fasting in the morning and below 140mg two hours after having a meal. We measure this by doing a HBA1C level that will tell us how your blood sugars have been doing in the last four months prior.

What are the complications?

Complications of Diabetes Mellitus are vast. Although they

are commonly cardiovascular, such as Coronary Artery Disease, Peripheral Vascular Disease, and possibly Cerebrovascular Disease. It also affects the kidneys causing damage leading to excessive loss of proteins in the urine thereby resulting in kidney failure.

How can diabetes be prevented?

I would recommend lifestyle changes like eating a healthy diet, maintaining an ideal bodyweight, and physical activity of at least 30 minutes a day, again that is once you have been cleared by your doctor.

My Quote for today: Diabetes Mellitus is your enemy, exercise and a healthy diet is your lifelong friend. You choose - It's your life in the end.

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march 2014 13


D

Is your body sending you SECRET messages?

Sherri mraz also known as the cookin’ Yogi, works with clients privately and in groups to improve their health. She teaches healthy cooking classes, yoga and is a public speaker. Sherri has trained at the institute for integrative Nutrition in NYc and is certified through teachers college columbia university and by the american association of drugless practitioners (aadp). She is also registered with the Yoga alliance at the advanced teacher level, a member of the physicians committee for responsible medicine and studied at the hippocrates health institute. She studied ancient nutritional wisdom, and the latest diet and healthy lifestyle trends with renowned experts such as dr. mehmet oz, deepak chopra, dr. andrew Weil, dr. Walter Willet, dr. anne marie colbin, and dr. Neal Bernard. She is located at Keystone chiropractic in royal palm Beach. please contact her at Sherri@cookinYogi.com or visit her website at www.cookinYogi.com

Recipe and article by: Sherri Mraz, the Cookin' Yogi

o you sometimes feel like your body is sending you mixed messages? You are trying to eat healthy and then all you can think about are treats. Maybe you just started an exercise routine and then you don't feel like getting off the couch. So many times we feel like we are in a push pull with our body because we are misunderstanding its messages.

The body is an amazing source of intelligence. It is always there for you, pumping blood, never skipping a heartbeat, digesting whatever food you put in it and maintaining homeostasis. Is this reliable, intelligent bio-computer making a mistake by craving ice cream or a hamburger or chocolate? Are cravings due to lack of will-power or discipline? I'd like to suggest that cravings are not a problem. They are critical pieces of information that tell you what your body needs.

The important thing is to understand why you crave what you crave. Perhaps your diet is too restrictive or devoid of essential nutrients. Perhaps you are living a lifestyle that is too boring or stressful. Your body tries to correct the imbalance by sending you a message: a craving. A craving for something sweet could mean you need more

Easy Make-Ahead Breakfast Salad

this is one of those easy, delicious breakfasts that i make when apples are in season and i am running out of ideas for a healthy breakfast i can make the night before.

1 chopped sour apple 3/4 cup of organic cottage cheese (use plain greek full-fat yogurt if you don't like cottage cheese 2 tbsp. chopped walnuts or almonds a couple of shakes of cinnamon and/or cardamom

add ins: a few raisins, 1 tbsp. ground flaxseed, 1 tsp. chia seeds, or 1 tsp. honey if it is not sweet enough for you.

protein, more exercise, more water or more love in your life. The key to stopping the sugar craving is to understand and deliver what your body really needs.

Your body knows best and is always trying to create balance. However, products like refined foods, sugar, caffeine, alcohol and drugs (which have little or no nutritional value) are confusing to the body. They throw the body off-balance and

Large-scale study will determine whether chocolate pills can prevent heart attacks, strokes

I

Marilynn Marchione, Associated Press

“People eat chocolate because they enjoy it,” not because they think it’s good for them, and the idea of the study is to see whether there are health benefits from chocolate’s ingredients minus the sugar and fat, said Dr. JoAnn Manson, preventive medicine chief at Harvardaffiliated Brigham and Women’s Hospital in Boston. The study will be the first large test of cocoa flavanols, which in previous smaller studies improved blood pressure, cholesterol, the body’s use of insulin, artery health and other heart-related factors.

14 march 2014

No book or theory can tell you what to eat. Only awareness of your body and its needs can tell you. Of all the relationships in our lives, the one with our body is the most essential. It takes

A

communication, love and time to cultivate a relationship with your body.

The key role of a Health Coach is to help you learn to decipher and respond to your body's cravings by creating a deep and lasting level of health and balance. The next time you have a craving, treat it as a loving message from your body instead of a weakness.

New tequila plant-based sweetener could be a healthier option for diabetics

new sweetener made from the tequila plant could help reduce blood glucose levels in diabetics and contribute to weight loss in obese people. A researcher has outlined the potential benefits of agavins, the natural sugar found in the agave plant, which is non-digestible and may act as a dietary fiber rather than a sugar that raises blood glucose.

t won’t be nearly as much fun as eating candy bars, but a big study is being launched to see if pills containing the nutrients in dark chocolate can help prevent heart attacks and strokes. The pills are so packed with nutrients that you’d have to eat a gazillion candy bars to get the amount being tested in this study, which will enrol 18,000 men and women nationwide.

can create serious cravings as your body tries to get what it needs to restore internal harmony. The more your food is whole and healthy, the easier it is for your body to stay in balance and provide you with a happier, healthier life.

Stir all the ingredients and refrigerate until morning. It's so simple and yet so delicious.

A second part of the study will test multivitamins to help prevent cancer. Earlier research suggested this benefit but involved just older, unusually healthy men. Researchers want to see if multivitamins lower cancer risk in a broader population.

The study will be sponsored by the National Heart, Lung and Blood Institute and Mars Inc., maker of M&M’s and Snickers bars. The candy company has patented a way to extract flavanols from cocoa in high concentration and put them in capsules. Mars and some other companies sell cocoa extract capsules, but with less active ingredient than those that will be tested in the study; candy contains even less.

“You’re not going to get these protective flavanols in most of the candy on the market. Cocoa flavanols are often destroyed by the processing,” said Manson, who will lead the study with Howard Sesso at Brigham and others at Fred Hutchinson Cancer Research Center in Seattle.

Participants will get dummy pills or two capsules a day of cocoa flavanols for four years, and neither they nor the study leaders will know who is taking what during the study. The flavanol capsules are coated and have no taste, said Manson, who tried them herself.

In the other part of the study, participants will get dummy pills or daily multivitamins containing a broad range of nutrients.

The findings were presented at the 247th National Meeting of the American Chemical Society (ACS), the world's largest scientific society gathering, happening through Thursday, March 20 at the Dallas Convention Center and surrounding hotels. The meeting involves thousands of scientists and some 10,000 reports on new scientific advances and similar topics.

"We have found that since agavins reduce glucose levels and increase GLP-1, they also increase the amount of insulin," said Mercedes G. López, Ph.D. of the Centro de Investigación y de Estudios Avanzados, Biotechnology and Biochemistry Irapuato, Guanajuato, Mexico. GLP-1 (glucagon-like peptide-1) is a hormone "that slows the stomach from emptying," which subsequently begins insulin production.

"This study represents the first attempt to evaluate agavins as sweeteners in spite of their lower sweetness compared to sugar,'" she said.

Lopez and her team analyzed a group of mice fed a standard diet and added agavins to their daily water. The mice were weighed every day and had their glucose blood levels checked weekly. The majority of the mice that drank agavins ate less, lost weight and had lower blood glucose levels compared to sweeteners such as glucose, fructose, sucrose, aspartame and agave syrup. "Agavins are not expensive and they have no known side effects, except for those few people who cannot tolerate them," Lopez continued, adding that much like other fructans, agavins are comprised of fructose.

www.globalhealthtribune.com


March 20

Hospice of Palm Beach County Foundation. Second annual “County Club Chef Showdown” to be held at The Club at Admirals Cove in Jupiter. Tickets are $200.00 per person. For additional information, call Mary Coleman at 561-265-6042, or visit www.hpbcf.org.

March 23-24

Place of Hope’s Golf Invitational and Charity Dinner. The dinner will take place on Sunday in the clubhouse at the Old Palm Golf Club in Palm Beach Gardens. The golf outing will take place on Monday at the Raymond Floyd Golf Course. For additional information, contact 561-775-7195 or visit their website at www.placeofhope.com.

March 29

Atlantis Pro/Am Golf Classic to benefit The Jay Robert Lauer Hospice and Palliative Care Unit at JFK Medical Center. This outing will be held at the Atlantis County Club in Lake Worth. For additional information, call Vicki Rautbord at 561-642-6888, or visit www.hpbcf.org.

Friends of Abused Children, Inc. will hold their Third Annual Jim Sackett Invitational Softball Tournament. The event will take place at Okeeheelee Park in West Palm Beach and is free to attend. For additional information, call 561-659-5005 or visit www.friendspbc.org.

APRIL

American Cancer Society Relay For Life has several events taking place in Palm Beach County in April. Visit www.relayforlife.org to find an event near you.

Dear Deborah

DEAR DEBORAH: After communicating with a man for a few months, we decided to meet for dinner. When I met him at the restaurant, there was a wait list. My date noticed a table in the bar and wanted to take it, but I was against it and told him we needed to wait. He dismissed me and proceeded to tell the hostess that he wanted that table and was not going to wait for the 30 other people in front of us to be seated. He even insisted on speaking to the manager. I started to walk away and he followed suggesting we go to the neighboring restaurant. Am I obligated to stay if I find someone to be rude? - Rude isn’t cool!

Dear Rude isn’t cool: I can honestly say that we have all been there. You have no obligation to a man that you have never even met in person – prior to this date. He is clearly selfserving and disrespectful, especially when he dismissed you. I personally will not date anyone that is rude and disrespectful to others.

Upcoming Medical and Fundraising Events

April 5

Boys & Girls Club of Palm Beach County celebrates its 13th Annual “Barefoot on the Beach” at the Breakers Hotel. For additional information, visit www.bgcpbc.org.

April 11

The Lord’s Place “SleepOut” will take place at the Meyer Amphitheatre in West Palm Beach. This overnight event aims to end homelessness in Palm Beach County. For additional information, visit www.thelordsplace.org.

April 16

Mercedes-Benz Corporate Run will take place at the Meyer Amphitheatre in West Palm Beach. Registration fee is $40.00 per team member. For additional information, visit www.mercedesbenzcorporaterun.com.

April 27

Top Hats and Tea Cups Haute Couture Floral Millinery Pageant to benefit Ali’s Alliance. The event will take place at the PGA National Resort in the Bella Lago room in Palm Beach Gardens. Cost is $60.00 for adults and $50.00 for children. For additional information, contact Kelly Seitz at 561-315-5477 or kas99ice@aol.com. You can also visit their website at www.alisalliance.org. DEAR DEBORAH: How is it that we can see things better from the outside looking in than to be on the inside actually immersed in a relationship? In other words, if we are in a relationship with someone, we seem to miss all the negatives and red flags, but a family or friend can see them. - Can’t see the flaws?

Dear Can’t see the flaws: It’s always easier when someone who is not emotionally involved to see things logically. When you are dating someone, your heart is involved and you want to believe in that individual. At times, when you are in a relationship, you even tend to make excuses for them and their actions. It’s funny, when people end a relationship they suddenly see things more clearly and often wonder why they didn’t see things sooner. The best way to describe it is with the statement, “Blinded by Love.”

DEAR DEBORAH: I really want to get back at my ex. boyfriend for cheating on me, but I prefer he doesn’t find out it’s me. How can I get back at him and make him hurt, just like he hurt me? - Revengeful and Angry!

Dear Revengeful and Angry: Your relationship did not work for whatever reason and regardless of what that was, it’s over. You need to get over it and move on! Life if far too short to waste your energy on someone else when you should be concentrating on your own happiness. Therefore, do not waste another moment on someone that does not want to be with you.

Dear Deborah is a monthly advice column written by Deborah Lynn with a common sense approach to dating. If you have any questions or comments, please forward them to: questions@globalhealthtribune.com as we would love to help.

www.globalhealthtribune.com

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march 2014 15


Global Health Tribune March 2014 issue  

Healthcare Newspaper distributed in Palm Beach county, FL

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