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Pandemic Leads to Both Weight Gain and Eating Disorders / Public News Service

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SACRAMENTO, California – More than 60% of adults reported weight problems during the pandemic, according to the American Psychological Association.

Experts have some tips on how to get back into your groove this summer. COVID-19 disrupted everyone’s diet and exercise routines, left many in front of a screen all day, and increased isolation.

Dr. Donna O’Shea, chief medical officer for population health at United Healthcare, said the stress caused some to overeat and others, especially teenagers, to develop an eating disorder.

“We see both ends of the spectrum,” said O’Shea. “People who snack too much, but we also see that the same kind of stress in others made them not eat and really put their health at risk.”

She advised restoring routines that included the basics: good nutrition, regular exercise, and adequate sleep.

She recommended using a fitness tracker and gradually tracking your steps throughout the day before reaching a goal of 8,000-10,000 steps per day.

Many companies offer wellness programs. UnitedHealthcare offers a free online motivational tool at UHCStepUp.com. There people can sign a pledge to make health a priority this summer. It is part of an attempt to set a Guinness World Record for the most promises to be made to a health campaign within a month that ends on July 15th.

Connie Sobczak, co-founder and executive director of Berkeley-based nonprofit The Body Positive and author of a book called Embody, said it was important to be kind and gentle on our bodies and to acknowledge that they have helped us Surviving the pandemic when so many people fail.

“Please don’t go on a diet, because it backfires,” suggested Sobczak. “Make changes slowly to increase the movement in our lives. Dance in your living room. I mean, just start moving your body and being comfortable in your body. And then add more nutritious foods. “

She challenged people to recognize the level of stress they were exposed to and to let go of themselves.

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RALEIGH, NC – Several doctors in North Carolina support red tape laws for Advanced Practice Registered Nurses (APRNs).

More than 20 states and the District of Columbia already grant licensed APRNs full practice ratings, meaning they don’t have to pay a doctor to oversee them.

The SAVE Act, which was introduced in North Carolina this year, would remove oversight.

Dr. Elizabeth Golding, medical director of palliative care at Cone Health, said that without APRNs there would not be enough palliative care in the state and believes that the oversight duties that APRNs often cost thousands of dollars are an obstacle to patients “providing quality care to get.

“They’re really not doing anything to improve the quality of care and, in my opinion, are really unnecessary and just costly administrative tasks,” argued Golding.

While individual doctors speak up, the North Carolina Medical Society has repeatedly spoken out against allowing APRNs to practice independently, arguing that the elimination of medical surveillance would increase patient safety risks.

Dr. William Long, a family doctor and geriatrician in Charlotte, stated that oversight duties do not require doctors and APRNs to work closely together. Long added that some supervising doctors live hours or even in a different state from their collaborating APRN.

“I just don’t think that’s the point of the law,” Long said. “I think the law should be changed so that after a certain amount of time and dialing your number, two years, three years, whatever, these people are very competent in their field of activity.”

Dr. Jessica Cannon, a retired OB / GYN physician in Wilmington, suggested that in full practice APRNs could help more women in North Carolina have healthy pregnancies and babies, especially in rural areas.

“We know that in states where certified midwives have an independent practice, the results are known to be as safe as conventional obstetrics / gynecology results, and in many cases they have superior results,” observed Cannon.

Research shows that APRN midwives lower the risk for women and babies. Compared to obstetricians, midwifery care has resulted in much lower intervention rates and reduced the likelihood of a cesarean delivery by 30% for women having their first baby.

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SACRAMENTO, Calif. – A bill to expedite the process for terminally ill patients with access to euthanasia medication will be debated in the State Assembly Judiciary Committee tomorrow.

Senate Act 380 would reduce the waiting time between the two oral requests for the prescription that the patient must submit from 15 days to two.

Samantha Trad, senior campaign director for the California nonprofit Compassion and Choices Action Network, said many patients don’t ask for it until it’s too late.

“15 days may not sound like a long time, but when you’re about to die, it’s an excruciatingly long time,” said Trad. “And we know from Kaiser and other healthcare systems that approximately 30% of terminally ill Californians who seek medical euthanasia die during the mandatory 15-day waiting period.”

The bill is rejected by the Catholic Church and some disability rights groups. To be eligible for prescription, a patient must have a definitive diagnosis of six months or less of life from two different doctors. The person must also be of sane mind and be able to take the drug on their own.

The bill would also require hospitals and hospices to post their euthanasia guidelines on their website.

Amanda Villegas’s husband, Chris Davis, died of cancer in 2019 before he could access the prescription because his carers gave him incorrect information.

“You lied openly,” claimed Villegas. “They told us it was completely illegal in Southern California, we had to go to an Emperor in Northern California to get a prescription. In Chris’ state, that wasn’t possible.”

The current End of Life Options Act, which came into force in 2016, expires in 2025. The new measure would make the law permanent.

A study published last week by the California Department of Health found that nearly 3,000 patients have received the prescription to date, and about two-thirds of them have taken the drug.

The use among colored people remains low; 87% of the people using the law are white. Disclosure: Compassion and Choices contributes to our fund for reporting on community engagement, health issues, senior citizens issues and social justice. If you want to support news in the public interest, click here.

Disclosure: Compassion and Choices contributes to our fund for reporting on community involvement, health issues, senior citizens issues and social justice. If you would like to support news in the public interest, click here.

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COLUMBUS, Ohio – Efforts to slow the spread of COVID-19 have disrupted the lives of Ohio residents, and data continues to evolve to reveal the far-reaching financial toll.

Almost one in four adults in the Greater Cincinnati COVID-19 Health Issues Survey said they had at least one financial difficulty. Colleen Desmond, a research fellow at Interact for Health, explained that this includes difficulties paying for food, rent, or utilities.

“Necessary things like shop closings, social distancing, stay-at-home orders, and the like have impacted people’s financial well-being,” Desmond said. “If anything, I would have expected these to be possibly a little higher. If you did the same survey in Ohio, I think you’d see very similar results.”

And that’s the case, according to the latest U.S. Census Household Pulse Survey, which showed that nearly one in four Ohio adults had difficulty paying normal household expenses in the past seven days.

The Health Issues Survey also showed differences: 35% of black adults reported financial problems compared with 20% of white adults.

More than 20,000 Ohioans have lost their lives to COVID-19, and more than a million cases have been reported in the state. Desmond said it was important to continue tracking financial hardships caused by a pandemic as they are closely related to a person’s health outcomes.

“If you can’t afford to eat, it can affect your health,” Desmond said. “If you cannot pay your mortgage or rent, it can of course lead to stress, contribute to poor living conditions, it can contribute to homelessness. All of these things can affect health. The same goes for utility companies. “

Desmond claimed that what is needed in the future is policies that ensure that all Ohio residents can afford food, shelter, health care, and other basic necessities that can improve health and well-being.

Disclosure: Interact for Health contributes to our fund for reporting on alcohol and drug abuse prevention, health issues, mental health and smoking prevention. If you would like to support news in the public interest, click here.

Disclosure: Interact for Health contributes to our fund for reporting on alcohol and drug abuse prevention, health issues, mental health and smoking prevention. If you would like to support news in the public interest, click here.

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It’s time to expand the definition of ‘women’s health’

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Common diseases such as cardiovascular disease are under-researched in women, making diagnosis, prognosis and treatment difficult in women.Photo credit: BSIP / UIG / Getty

More than one eighth of the world’s population has a condition that can cause pain, profuse bleeding, and decreased fertility, all possible consequences of benign tumors known as uterine leiomyomas or fibroids. Fibroids can be debilitating and are a common reason for surgical removal of the uterus.

Still, fibroids have received relatively little attention from scientists, either in academia or in pharmaceutical companies. The cause of the disease – and how to reduce its impact on fertility – has been debated for decades, leaving doctors unsure how best to treat people.

Unfortunately, fibroids are just one of many underrated aspects of health in people who were female at birth. (This includes cis women, transgender men, and some non-binary and intersex people; the term “women” in the remainder of this editorial refers to cis women.) Clinical and preclinical studies tend to focus equally on men: a third of the Individuals participating in cardiovascular disease clinical trials are women, and an analysis of neuroscientific studies published in six journals in 2014 found that 40% of them used male animals only. Two studies and an article published in Nature on Aug. 5 shed light on the advances in women’s health research – and the need for more.

A study examines the molecular origins of fibroids and reveals a possible mechanism by which tumors form. Drugs targeting key molecular actors in this process could open up new treatment options with further studies.

The other study takes a multidisciplinary approach, examining both the genetic mechanisms and epidemiological factors involved in ovarian aging, which leads to menopause and fertility loss. The age at which women experience menopause varies widely – with a range of around 20 years for healthy women – and fertility can drop dramatically for up to a decade before it begins.

This work expanded the list of genes that contribute to early ovarian aging and highlights the importance of DNA repair mechanisms in determining the age at which women experience menopause.

Both studies illustrate the advances that can be made if the health challenges of women are brought to the fore. However, advocates of women’s health warn that the field is often too narrowly considered. The study of health and disease in women should not be limited to conditions that affect women only. Conditions like type 2 diabetes, Alzheimer’s disease, and heart disease affect men and women differently. Such diseases need to be investigated in both men and women, and the diagnosis, prognosis, and treatment may need to differ between the sexes.

Heart attacks, for example, are one of the leading causes of death in both women and men, but women do not always have the “typical” symptoms that men normally experience. Women are also more prone to blood clots after a heart attack, but are less likely to be prescribed anticoagulant drugs by their doctors. Women are 50% more likely to get an initial misdiagnosis after a heart attack than men and are less likely to be prescribed medication to reduce the risk of a second attack, according to the British Heart Foundation.

When it comes to exercise, women are at risk of serious long-term injury if we continue to model head injury training and management on data from men. As our News Feature reports, it is becoming increasingly clear that women experience head injuries and recover from them very differently than men. Understanding why women are nearly twice as likely to experience concussions as men in sports like soccer and rugby requires multi-disciplinary research – and to understand why women take longer to recover from such injuries.

So far, the evidence is sparse, but preliminary data suggest structural differences in the brain. Axons in the brain of women are wired to thinner microtubules that tear more easily; Hormonal fluctuations should also contribute to this. Biomechanics could also play a role – in rugby, for example, it seems that women fall differently when attacked, which could increase the risk of a concussion. Exercise programs designed specifically for women can help alleviate these injuries.

But the clear message from sports researchers is that it is no longer acceptable to exclusively use data from men in these studies. And when women are included, the data needs to be broken down by gender and include a sufficient number of women. A recent study examining MRI images of elite rugby players included women (KA Zimmerman Brain Commun. 3, fcab133; 2021) but of the 44 elite players, only 3 were women.

But the relative lack of women on committees and scientific advisory boards has meant that few of these decision-makers have direct personal experiences with women’s health needs or research gaps. It is all the more important that funders consult the public when determining research priorities.

Since 2016, the US National Institutes of Health has required researchers to conduct preclinical studies in both male and female animals, tissues and cells, or to provide an explanation as to why it is not appropriate to study both sexes. Now it is up to other funders, researchers, and journals to amplify the impact of this change by making sure to include gender-specific data in publications. Funders should also strengthen the resources allocated to support studies of health and disease in women and keep track of how much money is being used to support such research in all areas, not just gynecological diseases. What is measured is done.

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Coronavirus US: It could be February before all eligible Americans get at least one vaccine dose, analysis shows

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More than 90 million eligible people in the US are still unvaccinated. And although the seven-day average of people who get vaccinated each day is the highest since July 4th at 446,300, many experts say the U.S. is still not where it needs to be to get the pandemic – and the rapidly expanding delta variant – under control.

With less than half of the population fully vaccinated, cases have risen again, leading to serious illness.

On Tuesday, according to new data from the US Department of Health, more than 50,000 hospital beds across the country were occupied by Covid-19 patients for the first time since February. That number is more than three times what it was a month ago.

“We’re not crying for Wolf here. This surge that we are currently going through has the potential to be the worst surge we have ever seen – and it already looks like it, ”said former US surgeon general Dr. Jerome Das Adams said in a live online interview with the Washington Post on Tuesday.

The director of the National Institute for Allergies and Infectious Diseases, Dr. Anthony Fauci said Tuesday he would like the US to get more than a million vaccinations a day to close the vaccination gap.

“We may get there when mandates come, but it can’t be 250,000, 500,000 a day, otherwise it will go well into winter. I want to arrive earlier,” said Fauci.

With the spread of the delta variant, it may not be possible to completely stop the spread of the coronavirus, said Dr. Francis Collins, director of the National Institutes of Health, on Tuesday.

“But we could still get to a place where this becomes a nuisance rather than a threat to your life.”

Experts are considering boosters for immunocompromised people, says Fauci

Although experts have said the data so far does not suggest the general population needs booster vaccines, Fauci said efforts are underway to get them for people who are immunocompromised.

Some conditions – including autoimmune diseases, transplants, and cancer that are treated with chemotherapy – affect people’s immune systems.

“The people we know almost always don’t have an adequate response, so the need to give them an extra boost is much more pressing than the general population,” Fauci said during a virtual event hosted by Virginia Governor Ralph Northam on Tuesday was organized.

The CDC’s vaccine advisors have met to discuss whether immunocompromised people may need additional protection from a booster dose, but have not yet made a formal recommendation or voted on guidelines.

“We are working very hard to put the regulatory mechanism in place very soon to give these individuals a boost that could, if possible, bring their immunity to the level it should be,” said Fauci.

During a discussion hosted by the Center for Strategic and International Studies on Tuesday, Fauci said it was “very likely” that Covid-19 variants have developed in the bodies of immunosuppressed people.

People with immunosuppression may not be able to fight off Covid-19 infections for weeks or even months, which means the virus has plenty of time to develop and change.

“Variations, as we all know, came about because of the pressure the human immune system put on the virus, very likely from people who are immunocompromised … / or died and then essentially created a variant,” Fauci said.

“Significant” increase in the number of children and adolescents

As the new school year raises concerns about protecting children from Covid-19, the American Academy of Pediatrics said Tuesday that the number of cases in children has increased “significantly”.

Almost 72,000 children and young people were infected with Covid-19 last week – five times as many as at the end of June, the group said.

The definition of a child varies by state, but generally includes children up to the age of 17 or 18.

Covid-19 protocols vary across the country, but when kids go back to school, counties need to know how to respond quickly to outbreaks.

Covid-19 cases in US children and adolescents rose 84% in a week, the pediatrician group says

Districts need to be prepared to introduce contact tracing, testing, quarantining people who have been exposed to the virus, and isolating people with infections, Dr. William Schaffner, a professor at Vanderbilt University School of Medicine and medical director of the National Foundation for Infectious Diseases, told CNN.

While most schools follow these steps to isolate cases, conduct contact tracing, and testing, response plans may vary from state and school district to school district, Kim Anderson, executive director of the National Education Association, told CNN.

“As we understand it, it depends on which district you are in. The district should have very well thought out breakout plans that use the voices of educators, parents, and community members in drawing up those plans, and they should have them. ” Plans that follow CDC recommendations, “said Anderson.

“Our recommendation to all students and school districts is to follow the medical experts and adhere to the CDC,” she said.

CNN’s Deidre McPhillips, Matthew Hilk, Jacqueline Howard, Virginia Langmaid, Lauren Mascarenhas and Jen Christensen contributed to this report.

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A look at depression – The Fort Morgan Times

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Did you know that 1 in 10 adults have depression?

Mental health problems are one of the most common reasons to see a doctor, but many people don’t know how to diagnose or treat mental illness.

What are the symptoms of depression?

Depression is the most common type of mental illness and it can affect people in different ways.

Most people with depression experience sadness, dejection, frequent crying, hopelessness, or despair, while some others also notice a lack of emotion. These feelings usually appear over several days and can make it difficult for people to function.

People with depression may also have changes in weight, fatigue, slow speech, difficulty concentrating or remembering, loss of interest in their hobbies, too much or too little sleep, feelings of anxiety, or excessive guilt.

Symptoms of depression include hallucinations or thoughts of suicide, harming yourself, or having thoughts of harming others. If you feel at risk of suicide, please call 911 or the National Suicide Prevention Lifeline at 1-800-273-8255 immediately.

What Causes Depression?

Although the exact cause of depression is not clear, many studies suggest that changes in the structure of the brain and chemical balance contribute to depression. As such, depression is a medical disease.

It also causes changes throughout the body and can affect many of the body systems outside of the brain.

Depression is more common in young adults and the elderly, and more common in women than men. People with medical conditions are also more likely to develop depression.

diagnosis

If you have any of the symptoms listed above or have any concerns about your mood, please contact your GP. Your doctor will take a detailed medical history and may give you a questionnaire to check the severity of your depression.

Many other mental disorders share similarities with depression, including: bipolar disorder, anxiety, ADHD, and grief, so it is important to let your doctor know about your symptoms as much as possible. You may also be screened for other conditions that may cause similar symptoms.

treatment

Treating depression has many benefits, including improved mood and energy, better everyday functions, and even improvements in conditions like heart disease.

In people with depression, the brain’s chemicals are different from those in a healthy brain, so drug treatments are aimed at restoring the brain’s chemical balance. There are different types of medications that can be used, and most depression medications are taken on a daily basis. If you need medication, your doctor will help you find medications that are right for you.

In addition to medication, many people with depression also benefit from advice (also called therapy) from a behavioral medicine specialist, such as a counselor or psychologist.

Both counseling and drug treatment may be needed for people with more severe depression.

Depression can last for a lifetime, but it can also go away in a few months or years, so people with depression should see their medical teams regularly.

Colorado Plains Medical Center is proud to work with the Fort Morgan Times, in partnership with healthcare partners such as Salud Family Health Center, to provide relevant health-related information and awareness to the communities we serve. Please watch out for our bi-weekly articles in the Fort Morgan Times.

Dr. Claire Bovet is a general practitioner at the Salud Family Health Center.

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