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Are you having heart attack symp-toms? Is it indigestion? Stress?

When chest pain strikes, these ques-tions often come to mind. The causes of chest pain can be dif cult to interpret. But theres one thing medical providers want you to remember.

Call 911, says Charles Bantle, M.D., of Mayo Clinic Health System. Time is of the essence when it comes to saving heart muscle.

A heart attack may cause chest pain that lasts 15 minutes or longer. But a heart attack also may be silent and pro-duce no signs or symptoms.

Many who experience a heart attack have warning symptoms hours, days or weeks in advance. The earliest warning sign of an attack may be ongoing epi-sodes of chest pain that start when youre physically active, but are relieved by rest.

Someone having a heart attack may experience any or all of the following:

Uncomfortable pressure, fullness or squeezing pain in the center of the chest lasting more than a few minutes; pain spreading to the shoulders, neck or arms;

lightheadedness, fainting, sweating, nau-sea or shortness of breath.

It is so critical that patients call 911 in these situations, Dr. Bantle said. Emergency responders can help at the scene of a possible health incident and start treating a patient immediately, when they are most likely to respond positively to medical care. Responders also can re-lay important information to the hospital, so doctors there know a great deal about your needs before you even come in.

If you or someone else may be having a heart attack, it is important to call 911 or emergency medical assistance. Dont tough out the symptoms of a heart at-tack for more than ve minutes.

Drive yourself to medical care only as a last resort and if there are absolutely no other options. Driving yourself puts you and others at risk if your condition sud-denly worsens.

Mayo Clinic Health System consists of Mayo-owned clinics, hospitals and other health care facilities serving more than 70 communities in Georgia, Iowa, Minnesota and Wisconsin.

What to do when you think its a heart attack

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More than 230,000 men will be diagnosed with prostate cancer this year in the United States, but determining the course of treat-ment remains a source of consid-erable debate.

A new study by researchers from Uppsala University Hos-pital, Sweden, Harvard School of Public Health and colleagues, which draws from one of the few randomized trials conducted to directly address this issue, finds a substantial long-term reduction in mortality for men with local-ized cancer who undergo a radical prostatectomy.

While the benefit on mortality appears to be limited to men less than age 65, surgery did reduce the risk of metastases and need for additional treatment in older men.

The article appeared in the March 6, 2014 edition of New England Journal of Medicine.

The researchers used data from the Scandinavian Prostate Cancer Group Study Number 4, which randomized 695 men with early prostate cancer to treatment with surgery or watchful waiting with no initial treatment, with fol-low-up for up to 24 years.

Over the course of the study, 200 of 347 men in the surgery

group and 247 of the 348 men in the watchful waiting group died. Of the deaths, 63 in the surgery group and 99 in the watchful waiting group were due to pros-tate cancer.

The latest results from the SPCG-4 trial indicate that surgery cannot only improve survival, especially in men diagnosed at a younger age or with interme-diate-risk disease, but also that surgery can reduce the burden of disease in terms of development of metastases and the need for palliative treatment, said co-au-thor Jennifer Rider, assistant pro-fessor in the department of epi-demiology at HSPH and assistant professor of medicine, Channing Division of Network Medicine, Brigham and Womens Hospital.

However, a large proportion of men in the trial still alive at 18 years did not require initial sur-gery or any subsequent therapy, pointing to the potential benefits of active surveillance strategies to limit overtreatment.

Learn more at www.hsph.har-vard.edu.

Founded in 1913 as the Har-vard-MIT School of Health Of-ficers, HSPH is Americas oldest professional training program in public health.

Study shows the bene ts of surgery for

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People with a genetic predisposition to obesity are at a higher risk of obesity and related chronic dis-eases from eating fried foods than those with a lower genetic risk, according to a new study by researchers from Harvard School of Public Health, Brigham and Womens Hospital, and Harvard Medical School.

It is the rst study to show that the adverse effects of fried foods may vary depending on the genetic makeup of the individual.

Our study shows that a higher genetic risk of obe-sity may amplify the adverse effects of fried food con-sumption on body weight, and high intakes of fried food may also exacerbate the deleterious genetic ef-fects, said Lu Qi, lead author and assistant professor in the Department of Nutrition at HSPH and Brigham and Womens Hospital and Harvard Medical School.

The study appears online March 18 in the British Medical Journal.

The researchers analyzed data from 9,623 women in the Nurses Health Study, 6,379 men in the Health Professionals Follow-up Study, and 21,426 women in the Womens Genome Health Study.

Participants lled out questionnaires that asked how often they ate fried food either at home or away from home.

Body mass index and lifestyle factors such as physical activity were also assessed. Genetic risk scores were calculated based on genetic variants as-sociated with BMI.

The results showed that regular consumption of fried food was associated with higher BMI, after tak-

ing into account other dietary and lifestyle factors. In addition, the study showed that the association between overconsumption of fried food and obesity was particularly pronounced among people with a greater genetic predisposition to obesity. However, the genetic effect on BMI among those who ate fried food more than four times a week was about twice that of those who ate it less than once a week.

Our ndings indicate that genetic risk of obesi-ty could be mitigated by simply changing an eating habit, said Frank Hu, co-author and professor of nutrition and epidemiology at HSPH. From a pub-lic health point of view, everyone should be encour-aged to adopt healthy eating habits, not just those who are genetically susceptible.

Learn more at www.hsph.harvard.edu.

Risk of obesity from fried foods may depend on genetics


The number of calls to poison centers in-volving e-cigarette liquids containing nicotine rose from one per month in September 2010 to 215 per month in February 2014, according to a CDC study recently published in Morbidity and Mortality Weekly Report. The number of calls per month involving conventional cigarettes did not show a similar increase during the same time period.

More than half (51.1 percent) of the calls to poison centers due to e-cigarettes involved young children under age 5, and about 42 per-cent of the poison calls involved people age 20 and older.

The analysis compared total monthly poison center calls involving e-cigarettes and conven-tional cigarettes, and found the proportion of e-cigarette calls jumped from 0.3 percent in Sep-tember 2010 to 41.7 percent in February 2014.

Poisoning from conventional cigarettes is generally due to young children eating them. Poisoning related to e-cigarettes involves the liquid containing nicotine used in the devices and can occur in three ways: by ingestion, in-halation or absorption through the skin or eyes.

This report raises another red flag about e-cigarettes the liquid nicotine used in e-cig-arettes can be hazardous, said CDC Director Tom Frieden, M.D. Use of these products is skyrocketing and these poisonings will contin-ue. E-cigarette liquids as currently sold are a threat to small children because they are not re-quired to be childproof, and they come in candy and fruit flavors that are appealing to children.

E-cigarette calls were more likely than cig-arette calls to include a report of an adverse health effect following exposure. The most common adverse health effects mentioned in e-cigarette calls were vomiting, nausea and eye irritation.

Data for this study came from the poison centers that serve the 50 states, the District of

Jump in e-cigarette-related calls to poison centers

A recent study appearing in the April 2014 issue of Cancer Causes and Control suggests that a larger waist circumference is associated with higher risk of postmenopausal breast cancer, but not beyond its contribution to body mass index.

The study, by American Cancer Society research-ers involving predominantly white women, fails to con rm previous ndings that body shape itself is an independent risk factor for breast cancer.

A signi cant body of research has linked abdom-inal obesity to a number of conditions, including heart disease, type II diabetes, and breast and other cancers. Those studies have led to the theory that having an apple shaped body, with weight concen-trated in the chest and torso, is riskier than having a pear-shaped body, with fat concentrated in the hips, thighs and buttocks.

To explore the theory, researchers led by Dr. Mia

Gaudet analyzed data from 28,965 women partic-ipating in the Cancer Prevention Study II. Among them were 1,088 invasive breast cancer cases di-agnosed during a median 11.58 years of follow-up. Researchers found a statistically signi cant positive association between waist circumference and post-menopausal breast cancer risk; however, when they adjusted for BMI, the association disappeared.

The message is that if you have a high BMI, regardless if you are pear or apple shaped, you are at higher risk of breast cancer, said Gaudet. Most prior studies on this issue looked at BMI or at waist circumference, but had not looked at them together. This study brings some clarity to the association be-tween obesity and risk of breast cancer.

Gaudet said the data could help women focus on whats important in what has been a confusing array of potential risk factors for breast cancer.

We know being overweight, particularly when the weight gain happened during adulthood, is one of the important modi able risk factors for breast cancer in post-menopausal women. This new data indicates its not what shape you are, its what kind of shape you are in that probably ought to be their focus.

See www.cancer.org for information.

Overeaters Anonymous Overeaters Anonymous meets 6:30-7:30 p.m.

Mondays and Fridays in the Pomona Room on the second floor of the Bacharach Institute, 61 W. Jimmie Leeds Road, Pomona. The group is for anyone who desires to stop compulsive overeating. No dues or fee. Call Lori at 609-703-2135.

Columbia, and U.S. Territories. The study ex-amined all calls reporting exposure to conven-tional cigarettes, e-cigarettes, or nicotine liquid used in e-cigarettes.

Poison centers reported 2,405 e-cigarette and 16,248 cigarette exposure calls from Septem-ber 2010 to February 2014. The total number of poisoning cases is likely higher than reflected in this study, because not all exposures might have been reported to poison centers.

The most recent National Youth Tobacco Survey showed e-cigarette use is growing fast,

and now this report shows e-cigarette related poisonings are also increasing rapidly, said Tim McAfee, M.D. Director of CDCs Office on Smoking and Health. Health care provid-ers, e-cigarette companies and distributors, and the general public need to be aware of this po-tential health risk from e-cigarettes.

Developing strategies to monitor and prevent future poisonings is critical given the rapid in-crease in e-cigarette related poisonings. The report shows that e-cigarette liquids containing nicotine have the potential to cause immediate

Study indicates BMI, not body shape, is risk factor for breast cancer


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Spring is in the air, and so are billions of tiny pollens that trig-ger allergy symptoms in millions of people. This condition is called seasonal allergic rhinitis, com-monly referred to as hay fever.

Hay fever can affect your qual-ity of life. It can lead to sinus in-fections, disrupt sleep and affect ability to learn at school or be productive at work, according to the American Academy of Asth-ma and Immunology.

Symptoms include itching in the nose, roof of the mouth, throat and eyes, as well as sneezing, stuffy nose (congestion), runny nose, tearing eyes, and dark cir-cles under the eyes.

Depending on where you live, there are generally three pollen seasons. The start and end dates of these seasons, as well as the specific plants, vary based on the climate.

Trees generally pollinate in the spring. Birch, cedar, cottonwood and pine are big allergy triggers.

Grass releases its pollen in the

summer. Timothy, Johnson, and rye grasses are examples of aller-gens in this category.

Weeds cause hay fever in the fall. Ragweed is the biggest of-fender, as it can grow in nearly every environment.

Avoiding allergy triggers is the best way to reduce symptoms. Limit outdoor activities during days with high pollen counts, and keep windows closed (at home or in the car) to keep pollens out.

Pollen can collect in the hair, so it is advisable to take a shower after coming in from the indoors.

If you have hay fever, keep track of pollen counts in your area by subscribing to National Aller-gy Bureau email alerts.

An allergist or immunologist can diagnose allergies and de-termine the specific triggers that cause them through simple tests.

Allergy shots (immunothera-py) have been shown to provide long-term relief of allergic rhini-tis symptoms.

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Allergy shots have been shown to provide long-term relief of allergic rhinitis symptoms

Avoiding allergy triggers is the best way to reduce symptoms


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According to the Alzheimers As-sociation 2014 Alzheimers Disease Facts and Figures report released in March, a womans estimated life-time risk of developing Alzheimers at age 65 is one in six, compared with nearly one in 11 for a man.

As real a concern as breast can-cer is to womens health, women in their 60s are about twice as likely to develop Alzheimers over the rest of their lives as they are to develop breast cancer.

Through our role in the devel-opment of The Shriver Report: A Womans Nation Takes on Alzhei-mers in 2010, in conjunction with Maria Shriver, we know that women are the epicenter of Alzheimers dis-ease, representing a majority of both people with the disease and Alz-heimers caregivers, said Angela Geiger, chief strategy of cer of the Alzheimers Association.

She said the report examines the impact of this unbalanced burden.

Well-deserved investments in breast cancer and other leading causes of death such as heart dis-ease, stroke and HIV/AIDS have resulted in substantial decreases in death. Comparable investments are now needed to realize the same suc-cess with Alzheimers in preventing and treating the disease.

There are 2.5 times as many women than men providing inten-sive on-duty care 24 hours for someone living with Alzheimers disease.

Among caregivers who have been employed while they were also pro-viding care:

20 percent of women vs. 3 per-cent of men went from working full-time to working part-time while acting as a caregiver.

18 percent of women vs. 11 per-cent of men took a leave of absence.

11 percent of women vs. 5 per-cent of men gave up work entirely

10 percent of women vs. 5 per-cent of men lost job bene ts

With more than 5 million Amer-icans living with Alzheimers dis-ease, including 3.2 million women and 200,000 people under the age of 65 with younger-onset Alzheimers,

the disease has far-reaching effects that can plague entire families.

There are currently 15.5 million caregivers providing 17.7 billion hours of unpaid care in the Unit-ed States, often at the detriment of their own health. The physical and emotional impact of dementia care giving resulted in an estimat-ed $9.3 billion in increased health care costs for Alzheimers care-givers in 2013.

The total national cost of car-ing for people with Alzheimers and other dementias is projected to reach $214 billion this year, not including unpaid care by family and friends valued at more than $220 billion.

In 2014, the cost to Medicare and Medicaid of caring for those with Alzheimers and other de-mentias will reach a combined $150 billion, with Medicare spending nearly $1 in every $5 on people with Alzheimers or anoth-er dementia.

With baby boomers entering the age of greatest risk for Alz-heimers disease, there could be as many as 16 million Americans living with Alzheimers in 2050, at a cost of $1.2 trillion (in current dollars) to the nation.

The countrys first-ever Nation-al Plan to Address Alzheimers Disease has a goal of preventing and effectively treating Alzhei-mers disease by 2025. Ensuring strong implementation of the plan, including adequately funding Alz-heimers research, is the best way to avoid these staggering human and financial tolls, according to the Alzheimers Association.

Everyone with a brain male or female, family history or not is at risk for Alzheimers, said Geiger. Age is the greatest risk factor for Alzheimers, and Amer-ica is aging. As a nation, we must band together to protect our great-est asset: our brains.

The Alzheimers Association is launching a national initiative this spring highlighting the pow-er of women in the fight against this disease. See www.alz.org/mybrain.

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Physical therapy evaluationsIn an effort to support people who may be experiencing pain or discomfort as

a result of the storm cleanup efforts, Ivy Rehab will be providing free physical therapy evaluations at its facilities in Somers Point, Egg Harbor Township, Galloway and North eld. Call Colleen Zboray at 609-425-6702 to be directed to a location or see www.ivyrehab.com for direct phone numbers.

Help for people with disabilitiesThe state Personal Assistance Services Program administered by the Atlantic

County Division of Intergenerational Services provides assistance to county residents age 18-65 that have permanent physical disabilities. Includes light housekeeping, bathing, dressing, meal preparation, shopping and general mobil-ity to individuals who are employed, attending school or vocational training, or engaged in community volunteer service. Participants must be able to self-direct their services and program needs. Where applicable, the cost of services is based upon income. Call 609-645-7700, ext. 4519.

Healing Hands 4 Heroes Healing Hands 4 Heroes is a program offering free chiropractic care for

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Mental Health First Aid, or MHFA, educates the public about mental ill-ness and addictions, including risk factors and warning signs. The Mental Health Association in Atlantic Coun-ty, with a local of ce in Galloway, was recently awarded a grant to teach MHFA locally.

The Mental Health Association is thrilled to be introducing this na-tional evidence-based curriculum to Atlantic County residents, said Vic-ki Phillips, executive director of the Mental Health Association in Atlan-tic County. We believe that education is the key to understanding mental illness.

The training is intended for a wide cross-section of the public including social and human services agency staff, law enforcement and corrections of cers, nursing home staff, outreach workers, volunteers, school staff, cler-gy and members of faith communities, employers and human resources pro-fessionals, and families.

Because of Hurricane Sandy, the MHFA training hopes to reach rst re-sponders and disaster recovery work-ers in Atlantic County. Many commu-nities in New York and New Jersey affected by Hurricane Sandy have received grants to conduct trainings in their areas.

The eight-hour training course is split into two sessions and given over

two days.The long-term goals of Mental

Health First Aid is to improve the publics knowledge of mental disor-ders, increase the publics comfort in talking to people in distress and crisis, reduce the stigma associated with it, and increase the amount of help pro-vided in the community.

People often dont seek care for the addictions and mental illnesses be-cause they dont know where to start where to go, what to do, said Jaime Angelini, director of community ser-vices at the Mental Health Association in Atlantic County. Although there is progress in this eld, we know there is room to improve. We hope that every-one who takes the training can better understand the impact mental illness-es have on a person, their family and communities.

MHFA is currently in 20 countries around the world, and has been taught in the United States since 2008. The original program was created in Aus-tralia in 2001.

The Robert Wood Johnson Foun-dation, The American Red Cross and The Wakefern Foundation funding provides grant money for the program.

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Babies who have problems with self-regulation also tend to have more media exposure, and their parents may be especially likely to benefit from help with managing these aspects of their childrens development, accord-ing to a new study.

Infant Self-Regulation and Early Childhood Media Expo-sure, appearing in the May 2014 issue of Pediatrics (published online April 14) looked at data from 7,450 children in the Early Childhood Longitudinal Study of children born in 2001, including information reported by parents at 9 months and 2 years of age.

The researchers compared the childrens rates of self-regulation problems and their rates of media use. They described self-regula-tion difficulties as problems with self-soothing, sleep, emotional regulation and attention.

They found that the infants and toddlers whom parents character-

ized as most fussy and having other self-regu-lation difficulties also had the most media exposure. This was true even after accounting for other factors that influence these char-acteristics, such as so-ciodemographic factors and home environment.

It was unclear wheth-er these childrens use of media developed in response to their fuss-iness or if media use somehow contributed to some of their self-regu-lation difficulties.

The authors noted that early childhood is a crucial time for forming lifelong media habits and suggested the possible benefit of interventions to help parents manage their childrens difficult behaviors and the amount and

Fussy infants and toddlers tend to have more exposure to media

content of their media diets. The American Academy of

Pediatrics is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists

and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For information see www.aap.org.


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The pr imar y miss ion of Vo lun teers In Medic ine of Cape May County (V IM) is to unders tand and ser ve the

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Wouldnt it be nice if there was a method to put on eye or lip liner or enhance the eyebrows once and for all and forget about it?

Yes, it would be nice, and yes, there is a way.Regardless of a womans age, some things, like

wanting to look ones best and most attractive, re-main unchanged.

But putting on makeup day in and day out can become a chore, especially if physical problems such as diminished vision, arthritis and allergies rear their unwanted heads. And when you gure in the time and money spent on cosmetics, the de-sire for an easier and less costly way becomes that much stronger.

Permanent cosmetics, also known as cosmetic tattooing, has been a fast-growing segment of the aesthetic eld since the time Stephanie Holvick was trained at the Beau Institute in 1993.

A registered nurse since 1982 with a strong background in the operating room, Stephanie was drawn to this speci c beautifying procedure to help those with impairments look their best.

Color is implanted into the layer of skin known as the dermis with specially designed nee-dles. The technique can enhance the eyes, lips and brows, but also aids in scar camou age and post-mastectomy areola pigmentation.

The art of professionally applying permanent cosmetics is an intricate one; skill and experience on the part of the technician are of the essence. Excellent hand and eye coordination, along with

attention to detail, are important to a successful experience.

To minimize client discomfort, topical anes-thetics are applied to the desired area before and after a procedure. Some minor discomfort, how-ever, can be expected.

Holvicks clients that have been helped with permanent cosmetics:

A life-saving surgery to eradicate a tumor cost Helen Corriveau an eye. For years after the 1997 surgery, she wore an eye patch, enduring stares and comments devastating to her self-image.

When she received a prosthetic eye, life im-proved, but her emotional pain continued.

One side of my face looked normal, she said. On the other side, I had an arti cial eye and no eyebrow.

Like many visually impaired women, Cor-riveau found it hard to apply makeup, particularly to draw a realistic-looking eyebrow. She could never get it in the same place every morning, she says, and her attempts only called attention to the arti cial eye.

Life changed for Corriveau when a friend re-ferred her to Stephanie Holvick, owner of RN Faces, formerly located in Pueblo, Colorado. Hol-vick, a nurse trained in permanent makeup proce-dures, created a new eyebrow for Helen.

It made me feel like a whole person when I walked down the street, Corriveau said. I didnt have to worry about if I looked like a clown. It

made me feel whole. Im not talking about look-ing beautiful. Im talking about looking normal.

Holvick is licensed with the Atlantic County Board of Health. Her practice is located inside Tilton Fitness in Mays Landing by appointment only.

Besides her permanent makeup practice, she is a registered nurse training others in the aesthetic eld.

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Stephanie Holvick and her patient, Helen Corriveau.


Did you know that an estimated over 70 million Americans suffer from bowel problems and colon cancer is the second leading cancer killer in the U.S.? Approximately, over 100,000 Americans die annually fromthis disease.

Have you ever considered this simple question: Are you clean inside?

We shower and brush our teeth on a daily bases, but we tend to ignore cleans-ing our inside until some form of disease sends us a wake up call. The inside of our digestive system, especially the colon, which functions as the sewer system of our body also, requires cleansing. After all, the digestive system is our inner skin and protects us from inside, so treat it as well as you do the outer skin.Exposure to daily toxins

We are exposed to numerous toxins and chemicals on a daily basis, through the air we breathe, our food and water supply, and the use of pharmaceutical drugs. Food waste enters into the colon from the small intestines in a fluid state

and water, minerals and vitamins are then reabsorbed and toxins and other waste materials are eliminated. Therefore if the colon is not functioning correctly, many disorders can result. The Royal Society of Medicine in the UK published a report stating that toxicity in the intestines can be a contributing cause to sleep disorders, mental and physical depression, skin problems, breast cancer, bladder infec-tions, headaches, as well as digestive dis-orders. Such toxins lead to poor digestion, constipation, toxic colon build-up, weight gain and low energy. These common symptoms are more than just an inconve-nience; they can lead to long-term health problems and serious disease. Importance of Colon Hydrotherapy

Lets face it, irritable bowel syndrome, constipation, gas, diverticulitis, and colon cancer are not things we like to discuss. Colonic can result in improving health, energy, and vitality. The oldest, most effective and life transforming therapy is Colon Hydrotherapy. It not only removes impactions, parasites, and cellular debris, but cleanses and rejuvenates the portion of the immune system that resides in the intestinal tract.

The fastest way to depress the immune system function is by ignoring the impor-tance of the colon to immune system. Naturopathic/Integrative medicine funda-

mentals are the first place to begin treating and preventing disease is by reducing toxicity and free bio-energy that is required to fight toxins.

In New Jersey Colon hydrotherapy is considered as medi-cal procedure and can only be performed legally under medical supervision. Due to medical schools not teaching this therapy not many M.D.s have experience in them and do not appreciate its benefits.

At Integrative Medical Center colonhydro therapy is considered as an Internal Shower Procedure and has always been an integral part of a total therapeutic treat-ment program. We have been successful in creating a medical model of integrative medicine, where medical doctors and naturopathic doctors practice as a team.

In addition to providing comprehen-sive medical care for chronic metabolic conditions, Integrative Medical Center(IMC) in Pleasantville specializes in over-weight and obesity corrections, detoxifica-tions, clinical nutrition, and non-invasive pain management. This procedure is per-formed by certified colon hydrotherapist, Drena R. Garrett.

IMC is the only clinic in south Jersey that is providing Integrative Health Care.

Written by: Dr. Sam Jonuzi, Integrative Medical Center

Medical Professionals

Dr. Sam Jonuzi specializes in bioionic chemistry, detoxication and clinical nutrition. He earned a Bachelor of Science degree in biochemistry from Rowan University in 1986 and a Doctor of Naturopathy degree from Trinity College of Natural Medicine in 2001. Dr Jonuzi also earned an Integrative Health Practitioner degree at the Advanced Integrative Medical Institute in Washington, D.C. Dr. Jonuzi is Diplomat of the College of Natural Therapies and Member of the American Association of Integrative Medicine. Dr. Jonuzi is Founder and Managing Director at Integrative Medical Center in West Atlantic City. Physicians at IMC emphasize prevention and early diagnosis as well as cost-eective, non-invasive treatments that work toward the elimination of the root cause of chronic degenerative illnesses and medical conditions that have gone undetected by traditional medicine.

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The risk of stroke may be much higher in people with insomnia compared to those who dont have trouble sleeping, according to new research in the American Heart Association journal Stroke.

The risk also seems to be far greater when insomnia occurs as a young adult compared to those who are older, said researchers who reviewed the randomly-se-lected health records of more than 21,000 people with insomnia and 64,000 non-insomniacs in Tai-wan.

They found:Insomnia raised the likelihood

of subsequent hospitalization for stroke by 54 percent over four years.

The incidence of stroke was eight times higher among those diagnosed with insomnia between 18-34 years old. Beyond age 35, the risk continually decreased.

Diabetes also appeared to in-crease the risk of stroke in insom-niacs.

We feel strongly that individu-als with chronic insomnia, partic-ularly younger persons, see their physician to have stroke risk fac-tors assessed and, when indicated, treated appropriately, said Ya-Wen Hsu, Ph.D., study author and an assistant professor at Chia Nan University of Pharmacy and Sci-ence and the Department of Med-ical Research at Chi-Mei Medical Center in Taiwan. Our findings also highlight the clinical impor-tance of screening for insomnia at younger ages. Treating insomnia is also very important, whether by medication or cognitive therapy.

The study is the first to try to quantify the risk in a large popu-lation group and the first to assess if the risk of stroke differs by in-somnia subtypes, Hsu said.

Researchers divided partici-pants none of whom had a pre-vious diagnosis of stroke or sleep apnea into different types of insomnia. In general, insomnia included difficulty initiating or maintaining sleep; chronic or per-sistent insomnia lasted one to six months; relapse insomnia was a return of insomnia after being di-agnosed free of disease for more

than six months at any assessment point during the four-year study; and remission was a change from a diagnosis of insomnia to non-in-somnia at the subsequent time point.

During the four-year fol-low-up, 583 insomniacs and 962 non-insomniacs were admitted for stroke. Persistent insomniacs had a higher three-year cumulative in-cidence of stroke compared to the other participants in the remission group.

The mechanism linking insom-nia to stroke is not fully under-stood, but evidence shows that in-somnia may alter cardiovascular health via systematic inflamma-tion, impaired glucose tolerance, increased blood pressure or sym-pathetic hyperactivity.

Some behavioral factors (e.g., physical activity, diet, alcohol use and smoking) and psychological factors like stress might affect the observed relationship.

The researchers said its un-clear if the findings also apply to people in other nations, but stud-ies in other countries have also pointed to a relationship between insomnia and stroke.

Individuals should not sim-ply accept insomnia as a benign, although difficult, condition that carries no major health risks, Hsu said. They should seek med-ical evaluation of other possible risk factors that might contribute to stroke.

Research nds link between insomnia, stroke


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The U.S. Centers for Disease Control estimates that vaccinations will prevent more than 21 million hospitalizations and 732,000 deaths among children born in the last 20 years. Yet in 2014, the programs 20th anni-versary, 129 people in the United States have contracted measles in 13 outbreaks as of April 18, according to CDC of cials.

In 1994, the Vaccines for Children program was launched in response to a measles resurgence that caused tens of thousands of cases and more than a hundred deaths, despite the availability of a measles vaccine since 1963. The program provides vaccines to children whose parents or caregivers might otherwise be unable to afford them.

In 2013 some 189 Americans had measles. In 2011, 220 people in the United States were reported as having measles the highest number of annual cases since 1996.

Thanks to the VFC program, children in our country are no longer at signi cant risk from diseases that once killed thousands each year, said CDC director Dr. Tom Frieden. Current outbreaks of measles in the Unit-ed States serve as a reminder that these diseases are only a plane ride away. Borders cant stop measles, but vaccination can.

Among the 129 cases this year, 34 people brought measles into the Unit-ed States after being infected in other countries, according to the CDC. Although not direct imports, most of the remaining cases are known to be linked to importations. Most people who reported having measles in 2014 were not vaccinated or did not know their vaccination status.

Measles is a highly contagious disease that can spread quickly among unvaccinated people. The CDC recommends that people of all ages keep up to date with their vaccinations.

The CDC recommends two doses of MMR (measles, mumps, and rubel-la) vaccine for everyone starting at age 12 months. Infants 6 through 11 months old should receive one dose of MMR vaccine before international travel.

The U.S. immunization program continues to pay enormous bene ts for those who have been vaccinated, according to the CDC, which estimates that hospitalizations avoided and lives saved through vaccination will save nearly $295 billion in direct costs and $1.38 trillion in total societal costs.

Not all diseases that threaten Americas borders can be prevented by vaccines. Some require different strategies.

The health security of the United States is only as strong as the health security of all nations around the world. We are all connected by the food we eat, the water we drink and air we breathe, said Frieden. Stopping out-breaks where they start is the most effective and least costly way to prevent disease and save lives at home and abroad and its the right thing to do.

Learn more about vaccination at www.cdc.gov/features/vfcprogram/.

Measles still a threat to the unvaccinated

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Every year tens of thousands of Americans prematurely fall victim to strokes, heart attacks or other health problems caused or exacerbated by excess sodium intake, according to the nonpro t Center for Science in the Public Interest.

Epidemiologists have estimated that if Americans had cut their sodi-um intake in half beginning in April 2010, as many as 400,000 lives might have been saved in the years since.

Four years ago, the Institute of Medicine called on the U.S. Food and Drug Administration to set limits on the levels of sodium (mostly from salt) allowed in various categories of processed food. So far the FDA has not acted on the recommendations.

The Center for Science in the Public Interest now has an ongoing counter displaying the number of Americans it says have died from salt-related diseases at www.cspinet.org/salt.

FDA would probably act in a heartbeat if experts found that an unsafe drug or medical device was responsible for 100,000 deaths a

year, but it is tolerating a deadly level of sodium in our food supply, said CSPI health promotion policy director Jim OHara. While this ad-ministration talks about the need for healthy eating, it is failing to pursue a policy that would create a food en-vironment in which Americans could routinely make healthier choices.

Americans consume on average about 4,000 milligrams of sodium per day, and more than three-quar-ters of that comes from processed and restaurant food, not from the salt shaker.

While healthy young people should generally limit themselves to 2,300 mg of sodium, a majority of the population, including people 51 and older, people with high blood pressure and blacks, should try to limit themselves to 1,500 mg, the group says.

In 2005 the center formally peti-tioned the FDA to set limits on so-dium levels and to adopt 1,500 mg as the daily value for sodium on nu-trition facts labels, as opposed to the current daily value of 2,300 mg.

CSPI has a counter displaying the number of Americans it says have died from salt-related diseases at www.cspinet.org/salt.

Advocacy group attributes deaths to excess salt intake


Fetal heart experts working with the American Heart Association have devel-oped guidelines to help healthcare pro-viders care for unborn babies with heart problems, as well as their families.

The statement, Diagnosis and Treat-ment of Fetal Cardiac Disease, is pub-lished in the American Heart Association journal, Circulation.

Congenital heart disease is the most common birth defect that can result in ei-ther death or signi cant health problems in newborn babies, said Mary T. Donof-rio, M.D., lead writer of the statement, and director of the fetal heart program and Critical Care Delivery Service at Childrens National Medical Center, in Washington, D.C.

Fetal care is no longer solely the realm of high-risk obstetricians and neonatol-ogists. A multidisciplinary specialty of fetal cardiology has emerged, according to the statement.

We now have advanced imaging technologies, such as high-resolution ul-trasound and three- and four-dimensional

echocardiography, magnetic resonance imaging, fetal electrocardiography and magnetocardiography enabling phy-sicians to diagnose fetal abnormalities early and with better detail and accuracy.

Despite this, more than half of babies with congenital heart disease go undiag-nosed before birth, she said. We creat-ed these guidelines to provide pediatric cardiologists, obstetricians, maternal fetal specialists, radiologists, nurses and other healthcare providers with the latest devel-opments in the rapidly developing area of fetal cardiology.

Among the recommendations in the statement:

Pregnant women with speci c risk factors should be referred for fetal echo-cardiography, a technology that uses sound waves to examine the fetal heart.

Women at risk include those who have had diabetes before pregnancy, diabetes diagnosed in the rst trimes-ter, have taken NSAIDs in their third trimester, have congenital heart disease or a close relative with congenital heart

disease, or other speci c maternal med-ical conditions, and possibly those who conceived with in vitro fertilization. Fe-tuses at risk include those identi ed with a chromosome problem or other abnor-mality, or those with a suspected heart problem.

Fetuses diagnosed with a heart ab-normality should be carefully monitored and healthcare providers should plan the delivery and post-delivery care that the baby will need.

Some fetal heart rhythm disturbances or heart function abnormalities can be treated with medicines given to the moth-er, which cross the placenta to reach the fetus. In-utero heart catheterization and surgical procedures are being performed, however are still considered experimen-tal.

The psychological effects and depres-sion that may result when a pregnant woman and her family learns that their child has a congenital heart abnormality are also important factors for healthcare providers to consider. Parents often

grieve upon learning that their unborn baby has a congenital heart condition.

The authors note that its important for providers to offer families information in an unbiased way, which not only address-es the condition and whats involved in treatment, but also whether children will be able to play sports, do well in school, and what kind of support they might need, physically and mentally.

In addition, providers should help families overcome anxiety and depres-sion, so they can transition from grief to acceptance and become active members of the team that care for their baby.

This document transcends specialties and gives all healthcare providers that practice fetal cardiac medicine a standard for practice. This means improved care for babies with congenital heart disease, starting in the womb and continuing af-ter delivery and through their lives, said Donofrio.

For information about heart disease and stroke visit heart.org and strokeasso-ciation.org.

New guidelines aim to improve care for babies with heart problems in the womb


Healthy Kids fitness program

The Choose to Move, Train and Lose program is designed for people who prefer a one-on-one class with a personal trainer on their own sched-ule. K-Loc Healthy Kids is offering a free tness evaluation, and participants can be referred to a staff nutritionist for a consultation and evalua-tion. The class fee is $5 per session. Classes are held at the K-Loc Education Center and Personal Training Studio, 904 S. Main Str. in Pleasantville (American Legion Building). Call Kyle Lockett at 609-674-7605 or Vivian Lockett at 843-467-0068 to schedule an appointment.

Flu shotsThe Atlantic County Division of Public Health

is providing u shots to those 18 years and older on a walk-in basis 9 a.m.-noon Monday through Fridays at the Stillwater Building, 201 S. Shore Road, North eld; and 10 a.m.-noon Tuesdays at 310 Bellevue Ave., Hammonton. Flu shots are $15, but there is no out-of-pocket fee for Medicare Part B recipients who present their cards. For information see www.aclink.org/pub-lichealth. For questions call 609-645-5933.

Parenting classA three-week parenting class will be offered

6-8 p.m. Monday, April 28 by the Mental Health Association in Atlantic County, 4 E. Jimmie Leeds Road, Suite 8, Galloway. For parents of children ages 5-12. Topics include communica-tion and cooperation, disciplie and responsibility, power con ict, courage and self-esteem. Admis-sion is free. To register call Anne Groh at 609 652-3800, ext. 311 or email [email protected].

PilatesPilates will be offered 9:30 a.m. Saturdays,

May 3 and 17 at the Mays Landing branch of the Atlantic County Library, 40 Farragut Ave. The programs are open to adults and teens, and registration is requested for each session. The free programs are presented by certi ed instruc-tor Kristina Carr. Call 609-625-2776.

Yogathon to fight cancer There will be a yogathon bene tting the

American Cancer Society 8 a.m.-3:30 p.m. Saturday, May 3 at the Scullville Volunteer Fire Company Fire Hall, 1708 Somers Point-Mays Landing Road, Egg Harbor Township. Donation $30 and includes daylong yoga classes and food at Clancys in the evening. Call 609-241-5059 or purchase tickets at the door.

M.S. Support GroupThere will be a Jersey Shore M.S. Support

group meeting 6-8 p.m. Tuesday, May 6 at the Galloway branch of the Atlantic County Library

System, 306 E Jimmie Leeds Road. Preview of future speakers and programs. Call Jackie at 609-266-8561.

Joint replacement seminar

There will be a joint replacement seminar 10 a.m. Saturday, May 17 at Royal Suites Healthcare and Rehabilitation, 214 W. Jimmie Leeds Road, Galloway. Lecture by Dr. Joseph Harhay. Free. Refreshments and giveaways. Call 609-748-9900.

Tai Chi Intro to TAi Chi 7-8 p.m. Mondays, May

19 and June 2 at the Atlantic County Park in Estell Manor for teens and adults. Introductory sessions will impart energy exercises that are simple to follow and easy to remember. Par-ticipants should dress in loose tting clothing, casual footgear, and bring water. Free, but mustregister in advance. Space is limited; call 609-625-7000, ext. 5431.

Ongoing

Seeking logo designJoin Together Atlantic County (JTAC), a

community substance abuse prevention coali-tion is sponsoring a county-wide logo contest for high school students. Contact JTAC at 609-272-0100, ext. 25 or [email protected].

Sandy Recovery Resource Atlantic County residents seeking assistance

for recovery from Hurricane Sandy can contact the Recovery Peer Outreach Support Team. Di-saster Case managers will meet with individuals and determine what resources will best meet speci c needs. Program is funded by grants from the American Red Cross and the Robert Wood Johnson Foundation. Call the Mental Health wAssociation in Atlantic County at 609-652-3800, ext. 318.

Mental illness supportThe Mental Health Association in Atlantic

County, Intensive Family Support Services, hosts monthly meetings to provide education on mental illness. The 7 p.m. meeting on the second Monday of each month is co-host-ed with National Alliance on Mental Illness and members gather at the United Method-ist Church of Absecon, 100 Pitney Road in Absecon. Members also meet 10:30 a.m. on the second Thursday of each month at Mental Health Association, 4 East Jimmie Leeds Road, Suite 8, in Galloway. Call 609-652-3800, ext. 301 or email [email protected] for more information.

Healthy Brain, Healthy Mind project

The Stockton Center on Successful Aging is seeking volunteers to participate in a re-search project exploring the relationship be-tween brain activity and thinking and memory on the campus of Richard Stockton College, 101 Vera King Farris Drive, Galloway. The project, Healthy Brain, Healthy Mind, is directed by associate professor of psychology Jessica Fleck. The study will be comprised of two sessions, each 60-90 minutes long. Fleck is looking for healthy subjects who are between 45 and 64 years old, right-handed, and have no prior diagnosis of dementia, neu-rological disorder or traumatic brain injury. The project involves the use of EEG, which measures electrical activity in the brain. Tests of memory and thinking will be administered in a second session. Participants who score outside the normal range will be provided referrals for neurological assessment. For information or to participate contact Fleck at 609-626-3444 or [email protected].

Alanon meetingsMondays

Alanon meetings are held 6:30 to 7:30 p.m. Mondays in the second floor conference room at Ventnor Library, 6500 Atlantic Avenue in Ventnor. For more information email [email protected].

Parkinsons exercise group

Body in Balance holds a Parkinsons exercise program called Brain Change 2 p.m. every Saturday at 314 Central Ave., Linwood. Although there is no cure for Parkinsons, many doctors advise patients to exercise. Open to people who have Parkinsons and their loved ones. For information call 609-365-8499.

New to Medicare workshops

The Atlantic County Division of Inter-generational Services is sponsoring New to Medicare workshops at the Atlantic County Library Galloway Branch, 306 E. Jim-mie Leeds Road. The workshops address enrollment, Medicare Part A and B, Part D prescription drug coverage, supplemental coverage and Medicare Advantage Plans. There will also be information provided about programs that can help low-income beneficiaries offset the cost of Medicare pre-miums and co-pays. For information, contact Carolyn Conover at 800-426-9243 or 609-645-5965.

Wellness Briefs


MAGAZINE INDEX

Healthy Livingpage page

Advanced OBGYN ...........................1

Aesthetic Horizons .........................6

AMI .......................................................2

Atlanticare ..................................... 24

Bucktown Fitness .......................... 16

Cape Regional Medical Center .. 23

CMC Hearing ................................ 17

Coastal Eye ...................................... 14

Dr Douglas Kelley.............................6

Dr. Wilson ..........................................9

Glenn Insurance ............................ 13

Health Center at Galloway ...........7

Integrative Medical Center ......... 15

Jersey Shore Vascular and Vein ....5

Marmora Family Dental ................4

M t ......................................................9

Our Ladies Multicare ................... 10

Paolini Dermatology & Med Spa ..3

Preferred Home Health Care .... 19

Reef Pharmacy ............................... 16

Sea House ....................................... 18

Shore Physicians Group .............. 18

South Jersey Home Care ................6

Stephanie Holvick ......................... 11

Total Hearing Care ........................ 12

VIM .................................................. 14

Visiting Angels ...................................4

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