Fall 2005
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HCMTI Fall Newsletter

Listen to your heart...


Heart disease is the No. 1 killer in the United States. The term heart disease includes several conditions.

Arrhythmia

We've all felt our heart flutter or "skip a beat." This sensation, known as an arrhythmia, is a disorder of the regular rhythmic beating of the heart. Arrhythmias are common and can occur in a healthy heart with minimal problems. However, they may indicate a more serious problem and can lead to heart disease, stroke or cardiac arrest. See your doctor if you regularly experience this symptom.

Heart Attack

A heart attack occurs when the blood supply to the heart is either reduced or stopped. This can happen when a fat-like substance, called plaque, breaks and triggers the formation of a clot, blocking one or more of the arteries that supply blood to the heart. Some heart attacks are quick and intense, but many begin slowly, with increasing pain and discomfort. Signs of a heart attack may include:
  • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts for more than a few minutes, or that goes away and comes back. It may feel like uncomfortable pressure, squeezing, fullness or pain.
  • Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.
  • Shortness of breath. May occur with or without chest discomfort.
  • Other signs: These may include breaking out in a cold sweat, nausea or lightheadedness.
If you or someone near you feels chest pain, especially with one or more of these signs, call 9-1-1 immediately. When it comes to heart attack, every second counts.

Heart Failure

Heart failure, a severe loss in the heart's ability to pump blood, can damage the heart or overwork it. Heart failure has some common signs and symptoms to watch for:
  • Breathlessness or difficulty
    breathing during activity, at rest and even while sleeping.
  • Persistent coughing or wheezing.
  • Swelling in the feet, ankles, legs or abdomen. Shoes feel tighter than normal.
  • Constantly feeling tired; difficulty carrying out everyday activities such as shopping or carrying groceries, because of fatigue.
  • Feeling full or nauseated.
  • Forgetfulness and confusion.
  • Racing or pounding of the heart.
See your doctor if you experience any of these symptoms.

High Blood Pressure

High blood pressure develops when blood vessels constrict, making it harder for blood to flow through them and increasing the pressure inside them. The most dangerous part of high blood pressure is that often there are no symptoms - it is known as the "silent killer," The only way to know if you have high blood pressure is to have it checked. The American Heart Association recommends having your blood pressure checked at least every two years.

High Cholesterol

Cholesterol, the soft, fat-like, waxy substance found in the bloodstream, is vital in the creation of cell membranes, as well as hormones. You get cholesterol two ways - your body makes some of it, and the rest comes from the food you eat. The saturated fat in your diet is the major factor affecting high cholesterol, so eating a diet low in saturated and trans fat and exercising daily are the best ways to fight it. Often there are no signs or symptoms of high cholesterol, so be sure to have your cholesterol levels checked often. The American Heart Association recommends having your cholesterol checked every five years. Eating foods high in oat bran may lower cholesterol.

Stroke

Stroke is a potential result of heart disease. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood and oxygen it needs, so it starts to die. Like a heart attack, stroke is a medical emergency, and every second counts. If you or someone near you experiences any of
the following symptoms, call 9-1-1 immediately:
  • Sudden numbness in the face, arm or leg, especially on only one side of the body.
  • Sudden confusion, trouble speaking or understanding.
  • Sudden trouble seeing in one or both eyes.
  • Sudden trouble walking, dizziness, loss of balance or coordination.
  • Sudden, severe headache with no known cause.
It's important to know the warning signs.

Take steps toward prevention

The best way to beat heart disease is to reverse the damage early or stop it before it begins. Arm yourself with these preventive measures.

Everyone's heard the saying, "You are what you eat." A heart-healthy diet is a giant step toward preventing heart disease.

  • Cut down on foods that contain a large amount of saturated and trans fat, sugar and salt.
  • Eat more fruits, vegetables, cereals, pasta, fish and lean meats.
  • Drink low-fat or fat-free milk instead of whole milk.
  • Bake, broil, roast and poach foods - don't fry them in oil.
  • Limit alcohol to one drink a day.
Physical Activity

Find time for physical activity. Regular physical activity not only reduces the risk of heart disease, it also strengthens your heart, helps control weight and blood pressure.

Relaxation

Taking time to relax every day is important in the prevention of heart disease. Take 15 to 20 minutes a day to sit quietly, breathe deeply and think of something peaceful. Focus on being positive, not negative.

Quit Smoking

Besides increasing your risk of heart disease, smoking causes many other conditions and can harm or even kill you and those around you. Make an agreement with yourself to quit.
Inside this Issue
Listen to your heart
Weight Loss:
Beat Cancer-Get Screened
A Spicy Tip for Type 2 Diabetics
Childhood Asthma
Additional Info
Health Care Medical Technology
Bureau of Personnel
Health Finder
American Medical Association
Web MD
Sioux Valley
Mayo Clinic
Avera McKennan
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Weight Loss: Stay on track by staying positive


Attitude is everything when it comes to losing weight. No matter what the task, there is usually some obstacle or temptation to keep us from our goal. That's why it is so important to stay positive. To keep your mind set on achieving your goals, practice these ten attitude enhancers.
  • Celebrate the Present. Don't look too far ahead. As long as you are committed to your plan, you're succeeding, because you are taking charge of your life.
  • Change your language. Words are mightier than the sword.
    Avoid phrases such as "I can't" or "I'll try". Instead speak:"Yes! "I can" and "I will"
  • Create visual inspiration. Take a photo of yourself; tack it on the refrigerator or bathroom mirror . As you reach new goals, take new pictures and revel in your progress.
  • Weigh in. Weigh yourself periodically and keep a chart to monitor your progress. When you are tempted to cheat, check your chart and see just how far you have come.
  • Rely on friends. Exercising
    with friends is always more fun. Schedule days to meet and hold each other accountable.
  • Steer clear of sabotage. Avoid people who may feel threatened by your weight loss. Stick with those who encourage your efforts.
  • Set mini goals. Have in mind an overall goal, but set mini-
    goals to reach along the way. Reward yourself for each achievement.
  • Reward yourself. Treat yourself to a new outfit, a new piece of jewelry, a book, or take yourself out to a movie.
  • Keep it out. Don't store away your exercise gear - get it out and keep it out. So when you see it you know there are no excuses.
  • Success stories. Read and talk to others who have been successful. Know that it can happen, institute the ideas that worked for others.
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Beat Cancer - Get Screened


In decades past many people thought there was little they could do to protect themselves against cancer. Most thought cancer was something you "get" and there was nothing that could be done to prevent it.

Thanks to advances in cancer research, today we know more than ever about the disease and what contributes to cancer risk. You can't change your family history or race but you can take charge of your lifestyle: don't smoke, eat five servings of fruits and vegetables daily and exercise at least three hours per week.

Lifestyle changes are of key importance in preventing cancer. Likewise it is equally important follow screening guidelines for early detection. We now have better weapons for fighting the disease, including more options for diagnosis and treatment.

Follow these guidelines for early detection:

Males:
  • Prostate: Beginning at age 50 have an annual prostate-specific antigen (PSA test) and an annual digital rectal exam. If you are African American or have a family history, talk with your physician about annual testing at a younger age.
  • Testicular: Schedule a yearly testicular exam with a health care professional. Starting at age 15 practice a testicular self-exam once a month.
Females:
  • Breast Cancer: Be sure your physician completes a clinical breast exam as part of your well-female exam. Remember your monthly breast self-exam.
  • Mammogram: Guidelines suggest an initial baseline mammogram between ages of 35 and 40. Ages 40-49 should have a mammogram every two years and over 50 should have a mammogram once a year. If you have a family history of breast cancer please consult your physician for a screening timetable.
Both Males and Females:
  • Colorectal Cancer: Beginning at
    age 50 have a fecal occult bloodtest yearly. Also beginning at 50 have a digital rectal exam every five to 10 years. A colonoscopy should be performed every five to 10 years. If you have a family history of colorectal cancer or if you have had colorectal polyps or inflammatory bowel disease talk to your health care professional about screenings more frequently.
  • Skin Cancer: Examine your skin for changes in a mole, a brown spot with irregular edges, a new mole, a small shiny or waxy lump, raised nodule that may crust or bleed. Report changes to your health care provider. Protect your skin with sunscreen at least SPF 15. Reapply every two hours when out in the sun.
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A Spicy Tip for Type 2 Diabetics
A dash of cinnamon may help improve glucose and cholesterol levels


Adding as little as a teaspoon of cinnamon to your daily to diet may improve blood sugar and increase insulin production (December issue of Diabetes Care).

Recent studies have shown that cinnamon has a chemical compound that may work on insulin receptors to increase insulin sensitivity. Researchers found that cinnamon rekindled the ability of fat cells in diabetics to respond to insulin and
greatly increased glucose removal. It is believed that a substance in cinnamon called MHCP is the main reason for its beneficial results.

Insulin resistance that leads to type 2 diabetes develops relatively slowly as the body ages. Even those who have not yet experienced severe symptoms may have some degree of elevated insulin resistance. Researchers found that cinnamon intake reduced the fasting
blood glucose, triglyceride, LDL cholesterol and total cholesterol levels after 40 days.

Those with type 2 diabetes that include cinnamon in their diets reduced their risk factors associated with diabetes and cardiovascular disease.

In addition, cinnamon increases glucose metabolism and possesses agents that serve as antioxidants, pumping up
internal cleansing and immune systems. Cinnamon may cause blood glucose to be excessively lowered when used in conjunction with Diabetes medications such as Amaryl, Glyburide or Glipizide. If you take any of these medications, your dose may have to be adjusted to prevent excessive lowering of blood glucose from reacting with cinnamon.
Diabetics should always inform their doctor before taking cinnamon as it may affect medication requirements.
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Childhood Asthma


Asthma is the most common reason for school absenteeism due to chronic disease. The sharpest recent increases in asthma cases have been among young people. Asthma, which is manifested by breathing difficulties, coughing and inflammation of the airways, disproportionately affects children and adolescents.

In a recent report published by the
Centers for Disease Control and Prevention in Atlanta, GA, an estimated 16.1 percent of more than 13,000 students polled said they were suffering from the disease. They urged schools to take action in dealing with students' asthma that can be triggered by exposure to certain allergens commonly found in schools such as chalk dust, mold, and cleaning products. Teen smoking and diesel fuel exposure from buses may also lead to attacks.

Until rapid breathing, wheezing and coughing are apparent, the condition of asthma may go undiagnosed.

Coughing is a common symptom that may not always be accompanied by wheezing. A child who coughs after crying or running or has a recurrent night cough
may have asthma. Any child with frequent respiratory infections (pneumonia, bronchitis) or coughing should be evaluated for asthma.

With medications, asthma frequency and severity is reduced and symptoms do not interfere with normal activities.

American Lung Association (2001)
Reuters (2006)
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