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WINTER 2016

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What’s the

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WINTER 2016

HEALTH BRIEfS

By Melissa EricksonMore Content Now

Getting a good night’s rest is part of staying healthy, but that’s often easier said than done.

The Centers for Disease Control and Prevention confirms that insufficient sleep is a public health epidemic, and about half of all Americans say they don’t get enough sleep, according to the Better Sleep Council.

While experts advo-cate for powering off cellphones and laptops to get good sleep, they also say that smart-phone apps present great opportunities for better rest. Sleep and health apps help track and analyze sleep so you can wake

feeling more rested.Here are a few apps recommended

by the Better Sleep Council that may help you to track the number of hours slept, frequency of REM sleep, move-ment and snoring:

• Sleepbot: This free app features a motion tracker, sound recorder and

smart alarm to analyze your sleep patterns and record sounds

to see if you snore or have breathing prob-

lems while sleeping. Comprehensive graphs illustrate sound and move-ment correlations.

• Sleep Cycle: This uncomplicated

and free sleep app is an intelligent alarm

clock that analyzes your sleep to detect motion and

wake you in the lightest sleep phase. The calming dark blue interface won’t interfere with your sleep if you look at it in the middle of the night.

• Sleep by MotionX: Slip your smartphone under your pillow or on the mattress, and Sleep measures and correlates resting heart rate, includes advanced sleep cycle monitoring with smart alarms and power naps and incorporates “Get Active” alerts. Cost is 99 cents on iTunes.

• Absalt EasyWakeup PRO: EasyWakeup uses a motion detector in order to detect the best time to wake you up. Once the wake-up window is reached, the app will wake you up at the time of your lightest sleep. From there you can view charts of your sleep pattern and even rate your mood upon waking. Cost is $9.99 on iTunes; a Classic version is available for $4.99.

Apps for a good night’s sleep

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Lice is a common problem. Second only to the common cold, head lice infesta-tion remains the most frequent health

issue facing children ages 3 to 11, with up to 12 million cases reported in the U.S. each year, according to the Centers for Disease Control and Prevention.

While lice is frustrating, it’s no cause for panic, said Dr. Rupal Christine Gupta, pedia-trician and medical editor for the Nemours Foundation Center for Children’s Health.

“While a note from school saying a class-mate has head lice may worry a parent, it’s not a sign of a classmate being dirty or unhy-gienic,” Gupta said. “While it is a nuisance that can make a child uncomfortable and itchy,

it isn’t dangerous. Lice is also treatable with over-the-counter or prescription medicines.”

Many school-aged children will get head lice at least once during their lifetimes, said Dr. Lauren Ploch, a board certified dermatol-ogist and member of the American Academy of Dermatology. Since situations of close proximity and shared belongings increase the chances that your child may be exposed to head lice, parents should “educate your child to avoid sleeping head-to-head with other children during nap time. Also make sure that your child avoids using the same hairbrush as classmates,” Ploch said.

Treatment“It’s best to treat lice as soon as possible to

avoid spread,” Gupta said. “Lice crawl, they don’t fly or jump, so they can crawl from one

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child’s head to another during head-to-head contact. They can also spread if kids share things like towels, hats, combs or brushes.”

Ploch added, “Because they can live for one to two days off of the human host, they can also be transmitted via contact with something that contains hair infected with lice such as pillows or hoods.”

If your child does have lice, he or she should not be sent home from school.

“The American Academy of Pediat-rics recommends for a child with lice to stay at school until the end of the day and avoid head-to-head contact with other kids,” Gupta said. “After school, your child can go home, get treated and go back to school the next morning.”

What to look forLice are sesame-seed sized, grayish

white or tan parasites that can be hard to see.

“Unless the child is pretty heavily infested with lice, it’s less common to see lice on the skin and more common

to see nits (lice eggs). A school nurse or doctor should be able to tell you if your child has lice, but with a magnifying glass and a bright light, you may be able to identify lice yourself,” Gupta said.

To check for lice, comb through the child’s hair with a fine-toothed or lice comb.

“Pay special attention to the back of the scalp and behind the ears. Lice may be visible on the hair shafts; they look like small insects and may be crawl-ing along the hair shaft,” Ploch said. “You may also notice nits ... These egg nests look like a small yellow-white ball that is stuck to the hair shaft. Clumps of dandruff slide freely along the hair shaft, but nits are stuck to the shaft of the hair and do not slide easily. This helps to distinguish nits from dandruff.”

For treatment, “if the child is over 2 months old, the first-line treatment is an over-the-counter shampoo with permethrin or pyrethrin. I also recom-mend drying the hair with a hair dryer on a high heat setting as this can assist with killing the louse eggs,” Ploch said.

“If over-the-counter products are inef-fective, then see your physician for a prescription remedy,” such as Mala-thion lotion.

“If you’ve already tried an over-the-counter treatment at home without success, take your child to his or her doctor. Don’t try more lice medications at home without a doctor’s supervision because these can be strong medicines, and using too much medication or too often may be harmful to your child,” Gupta said. You do not have to cut off a child’s hair if they have lice.

At home, make sure to wash sur-faces that the child’s head/hair has contacted.

“This may include stuffed animals and blankets. Use hot water and use the clothing dryer to dry these items. Vacuum all carpets and clean all floors,” Ploch said.

“If you’ve already tried an over-the-counter treatment at home

without success, take your child to his or her

doctor. Don’t try more lice

medications at home without a doctor’s

supervision because these can be strong

medicines, and using too much medication or too often may be

harmful to your child.”– Dr. Rupal Christine Gupta

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There are many factors that prevent people from having a healthy mouth or healthy teeth. What many people do

not know is that some of those factors can be significantly reduced or entirely eliminated. If a patient’s age, extreme fear or discomfort, or the lack of time for complex or numerous areas of treat-ment stands in the way of a healthy mouth, solutions are available. Children too young or fearful to have treatment done in their mouths can have one appointment for which they can sit still, get everything done,

and wake up with no recollection of the actual work done on them. This is especially important if a significant amount of treatment needs to be com-pleted, because we know that many unpleasant dental appointments at a young age can traumatize a person for the rest of that person’s life. A medicine taken by mouth may be enough to help relax a young patient, but sometimes a medicine might need to be given by other routes or even in a hospital set-ting, but all of those are available to you. Fearful patients can also finally have an experience in which they are awake but comfortable from medica-

tions taken by mouth or deeply sedated even for non-surgical procedures. However, even if you do not have a significant fear of dental work, you may require many areas of treatment. In situations where you might need 4 or more appointments, you may be a candidate for sedation that allows more to be done in one appointment through increased efficiency and comfort. Like any medication or surgery these methods are not to be taken lightly. Substantial training and meticulous monitoring are required to ensure maximum safety. Your dental provider may already have the training and equipment to provide that for you,

but even if that professional does not, a referral to or incorporation of another professional for limited treatment is a common practice within the dental community to ensure proper care to all patients. If age, fear, or convenience issues are preventing you or anyone you love from having a healthy mouth, then you should have a conversation with your trusted dental professional about sedation dentistry. We all have enough stress in our lives already, so why not eliminate your stress at the dental office?

Advances in Patient Comfort

at the Dentist

6 Healthy Living I Dodge City Daily Globe I Winter 2016 Healthy Living I Dodge City Daily Globe I Winter 2016

E-CIGARETTES

WHAT’S THEharm?


Electronic cigarettes hit the U.S. market less than 10 years ago and from a public health standpoint, there’s still much to learn about these battery-oper-ated devices, experts say. A new study from Harvard University found that the chemical flavorings used in e-cigarettes can lead to severe respiratory disease.

Risks of e-cigarettes

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The flavoring chemical diacetyl was found in more than 75 percent of flavored electronic cigarettes and refill liquids tested by researchers at Harvard T.H. Chan School of Public Health. Two other potentially harmful related compounds were also found in many of the tested flavors, which included varieties with potential appeal to young people such as Cotton Candy, Fruit Squirts and Cupcake, said Joseph Allen, lead author of the study and assistant professor of exposure assessment science at Harvard.

DiacetylDiacetyl, a yellow liquid that smells

and tastes like butter, is responsible for the debilitating respiratory disease bronchiolitis obliterans, more com-monly called “popcorn lung.” The danger posed by diacetyl has been long known but is not federally regulated, Allen said.

“It’s one of three ingredients that is in over 92 percent of e-cigarettes. We see it in many flavors and it is structur-ally related” to many other flavorings, Allen said.

While workers in microwave popcorn manufacturing plants receive warnings about the risk of diacetyl, e-cigarette users do not.

“Consumers are unaware of the potential hazard,” Allen said.

The Food and Drug Administra-tion has determined ingredients like diacetyl are “generally recognized as safe” to be eaten, but the National Institute for Occupational Safety and Health says they pose different risks when inhaled.

Creating new smokers?E-cigarettes are generally regarded

as safer than a conventional tobacco cigarette, and smokers use e-cigarettes to manage their dependence on nico-tine, said Vaughan Rees, director of Harvard’s Center for Global Tobacco Control.

“Switching completely to an e-cigarette might lower the health risks associated with smoking” and be more cost-effective, “but continuing to both smoke and vape may not reduce risks and is not a good alternative to quit-ting completely,” Rees said.

The biggest concern is that a new generation of young people who would not consider smoking because of the risks involved will see e-cigarettes as a safer alternative and develop nicotine dependence.

“This new generation of vapers may be vulnerable to future tobacco indus-try marketing efforts, and it is possible that we see many unintended tobacco users. This would be a major setback in the progress we have made in

reducing tobacco-induced diseases,” Rees said.

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current smokers

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native and may

help to reduce the

overall harm associated with

tobacco use. “We need product regulations that

help smokers reduce their health risk while preventing the initiation of new smokers,” Rees said.

For now, manufacturers are not required to disclose the ingredients in e-cigarettes, so there is no way to help people identify potentially harmful constituents.

“We hope that the FDA will eventu-ally require manufacturers to clean up e-cigarettes by eliminating harmful constituents as well as require disclo-sure of other ingredients,” Rees said.

Healthy Living I Dodge City Daily Globe I Winter 20168

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Think about air pollution, and the skies over Los Angeles or Beijing may come to mind. But did you know that the air inside your home or office can be

hazardous to breathe, too?“Ninety percent of the time indoor air can be very

polluted, and most people are not even aware of it,” said Janice Nolen, assistant vice president of national policy for the American Lung Association.

The most dangerous indoor air pollutants are second-hand smoke, which causes more than 41,000 deaths per year, and carbon monoxide, which is the second-leading cause of lung cancer, Nolen said.

Every home should have a carbon monoxide detector, Nolen said. Carbon monoxide is a colorless, odorless gas that can leak from malfunctioning gas-burning appliances

BREATHEEASIERand deprive a space of oxygen. It can make a person sick and even cause death.

Indoor air pollution is caused by a range of things that are both naturally occurring or part of processes going on in the home and can trigger flare-ups for people with asthma, allergies and chronic lung conditions, Nolen said. Germs, bacteria, dust mites and mold can irritate the nose, throat, eyes and lungs.

Normally-operating gas and wood-burning stoves and fireplaces can exacerbate asthma and allergies but can also affect people who do not suffer from those ailments, Nolan said.

Keep control“Keep out the stuff that doesn’t need to be in your house”

like cigarette smoke or chemicals that produce emissions, Nolen said. Cleaning products often have harsh chemicals

HOME HEALTH

Controlling air pollution in your home

Indoor air pollution is caused by a

range of things that are both naturally occurring or part

of processes going on in the home and

can trigger flare-ups for people with

asthma, allergies and chronic lung

conditions.

Healthy Living I Dodge City Daily Globe I Winter 2016 9

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that can irritate your nose, mouth, skin and lungs. Other pollutants include pesticides, air fresheners, hobby products such as glue, and furniture or building products such as flooring, carpet and pressed wood.

If you’re painting, beware of volatile organic compounds that include ben-zene, formaldehyde and toluene. When painting, “buy low-VOC paint. Open a window and put a fan that is positioned to pull air out of the house,” Nolen said.

Add ventilationJust like the lungs, homes need to be able to breathe so that fresh air

comes in and dirty air is flushed out, Nolen said. Bathrooms and kitchens often need added ventilation to remove the pollution they produce, and all fireplaces and clothes dryers should be vented completely to the outside of the home.

“Homes should also be tested for radon. You can’t tell if you have it unless you get tested,” Nolen said.

Keep moisture downDampness and mold go hand in hand. Dampness can be visible in the form

of leaks and high humidity and leads to the growth of mold as well as dust mites, bacteria and viruses, Nolen said.

“If you control the source of moisture, you will control the living things like dust mites and bacteria that can be harmful,” Nolen said.

Common sources of moisture are air conditioners, basements, attics and crawl spaces, bathrooms, humidifiers and dehumidifiers, and refrigerator drip pans. Be sure to fix leaks, run exhaust fans and regularly clean places where mold can grow. PIxABAy.COM

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A cross between a skate-board and a Segway, hoverboards don’t actu-

ally levitate, but “two-wheeled, self-balancing mini scooter” doesn’t have quite the same ring.

These pricey gadgets can cost anywhere from a couple hundred to over $1,000, and they’re not as easy to ride as you may think. Check out YouTube to see cringe-worthy hoverboard fails — videos of people falling off them.

Even more serious, there have been reports of the boards causing fires and explosions. The federal Consumer Product Safety Commission is “actively investigating hoverboard-related fires across the country,” said Elliot F. Kaye, commission chairman.

“Every consumer who is riding a hoverboard, who purchased one to give as a gift

during the holidays or who is thinking about buying one deserves to know if there is a safety defect,” Kaye said.

Hoverboards run on lithium-ion batteries, and the commission found that these can overheat, explode and catch fire. In testing, “some models caught fire during the charging stage and others caught fire while in use. Our expert staff is look-ing particularly closely at the configuration of the battery packs and compatibility with the chargers,” Kaye said.

While the fire hazard is get-ting significant attention, the danger of falls should not be overlooked, Kaye said. There have been dozens of reports of injuries in emergency rooms across the country.

“While any part of the body may be injured during a fall, the most common injuries are extremity injuries, particu-larly wrist fractures, but the most serious injuries would

in the neWs

HOVERBOARDsafetyFires, falls make this hot toy a concern

be head trauma,” said Ameri-can Academy of Orthopaedic Surgeons spokesperson Dr. Basil R. Besh, medical direc-tor of the FORM Hand, Wrist & Elbow Institute of Fremont, California. Injuries reported to the Consumer Product Safety Commission include concussions, fractures, contu-sions/abrasions and internal organ injuries.

While there is no safety stan-dard in place for hoverboards, “these should be treated like similar wheeled devices, such as non-motorized scooters, roller blades and bicycles,” Besh said. That means at a minimum “riders should wear helmets and elbow and knee pads as well as wrist guards. Comfortable, non-slip footwear is also advisable to minimize slips off of the hoverboard,” Besh said.

Other tips from the Con-sumer Product Safety Commission:

• Avoid buying the product at a location like a kiosk or on a website that does not have information about who is sell-ing the product and how they can be contacted if there is a problem.

• Do not charge a hover-board overnight or when you are not able to observe the board.

• Charge in an open area away from items that can catch fire.

• Let the device cool for an hour before charging.

• If the product comes partially charged, leave it in that state until it is ready to be used.

• Look for the mark of a certified national testing labo-ratory. While this does not rule out counterfeits, the absence of such a mark means your safety is likely not a priority for that manufacturer.

• Do not ride near vehicular traffic.

fLICK

R/B

EN

LAR

CEy

“Every consumer

who is riding a hoverboard,

who purchased one to give

as a gift during the holidays or who is thinking

about buying one deserves

to know if there is a safety defect”

– Elliot f. Kaye, chairman,

Consumer Product Safety Commission

Healthy Living I Dodge City Daily Globe I Winter 2016 11


Snacks are a great source of energy in between meals, but choosing the

right snacks can make all the difference for a healthy lifestyle.

Sadly, too many of our favorite snacks like chips and pretzels are loaded with salt, and sodium is hidden in many surpris-ing foods.

While salt is essential to balancing fluid in the body and needed to help muscles and nerves work, excess salt consumption is blamed for a variety of health issues such as heart disease, hypertension and stroke.

The National Dietary Guide-lines for Americans recommend we consume less than 2,300 milligrams of sodium a day. The American Heart Association is more restrictive, recommending less than 1,500 mg of salt daily.

“Americans eat too much sodium, and much of it is from processed food, not the salt shaker on the table. Snacks are a big part of the problem especially since people are snack-ing more than ever,” said registered dietitian Sonya Angelone, a spokes-person for the Academy of Nutrition and Dietetics.

“Eating too much salt from pro-cessed foods leads to a couple of problems; one problem is that these foods displace more nutri-tious wholesome foods. Also, eating too much sodium is associated with increasing blood pressure which affects one in three Ameri-cans, especially for someone who is sodium sensitive. It can also increase

N u T R I T I O N

hold the

your risk for developing kidney stones, osteoporosis and gastric ulcers,” Angelone said.

Sensible snacks can be part of a healthy eating plan and can prevent overeating at mealtimes and through-out the day. For children and adults, snacks can supply foods and nutrients that we might miss in meals. Snacks especially offer a great way to eat more fruits, vegetables, whole-grains and low-fat dairy.

High-salt snacks• Cottage cheese (1 cup has almost

100 mg salt) and fruit• Chips and salsa (100 mg per table-

spoon; most people eat one-third to

one-half cup, or 800 mg)• Bagel (can have

around 450 mg) and cream cheese

• Cheese (can have 400-500 mg per ounce, and who eats just one ounce?) and crackers (varies, 100-400 mg)

• Pretzels (480 mg per ounce)

• Vegetable juices (some can have around 480 mg per cup)

Reduced-sodium foodsFood labeled “reduced

sodium” means the product has 25 percent less

sodium than the original food, which can be very high

to begin with. “Low sodium” is a better choice since it means less

than 140 mg per serving, Angelone said.

The American Heart Association has a chart, “The Salty Six,” which lists the foods that add the most salt to our diets: breads and rolls. cold cuts and cured meats, pizza, poultry, canned soup and sandwiches.

Better, lower-salt snacks• English muffin (180 mg) • Unsalted nuts and seeds (no

sodium)• Plain popcorn• Unsalted pretzels (varies but

around 80 mg per ounce)• Low-sodium vegetable juices (45

mg per cup)• Mozzarella cheese (170 mg per

ounce, or 4 mg per ounce in low-sodium mozzarella)

• Fresh fruits and vegetables ( just watch out for the dip)

“Americans eat too much sodium, and much of it is from processed

food, not the salt shaker on the table.”

– Sonya Angelone, registered dietitian and spokesperson for the Academy of Nutrition and

Dietetics

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Dr. Martin CastilloWELCOMES

Pediatrician

Western Plains Pediatric Associates

Treating Children & Adolescents

Join us in welcoming Dr. Martin Castillo to our medical community. Dr. Castillo will be practicing Pediatrics at Western Plains Pediatric Associates.

Dr. Castillo received his medical degree from Universidad Catolina Madre y Maestra in Santigo, Dominican Republic. He completed his pediatric residency at Bronx Lebanon Hospital in the Bronx, New York. He will treat both children and adolescents through age 21.

Office Hours:Monday, Friday: 8 am - 5 pmTuesday, Wednesday, Thursday: 11 am - 8 pmSelected Saturdays (by appointment only)

112 Ross Blvd. Suite ADodge City, KS 67801

Call 620-801-4380 for an appointment.(Se Hable Español)

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WHAT’S THE HARMcdn.gatehousemedia.com/custom-systems/ghns/files...Special offer applies to purchase of same Mirale-Ear make and model hearing aid. Valid at participating Miracle-Ear