Sea Crest Health Care Center

There is a definite association between “covert coping” in the face of unfair treatment in the workplace. Men who tend to walk away from conflict at work could be setting themselves up for a myocardial infarction and cardiac death.

In a prospective study of Swedish workers, those who used “covert coping” techniques when they felt they had been unfairly treated were more likely to have an MI or die of ischemic heart disease. Constanze Leineweber, PhD, of Stockholm University in Sweden, and colleagues  in the Journal of Epidemiology and Community Health, expanded on research indicating  that covert coping – or  walking away from a conflict and dealing with the anger “indirectly and introvertly” – increases cardiovascular risk factors. They cautioned that the study didn’t pin down a causal relationship between covert coping and cardiovascular disease. Instead, they said, it raises “an interesting hypothesis, which needs to be confirmed or refuted by future studies.” The researchers analyzed data from a long-running prospective cohort study in Stockholm, the Work, Lipids, and Fibrinogen study, dubbed WOLF for short.

Covert coping was measured by questionnaire, in which the participant was asked about how he or she dealt with unfair treatment from either a boss or a fellow worker. The questionnaire did not measure whether or not the participant experienced unfair treatment at work nor how often covert coping mechanisms were used.

The participants were asked whether they sometimes, often, seldom, or never:

Let things pass without saying anything
Walk away
Feel bad — developing a headache, for instance
Get into a bad temper at home

The results yielded a covert coping score that could range from 8 to 32; the researchers stratified covert coping as low if the score was 8 through 14, medium if it was 15 through 18, and high if it was 19 or more.

They also categorized immediate responses – to the first two options – as low, medium, or high.

Compared with those who had low covert coping scores, the researchers found:

When the unfair treatment came from a boss, those who sometimes or often walked away were three times as likely to have an MI or ischemic death. (The hazard ratio was 3.05, with a 95% confidence interval from 1.23 to 7.58.).

Letting things pass showed a nonsignificant trend to more cardiovascular outcomes for those who did so more often. When the unfair treatment came from a co-worker, the pattern was similar, except that those who said they seldom walked away also had a significant risk for cardiovascular outcomes. The hazard ratio for those who seldom walked away was 4.08, compared with 4.45 for those who said they did so sometimes or often. Both ratios were statistically significant. Neither of the delayed reactions had any association with cardiovascular outcomes – feeling bad or becoming ill-tempered at home – either for unfair treatment from a boss or a co-worker.

Future research, Leineweber and colleagues said, should look at “whether interventions designed to reduce covert coping would alter risk of myocardial infarction and cardiac death.”

The current recession is taking a toll on the mental health of the ranks of unemployed and underemployed. The risk of severe depression is four times greater for those without a job than those who are working – according to a recent national survey conducted by Mental Health America, the National Alliance on Mental Illness and the Depression Is Real Coalition. And those people still lucky enough to be employed, but who were coerced into reduced hours or pay cuts, were twice as likely to have symptoms.

The findings were released during Mental Illness Awareness Week that recently took place on Oct. 4-10.

According to Michael J. Fitzpatrick, Executive Director of the National Alliance on Mental Illness, “Unemployment today stands at almost 10 percent. Nationwide, we face a mental health crisis as well as an economic crisis.”

Approximately 15 million U.S. adults (5 percent to 8 percent of the adult population) are affected by major depression each year, and only 50% seek treatment, regardless of their economic or employment situation the survey found.

Aside from therapy and medication – crucial elements in one’s battle against serious doldrums, there are some natural lifestyle changes that can be quite effective.

“Having a routine gives you a sense of control over the day,” says Ian A. Cook, MD, director of the Depression Research Program at UCLA. “We know that helps, and we know that not having a sense of control makes people feel worse.”

– Exercise is proven to be a great mood-booster.

– A basic healthy eating plan will do wonders.

– Get a good night’s sleep.

–  Set realistic goals daily and try to meet them.

–  Incorporate some downtime for fun or relaxation into your schedule.

– Have a support network of family and friends and don’t distance yourself from them.

–  Make sure you have some responsibilities that give you a sense of accomplishment and keep you active.

– Try a natural supplement such as fish oil, but only after checking with your doctor.

– Stay away from substance abuse.

– When you’re in a rut, go out of your way to try something new and different. Push yourself to go to a museum . . .Volunteer at a soup kitchen . . . Take a language class. . .

Here are some cognitive ways to fight automatic negative thinking:

– Use logic when you have exaggerated terrible thoughts about yourself.
“Try to impose some reason,” says Cook. “Inject some reality.” Is it really true that no one likes you? Is there real evidence for that?  Sure, you might feel like the most stupid and hateful person on the planet, but really, what are the odds?”

– Clear your head of negativity by taking a break. Breathing exercises or a simple walk around the room can help.

Just remember not to ignore serious signs of depression. If you’re not functioning make sure to get professional help.

It starts with neglecting one’s hygiene, nutrition and medications, and can lead to death within the year. According to data compiled by the Chicago Health and Aging Project (CHAP), an older person’s risk of dying within the year increases six-fold when he or she starts to ignore his or her physical and medical needs.

The CHAP?study took place from 1993-2005 in three Chicago neighborhoods and the 9,318 participants were ages 65 or older. Among that population there were 1,544 reported cases of self-neglect (mean age of 73.2 years old) and in the average follow-up within almost a year, there were 927 deaths (47.8%) in that group.

Elder abuse of any kind also generated a greater mortality rate, with a 61.6% death rate within an average of 2.7 years.

By the self neglect cases,  the increased mortality rate wasn’t affected by whether or not the senior’s cognitive or physical functions were impaired. However by confirmed abuse cases there was a significant difference – increased mortality was not associated with elder abuse of high functioning seniors, demonstrating that this group was more likely to recognize abuse and seek help.

As the Baby Boomer generation ages, there is a swelling populaton of people suffering from osteoarthritis. Arthritis pain seems to go hand in hand with insomnia, with joint pain keeping awake 60% of those with osteoarthritis

A new study, reported in the Aug. 15 issue of Journal of Clinical Sleep Medicine, finds that cognitive therapy has a beneficial effect on osteoarthritis patients and insomniacs – assisting them in their quest for a good night’s sleep.

Cognitive behavior therapy for insomnia or CBT-I,was given by an experienced clinical psychologist who taught participants cognitive restructuring techniques that helped change unrealistic beliefs and irrational fears regarding sleep or lack of it.

Handwritten sleep logs kept by participants documented their sleep patterns, and pain level was graded by the Short-Form McGill Pain Questionnaire (MPQ) and the Body Pain Subscale (SF-PAIN) question from the Medical Outcomes Study Short Form-36 Pain.

Results showed that after CBT-I treatement, patients were falling asleep faster than before, and remained sleeping approximately 37 minutes longer. CBT-I seems to be an effective tool for treatment of osteoarthritis in conjunction with other pain management techniques, and may also work well with other chronic pain conditions.

Brace yourself – that’s the number of flu shots that may be necessary to protect oneself from the upcoming flu season. Two vaccines will be required for the H1N1 strain (swine flu) and one for seasonal flu.

As of yet, only 45 million swine flue vaccines will be ready by Oct. 15, a far cry from the 120 million doses originally anticipated. Pregnant women, public health workers and small children will be the first to be immunized and this priority group numbers approximately 160 million individuals, according to the U.S. Centers for Disease Control and Prevention.

After those considered high-risk are inoculated, U.S. health officials will recommend that people ages 25 through 64 receive H1N1 shots. It is interesting to note that those 65 and older are actually at lower risk of contracting swine flu, since the flu strains they encountered as children provides some protection.  As soon as the seasonal flu shot is available it is highly recommended that all seniors get them. Once all those under 65 receive the  swine flu vaccine, inoculations will be recommended for seniors.

The vaccine production is moving slower than expected due to the slow growth of the vaccine substance, as well as a shortage of manufacturers available to actually package the vaccine.

“The amount vaccine manufacturers are getting out of millions of eggs is less than expected, and it’s taking longer to make,” explained Dr. John Treanor, professor of medicine and of microbiology and immunology at the University of Rochester Medical Center in New York.

The second delay factor is being addressed by the government who has increased efforts to recruit more companies for packaging.

By Nechama Drillick

Will those stinging booster shots be a thing of the past, fading into oblivion together with walkmans, analog TV and Kodak film? With the advent of a new Band-aid-like painless patch lined with microneedles, our grandchildren may never know the ouch of a needle at an annual checkup.

Scientists have developed a patch that can simply be applied to a patient in place of using hypodermic needles, a big boon to diabetics and others suffering from diseases that require frequent pricks. This was presented at the 238th National Meeting of the American Chemical Society in Washington, D.C.

“If you can move to something that’s as easy to apply as a Band-Aid, you’ve now opened the door for people to self-administer their medicine without special training.” said Mark Prausnitz of Georgia Tech, one of the developers.

This development was enabled by advances in the electronics industry, which has microminimized all forms of technology – opening the door for the creation of needles that are only a few hundred microns long, about the width of a few strands of human hair.

Researchers are hopeful that the patch which will initially be used in a clinical setting could ultimately be self applied at home, replacing many other needle injections – even flu shots!

There’s much your nails can divulge about your health:

Thyroid disease can manifest itself in dry, brittle hair, brittle nails, and weight gain or loss. A horizontal line through the middle of the fingernails, markings, called Beau’s Lines, sometimes appear when the body is particularly stressed.

White nail beds — the skin underneath the nail — can signify anemia.

Nails that are white near the cuticle and red or brown near the tip can be a sign of kidney disease.

Irregularly shaped brown or blue spots in the nail bed can be melanomas.

Fingertips that are blue or clubbed can be a sign of lung disease — although generally, there would be more significant signs as well.

Just when you think you’ve got the healthy eating thing down right, some scientific papers come out to upend your sense of equilibrium.

While you’ve been vigilant in pursuing “healthy” options in your food purchases, you and millions of others are being “played” by the less scrupulous in the food industry.

Melinda Beck, in her comprehensive article, “The Fine Print: What’s Really in a Lot of ‘Healthy’ Foods” in the May 5th Wall St. Journal, provides far too many instances of manufacturers determination and success at fooling a well-intentioned but easily misguided public.

Chicken: Roughly one-third of the fresh chicken sold in the U.S. is “plumped” with water, salt and sometimes a seaweed extract called carrageenan that helps it retain the added water- and are allowed by The U.S. Department of Agriculture to label it “all natural” or “100% natural” because those are all natural ingredients, even though they aren’t naturally found in chicken.

The “plumped” chicken has between 200 and 400 mgs of sodium per serving, almost as much as a serving of fast-food french fries. And marketers attest to blind taste tests to underline the reality that more consumers prefer these “enhanced” versions.

Salt substitutes: Many contain potassium chloride, which can exacerbate kidney problems and interact badly with some heart and liver medications- not exactly the direction you wanted to take when looking for the alternative to salt.

Artificial Sweeteners: Many brands of Sugar-free gum, mint and candy contain sorbitol, a plant extract that isn’t completely absorbed by the body and works as a natural laxative. That’s why you often experience bloating, flatulence, stomach pains and diarrhea after consuming only one pack of gum, or sucking on a few sugar-free candies. Some diabetics and others who are sensitive to the effect, find that sugar alcohols, i.e maltitol and xylitol can raise their blood sugar.

Trans fat, Cholesterol- Free, Calories-Free: Manufacturers are allowed to “round down” their numbers when it comes to trans fat, “sugar-free,” “calorie free” and “cholesterol-free” labels….! Products labeled zero grams of trans fat can have up to 0.49 gram of fat per serving. You could still be consuming significant amounts of trans fat: if the ingredients include partially hydrogenated oil, hydrogenated oil or shortening, a product isn’t completely trans-fat free. And it may have considerable saturated fat as well. And foods that have trace calories and up to 0.49 gram of fat and carbohydrates per serving- can, yes, be labeled “free” of those properties!

Super Water: The Center for Science in the Public Interest states that drinks — with names like “defense,” “rescue,” “energy” and “endurance” — are mainly sugar water with 125 calories per bottle…

Government surveys show that most Americans aren’t deficient in many of the vitamins supplied in these drinks, and the excess gets excreted anyway. Coca-Cola Co. was sued earlier this year over claims on its Vitamin Water beverages.

Consumers had better be armed with a “HEALTHY” DOSE OF REALISM WHEN SEARCHING FOR THAT PERFECT HEALTHY FOOD.

By Nancy Smith

Today’s medical announcement would be astounding if it wasn’t almost intuitive; the results clearly demonstrate that lifestyle behaviors do contribute to stroke risk independently of the intermediate risk factors.

We are all aware that the following four behaviors are beneficial to one’s health. Physical activity, moderate alcohol consumption, no smoking, and the daily consumption of five or more servings of fruits and vegetables a day can only have a positive impact. The strength of that impact was recently bolstered by a defining EPIC (European Prospective Investigation of Cancer) study conducted in England.

20,040 men and women ages 40 to 79 had a physical exam and completed a detailed health and lifestyle questionnaire upon enrolling in the study. This data determined which participants smoked, drank, were physically active, and whether they ate their fruits and vegetables. The risk of stroke for those who did not practice any of the above mentioned behaviors increased twofold compared with individuals who adopted all four.

“These results provide further incentive and support for the notion that small differences in lifestyle can have a substantial potential impact on risk,” the authors concluded.