Sea Crest Health Care Center

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.

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!

by Adele Weber

If it’s topical, the theory goes, it has fewer side effects than pills. Right?

Wrong.

Often overlooked, the side-effects of topical creams is more important than credited. Lidocaine is a topical numbing agent frequently used before mammograms. The cream is spread on the skin and allowed to absorb for 45 minutes. It is also used to dull pain from laser hair removal, or any other surgery covering a large amount of skin. Research studies found no side-effects; however, the clinical trial did not have enough of a sample size to account for rare and unusual side effects.

This became apparent when two women spread lidocaine and tetracaine on their legs, covered it in plastic, and left it for 45 minutes. They experiences seizures, fell into comas, and died.

Experts theorize that broken skin or elevated temperature might have raised the amount of the drug entering the bloodstream to toxic levels.

When using topical analgesic, use the minimum amount, and avoid broken skin.

By Adele Weber

A recent study demonstrates a proven way to lower breast cancer risk and occurrence by half.

Sounds too good to be true? It’s not, because a huge proportion of breast cancer cases can be traced to something women voluntarily do: take replacement hormones.

Women who took estrogen and progestin post-menopause to replace hormones doubled their risk for breast cancer. Even more dramatic, when they stopped taking hormones, their risk subsided within two years.

This is not to say that everyone taking hormones should drop them immediately. The risk increases with time, so short-term use is not likely to result in cancer.

There’s a link between the mind and the body. If you think you’re ill, you can make yourself ill, and if you think you’re well, it can help you recover. All of this is part of the well-documented though poorly understood placebo effect.
But some mind-body connections are more physical. And it is both documented and understood how depression, stress, and anger can lead to high cholesterol and diabetes.
The most obvious connection is the affect it has on behavior. When people are stressed, they eat more, particularly unhealthy foods; smoke more; and exercise less. The result is lethargy and poor health which can lead to hypertension and diabetes.
But there’s also a hormonal effect. Negative emotions increase the circulation of fight-or-flight hormones. In the short term, these hormones increase our cognition and performance. But in the long-term, they begin to damage the system, reduce happy hormones, and damage blood vessels. The results aren’t pretty.
What to do if you’re under stress? Relax. Try a massage or day spa, or exercise, even if you don’t feel like it. Exercise is great for both the mind and body. If necessary, seek therapy or medical intervention. In the long run, it can prevent physical deterioration and poor health.

There’s a link between the mind and the body. If you think you’re ill, you can make yourself ill, and if you think you’re well, it can help you recover. All of this is part of the well-documented though poorly understood placebo effect.
But some mind-body connections are more physical. And it is both documented and understood how depression, stress, and anger can lead to high cholesterol and diabetes.
The most obvious connection is the affect it has on behavior. When people are stressed, they eat more, particularly unhealthy foods; smoke more; and exercise less. The result is lethargy and poor health which can lead to hypertension and diabetes.
But there’s also a hormonal effect. Negative emotions increase the circulation of fight-or-flight hormones. In the short term, these hormones increase our cognition and performance. But in the long-term, they begin to damage the system, reduce happy hormones, and damage blood vessels. The results aren’t pretty.
What to do if you’re under stress? Relax. Try a massage or day spa, or exercise, even if you don’t feel like it. Exercise is great for both the mind and body. If necessary, seek therapy or medical intervention. In the long run, it can prevent physical deterioration and poor health.

by Staff

Clostridium difficile.

The name might be unfamiliar, but the pathogen is on the rise. There has been a sharp increase in the prevalence of C. diff in hospitals around the country, according to a survey taken in 648 hospitals in 47 states.

As many as 13 out of every 1,000 patients tested positive for Clostridium difficile, with 94% showing symptoms of the accompanying disease: diarrhea, fever, appetite loss, nausea, and stomach pain. About 4% of patients will die from the disease.

How does this compare to C. diff levels in the past? Between 2000 and 2005, the number has more than doubled.

This may be partially due to prescription techniques. C. diff isn’t affected by most antibiotics, so broad spectrum antibiotics, which kill all other bacteria, give C. diff room to grow and thrive. Whenever possible, physicians should prescribe narrowly targeted antibiotics, to prevent C. diff from expanding unchecked.

Based on an article by Jacob Goldstein in the WSJ

by Staff

Clostridium difficile.

The name might be unfamiliar, but the pathogen is on the rise. There has been a sharp increase in the prevalence of C. diff in hospitals around the country, according to a survey taken in 648 hospitals in 47 states.

As many as 13 out of every 1,000 patients tested positive for Clostridium difficile, with 94% showing symptoms of the accompanying disease: diarrhea, fever, appetite loss, nausea, and stomach pain. About 4% of patients will die from the disease.

How does this compare to C. diff levels in the past? Between 2000 and 2005, the number has more than doubled.

This may be partially due to prescription techniques. C. diff isn’t affected by most antibiotics, so broad spectrum antibiotics, which kill all other bacteria, give C. diff room to grow and thrive. Whenever possible, physicians should prescribe narrowly targeted antibiotics, to prevent C. diff from expanding unchecked.

Based on an article by Jacob Goldstein in the WSJ

by Jose Sonik
The more aggressively you screen for and try to prevent osteoporosis, the lower your risk of a hip fracture is, studies show.
Hip fractures are common in the elderly, especially women, who lose essential calcium during pregnancy and menopause.
Kaiser Southern California has developed a three-step action plan that they say can reduce hip fractures by as much as 25%.
The three steps are as follows:
Bone scans: Kaiser recommends x-ray absotiometry, the best bone density test available. The tests should be taken by all women over 65, all men over 70, everyone on high dosages of medicines that leach calcium from the bones, and anyone over 50 with a history of fragility fractures. These are the high-risk populations, and a scan could catch a weakening bone before it becomes a fracture.
Education and treatment: Learning and teaching about osteoporosis helps people help themselves. The more you know about osteoporosis, the better you can protect yourself from fractures. Kaiser found that patients who understood their treatment opted for more than just drug treatment: they got home safety checks to help prevent falls. Slippery bathtubs, cords across the room, and loose rugs are all tripping hazards that can snap a fragile bone.
Fall Prevention: If you’re at risk for a fall, consider learning fall-reduction techniques, that will lower your risk for a fall. Physical therapy can improve balance and coordination, reducing the risk still further.
Kaiser ran a three-part program with 620,000 patients in Southwestern United States, and found an overall reduction of hip fractures by 35%. Why wait for them to test it in your neighborhood? Start your own three-part program today.