Why online eye apps may do more harm than good

2018-01-30T06:01:00

(BPT) – Online vision apps can be a great resource for health-related information, but if you rely on them to preserve your eye health and detect potential problems, you could be doing more harm than good, the American Optometric Association warns.

“Eye health is critical to overall good health,” says Dr. Christopher Quinn, president of the AOA. “If someone chooses to forego an annual eye exam with a doctor of optometry because they think an online test or mobile app screening is enough, they’re making a mistake that could put their vision and health at risk.”

The AOA, which represents more than 44,000 doctors of optometry, optometric professionals and optometry students, supports state and federal policies that protect patients from the potential dangers of online vision test apps. Here are four of the many reasons why patients should not rely on online eye screenings or mobile apps:

1. Vision test apps or online tests can’t diagnose or treat serious eye problems.

These tools simply use measurements to gauge what is known as visual acuity, or sensitivity. However, many vision and eye health conditions don’t have obvious signs or symptoms in their earliest stages. Online tests can miss serious conditions that a comprehensive eye exam would catch.

They may be designed to test for near-sightedness or far-sightedness, but can’t adequately evaluate overall eye health. For example, an online screening might be able to detect symptoms of near-sightedness, but isn’t designed to catch signs of glaucoma.

2. Vision test apps aren’t held to the same standards as doctors of optometry.

People put their eye health at risk when they choose convenience over care and today, 17 states have regulations in place to safeguard patients from unproven technologies and practices that can compromise the established and proven standard of care. And there is good reason.

Right now, online vision screening services and mobile apps aren’t required to meet the definition of a comprehensive eye exam, or clinically prove their technologies provide the same level of care you would get from a qualified eye care doctor. In addition, they are not approved by the U.S. Food and Drug Administration (FDA).

3. Patients may not get the care they need.

Even if an app accurately indicates a problem with vision acuity, patients might not follow up as recommended with a doctor of optometry, who can diagnose issues and work with you to develop solutions to eye health and vision care needs.

Additionally, a comprehensive eye exam conducted by an optometrist can be an important step in identifying health conditions that might not have been detected otherwise, such as diabetes and high blood pressure. An optometrist can help you understand the seriousness of the condition and suggest and implement appropriate treatment.

4. You could be risking your eye or overall health.

Online vision screening apps might not catch signs of a serious problem. Missing the signs of an eye health or overall health issue can put you at risk.

“People may think they’re doing something good by using a mobile vision app,” Quinn says. “Unfortunately, an online eye test does not completely cover any one of the 12 components of a regular in-person, comprehensive eye exam, something everyone needs to ensure they’re protecting and preserving their vision.”

To learn more about vision health, visit www.aoa.org.


5 Ways Your Neighborhood Impacts Your Health

2018-01-31T08:31:00

(BPT) – Did you know that your zip code has a bigger impact on your health than your genetic code? It’s because of factors known as social determinants of health. Things like air quality, employment, education, the people you socialize with and the safety of your neighborhood all have an impact. In fact, 60 percent of a person’s life expectancy is driven by factors outside of the doctor’s office. Check out a few surprising things in your neighborhood impacting your health — and what to do about them:

Your Sidewalks

You might not think about it, but your sidewalks are impacting your health. The average person burns 100 calories walking a mile. If we all had more easily accessible sidewalks and spent more time walking, we could become more fit. The WalkWorks ChesCo! program in Chester County, Pennsylvania, a Healthiest Cities and Counties Challenge Spotlight winner, set a goal for community members to hit one billion steps in 2017, and reached it three months ahead of schedule. Reach your step goal by taking a sidewalk stroll every once in a while.

Your Grocery Stores

How easy is it to get to your nearest grocery store? The distance between your home and the nearest grocery store impacts your health immensely. The CDC defines a food desert as an area that lacks access to affordable fruits, vegetables, whole grains, low-fat milk and other foods that make up a full and healthy diet. In Bridgeport, Connecticut, residents in the East End neighborhood have spent the last 35 years with little or no grocery stores close by. Last year, a pop-up market ended the trend of food deserts and gave the neighborhood accessible, healthful options.The grocery stores in your neck of the woods might just influence your fruit and vegetable consumption.

Your Neighborhood Police

Community police work to keep your neighborhoods safe and lower violence rates. The Mind/Spirit/Body project in Jersey City, New Jersey, has made it a priority to recognize violence as a health issue, and has actively decreased violence within local neighborhoods by promoting healthy behaviors among its citizens. In the last 25 years, violent crime rates have decreased by 50 percent because of police. Next time you see an officer, thank them for keeping you safe!

Your Water System

Your water system impacts so many aspects of your daily life. From safe drinking water, to a healthy sewer system to curbing erosion from rainfall, communities must manage water in many ways. For example, according to the Environmental Protection Agency (EPA), sewer overflows happen about 75,000 times a year. Did you know sewage overflows can contaminate our waters, cause property damage and other public health threats? The city of Camden, New Jersey, another Challenge Spotlight Award winner, set up a program to reduce the number of sewage overflows in their region and improve water quality for all. The Camden SMART Initiative gathers community engagement through a variety of new mobile apps, community meetings and social media. Make sure to check to see if your community sewer system is in top shape to avoid contaminants.

Your Schools

The schools in your community matter. Many studies show that a higher level of education is a strong predictor of a longer life due to many factors, including higher income, social status, healthy behaviors and social well-being. The Steinhardt School at NYU completed a study, finding that 145,243 deaths could have been prevented in 2010 if adults who had not completed high school went on to earn a GED or high school degree. Education levels affect mortality rates over time. Your local teachers, schools and peers impact your life expectancy more than you know.

To learn more, visit: http://www.healthiestcities.org/ and join the conversation at #Healthiestcitieschallenge.

About the Healthiest Cities and Counties Challenge:

The Healthiest Cities & Counties Challenge is a collaboration between the Aetna Foundation, the American Public Health Association and the National Association of Counties to encourage small to midsize U.S. cities, counties and federally recognized tribes to create a positive health impact. The challenge will identify the best practices for achieving community and individual health, wellness and health equity.


3 formerly misunderstood foods now a part of a well-balanced diet

2018-02-01T06:01:00

(BPT) – Throughout history, misconceptions, misinformation and popular culture have influenced Americans’ eating habits. Many foods that were previously eaten daily are now considered unhealthy. Conversely, some foods that were thought to be “bad for you,” are now considered nutritious.

“Nutrition is exciting. Just about every day there is new research about how certain foods work in our body,” says Registered Dietitian and Nutritionist Dawn Jackson Blatner. “Over time as research is done, foods that were once considered unhealthy can be found to actually play a key role in healthy diets.”

What historically “unhealthy” foods are now considered wholesome? Blatner provides some examples:

Eggs

Shunned for many years, eggs were believed to be bad for heart health due to high cholesterol levels. However, numerous studies have shown that intake of dietary cholesterol has little influence on blood cholesterol levels. In fact, the Harvard School of Public Health states that the biggest influence on blood cholesterol level is the mix of fats and carbohydrates in your diet — not the amount of cholesterol you take in from food.

Today, eggs are part of a healthy diet — so much so that recently the country’s leading weight loss service announced that eggs are now included on its zero points list. Keep in mind, though, that not all eggs are created equal. When shopping for eggs, look for Eggland’s Best eggs, which have significantly more nutrition than ordinary eggs.

“Many health and nutrition organizations are finally recognizing eggs for the nutrient powerhouse they are,” says Blatner. “Eggland’s Best eggs have six times more vitamin D, more than double the omega-3s and more than double the vitamin B12 of ordinary eggs, making them the best egg option to maximize your nutritional intake.”

Nuts

Snacking on nuts today is typically considered a healthy way to keep hunger pangs at bay, but it wasn’t always that way. Nuts used to have a bad reputation for being high in fat and calories, and were often avoided, especially for people who wanted to lose weight.

Today, many nuts are considered the ideal nutritious snack as they contain heart-healthy monounsaturated fats. For example, the versatile almond is relatively low in calories when compared to other nuts and has more calcium than other varieties, according to Health.com. Plus, almonds are rich in fiber and vitamin E, an important antioxidant.

“Nuts can make a great snack or wonderful addition to recipes,” says Blatner. “The one thing to be mindful of is sodium intake. Opt for raw nuts or dry-roasted varieties. These are minimally processed and typically won’t contain the salt and oils you’ll find in other varieties.”

Carbohydrates

Due to empty calories and low nutritional value, cutting carbs has been at the heart of diet fads for decades. The problem with this is that it assumes all carbs are equal, which is false.

“The important thing to realize is there are high-quality and low-quality carbs,” says Blatner. “Instead of shaming all carbs, focus on high-quality sources of carbohydrates that fuel the body and give you energy — skip the refined grains like white bread and focus on whole grains.”

Want to try a recipe that uses some of these formerly misunderstood foods? Blatner shares one of her favorites.

Eggland’s Best Spinach & Avocado Egg Sushi

Makes two servings.

Ingredients:

2 Eggland’s Best Eggs (Large), 1 tablespoon milk, 1 dash of salt, 1 dash of ground black pepper, 1 large whole wheat tortilla (12 inch), 1/2 avocado (mashed), 1 cup fresh baby spinach

For the spicy sauce:

Mix 2 tablespoons plain Greek yogurt, 1 tablespoon Sriracha (or other hot sauce) and 1 teaspoon milk in a small bowl.

Directions:

Coat a 10-inch nonstick pan with cooking spray and heat on medium-low heat.

In a bowl, whisk together eggs and milk and season with salt and pepper.

Pour egg mixture into pan and cover with a lid. Do not scramble! Cook until set (about 3-4 minutes), flip and finish cooking (about 1-2 minutes).

Lay tortilla flat and spread with avocado, leaving a 2-inch border around the edges.

When eggs are finished cooking, place in the center of the tortilla and top with spinach.

Start at one end and roll tightly, but gently.

Coat the same skillet with nonstick spray and warm on medium-high heat.

Place roll seam-side down on skillet and brown slightly on both sides. Remove and allow to rest for 1-2 minutes.

Using a serrated knife, slice 1-inch pieces, drizzle with spicy sauce and serve with chopsticks.


6 ways to help a grieving friend or family member

2018-01-16T08:01:01

(BPT) – When someone you know loses a friend or family member, it’s not easy deciding when and how best to respond. You may find yourself unsure of what to say or do. Sometimes a simple phrase such as, “I’m sorry for your loss,” can be extraordinarily meaningful.

Here are six helpful tips from 1-800-Flowers.com’s Celebrating A Life online resource on how to console a loved one during their time of grief:

Listen

Allowing a grieving person to express how they feel can be a huge help. Try to listen without offering advice or interrupting. Letting people share memories and talk about their loved one can be a part of the healing process.

Be specific when offering help

Make a specific commitment to being with the person who needs you. Offering assistance with day-to-day matters can be very comforting, but be sure to offer something specific, such as, “I’m coming over with groceries on Saturday.” That way, you’re offering help without placing the burden on the grieving person to figure out what to bring and when.

Navigate social media appropriately

When acknowledging the news of a loss, stick with the communication medium through which you initially received the information. If the news came by phone call, return the call. If you learned about the death through social media, it is appropriate to reply on social media, just be sure to keep your message brief on public pages. More detailed expressions of sympathy should be conveyed in private posts.

Be patient

It is normal for people who are grieving to experience a range of emotions. It takes time to heal, so be patient and allow them to grieve at their own pace.

Send a card

Show your concern and support by sending a card. Take the time to put your own personal message inside.

Don’t minimize their pain

It is important to keep the focus on the grieving person. Resist the urge to share stories of times that you’ve lost a loved one. Let your friend or family member share their own stories and memories.

1-800-Flowers.com has been helping customers express sympathies for more than 40 years. Now, the company has created an online sympathy hub for tips and advice, directly from experts, on how best to express sympathy and condolences. Topics include Appropriate Sympathy Etiquette Across Different Religions, How to Write a Eulogy, How to Create a Memory Garden, and Sympathy Etiquette and Social Media.

The site serves as a resource for people in their time of need and is intended to make their experience a little easier to manage. People need to have a greater understanding of how to help their friends, family and co-workers in coping with a loss.

For more information, visit www.1800flowers.com/sympathyadvice, or call 1-800-Flowers.com’s Sympathy Customer Service line at 866-538-2259.


6 tips that may help manage your eczema

2018-01-22T15:57:00

(BPT) – Your eczema (atopic dermatitis) may be a part of you, but it doesn’t have to define you. Living with eczema might take some effort, like changing your lifestyle and working with your physician to develop a treatment plan that’s right for you.

1. Avoid dry skin. Sometimes this is easier said than done, but dry skin is a common eczema symptom.1 Try to avoid cold, dry air and situations where you might overheat.2 Limiting bathing time to 5-10 minutes with warm, not hot, water may also help.3,4

2. Be mindful of your diet. For some people, eczema may flare when they’re exposed to different triggers.4 Certain foods, or a food allergy, could trigger a flare.1 If you suspect a certain food is affecting you, share your experiences with your doctor and talk about your treatment plan. One option to manage symptoms may include avoiding a certain food group.4

3. Recognize your triggers. Food, as discussed above, may be a trigger, but a change in the environment, certain soaps/detergents, sweat or stress may also trigger symptoms.2,4 Pay attention to when your eczema flare is most noticeable and record possible triggers. Jotting down a few quick “notes-to-self” in the moment could help identify triggers. The better you recognize what is causing your eczema to react the way it is, the easier it may be to avoid any situations that may cause a flare.

4. Make moisturizers a priority in your daily routine. If you have eczema, moisturizers can help keep your skin hydrated.3 There are so many kinds of moisturizers—who doesn’t love options!—including ointments, creams, lotions, gels, and oils.3 No matter which moisturizer your doctor recommends, following a routine and applying it soon after bathing will help keep your skin hydrated.3,4

5. Be mindful of your wardrobe. Clothing is often an important part of your identity, but when it comes to your eczema, the clothing you wear can make a difference. Wool or rough fabrics can be irritating on the skin and could trigger your eczema.4 Also try cutting the tags off your clothes and covering any irritating inner seams. These easy tricks can help reduce irritation without sacrificing your unique style.

6. Speak with your doctor about your options. One of the ways to treat eczema is to use a topical therapy. If you’re looking for a topical prescription therapy, take a moment to talk with your doctor about your options. EUCRISA® (crisaborole) ointment, 2% is a steroid-free ointment for people with mild-to-moderate eczema (atopic dermatitis) and can be used on all skin tones from face to feet, for adults and kids as young as 2 years old.5 It can be applied to the skin, including the face. Do not use in the eyes, mouth or vagina.5 EUCRISA is a topical treatment that works both above and below the skin to treat eczema.6 The specific way EUCRISA works is not well defined.5 For more information about EUCRISA, visit www.EUCRISA.com.

The strategies above, along with the treatment regimen that you and your doctor decide upon, may help give you a better understanding of your eczema. If you have additional questions, be sure to speak with your doctor.

IMPORTANT SAFETY INFORMATION & INDICATION

Do not use EUCRISA if you are allergic to crisaborole or any of the ingredients in EUCRISA.

EUCRISA may cause side effects including allergic reactions at or near the application site. These can be serious and may include hives, itching, swelling, and redness. If you have any of these symptoms, stop using EUCRISA and get medical help right away.

The most common side effect of EUCRISA is application site pain, such as burning or stinging.

EUCRISA is for use on skin (topical use) only. Do not use EUCRISA in your eyes, mouth, or vagina.

INDICATION
EUCRISA is a prescription ointment used on the skin (topical) to treat mild-to-moderate eczema (atopic dermatitis) in adults and children 2 years of age and older.

See Full Prescribing Information at EUCRISA.com.

For more information, call 1-866-EUCRISA (1-866-382-7472).

This article is sponsored by Pfizer Inc.

1 Akdis CA, Akdis M, Bieber T, et al. Diagnosis and treatment of atopic dermatitis in children: European Academy of Allergology and Clinical Immunology/American Academy of Allergy, Asthma and Immunology/PRACTALL Consensus Report. J Allerg Clin Immunol. 2006;118:152-169.
2 Oszukowska M, Michalak I, Gutfreund K, et al. Role of primary and secondary prevention in atopic dermatitis. Postep Derm Alergol. 2015;32(6):409-420.
3 Eichenfield LF, Tom WL, Chamlin SL, et al. Guidelines of care for the management of atopic dermatitis. Section 2. Management and treatment of atopic dermatitis with topical therapies. J Am Acad Dermatol. 2014;71(1):116-132.
4 Bieber T. Atopic dermatitis. Dermatol. 2012;1(3):203-217.
5 EUCRISA® (crisaborole). Full Prescribing Information. December 2016.
6 Jarnagin K, Chanda S, Coronado D, et al. Crisaborole topical ointment, 2%: a nonsteroidal, topical, anti-inflammatory phosphodiesterase 4 inhibitor in clinical development for the treatment of atopic dermatitis. J Drugs Dermatol. 2016;15(4):390-396.


What you should know to prepare for a blood test

2018-01-22T08:01:00

(BPT) – A new survey reveals Americans are not aware of what to report prior to a blood test. Only half (52 percent) believe it is very important to report use of supplements to their healthcare provider before getting a blood test.

With recent interest in the use of supplements like biotin as beauty treatments, it’s especially critical for consumers, doctors and lab personnel to talk before blood tests because very high doses of supplements could interfere with some test results.

The possibility of interference in blood testing is low, but if you’re taking high-dose biotin for hair, skin or nail health, for example, it is best to inform your doctor before a blood test. Just as you may need to fast before certain types of tests, you may need to hold off on taking supplements like biotin for at least eight hours before blood work.

The survey, commissioned by Roche Diagnostics, also found that most Americans (85 percent) expect their physician to provide complete instructions on how to prepare for a blood test.

“Many factors — from stress, to prescription medication, to vitamins — can affect blood test results, so it’s important to be proactive in communicating about medicines or supplements you’re taking rather than waiting to be asked,” said Dr. Emily Jungheim, associate professor of obstetrics and gynecology at Washington University School of Medicine in St. Louis.

Ask your healthcare provider about ways to prepare for blood tests. Here are some simple tips to follow:

* Write down all your prescription medicines the night before a blood test so you can share up-to-date information with the lab technician or your doctor.

* Also report vitamins, supplements, nutraceuticals and any over-the-counter medications.

* Know the doses of the medicines and supplements you are taking. The dose matters. You may not be aware that 5 mg of biotin per day, for example, is equal to the amount of biotin in 100 capsules of a typical daily multivitamin.


The Changing Landscape of Lung Cancer Treatment

2018-01-25T09:03:01

(BPT) – At age 64, Bob Carlson was diagnosed with non-small cell lung cancer, and he felt the diagnosis was like “an expiration date being stamped on his life, like a milk carton,” and the time he had left “wasn’t nearly enough.” Bob, his wife, Julia, and doctors chose chemotherapy to combat his illness—but according to Bob, his quality of life after taking the treatments was non-existent.

Bob became so sick from the chemotherapy that he felt the treatments were almost worse than the disease itself. He talked to his doctor, who said there was nothing else they could do. Bob was on the verge of giving up hope when his physician sent him to a different research center. There, Bob met with another physician who presented him with a new option and renewed his fight.

Understanding the changing lung cancer treatment landscape

Lung cancer is the most common cancer worldwide, representing approximately 13 percent of all cancer diagnoses. While a cure for lung cancer does not currently exist, cancer immunotherapy is changing the treatment landscape and improving the prognosis for many people with lung cancer. Several immunotherapy treatments are approved for lung cancer by the U.S. Food and Drug Administration (FDA), including some as a first-line treatment for advanced lung cancer patients.

Immunotherapy is widely considered to be the most promising new cancer treatment approach since the development of the first chemotherapies in the 1940s. Cancer immunotherapy treatments harness and enhance the innate powers of the immune system to fight cancer.

According to a report published in the Annals of Oncology by the Cancer Research Institute, a nonprofit organization dedicated to the advancement of cancer immunotherapy research, there are over 2,004 immunotherapy agents in development with over sixty clinical trials evaluating immunotherapy combinations in lung cancer. There are 26 immunotherapies approved by the FDA, including six immunotherapy agents for the treatment of lung cancer.

“Today, the lung cancer space has the largest number of combination clinical trials underway, evaluating how two or more medications can work better when taken together. These trials hold much promise for patients, but there are still a lot of misperceptions surrounding clinical trials, with many people thinking that these studies are only an option after other treatments have failed,” said Dr. Jill O’Donnell-Tormey, chief executive officer and director of scientific affairs at the Cancer Research Institute. “However, many of the clinical trials currently underway are evaluating immunotherapy treatments for front-line use.”

The Cancer Research Institute offers the Cancer Immunotherapy Clinical Trial Finder as a free resource to help patients match themselves with appropriate trials based on their specific cancer diagnosis, stage, and treatment history.

“We hope that the Clinical Trial Finder will help more people learn about potential clinical trial options earlier in their patient journey so that they might have better outcomes,” said Dr. O’Donnell-Tormey.

How a clinical trial made all the difference

In August 2013, Bob became the very last patient to enroll in a particular clinical trial for non-small cell lung cancer, evaluating a checkpoint inhibitor—a promising immunotherapy approach that works by “taking the brakes off” the immune system to allow it to mount a stronger and more effective attack against cancer.

Once he started the immunotherapy treatment in the clinical trial, Bob and his doctors realized in short order that the treatment was working. “We saw tumor reduction rather quickly—which was amazing. And to top it off, unlike chemotherapy, which involved lengthy infusions that took many hours and left me ill due to the side effects, the experience of having the immunotherapy treatment in this case only took about 30 minutes, and has very little impact on my quality of life. You take your medicine, and you go on with your life. I have had to make zero lifestyle changes,” said Bob.

Now, almost five years later, Bob and Julia are back pursuing their hobby of wildlife photography and travel. He is hopeful that more patients will benefit from emerging immunotherapy treatments—through new FDA-approved therapies and through clinical trial participation.

“My only wish is that I had known about the immunotherapy clinical trial sooner,” he continued. “And I hope that through continued research more immunotherapy treatments are discovered that work for all patients with all cancer types.”

There are many other cancer patients and survivors, like Bob, who have been given new hope thanks to cancer immunotherapy research and clinical trials. For more information on cancer immunotherapy and how to match with an open clinical trial, visit the Cancer Research Institute Cancer Immunotherapy Clinical Trial Finder at https://www.cancerresearch.org/patients/clinical-trials.


More than 39,000 veterans are homeless each night: How you can help

2018-01-26T10:29:00

(BPT) – There are 18.8 million veterans in the U.S., according to the most recent U.S. Census. More than 9 million are seeking treatment at their local U.S. Department of Veteran Affairs medical center, and more than 39,000 are homeless on any given night, according to the U.S. Department of Housing and Urban Development.

There are many ways to help a veteran in need. Below are a few suggestions on how you can make a difference in a veteran’s life this year.

Tie your passion to your action.

We all have passions that bring us joy. There are many ways that suit your interests to give back while helping veterans in need. For example, do you like to spend time outdoors? Many organizations host volunteer activities like cleaning a veterans memorial in the community. Are you more of a people person? Give your time to a local veterans facility to connect with a resident in need of company.

Reach out to a veteran service organization to learn more.

The American Legion Auxiliary (ALA), The American Legion and Sons of The American Legion are actively involved in veteran causes with local units across the U.S. They offer community through memberships, organize and hold volunteer events throughout the year. As a first step, visit the websites of each organization and look for a unit close to you. Meeting with these organizations or others can kick-start your efforts to get involved with the veteran community.

Donate a day of service.

Everyday life can get messy with full-time jobs and commitments. One way to identify free time for charitable activities is to use a day off engaging in community service. “Donate” your Memorial Day to help the ALA distribute handmade poppies that support veterans in local hospitals, visit a veterans facility or deliver a meal or care package.

Give a gift.

Extend your thankfulness to the veteran community by making a gift. Mark your calendar for Nov. 27, 2018, when you can participate in #GivingTuesday, a global giving movement, by making a monetary donation to an organization that dedicates its efforts to helping veterans. Whether you come together as a family, a company, a community or by yourself, a donation can make a real difference.

Helping a veteran can be a year-long commitment or a one-day activity. To learn more about how to take the first step, visit www.ALAforVeterans.org.