global health tribune march 2014 issue

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AUTISM HAS A VOICEOn March 2, over 7,000 people kicked offthe 2014 Autism Speaks Walk season indowntown West Palm Beach and raisedover $229,000.

CHIROPRACTIC NEWS“I Never Knew the Problem Was in myHead and Neck”

A newanalysisfinds that

extreme sportshave been

linked to morethan 4 millioninjuries since

2000, and nowcause more than 40,000head and neck injuries

annually.

Why It's Hardto Kick theSmoking Habit

Should Your BloodPressure Be LowerThan You Think?

Keep YourHeartHealthy

'Extreme Sports'Linked to 40,000 Head and Neck

Injuries Per YearSaturated fat advice 'unclear'By Michelle RobertsHealth editor, BBC News

Swapping butter for asunflower spread may notlower heart risk, say

British Heart Foundationresearchers. Contrary toguidance, there is no evidencethat changing the type of fatyou eat from "bad" saturated to"healthier" polyunsaturatedcuts heart risk.They looked at data from 72studies with more than 600,000participants.

Heart experts stressed thefindings did not mean it wasfine to eat lots of cheese, piesand cakes. Too much saturatedfat can increase the amount ofcholesterol in the blood, whichcan increase the risk ofdeveloping coronary heartdisease.

Saturated fat is the kind of fatfound in butter, biscuits, fattycuts of meat, sausages andbacon, and cheese and cream.Most of us eat too much of it -men should eat no more than30g a day and women no morethan 20g a day.

There has been a big healthdrive to get more people eatingunsaturated fats such as oliveand sunflower oils and other

non-animal fats - instead. Butresearch published in Annals ofInternal Medicine, led byinvestigators at the University ofCambridge, found no evidence tosupport this.

Total saturated fat, whethermeasured in the diet or in thebloodstream as a biomarker, wasnot associated with coronarydisease risk in the 72observational studies.

And polyunsaturated fat intake didnot offer any heart protection.Trans fats were strongly andpositively associated with risk ofheart diseases. These artificialfats, found in many processedfood items and margarine spreads,should continue to be regulatedand avoided, say the studyauthors.

Lead researcher Dr RajivChowdhury said: "These areinteresting results that potentiallystimulate new lines of scientificinquiry and encourage carefulreappraisal of our current

nutritional guidelines."He added that the commonpractice of replacing saturatedfats in our diet with excesscarbohydrates (such as whitebread, white rice, potatoes etc),or with refined sugar and saltsin processed foods should bediscouraged. "Refinedcarbohydrates, sugar and saltare all potentially harmful forvascular health," he said.

The British Heart Foundationsaid the findings did not changethe advice that eating too muchfat is harmful for the heart. ProfJeremy Pearson, the charity'sassociate medical director, said:“This research is not saying thatyou can eat as much fat as youlike. Too much fat is bad foryou.”

“But, sadly, this analysissuggests there isn't enoughevidence to say that a diet richin polyunsaturated fats but lowin saturated fats reduces the riskof cardiovascular disease.”

“Alongside taking anynecessary medication, the bestway to stay heart healthy is tostop smoking, stay active, andensure our whole diet is healthy- and this means consideringnot only the fats in our diet butalso our intake of salt, sugarand fruit and vegetables.”

2 march 2014 www.globalhealthtribune.com

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Global Health Tribune is a newspaper published everymonth in Palm Beach County. Copyright 2013, all rightsreserved by SEA Publications, Inc. Contents may not bereproduced without the written consent of the publisher. Thepublisher reserves the right to refuse advertising. Thepublisher does not accept responsibility for advertisementerrors beyond the cost of the advertisement itself. Allsubmitted materials are subject to editing.

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By Laura Hundemer

The very first device usedto prevent migraines hasrecently been approved by

the FDA. The device calledCefaly will take the place ofmigraine drugs.

According to Crescent News,Christy Foreman, director of theOffice of Device Evaluation atthe FDA's Center for Devicesand Radiological Health, said,"This may help patients whocannot tolerate current migrainemedications for preventingmigraines or treating attacks.”

Cefaly is worn like a headband

and produces a low current ofelectricity that stimulates thetrigeminal nerve. It will bringimmediate relief to migrainesufferers and can be used evenbefore migraine pain sets in.

According to The Almagest, thedevice will be available with aprescription to users over age 18.The FDA recommends that it isused once a day for 20 minutes.

The device is portable andbattery-operated. It is atremendous step in medicine,seeing as migraine headaches canbe debilitating and affect aboutten percent of the populationglobally.

'Extreme Sports' Linked to 40,000Head and Neck Injuries Per YearEver since the advent of

the "X Games" in themid-1990s, Americanshave embraced so-

called extreme sports such asmountain biking, skateboardingand snowboarding.

But experts are warning that thefun can quickly turn to tragedywhen amateurs try to mimicstunts they've seen on television.

A new analysis finds thatextreme sports have been linkedto more than 4 million injuriessince 2000, and now cause morethan 40,000 head and neckinjuries annually.

"While we're been inventing andcoming up with all these newsports, the conversation has beenall about the excitement and notabout the safety," said study co-author Dr. Vani Sabesan, anassistant professor in thedepartment of orthopaedicsurgery at Western MichiganUniversity School of Medicine inKalamazoo, Mich.

"We know that youth tends topush the envelope and takethings to the next level," sheadded. "So the tricks involved inthese increasingly popular sportsare becoming more and more

advanced every year. And thatmeans more and more accidentrisk."

Sabesan is slated to present herfindings Friday at the annualmeeting of the AmericanAcademy of OrthopaedicSurgeons (AAOS) in NewOrleans.

Her team reviewed informationcollected by the NationalElectronic Injury SurveillanceSystem between 2000 and 2011.

Although the focus was onaccidents involving non-professional athletes, thedatabase also collected statisticson seven sports that currentlydraw in seasoned sports figuresparticipating in either the Winteror Summer versions of the XGames. Those include surfing,mountain biking, motocross,skateboarding, snowboarding,snowmobiling and snow skiing.

According to the study, theseseven sports combined werelinked to more than 4 millioninjuries occurring over the 11-year period.

About one in every 10 of thoseinjuries were to the head or neck.Head injuries accounted for the

vast majority of that group (87percent) when compared withneck injuries (17 percent).

About 2.5 percent of both headand neck injuries were classifiedas "severe," meaning theyinvolved a fracturing of eitherthe skull or bones of the neck.

Overall, the sport associated withthe greatest number of head andneck trauma incidents wasskateboarding, which producedmore than 129,000 such injuriesduring the study. Sabesan's teampoint out that the number ofAmericans who skateboard hasrisen by nearly 50 percent, tomore than 14 million, since1999.

Snowboarding, the cold-weathercousin of skateboarding, waslinked to more than 97,000 heador neck injuries. The researcherssay there are now an estimated 7million snowboarders across theUnited States.

Skiing ranked third on thehead/neck injury list with morethan 83,000 cases reported,followed by motocross with anexcess of 78,000 injuries.

Overall, the annual number ofhead and neck injuries linked toextreme sports rose from justover 34,000 in 2000 to more than40,000 in 2010.

Sabesan and her colleaguesbelieve that parents -- as wellas those involved in organizingextreme sports teams andevents -- need to be aware ofthe risks.

"We have very young kids, andthey're getting younger all thetime, going 60 miles an hourdown a ski hill," Sabesan noted."So, the risk for life-alteringaccidents is real and serious."

"Certainly, some sports have ahigher risk for neck fractures,and others for concussion," sheadded. "But in general we need

to make sure protectiveequipment is available -- such ashelmets and wrist guards -- andencouraged. And we need tomake sure we provide medicalcare and team doctors on site,and that kids know that it'spossible to get a concussionwhen doing these sports and areencouraged to seek medical helpwhen there's any concern."

Newly elected AAOS presidentDr. Frederick Azar said the studysheds light on a relativelyunexplored subject.

"The preponderance of head andneck injuries is mind-boggling,although not surprising," saidAzar, who is also chief of staff atthe Campbell Clinic in Memphis,Tenn. "Because with extremesports we're dealing with levelsof height and speed and exertionthat are not always ascontrollable as some of the moretraditional sports."

"This work is a baseline startingpoint to raise awareness of thenature of the problem so we canstart looking for ways tomaximize safety, " he added."Particularly because we expectthese kinds of sports to becomeeven more popular in the comingyears."

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Arthur Hansen DPM, M.S.

Heel pain is one of themost common chiefcomplaints of patientsin my office. I see it

in the young, the old, the active,and the sedentary. It can be iso-lated to mostly the bottom of theheel, only the back of the heel,the sides of the heel or all overthe heel. The pain is so incapaci-tating, the patient is usuallylimping and definitely lackingthat “spring in their step.” Itusually limits the activity of thesufferer to the point where restand a visit to the podiatrist arenecessary. When faced with apatient having heel pain, manydiagnoses are considered.

Injury, including fracture of thecalcaneus (heel bone) or bonecontusion, must first be consid-ered. A thorough history fromthe patient about recent events,specifically any falls or jumpsfrom high levels, is obtained.Acute and complete calcaneal

fractures are usually identifiedright away because they are verypainful with associated swelling,redness, bruising and follow anidentifiable injury. Most ofthese types of fractures are treat-ed in the Emergency Roombecause of the pain and inabilityof the patient to bear weight.Complete calcaneal fractures areeasily noticed on a plain x-ray.However, stress fractures of thecalcaneus are sometimes moreobscure. In the case of a stressfracture, the patient may or maynot recall an injury. They relatepain, but not unbearable pain.And, while we do see someswelling and redness, the clinicalpresentation is not alwaysabsolute. Simple x-rays mayshow the stress fracture, but usu-ally an MRI or CT scan is need-ed to identify. Treatment of cal-caneal fractures ranges fromcasting and limiting weight bear-ing to surgical correction and‘setting’ of the fracture depend-ing on the severity of the injury.

Pain in the back of the heel ismost often associated with theinsertion of the Achilles tendon.After making sure the tendon hasnot ruptured, tendonitis is a com-mon diagnosis. Tendonitis at theinsertion on the heel bone is verypainful. There is usually noprior recollection of injury and ithurts worse with the first fewsteps or at the beginning of exer-cise. The pain sometimesextends up the back of the anklealong the Achilles tendon.Calcifications can form in the

tendon making it more prone toinjury and rupture.

Pain in the back of the heelcould also be painful bursitis.The area between the skin andthe Achilles tendon is very smallover the heel bone. Excessiverubbing or friction of the areacan cause painful bursitis. Oftentimes we find a ‘bump’ associat-ed with the bursitis, known as a‘pump bump’ or Haglund’sdeformity. Rest, ice, a heel lift,stretching, physical therapy andanti-inflammatory medicationare the first line of treatment forpain on the back of the heel.

Symptoms of pain on the insideof the heel which radiate up theinside of the ankle or down onthe bottom of the foot with no

associated swelling or redness isclassic for tarsal tunnel syn-drome. Similar to carpel tunnelsyndrome (which happens in thehand/wrist), tarsal tunnel syn-drome involves irritation orentrapment of the nerve supply-ing the inside and bottom of thefoot below the ankle. Anti-inflammatory medication, corti-sone, support, physical therapyand sometimes release of thenerve are common treatments fortarsal tunnel syndrome. Plantar Fasciitis and Heel SpurSyndrome are the most commonheel pain diagnoses. Pain associ-ated with these is on the bottomof the heel. Most patientsdescribe the pain as sharp andstabbing, worse with the firstfew steps in the morning andexcruciating. There is usually no

prior injury with a gradualincrease in the pain over time. Itmay or may not be associatedbone spurring on the bottom ofthe heel bone. Stretching, sup-port, physical therapy, cortisoneinjections and anti-inflammato-ries are indicated for pain on thebottom of the foot.

Heel pain can be and is verydebilitating to patients. It caninterfere with all daily activitiesincluding walking, standing,shoegear, working, and exercise.Fortunately, most heel pain isalleviated with conservativemeasures. A thorough historyand exam by your podiatrist canlead to the correct diagnosis andtreatment which will get youback to being pain-free in notime.

Have you lost that spring in your step


Autism Has a VoiceBy Deborah Lynn

When Suzanne andBob Wrightestablished AutismSpeaks in 2005, it

was out of love for theirgrandchild who was diagnosedwith Autism. It was because ofthat love and determination,along with a donation of $25million dollars from theirlongtime friend Bernie Marcus,which has ultimately amountedto the leading advocacyorganization that is dedicated toresearching the cause,prevention, and in finding a curefor the disorder. In doing so,they gave a voice to all thefamilies that have beentremendously impacted and leftwith the uncertainly of a disorderthat is often misunderstood.

On March 2, over 7,000 peoplekicked off the 2014 AutismSpeaks Walk season indowntown West Palm Beach andraised over $229,000.

Autism is one of a group ofdevelopmental neurologicaldisorders, called autism spectrumdisorders (ASD) that cansignificantly affect a child’ssocial skills and their ability tocommunicate. Because it is aspectrum disorder, it will affecteveryone differently andsymptoms and their severity will

vary from mild to severelyimpaired. ASD will appear inchildren under the age of threeand although symptoms mayimprove over time, it issomething that will be carried fora lifetime. As of March 2012, ithas been reported that 1 in 88children have been diagnosedwith ASD, which was a dramaticincrease of 23% since 2010.Boys are also five times morelikely to be diagnosed with thedisorder than girls.

Scientists do not know the exactcause; however researchers haveidentified a few genes that areassociated with the disorder.Many are also concerned aboutthe toxins in our environment,which are outside factors that canplay a role and potentiallyaggravate an underlyingcondition which can presentautistic-like symptoms in somechildren.

Due to other illnesses andhandicaps, ASD can often bemissed. However, there aresome early indicators and ifpresent, your child should beevaluated by an expert:

• No babbling or pointing by 12months

• No single words by 16 months

• Not responding to their name

• Loss of language or socialskills

• Avoids eye contact

• Lack of smiling, socialresponsiveness, andexpressions by nine months

• Restrictive or repetitivemovements, such as rockingtheir body or flailing their arms

If you are concerned aboutsymptoms that your child isexuding, there is a screening toolknown as The ModifiedChecklist for Autism is Toddlers(M-CHAT) which wasspecifically designed for childrenbetween 16 and 30 months ofage. The assessment can identifyearly signs of ASD and can befound at www.m-chat.org.

It’s because of organizationssuch as Autism Speaks whichtruly put forth such anunbreakable effort in order to getthe necessary information tothose parents and families inneed of support, guidance, andanswers when they are at such atremendous loss.

World Awareness Autism Day ison April 2. If you would like tofind out how you can show yoursupport, or to find additionalinformation about autism, visitwww.autismspeaks.org today.


Why It's Hard to Kickthe Smoking Habit

Energy Drinks Popular WithTroubled Teens, Study Says

Nicotine withdrawal triggerschanges to the brain that helpexplain why smokers havesuch a tough time quitting, a

new study suggests.

Up to 80 percent of smokers who try toquit eventually start smoking again. Thislatest finding might lead to new ways toidentify smokers who are at high risk forfailure when they try to quit, theresearchers said. The study might alsolead to more intensive treatment to helpsmokers quit for good.

The researchers used fMRIs to scan thebrains of 37 smokers, aged 19 to 61,immediately after they smoked and againafter they had been smoke-free for 24hours and were experiencing nicotinewithdrawal.

The researchers discovered that nicotinewithdrawal weakens brain connectionsassociated with the ability to controlcravings for cigarettes, according to the

study, which was published in this week'sissue of the journal JAMA Psychiatry.

Specifically, they have trouble shiftingfrom an inward-focused brain network toone that helps them have more controlover their desire for cigarettes and focuson quitting smoking, the researcherssaid.

"Symptoms of withdrawal are related tochanges in smokers' brains, as they adjustto being off of nicotine," study co-leaderCaryn Lerman, head of the Brain andBehavior Change Program at theUniversity of Pennsylvania, said in auniversity news release. "This studyvalidates those experiences as having abiological basis."

"The next step will be to identify inadvance those smokers who will havemore difficultly quitting and target [themwith] more intensive treatments, based onbrain activity and network connectivity,"she added.

Teens who are depressed or usealcohol or marijuana are morelikely to consume energy drinksthan their peers, a new study

finds.

Although the reasons for these apparentlinks are unclear, they are cause forconcern due to the large numbers of teenswho consume the caffeine-ladenbeverages, the researchers said.

The study authors surveyed more than8,200 high school students in Canada.Nearly two-thirds of the students said theyhad consumed energy drinks at least oncein the past year, and 20 percent said theyconsumed them once or more each month.Younger students were more likely toconsume energy drinks than olderstudents.

"Marketing campaigns appear designed toentice youth and young adults," studyauthor Sunday Azagba, a researcher at thePropel Center for Population HealthImpact at the University of Waterloo, saidin a university news release. "It's adangerous combination, especially forthose at an increased risk for substanceabuse."

The study will be published in the Mayissue of the journal Preventive Medicine.Although it showed an associationbetween energy-drink consumption andalcohol or marijuana use, it did not provea cause-and-effect link.

Popular brands of energy drinks includeMonster and Red Bull. Previous researchhas linked energy drinks with harmfuleffects, including heart troubles, sleepproblems, nausea and nervousness,according to the news release.


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Should Your Blood Pressure Be Lower Than You Think?

Approximately one inthree people haveHigh Blood Pressure(HBP or

Hypertension) in the UnitedStates. Unfortunately, noteveryone has symptoms or evenrealizes they have the disease. There are two measurements thatare used when reading yourblood pressure, Systolic, whichis the top number and Diastolic,your bottom reading. YourSystolic reading is when yourheart beats and pumps the bloodwhich presses against your arterywalls. Diastolic is the pressure inyour arteries when your heart isbetween beats and at rest. Ifyour blood pressure isconsistently high, and leftuntreated, it can seriously

damage your organs. In doingso, you are at risk for a heartattack, stroke, and kidney failurewhich is why it is imperative toget those numbers down with theproper treatment.

On February 5, The Eighth JointNational Committee (JNC 8)reported their evidence-basedhypertension guidelines whichfocused on three questionsrelated to blood pressuremanagement. In the end, thepanel made ninerecommendations as a result ofthose questions which addressedguidelines and goals for thepharmacologic treatment ofhypertension.

Recommendation 1In the general population aged≥60 years, initiate pharmacologictreatment to lower bloodpressure (BP) at systolic bloodpressure (SBP) ≥150 mm Hg ordiastolic blood pressure (DBP)≥90 mm Hg and treat to a goalSBP <150 mm Hg and goal DBP<90 mm Hg. (StrongRecommendation – Grade A)Corollary RecommendationIn the general population aged≥60 years, if pharmacologictreatment for high BP results inlower achieved SBP (eg, <140mm Hg) and treatment is welltolerated and without adverseeffects on health or quality oflife, treatment does not need tobe adjusted. (Expert Opinion –Grade E)

Recommendation 2In the general population <60years, initiate pharmacologictreatment to lower BP at DBP≥90 mm Hg and treat to a goal

DBP <90 mm Hg. (For ages 30-59 years, StrongRecommendation – Grade A; Forages 18-29 years, Expert Opinion– Grade E)

Recommendation 3In the general population <60years, initiate pharmacologictreatment to lower BP at SBP≥140 mm Hg and treat to a goalSBP <140 mm Hg. (ExpertOpinion – Grade E)

Recommendation 4In the population aged ≥18 yearswith chronic kidney disease(CKD), initiate pharmacologictreatment to lower BP at SBP≥140 mm Hg or DBP ≥90 mmHg and treat to goal SBP <140mm Hg and goal DBP <90 mmHg. (Expert Opinion – Grade E)

Recommendation 5In the population aged ≥18 yearswith diabetes, initiatepharmacologic treatment tolower BP at SBP ≥140 mm Hg or

DBP ≥90 mm Hg and treat to agoal SBP <140 mm Hg and goalDBP <90 mm Hg. (ExpertOpinion – Grade E)

Recommendation 6In the general nonblackpopulation, including those withdiabetes, initial antihypertensivetreatment should include athiazide-type diuretic, calciumchannel blocker (CCB),angiotensin-converting enzymeinhibitor (ACEI), or angiotensinreceptor blocker (ARB).(Moderate Recommendation –Grade B)

Recommendation 7In the general black population,including those with diabetes,initial antihypertensive treatmentshould include a thiazide-typediuretic or CCB. (For generalblack population: ModerateRecommendation – Grade B; forblack patients with diabetes:Weak Recommendation – Grade C)

Recommendation 8In the population aged ≥18 yearswith CKD, initial (or add-on)antihypertensive treatmentshould include an ACEI or ARBto improve kidney outcomes.This applies to all CKD patientswith hypertension regardless ofrace or diabetes status.(Moderate Recommendation –Grade B)

Recommendation 9The main objective ofhypertension treatment is toattain and maintain goal BP. Ifgoal BP is not reached within amonth of treatment, increase thedose of the initial drug or add a

second drug from one of theclasses in recommendation 6(thiazide-type diuretic, CCB,ACEI, or ARB). The clinicianshould continue to assess BP andadjust the treatment regimenuntil goal BP is reached. If goalBP cannot be reached with 2drugs, add and titrate a third drugfrom the list provided. Do notuse an ACEI and an ARBtogether in the same patient. Ifgoal BP cannot be reached usingonly the drugs inrecommendation 6 because of acontraindication or the need touse more than 3 drugs to reachgoal BP, antihypertensive drugsfrom other classes can be used.Referral to a hypertensionspecialist may be indicated forpatients in whom goal BP cannotbe attained using the abovestrategy or for the managementof complicated patients forwhom additional clinicalconsultation is needed. (ExpertOpinion – Grade E)

Management of your bloodpressure is vital in order toestablish and prevent multiplecomplications for the manyorgans in your body. Studieshave shown that you should beregularly checking your bloodpressure readings at home whichwill give a more accuratereflection than during your officevisit. By regularly monitoringyour blood pressure at home andhaving it read in your physician’soffice, your doctor will have abetter understanding and bebetter equipped to prescribe notonly the best treatment, but makethe appropriate adjustments toyour current treatment – ifnecessary.

Our office never uses physician extenders, such as nurse practitioners. Therefore, you can rest easy knowing that you will only be seen by an attending physician.

Keep Your Heart Healthy

Here's the bad news: Heartdisease is the leading cause ofdeath in the United States, and49 percent of adults have at

least one risk factor for the disease. Butthe good news is that there are a numberof things you can do to keep your hearthealthy.

Exercise is a good place to start, said Dr.Judith Mackall, a cardiologist atUniversity Hospitals Case Medical Center,in Cleveland.

Thirty minutes of exercise a day canprovide major benefits for your heart,Mackall said in a medical center newsrelease. If you can't do a single 30-minuteworkout, divide your exercise into three10-minute sessions a day. Research shows

that this amount of exercise can improvecholesterol numbers and reduce weightand blood pressure within 10 weeks.

Healthy eating is also important, and youshould consume at least five servings offruits and vegetables a day as part of abalanced diet, Mackall said. This willreduce your risk of heart disease byhelping manage blood pressure anddecreasing inflammation.

If you're a smoker, it's time to quit,Mackall said.

"If you smoke, you will knock off sevenyears of your life," she said. "And if youhave cardiovascular disease and yousmoke, you'll die 15 years sooner than youwould otherwise."


KEYSTONE CHIROPRACTIC

Keystone chiropractic is focused on structural correction of the spine. We use state of the art technology and techniques torestore full function of the spine and nervous system to allow the innate recuperative capacity of the body to work optimally.

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WHEN THE SPINE SHIFTS• arm pain• carpal tunnel (Wrist)• canal Stenosis

• degenerated Joints• digestive disorders

• disc herniation• dizziness (Vertigo)

• dowager’s hump• Fatigue

• Fibromyalgia• headaches• hearing issues• itchiness• low Back pain

• mid Back pain• migraine headaches• muscle Spasm

• muscle tension• Neck pain

• Numbness/tingling• pinched Nerve

• poor posture• rotator cuff

• Shoulder pain• Sinus conditions• Spinal decay

• Strength issues• thoracic outlet Syndrome

• tmJ issues• upper Back pain

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Shifts of the spine. He graduated

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“I Never Knew the Problem Was in my Head and Neck”

A Precise and Gentle Approachto Structural CorrectionComes to the Palm Beaches

For years, chiropractichas been a great sourceof relief for peoplesuffering with back pain.

It has come a long way from thedays where it was consideredunscientific quackery. It has evenevolved to the point wherechiropractors have developeddifferent areas of focus. Most

chiropractors practice what isknown as traditionalchiropractic. These are the onesmost people think about whenthey have neck pain and backpain from an accident or fall, andthey do a great job in gettingpeople relief of their pain. Ishould know, I was one at onepoint.

While I was helping a lot ofpeople get out of acute pain, Ihad a heart for people whosuffered with chronic problems. Iwanted to find a way to helpmore who had been havingproblems for months and yearswith no real long term solution.That’s when I decided to focusmy practice on StructuralCorrection of the head and neckusing the NUCCA Protocol.

What is NUCCA?NUCCA is an extremely gentleand precise corrective procedurethat takes the popping, twisting,and cracking out of the equation.While many chiropracticapproaches focus primarily onincreasing motion to the spine, adoctor who does NUCCA isfocused on restoring the normalstructural position of the spine sothat it can stay in place.

The reason it works is becausethe way the head and neck affectthe brainstem. When the top partof the neck shifts out of place, itstarts to put stress on the musclesand ligaments of the spine, aswell as the blood vessels, andnerves that go in and out of thespinal cord. While it cancertainly cause neck pain, whenthe brainstem and spinal cord are

In order to identify the presence ofADC, a full StructuralChiropractic Examination isnecessary. Rather than relying juston our hands, we use a laseraligned upper cervical X-ray set upto get precision views of the upperneck. We also use thermographicand myographic technology toassess the condition of the nervoussystem. These tools allow us tocreate substantial changes in ashort amount of time while beingvery gentle with our care.

No matter what the condition is,Structural Chiropractic is lookingto build long term stability to themechanics of the spine. We dothis by taking Post X-rays andreassessment scans to verify thatwe have changed the spine andachieved our end goal. Onceyou’re there, we’ll teach you thebest ways to keep it there. Wearen’t here to make peopledependent or addicted toadjustments, but to get you to thepoint where you can get yourspine tuned up near the samefrequency as a dentist.

affected, it can cause SecondaryConditions like chronic pain,migraines, vertigo, andTMJ/facial pain. This small shiftis known as the AtlasDisplacement Complex (ADC)also known as the AtlasSubluxation Complex. ADC isusually caused by things likefalls, sports injuries, bad liftingtechnique or even accidents asslow as 15 mph. However, ADCcan happen and last withoutsymptoms for months, or evenyears.


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Improving Your Quality of LifeBy Randall F. Laurich, Jr.

For the last 15 years, I’veseen many patientssuffering each day fromacute and chronic pain

of the spine or other joints andmuscles. Some of the aches andpains have been due to sportsinjuries, work-related injuries,auto injuries, or day-to-dayactivities which can cause injury.As time has gone on, I havelearned what every person thatwalks through the front door ofThe Wellness Experiencewants… a better quality of life.For the water skier andequestrian, they want to ski orjump without pain, or to performbetter and make it around thatlast buoy or over that last jumpas fast as possible. Or, even the95-year-old lady or the 10-year-old child that may also besuffering. They all have onething in common; they want toimprove the quality of their dailyactivities or their overallperformance. So, what exactly do we do tohelp assist that person lookingfor a change from the normalmedical options? First andforemost, we determine theirneed and perform orthopedic andneurological examinations,review x-rays or an MRI (ifpresented), and perform a spinalevaluation. Once the patient isassessed, we then determinewhich treatment options will bemost effective and educate themso they understand any of the

side effects of care. We do havemany different options, butbecause I am a chiropractor, thecorrection of a misalignedvertebra is the most effectiveway to reduce the pinching of anerve. As chiropractors, weanalyze the spine for thesubluxated vertebra and correctthat with a gentle adjustment.

We also use spinaldecompression therapy to assistthe body in reducing pressure onthe nerve as a result of a disc-related injury. Two weeks ago,we had a patient present to theoffice with a herniated disc. Shewas so upset and felt that she

would never be able to work outagain. After reviewing her MRIscans, she was examined and itwas determined thatdecompression therapy was thecorrect option for that patient.After her second visit, she wasout of pain and by the fifth visit;she was able to start working outagain. These options are not foreveryone and not everyone willhave the same result, but over thelast 11 years of using thistherapy, we have been quitesuccessful.

Cold laser therapy is a drugfree, painless, and non-invasivetherapy used to treat a group of

different injuries, includingstrains, sprains, and other acuteand chronic injuries. It is usedto increase the speed, quality,and tissue repair. The cold laserincreases blood supply,stimulates the immune systemand stimulates the nerve tissue tofunction correctly. It is alsoknown to develop new muscletissue, new collagen, anddrastically reduces inflammation.This is a great treatment fortennis elbow, shoulder and hipbursitis, and other sports-relatedinjuries. These are some of ourmany options we use in ouroffice.

We also use ultrasoundtherapy, electrical stimulationtherapy, massage therapy,exercise therapy, andhydrotherapy massage.

We have a nutritionist, anacupuncturist, and a registeredChiropractic assistant on staff,all of whom are there to assist inimproving our patients overallquality of life.

At The Wellness Experience, wemaintain the highest level ofquality care and compassion foreach and every patient whileproviding many differenttreatment options. If we cannotfind the correct option for you,we will find the right providerfor you and your loved ones. Wehave aligned ourselves withmany doctors in the communitythat can assist you if we don’thave the correct solution.

Dr. Randall Laurich has been

practicing chiropractic care for over

10 years. In 1998, he graduated from

Sherman College of Chiropractic in

Spartanberg, South Carolina. He has

been the proud owner of the

Wellness Experience since 2001 and

is a licensed Chiropractor serving the

Wellington community. He has

continued his knowledge in the

healthcare field. He has the finest,

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Dr. Laurich uses a “whole person

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Dr. Laurich is Head Chairman of the

Health and Wellness Medical

Committee in Wellington Florida.


Health and Wellness ExpoIt was a beautiful day for the

Health and Wellness Expoin Wellington on Saturday,March 8. Hosted by the

Wellington Chamber ofCommerce, the Village ofWellington, and the Medical andWellness Committee, the eventwas full of fun activities foradults and children alike. Amongthe many events weredemonstrations from localorganizations, educationalactivities, dancing, music, andother festivities.

Chairmen, Dr. Randy Laurichfrom The Wellness Experienceand his staff were on hand to

give adjustments and help takeaway those aches and painswhile Chairman, Johnny Meierfrom My Community Pharmacywas equally as helpful to any andall attendees with health andmedication questions.

In addition to the many boothsthat filled the grounds of theamphitheatre, there was also agreen market for those thatwanted to purchase somewonderful items to take home.

If you would like to attend futureevents, visit the WellingtonChamber of Commerce websiteat www.wellingtonchamber.com.


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Walk for Diabetes

On Saturday, March 1,the Junior DiabetesResearch Foundation(JDRF) Walk took

place on the grounds of theMeyer Amphitheatre in WestPalm Beach. This event isorganized to help raise funds toresearch Type 1 diabetes (T1D),which affects about 5% of thosediagnosed with the disorder.

Along with the walkers,supporters, and educationalbooths, Congressman PatrickMurphy and Congresswoman

Lois Frankel were both on handto show their support and to cutthe ribbon which started thewalk.

JDRF currently holds over 200walks every year in variouslocations and are committed tofight the disease. The West PalmBeach Walk has currently raisedover $180,000, which is a littleshort of their goal of $236,900. Ifyou would like to donate andhelp them reach their goal, visitthe organization's website atwww.jdrf.org.


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What exactly is Diabetes Mellitus?

Simply put, it is ametabolic condition thatis characterized by highblood sugar levels that

result from defects in insulinsecretion, insulin action, or both. Normal fasting blood sugarlevels should be below 100mg.The definition of fasting bloodsugar level means the patientshould have fasted (not eaten) forat least 12 hours prior to theblood test. The amount ofglucose in a person’s body afterfasting for 12 hours gives anindication of how well the bodyis processing sugar or glucose. Anormal person would have lowerresults on the fasting blood sugartest then a person who hasdiabetes mellitus or pre-diabetes.Fasting blood sugar levels below100mg is considered to benormal. Results between 100-125mg are interpreted aspre-diabetic, while diabetesmellitus is diagnosed when

fasting blood sugar results aregreater than 125mg.

Two Types of DiabetesType 1, formerly called JuvenileOnset or Insulin DependentDiabetes Mellitus, is when thebody completely stops producingany insulin. Insulin is a hormonethat enables the body to useglucose found in foods forenergy. In this type of diabetes, apatient has to take artificialinsulin shots daily to survive.This form of diabetes is seenmost often in children and youngadults, but can rarely occur at anolder age.

Type 2 Diabetes Mellitus, alsocalled Adult Onset or Non-Insulin-Dependent Diabetes is aresult of the body not producingenough insulin or is unable touse the insulin that exists in thebody. This generally occurs inpeople over 40 years of age, whoare overweight, or have a familyhistory of diabetes. This is morecommon than type 1 diabetesmellitus.

How do you know youhave diabetes mellitus? Below are some of the common

1. Being unusually thirsty2. Polyuria or frequent urination 3. Weight-loss4. Blurry vision5. Increase in hunger6. Tingling or numbness of the

hands and/or feet7. Frequent urinary tract

infections8. Severe fatigue

How do you treat diabetesmellitus?The first step is to get your dietunder control. That means onehas to be careful about eatingexcessive amounts ofcarbohydrates, sweets, and sugar.Daily exercise is very importantin reducing the sugar levelsbecause working muscles dorequire sugar for energy, therebyburning the sugar down formetabolism. However, I wouldrecommend daily exercise onlyafter being cleared for doing soby a Cardiac Stress Test. Because diabetes affects the eyesand can cause blindness; Irecommend an annual eyeexamination as well as a footexamination by a qualifiedPodiatrist.A diabetic should also follow aprogram recommended by theirdoctor who's well-versed withdiabetes mellitus. Your

physician will teach you how tomonitor your daily blood sugarlevel and help you with a healthymeal and activity plan.

Why does a diabetic needto control his or her bloodsugars?The reason why it is imperativeto monitor and control yourblood sugar level is to preventfuture complications which I listbelow. Fasting blood sugarsshould be below 110mg if youare fasting in the morning andbelow 140mg two hours afterhaving a meal. We measure thisby doing a HBA1C level thatwill tell us how your bloodsugars have been doing in thelast four months prior.

What are thecomplications?Complications of DiabetesMellitus are vast. Although they

are commonly cardiovascular,such as Coronary Artery Disease,Peripheral Vascular Disease, andpossibly CerebrovascularDisease. It also affects thekidneys causing damage leadingto excessive loss of proteins inthe urine thereby resulting inkidney failure.

How can diabetes beprevented? I would recommend lifestylechanges like eating a healthydiet, maintaining an idealbodyweight, and physicalactivity of at least 30 minutes aday, again that is once you havebeen cleared by your doctor.

My Quote for today: DiabetesMellitus is your enemy, exerciseand a healthy diet is yourlifelong friend.You choose - It's your life in theend.


Sherri mraz also known as thecookin’ Yogi, works with clientsprivately and in groups toimprove their health. Sheteaches healthy cookingclasses, yoga and is a publicspeaker. Sherri has trained atthe institute for integrativeNutrition in NYc and is certifiedthrough teachers collegecolumbia university and by theamerican association ofdrugless practitioners (aadp).She is also registered with theYoga alliance at the advancedteacher level, a member of thephysicians committee forresponsible medicine andstudied at the hippocrateshealth institute. She studiedancient nutritional wisdom, andthe latest diet and healthylifestyle trends with renownedexperts such as dr. mehmetoz, deepak chopra, dr.andrew Weil, dr. Walter Willet,dr. anne marie colbin, and dr.Neal Bernard. She is located atKeystone chiropractic in royalpalm Beach. please contacther at [email protected] visit her website atwww.cookinYogi.com

Is your body sending you SECRET messages?

Do you sometimes feellike your body issending you mixedmessages? You are

trying to eat healthy and then allyou can think about are treats.Maybe you just started anexercise routine and then youdon't feel like getting off thecouch. So many times we feellike we are in a push pull withour body because we aremisunderstanding its messages.

The body is an amazing sourceof intelligence. It is always therefor you, pumping blood, neverskipping a heartbeat, digestingwhatever food you put in it andmaintaining homeostasis. Is thisreliable, intelligent bio-computermaking a mistake by craving icecream or a hamburger orchocolate? Are cravings due tolack of will-power or discipline?I'd like to suggest that cravingsare not a problem. They arecritical pieces of informationthat tell you what your bodyneeds.

The important thing is tounderstand why you cravewhat you crave. Perhaps yourdiet is too restrictive or devoid ofessential nutrients. Perhaps youare living a lifestyle that is tooboring or stressful. Your bodytries to correct the imbalanceby sending you a message: acraving. A craving for somethingsweet could mean you need more

protein, more exercise, morewater or more love in your life.The key to stopping the sugarcraving is to understand anddeliver what your body reallyneeds.

Your body knows best and isalways trying to createbalance. However, products likerefined foods, sugar, caffeine,alcohol and drugs (which havelittle or no nutritional value) areconfusing to the body. Theythrow the body off-balance and

can create serious cravings asyour body tries to get what itneeds to restore internalharmony. The more your food iswhole and healthy, the easier itis for your body to stay inbalance and provide you with ahappier, healthier life.

No book or theory can tell youwhat to eat. Only awareness ofyour body and its needs can tellyou. Of all the relationships inour lives, the one with our bodyis the most essential. It takes

Easy Make-AheadBreakfast Salad

Recipe and article by: Sherri Mraz, the Cookin' Yogi

communication, love and timeto cultivate a relationship withyour body.

The key role of a Health Coachis to help you learn to decipherand respond to your body'scravings by creating a deep andlasting level of health andbalance.

The next time you have acraving, treat it as a lovingmessage from your bodyinstead of a weakness.

this is one of those easy,delicious breakfasts that i makewhen apples are in season and iam running out of ideas for ahealthy breakfast i can make thenight before.

1 chopped sour apple 3/4 cup of organic cottagecheese (use plain greek full-fatyogurt if you don't like cottagecheese2 tbsp. chopped walnuts oralmondsa couple of shakes of cinnamonand/or cardamom

add ins: a few raisins, 1 tbsp.ground flaxseed, 1 tsp. chiaseeds, or 1 tsp. honey if it is notsweet enough for you.

Stir all the ingredients andrefrigerate until morning. It'sso simple and yet so delicious.

Large-scale study will determinewhether chocolate pills canprevent heart attacks, strokesMarilynn Marchione,Associated Press

It won’t be nearly as much funas eating candy bars, but abig study is being launched to

see if pills containing thenutrients in dark chocolate canhelp prevent heart attacks andstrokes.

The pills are so packed withnutrients that you’d have to eat agazillion candy bars to get theamount being tested in this study,which will enrol 18,000 men andwomen nationwide.

“People eat chocolate becausethey enjoy it,” not because theythink it’s good for them, and theidea of the study is to seewhether there are health benefitsfrom chocolate’s ingredientsminus the sugar and fat, said Dr.JoAnn Manson, preventivemedicine chief at Harvard-affiliated Brigham and Women’sHospital in Boston.

The study will be the first largetest of cocoa flavanols, which inprevious smaller studiesimproved blood pressure,cholesterol, the body’s use ofinsulin, artery health and otherheart-related factors.

A second part of the study willtest multivitamins to helpprevent cancer. Earlier researchsuggested this benefit butinvolved just older, unusuallyhealthy men. Researchers wantto see if multivitamins lowercancer risk in a broaderpopulation.

The study will be sponsored bythe National Heart, Lung andBlood Institute and Mars Inc.,maker of M&M’s and Snickersbars. The candy company haspatented a way to extractflavanols from cocoa in highconcentration and put them incapsules. Mars and some othercompanies sell cocoa extractcapsules, but with less activeingredient than those that will betested in the study; candycontains even less.

“You’re not going to get theseprotective flavanols in most ofthe candy on the market. Cocoaflavanols are often destroyed bythe processing,” said Manson,who will lead the study withHoward Sesso at Brigham andothers at Fred Hutchinson CancerResearch Center in Seattle.

Participants will get dummy pillsor two capsules a day of cocoaflavanols for four years, andneither they nor the study leaderswill know who is taking whatduring the study. The flavanolcapsules are coated and have notaste, said Manson, who triedthem herself.

In the other part of the study,participants will get dummy pillsor daily multivitamins containinga broad range of nutrients.

Anew sweetener madefrom the tequila plantcould help reduce blood

glucose levels in diabetics andcontribute to weight loss in obesepeople.

A researcher has outlined thepotential benefits of agavins, thenatural sugar found in the agaveplant, which is non-digestibleand may act as a dietary fiberrather than a sugar that raisesblood glucose.

The findings were presented atthe 247th National Meeting ofthe American Chemical Society(ACS), the world's largestscientific society gathering,happening through Thursday,March 20 at the DallasConvention Center andsurrounding hotels. The meetinginvolves thousands of scientistsand some 10,000 reports on newscientific advances and similartopics.

"We have found that sinceagavins reduce glucose levelsand increase GLP-1, they alsoincrease the amount of insulin,"said Mercedes G. López, Ph.D.of the Centro de Investigación yde Estudios Avanzados,Biotechnology and BiochemistryIrapuato, Guanajuato, Mexico.

GLP-1 (glucagon-like peptide-1)is a hormone "that slows thestomach from emptying," whichsubsequently begins insulinproduction.

"This study represents the firstattempt to evaluate agavins assweeteners in spite of their lowersweetness compared to sugar,'"she said.

Lopez and her team analyzed agroup of mice fed a standard dietand added agavins to their dailywater. The mice were weighedevery day and had their glucoseblood levels checked weekly.The majority of the mice thatdrank agavins ate less, lostweight and had lower bloodglucose levels compared tosweeteners such as glucose,fructose, sucrose, aspartame andagave syrup.

"Agavins are not expensive andthey have no known side effects,except for those few people whocannot tolerate them," Lopezcontinued, adding that much likeother fructans, agavins arecomprised of fructose.

New tequila plant-based sweetener couldbe a healthier option for diabetics


Dear Deborah is a monthly advice column written by Deborah Lynn with a common senseapproach to dating. If you have any questions or comments, please forward them to:

[email protected] as we would love to help.

DEAR DEBORAH:How is it that we can see things betterfrom the outside looking in than to be onthe inside actually immersed in arelationship? In other words, if we are ina relationship with someone, we seem tomiss all the negatives and red flags, but afamily or friend can see them.- Can’t see the flaws?

Dear Can’t see the flaws: It’s always easier when someone who isnot emotionally involved to see thingslogically. When you are datingsomeone, your heart is involved and youwant to believe in that individual. Attimes, when you are in a relationship,you even tend to make excuses for themand their actions. It’s funny, whenpeople end a relationship they suddenlysee things more clearly and often wonderwhy they didn’t see things sooner. Thebest way to describe it is with thestatement, “Blinded by Love.”

DEAR DEBORAH:I really want to get back at my ex.boyfriend for cheating on me, but Iprefer he doesn’t find out it’s me. Howcan I get back at him and make him hurt,just like he hurt me?- Revengeful and Angry!

Dear Revengeful and Angry: Your relationship did not work forwhatever reason and regardless of whatthat was, it’s over. You need to get overit and move on! Life if far too short towaste your energy on someone elsewhen you should be concentrating onyour own happiness. Therefore, do notwaste another moment on someone thatdoes not want to be with you.

Dear Deborah

DEAR DEBORAH:After communicating with a man for afew months, we decided to meet fordinner. When I met him at the restaurant,there was a wait list. My date noticed atable in the bar and wanted to take it, butI was against it and told him we neededto wait. He dismissed me and proceededto tell the hostess that he wanted thattable and was not going to wait for the 30other people in front of us to be seated.He even insisted on speaking to themanager. I started to walk away and hefollowed suggesting we go to theneighboring restaurant. Am I obligated tostay if I find someone to be rude?- Rude isn’t cool!

Dear Rude isn’t cool:I can honestly say that we have all beenthere. You have no obligation to a manthat you have never even met in person –prior to this date. He is clearly self-serving and disrespectful, especiallywhen he dismissed you. I personally willnot date anyone that is rude anddisrespectful to others.

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UpcomingMedical andFundraising

Events

March 20Hospice of Palm Beach CountyFoundation. Second annual “County ClubChef Showdown” to be held at The Clubat Admirals Cove in Jupiter. Tickets are$200.00 per person. For additionalinformation, call Mary Coleman at 561-265-6042, or visit www.hpbcf.org.

March 23-24Place of Hope’s Golf Invitational andCharity Dinner. The dinner will takeplace on Sunday in the clubhouse at theOld Palm Golf Club in Palm BeachGardens. The golf outing will take placeon Monday at the Raymond Floyd GolfCourse. For additional information,contact 561-775-7195 or visit theirwebsite at www.placeofhope.com.

March 29Atlantis Pro/Am Golf Classic to benefitThe Jay Robert Lauer Hospice andPalliative Care Unit at JFK MedicalCenter. This outing will be held at theAtlantis County Club in Lake Worth. Foradditional information, call VickiRautbord at 561-642-6888, or visitwww.hpbcf.org.

Friends of Abused Children, Inc. will holdtheir Third Annual Jim SackettInvitational Softball Tournament. Theevent will take place at Okeeheelee Parkin West Palm Beach and is free to attend.For additional information, call 561-659-5005 or visitwww.friendspbc.org.

APRIL American Cancer Society Relay For Lifehas several events taking place in PalmBeach County in April. Visitwww.relayforlife.org to find an eventnear you.

April 5Boys & Girls Club of Palm Beach Countycelebrates its 13th Annual “Barefoot onthe Beach” at the Breakers Hotel. Foradditional information, visitwww.bgcpbc.org.

April 11The Lord’s Place “SleepOut” will takeplace at the Meyer Amphitheatre in WestPalm Beach. This overnight event aims toend homelessness in Palm Beach County.For additional information, visitwww.thelordsplace.org.

April 16Mercedes-Benz Corporate Run will takeplace at the Meyer Amphitheatre in WestPalm Beach. Registration fee is $40.00per team member. For additionalinformation, visitwww.mercedesbenzcorporaterun.com.

April 27Top Hats and Tea Cups Haute CoutureFloral Millinery Pageant to benefit Ali’sAlliance. The event will take place at thePGA National Resort in the Bella Lagoroom in Palm Beach Gardens. Cost is$60.00 for adults and $50.00 for children.For additional information, contact KellySeitz at 561-315-5477 [email protected]. You can also visittheir website at www.alisalliance.org.

global health tribune march 2014 issue

Documents

heart protection

heart experts

coronarydisease risk

total saturated fat

british heart foundationsaid

risk ofheart diseases

t h t r i bun e

trans fats