Feeling a bit down?

As we head into the winter months it is not uncommon for episodes of depression to increase at this time of the year. Seasonal depression occurs to many individuals, but those who are aware and make lifestyle changes can reduce its impact.

Making sure you maintain a regular exercise routine, eating a well balanced diet (as well as considering a multivitamin) and getting outdoors as much as possible. However there are times when it is best to seek help. If you feel yourself slipping deeper into a depressive mood, especially if you find yourself withdrawing from your usual activities and/or friends, then it may be time to get help.

The first step is to contact your health provider to ask for a referral. Other options include contacting your local health department for information about mental health services and providers. Asking your local  health center, religious organization, and community center are other places that may provide resources for mental health services.

There are now more online resources including online counseling. More and more health plans provide telemedicine services. Be smart about checking out these services in terms of length of counseling sessions, credentials of providers, and limitations of care.

Drug Resistant Bacteria…..

In the last several months articles have been cropping up in the lay press about drug resistant bacteria (DRB). The problem occurs when an infection can not be adequately treated because the drugs available are not effective against the bacteria causing the infection.  The current problem affecting 20 states in the US  also stretches across the globe to the Middle East  causing physicians in Tel Aviv angst as elaborated in USA Today

Health care providers, make your patients aware of this problem. Colleagues, stop prescribing antibiotics unnecessarily. Patients, stop asking us for antibiotics because you know it will make you feel better.

Every one of us needs to be aware, concerned and help in controlling this major problem in health care today.

Irritable Male Syndrome? … Male Menopause

Ever heard of this problem, Irritable Male Syndrom or IMS?  I was educated by my sister who lives in Tampa, Florida. It is certainly not something that should be ignored.

According to Jed Diamond, IMS is a multi-dimensional problem that affects and is affected by hormonal, physical, psychological, emotional, interpersonal, economic, social, sexual, and spiritual changes. One of the reasons it is so difficult to understand and deal with is its complexity. In our 21st century world of high technology and specialization we tend to see problems in either or terms.

Read more at http://www.menalive.com/

Let me know your thought! Comments welcomed.

Children’s Medicine Recall: Johnson & Johnson

J& J division recalls 43 medicines for kids

By Lyndsey Layton
A division of Johnson & Johnson is recalling 43 over-the-counter medicines made for infants and children — including liquid versions of Tylenol, Motrin, Zyrtec and Benadryl — after federal regulators identified what they called deficiencies at the company’s manufacturing facility.

Posted via email from drkenya’s posterous

My Take: Spread this information widely, especially to those in  your circles. Many people never listen to the news and may not hear about this recall.

Daily Physical Activity Prevents Weight Gain

Medscape from WebMD - Email This
Daily Physical Activity Prevents Weight Gain Only in Women With Normal BMI
MedscapeCME Clinical Briefs , 2010-03-26

March 26, 2010 — Daily physical activity is associated with less weight gain only among women whose body mass index (BMI) is lower than 25 kg/m2, according to the results of a prospective cohort study reported in the March 24/31 issue of the Journal of the American Medical Association. Approximately 60 minutes per day of moderate-intensity physical activity was associated with successfully maintaining normal weight.

“The amount of physical activity needed to prevent long-term weight gain is unclear,” write I-Min Lee, MBBS, ScD, from Brigham and Women’s Hospital, Harvard Medical School in Boston, Massachusetts, and colleagues. “In 2008, federal guidelines recommended at least 150 minutes per week (7.5 metabolic equivalent [MET] hours per week) of moderate-intensity activity for ‘substantial health benefits.”’

Posted via email from drkenya’s posterous

NYTimes.com: Lessons at Indian Hospital About Births

The New York Times

HEALTH | March 07, 2010
Lessons at Indian Hospital About Births
By DENISE GRADY
A small, underfunded hospital in Arizona, with about 500 births a year, is outperforming richer institutions when it comes to keeping Caesarean rates down.

Posted via email from drkenya’s posterous

My Take: Technology sometimes need to take a back seat. While we have more data in our labor and delivery units from all of our technology we may not be improving outcomes. Natural birthing methods should be encourage whenever possible. The rush to deliver often produces increases in the cesarean section rate.

NYTimes.com: Actress and Muslim Philanthropist Promote Women

The New York Times E-mail This
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WORLD   | February 22, 2010
Actress and Muslim Philanthropist Promote Women
By THE ASSOCIATED PRESS
UNITED NATIONS (AP) — What do actress Geena Davis, Britain's Duchess of York, Secretary-General Ban Ki-moon and the head of the World Congress of Muslim Philanthropists have in common?.

 

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Medscape: USPSTF Recommends Obesity Screening for …

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USPSTF Recommends Obesity Screening for Children Ages 6 to 18 Years
Medscape Medical News , 2010-01-22

January 22, 2010 — The US Preventive Services Task Force (USPSTF) recommends that clinicians screen children ages 6 to 18 years for obesity and refer as appropriate to programs to improve their weight status, according to evidence-based guidelines posted online January 18 and to be published in the February print issue ofPediatrics. The statement, which is an update of the 2005 USPSTF statement about screening for overweight in children and adolescents, is accompanied by a supporting systematic review and commentary.

“Since the 1970s, childhood and adolescent obesity has increased three- to sixfold,” write chair Ned Calonge, MD, MPH, from the Colorado Department of Public Health and Environment in Denver, and colleagues from the USPSTF. “Approximately 12% to 18% of 2- to 19-year-old children and adolescents are obese (defined as having an age- and gender-specific BMI [body mass index] at >95th percentile)….Previously, the USPSTF found adequate evidence that BMI was an acceptable measure for identifying children and adolescents with excess weight.”

The USPSTF evaluated evidence for the efficacy of pediatric weight management interventions that are feasible in primary care or referable from primary care. The task force also considered the evidence for the magnitude of potential harms of treatment in children and adolescents.

This evidence led the USPSTF to issue a grade B recommendation that clinicians screen children 6 years and older for obesity and provide obese children with intensive counseling and behavioral interventions designed to improve weight status, or that they refer them for such counseling and interventions.

Posted via email from drkenya’s posterous

My Take: Improving the health of our youth will help improve our communities. Regular screening for obesity is needed at each health checkup. Parents need to encourage their youth to get regular exercise. Educators need to advocate for physical activity in schools. Health care providers need to screen and educate their patients.

Health Information You Can Use!