global health tribune - january 2012 issue

Prsrt std

U s Postage

PaIdWest Palm Bch, Fl

PermIt No. 1340

FLORIDA HEALTH NEWSP.O. Box 213424

Royal Palm Beach, FL 33421

Global HealthGlobal HealthGlobal HealthT R I B U N E

More than one in 10 Americans over the age of 12 takes an antidepressant, a class of drugs that has become wildly popularin the past several decades, U.S. government researchers said. PAGE 2

Study Finds Drug AbuseHighest in Richer Nations

Also in this issue

About 200 million people worldwide use illicit drugs each year, and use is highest in wealthier nations, a newstudy shows. PAGE 2

Exercise is good for healthPAGE 10

Mayor Darrell Bowen and NuVistaLiving... A Perfect Combination PAGE 6

Simply 66 Brings Innovation to HealthCare Products PAGE 11

Global Study Finds Drug Abuse

Highest in Richer Nations .......2

Twist and Shout…

Is that your Ankle talking?......3

Two Whitey Grogans...............4

Management of Heel Pain.......5

Mayor Darrell Bowen and

NuVista Living... A Perfect

Combination ...........................6

Know the Signs of

Alzheimer's .............................7

“To Screen or Not to Screen –

That is the Question” (in

Prostate Cancer) .....................8

Exercise is good for health ...10

Simply 66 Brings Innovation

to Health Care Products........11

With Depression, Helping

Others May in Turn Help You12

Upcoming Medical Fundraising

Events for January 2012.......13

Saving for a "Collagen"

Education: Can We Go Any

Lower Than Toddlers &

Tiaras?..................................14

Have confidence knowing your

injectable wrinkle filler will

provide long lasting results

with Artefill ...........................15

Serving: Jupi ter n Boca Raton n Boynton n Lantana n Lake Worth n Belle Glade n Well ington n Royal Palm Beach n Palm Beach Gardens

J A N U A RY I S S U E - 2 0 1 2 w w w. g l o b a l h e a l t h t r i b u n e . c o m

WWW.GLOBALHEALTHTRIBUNE.COM2 JANUARY ISSUE • 2012

CONTRIBUTING ARTICLESU.S. Department of Health and Human Services,

ARA Content, Hispanic PR Wire, Centers for Disease Control and Prevention,METRO Editorial Services, Family Features

© SEA PUBLICATIONS, INC.ALL RIGHTS RESERVED. Printed in United States.

CONTACT USP.O. Box 213424

Royal Palm Beach, FL [email protected]

Deborah LynnStaff Writer and Sales Executive

[email protected]

Erica WhymanStaff Writer and Sales Executive

(561) [email protected]

GRAPHIC DESIGNSergio Aguilar (561) [email protected]

Global Health Tribune is a newspaper published every month in Palm Beach county and surrounding areas. Copyright 2012, all rights reserved by SEA Publications, Inc. Contents may not be reproduced in any form without the written consent of thepublisher. The publisher reserves the right to refuse advertising. The publisher does not accept responsibility for advertisement error beyond the cost of the advertisement itself. All submitted materials are subject to editing.

Global Health- T R I B U N E -

Persistence Is Key to Losing Weight and Keeping It OffMastering any newskill, includingeating right andexercising, takespractice, expert says.

Losing weight is one of themost common New Year'sresolutions, but changing

long-held behaviors is a skill in it-self, a medical expert says.

To shed unwanted pounds andkeep them off, people have to beready to face some setbacks andkeep on trying, said Dr. JessicaBartfield, an internal medicineand medical weight-loss special-ist at Gottlieb Memorial Hospital,part of the Loyola UniversityHealth System.

"People need a motivation to loseweight and the new year is anopportunity to start fresh,"Bartfield said in a Loyola newsrelease. "Behavior change is thecornerstone of healthy, successfulweight loss and it takes aboutthree months to establish a newbehavior," she pointed out.

"When you learn to ride a bike,you expect that you will fall

down a couple times and are pre-pared to try again and get backon; you need to have the sameexpectation with weight loss andto plan accordingly," sheexplained.

Only 20 percent of Americanswho've tried to lose weight willkeep the weight off after oneyear, according to the U.S.Centers for Disease Control andPrevention. Bartfield offered thefollowing tips to help reverse thistrend and help people achieveand maintain their weight-lossgoals:

n Don't skip breakfast. "Eatingwithin one hour of awakeningcan boost your metabolism upto 20 percent for the rest of theday," Bartfield said. "Eatingsomething is better than eatingnothing, but ideally try toincorporate protein for longer-lasting fuel."

n Have a weekly weight check."Monitoring your weight on aweekly basis provides a fairlyaccurate weight trend and,more importantly, an earlydetection of any weightregain, which allows you to

adjust behaviors accordingly,"Bartfield said.

n Exercise for one hour everyday. "Snow shoveling, vacu-uming, taking the stairs -- youdon't have to run like a hamsteron a wheel for 60 minutes.Take three 20-minute briskwalks, or compile the one hourbased on a series of activities,"she advised.

n Limit TV to fewer than 10hours each week. "Manyargue they don't have time toexercise, but when I ask themto count the hours they spendwatching TV or surfing theNet, they are able to find thetime for activities where theyare moving instead of sitting,"Bartfield said.

n Keep track of your physicalactivity. "Park your car fartheraway, take the stairs, manuallychange TV channels -- theseare all simple ways to get morephysical activity and you needto write them down as they areperformed to keep yourselfhonest," Bartfield said. "Alsowearing a pedometer can helpaccurately document and track

your progress."

n Keep track of calories. Donot underestimate how manycalories you consume at eachmeal.

n Set clear, realistic goals.Avoid setting vague goals.Objectives need to be specificand attainable. People can startby trying to lose 10 percent oftheir body weight, Bartfieldrecommended.

n Be consistent. "Eat at regularintervals seven days perweek," Bartfield advised."Being 'good' on the weekdaysand then splurging on theweekend creates a harmfulcycle that discourages weightloss."

n Plan for setbacks. "When youlearn to drive, or learn a sportor musical instrument, youmake mistakes and you havean experienced instructor --maybe even several -- to helpcorrect the mistakes and pre-vent repeats. Enlist a trustedfriend, or enroll in a programto learn and master the rules ofweight loss," Bartfield said.

Global Study Finds Drug AbuseHighest in Richer Nations

The researchers also foundthat the burden of healthproblems caused by il-licit drug use in devel-

oped countries is similar to thatcaused by alcohol, but much lessthan that caused by tobacco.

Experts in the United Statesweren't surprised by the numbers,and said that more needs to bedone to reduce Americans'dependence on illegal drugs.

The study "serves to confirmsomething addiction experts haveknown for some time -- that theextent of illicit drug use andabuse in developed countries likethe United States has reached epi-demic proportions," said Dr.Jeffrey T. Parsons, a professor inthe department of psychology atHunter College, in New YorkCity.

The analysis of available datafrom a team of Australian

researchers estimates that thereare up to 203 million marijuanausers, anywhere from 14 millionto 56 million amphetamine users,14 million to 21 million cocaineusers, and 12 million to 21 mil-lion opioid users around theworld.

The researchers also estimate thatthere are 15 million to 39 million"problematic users" of opioids(which include prescriptionpainkillers such as Oxycontin orVicodin), amphetamines orcocaine, and 11 million to 21 mil-lion people who inject drugsworldwide.

Marijuana use appears to be high-est in Oceania (Australia/NewZealand), with up to 15 percent ofthose aged 15 to 64 using thedrug, according to estimatesmade by the UN Office on Drugsand Crime. Amphetamine usewas also highest in Oceania (2.8percent of this age group), while

use of heroin and other opioidswas highest in the Near andMiddle East (up to 1.4 percent).Cocaine use was highest in NorthAmerica (1.9 percent).

There is no gold-standard methodfor estimating the true number ofillicit drug users and no onemethod is ideal for all drugs or allcountries, said LouisaDegenhardt, of the National Drugand Alcohol Research Centre atUniversity of New South Wales,Sydney, and the Burnet Institutein Melbourne, and colleagueWayne Hall of the University ofQueensland Centre for ClinicalResearch in Brisbane.

Lack of data also means there areno estimates of the extent of use,or the health effects, of Ecstasy;hallucinogenic drugs; inhalants;or non-medical use of benzodi-azepines such as valium or ana-bolic steroids.

The toll on human health fromillicit drug use is enormous.According to the investigators,the most recent (2004) data fromthe World Health Organizationsuggest that illicit drugs caused250,000 deaths that year, com-pared with 2.25 million deathsfrom alcohol and 5.1 milliondeaths due to tobacco.

Years of life lost because of illic-it drug use were 2.1 million, com-pared with 1.5 million for alco-hol. That's likely because drugdeaths generally affect youngerpeople while deaths from alcohol(and tobacco) tend to affect mid-dle-aged and elderly people, theresearchers said.

Illicit drug use also caused 13million years lost to disability(disability-adjusted life years, orDALYs).

Wealthy nations, including theUnited States, are lagging inefforts to beat back the scourge ofdrug abuse, experts said.

"Unfortunately, the U.S. has madelittle progress in the preventionand treatment of drug abuse in thepast decade," Parsons said. "Moreresearch is needed on effectiveeducational and prevention pro-grams designed to reach youngpeople before they begin touse/abuse illicit drugs," he added.

And expert Dr. Marc Galantersaid that "it is important that wecall attention to very serious drugabuse problems that still exist inthe United States. For example,we are seeing recent increases inabuse of painkillers in the UnitedStates, as well as the abuse ofMDMA [Ecstasy] by adolescentsand young adults. Abuse of theseparticular drugs is not prevalentin less industrialized countries."Galanter is director of the divi-sion of alcoholism and substanceabuse at NYU Langone MedicalCenter/Bellevue, and a professorof psychiatry at the NYU Schoolof Medicine, in New York City.

About 200 million people worldwide useillicit drugs each year, and use is highest inwealthier nations, a new study shows.

WWW.GLOBALHEALTHTRIBUNE.COM JANUARY ISSUE • 2012 3

Arthur Hansen DPM, M.S.

GET BACK ON YOUR FEET!LA PODIATRY GROUP, LLC

(561) 433-5577

Podiatric Physicians & surgeons

Whirlpool

with

every

visit!Dr. Arthur HansenDr. Lori Lane Dr. Juan Sardina

Dr. Daniel Heck Dr. Shelley Plumb

Personal & Gentle Care For:

• Diabetic Foot Care • Hammer Toe,

• Fracture Care • Ingrown Nails, Bunions

• Ankle/Heel/Foot Pain • Poor Circulation,

• Neuropathy • WOUND Care

• Custom Molded Orthotics • Diabetic Shoes

Conservative & Surgical Treatments Available

MedicareMedicaid

HCD - PPO & Most Insurances

Accepted

3347 State Rd 7 Suite 204Wellington, FL 33449

2326 S. Congress Ave. Suite 1-AWest Palm Beach, FL 33406

Call to make your appointment

(561) 433-5577

WEST OFFICE:

3347 SR 7, Suite 204Wellington, FL 33449

EAST OFFICE:

2326 South Congress Ave.Suite 1-A

West Palm Beach, FL 33406

We have all done it.You know, twistedor turned an ankle.Some of us were

stepping off a curb, some beingthe ‘weekend warrior’ and otherswearing those just a bit too highheels; but we have all done it. Theankle got really swollen, red andbruised, and luckily for most ofus, after a few weeks we wereback to normal. However, some-times a twisted ankle doesn’t getback to normal. Continued pain,clicking, and/or swelling severalweeks after twisting ankle can in-dicate a more serious injury.

Ankle sprains are very commonafflicting approximately 25,000people each day. The ankle isheld in place largely by three lig-aments. These ligaments areelastic in nature stretching withnormal movements of the ankleand then returning to their normalsize. When the ligaments areforced to stretch outside their nor-mal range, like with severe twist-ing, they are considered sprained.This causes varying levels ofswelling, redness, bruising andpain. The ligaments can be slight-ly sprained or completely torn.

When diagnosing an ankle sprainyour doctor will take a detailedhistory, palpate different areas ofthe ankle, determine any limita-tions of range of motion, andorder an x-ray to rule out anyfracture or bone chip.

Treatment for ankle sprainsdepends on the severity withRest, Ice, Compression, andElevation comprising the back-bone of medical recommenda-tions. Non-steroidal anti-inflam-matory medications are usuallyprescribed as well as varying lev-

injuries could include instabilityof the ankle, fractures or bonechips that were not seen on theinitial x-ray. Advanced diagnos-tic procedures such and MRI’sand CT scans are valuable toolsutilized in diagnosing chronicpain and swelling following anankle sprain.

Sometimes these complicationsfollowing an ankle sprain require

surgical intervention includingbut not limited to arthroscopicsurgery or repair of the torn liga-ments to regain stability about theankle joint.

Stretching and proper shoe gearare important preventive anklesprain measures. As is being wellaware of the terrain you are walk-ing or running on.

Long term complications fromankle sprains are usually pre-ventable if the diagnosis is madeearly and treatment plan is initi-ated as soon as possible after theinjury. If you have continuedpain and swelling after an anklesprain it is best to have it evalu-ated by a doctor.

Twist and Shout… Is that your Ankle talking?

els of weight bearing. Physicaltherapy is also used to increasestrength of the stretched liga-ments, increase range of motionof the ankle and to decrease pain.This conservative treatment regi-men is adequate to allow mostsprains to heal.

However, if an ankle sprain con-tinues to be painful and some-times swell after the initial injuryand treatment, a more seriousinjury may have occurred. Such


Two Whitey GrogansDidn’t matter that I never saw theshiny cruiser he patrolled the streetsin, and that, when I knew him, hischariot was a beat up, white Pontiacwith a trunk filled to the brim withdozens of used tennis balls and rac-quets in case the grandkids dropped inwith the challenge of a “Million DollarMatch.” Didn’t matter that I never wit-nessed his blazing forehand. Instead,he beat us by routinely hitting the balla hundred feet into the air, shouting“Duck Soup!” and hurling hilariousinsults designed to distract us. Thus,by the time the stupid ball finallyreturned to earth, my sister and Iwould be laughing so hard the best wecould offer was a drunken, feeble,“Whiff!” at the empty air. None of thatstuff mattered, though. To me, he wasstill Whitey Grogan. As strong and tallas he ever was. I was in awe of thestories he told, the places he took us,and the ice cream he bought us afterservices on Fridays. Years removedfrom chasing criminals in real life, hesettled for chasing them on stage in hiscommunity productions of Guys andDolls and the like, but he never losthis swagger.

Fast forward about a decade later, andI’m helping my grandfather go to thebathroom, as Parkinson’s has all buteviscerated every trace of the once-strapping, tough-as-nails, New Yorkdetective who once occupied this with-ered, old shell of a man that stoodbefore me. When he passed on NewYear’s Eve 1996, it left a void in methat will never be replaced. To say hewas irreplaceable would be a severeunderstatement. Yet, he was gone. Athis funeral, my father said, “WillRogers once said, ‘I never met a man Ididn’t like.’ Well, I never met a manwho didn’t like Abe.” To me, thatsummed it up perfectly. After his pass-ing, we all did our best to move on.What choice did we have?

For the next few years, my grandmoth-er did her best as well, attending anoccasional dance or social function,but she always went alone, unescorted.I only knew him for a third of his life,when his best years had already passedhim by, but knowing my grandfatheralmost all her life, I can’t even beginto imagine the void that he left in her.But, she was a trooper and, to all ofour surprise, kept on keepin’ on. Iguess you don’t raise three kids in thefifties in the Bronx without a back-bone of your own.

As I grew older and learned to livewith my grandfather’s memories and,what feels to this day as his constantpresence, I realized he didn’t leave a‘void.’ He left a ‘space’ that was hisspot in our hearts. That will always behis spot. And it is not a void. It is theexact opposite. It’s a space completelyfilled with his voice, his laughter, hispranks, and his lessons. Good luck try-ing to top, or even equal that, for anyof us, let alone my grandmother.

Meeting someone new after a six-yearrelationship is difficult enough whenyou’re young. Meeting someone afteralmost a sixty-year relationship, whenyou’re on the wrong end of eighty, hasto be just terrifying. Add to that, thelegacy left by “Whitey Grogan” andyou can see what, unbeknownst tohim, this man -this short, jovial, unas-suming, Hoboken-born truck drivernamed, “Irving,” was up against. Ithink the only thing in his favor wasthat he didn’t know. How could he?Sometimes ignorance is not only blissit is a necessity.

I can’t remember exactly when it was,but some point, maybe around 2001,my mother started saying the name‘Irving’ when mentioning my grand-mother; “Irving’s taking your grand-

mother to dinner.” Or, “Your grand-mother’s bringing Irving to the partynext week.” At first, I was incrediblyprotective; not only of my grandmoth-er, but of my grandfather as well. Whois this guy who thinks he can come inand take the place of my life-longhero? This guy drove a truck all hislife while my grandfather was makingthe entire city a safer place to be andrisking his life on a daily basis. Not tomention, physically, he was no match,either. And yet, here was Irving. Hestood closer to five than six feet, wad-dled when he walked because of abum leg, could hardly hear you, andhad a nose and a voice like JimmyDurante. Turns out, my grandmother,not willing to ‘settle’ for anything lessthan the handsome prince she felt shedeserved, rejected this “Irving” at leastten times before finally caving andagreeing to ‘a date’ (What exactly youdo on a date in your eighties is any-body’s guess). My grandmother was abeauty queen who would routinely getmistaken for my mother’s sister whenshe was younger. She and my grandfa-ther painted quite the striking picturewhen they were in their prime, andeven later on as well. Compared toher, Irving was chopped liver. But,eventually, his persistence won over

the lonely princess and she capitulated.

Next thing you know, they’re insepara-ble. Going on cruises, out to fancydinners, etc., etc. If there was one arealacking in my grandmother’s life, itwas my grandfather’s frugalness. Itwasn’t that he was ‘cheap,’ it’s just theway he was raised. He put everypenny away for a rainy day, neverspending a dime on anything hedeemed ‘unnecessary’, as that moneywas for my grandmother come a timewhen “I’m not around anymore.”Thus, they never went anywhere or didanything unless my parents took themalong. You can imagine how happy mygrandmother was to finally be given ataste of what all her friends and neigh-bors had been bragging about and urg-ing her to do all those years. Maybethis Irving wasn’t such a bad guy afterall.

For the next two or three years, that’sthe way it went. Irving and my grand-mother were boyfriend and girlfriend.Birds of a feather. Both of these birdshad long lost most of their actualfeathers, but they flocked on, nonethe-less, completely enjoying each other’scompany. Once, she even confided inme they still had sex -or at least, “aform of it.” I didn’t know whether tolaugh or cringe in horror. How do youreact when your almost ninety-year-old grandmother decides to have a sextalk with you out of the blue? GeorgeBurns once said, “Sex after eighty islike shootin’ pool with a rope,” so Ican’t even imagine what they did ortried to do, but the thought of two peo-ple that late in life still trying to pleaseeach other was quite beautiful to me.

On one particular visit, I realizedIrving was beginning to grow on me;on all of us. He was always by herside, and by default, ours, and she

seemed to really like him, as did we.Perhaps she even loved him? Sure, hewasn’t Clark Gable, but whatever sheneeded -doctor’s appointments, footmassages, a return to Marshalls -Irvingwas there. He was older than mygrandmother by a full year, so hewould often joke he was “robbing thecradle.”

As I got to know Irving, I grew torespect him more than I ever thought Iwould. Turns out, he fought on D-Day,went to school with Frank Sinatra, andoriginally thought my sweet nana was'a snob'. He wasn’t just a ‘truck driv-er,’ either. He worked three truckingjobs while supporting his family (oneson became a police captain and theother a district judge). He’d work his9-5 job, then, go straight to anotherwhich lasted ‘til about ten or eleven,then he’d go to a third which he wouldwork until about six in the morning,get home in time for a whole twohours sleep, then start the whole dayover. He did this for forty years withalmost no vacation time. My firstthought, after “You’re crazy!” and“How the heck can anyone even dothat?!” was, “You’re lucky you didn’tkill anybody driving twenty hours aday, six days a week, for forty yearswith practically no vacations!” ButIrving insisted he never needed sleep.He just didn’t. And, as he continues toprove to the rest of us, even now atninety-four, by waking up at four a.m.to drive an hour in total darkness toMiami Int’l Airport to pick up his sonwho took the redeye, he still doesn’tappear to need a good night’s sleep.The bottom line is, as I would come tolearn tenfold down the line, the manhad an unbreakable spirit.

A few years into their relationship, mygrandmother began having ‘episodes’.T.I.A.’s the doctors call them; mini-strokes, which eventually resulted inher driver’s license being taken away.My grandmother was a fiercely inde-pendent woman all her life, so havingto suddenly rely on someone just to goto the supermarket was a major adjust-ment for her; and for my parents aswell. But there was Irving. Every, sin-gle day for months on end, he wouldchauffeur his best girl around town,saving my folks gas, time, and, moreimportantly, heaps of stress. My par-ents were a half-hour plus from mygrandparents, thus when my grandfa-ther was diagnosed with Parkinson’s,they did the back and forth every dayfor ten years; sometimes twice or morein a day. Now, as my grandmother,too, became increasingly dependent onthose around her, my parents at leasthad some help. Irving, it seemed, wasnot only a blessing for my grandmoth-er, but for the rest of us as well.

When my grandmother fell and brokeher hip in two places, and needed to beadmitted to a rehab, there was Irving.The rehab wasn’t around the corner forhim, either. It was near my folks. So,while most men his age, who had livedmuch easier lives, sat staring blanklyat a flat screen in some old age homegurgling into their oatmeal, ninety-twoyear-old Irving would drive to therehab, stay there all day, every day,then drive home at night; only torepeat in the morning. Occasionally,my folks would convince him to staywith them, but he was so full of prideand stubbornness, he would refusemost of their requests, even demands.That’s Irving. “I don’t wanna be abother,” is his favorite expression.Eventually, after many, many monthsof watching this seemingly indestructi-ble, Jewish Iron-Man bail them out, orarrive in the nick of time to assist inthe care of my grandma, my motherdeveloped an acronym; “TGFI”-Thank God for Irving. It has becomeour mantra.

When my grandmother suffered themajor stroke, just months after finallyrecovering from the broken bones, therehabs, the doctors, and the therapists,who was holding a vigil with us at herbedside while she lay in a coma, closeto death? You guessed it. The strokewas a big one and left my oncevibrant, energetic, and happy-go-luckygrandmother with a lifeless right arm,trouble speaking, and a myriad ofother issues, such as, but not limitedto; severe incontinence, food aspirat-ing, complications from dozens ofmedications, and basic, overall help-lessness. The woman who relished thechance to upstage my professionalsinging mother every chance she gotwith a rousing rendition of New York,New York that would almost alwaysbring the house down, was now virtu-ally bedridden and in need of constantcare.

As the money began to drain from hersavings, and all the good times mygrandfather chose to pass up so thelove of his life would have securitywent for naught, it was Irving whoarrived every day, like a geriatricLancelot, to sit with the nurse andassist her with anything and every-thing my grandmother needed. Irvingthe ninety-year-old 'truck driver' wasindeed much more than met the eye.

My parents and Irving became ahome-health tag team. If one wasn’table to get there, the other would.While all this was going on, Irving hadhis own health issues to deal with. Atone point about a year ago, he wasadmitted to the hospital with a liverinfection and, for a time, it looked likehe wasn’t coming out. It not only feltlike we were again losing a member ofthe family but one we had come torely on implicitly. Miraculously, as mygrandmother had done half a dozentimes herself, Irving cheated death,and, just days after leaving the hospi-tal, was back at my grandmother’sside.

Now, as I type this and my grandmoth-er lay in her hospice bed, unaware ofher surroundings, completely unable tospeak or to feed herself, and we pre-pare for the final moments of her life,once again, it is with Irving by ourside. This time his son had to drivehim, as a particularly tough day ofdialysis has left him very weak. Butyou’d never know it. True to form, hehasn’t complained a bit.

Just like my grandfather, my grand-mother’s mind and razor sharp withave been the last things to go. So weknow it’s time.

I’ve heard stories of men half his agewho abandon their wives after yearsof marriage for a tenth of the hasslesand nightmares Irving’s had to endurewith my grandmother. And they’re noteven married. They’re just boyfriendand girlfriend. They’ve known eachother only a tenth of their lives. Theymet less than ten years ago when bothwere at, what they thought, was theend of their lives. They'll never sharea ski trip together or a wild, drunkennight of passion under the lights ofParis. Yet, I still can't help but envythem. It’s amazing how, just when youthink it’s over and all your work isdone, it’s just the beginning. It’samazing how one person’s selflesscommitment to another can affect thelives of so many.

As I reflect on the saving grace thisunsuspecting man with the funny walkwho came out of nowhere has been tomy parents, my entire family, and me Ican’t help but think there will foreverbe two Whitey Grogans in my life. Welove and thank you for everything,Irving Goldstein. God bless you.

When he was a youngman, my grandfatherwas quite the formida-ble figure. Tall, hand-

some, in great shape, and, dressed inhis NYPD blues, the last thing youwanted to see in front of you if youwere a criminal. Working his way upthrough the ranks, he eventually madedetective, and did it at one of the mostnotoriously dangerous precincts in thecity, the 41st, also known as FortApache and made famous by PaulNewman in the classic film from theearly eighties. Throughout his careerhe was awarded several citations forbravery in the line of duty – in one in-stance, while moonlighting as a super-market security guard, he ended up in ashootout in the streets with an escapedmurderer which turned into a toe-to-toebrawl; one where my grandfatherfound himself being pummeled in theface with the butt of his own gun, onlyto somehow recover and subdue thesuspect with the help of a 300lb. NewYork cabbie nicknamed, ‘Tiny’.

This event in my grandfather’s lifewould eventually be turned into legendin a book entitled Growing Up Bronx,as the author, then just a nine-year-oldboy, witnessed the entire battle fromhis bedroom window. He even gavemy grandfather a name that echoedwith the stuff heroes are made of,Whitey Grogan. If you didn’t know,you’d assume Whitey Grogan was amythical figure along the lines of BabeRuth or Elliot Ness; which, to me, hewas.

Didn’t matter that his real name was“Abe” or that the guy I knew wasmore famous for swiping napkins andketchup packets from McDonald’s, asopposed to beating escaped convictsinto submission with his bare hands.

By David Fagin

david Fagin is a New York-

based wwriter/ producer/

musician and the founder of

indie-rock icons, the

rosenbergs, the first band to

go 'viral' back in the 1800's

when the term still meant

infection. along with legendary

progressive rock master,

robert Fripp, the rosenbergs

were instrumental in paving

the way for artists to begin

partnering with labels, thus

giving them a share in the

ownership of their masters

and better control of their

financial futures. an artists'

rights advocate, david has

testified on capitol hill,

lectured at harvard, appeared

on howard stern alongside

Kiss' gene simmons, made

dennis miller laugh, and

shared the stage w/ artists

such as No doubt, the

strokes, and duran duran.

he's contributed to Billboard

and aol News, and even

worked with the muppets.

david's music can be heard

on dozens of television shows

and in retail stores around the

country. his song 'Birds of a

Feather' was recently used as

the theme to the sitcom

'accidentally on Purpose' on

cBs. he is also a food snob.


Edward R. Becker, M.D.Rafael R. Lopez, M.D.

Georgis Patsias, M.D.Damian Portella III, M.D.

specializing in the treatment of all diseases of the Urinary tract, Urinary Incontinence, laser

surgery, erectile dysfunction, Penile Implants, Prostate cancer, Urologic oncology, stone

disease, Ultrasonic shockwave theraphy, Vasectomy, Infertility and Pediatric Urology.

4 convenient locations with offices in Wellington, Palm springs, Boynton Beach and Belle glade

main office:

Palomino Park III Medical Center3347 state road 7, suite 101

Wellington, Fl 33414

call for an appointment.

(561) 790-2111se habla español

World Class, state of the art Urologic Treatment in your local communityby Specialists Who Care.

Management of Heel PainAbout 10% of allAmericans will sufferwith pain on thebottom of their heelsat some pointthroughout theirlives. There arenumerous reasonsthat people developthese plantar heelsymptoms.

Trauma, stress fractures orcontusions of the heel,thinning of the fattycushion underneath the

heel, pinched nerves, circulationproblems, infections, tumors, andplantar fasciitis are some of thesereasons. The correct cause of the heel paincan usually be discovered by athorough history, physical exami-nation, and X-rays. Seldom, fur-ther investigation to make thediagnosis may need to be doneincluding MRI, blood work, ornerve studies. The majority ofcases with people suffering painon the undersurface of the heelare caused by plantar fasciitis.This condition is an inflammationand degeneration of the strong,fibrous tissue (the plantar fascia)that stretches from the bottom of

the heelbone to the toes. A heelspur is often associated with thiscondition. In the past, surgerieswere commonly done to removethese heel spurs but we nowbelieve that the spur itself israrely ever the cause of the pains. Once the diagnosis of plantarfasciitis is made there is usually avery good chance that the paincan be eliminated without anysurgery or invasive procedures.With the proper nonoperativetreatments about 90% of peoplesuffering with plantar fasciitiswill have their symptoms resolve.Treatment can be divided intothree broad categories: reducinginflammation, tissue stretching,and lessening of heel impact.Decreasing the inflammation canbe achieved in a number of ways.Over the counter oral anti-inflam-

matories (like Advil, ibuprofen,etc.) can help, though sometimesa prescription strength anti-inflammatory is necessary. Thereare also anti-inflammatory treat-ments that can be applied directlyto the area of heel pain.Prescription patches or gels withanti-inflammatory medicationcan be applied to the inflamedheel with a beneficial effect. Anice massage to the affected heel isanother way to decrease inflam-mation as well. A tight Achilles/plantar fasciacomplex is one of the factors thatcan be involved in the develop-ment of plantar fasciitis.Therefore, a program of stretch-ing exercises can be used tomaintain flexibility of theinvolved tissues. These exercisesare relatively simple and can usu-ally be done on one’s own. Aphysical therapist can also beinvolved if desired to help withthe stretching program and forother treatments to the tissues.Using a night splint is anothermethod of keeping the tissuesstretched. Normally when some-one is sleeping the ankle relaxesand points downward allowingthe Achilles/plantar fascia com-plex to shorten. It then becomestight in that shortened positionover the hours of sleep. On thefirst step out of bed the tissues arethen abruptly stretched whichcauses more stress and microtear-ing to the inflamed area of theplantar fascia. A night splint is a

device worn at night while sleep-ing that keeps the ankle and footin a position that does not allowthe tightening of the tissues (andtherefore prevents the reinjury tothe plantar fascia describedabove).The third category of treatingplantar fasciitis is reduction ofthe impact on the heel. Propershoe wear is very important. Thisinvolves a shoe with a firm heelsupport that has a sole that bearssome of the impact of walking.Therefore, walking barefoot or inflimsy flip-flops would not beadvisable. This is especially trueon hard surfaces such as tile.Another option to lessen heelimpact is the use of a heel insert.A silicone gel heel cup can pro-vide a great deal of shock absorp-tion if it is properly made. Manyof the commonly found gelinserts are too thin and thereforedo not provide the impact resist-ance you need. Lastly, modifica-tion of activities may be a way tolessen the impact that the heel istaking. If recreational activitiesinclude jogging, aerobics, or evenprolonged walking, a change inroutine may help alleviate thepains from the plantar fasciitis.For instance, including more non-impact activities such as swim-ming or riding a bike can make abig difference in allowing thingsto heal up more quickly.There are few times when follow-ing these treatments diligentlydoes not result in elimination of

the pains. If pain does persistthere are other options.Extracorporeal shock wave thera-py (ESWT) can be effective forchronic plantar fasciitis that hasbeen unresponsive to the aboveconservative treatments. ESWTconsists of a machine that pro-duces shock waves that are deliv-ered to the area of the plantarfasciitis and may stimulate heal-ing of the tissue. This involvesno incisions or opening of theskin whatsoever. This shockwave therapy should only be per-formed by a physician trainedand certified in using themachine. Ultimately if none ofthe nonoperative measures suc-ceed in eliminating the painsfrom plantar fasciitis then surgeryis considered. This involves cut-ting part of the plantar fascia offof its attachment at the heelboneto relieve some of the stress there.This should not be taken lightly(or chosen as the first line oftreatment) as it does have risksassociated with it.Due to the variety of causes andthe potential for debilitating painaffecting one’s quality of life,people who have plantar heelpain are encouraged to visit anorthopedist that specializes intreating foot and ankle condi-tions. Making the correct diagno-sis and then being guided throughan appropriate treatment protocolcan manage and eliminate plantarheel pain and allow people toenjoy a good quality of life.

Robert Rochman, M.D.

Orthopaedic Surgery


Advertise with us!Global Health Tribune has the audience you want.

Call us: 561-308-1428 312-351-2383

E-mail: [email protected]

Mayor Darrell Bowen and NuVista Living...A Perfect Combination

By Deborah Lynn

An intimategathering ofsupporters andfriends attended the

campaign fundraiser forMayor Darrell Bowen onDecember 19. The event washeld at NuVista Living atWellington Green. NuVista istruly a beautiful, warm, andinviting community that offersa magnificent lifestyle.

Benjamin Boynton and RobertCampion.

Paul Walczak, Dr. Jeffrey Bishop, Mayor Darrell Bowen, Shariffa Gunawardene, Dr. Ishan Gunawardene, andCharlene Bishop.

Patricia Walczak, Paul Walczak and Irene Walczak.

Francine Nelson, Mayor Darrell Bowen and Shauna Hostetler.

Dr. Ishan Gunawardene, Linda Humphrey, Jerel Humphreyand Benjarmin Boynton.

Charlene & Dr. Jeffrey Bishop, Kevin & Chiara Bell.

Councilwoman, Anne Gerwig and Shauna Hostetler.

Al Bennet and Dean Tendrich.

ALL FOR ONEHome Health Care, Inc.

“Helping Hands for Your Wellness”

w w w . A l l F o r O n e H H C . c o m

PALM BEACH COUNTY

Phone: (561) 433-5677Fax: (561) 433-8191

ST. LUCIE COUNTY

Phone: (772) 403-2563Fax: (772) 403-2564

OKEECHOBEE COUNTY

Phone: (863) 393-0004Fax: (863) 393-0600

VCORPORATE OFFICE

2326 S. Congress Ave. Suite 2-E West Palm Beach, FL 33406Phone: (561) 433-5677 • Fax: (561) 433-8191

We are a team of healthcare professionals who make your own home a transition after hospital or nursing home stays. But, moreover, All For One focuses on your health

and your ability to live at home safe, happy and independent.

Our team of highly qualified healthcare professionals we can send to your home includes:• Skilled Nursing • Physical Therapy • Home Health Aides• Occupational Therapy • Speech Therapy • Medical Social Work


Why do men and women dis-agree about what is consideredcheating? - Confused

Dear Confused:Most women characterize anytype of physical or emotionalintimacy as cheating. Whilemen on the other hand, areharder to pinpoint. Some menare "aware" enough to internal-ize emotional intimacy withanother woman as a violation;while others believe only phys-icality is cheating. Either way,whether for a man or a woman,the definition of cheatingcomes down to their personalcharacter and will be differentfor everyone. If you establishguidelines at the beginning ofyour relationship, you caneliminate any issues that mightcome up in the future.

DEAR DEBORAH:I have been dating a woman forsix months now. She’s 42,never been married and notalways mentally present whenwe’re together. When we’re inbed and getting physical, shewill just get up and walk awayin the middle. What do youthink?- What’s Her Problem?

Dear What’s Her Problem:

I believe there are truly more

DEAR DEBORAHquestions than answers at thispoint. Has she acted this waysince the beginning of your rela-tionship? Have you ever had aconversation with her in relationto her behavior and how it bothersyou? Personally, I would sit herdown and have a discussion withher as to how her lack of focusbothers you. If you continue toavoid the issue, you are in factenabling her. If you cannot getthe resolution you need, than Isuggest you find another womanthat shows a genuine interest inbeing with you. Good luck!

DEAR DEBORAH:I always date one guy at a time.My friends think that I need toopen up and explore my options. Idon’t think I would be comfortabledoing this. What would you do?- One Man at a Time

Dear One Man at a Time:You have to do what makesYOU happy. If your friendsdate multiple people, than that iswhat works for them. However,there is nothing wrong withfocusing on only one person. Ihave always felt that when youdate more than one person at atime, that you tend to care morefor one than the other(s). Ibelieve in giving a relationshipyour all and I don’t believe youcan do that if you go out withseveral people at the same time.

Dear Deborah is a monthly advice column written by Deborah Lynn with a common sense approach to

dating. If you have any questions or comments, please forward them to:

[email protected] as we would love to help.

Know the Signs of Alzheimer's

Knowing the warning signsof Alzheimer's disease isimportant because it may

lead to an early diagnosis, expertssay. According to the Alzheimer'sAssociation, early diagnosis en-ables patients to:

n Plan ahead for the future.n Potentially take part in a clini-

cal drug trial.n Start treatments that may help

maintain independence for alonger time and possiblyimprove symptoms.

n Be involved in decisions abouttheir care, living options,financial and legal matters.

n Cultivate relationships withdoctors and care partners.

n Take advantage of care andsupport services that make iteasier for patients and familiesto manage the disease.

n Alzheimer's disease, a progres-sive brain disorder, is the mostcommon type of dementia seenin the elderly. In a recent newsrelease, the association listedthe 10 warnings signs ofAlzheimer's:

n Memory loss that disruptsdaily life. This includes forget-ting recently learned informa-tion, forgetting important datesor events, repeatedly askingfor the same information, andrelying on memory aides orfamily members for things thatused to be handled on one'sown.

n Challenges in planning or solv-ing problems. For example,becoming unable to develop orfollow a plan or work withnumbers, having difficulty

keeping track of monthly billsor following a recipe, difficul-ty concentrating, and takingmuch longer than normal to dothings one has done before.

n Difficulty completing familiartasks at home, work or atleisure. This may include get-ting lost while driving in afamiliar area or needing helpusing the microwave.

n Confusion with time or place.People may forget where theyare or how they got there.

n Trouble understanding visualimages and spatial relation-ships, such as judging distance.

n New problems with spoken orwritten words. A typical exam-ple is calling things by thewrong name.

n Misplacing things and losingthe ability to retrace steps inorder to find lost objects.

n Declines in judgment or deci-sion-making. For example,giving large amounts of moneyto telemarketers or paying lessattention to grooming andkeeping clean.

n Withdrawal from work orsocial activities.

n Changes in mood and person-ality. For example, becomingeasily upset as well as con-fused, depressed, fearful, anx-ious or suspicious.

DEAR DEBORAH:I have been dat-ing this guy forseven months.I am loyal tohim, but I think he’s dating oth-ers. I can really see myself withthis guy down the road. But,when I ask him if I am the onlywoman he’s dating, he backs offfor a few days. What can I do toget him to commit? - Commitment Issues

Dear Commitment Issues:I hear this all the time.Personally, I’m old fashioned andbelieve in having only one personin my life. Unfortunately, timeshave changed and not everyonefeels the same way. People alsodo not feel the need to label arelationship. Since you trulyenjoy his company, there is noth-ing wrong with continuing to datehim. As for dating other women,you are not in a committed rela-tionship with him and therefore,you really have no reason toquestion him on whom he is dat-ing. However, since you wouldlike a commitment, I would sim-ply let him know that you enjoyspending time with him and areinterested in moving to the nextlevel. You need to build on yourown relationship and hopefully indoing so; he will inevitably findyou to be his perfect match.


“To Screen or Not to Screen – That is the Question”(in Prostate Cancer)

by Jerome J. Spunberg

M.D., FACR, FACRO

When I was in myresidency trainingat Columbia-Pres-byterian Medical

Center in the early 80’s, there wasno PSA (prostate-specific antigen)test for prostate cancer. We had torely on a more primitive test calledthe PAP (prostatic acid phos-phatase), rarely used today and oflittle if any value in screening apopulation at risk.

The PAP and the DRE (digital rec-tal examination) were all we had togo on, and not surprisingly, almost50% of the patients who walked inthe door with newly diagnosedprostate cancer already had bonemetastasis at presentation (spread

to bone). Many of these patientswere unfortunately destined to diefrom their disease, especially with-out the much improved treatmentoptions we have available today.Now approximately 90% ofprostate cancers are detected byscreening!

PSA was first isolated and identi-fied in 1971 and found to be asso-ciated with prostate cancer andBPH (benign prostatic hypertro-phy or enlargement) by the early1980’s. In many ways, it wasviewed as a miracle test, extreme-ly sensitive in detecting prostaticdisease (over 90%) with a highdegree of specificity. I dreamedof a test like the PSA for every

cancer, but virtually none exists,with the most notable exceptionbeing CA-125 for ovarian cancer.We simply do not have a test likePSA for colon cancer, lung can-cer, breast cancer, melanoma, oralmost everything else. And wewish we did!

Routine screening by PSA testinghas now come under fire. PSA isnot cancer-specific and can beelevated in other conditions suchas prostatitis or BPH. AbnormalPSA results can lead to excessivetesting and biopsies, and canresult in anxiety, pain, bleeding,or infection. This is all true.However, PSA screening candetect prostate cancer at its earli-

est stage, when it is still confinedto the prostate, much more easilyand successfully treated, andhighly curable, often with radia-tion therapy as the preferredapproach. I firmly believe that itis better to know and then todecide individually what is bestfor each patient, a decisioninvolving the patient, the familymembers, and the physician, andcertainly not the government orinsurer. We should celebrate thefact that a marker for prostatecancer such as PSA exists, use itwisely for screening and manage-ment, but keep it available as atreasure for all men to use as theysee fit. “Ignorance is not bliss.Knowledge is power.”

Cancer Incidence, Death RatesContinue to Drop: ReportOne million livessaved, largelybecause of improvedprevention, detectionand treatment.

Small but continued drops incancer incidence and deathsin the United States in re-

cent years are charted in a newreport.

Between 2004 and 2008, deathrates for cancer went down by 1.8percent a year in men and 1.6 per-cent a year in women, theAmerican Cancer Society (ACS)reported.

And from 1990 through 2008,death rates plunged almost 23percent for men and just over 15percent for women.

"Cancer death rates in the U.S.have continued to decrease sincethe early 1990s," said Dr.Ahmedin Jemal, senior author ofthe new report, published onlineJan. 4 in CA: A Cancer Journalfor Clinicians. "As a result ofthis, about a million cancerdeaths were averted."

The decreases, said Jemal, who isvice president for surveillanceresearch at the ACS, "largelyreflect improvements in preven-tion, early detection and treat-ment."

The annual report is based on themost recent data available fromthe National Cancer Institute andthe U.S. Centers for DiseaseControl and Prevention.

Death rates dropped most dra-matically among black men (2.4percent per year) and Hispanicmen (2.3 percent annually).

"It's an encouraging note that thedecrease in cancer deaths was alittle larger as a percentage in the

African-American population,"said Dr. Michael V. Seiden, pres-ident and CEO of Fox ChaseCancer Center in Philadelphia."This is wonderful to seebecause, as a group, they domuch worse than whites. That's agap we need to close."

The report also noted continuedadvances were made against thefour major cancer killers -- lung,colorectum, breast and prostate.Declines in lung cancer deathsaccounted for almost 40 percentof the total decline in men, andlonger lives among breast cancersurvivors resulted in 34 percentof the total drop in women.

Meanwhile, cancer incidence ratesdipped 0.6 percent for men,although they remained unchangedfor women.

There was also good news in thearea of childhood malignancies.Although incidence increased byhalf a percent from 2004 to 2008,death rates since 1975 havedecreased from 4.9 per 100,000children to 2.2 per 100,000 in2008. The five-year survival rateis now 83 percent, up dramatical-ly from 58 percent in the mid-1970s, the report found.Still, one in four deaths in theUnited States each year is due tocancer and, in 2012, some 1.6million new cancers will be diag-nosed and almost 600,000 peoplewill die from the disease.

Racial and ethnic disparitiesremain, with black men and

women more likely to get cancerand more likely to die from it.

And there have been disconcert-ing increases in cancers of thepancreas, liver, thyroid and kid-ney as well as melanoma,esophageal adenocarcinoma andsome oropharyngeal cancers, thelast related to infection withhuman papillomavirus (HPV).

"These are worrisome trendswhich require further study andintervention," said Seiden.

Experts don't really know the rea-sons behind these increases butsome, such as cancers of the kid-ney and pancreas, may be relatedto the growing obesity epidemic,said Jemal.

The rise in liver tumors couldwell be due to hepatitis C infec-tions or intravenous drug use inthe 1960s and '70s, he added.

Much additional progress is easi-ly within reach, said Seiden.

"There's still a lot of low-lyingfruit. Still, only half our popula-tion is getting screened bycolonoscopy, 20 percent smokecigarettes. Mammography, Papscreening, all of those have roomfor an upside as do vaccinationsfor things like HPV and hepati-tis," he said. "There is still plentyof incremental improvement inearlier diagnosis, in cancer pre-vention and, of course, in extend-ing lives through better cancertherapies."

MRI Scans Show Brain Changesin Kids With Schizophrenia

Madrid, Spain, and colleaguessaid in a journal news release.

"Some of these pathophysio-logic processes seem to bemarkers of poorer prognosis,"the researchers added.

The findings stem from ananalysis of brain changesdetected using MRI scans takenover a two-year period among61 patients who had been diag-nosed with a range of differentpsychoses at one of six childand adolescent psychiatricfacilities in Spain.

In all, brain changes among 25children diagnosed with schizo-phrenia, 16 with bipolar disor-der and 20 with a number ofother psychoses were stackedup against the brain status of 70healthy children.

The result: in addition to theprincipal findings, the team fur-ther observed that total braingray matter (as well as graymatter in the left parietal regionof the brain) were notably dif-ferent among patients withschizophrenia compared withtheir healthy peers.

"To develop therapeutic strate-gies to counteract these patho-logic progressive brainchanges, future studies shouldfocus on their neurobiologicalunderpinnings," the studyauthors advised.

Progressive loss ofgray matter linkedto worse prognosisfor young patients,researchers say.

Children who are diag-nosed with schizophre-nia or a number of other

psychoses go on to experience aprogressively greater than nor-mal loss of gray matter in thefrontal lobe region of the brain,new research suggests.

These adolescents also experi-ence an above-average spike inthe amount of so-called "cere-brospinal fluid" found in thesame location, according to areport published in the Januaryissue of the Archives ofGeneral Psychiatry.

In turn, children who experi-ence these brain developmentsappear to face an increased riskfor longer hospitalization, moresevere illness and a pooreroverall prognosis, the authorsof the study noted.

"We found progression of graymatter volume loss after a two-year follow-up in patients whoended up with a diagnosis ofschizophrenia, but not bipolardisease, compared with healthycontrols," Dr. Celso Arango, ofthe Hospital General Universi-tario Gregorio Maranon in

Breast cancer. You have options.If you’re facing cancer, it’s personal. You want to know about every treatment option. You want the treatment that is right for you.

Get Back to Living Your Life.

S O U T H F L O R I D ARADIATION ONCOLOGY

877-930-SFRO (7376) www.SFROLLC.com

TrueBeam™

Brachytherapy

RapidArc™

ise anthe expertt South Florida RAAt South Florida R

east cancerbry, 1 in 8 women will be diagnosed with odaTToda

d a completise anion Odiatat South Florida R

.east cancery, 1 in 8 women will be diagnosed with

eatmentange of tre rd a complete havncology, wion O

y, 1 in 8 women will be diagnosed with

eatmentee hav

y, 1 in 8 women will be diagnosed with

c™rapidAR

e cancercurOur mission is simple. W

fight against bro help yions topt

ise anthe expert

y out our mission thrre car. W. We care cancere exist tOur mission is simple. WOur mission is simple. We exist t

east cancerfight against bre the right choice in you mako help y

d a completise an

oughy out our mission thrent anevo pre exist t

.east cancere the right choice in y

eatmentange of tre rd a complet

oughd ent an

our e the right choice in yeatment

yapytherachBr

echnology anter our patfofanced andva

experienced, boarding-edge carleae cancercur

uipment wd eqechnology and the stients; aner our pat

eatment optn trd moderanced anified phd-certexperienced, boareatment. Our d tre anding-edge car

y out our mission thrre car. W. We care cancer

er our o delive use tuipment we-of-the-art atd the st

ions weatment optysicians; the ified ph

eatment. Our oughy out our mission thr

er our

eions wysicians; the

ough

ueBeam™rT

et us help y. Lyy. Lodaus time y’t it tIsn

e.e servwinguish our pre distcar

echnology an

ou win the fight against et us help yo living you got back time y

ams in the communitogringuish our pruipment wd eq

ou win the fight against e? Callour lifo living y

ams in the communit

RAou win the fight against e? Call

ies ams in the communit

OSDAR

OLFHTUOCNONOITAATID

ADIRYGOLO

ack to Living YGet B

east cancerbr

de | Boca RBelle Gla

our Lifack to Living Yack to Living Your Lif

.east cancer

on Beach | Jupitynton | Boatde | Boca R

e.our Lifour Life.

alm Beach Garer | Pon Beach | Jupit

dens | Palm Beach Gar

www7-978

ucie | Stuart | Wort St. Ldens | P

C.comOLL.SFRwwwO (70-SFR37-9

onellingtucie | Stuart | Wucie | Stuart | Wellingt

C.com6)776)3O (7


PAlm BeAcH PRimARy cARe ASSOciATeS, iNc.

3347 State Road 7 Suite 200 Wellington, FL 33449

Tel: (561) 795-9087 • Fax: (561) 753-8730

1200 South Main Street Suite 101 Belle Glade FL 33430

Tel: (561) 996-7742 • Fax: (561) 753-8730

State of the Art Office Building with Imaging Center,

ACCEPTING NEW PATIENTS

MEDICARE, BLUE CROSS BLUE SHIELD, HEALTH CARE DISTRICT AND MOST MAJOR INSURANCES ACCEPTED

SPECIALIZING IN:• Diagnosis of Complex Illnesses

• Cholesterol Management • Diabetes • Cardiac Care • EKG/24 Hour Heart

Monitoring/Spirometry • Hypertension • Geriatric Concerns • Osteoporosis

9 AM - 5 PM MONDAY - FRIDAYSAME DAY APPOINTMENTS AVAILABLE

24 HOUR SERVICE AVAILABLE

On Staff: At Palms West Hospital,Wellington Regional Medical Center

Forest Hill Blvd.

Lake Worth Rd.

Stat

e R

oad

7 (4

41)

Flor

ida’

s Tu

rnpk

e

Southern Blvd.

The Mall at Wellington

Green

PALM BEACH PRIMARY CARE

ASSOCIATES

N

Shekhar Sharma M.D.Grace VanDyk A.R.N.P. Medicare patients

accepted

Dr. Sharma's office in Belle Glade is at 1200 SouthMain Street, Suite 100 (opposite the Old Glades

General Hospital).

Dr. Sharma will be seeing patients at this locationalong with his nurse

practitioner Grace VanDyk.

He is currently accepting New Patients and the office

accepts most insurances.

Call 561-996-7742for an appointment.

Exercise is good for health

Exercise is good for healthas long as you arehealthy to do so. Ofcourse, one has to be cer-

tified healthy by a trained healthspecialist and that means gettingyour annual physical examination,getting all the necessary tests forgood health. Follow a nutritiousdiet and do your physical exercisedaily if you can. Also, spend timenurturing your relationship withpeople who matter most to you.

Try to smile, be happy, try to leada stress free life, which obviouslyis something that we all want tohave, but is difficult to achieve.One way to go around this is todo yoga, eat less at night, eathealthy and get good sleep. Lackof good sleep causes a whole lotof different problems to thehuman body which is a differentitem altogether as part of good

health. Now I will focus on exer-cise and good nutrition. Part ofbetter health is to live simple andtry not to accumulate negativefeelings like jealousy, regret, andanger within ourselves. Exerciseis good for the heart as well as forthe mind and for the total bodyfunctions. It has own healingpowers by raising the bodyimmunity. Exercise preventsheart disease in the long term,lowers your cholesterol levels,increasing your HDL cholesterolwhich is the good cholesterol andkeeps body lean and strong. It hasalso been observed that beingmore physically active for a childis positively related to improvedacademic performance in chil-dren. Exercise may help the men-tal faculties of a child by increas-ing blood flow to the brain andthereby better oxygenation of thebrain tissue. Exercise is the mosteffective medicine for the preven-tion and management of chronicdisease, a problem that is respon-

sible for around 80% of a health-care expenditure according toRobert Newton professor at theEdith Cowan University Schoolof Exercise Biomedical andHealth Sciences.

The risk of mortality of someonewho is normal weight but unfit isabout three times higher than themortality risk of someone who isobese, but fit, he adds. Large-scale studies show prescribed

exercise produce the same med-ical outcomes as leading pharma-ceutical agents in the treatment ofdiseases including early type 2diabetes mellitus and breast can-cer. Staying fit mentally is asimportant as maintaining ourphysical health. It is vital to exer-cise our brain regularly just likewe exercise the rest of our body.This in turn reduces anxiety anddepression in individuals.

Exercise is also known to boostour self-confidence and our over-all well-being. Therefore exerciseis an important tool that helps usachieve this physical confidence.To sum it up feeling confident ina rational and realistic manner isa sound safeguard against severalphysical, mental and emotionalproblems. Exercise also increasesattention and concentration. Allin all, the end product of goodphysical activity is something weall yearn for and that is a goodphysique. So why not exercise?

Families hoping to improve

their fitness and overall health

in 2012 should spend less time

in front of a tV or computer

screen and more time being

active together, according to

the alliance for a healthier

generation:

n take a walk. stroll together

after a family meal or walk

around the mall when it's cold

or raining.

n choose an outing. spend a

weekend afternoon going to a

pool, skating rink or basketball

court.

n Take breaks. try to fit in 10

to 15 minutes of rigorous

physical activity several times

a day.

team up. have the family sign

up for a group run, walk or car

wash.

n Limit TV. select which

shows kids will watch ahead of

time and limit screen time to

just those programs.

n Join a club. Buy a family

membership to a town

recreation center, Ymca or

health club.

n Learn something new.have family members take a

lesson in an activity, such as

martial arts, fencing or

gymnastics.

n Chores count. Working

together around the house or

in the yard is another way

families can stay active.

the alliance added that

parents should be role models

for their children. that means

they should strive to make

healthier changes in their own

lives as well as their children's

routines.

Shekhar V. Sharma, M.D.

Board Certified in Internal Medicine

Family Tipsfor Getting Fit

Weight Loss SurgeryMay Help DiabetesWeight loss surgery isn'tlikely to cure type 2 diabetes,but it can improve bloodsugar control, a new studysuggests.Obesity is a major risk factorfor diabetes. Some previousresearch has suggested thatgastric bypass surgery cancure diabetes in up to 80 per-cent of patients. Gastricbypass, which involves sta-pling the stomach to form asmaller pouch and connect-ing it to the small intestine, isconsidered the most effectivetype of weight loss surgery.In this study, researchers atImperial College London inEngland used new criteria toassess the effects of gastricbypass and two other typesof weight loss surgery in 209patients with type 2 diabetes.They found that remissionoccurred in only 41 percentof patients who had gastricbypass surgery, 26 percentwho had sleeve gastrectomy(surgical removal of part ofthe stomach), and 7 percentof those who had gastricbanding, in which a band isused to restrict stomach size."Using the new criteria, wedon't get such eye-catchingfigures as some that havebeen quoted in recent years,"study leader Dr. Carel leRoux, of the department ofmedicine at Imperial CollegeLondon, said in a collegenews release.


By Erica Whyman

Simply 66 is one of those businessesthat unless you are in the healthcarebiz, you may not ever know about,and that would be your loss. Lucky

for me, I had the opportunity to meet withElizabeth Serio, VP of Marketing for Sim-ply 66 to learn more about the successful lo-cal family run company. I was greetedwarmly by Ms. Serio in West Palm Beachfor a tour of the facilities. The open officeenvironment made me feel like I was in afamily room and not in the corporate head-quarters of a multi million-dollar business,which is exactly where I was.

Simply 66 has managed to take the seem-ingly ordinary business of healthcare pri-vacy curtains and make it innovative anddare I say exciting. The original Simply 66snap system was developed by the CEOStephanie Serio, and is the only systemthat is a “one size fits all solution” thatstandardizes privacy curtains regardless ofthe horizontal track size or ceiling height.

How? Simple. Simply 66 is named for theindividual fabric panels that measure 66inches long and 66 inches wide. The indi-vidual panels simply snap into a verticalantimicrobial mesh that runs along thetrack. The vertical mesh is adjustablemeaning it can work with existing or newtrack systems and patients will alwayshave sufficient privacy regardless of ceil-

ing height. The individual panels simplysnap out as needed and do not require lad-ders for installation or removal.

Traditional privacy systems are often cum-bersome, requiring complete removal whensoiled. With Simply 66 healthcare facilitieshave a better ability to control infectioussituations, by simply snapping out thesoiled panel immediately to be cleaned andeasily snapping in a replacement.Located in West Palm Beach, but sold

world wide, Simply 66 customers havebenefited by implementing the system.Simply 66 helps facilities lower labor andlaundry costs, with easy to launder panels,decreasing the risk of injuries with theelimination of ladders, as well as reducingreplacement costs.

Ms. Serio introduced me to the Simply 66team who were hard at work with sales aswell as manufacturing. I was able to seethe Simply 66 panels being made first

hand. She showed me the array of fabricdesigns for the Simply 66 panels, as wellas the array of eco friendly and antimicro-bial fabrics choices. The Simply 66 teamhas thought of everything, almost makingtheir innovation seem, Simple.

Ms. Serio sums it up perfectly, “we are anindustry leader of innovative healthcareproducts as well as a small woman-ownedGSA vendor, with strong steadfast roots inits reputation in the industry.”

Simply 66 Brings Innovation to Health Care Products

The Only Snap Privacy Curtain that

Truly Standardizes your Facility

• No Ladders! Eliminate the Risk of a Fall During Curtain Installation• Easy Installation! No More Time Spent Searching for the Right

Sized Curtain- Fabric Panels Fit Every Room• No Expensive RetroFit! Simply 66 Can be Installed on Existing

Cubicle Track

Simply 66 Snap System is Available

Through the Following Distributors:

Cubicle Curtain Factory, Inc. 1.800.588.9296www.CubicleCurtainFactory.com

Simply 66 Snap Cubicle Curtain System

Hospice of Palm Beach County provides care to all who needand want it, regardless of insurance or financial status.Donations, grants and proceeds from fundraising eventssupplement the insurance reimbursement to ensure that costfor services is never an issue for our patients or their families.Nearly 900 highly trained employees and more than 600 caringvolunteers make this a program that excels in innovative careand quality service to our community.

24 Hours a Day, 7 Days a Week

5300 East Avenue, West Palm Beach, FL 33407

Referrals and Admissions: (561) 227-5140

General Information: (561) 848-5200 or (888) 848-5200

Call our toll free number (877) 494-6890


Advertise with us!

Global Health Tribune has the audience you want.Call us:

312-351-2383 • 561-308-1428E-mail: [email protected]

With Depression, Helping OthersMay in Turn Help YouRandom acts ofkindness cansnowball into morepositive moodoverall, experts say.

Doing something nicefor someone else oftenleaves people feelinggood about themselves

and positive about their place inthe world.

But does that mean practicingrandom acts of kindness has sci-entifically proven therapeuticvalue in treating mood disorderslike depression?

Yes, according to a growing bodyof research that has found that"positive activity interventions" -- like helping someone with gro-ceries, writing a thank you noteor even counting your blessings -- can serve as an effective, low-cost treatment for depression.

"They seem really trivial. Theyseem like, what's the big deal,you feel good for 10 minutes,"said Sonja Lyubomirsky, a psy-chology professor at theUniversity of California,Riverside, who co-authored arecent paper on the topic. "But fora depressed person, they aren'ttrivial at all. Depressed individu-als need to increase positive emo-

tions in their life, even a minutehere and there."

After a rigorous review ofresearch on the therapeutic bene-fits of positive emotion,Lyubomirsky said, she and hercolleagues found widespreadsupport for the notion that peoplewith a tendency toward depres-sion can help themselves by help-ing others or otherwise introduc-ing positivity into their day-to-day lives.

Such a simple, low-cost path towell-being could have big-timeimplications, given that morethan 100 million people world-wide suffer with depression,according to Lyubomirsky'sstudy. That includes more than 16million U.S. adults, of whomabout 70 percent of reportedcases either do not receiveenough treatment or do not gettreated at all.

Positive activity interventionscome in a variety of forms,including:

n Being kind to othersn Expressing gratituden Thinking optimisticallyn Meditating on the good things

in life

"The major aspect is the positiveemotion," Lyubomirsky said."The most significant feature ofdepression is the absence of posi-tive emotion -- just a feeling ofnothing, of emptiness." Not onlycan being positive improve yourmood, it can develop into a self-sustaining "upward spiral," shesaid.

"You might be more approach-able to others, or be more creativeand imaginative," Lyubomirskysaid. "It snowballs, and you aremore likely to experience evenmore positive emotion."

MP3 Players May Be MajorSource of Hearing LossStudy of New York City commuters found90 percent to be at risk of ear damage.

Anew study suggests thatabout 90 percent of NewYork City residents may

be at risk of hearing loss due tonoise exposure, with MP3 playersappearing to be a major culprit.The research has major limita-tions: It doesn't directly meas-ure what Big Apple residentshear during their daily lives orphysically track their activities.Even so, the study's lead authorsaid the findings are a sign thatrisks to hearing lurk in theurban environment."We need to step up our effortsto encourage people to protecttheir hearing," said RichardNeitzel, an assistant professorof risk science at the Universityof Michigan. "Maybe we needto put a little more money intomaking transit quieter and do abetter job educating people thatlistening to music, if it's loudenough, can hurt you."Previous research has trackedthe loudness of the noise thatpeople encounter from trans-portation like subways and fer-ries, Neitzel said. But it wasn'tclear how much time peoplespent being exposed to the noise.For the new study, Neitzel andcolleagues created a survey thatthey gave to more than 4,500New York City residents whowere recruited at street fairs in

Manhattan, Brooklyn, Queensand the Bronx. The participantsin the 2008 and 2009 surveysreceived a $1 lottery ticket inexchange for taking part andanswering questions about top-ics like their work lives, theirtime spent on transit andleisure-time activities.The researchers then estimatedhow much noise the subjectswere exposed to based on previ-ous research into how muchsound is produced by transit,music players and othersources.It would be more ideal to usedevices that measure noise tofigure out how much sound thesubjects were exposed to eachday, Neitzel acknowledged. Butthat's an expensive and compli-cated proposition, he noted.Instead, he said, "we took theapproach of talking to peopleabout how long they spenddoing these things."


JANUARY 12National Multiple Sclerosis Society –South Florida Chapter. The MS Gala & Fashion Show presentedby DBS Financial Group will be held atthe Broward County Convention Center.Tickets start at $150. For more informa-tion, contact Monica Whiting at 954-731-4224 or [email protected]

JANUARY 16Bethesda Hospital Foundation. Join LPGA greats at the 3rd AnnualBethesda Pro-Am Golf Tournament atPine Tree Golf Club, Boynton Beach. For more information, call 561-737-7733,ext. 5600.

JANUARY 18American Red Cross Greater Palm Beach Area Chapter.Designers’ Show House Preview Party atThe Mansion in West Palm Beach.Tickets are $200. For more information,contactAlison Freeman at 561-650-9133.

JANUARY 19Johns Hopkins Medicine. “A Woman’s Journey” Johns HopkinsPremier Women's Annual HealthConference at the Palm Beach CountyConvention Center in West Palm Beach.Tickets are $150. For more information,call 410-955-8660.

JANUARY 21Boca Raton Regional Hospital.50th Annual Boca Raton RegionalHospital Ball. Boca Raton Resort &Country Club, Boca Raton. Tickets are$400. Contact Sandy Longo at 561-955-3249 or [email protected] for more infor-mation.

The Leukemia & Lymphoma Society.Annual Gala - "Cirque du Palm Beach" at The Mar-a-Lago Club, Palm Beach.Tickets are $600/Adult and $375/Junior.Contact, Darby Collins at 561-775-9954for more information. Or, visitwww.LLScirquegala.com.

JANUARY 22Muscular Dystrophy Association.Palm Beach County and Treasure CoastMuscle Walk. Palm Beach Zoo. Formore information, go towww.walk.mda.org.

JANUARY 23Papanicolaou Corps for CancerResearch - Greater Boca RatonChapter. Annual Gala Luncheon andFashion Presentation by Saks FifthAvenue. Polo Club, Boca Raton. Tickets are $125 and up. Contact, Donna

Ackerman at 561-997-8265 or Carol Dorfat 561-997-8857 for more information.

JANUARY 24American Parkinson DiseaseAssociation. Parkinson Lunch & Learn.The Fountainview, West Palm Beach.For more information, call 800-825-2732.

JANUARY 27St. Jude Children’s Research Hospital.The Ambassadors of St. Jude Golf Classic& Dinner benefiting St. Jude Children'sResearch Hospital. The WoodlandsCountry Club, Tamarac. Contact TomLenz at 954-323-8405 [email protected] for more infor-mation.

JANUARY 28Susan G. Komen South Florida. 21stAnnual South Florida Race for theCure. Meyer Auditorium in West PalmBeach. Cost is $30 to $45. For moreinformation go to www.komensouthflori-da.org or call 1-888-470-6374.

American Red Cross. The 55th AnnualInternational Red Cross Ball. It’s awhite-tie and tiara affair that welcomesambassadors, dignitaries, government andcivic officials, and philanthropic leadersfrom around the world in support of theRed Cross. The Mar-a-Lago Club, PalmBeach. Tickets start at $1,000. [email protected], or call 561-650-9105 for more details.

JANUARY 29Kidney Association of South Florida.Fashion Show for kidney patients.Courtyard by Marriott, Boynton Beach.Tickets are $28. Call 561-471-2588 formore details.

JANUARY 30Hearing the Ovarian Cancer Whisper(H.O.W.). 11TH Annual “Time is of theEssence” Luncheon with Actress andModel, Andie MacDowell. FlaglerMuseum Pavilion, Palm Beach. Ticketsare $325 and $150 for young profession-als. For more information, contact 561-837-2285 or [email protected].

Lymphoma Research Foundation.Sixth Annual Luncheon and FashionShow. St. Andrews Country Club, BocaRaton. Tickets start at $125. For moreinformation, please contact Taylor Zitayat (646) 465-9103 [email protected].

If you would like to add your fundraising

event to our upcoming events section,

please forward your information to:

[email protected]

Upcoming Medical FundraisingEvents for January 2012

11% of people are left handed

august has the highest percentage of births

unless food is mixed with saliva you can't taste it

the average person falls asleep in 7 minutes

a bear has 42 teeth

an ostrich's eye is bigger than it's brain

Did you know?

?

??

?

?

?

?

?

?

?

?

?

?


“I did awesome. I'm better than allthe other girls,” boasts beauty queenTorran Robinson, age 8.

Watch five minutes of Toddlers & Tiaras,TLC's controversial reality show featuringvirtual infants learning all the wrong lifelessons in the guise of a beauty pageant,and tell me the world isn't coming to anend.

It's bad enough we have the ever-popular"my-success-is-contingent-on-your-fail-ure" mantra governing almost every adult-

oriented reality show, but do we reallyneed to sink to the level where we're offer-ing our kids up as bait in exchange for ashot at the big time? Thanks to the successof the aforementioned, the answer isapparently a resounding, "Yes!"

Not only do we get to see five-year-oldsplaying the competition game to the max,complete with a visit to the chiropractor togain that 'extra edge,' but we're treated to aglimpse inside the mind of one of these"Mimps" (Mommy-Pimps) as she openlybrags that her goal in life is to mooch offher young daughter's celebrity for as longas she can. Is she talking about her daugh-ter or a used car? The logical next step forthe networks is to shoot a reality version ofThe Hunger Games.

A few years back, Sacha Baron Cohen'sfilm Bruno shed some light on the disturb-ing subject of mothers willing to exploittheir children in the pursuit of fame whenhe secretly filmed the mommy of a two-year-old agreeing to subject her baby toplastic surgery if it meant the possibility of

landing a national commercial. As bad asthat was, "T&Ts" takes it to a whole newlevel.

Child beauty pageants have been aroundfor a long time. Knowing they exist is onething, but watching the carnage unfoldfirsthand in your living room is another.After all, aside from Extreme HomeMakeover, aren't the main ingredients ofalmost every successful reality show atoxic blend of humiliation, tension, andaggression? And, while the producers ofToddlers ^ Tiaras haven't yet bestowedupon us a throw-down between two six-year-olds, in my opinion, what they'redoing is much worse.

Just watching one of these future "VerucaSalts" as she learns to be a sore loser (orworse, an ungracious winner), and over-hearing a starstruck mother as she impartsupon her impressionable child life's mostvaluable lesson: the need to be better thaneveryone else, one can't help but feel thatby simply tuning into the show, you're anaccomplice. An accomplice in the destruc-

tion of a dozen childhoods per week.

Where Toddlers & Tiaras really succeedsis in its ability to give viewers an up-close-and-personal glimpse into what will mostlikely amount to a sadly confusing, vanity-filled, twisted adolescence and adulthoodfor many of these little girls. Thanks to themagic of reality television, the stars of theshow are no longer just beauty pageantcontestants, they're now pint-sized celebri-ties -- signing autographs, endorsing dolls,landing their own spin-off shows, etc. And,I think we've seen at least one or two ofthose derail in recent memory.

The big question is, where does it end? Arereality shows becoming our reality?

The Internet is overrun with clips ofteenagers beating homeless people forsport, parents encouraging their kids tofight each other, and countless stories ofteen celebs relapsing after rehab. But, whocan blame them for their neanderthalbehavior when everywhere you look is themessage that living a "screw you" lifestyleis the preferred way to succeed? You don'thave to be a sociology professor to seethere's something wrong with this picture.On one hand, reality shows like Toddlers& Tiaras keep reminding us, indeed, wecan sink even lower. On the other, I can'twait for Bravo's UFC Kids this spring.

Saving for a "Collagen" Education: Can We Go Any Lower Than Toddlers & Tiaras?

By David Fagin

Fun Ways to Include Kidsin Fitness Resolutions

Berry noted that the U.S. Centers forDisease Control and Prevention adviseskids to get at least an hour a day of physi-cal activity, including recreation thatinvolves muscle strengthening.He outlined concrete steps parents can taketo make exercise adventurous and enjoy-able for children in the coming year:n Involve children in compiling a fitness

"wish list" to get at what kids actuallywant to do, and allow them a roster ofactivities to choose from a couple oftimes a month.

n Replace the typical family pizza nightwith a family fitness night to benefiteveryone's waistline.

n Walking to school, sauntering aroundthe neighborhood to see the local holi-day decorations or visiting local fitnessattractions -- such as a rock-climbing ortrampoline facility -- are additionalways to for parents to engage children,Berry said.

n In addition to scheduling two to threemoderately active half-hour exercisedates per week, parents can turn achild's penchant for gaming to every-one's advantage by carefully choosingthose games that call for lots of move-ment and high energy. He cited the "JustDance" title from Wii as an option.

n But in the end, Berry said, the biggestbenefits occur outside the living room,whether that means signing up junior forteam sports like basketball or soccer, ortaking a family hike in the local naturepreserve or park.


Place your Business Card Here for Just $50 per month!

Call today! (561) 308-1428

C l a s s i f i e d Email: [email protected] advertise call: 312-351-2383 • 561-308-1428

ATTORNEYS • EMPLOYMENT • MEDICAL SUPPLIES • MERCHANDISE • PHYSICIANS • REAL STATE • SERVICES

FOR SALEDoctor owned 2000+ Square Feet Condo for sale including land.

Most Condo’s in Hospital Campus are built on Hospital owned land.

This Condo is a great investment opportunity.

Turnkey Doctor’s office is in the Palms West Hospital Campus.

Please call 561-714-2568

Have confidence knowing yourinjectable wrinkle filler will providelong lasting results with Artefill

As we age, there are severalfactors that change the ap-pearance of our face and

skin. Gravity, volume loss, sun andenvironmental damage to our skinall play a role in the aging processand the appearance of fine anddeep lines in our face.

Temporary injectable wrinklefillers are made of different kindsof natural or synthetic materialsthat are broken down and eventu-ally absorbed by your body. As aresult, wrinkle correction is onlytemporary and you may need torepeat injections several monthsafter the initial treatment to main-tain your wrinkle correction.

Artefill is different from tempo-rary fillers of the past.

Artefill is made with micros-phere-enhanced collagen, whichworks with your body’s own col-lagen. The microspheres providethe support your own skin needsfor a natural look and feel.Results improve over several

months and stand the test of time.Artefill cannot be felt after treat-ment. As with any injectablewrinkle filler, you can expectmild swelling and redness at thetreatment site. These side effectsare common with dermal fillersand are usually temporary.Occasionally, there is mild bruis-ing that will typically disappearin a few days.

You will see immediate results inwrinkle correction and can returnto your normal daily activitiesafter the treatment.

Since Artefill is a long lastingsolution, it will require less injec-tions over time and you won’thave to keep coming back yearafter year for additional treat-ments to maintain your wrinklecorrection. You will see the realvalue in investment and timesaved with Artefill over tempo-rary injectable wrinkle fillers.

By Sara Bernstein

Medical Director Rejuvia

Medspa, and her highly-trained

aesthetic staff provide compli-

mentary consultations for all

treatments including Botox,

Juvederm, Radiesse and Artefill.

Rejuvia is located at 10131 W.

Forest Hill Blvd., Ste. 130,

Wellington, FL 33414 behind the

Wellington Regional Medical

Center. 561-798-8818

www.Rejuvia.com

Photos reprinted from: dermatol surg 2007; 33: s222–s230

Photos reprinted from: dermatol surg 2007; 33: s222–s230

Mental Decline Can Startat 45, Study FindsEarly lapses inmemory, reasoningmay signaldementia later inlife, researchers say.

Anew study suggests thatmemory, reasoning andcomprehension can start

to slip as early as age 45.This finding runs counter toconventional wisdom that men-tal decline doesn't begin before60, the researchers added."Cognitive function in normal,healthy adults begins to declineearlier than previouslythought," said study authorArchana Singh-Manoux."It is widely believed that cog-nitive ability does not declinebefore the age of 60. We wereable to show robust cognitivedecline even in individualsaged 45 to 49 years," addedSingh-Manoux, research direc-tor at INSERM's Center forResearch in Epidemiology &Population Health at the Paul-Brousse Hospital in Paris.These findings should be put incontext of the link betweencognitive function and thedementia, Singh-Manoux said."Previous research shows smalldifferences in cognitive per-formance in earlier life to pre-dict larger differences in risk ofdementia in later life," she said.Understanding cognitive agingmight enable early identifica-tion of those at risk for demen-tia, Singh-Manoux said.The report was published in theJan. 5 issue of BMJ.For the study, Singh-Manouxand colleagues collected dataon nearly 5,200 men and 2,200women who took part in theWhitehall II cohort study. Thestudy, which began in 1985,followed British civil servantsfrom the age of 45 to 70.

Over 10 years, starting in 1997,the participants' cognitive func-tion was tested three times. Theresearchers assessed memory,vocabulary, hearing and vision.Singh-Manoux's group foundthat over time, test scores formemory, reasoning and vocab-ulary skills all dropped. Thedecline was faster among theolder participants, they added.Among men aged 45 to 49, rea-soning skills declined by nearly4 percent, and for those aged 65to 70 those skills dropped byabout nearly 10 percent.For women, the decline in rea-soning approached 5 percentfor those aged 45 to 49 andabout 7 percent for those 65 to70, the researchers found."Greater awareness of the factthat our cognitive status is notintact until deep old age mightlead individuals to makechanges in their lifestyle andimprove [their] cardiovascularhealth, to reduce risk of adversecognitive outcomes in old age,"Singh-Manoux said.Research shows that "what isgood for the heart is good forthe head," which makes livinga healthy lifestyle a part ofslowing cognitive decline, shesaid.Targeting patients who haverisk factors for heart diseasesuch as obesity, high bloodpressure and high cholesterolmight not only protect theirhearts but also prevent demen-tia in old age, the researcherssaid.

Before Treatment After 6 months After 1 year After 5 yearsAfter 5 years

Before Treatment After 6 months After 1 year After 5 years

Palm BeachGastroenterologyConsultants, LLC

Call Us Today If You Suffer From Any Of The Following:

At Palm Beach Surgery Center we provide a safe and friendly enviroment, with a highly qualified and dedicated staff. A variety of procedures such as colonoscopy, endoscopy, gastroplications, ERCP, Liver Biopsy, 24 PH Monitoring/BRAVO can be done at our facility thus avoiding the need for hospitalization.

www.wellingtongastroenterology.com

WELLINGTON1157 South State Road 7Wellington, Florida 33414

561.795.3330

BELLE GLADE1200 South Main Street #102Belle Glade, Florida 33430

561.996.5600

Krishna TripuraneniM.D., M.B.A.

Vikram TaruguM.D

Digestive Diseases StatsDysphagiaGallstonesGastroesophagealJaundiceLactose IntoleranceLiver DiseaseNervous Stomach

Abdominal PainBleedingChest PainCirrhosis of the LiverColitisConstipationDiarrhea

PancreatisStomach and Duodenal UlcerUlcerative ColitisReflux DiseaseHemochromatosisHemorrhoidsHepatitis

Two Convenient Locations:

Also offeringVenra Clinical Studies, LLC

IRRITABLE BOWEL

SYNDROME?

Venra Clinical Studies, LLC561-795-3330 ex. 249

[email protected]

We are conducting a clinical research

study of an investigational medicine.

If you meet the following criteria, you

may be interested in participating

in this clinical trial.

• Age 18 – 79 inclusive

• At least 28 stools over a 7-day period

• Moderate to severe Pain in your abdomen associated with:

• relief by defecation,

• change in frequency of bowel movements, or

• change in appearance of stool.

Participants receive study related care, diagnostic tests, and study

medication at no cost. Payment for time and travel to the study center

may be provided

For more information about the research study, please contact:

global health tribune - january 2012 issue

Documents

t h t r i b u n e

palm beach county

s s u e

department of health

health tribune

health care products

florida health newsp

global study