A group of about 15 adults with special needs spent an evening last week learning about kitchen and food safety as part of a class offered by Villa de Vida and the City of Poways recreation department.

The 10-week class is intended to teach adults with special needs, who are living independently or are soon to be, about cooking and healthy lifestyles. This includes watching food demonstrations and learning simple recipes for easy-to-prepare meals and snacks.

The class began on Sept. 17 and runs through Nov. 19. Topics include learning about salads, fruits, vegetables, meats and proteins, milk and soy products, beverages and more.

Lauren Lopez, Erin Teays and Lynn Teays with the hamburgers served at the end of the class.

(Steve Dreyer)

While the classes are normally held in the gymnasium of Meadowbrook Middle School, the Oct. 8 class was held at Elements Caf, on the grounds of the Poway Unified School Districts district office, 15250 Avenue of Science in Carmel Mountain Ranch. The caf is owned by Toni and Rick Kraft, who formerly owned Caf Merlot at the Bernardo Winery.

Toni Kraft, who is heading up the class series, focused the session on teaching the students about kitchen and food safety. She then taught the students about rubs and barbecue sauce, allowing the students to smell the spices to identify them, and served hamburgers with different sauces for the students to enjoy.

Students also toured the kitchen at Elements Caf to see how a professional kitchen looks.

Eustolia Betancourt helps Michael Donais and Annette Augustine smell spices.

(Steve Dreyer)

Toni is the most amazing chef, and she does a lot of work with the (special needs) community, said Lori Kauffman-Faison, a volunteer with the class series.

This is the first class series offered by Villa de Vida, a 54-unit apartment complex that is being constructed in Poway on at city-donated 2-acre lot at Pomerado and Oak Knoll roads. The units will be rented to low- and moderate-income disabled adults who will live independently, with a manager onsite.

The healthy living class will be offered again in the winter, taught again by Kraft, as well as a new class on employment and financial management. The classes are part of Villa de Vidas efforts to offer social, recreational and educational classes to the community before (and continue after) the apartments open, said Kauffman-Faison. In the spring, a class called How to be Your Best will be offered.

The city provides the registration site and the meeting space, said Kauffman-Faison, and many of the students who are Poway residents were able to use city-provided scholarships to have the class fee waived.

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Healthy living class for adults with disabilities teaches cooking, food safety - The San Diego Union-Tribune

CHESHIREPracticing yoga in the water provides a popular form of low impact exercise. Many people find water soothing, both physically and mentally.

This past Friday, the Cheshire Community Pool offered a free Yoga in the Water class to anyone in the community, not just limited to Cheshire, taught byLisa Cammuso of Southington.

The free trial served as a preface to a Yoga in the Water series Cammuso and Cheshire Community Pool Director, Shelia Adams, hope to continue offering.

When asked about the facilitys safety protocols Adams said, If we are open, lifeguards are here.

The pool has multiple cascading stair entrances and a ramp.

During the class, attendees stood in about 4 feet of water and were not required to submerge themselves entirely.

Cammuso recommended attendees bring a bathing suit. She also said the facility has flotation devices available for participants.

At the beginning of class, Cammuso gathered attendees into a huddle and sat at the edge of the pool to give instructions.

Cammuso gave participants a rundown of how the class would be structured and then advised them to find their own space where they could comfortably move their limbs around.

We usually start with meditation, then we warm up and go through some flow and then lead up to Shavasana, said Cammuso.

For Shavasana, participants were invited to float on their backs and pay attention to their breath.

Being in the water presents new challenges for people who feel out of their comfort zones.

When I teach, I always try to tell people to be aware of whats happening within their body, said Cammuso.

Cammuso said something as small as a stubbed toe can impact balance during yoga poses.

I always ask people to practice self-awareness said Cammuso.

As with yoga on land, there (are) always challenges if youre working with injuries. said Cammuso.

She said that its important to let the instructor know of any injuries that may inhibit you from doing certain movements

Cammuso added that instructors could offer modifications to participants for certain poses.

The Cheshire Community Pool has aqua jog belts, noodles, and other water aerobics equipment available to participants.

Its really a nice alternative for those with injuries, perhaps those with joint issues,Cammuso said.

Practicing yoga in water gives participants a new perspective on their favorite yoga poses and provides the opportunity for them to try poses they otherwise may not.

You find that you can perhaps get into a pose in the water where you might not have been able to do so on land, said Cammuso.

Aqua exercise can help participants improve strength and flexibility while relieving joint pressure.

Its just really beneficial in so many ways, Cammuso said.

To learn more about Yoga in the Water offered at the Cheshire Community Pool visit:

https://www.facebook.com/pg/cheshirecommunitypool/posts/?ref=page_internal

Kristen Dearborn is a Wallingford native, NASM certified personal trainer and author of the blog dearfitkris https://dearfitkris.com/

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HEALTHY LIVING: 5 things to know about water yoga in Cheshire - Meriden Record-Journal

Members of SHIFT (Shaping Health Improving Fitness Together) Labette County on Thursday discussed levels of community change required when it comes to having people make healthier choices.

Various scenarios were given and members asked if change was needed on an individual level, social/group level, physical organizational level, or policy/system level. The discussion gave those present some insight into what the group is facing in its commitment to promote healthy lifestyles for the well-being of the community by bridging gaps between people and organizations that can improve health and wellness, mentally and physically.

Discussions revolved around topics such as healthy food choices for students attending public school and reducing food waste and a commitment of workplaces to promoting better health among employees.

SHIFT Labette started in 2018 as a response to the countys place in the annual health rankings by the Robert Wood Johnson Foundation. In 2019, Labette County was ranked 101st out of 105 counties in Kansas in overall health.

Tara Solomon-Smith, Wildcat Extension District adult development and aging agent, led the discussion. She then informed the group that it had received a $24,332 Kansas Health Foundations grant to move SHIFT Labette County forward in the next year, helping it to solidify its mission. The grant will be shared with the Montgomery County Wellness Coalition.

I think it is going to be great for both of our counties. We have a lot of the same problems, same concerns, Roberts said. I think it will be a great opportunity to work together.

Solomon-Smith said in the first quarter of 2020, the team, with the help of Wichita State University, will begin building on SHIFTs capacity. Training through the Kansas State University Institute for Civic Discourse will provide members with the skills to carry on community conversations around health will be available.

During the second quarter, those community conversations will take place.

In the third quarter, community conversations will continue and data will be compiled to develop action steps.

The fourth quarter community conversations will continue with focus on implementing at least one action step toward improving the health of Labette County.

Those present also heard about the upcoming special presentation in October by Thrive Allen County CEO Lisse Regehr, who will speak to how Labette County can share ideas and plan projects to make Labette County a better place to live, work and raise a family. Attendees will also have the opportunity to learn more about the Grow Labette initiative.

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SHIFT Labette will take healthy living message to community in 2020 - Parsons Sun

October is Domestic Violence Awareness Month, which is meant to connect those impacted and help spread awareness, education and prevention.

Domestic violence or intimate partner violence is a pattern of behaviors used to gain and maintain power and control over one person in an intimate relationship despite age, race, sexual orientation or socioeconomic status. These intimate relationships are typically long-term, co-dependent relationships. This means domestic violence is most prevalent in families.

According to the Center for Disease and Control, 1 in 4 women and nearly 1 in 7 men have experienced some form of violence by an intimate partner in their lifetime. Also according to the National Coalition Against Domestic Violence, every nine seconds a woman is assaulted or abused in the United States. The consequences of domestic violence for victims and families are numerous including emotional, financial, physical, sexual, legal, occupational, health and social.

In order to help prevent abuse, warning signs of abusive partners include:

-- Intimidation or coercion

-- Denies or minimizes the existence of abuse

-- Extreme jealousy or possessiveness

-- Property destruction

-- Cruelty to animals

-- Controlling behaviors

-- Isolation

-- Sabotages partners ability to work or educate self

-- Disregard of partners opinions, thoughts or beliefs

-- Forced sex

-- Unpredictability

-- Demeaning

-- Economic abuse

-- Abuse of other family members or children

-- Unwillingness to compromise

Because of these abusive behaviors, victims or survivors of domestic violence may experience symptoms of posttraumatic stress disorder. PTSD includes re-experiencing traumatic events through nightmares or flashbacks as well as difficulties concentrating, severe anxiety, irritability, hyper-vigilance, emotional detachment and sometimes self-destructive behaviors. If you are or know someone who is experiencing any of these symptoms, please seek assistance from a mental health professional.

In order to prevent domestic violence, mental health professionals can teach safe and healthy relationship skills at all ages, empower and engage with victims and survivors, educate about domestic violence, strengthen supports, create safe and healthy environments and support the client-centered treatment.

Domestic violence is a preventable epidemic. Silence is an abusers greatest weapon since domestic violence thrives in silence. Everyone needs to speak up for those who are living in fear and be a voice for victims until they can call themselves survivors. Together we can work together to make our country, community, families and homes a safer place.

Kelsey Joslyn is a licensed clinical social worker and senior clinician at the UCFS Griswold Health Center.

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Healthy Living: Domestic violence thrives in silence - News - The Bulletin - Norwich Bulletin

Your mindset and approach to life are known to have an effect on your health. Accidents are uncertain and fall beyond your control. Although a positive thought process to overcome these accidents is what you can garner through sustainable self-control and consciousness. To win a fight, in reality, you first have to win in your head. Just like that, you can heal from the ugliest diseases only if you provide yourself with willpowerand a steel strong determination. Your mental equilibrium is susceptible and affects you through all walks of life. Optimal health care comes with optimal mental care. Problems like depression, bipolar disorders, schizophrenia are mental illnesses that result to decline in health and physical fitness. A mere mood swing can consequently result to fall in appetite. Make sure to protect your mental health. Begin with thinking more positively and have an Ive got this attitude.

ALSO READ:PCOS Diet: Here Are The Food Items To Eat To Effectively Tackle PCOS

A well-balanced diet should beyour utmost priority no matter what kind of lifestyle you lead. A balanced quantity of all nutrients including proteins, carbohydrates, fats, minerals, fibre and vitamins must be intaken. Every food item that we consume consists of varied composition. These constitute different levels of nutrients. While consuming food, you receive about 50 essential nutrients for growth. Insufficient quantities of food or low caloric food can result in malnourishment or a fall in the immune system which makes you prone to multiple diseases. A healthy diet isan important tip for a healthy lifestyle.

ALSO READ:World Food Day: A List Of Famous Bohri Dishes Everyone Must Taste

Exercising every day is indispensable for good health. Your weight can be controlled through a disciplined exercise schedule. And hence, you are less likely to fall prey to illnesses related to obesity. Low blood cholesterol pressure can be achieved through timed workouts. Period pain is reduced drastically through exercising. Your overall physical development takes place and you have stronger bones, your muscle strength is increased. Absence of physical activities can lead to frequent palpitation, heart problems, diabetes and other devastating heart problems.

ALSO READ:World Food Day: 6 Vegetarian Substitutes For Non-vegetarian Food

An orderly sleep schedule is extremely important for an individuals well-being. Lack of concentration, frustration, restlessness, etc is all caused due to lack of sleep or sleep deprivation. Sleep deprivation can lead to a decline in mental health. It can make you p[rone to heart problems, frequent headaches and other illnesses. Your insulin level and immunity system are also affected by your inefficient sleep schedule. When you're asleep, your body repairs damaged cells and thats when most growth-oriented activities take place. According to healthreports, Sleep deficiency shoots up your level of ghrelin and your level of leptin goes down. You feel hungrier more often and often find yourself feeling exhausted.

ALSO READ:Keto Diet: Here Are Some Easy And Healthy Carbs-free Breakfast Ideas!

Sufficient water intake is important for good health. Water helps you digest the food consumed better. Nutrients are absorbed more efficiently if you are hydrated. Dehydration leads to sunstrokes, dryness of the mouth, vomiting, diarrhoea, etc.

ALSO READ:Keto Diet: Know What Food To Eat In Your Weight Loss Plan

A good balance between your professional, personal and familial life is an optimal tip for healthy living. Healthy relationships are important for healthy living. Being under stress all the time can lead to a decline in health. You must also inculcate good habits and give up on bad habits that abstain you from staying in the pink of health.

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Here are tips that you must follow for a healthy lifestyle - Republic World - Republic World

CHARLOTTE, N.C.Doleis celebratingDisneysFrozen 2and the next chapter in the globally beloved story of Anna, Elsa and the Kingdom of Arendelle with its most ambitious healthy-lifestyle campaign since entering into a long-term nutritional alliance with The Walt Disney Company in 2016.

Kicking-off today and continuing through December 2019, Doles latest installment of its Empowering the Hero Within initiative employs a flurry of consumer activities to make it easier for parents to motivate their families toward healthy living with menu options rich in fresh fruits and vegetables. The programs original recipes, family meal-planning tips and digital, social and blogger offerings are being magically revealed during todaysDole Fall Blogger and Media Summitfeaturing DisneysFrozen 2in the Wellness Kitchen at theCalifornia Health & Longevity Instituteadjacent to the Dole offices in Westlake Village, Calif.

Our goal is to warmly embrace the universal appeal of DisneysFrozen2 and the films themes of family, fortitude, responsibility and the awesome power of nature to help create healthier household routines that can lead to long-term, positive changes in behavior, said William Goldfield, Doles director of communications. More important, we want to combine the powers of Dole and DisneysFrozen 2to make healthy eating fun, exciting and maybe even a bit magical.

As a centerpiece of the program,Melanie Marcus, MA, RD, Doles Nutrition and Health Communications Manager, created 20 new fruit-and-vegetable-based recipes including entrees, side dishes, salads, soups, sandwiches, smoothies and desserts inspired by Elsa, Anna, Olaf, Kristoff and Sven from the film. Eleven of the 20 recipes are being released today.

These initial recipes range from the breakfast-themedMake-Ahead Frozen Brrr-eakfast BitesandSven Sleigh-Pulling Power Smoothieto theOlaf Carrot Smoothie Bowl. Six unique dishes Royal Frozen Sweet Potato Lasagna, Gluten-Free Veggie Pasta Bake, Winter Solstice Soup, Arendelle Coronation Seafood Stew, Mystic Meatball Turkey LoavesandEnchanted Forest Sweet Potato Cardamom Pieweredesigned by Marcus to be prepared in advance and include special freezing, thawing and reheating instructions to ensure a perfect outcome every time.

Two kid-friendly creations, the cauliflower-basedDole Snow-flower Pizzaand easy-to-makeFrozen Banana Split Cups, round out the first recipe set. A second batch of original recipes inspired by DisneysFrozen 2, including several appropriate to Thanksgiving and the end-of-year holidays, will be revealed on Nov. 4along with Marcus research-based tips for healthy family meal-planning and holiday dining.Visitwww.dole.com/Disneyfor all 11 recipes.

Most parents want nothing more than to establish the healthy eating and living routines for their kids that will last a lifetime, said Marcus. Im a new mom, and giving my daughter a healthy start is the most important thing to me. But life is busy and schedules are full so we developed a series of family-friendly breakfast, lunch and dinner recipes that were designed to be prepared in advance and frozen. Now, working parents can ensure their families get the fruits and veggies they need every day of the week and, thanks to Disney, love doing it.

While Dole realizes that families cant correct many of the nutrition mistakes of the past, were committed to offering them the tools to shape their destiny towards a healthier future.

Dole is using a host of expanded tactics to distribute its new recipes including print and digital placements, how-to recipe videos and social enhancements. A number of the new dishes were sampled at todays summit during which participants made their ownDole Snow-flower PizzasandFrozen Banana Split Cupsduring a class led by Marcus.

Other campaign elements include a dedicatedcampaign web page, digital banner ads and social media posts. The fresh produce leader is also partnering with top-tier family, health and fitness bloggers and social influencers to host DisneysFrozen 2-themed contests, recipe-development initiatives and other programs.

For most shoppers, the most visible element of the program will be the millions of DOLEBananas and Pineapples featuring images of Anna, Elsa, Olaf, Sven and Kristoff in the produce departments of supermarkets throughout the U.S. and Canada. Starting today, Disney and Dole fans can participate in theDOLEBanana Sticker Peel and Play Gameby downloading the official activity sheet onwww.dole.com/Disneyand collecting the entire blizzard of 20 DisneysFrozen 2-inspiredstickers on DOLE Bananas across North America

For original recipes, nutritional insights and other information about the DisneysFrozen 2chapter of Doles Powering the Hero Within, go towww.dole.com/Disney. Dole will unveil new recipes and other offerings related to DisneysFrozen 2in the coming weeks.

Use #PoweringTheHeroWithin, #DoleRecipes and #Dole to follow us on Facebook (@Dole), Twitter (@DoleTweets) and Instagram (@DolePics).

About Dole Food Company, Inc.

Dole Food Company, Inc., is one of the worlds largest producers and marketers of high-quality fresh fruit and fresh vegetables. Dole is an industry leader in many of the products it sells, as well as in nutrition education and research. For more information, please visitwww.dole.com.

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Dole Coronates Disney's Frozen 2 With One of its Grandest Healthy-Lifestyle Programs Ever - PerishableNews

NORWALK, Conn.--(BUSINESS WIRE)--Campbell Soup Company (NYSE: CPB) today announced more than $1.5 million in grants to 22 organizations as part of the Campbell Soup Foundations annual grantmaking cycle and Campbells Healthy Communities, the companys signature philanthropic program. The grantees include seven organizations with operations in Connecticut, including Norwalk, the location of a major operations center for Campbells Snacks Division.

The Campbell Soup Foundations grantmaking focuses on three key areas: increasing healthy food access; encouraging healthy living; and nurturing Campbell neighborhoods. The Campbells Healthy Communities program is focused on improving the health of young people in communities where Campbell has operations.

We are proud of our 150-year history of giving back to the communities in which we operate, said Kim Fortunato, President, Campbell Soup Foundation and Director, Community Affairs. Campbell and our Foundation are a powerful community partner not only in Camden but in many Campbell communities. In addition to financial support, we are proud of our strong volunteer engagement program that supports our community partners in a variety of ways. Congratulations to this years outstanding recipients who are making a significant impact in their local communities.

Connecticut grantees include Community Health Network of Connecticut Foundation, which implements culinary education programs in a variety of settings in Norwalk, including in schools, grocery stores, and community centers; FoodCorps, which trains and places FoodCorps service members in schools to help create a culture of health in schools through nutrition education, school gardening, and cafeteria support; and Stepping Stones Museum, which incorporates healthy living and nutrition into its programming, including its exhibits and summer camps.

A full list of Connecticut grantees is below:

Other grant recipients nationwide include:

Founded in 1953, the Campbell Soup Foundation provides financial support to local organizations that inspire positive change in communities throughout the U.S. While the Foundation places an emphasis on Camden, N.J., the site of Campbells World Headquarters and birthplace of its namesake soup business, its funding also supports other Campbell communities nationally. The Foundation is employee-run, governed by a Board of Trustees and advised by an Executive Committee.

About Campbell Soup Company

Campbell (NYSE:CPB) is driven and inspired by our Purpose, "Real food that matters for life's moments." For generations, people have trusted Campbell to provide authentic, flavorful and affordable snacks, soups and simple meals, and beverages. Founded in 1869, Campbell has a heritage of giving back and acting as a good steward of the planet's natural resources. The company is a member of the Standard and Poor's 500 and the FTSE4Good Index. For more information, visit http://www.campbellsoupcompany.com or follow company news on Twitter via @CampbellSoupCo.

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The Campbell Soup Foundation Announces $1.5 Million in Grants to Strengthen and Empower Healthy Communities - Business Wire

BANGOR, Maine (WABI) - Guidelines for Treatment of Depression: Adolescents, Adults, Older Adults

Health Watch October 29, 2019

David Prescott, Ph.D. Acadia Hospital

Depression causes Disability: Depression is the second leading cause of disability both in the United States and worldwide. In any given year, about 7% of adults will experience an episode of major depression, and almost twice that number (13%) of adolescents will experience an episode of major depression. In August, 2019, the American Psychological Association published Practice Guidelines for the treatment of depression across three age cohorts:Children and Adolescents Adults Older Adults While some of the most effective treatments for these age groups are similar, there are also some important differences. Knowing the symptoms of major depression and the recommended treatments for people in different age groups helps increase the likelihood that people with depression will get effective treatment. Symptoms of Major Depression: Major depression, or clinical depression, is more than simply feeling down for a day or two. Diagnostic symptoms include:Persistent sad or irritable mood for two or more consecutive weeksDecrease in energy and motivationFeeling hopeless or excessively guiltyLoss of appetitePoor Memory or ConcentrationPreoccupation with Death or SuicideLack of enjoyment in activitiesPoor self-esteem Effective Treatment for Adolescents:Both psychotherapy (counseling) and medication have been shown to be effective in treating adolescents with depression. Most research suggests that a combination of both psychotherapy and medication is superior to either alone. Effective counseling approaches include cognitive-behavioral therapy and interpersonal psychotherapy, which focuses on improving relationships and engaging with others to provide emotional support. Fluoxetine (Prozac) was the antidepressant medication which had the most research support for treating adolescent depression, although a number of medications of this type (SSRI) are also frequently prescribed. Effective Treatment for Adults: Like adolescents, adults benefit the most from a combination of psychotherapy and medication for treating depression. A greater number of psychotherapy approaches have been shown to help adults with depression, compared to adolescents. Insight oriented therapies, cognitive behavior therapy, and interpersonal therapy for adults have all demonstrated effectiveness for adults. A wider array of medications have demonstrated effectiveness for adults in the treatment of depression. These include second generation medications such as SSRI's and SNRI's which act on brain neurochemical systems involved in depression. Effective Treatment for Older Adults: For depression, effective psychotherapy for older adults differs from psychotherapy techniques for adolescents or adults. Older adults benefit from Reminiscence/Life Review group approaches to treatment which focus on reviewing major life events in their life and coping with loss of friends, loved ones, and level of functioning. Interpersonal approaches also appear to be effective in terms of psychotherapy. Effective medications for older adult depression are similar to those for adult depression, such as SSRIs and NSRIs. Many go Untreated for DepressionIn spite of the research about effective treatment for depression, the number of people who go without treatment is sobering.Estimates are that 35% of adults with depression get no treatment. In adolescents, the number is even higher, with an estimated 60% receiving no treatment. For More Information: American Psychological Association: https://www.apa.org/depression-guideline/patients-families

National Institute of Mental Health: https://www.nimh.nih.gov/health/statistics/major-depression.shtml

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Healthy Living: Guidelines for treatment of depression - WABI

Editors note: The Healthy Living column provides exercise and diet tips from the Grand Hyatt Vail to help readers live their healthiest lives.

As many parents know, the back to school season can be a hectic time of year.

Between making lunches, running to sports practices or rehearsals and juggling work, it can be hard for parents to relax.

But now that its October and kids are getting back in the swing of things, now is a good time to get back to you.

Too often, people get in the mindset that a workout needs to be an hour long to count, but that simply is not the case.

A workout can be any length of time. After all, moving for a short period of time is better than not working out at all.

A 20-minute workout can yield great results and fits into a busy schedule.

To maximize a shorter workout, try a higher-intensity interval workout that pushes exertion higher, faster. Shorter and more intense bursts of exercise increase heart rate and cause the muscles to start burning more quickly.

A few other tips for maximizing a high-intensity interval training workout include a short warmup, keeping intervals to 2 minutes or less and not overdoing it, especially when starting a new routine.

Group fitness classes are another great way to get moving.

Most gyms offer midday classes throughout the week including spin, yoga, barre and more. Check out your gyms class schedule for more information. Aria Athletic Club offers noon classes on various days throughout the week, with rotating classes and new ones added each month.

Finding a routine is key, and sticking to it is even more important.

Having a method and time of day to work out that excites individuals will make it easier to stick with the routine.

For those struggling to get a new routine started, be sure to set manageable goals.

New runners shouldnt make a marathon their first goal because theyll get burned out easily maybe start by training for a 5K instead. Once you smash that personal record or lift that goal weight, find another goal to add on and keep building from there.

This time of the year is also great to implement healthy eating habits for the entire family.

Starting small, focus on beginning the day with a healthy breakfast, and including nutrient-rich snacks with fiber and protein in lunches.

For breakfast, try adding a fried or hard-boiled egg to your go-to avocado toast.

Switch from savory to sweet with a berry and yogurt parfait, or even prepare ahead and make a quiche. Mixed nuts and apple slices with peanut butter and even a little bit of dark chocolate are great snack options for parents and children alike.

As with starting a new exercise program, create small goals and then build from there to include healthy food options in each meal.

Emily Dornan is the club director at Aria Athletic Club at Grand Hyatt Vail. For more information on implementing healthy exercise and food habits, you can reach her at 970-479-5949 or edornan@ariaclub.com.

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Healthy Living: Get back to you now that back to school is over - Vail Daily News

The Center for Health Living welcomed its first client on Oct. 16, 2013.

The old fire building on Texas Highway 155 South in Tyler was established to continue providing a lifesaving function to the citizens of Tyler through the partnership between the city of Tyler and Northeast Texas Public Health District (NET Health) to provide chronic disease prevention services to underserved and uninsured communities in Tyler and across East Texas.

As a unique fixture within the St. Louis community of Tyler, The Center for Healthy Living (aka The Center) is the only local community health center in the area and the first of its kind to be staffed by four certified community health workers (CHWs) and a certified health education specialist. The majority of our clients who have been seen and screened at The Center are uninsured and unemployed loved ones, friends and family in your neighborhood, coworkers and customers of your company.

The staff at The Center offers free chronic disease prevention education and resources Monday through Friday. Throughout our six years of operation, The Center has provided diabetes prevention and diabetes self-management education to mroe than 200 clients and health screening services to more than 2,000 clients. Within the past year, more than 600 uninsured clients were scheduled for free pap smears and mammograms in an effort to counteract the rates of breast cancer and colon cancer in the Tyler area, which are both higher than the state and national averages.

The Center offers a home blood pressure monitor project to people identified as having undiagnosed or uncontrolled high blood pressure. Participants are given a free blood pressure monitor to check their blood pressure daily for 16 weeks, so that our CHWs can call each participant to obtain numbers and provide additional education and assistance. Average blood pressure before the project was 161/92 mmHg. After the completion of the program, blood pressure among the participants decreased at an average of 18 systolic points and 9.5 diastolic points, and persons enrolled in our 16-week project maintain an 86% completion rate.

The Center has also become the hub for a community clinical linkage project called CommUNITY Cares. Our CHWs electronically connect uninsured individuals to a primary care home and to the social services agencies best suited to address the persons health needs. Through a network of clinical and community partnerships, the CommUNITY Cares project addresses insufficient access to primary health care services, removes the high costs due to potentially preventable hospitalizations and minimizes inappropriate emergency department use by individuals seeking health care in an emergency room. Referrals to The Center come from Tyler hospital ERs and social service agencies. More than 125 uninsured have successfully been enrolled in a primary health care home.

Since February 2017, The Center maintains annual accreditation through the American Association of Diabetes Educators for diabetes services. The Center is the only National Diabetes Prevention Program site in Northeast Texas recognized by the Centers for Disease Control and Prevention. Two members of our staff are lifestyle coaches who provide free classes on how to prevent diabetes, to safely lose weight and to learn how to easily enjoy a healthy lifestyle.

This designation is reserved only for programs that have effectively delivered a quality, evidence-based program that meets all of the standards for CDC recognition. The sustained success of our lifestyle change program makes an invaluable contribution to the prevention of type 2 diabetes, both in our Northeast Texas region but also nationally. According to data collected by the CDC, over 86% of health care spending in the U.S. is for chronic disease, and The Center for Healthy Living continues to minimize these costs within the East Texas area.

Joy Johnson is NET Health assistant director of community outreach. NET Health will continue to talk about Your NET Health. This feature will focus on a variety of health issues that hold importance to your community. Let us know if you have questions about our article, or if you have a topic or topics that you want us to cover, by sending us an email at ContactUs@netphd.org.

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Center celebrates 6 years of healthy living - Tyler Morning Telegraph

La PORTE City initiatives for healthier living were discussed by residents, politicians and city employees Tuesday night during the Heart of La Porte Kick Off meeting at city hall.

The meeting was hosted by the Healthcare Foundation of La Porte along with the City of the La Porte Redevelopment Commission.

The meeting room was filled with locals craving information about the direction of the citys downtown and NewPorte Landing area around Clear Lake.

The former Allis-Chalmers Industrial Complex on the north end of downtown has developments that are already underway, including a $35 million mixed-use Flaherty & Collins development. The building will consist of 200 luxury apartments andmore than 5,000 square feet will be used for retail.

Plans for much of the remaining area have yet to be finalized or revealed to the public. The meeting was presented as a chance for the public to provide feedback and help shape the vision of local economic development.

However, problems of the past still persist in the NewPorte Landing area. Some of these challenges were revisited during the Heart of La Porte meeting.

Over the better part of a century the area was used for manufacturing. The distinctive orange coloring of Allis-Chalmers farm equipment is still deep-rooted in the city. The derived Slicer Orange has proven to be an enduring emblem for its proud city-natives.

The once booming industry has left an environmental stain around Clear Lake. Members of the public were informed that Allis-Chalmers had dumped a significant amount of paint sludge in the area.

Decades old orange paint from Allis-Chalmers machinery manufacturing can still be found on the site where developers are hoping to build new businesses.

City Engineer Nicholas Minich confirmed, Its underground. Thats what were working to clean up. There was some dumping that we will be addressing with the current phase of the cleanup.

According to Minich, the city has a $4 million cleanup contract with an environmental remediation contractor.

The contract involves the more difficult areas of the site. There are parts [near Clear Lake] that are fairly easy to clean up. It [involves] removal of the soil that has impacted the surface [without] any issues below. In other areas, there is more going on and more detail to go into the type of work that needs to be done in order to make sure that its acceptable for reuse as residential for the Flaherty and Collins project, he said.

The city is coordinating with the Indiana Department of Environmental Management (IDEM) to make sure that the site is safe for redevelopment. The cleanup in this section of NewPorte Landing is expected to be completed by Spring of 2020.

Allis-Chalmers did a lot of great things for the community, but we also lost a lot of natural capital, said Minich. Our lakes are a huge asset to our community and source of natural capital. In creating this industrial area, they filled in a lot of lake. I think really what our vision and goal [should be] to figure out how to regain peoples ability to access and enjoy Clear Lake.

More discussion on making a healthier La Porte is expected at the Heart of La Portes Design Workshop charrette that is scheduled for the week of Nov. 18. Additional information can be found at heartoflaporte.org.

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City embarks on healthy living initiative - The Herald Argus

Students and staff of The St Michael School took to the streets today to advocate for Childhood Obesity Prevention.

Wearing games clothes, sneakers and holding placards in hand, over 800 students walked through the environs of the Martindales Road, St Michael institution, to bring awareness to childhood obesity, an issue that has been the centre of national discussion in recent years due to discouraging statistics.

Principal Yvette Mayers said that while today marked World Obesity Day, St Michael was one of the model schools appointed by the Heart and Stroke Foundation to work in the campaign against obesity.

We felt that we should go through the community to share some information on health and to make a statement. The first time we had a walk for health in 2016, we had only about half the school participate. And we had so much fun on the road that those children came back and shared their experiences with others.

So this morning, only about 30 persons said they dont want to walk. But our students are always motivated to get involved with what is going on in the school. So I am very pleased with the response from our students, Mayers said.

The principal noted that the schools management has been making several necessary decisions to motivate and encourage students to live healthier lifestyles. She said since the beginning of the 2019/2020 school year, St Michael has not been selling carbonated beverages to students.

We have taken the plunge to take the carbonated beverages out of the school. Our focus since 2015 has been on water. We are encouraging our students to use more water and so a large majority of our students are accustomed to sipping water throughout the day from the time they enter the school. There are some students that the only thing you see them drinking is water, Mayers said.

Throughout the day, the students participated in healthy activities and exercise sessions, including Zumba. There was also a health exhibition where the students were encouraged to learn more about healthy foods and products, and also have various health checks. (AH)

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In the cause of healthy living - Barbados Today

When Max turned 12 last summer, he invited five friends to sleep over at his house and celebrate his birthday. Presents? Max asked his friends not to give him presents. Instead, Max and his mother, Sarah, called The Arc Eastern Connecticut and learned that puzzles, games and art supplies are always in demand.

So, Max asked his friends to bring to the party games like Sorry, Trouble and Rubiks Race; also, glue, Play-Doh, tape and other craft materials. Then, on a breezy September afternoon, Max and Sarah delivered the gifts that werent Maxs to The Arc ECT on Sachem Street in Norwich.

A student at Integrated Day and Charter School (IDCS), Max runs cross country and track. I just like running! He also enjoys sprinting and is working on his ability to compete long-distance. Another reason he chose IDCS is the music and arts programming. I like art, and I want to learn to play the guitar. His dad, Craig, used to play guitar in a band. Max also has a turntable. I like mixing songs.

Max had already decided to donate his birthday presents to people with special needs when his mom, a special education teacher at Norwich Free Academy, suggested The Arc. The year prior, hed chosen St. Vincent de Paul Place.

Max ticks off statistics. Employment rates for people with Intellectual and Developmental Disabilities (IDD) have been flat for 20 years. Their unemployment rate is 80%! he says.

People with disabilities, Max says, deserve the same chances as everyone else.

Max lives in Norwich with his mom, dad, and sisters Sadie, 14, and Abby, 18. Given a choice, hed rather be 16. Although Max does know someone with autism and had a friend back in first grade with a heart condition, his passion for inclusion is more heartfelt than personal.

Max notices things, and he doesnt like what he sees when adults speak to children with IDD.

They kind of talk to them like theyre in first or second grade when theyre really, like, in sixth grade, Max says.

Max wants everybody to understand just one thing: A person with disabilities, theyre just a normal person.

Kathleen Stauffer is chief executive officer of The Arc Eastern Connecticut. For information on The Arc, go to http://www.TheArcECT.org. For more articles by this author visit http://www.kathleenstauffer.com

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Arc Healthy Living column: Norwich boy sees the benefits of helping disabled - Norwich Bulletin

Turnaround season is in our midst, and it seems like light years since we were in vacation mode, enjoying time outdoors with our family and friends. But rest and relaxation (R&R) is a good thing, and doctors have declared it is essential to good mental health. Unfortunately, now is not the time for R&R, as we are in peak turnaround season instead. Therefore, now is the time to think about changing some not-so-healthy habits so we can be in better shape for the next vacation and able to enjoy it with family and friends.

I'm not a health nut or a nutritionist, but I have made a conscious effort to change some old habits to healthier new ones. The other day, I was thinking about my time in the field. My routine during turnaround season was deplorable, but I was young and thought I was immune from any repercussions.

The way it was

I'd jump out of bed when the alarm sounded at 4 a.m. Then, I would hurriedly get ready, run out the door and hightail it to the nearest Jack in the Box. I'd order an ultimate cheeseburger with curly fries and an extra-large soda. By the time I ate and drank all of this (while driving), it was approximately 5 a.m. I still had plenty of time to have a few smokes before reaching the plant gate at 5:30 a.m.

Lunch was a luxury, so most times I would grab a few of the remaining donuts in the turnaround trailer. The only good habit I had then was working hard. I took pride in my job and felt a duty to my co-workers to do the best I could.

I would roll away from the plant at approximately 7:30 p.m. I didn't need to worry about dinner right away because a few beers with the guys would fill me up temporarily. I'd hit the sack about 11 p.m., and first thing you know, the alarm would sound the beginning of another day.

Don't do as I did

If this is your pattern during turnarounds or if your daily pattern is even close to what mine was, please stop! A healthy and balanced diet with regular eating times is one of the best things a person can do for his or her body and mind. The way I treated my body back then has resulted in high cholesterol, and there may be more health problems in my future.

The magic trio: Mind, body and spirit

There's a lot of talk about having a healthy mind, body and spirit, and I think it's very true. Having a clear mind throughout the turnaround (and throughout every day) helps us to stay focused and accomplish more.

When we take care of our bodies, it also helps clear our minds. About 20 minutes of weight training three times a week is all some experts say we need. It helps our metabolism and helps us lose weight. It feeds oxygen to our blood, which travels to our brain and vital organs and throughout our bodies.

Spirit is probably the most important thing in most people's lives. Spirit is not about any particular religion, although people use religion to reach the spirit. Spirit is about a feeling of well-being and believing in something greater than ourselves. I have been pleased to find that at the close of many morning safety meetings, a designated member of supervision will say a prayer for himself and all the workers. This invites the spirit to join us throughout the workday, and it can be the third cog in having a healthy life and turnaround season.

Having good and regular sleep habits will help our bodies, minds and spirits, too.

Good life or good times?

We are living longer today than any generation before us. I know I want to live a long life -- provided I'm healthy, too.

I once thought I was living the good life. I'm glad I finally realized I was not going to be forever young and indestructible. Now that I've changed my habits, I know that good times are far more enjoyable when I'm alert and healthy. Now that I have children, I also see the importance of setting a good example for them.

When we treat our bodies well with proper nutrients, sleep and exercise, our brains are more alert, and we can work more safely. When we also believe in something bigger than ourselves, we are happier and more at peace.

Have a great turnaround season, and stay well.

For more information, contact Whitney Strickland at (281) 506-7152 or wstrickland@towerforce.com.

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The turnaround season requires healthy living - BIC Magazine

Vermont Business Magazine Healthy Living Market & Cafe officially broke ground on their new Williston location, which will be their third store.

Were excited that construction has now officially begun on our future location at Finney Crossing in Williston, said Eli Lesser-Goldsmith, CEO and Co-owner. We look forward to becoming a great contributor to the Williston community and economy.

The new location of Healthy Living Market & Cafe at Finney Crossing is set to open mid-2020. The 18,000sq/ft full service natural foods supermarket will feature all departments, including locally sourced produce, the best meat and seafood, grab-and-go prepared foods, an all-organic juice and smoothie bar, and fresh sushi made on-site.

Lesser-Goldsmith added: Healthy Living is growing and we are poised to add two stores to the Vermont market in the near future. Natural and organic products are what consumers are asking for, and our stores are the go-to locations for the products they love. Well be adding over 60 new jobs to the Vermont economy, which we are especially proud of.

Developer Chris Snyder says Finney Crossing is almost fully built out. With our new Hilton Home2 under construction, Healthy Living Market, and the additional 12,000sq/ft of available retail space will be a great draw for our residents and renters, plus everyone passing by on Rt 2. We have 2 really exciting local restaurant openings well be able to share in the very near future as well.

Healthy Living Market is known for having the most stringent product ingredient standards of any grocery store in the region, and for its commitment to working with local growers, brands, producers and farmers. All food sold must meet HLMs rigorous standards, which prohibit artificial colors, flavors, sweeteners and preservatives, added hormones and antibiotics.

About Healthy Living MarketHealthy Living Market and Caf is Vermont and Upstate New Yorks family owned natural and organic supermarket, with the toughest product standards in the business. Founded in Vermont in 1986 by Katy Lesser, Healthy Living has been committed from day one to creating a premier grocery shopping experience for guests and great career opportunities for its staff. With locations in Burlington, Vermont and Saratoga Springs, New York, Healthy Living is a triple bottom line, mission/vision/values company from the top down.For more information visit http://www.healthylivingmarket.com.

Source:Healthy Living Market and Caf 10.8.2019

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Healthy Living breaks ground on Williston store - Vermont Biz

Cystic Fibrosis (CF) is a severe genetic disease that affects more than 80,000 people worldwide. It is caused by a potentially deadly mutation in one pair of chromosomes responsible for the production of a protein necessary for normal respiratory and intestinal systems function. Those who inherit one of these abnormal chromosomes from one parent are called 'carriers' because usually the chromosome inherited from the other parent will be normal and capable of performing correctly. However, if one inherits this abnormal chromosome from both parents, then that individual will have no 'back-up' to code for the normal protein and will have a progressive disease characterized by intestinal blockages in infancy and severe respiratory compromise for the remainder of his or her life.

Historically, those with this dread diagnosis often did not survive to adulthood. In the past 30 years however, a lot of effort has gone into the development of aggressive treatment protocols for this chronic lung disease and now those with access to this care can live into early adulthood. In addition, genetic research now allows us the ability to identify carriers so that physicians can help parents prenatally avoid having children with the full-blown disease. Still as anyone who has experienced the challenge of having a family member with cystic fibrosis can tell you, medicine has been only 'nibbling at the edges' of the problem, and we have not had anything resembling a 'cure' for those unfortunate enough to inherit the condition.

That is until just recently. In last week's edition of the New England Journal of Medicine (DOI:10.1056/NEJMoa1908639) researchers announced a major breakthrough in the treatment of this disease. They reported on a placebo-controlled study involving more than 400 individuals with CF wherein half of the enrollees were treated with 'standard' care, and the other half with an experimental 'cocktail' of three unusual drugs (elexacaptor, tezacaptor, and ivacaptor) that have the ability to get into the lung cells involved in the production of the critical protein necessary for normal respiratory function. Even if these cells had both pairs of abnormal chromosomes, these medications could influence the cell machinery enough to produce some of the normal protein previously lacking.

When they looked at the lung function of those with the experimental drugs 24 weeks later, there was dramatic improvement in several areas. Overall there was a significant increase in FEV1, a marker for air movement. There also was a 63% lower rate of pulmonary exacerbations, and a quality of life scale that was 20 points higher in the treated individuals. Side effects were generally minor, with only 1% of those treated stopping the medications.

One major limitation of this study was the fact that the variant of CF showing the best potential for this treatment does not account for all those with CF. Because there are minor genetic differences in the chromosomes of people world-wide with this disease, the authors of this study focused on the most common type which accounts for 90% of those with CF, leaving 10% of those who have the diagnosis not seeing a benefit with this particular 'cocktail'. However, CF researchers expressed their commitment to continuing the search for similar medical technology to find effective treatment for all patients afflicted.

Still, this study marks a milestone in our ability to make a real difference for those suffering from this cystic fibrosis. If these disease-altering treatments prove effective, it may allow us to rethink what it means to have CF. Rather than looking at CF as a 'lethal disease' it may be more useful to consider it a chronic life-long condition, akin to diabetes. As one researcher expressed it, those with CF very commonly did not even consider going to college as young adults because they did not want to waste the time/resources if they were unlikely to have a meaningful work- life. Now, not only do those with cystic fibrosis need to think about higher education, they also might want to consider putting something away for their retirement, a lifespan goal that was previously unimaginable for this population.

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Healthy Living: November 5, 2019 - WABI

The Pennsylvania Health Department is once again encouraging Pennsylvanians to get their flu vaccine and practice healthy habits as the flu season begins.

According to Nate Wardle, press secretary for the states Department of Health, flu season officially starts this month and runs until May.

Influenza is a contagious disease, caused by the influenza virus. It attacks the nose, throat and lungs.

Dr. Nancie Fitch, Area Medical Director for MedExpress said symptoms of flu can be similar to those symptoms of a cold.

I always stress that my patients look for some specific symptoms that are usually unique to flu, she said. Like a cold, flu may cause cough, sore throat, headache and runny or stuffy nose but if its the flu, you may also have some more severe symptoms, like a fever, extreme exhaustion, severe body aches and weakness.

Fitch added that while a cold typically starts slowly over the course of several days, flu symptoms tend to come on quickly, often within a few hours.

Secretary of Health Dr. Rachel Levine encouraged residents to get their flu vaccine before the end of October or as soon as possible thereafter.

The flu is serious and can be deadly, which is why it is so important for everyone to take the proper precautions to protect themselves, their loved ones and anyone they meet, said Levine. Last year, we had more than 122,000 cases statewide and 258 deaths. It is imperative that you get your flu vaccine now so you can be protected throughout the flu season. There is no better measure to protect yourself than to get a flu vaccine.

Fitch said she recommends that her patients get the flu shot early, even before the start of flu season.

It takes about two weeks for your bodys immune system to develop the antibodies thatll help protect against the flu virus, she said. We know that flu germs tend to spread more quickly when were in larger groups schools, at work, during the holidays so its best to get the shot now.

Getting an annual flu shot can decrease the risk of catching the flu by about 40% to 60%, according to the Centers for Disease Control and Prevention.

Emergency room directors for both Highlands Hospital and Monongahela Valley Hospital reported that they have not yet seen any cases of influenza this season. While officials at Uniontown Hospital did not respond with information about whether or not any flu cases had yet been reported there this year, Fitch did say their MedExpress centers in Pennsylvania have certainly started to see patients coming in with influenza-like illnesses.

Brian Hair, director of the emergency room at Monongahela Valley Hospital, said that as of Oct 15, in the last 45 days, the emergency room has tested 97 flu samples that have all been negative.

While the flu shot doesnt completely prevent a person from getting influenza, it does weaken it if a person who has been vaccinated contracts it, he said. They have the ability to bounce back quicker - it makes the attack easier on their system.

Hair added that its especially important for young children, the elderly, anyone who is immune compromised and anyone who is regularly around these groups of people to get the shot.

You want to make sure that youre adding this layer of protection, he said.

In addition to the flu shot, the department of health said the flu nasal spray is also available this year, and both are recommended to protect against the flu.

Flu vaccines are available at your doctors office, pharmacy, local walk-in clinic or grocery store. It takes about two weeks for the antibodies from the vaccine to develop protection against infection.

Wardle added that in addition to getting vaccinated, Pennsylvanians are encouraged to practice healthy habits like covering your mouth and nose when you cough or sneeze, frequently washing your hands during flu season and remembering to disinfect commonly-touched objects, such as door knobs, light switches, counter tops, cell phones and computers.

If you do become sick with the flu, it is important to stay home and rest, he said. If you are at risk for developing serious complications from the flu, or feel extremely ill, you should see a medical professional immediately.

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Flu season is here | Healthy Living - Uniontown Herald Standard

On Nov. 16, Laurinburg native Ernest Swindell will be releasing his debut book entitled, Why You Cant Lose Weight: The Blueprint for Healthy Living.

This is about far more than exercise and diet. This book gives you the foundation for living your best life, covering everything from food addiction and stress to developing a positive mindset.

Before relocating to Charlotte, Swindell was born and raised in Laurinburg. Even at the age of 34, he vividly remembers what it was like to overcome his own struggles with weight and appearance. At the age of 12, Ernest was nearly 185 pounds. To put that into perspective, as an adult he usually weighs in around 165 pounds.

That weight, especially at that age, made basic physical activities feel strenuous. Push ups and sit ups were out of the question.

But it was then that Swindell took it upon himself to make positive lifestyle changes less over-indulgence and more exercise. Small changes eventually led to significant results, and the weight slowly began to melt away.

Swindells past struggles with fitness has been the catalyst for his passion to help others do the same. In 2007 he established No Xcuses Just Results, a health and wellness company dedicated to helping others achieve their health and wellness goals. Through products and services such as wellness coaching, fitness plans, workout cards and personal training, No Xcuses Just Results offers all the tools needed to live your best life!

So be sure to check out the book release party on Saturday, Nov. 16, from 3 to 5 p.m. at Mangos, located at 3112 N. Davidson St. in Charlotte. RSVP at http://www.noxcusesjustresults.com/events.

Anyone who cant make the book release can pre-order books online at http://www.noxcusesjustresults.com/shop.

Book will be released in Charlotte on Nov. 16

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Laurinburg native releasing book on healthy living - Laurinburg Exchange

Thursday, October 31, 2019 4:34 p.m. CDT

By Lisa Rapaport

(Reuters Health) - Cardiac rehab, known to be helpful after heart attacks, may also aid recovery from heart valve surgery, a study suggests.

Older adults who got cardiac rehabilitation after heart valve surgery were less likely to be hospitalized or die over the next year than those who didn't get this support, the study found.

Researchers examined data on 41,369 people insured by Medicare, the U.S. health program for individuals 65 and older, who had valve surgery in 2014. Overall, only 43% of them enrolled in medically-supervised cardiac rehab programs focused on things like stress reduction, exercise and heart-healthy living.

Compared to people who didn't go to cardiac rehab, those who did were 34% less likely to be hospitalized within one year of discharge after valve surgery, the study found. And rehab patients were also 61% less likely to die within one year of discharge.

"To our knowledge, this is the first study to evaluate cardiac rehabilitation (CR) utilization among patients undergoing cardiac valve surgery at the national level in the United States," said Dr. Justin Bachmann, senior author of the study and medical director of the cardiopulmonary rehabilitation program at Vanderbilt University Medical Center in Nashville, Tennessee.

Cardiac rehab has previously been found effective for patients recovering from other types of procedures after heart attacks or procedures to place stents to prop open arteries, researchers note in JAMA Cardiology.

"Cardiac rehab includes supervised exercise as well as dietary and smoking cessation counseling," Bachmann said by email. "Management of cardiovascular risk factors (i.e. diet and stopping smoking) as well as improvements in cardiorespiratory fitness translate into improved health."

But not all patients in the study had equal access to cardiac rehab.

Compared to white patients, Asian and Hispanic patients were 64% less likely to get cardiac rehab, while black patients had 40% lower odds.

At the same time, people who had coronary artery bypass grafting in addition to valve surgery were 26% more likely to get cardiac rehab than those who only had valve procedures.

And people living in the Midwest were more than twice as likely to go to cardiac rehab as patients living in southern states.

Half of the patients in the study were at least 73 years old.

One-year mortality rates, excluding people who died while hospitalized for the valve surgery or within 30 days of discharge, were 6.6% overall. Among patients who got cardiac rehab, one-year mortality was 2.2%

The study wasn't designed to prove whether or how cardiac rehab might directly affect patient outcomes, nor did it examine why some patients might not have been offered cardiac rehab or chose not to enroll.

Even so, the results underscore the importance of discussing options for cardiac rehab, when possible before surgery so services will be lined up when they're needed, said Dr. Randal Thomas, co-author of an editorial accompanying the study and medical director of cardiac rehabilitation at the Mayo Clinic in Rochester, Minnesota.

"They will recover quicker, feel better, function better, and live longer as a result," Randal said by email. "If a center-based program is not available near them, they should ask about the options for a home-based cardiac rehabilitation program that would be available to them instead."

SOURCE: https://bit.ly/2N5YYlT and https://bit.ly/2r1xYeN JAMA Cardiology, online October 23, 2019.

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Cardiac rehab after heart valve surgery tied to better outcomes - KFGO News

By Jessica Carney, for The Gazette

Julie Fitzpatrick has always been focused on healthy living.

She owns Optimal Wellness and is a physical therapist and wellness specialist at Progressive Rehabilitation Associates in Iowa City. Shes been a volunteer for 13 years with the American Heart Association, focused on spreading awareness of womens health issues.

Im passionate about womens health and wellness, and I believe in what the American Heart Association stands for, she said.

Four years after she became a volunteer, she was pregnant with her daughter, when at the 20-week ultrasound, doctors discovered a heart defect a transposition of the great arteries, meaning the babys aorta and pulmonary artery were reversed.

In the first month of daughter Janies life, the baby had two open-heart surgeries, correcting the defect.

Fifty years ago, Fitzpatrick said, the outcome might not have been as positive.

It made me even more passionate about the American Heart Association and the research they help fund, she said. Our daughter is living proof that the research helps save lives.

Today, Janie is a healthy 9-year-old who is active in gymnastics and volleyball. She has a small heart murmur thats monitored by her doctors, but her activity isnt restricted, and her future looks bright.

We made the decision to trust that shed be well, Fitzpatrick said, explaining she didnt want her daughter thinking her parents were constantly worried about her health.

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Fitzpatrick continues to volunteer with the American Heart Association, and she incorporates heart-healthy thinking into both her professional and family life.

Its important to not only know your numbers, like your cholesterol, fasting glucose and BMI, but to do something about it, she said.

She encourages her physical therapy patients to eat healthy, hydrate properly and exercise, even if they have physical limitations. If you have a bad knee, for example, getting in the pool can be a good option, Fitzpatrick said.

Simple changes can have compounded effects if theyre done consistently, she said.

Its not about doing a 30-day program, she said. Its about making it part of your life.

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She long advocated for heart health. Then her baby's life was saved by heart surgery - The Gazette