Sensitive skin care is more than just choosing the right sensitive skin care product. Sensitive skin has a low tolerance level to certain products or environmental conditions. People with sensitive skin may react quickly to chemicals, heat or wind by developing red, blotchy and irritated skin. This following form part of this article:
• What are the methodologies for dealing with oily skin?
• Will fresh fruits and vegetables helps in having a healthy skin?
• What is the role of artificial cream and supplements helps in skin care?
Sensitive skin care is more than just choosing the right sensitive skin care product. To provide the best sensitive skin care, you need an overall approach to providing the best possible care.
Sensitive skin has a low tolerance level to certain products or environmental conditions. People with sensitive skin may react quickly to chemicals, heat or wind by developing red, blotchy and irritated skin. Different people have different levels of skin sensitivity. Some people may react to a product, while for others it produces no effect. Similarly, some people may have a very severe reaction, while others only have a mild reaction.
Problems Faced by People with Sensitive Skin
People with sensitive skin face many problems. The redness, irritation and blotchiness associated with sensitive skin can be uncomfortable and embarrassing. It can be annoying having to avoid everything that may cause sensitive skin to flare up. Providing the right sensitive skin care can be particularly difficult, as many skin products will have a negative effect.
Dealing with Sensitive Skin
NATURAL METHODS
Natural skin care can be an effective way of treating sensitive skin. Natural products are less likely to trigger the reaction that other products may have on sensitive skin. Here are some of the best natural ways to treat sensitive skin.
Food Intake and Hydration
Diet can play a big part in sensitive skin break outs. A healthy diet (containing plenty of fresh fruit and vegetables) will help skin look healthy. People with sensitive skin should pay attention to their diet and take note if any foods seem to trigger a sensitive skin reaction. Even some healthy foods may cause a reaction in some people, so do not discount these when you look at possible triggers. Hot and spicy foods are particularly likely to cause a negative effect.
People with healthy skin should also drink lots of water, which will help keep their skin hydrated. When skin is adequately hydrated, it is healthier and better able to fight off skin irritations.
Herbal Remedies
Herbal remedies are very good for sensitive skin, because they are free from the harsh chemicals that can cause skin problems. Generally, products that contain natural ingredients will be better for your skin and less likely to cause a sensitive skin reaction. Try the following remedies for some special sensitive skin care.
• Use almond or jojoba oil to cleanse your face.
• Comfrey steeped in water can make a good toner.
• Make a facial exfoliate by mixing grapefruit with oatmeal.
• Make a face mask out of fruit.
• Cucumber and yoghurt also makes a good face mask for sensitive skin.
• Licorice is a good product for sensitive skin. Look for skin care products that contain licorice.
• Green tea has anti-inflammatory properties, which may help prevent sensitive skin reactions.
• Aloe Vera can soothe skin that is red, irritated and blotchy. Apply directly to the skin.
Even when using natural products, people with sensitive skin need to be careful. As some sensitive skin reactions are caused by allergies, even organic products may cause an adverse reaction in someone. Check every product on a small area of your skin first, and stop using a product if it seems to be triggering the symptoms associated with sensitive skin.
Sunday, 16 November 2008
Public Health Interventions
Early public health interventions
By Roman times, it was well understood that proper diversion of human waste was a necessary tenet of public health in urban areas. The Chinese developed the practice of variolation following a smallpox epidemic around 1000 BC. An individual without the disease could gain some measure of immunity against it by inhaling the dried crusts that formed around lesions of infected individuals. Also, children were protected by inoculating a scratch on their forearms with the pus from a lesion. This practice was not documented in the West until the early-1700s, and was used on a very limited basis. The practice of vaccination did not become prevalent until the 1820s, following the work of Edward Jenner to treat smallpox.
During the 14th century Black Death in Europe, it was believed that removing bodies of the dead would further prevent the spread of the bacterial infection. This did little to stem the plague, however, which was most likely spread by rodent-borne fleas. Burning parts of cities resulted in much greater benefit, since it destroyed the rodent infestations. The development of quarantine in the medieval period helped mitigate the effects of other infectious diseases. However, according to Michel Foucault, the plague model of governmentality was later controverted by the cholera model. A Cholera pandemic devastated Europe between 1829 and 1851, and was first fought by the use of what Foucault called "social medicine", which focused on flux, circulation of air, location of cemeteries, etc. All those concerns, born of the miasma theory of disease, were mixed with urbanistic concerns for the management of populations, which Foucault designated as the concept of "biopower". The German conceptualized this in the Polizeiwissenschaft ("Science of police").
The science of epidemiology was founded by John Snow's identification of a polluted public water well as the source of an 1854 cholera outbreak in London. Dr. Snow believed in the germ theory of disease as opposed to the prevailing miasma theory. Although miasma theory correctly teaches that disease is a result of poor sanitation, it was based upon the prevailing theory of spontaneous generation. Germ theory developed slowly: despite Anton van Leeuwenhoek's observations of Microorganisms, (which are now known to cause many of the most common infectious diseases) in the year 1680, the modern era of public health did not begin until the 1880s, with Robert Koch's germ theory and Louis Pasteur's production of artificial vaccines.
Other public health interventions include latrinization, the building of sewers, the regular collection of garbage followed by incineration or disposal in a landfill, providing clean water and draining standing water to prevent the breeding of mosquitos.
By Roman times, it was well understood that proper diversion of human waste was a necessary tenet of public health in urban areas. The Chinese developed the practice of variolation following a smallpox epidemic around 1000 BC. An individual without the disease could gain some measure of immunity against it by inhaling the dried crusts that formed around lesions of infected individuals. Also, children were protected by inoculating a scratch on their forearms with the pus from a lesion. This practice was not documented in the West until the early-1700s, and was used on a very limited basis. The practice of vaccination did not become prevalent until the 1820s, following the work of Edward Jenner to treat smallpox.
During the 14th century Black Death in Europe, it was believed that removing bodies of the dead would further prevent the spread of the bacterial infection. This did little to stem the plague, however, which was most likely spread by rodent-borne fleas. Burning parts of cities resulted in much greater benefit, since it destroyed the rodent infestations. The development of quarantine in the medieval period helped mitigate the effects of other infectious diseases. However, according to Michel Foucault, the plague model of governmentality was later controverted by the cholera model. A Cholera pandemic devastated Europe between 1829 and 1851, and was first fought by the use of what Foucault called "social medicine", which focused on flux, circulation of air, location of cemeteries, etc. All those concerns, born of the miasma theory of disease, were mixed with urbanistic concerns for the management of populations, which Foucault designated as the concept of "biopower". The German conceptualized this in the Polizeiwissenschaft ("Science of police").
The science of epidemiology was founded by John Snow's identification of a polluted public water well as the source of an 1854 cholera outbreak in London. Dr. Snow believed in the germ theory of disease as opposed to the prevailing miasma theory. Although miasma theory correctly teaches that disease is a result of poor sanitation, it was based upon the prevailing theory of spontaneous generation. Germ theory developed slowly: despite Anton van Leeuwenhoek's observations of Microorganisms, (which are now known to cause many of the most common infectious diseases) in the year 1680, the modern era of public health did not begin until the 1880s, with Robert Koch's germ theory and Louis Pasteur's production of artificial vaccines.
Other public health interventions include latrinization, the building of sewers, the regular collection of garbage followed by incineration or disposal in a landfill, providing clean water and draining standing water to prevent the breeding of mosquitos.
Public Health
The focus of a public health intervention is to prevent rather than treat a disease through surveillance of cases and the promotion of healthy behaviors. In addition to these activities, in many cases treating a disease can be vital to preventing its spread to others, such as during an outbreak of infectious disease or contamination of food or water supplies. Vaccination programs and distribution of condoms are examples of public health measures.
Most countries have their own government public health agencies, sometimes known as ministries of health, to respond to domestic health issues. In the United States, the frontline of public health initiatives are state and local health departments. The United States Public Health Service (PHS), led by the Surgeon General of the United States, and the Centers for Disease Control and Prevention, headquartered in Atlanta and a part of the PHS, are involved with several international health activities, in addition to their national duties.
There is a vast discrepancy in access to healthcare and public health intiatives between developed nations and developing nations. In the developing world, public health infrastructures are still forming. There may not be enough trained health workers or monetary resources to provide even a basic level of medical care and disease prevention. As a result, a large majority of disease and mortality in the developing world results from and contributes to extreme poverty. For example, many African governments spend less than USD$10 per person per year on healthcare, while, in the United States, the federal government spent approximately USD$4,500 per capita in 2000.
Many diseases are preventable through simple, non-medical methods. For example, research has shown that the simple act of hand washing can prevent many contagious diseases.[1]
Public health plays an important role in disease prevention efforts in both the developing world and in developed countries, through local health systems and through international non-governmental organizations, like the International Public Health Forum (IPHF)
The two major postgraduate professional degrees related to this field are the Master of Public Health (MPH) or the (much rarer) Doctor of Public Health (DrPH). Many public health researchers hold PhDs in their fields of speciality, while some public health programs confer the equivalent Doctor of Science degree instead. The United States medical residency specialty is General Preventive Medicine and Public Health.
Most countries have their own government public health agencies, sometimes known as ministries of health, to respond to domestic health issues. In the United States, the frontline of public health initiatives are state and local health departments. The United States Public Health Service (PHS), led by the Surgeon General of the United States, and the Centers for Disease Control and Prevention, headquartered in Atlanta and a part of the PHS, are involved with several international health activities, in addition to their national duties.
There is a vast discrepancy in access to healthcare and public health intiatives between developed nations and developing nations. In the developing world, public health infrastructures are still forming. There may not be enough trained health workers or monetary resources to provide even a basic level of medical care and disease prevention. As a result, a large majority of disease and mortality in the developing world results from and contributes to extreme poverty. For example, many African governments spend less than USD$10 per person per year on healthcare, while, in the United States, the federal government spent approximately USD$4,500 per capita in 2000.
Many diseases are preventable through simple, non-medical methods. For example, research has shown that the simple act of hand washing can prevent many contagious diseases.[1]
Public health plays an important role in disease prevention efforts in both the developing world and in developed countries, through local health systems and through international non-governmental organizations, like the International Public Health Forum (IPHF)
The two major postgraduate professional degrees related to this field are the Master of Public Health (MPH) or the (much rarer) Doctor of Public Health (DrPH). Many public health researchers hold PhDs in their fields of speciality, while some public health programs confer the equivalent Doctor of Science degree instead. The United States medical residency specialty is General Preventive Medicine and Public Health.
Education and Training
Education and training
Schools of public health offer a variety of degrees which generally fall into two categories: professional or academic.
Professional degrees are oriented towards practice in public health settings. The Master of Public Health (MPH), Doctor of Public Health (DrPH), Master of Healthcare Administration (MHA) and Professional Further Education in Clinical Pharmacy and Public Health are examples of degrees which are geared towards people who want careers as practitioners of public health in health departments, managed care organizations, community-based organizations, hospitals, consulting firms, international agencies, state and federal agencies, among others.
Academic degrees are more oriented toward students wishing to seek a career in teaching at a college or university or conducting research at a university or other settings. Examples of academic degrees are the Master of Science (MS), Doctor of Philosophy (PhD), and Doctor of Science (ScD).
Pathways to Public Health[8] is a way for youth to learn more about public health education and public health careers. In addition to providing information for high school and undergraduate students, Pathways to Public Health also provides information for guidance counselors and teachers to connect their students with the exciting opportunities in public health.
The Association of Schools of Public Health[9] represents CEPH-accredited schools of public health in the United States, Puerto Rico, and Mexico. ASPH-member schools prepare people to become public health professionals. In addition to representing its member schools, ASPH provides: education and training for students and graduates of its member schools, a job search website, funding opportunities, awards, an honorary society for graduate studies in public health,[10] and publications.[11]
Distance learning has increasingly become an attractive option for working professionals or people whose other life commitments prevent them from traveling to a physical location for classes. ASPH lists distance-learning programs from its member schools.
Schools of public health offer a variety of degrees which generally fall into two categories: professional or academic.
Professional degrees are oriented towards practice in public health settings. The Master of Public Health (MPH), Doctor of Public Health (DrPH), Master of Healthcare Administration (MHA) and Professional Further Education in Clinical Pharmacy and Public Health are examples of degrees which are geared towards people who want careers as practitioners of public health in health departments, managed care organizations, community-based organizations, hospitals, consulting firms, international agencies, state and federal agencies, among others.
Academic degrees are more oriented toward students wishing to seek a career in teaching at a college or university or conducting research at a university or other settings. Examples of academic degrees are the Master of Science (MS), Doctor of Philosophy (PhD), and Doctor of Science (ScD).
Pathways to Public Health[8] is a way for youth to learn more about public health education and public health careers. In addition to providing information for high school and undergraduate students, Pathways to Public Health also provides information for guidance counselors and teachers to connect their students with the exciting opportunities in public health.
The Association of Schools of Public Health[9] represents CEPH-accredited schools of public health in the United States, Puerto Rico, and Mexico. ASPH-member schools prepare people to become public health professionals. In addition to representing its member schools, ASPH provides: education and training for students and graduates of its member schools, a job search website, funding opportunities, awards, an honorary society for graduate studies in public health,[10] and publications.[11]
Distance learning has increasingly become an attractive option for working professionals or people whose other life commitments prevent them from traveling to a physical location for classes. ASPH lists distance-learning programs from its member schools.
Health Program
Public health programs:
This 1963 poster featured CDC’s national symbol of public health, the "Wellbee", encouraging the public to receive an oral polio vaccine.
Today, most governments recognize the importance of public health programs in reducing the incidence of disease, disability, and the effects of aging, although public health generally receives significantly less government funding compared with medicine. In recent years, public health programs providing vaccinations have made incredible strides in promoting health, including the eradication of smallpox, a disease that plagued humanity for thousands of years.
An important public health issue facing the world currently is HIV/AIDS[3]. Antibiotic resistance is another major concern, leading to the reemergence of diseases such as Tuberculosis.
Another major public health concern is diabetes[4]. In 2006, according to the World Health Organization, at least 171 million people worldwide suffered from diabetes. Its incidence is increasing rapidly, and it is estimated that by the year 2030, this number will double.
A controversial aspect of public health is the control of smoking[5]. Many nations have implemented major initiatives to cut smoking, such as increased taxation and bans on smoking in some or all public places. Proponents argue by presenting evidence that smoking is one of the major killers in all developed countries, and that therefore governments have a duty to reduce the death rate, both through limiting passive (second-hand) smoking and by providing fewer opportunities for smokers to smoke. Opponents say that this undermines individual freedom and personal responsibility (often using the phrase nanny state in the UK), and worry that the state may be emboldened to remove more and more choice in the name of better population health overall. However, proponents counter that inflicting disease on other people via passive smoking is not a human right, and in fact smokers are still free to smoke in their own homes.
This 1963 poster featured CDC’s national symbol of public health, the "Wellbee", encouraging the public to receive an oral polio vaccine.
Today, most governments recognize the importance of public health programs in reducing the incidence of disease, disability, and the effects of aging, although public health generally receives significantly less government funding compared with medicine. In recent years, public health programs providing vaccinations have made incredible strides in promoting health, including the eradication of smallpox, a disease that plagued humanity for thousands of years.
An important public health issue facing the world currently is HIV/AIDS[3]. Antibiotic resistance is another major concern, leading to the reemergence of diseases such as Tuberculosis.
Another major public health concern is diabetes[4]. In 2006, according to the World Health Organization, at least 171 million people worldwide suffered from diabetes. Its incidence is increasing rapidly, and it is estimated that by the year 2030, this number will double.
A controversial aspect of public health is the control of smoking[5]. Many nations have implemented major initiatives to cut smoking, such as increased taxation and bans on smoking in some or all public places. Proponents argue by presenting evidence that smoking is one of the major killers in all developed countries, and that therefore governments have a duty to reduce the death rate, both through limiting passive (second-hand) smoking and by providing fewer opportunities for smokers to smoke. Opponents say that this undermines individual freedom and personal responsibility (often using the phrase nanny state in the UK), and worry that the state may be emboldened to remove more and more choice in the name of better population health overall. However, proponents counter that inflicting disease on other people via passive smoking is not a human right, and in fact smokers are still free to smoke in their own homes.
Heart Disease
• Coronary artery disease (CAD) is the most common type and is the leading cause of heart attacks. When you have CAD, your arteries become hard and narrow. Blood has a hard time getting to the heart, so the heart does not get all the blood it needs. CAD can lead to:
o Angina. Angina is chest pain or discomfort that happens when the heart does not get enough blood. It may feel like a pressing or squeezing pain, often in the chest, but sometimes the pain is in the shoulders, arms, neck, jaw, or back. It can also feel like indigestion (upset stomach). Angina is not a heart attack, but having angina means you are more likely to have a heart attack.
o Heart attack. A heart attack occurs when an artery is severely or completely blocked, and the heart does not get the blood it needs for more than 20 minutes.
• Heart failure occurs when the heart is not able to pump blood through the body as well as it should. This means that other organs, which normally get blood from the heart, do not get enough blood. It does NOT mean that the heart stops. Signs of heart failure include:
o Shortness of breath (feeling like you can't get enough air)
o Swelling in feet, ankles, and legs
o Extreme tiredness
• Heart arrhythmias are changes in the beat of the heart. Most people have felt dizzy, faint, out of breath or had chest pains at one time. These changes in heartbeat are, for most people, harmless. As you get older, you are more likely to have arrhythmias. Don't panic if you have a few flutters or if your heart races once in a while. If you have flutters AND other symptoms such as dizziness or shortness of breath (feeling like you can't get enough air), call 911 right away.
Do women need to worry about heart disease?
Yes. One in three American women dies of heart disease. In 2003, almost twice as many women died of cardiovascular disease (both heart disease and stroke) than from all cancers combined. The older a woman gets, the more likely she is to get heart disease. But women of all ages should be concerned about heart disease. All women should take steps to prevent heart disease.
Both men and women have heart attacks, but more women who have heart attacks die from them. Treatments can limit heart damage but they must be given as soon as possible after a heart attack starts. Ideally, treatment should start within one hour of the first symptoms.
If you think you're having a heart attack, call 911 right away. Tell the operator your symptoms and that you think you're having a heart attack.
Do women of color need to worry about heart disease?
Yes. African American and Hispanic American/Latina women are more likely to get heart disease because they tend to have more risk factors such as obesity, lack of exercise, high blood pressure, and diabetes than white women. Women of color also are more likely than white women to die of heart disease. If you're a woman of color, take steps to reduce your risk factors.
What can I do to prevent heart disease?
You can reduce your chances of getting heart disease by taking these steps:
• Know your blood pressure. Your heart moves blood through your body. If it is hard for your heart to do this, your heart works harder, and your blood pressure will rise. People with high blood pressure often have no symptoms, so have your blood pressure checked every 1 to 2 years. If you have high blood pressure , your doctor may suggest you make some lifestyle changes, such as eating less salt (DASH Eating Plan) and exercising more. Your doctor may also prescribe medicine to help lower your blood pressure.
• Don't smoke. If you smoke, try to quit. If you're having trouble quitting, there are products and programs that can help:
• Nicotine patches and gums
o Support groups
o Programs to help you stop smoking
Ask your doctor or nurse for help. For more information on quitting, visit Quitting Smoking.
• Get tested for diabetes . People with diabetes have high blood glucose (often called blood sugar). People with high blood sugar often have no symptoms, so have your blood sugar checked regularly. Having diabetes raises your chances of getting heart disease. If you have diabetes, your doctor will decide if you need diabetes pills or insulin shots. Your doctor can also help you make a healthy eating and exercise plan.
• Get your cholesterol and triglyceride levels tested. High blood cholesterol can clog your arteries and keep your heart from getting the blood it needs. This can cause a heart attack. Triglycerides are a form of fat in your blood stream. High levels of triglycerides are linked to heart disease in some people. People with high blood cholesterol or high blood triglycerides often have no symptoms, so have your blood cholesterol and triglyceride levels checked regularly. If your cholesterol or triglyceride levels are high, talk to your doctor about what you can do to lower them. You may be able to lower your cholesterol and triglyceride levels by eating better and exercising more. Your doctor may prescribe medication to help lower your cholesterol.
• Maintain a healthy weight. Being overweight raises your risk for heart disease. Calculate your Body Mass Index (BMI) to see if you are at a healthy weight. Eat a healthy diet and exercise at a moderate intensity for at least 30 minutes most days of the week. Start by adding more fruits, vegetables, and whole grains to your diet. Take a brisk walk on your lunch break or take the stairs instead of the elevator.
• If you drink alcohol, limit it to no more than one drink (one 12 ounce beer, one 5 ounce glass of wine, or one 1.5 ounce shot of hard liquor) a day.
• Find healthy ways to cope with stress. Lower your stress level by talking to your friends, exercising, or writing in a journal.
What does high cholesterol have to do with heart disease?
Cholesterol is a waxy substance found in all parts of the body. When there is too much cholesterol in your blood, cholesterol can build up on the walls of your arteries and cause blood clots. Cholesterol can clog your arteries and keep your heart from getting the blood it needs. This can cause a heart attack.
There are two types of cholesterol:
• Low-density lipoprotein (LDL) is often called the "bad" type of cholesterol because it can clog the arteries that carry blood to your heart. For LDL, lower numbers are better.
• High-density lipoprotein (HDL) is known as "good" cholesterol because it takes the bad cholesterol out of your blood and keeps it from building up in your arteries. For HDL, higher numbers are better.
All women age 20 and older should have their blood cholesterol and triglyceride levels checked at least once every 5 years.
What do my cholesterol and triglyceride numbers mean?
• Total cholesterol level - Lower is better. Less than 200 mg/dL is best.
Total Cholesterol Level Category
Less than 200 mg/dL Desirable
200 - 239 mg/dL Borderline high
240 mg/dL and above High
• LDL (bad) cholesterol - Lower is better. Less than 100 mg/dL is best.
LDL Cholesterol Level Category
Less than 100 mg/dL Optimal
100-129 mg/dL Near optimal/above optimal
130-159 mg/dL Borderline high
160-189 mg/dL High
190 mg/dL and above Very high
• HDL (good) cholesterol - Higher is better. More than 60 mg/dL is best.
• Triglyceride levels - Lower is better. Less than 150mg/dL is best.
How can I lower my cholesterol?
You can lower your cholesterol by taking these steps:
• Maintain a healthy weight. If you are overweight, losing weight can help lower your total cholesterol and LDL ("bad cholesterol") levels. Calculate your Body Mass Index (BMI) to see if you are at a healthy weight. If not, try making small changes like eating an apple instead of potato chips, taking the stairs instead of the elevator, or parking farther away from the entrance to your office, the grocery store, or the mall. (But be sure to park in a safe, well-lit spot.)
• Eat better. Eat foods low in saturated fats, trans fats, and cholesterol.
Eat more:
o Fish, poultry (chicken, turkey--breast meat or drumstick is best), and lean meats (round, sirloin, loin). Broil, bake, roast, or poach foods. Remove the fat and skin before eating.
o Skim (fat-free) or low-fat (1%) milk and cheeses, and low-fat or nonfat yogurt
o Fruits and vegetables (try for 5 a day)
o Cereals, breads, rice, and pasta made from whole grains (such as "whole-wheat" or "whole-grain" bread and pasta, rye bread, brown rice, and oatmeal)
Eat less:
o Organ meats (liver, kidney, brains)
o Egg yolks
o Fats (butter, lard) and oils
o Packaged and processed foods
There are two diets that may help lower your cholesterol:
Heart Healthy Diet
Therapeutic Lifestyles Changes (TLC) Diet
• Get moving. Exercise can help lower LDL ("bad cholesterol") and raise HDL ("good cholesterol"). Exercise at a moderate intensity for at least 30 minutes most days of the week. Take a brisk walk on your lunch break or take the stairs instead of the elevator.
• Take your medicine. If your doctor has prescribed medicine to lower your cholesterol, take it exactly as you have been told to.
How do I know if I have heart disease?
Heart disease often has no symptoms. But, there are some signs to watch for. Chest or arm pain or discomfort can be a symptom of heart disease and a warning sign of a heart attack. Shortness of breath (feeling like you can't get enough air), dizziness, nausea (feeling sick to your stomach), abnormal heartbeats, or feeling very tired also are signs. Talk with your doctor if you're having any of these symptoms. Your doctor will take a medical history, do a physical exam, and may order tests.
What are the signs of a heart attack?
Not everyone has all of the warning signs of heart attack. And, sometimes these signs can go away and come back.
Symptoms of a heart attack include:
• Pain or discomfort in the center of the chest
• Pain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomach
• Other symptoms, such as shortness of breath (feeling like you can't get enough air), breaking out in a cold sweat, nausea (feeling sick to your stomach), or feeling faint or woozy
Some women have more vague symptoms such as:
• Unusual tiredness
• Trouble sleeping
• Problems breathing
• Indigestion (upset stomach)
• Anxiety (feeling uneasy or worried)
o Angina. Angina is chest pain or discomfort that happens when the heart does not get enough blood. It may feel like a pressing or squeezing pain, often in the chest, but sometimes the pain is in the shoulders, arms, neck, jaw, or back. It can also feel like indigestion (upset stomach). Angina is not a heart attack, but having angina means you are more likely to have a heart attack.
o Heart attack. A heart attack occurs when an artery is severely or completely blocked, and the heart does not get the blood it needs for more than 20 minutes.
• Heart failure occurs when the heart is not able to pump blood through the body as well as it should. This means that other organs, which normally get blood from the heart, do not get enough blood. It does NOT mean that the heart stops. Signs of heart failure include:
o Shortness of breath (feeling like you can't get enough air)
o Swelling in feet, ankles, and legs
o Extreme tiredness
• Heart arrhythmias are changes in the beat of the heart. Most people have felt dizzy, faint, out of breath or had chest pains at one time. These changes in heartbeat are, for most people, harmless. As you get older, you are more likely to have arrhythmias. Don't panic if you have a few flutters or if your heart races once in a while. If you have flutters AND other symptoms such as dizziness or shortness of breath (feeling like you can't get enough air), call 911 right away.
Do women need to worry about heart disease?
Yes. One in three American women dies of heart disease. In 2003, almost twice as many women died of cardiovascular disease (both heart disease and stroke) than from all cancers combined. The older a woman gets, the more likely she is to get heart disease. But women of all ages should be concerned about heart disease. All women should take steps to prevent heart disease.
Both men and women have heart attacks, but more women who have heart attacks die from them. Treatments can limit heart damage but they must be given as soon as possible after a heart attack starts. Ideally, treatment should start within one hour of the first symptoms.
If you think you're having a heart attack, call 911 right away. Tell the operator your symptoms and that you think you're having a heart attack.
Do women of color need to worry about heart disease?
Yes. African American and Hispanic American/Latina women are more likely to get heart disease because they tend to have more risk factors such as obesity, lack of exercise, high blood pressure, and diabetes than white women. Women of color also are more likely than white women to die of heart disease. If you're a woman of color, take steps to reduce your risk factors.
What can I do to prevent heart disease?
You can reduce your chances of getting heart disease by taking these steps:
• Know your blood pressure. Your heart moves blood through your body. If it is hard for your heart to do this, your heart works harder, and your blood pressure will rise. People with high blood pressure often have no symptoms, so have your blood pressure checked every 1 to 2 years. If you have high blood pressure , your doctor may suggest you make some lifestyle changes, such as eating less salt (DASH Eating Plan) and exercising more. Your doctor may also prescribe medicine to help lower your blood pressure.
• Don't smoke. If you smoke, try to quit. If you're having trouble quitting, there are products and programs that can help:
• Nicotine patches and gums
o Support groups
o Programs to help you stop smoking
Ask your doctor or nurse for help. For more information on quitting, visit Quitting Smoking.
• Get tested for diabetes . People with diabetes have high blood glucose (often called blood sugar). People with high blood sugar often have no symptoms, so have your blood sugar checked regularly. Having diabetes raises your chances of getting heart disease. If you have diabetes, your doctor will decide if you need diabetes pills or insulin shots. Your doctor can also help you make a healthy eating and exercise plan.
• Get your cholesterol and triglyceride levels tested. High blood cholesterol can clog your arteries and keep your heart from getting the blood it needs. This can cause a heart attack. Triglycerides are a form of fat in your blood stream. High levels of triglycerides are linked to heart disease in some people. People with high blood cholesterol or high blood triglycerides often have no symptoms, so have your blood cholesterol and triglyceride levels checked regularly. If your cholesterol or triglyceride levels are high, talk to your doctor about what you can do to lower them. You may be able to lower your cholesterol and triglyceride levels by eating better and exercising more. Your doctor may prescribe medication to help lower your cholesterol.
• Maintain a healthy weight. Being overweight raises your risk for heart disease. Calculate your Body Mass Index (BMI) to see if you are at a healthy weight. Eat a healthy diet and exercise at a moderate intensity for at least 30 minutes most days of the week. Start by adding more fruits, vegetables, and whole grains to your diet. Take a brisk walk on your lunch break or take the stairs instead of the elevator.
• If you drink alcohol, limit it to no more than one drink (one 12 ounce beer, one 5 ounce glass of wine, or one 1.5 ounce shot of hard liquor) a day.
• Find healthy ways to cope with stress. Lower your stress level by talking to your friends, exercising, or writing in a journal.
What does high cholesterol have to do with heart disease?
Cholesterol is a waxy substance found in all parts of the body. When there is too much cholesterol in your blood, cholesterol can build up on the walls of your arteries and cause blood clots. Cholesterol can clog your arteries and keep your heart from getting the blood it needs. This can cause a heart attack.
There are two types of cholesterol:
• Low-density lipoprotein (LDL) is often called the "bad" type of cholesterol because it can clog the arteries that carry blood to your heart. For LDL, lower numbers are better.
• High-density lipoprotein (HDL) is known as "good" cholesterol because it takes the bad cholesterol out of your blood and keeps it from building up in your arteries. For HDL, higher numbers are better.
All women age 20 and older should have their blood cholesterol and triglyceride levels checked at least once every 5 years.
What do my cholesterol and triglyceride numbers mean?
• Total cholesterol level - Lower is better. Less than 200 mg/dL is best.
Total Cholesterol Level Category
Less than 200 mg/dL Desirable
200 - 239 mg/dL Borderline high
240 mg/dL and above High
• LDL (bad) cholesterol - Lower is better. Less than 100 mg/dL is best.
LDL Cholesterol Level Category
Less than 100 mg/dL Optimal
100-129 mg/dL Near optimal/above optimal
130-159 mg/dL Borderline high
160-189 mg/dL High
190 mg/dL and above Very high
• HDL (good) cholesterol - Higher is better. More than 60 mg/dL is best.
• Triglyceride levels - Lower is better. Less than 150mg/dL is best.
How can I lower my cholesterol?
You can lower your cholesterol by taking these steps:
• Maintain a healthy weight. If you are overweight, losing weight can help lower your total cholesterol and LDL ("bad cholesterol") levels. Calculate your Body Mass Index (BMI) to see if you are at a healthy weight. If not, try making small changes like eating an apple instead of potato chips, taking the stairs instead of the elevator, or parking farther away from the entrance to your office, the grocery store, or the mall. (But be sure to park in a safe, well-lit spot.)
• Eat better. Eat foods low in saturated fats, trans fats, and cholesterol.
Eat more:
o Fish, poultry (chicken, turkey--breast meat or drumstick is best), and lean meats (round, sirloin, loin). Broil, bake, roast, or poach foods. Remove the fat and skin before eating.
o Skim (fat-free) or low-fat (1%) milk and cheeses, and low-fat or nonfat yogurt
o Fruits and vegetables (try for 5 a day)
o Cereals, breads, rice, and pasta made from whole grains (such as "whole-wheat" or "whole-grain" bread and pasta, rye bread, brown rice, and oatmeal)
Eat less:
o Organ meats (liver, kidney, brains)
o Egg yolks
o Fats (butter, lard) and oils
o Packaged and processed foods
There are two diets that may help lower your cholesterol:
Heart Healthy Diet
Therapeutic Lifestyles Changes (TLC) Diet
• Get moving. Exercise can help lower LDL ("bad cholesterol") and raise HDL ("good cholesterol"). Exercise at a moderate intensity for at least 30 minutes most days of the week. Take a brisk walk on your lunch break or take the stairs instead of the elevator.
• Take your medicine. If your doctor has prescribed medicine to lower your cholesterol, take it exactly as you have been told to.
How do I know if I have heart disease?
Heart disease often has no symptoms. But, there are some signs to watch for. Chest or arm pain or discomfort can be a symptom of heart disease and a warning sign of a heart attack. Shortness of breath (feeling like you can't get enough air), dizziness, nausea (feeling sick to your stomach), abnormal heartbeats, or feeling very tired also are signs. Talk with your doctor if you're having any of these symptoms. Your doctor will take a medical history, do a physical exam, and may order tests.
What are the signs of a heart attack?
Not everyone has all of the warning signs of heart attack. And, sometimes these signs can go away and come back.
Symptoms of a heart attack include:
• Pain or discomfort in the center of the chest
• Pain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomach
• Other symptoms, such as shortness of breath (feeling like you can't get enough air), breaking out in a cold sweat, nausea (feeling sick to your stomach), or feeling faint or woozy
Some women have more vague symptoms such as:
• Unusual tiredness
• Trouble sleeping
• Problems breathing
• Indigestion (upset stomach)
• Anxiety (feeling uneasy or worried)
What Mean by Allergy?
An allergy refers to an exaggerated reaction by our immune system in response to bodily contact with certain foreign substances. It is exaggerated because these foreign substances are usually seen by the body as harmless and no response occurs in non- allergic people. Allergic people's bodies recognize the foreign substance and one part of the immune system is turned on. Allergy-producing substances are called "allergens." Examples of allergens include pollens, dust mite, molds, dander’s, and foods. To understand the language of allergy it is important to remember that allergens are substances that are foreign to the body and can cause an allergic reaction in certain people.
When an allergen comes in contact with the body, it causes the immune system to develop an allergic reaction in persons who are allergic to it. When you inappropriately react to allergens that are normally harmless to other people, you are having an allergic reaction and can be referred to as allergic or a topic. Therefore, people who are prone to allergies are said to be allergic or "a topic."
Austrian pediatrician Clemens Parquets (1874-1929) first used the term allergy. He referred to both immunity that was beneficial and to the harmful hypersensitivity as "allergy." The word allergy is derived from the Greek words "allots," meaning different or changed and "egos," meaning work or action. Allergy roughly refers to an "altered reaction." The word allergy was first used in 1905 to describe the adverse reactions of children who were given repeated shots of horse serum to fight infection. The following year, the term allergy was proposed to explain this unexpected "changed reactivity."
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