Healthy Communities- June 12, 2015


Oregon Hospital and Healthcare Guide
Medical Publishing, LLC is proud to present the 2015-2016 Oregon Hospital & Healthcare Guide.  Please find your complimentary copy via the enclosed link.  Feel free to forward this link to any and all interested parties. You are also welcome to post this guide on your website and/or social media and share it with your community. Oregon Hospital & Healthcare Guide

CDC Releases New Quality Improvement Action Guide
One in every three American adults — approximately 70 million—has high blood pressure. CDC Division for Heart Disease and Stroke Prevention has released a new quality improvement action guide to help improve hypertension control, the Hypertension Control: Change Package for Clinicians.  This guide provides examples of tools that have worked in a variety of clinical settings that may be adopted by or adapted to individual practices or health systems.

The Professional Standards for School Nutrition Professionals Training Tracker Tool
Download it to record trainings for you and your staff, and keep it all in one place. User guide, telephone and email assistance are also available. You can also watch a pre-recorded webinar on how to use this tool.

Reports and Articles
desk stand up

Desk-based employees ‘should work standing up’
MNT: June, 2015
Workers whose jobs are predominantly desk-based should eventually progress to a total of 4 hours standing, advises the panel.
The recommendation comes as part of a set of guidelines, published in theBritish Journal of Sports Medicine, with the aim to provide guidance to employers and office workers to counteract the health risks that come with long periods of seated office work.
“For those working in offices, 65-75% of their working hours are spent sitting, of which more than 50% of this is accumulated in prolonged periods of sustained sitting,” write the authors. “The evidence is clearly emerging that a first ‘behavioral’ step could be simply to get people standing and moving more frequently as part of their working day.”
An increasing number of studies associate sedentary living – including time spent at work – with an increased risk of several serious illnesses and causes of death, including cardiovascular disease, diabetes and some forms of cancer.

couple mood
Spouses’ mood may impact the well-being of cancer survivors
MNT: June, 2015
Cancer survivors whose spouses reported depressed mood were more likely to be depressed after about a year. However, cancer survivors whose spouses reported better mental and physical health-related quality of life (HRQoL) were less likely to be depressed after about a year.
There are an estimated 14.5 million cancer survivors in the United States. Family members, especially spouses, often provide multiple types of support for cancer survivors, including attending medical appointments, helping with care, and sharing financial responsibilities. Understanding how cancer survivors and their families influence one another can provide directions in improving the health care they all receive and their outcomes in terms of health and well-being, Litzelman explained. Previous studies have shown that depressed mood in cancer survivors is associated with poor health outcomes, including worse treatment adherence and premature mortality, she said.

Research links impulsivity and binge eating
MNT: June, 2015
Do you get impulsive when you’re upset? If so, this could be putting you at risk for binge eating.
According to Kelly Klump, professor of psychology at Michigan State University and senior author, the more impulsive you are, the more likely it is you’ll binge eat when experiencing negative feelings.
‘It’s human nature to want to turn to something for comfort after a bad day, but what our research found is that the tendency to act rashly when faced with negative emotions is a personality trait that can lead to binge eating,’ Klump said.
Binge eating — the uncontrollable consumption of a large amount of food in a short period of time — doesn’t just happen because someone’s had a rotten day, it’s tied to how impulsive you are.

Picture perfect: Researchers use photos to understand how diabetes affects kids
MNT: June, 2015
If a picture is worth a thousand words, UF Health Type 1 diabetes researchers and their colleagues have tapped into an encyclopedia, revealing new insights into how young people cope with the disease.
The sophisticated scientific instrument? A camera.
More than 13,000 children and teens are diagnosed with Type 1 diabetes each year. To find out more about their experiences as they live with this chronic disorder, a group of diabetes researchers from three universities, including the University of Florida, gave 40 adolescents disposable cameras and asked them to take pictures about what diabetes means to them. They discovered key differences in adolescents of different genders and socioeconomic classes that could shape patient care and diabetes education, especially for boys and less-affluent young people.

Study shows colorectal cancer genetically different in older and younger patients
MNT: June, 2015
While the overall rate of colorectal cancer (CRC) is declining, CRC specifically among young patients is increasing. Previous studies have shown that CRC in patients younger than 50 years old tends to be more aggressive than CRC in older patients. A University of Colorado Cancer Center study published in conjunction with the American Society for Clinical Oncology (ASCO) Annual Meeting 2015 offers early evidence of genetic differences between CRC in young and old patients, possibly pointing toward different treatments and strategies in combating the young form of the disease.
“We saw differences in two important gene signaling pathways, PPAR and IGF1R, which are involved in regulating cell development, metabolism, and growth,” says Christopher Lieu, MD, investigator at the CU Cancer Center and assistant professor of medical oncology at the University of Colorado School of Medicine.
Alterations in these signaling pathways have been implicated in the development of several types of cancer.

Human papillomavirus vaccination: what are college students thinking?
MNT: June, 2015
reliminary results from a survey of 192 Oakland University undergraduate female students in Auburn Hills, Michigan, revealed that although a vast majority of them are aware of the human papillomavirus vaccine (HPV), about 54% are not vaccinated. This research is being presented at the annual meeting of the American Society for Microbiology.
“A survey of their knowledge on the HPV vaccination and infection indicates a lack of understanding about the consequences, therapy, and prophylaxis for an HPV infection,” said Aishwarya Navalpakam. Moreover, Navalpakam and her mentor, Dr. Inaya Hajj Hussein at Oakland University William Beaumont School of Medicine found that there is a perceived low risk of acquiring the infection even after information about the infection and vaccination was provided. Further analysis based on demographic factors correlating with knowledge and attitudes will be performed.

Obesity may lead to type 2 diabetes via bacteria
MNT: June, 2015
The study, published in the journal mBio, adds to growing evidence about the role of bacteria and viruses in causing noninfectious diseases, such as cervical cancer (human papillomavirus) and stomach ulcers (H. pylori bacteria).
Microbiologists at the University of Iowa (UI) found that when rabbits are chronically exposed to a toxin produced by Staphylococcus aureus (staph) bacteria, they develop the hallmarks of type 2 diabetes, such as insulin resistance, glucose intolerance and inflammation.
Lead researcher Patrick Schlievert, professor of microbiology at the UI Carver College of Medicine, says:
“We basically reproduced Type 2 diabetes in rabbits simply through chronic exposure to the staph superantigen.”
The study is important because we already know that the human microbiome changes with obesity and that one of these changes is the increase in staph colonization and infections. Now, the new findings suggest the bacterium may play a role in the progression to type 2 diabetes.

s Baltazar Ortiz Center.

s Baltazar Ortiz Center.

El Hispanic News
A dozen women in black aprons clustered around a kitchen island chopping onions, shredding chicken and chatting in Spanish.
At a community center in Gresham, they were making chicken chili (recipe in English at, and in Spanish at in a nutrition and exercise program for Hispanic families taught in Spanish by Oregon State University’s Extension Service. The free eight-week class helps participants with the fundamentals of healthy eating like choosing more vegetables over too many carbohydrates, baking instead of frying and substituting water for soda.
Extension offers the course every four months in nine communities in Multnomah, Clackamas and Washington counties. Since the nutrition education programs launched 12 years ago, more than 6,300 adults and 9,000 children have taken classes, according to Lynn Steele, leader of OSU Extension’s Hispanic nutrition program in the metro area.
Hispanic immigrants often eat less nutritiously once they leave their traditional diets and lifestyles, said Steele. Health problems such as diabetes and high cholesterol spike as they begin eating the high-fat, high-sugar diets common in the United States.

Warning: Soda May Be Bad for Your Health, San Francisco Says
New York Times
San Francisco could soon be the first city in the country to place health warnings on advertisements for sugary drinks.
Lawmakers there voted unanimously this week in favor of a measure that would require a stark warning label – akin to the caution label on cigarettes – noting the link between sugary drink consumption and chronic disease. The warning labels would appear only on advertisements for sugary drinks, not on the products themselves, though a separate measure at the state level would require such warnings directly on soda cans and bottles.
“Warning,” the new label on the advertisements would read. “Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay. This is a message from the City and County of San Francisco.”

Impact of Arthritis and Multiple Chronic Conditions on Selected Life Domains — United States, 2013
Jin Qin, ScD, Kristina A. Theis, PhD, Kamil E. Barbour, PhD, et al.
MMWR Morb Mortal Wkly Rep 2015;64:578-82

USDA Collaborative Sodium Reduction Initiative
The U.S. Department of Agriculture (USDA) recently launched a collaborative sodium reduction initiative called, “What’s Shaking? Creative Ways to Boost Flavor with Less Sodium”. The initiative aims to support sodium reduction in school meals by finding creative ways to boost flavor and maximize taste.


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