FODMAPs diet for irritable bowel syndrome


Irritable bowel syndrome (IBS) is a common gastrointestinal disorder that affects 1 out of 10 people in the United States each year.

With symptoms like cramping, diarrhea, gas and bloating, it’s no surprise that living with IBS can have a significant effect on a person’s quality of life.

Diet is one way people manage the symptoms of IBS. A common treatment approach is to avoid the foods that trigger symptoms. A new diet for IBS, developed in Australia, is showing promise in managing IBS symptoms. It’s called the low FODMAP diet.

What Is the Low FODMAP Diet?

FODMAP stands for:

Fermentable

Oligosaccharides,

Disaccharides,

Monosaccharides

And olyols.

These fermentable short-chain carbohydrates are prevalent in the diet.

  • Oligosaccharides: fructans and galactooligosaccharides (GOS)
  • Disaccharides: lactose
  • Monosaccharides: fructose
  • Polyols: sorbitol and mannitol

Researchers suggest that the small intestine does not absorb FODMAPs very well. They increase the amount of fluid in the bowel. They also create more gas. That’s because bacteria in the colon they are easily fermented by colonic bacteria. The increased fluid and gas in the bowel leads to bloating and changes in the speed with which food is digested. This results in gas, pain and diarrhea. Eating less of these types of carbohydrates should decrease these symptoms.

So far, studies have shown that a low FODMAP diet improves IBS symptoms. One study even found that 76% of IBS patients following the diet reported improvement with their symptoms.

Eat Less Of These Foods

  • Lactose
    • Cow’s milk, yogurt, pudding, custard, ice cream, cottage cheese, ricotta cheese and mascarpone
  • Fructose
    • Fruits, such as apples, pears, peaches, cherries, mangoes, pears and watermelon
    • Sweeteners, such as honey and agave nectar
    • Products with high fructose corn syrup
  • Fructans
    • Vegetables, such as artichokes, asparagus, Brussels sprouts, broccoli, beetroot, garlic and onions
    • Grains such as wheat and rye
    • Added fiber, such as inulin
  • GOS
    • Chickpeas, lentils, kidney beans and soy products
    • Vegetables, such as broccoli
  • Polyols
    • Fruits, such as apples, apricots, blackberries, cherries, nectarines, pears, peaches, plums and watermelon
    • Vegetables, such as cauliflower, mushrooms and snow peas
    • Sweeteners, such as sorbitol, mannitol, xylitol, maltitol and isomalt found in sugar-free gum and mints, and cough medicines and drops

Eat More Of These Foods

  • Dairy: Lactose-free milk, rice milk, almond milk, coconut milk, lactose-free yogurt; hard cheeses such as feta and brie
  • Fruit: Bananas, blueberries, cantaloupe, grapefruit, honeydew, kiwi, lemon, lime, oranges and strawberries
  • Vegetables: Bamboo shoots, bean sprouts, bok choy, carrots, chives, cucumbers, eggplant, ginger, lettuce, olives, parsnips, potatoes, spring onions and turnips
  • Protein: Beef, pork, chicken, fish, eggs and tofu
  • Nuts/seeds (limit to 10-15 each): Almonds, macadamia, peanuts, pine nuts and walnuts
  • Grain: Oat, oat bran, rice bran, gluten-free pasta, such as rice, corn, quinoa, white rice, corn flour and quinoa

The idea behind the low FODMAPs diet is to only limit the problematic foods in a category — not all of them. (After all, they do have health benefits.) You may tolerate some foods better than others.

Meet with a registered dietician if you are considering this diet. It’s important to make sure your eating plan is safe and healthy. He or she will have you eliminate FODMAPs from your diet. Then you gradually add the carbohydrates back in one at a time and monitor your symptoms. A food diary and symptom chart may be helpful tools.

The Bottom Line

The low FODMAP diet has shown potential in helping people with IBS. Some health professionals believe it’s too restrictive. Proponents of the diet report that people stick with it because of how it improves their quality of life.

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Inguinal hernia


An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.

An inguinal hernia isn’t necessarily dangerous. It doesn’t improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that’s painful or enlarging. Inguinal hernia repair is a common surgical procedure.

Symptoms

Inguinal hernia signs and symptoms include:

  • A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
  • A burning or aching sensation at the bulge
  • Pain or discomfort in your groin, especially when bending over, coughing or lifting
  • A heavy or dragging sensation in your groin
  • Weakness or pressure in your groin
  • Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum

Signs and symptoms in children

Inguinal hernias in newborns and children result from a weakness in the abdominal wall that’s present at birth. Sometimes the hernia will be visible only when an infant is crying, coughing or straining during a bowel movement. He or she might be irritable and have less appetite than usual.

In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period.

Signs of trouble

If you aren’t able to push the hernia in, the contents of the hernia may be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that’s trapped. A strangulated hernia can be life-threatening if it isn’t treated.

Signs and symptoms of a strangulated hernia include:

  • Nausea, vomiting or both
  • Fever
  • Sudden pain that quickly intensifies
  • A hernia bulge that turns red, purple or dark
  • Inability to move your bowels or pass gas

When to see a doctor

Seek immediate care if a hernia bulge turns red, purple or dark or if you notice any other signs or symptoms of a strangulated hernia.

See your doctor if you have a painful or noticeable bulge in your groin on either side of your pubic bone. The bulge is likely to be more noticeable when you’re standing, and you usually can feel it if you put your hand directly over the affected area.

Causes

Some inguinal hernias have no apparent cause. Others might occur as a result of:

  • Increased pressure within the abdomen
  • A pre-existing weak spot in the abdominal wall
  • Straining during bowel movements or urination
  • Strenuous activity
  • Pregnancy
  • Chronic coughing or sneezing

In many people, the abdominal wall weakness that leads to an inguinal hernia occurs at birth when the abdominal lining (peritoneum) doesn’t close properly. Other inguinal hernias develop later in life when muscles weaken or deteriorate due to aging, strenuous physical activity or coughing that accompanies smoking.

Weaknesses can also occur in the abdominal wall later in life, especially after an injury or abdominal surgery.

In men, the weak spot usually occurs in the inguinal canal, where the spermatic cord enters the scrotum. In women, the inguinal canal carries a ligament that helps hold the uterus in place, and hernias sometimes occur where connective tissue from the uterus attaches to tissue surrounding the pubic bone.

Risk factors

Factors that contribute to developing an inguinal hernia include:

  • Being male. Men are eight times more likely to develop an inguinal hernia than are women.
  • Being older. Muscles weaken as you age.
  • Being white.
  • Family history. You have a close relative, such as a parent or sibling, who has the condition.
  • Chronic cough, such as from smoking.
  • Chronic constipation. Constipation causes straining during bowel movements.
  • Pregnancy. Being pregnant can weaken the abdominal muscles and cause increased pressure inside your abdomen.
  • Premature birth and low birth weight.
  • Previous inguinal hernia or hernia repair. Even if your previous hernia occurred in childhood, you’re at higher risk of developing another inguinal hernia.

Complications

Complications of an inguinal hernia include:

  • Pressure on surrounding tissues. Most inguinal hernias enlarge over time if not repaired surgically. In men, large hernias can extend into the scrotum, causing pain and swelling.
  • Incarcerated hernia. If the contents of the hernia become trapped in the weak point in the abdominal wall, it can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas.
  • Strangulation. An incarcerated hernia can cut off blood flow to part of your intestine. Strangulation can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.

Prevention

You can’t prevent the congenital defect that makes you susceptible to an inguinal hernia. You can, however, reduce strain on your abdominal muscles and tissues. For example:

  • Maintain a healthy weight. Talk to your doctor about the best exercise and diet plan for you.
  • Emphasize high-fiber foods. Fruits, vegetables and whole grains contain fiber that can help prevent constipation and straining.
  • Lift heavy objects carefully or avoid heavy lifting. If you must lift something heavy, always bend from your knees — not your waist.
  • Stop smoking. Besides its role in many serious diseases, smoking often causes a chronic cough that can lead to or aggravate an inguinal hernia.
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Foods reducing Arthritis Pain


Remember, there’s no magic food,” stresses Frechman.  But growing evidence suggests that following a healthy diet and adding in specific foods and spices could help fight inflammation and joint pain.

  • Broccoli, Brussels sprouts and cabbage. These veggies are part of the cruciferous family, and they are full of a compound called sulforaphane, which helps slow cartilage damage in joints due to osteoarthritis, according to a 2013 study involving mice. Admittedly, it’s an early study. But veggies are always a healthy choice. Try adding broccoli, Brussels sprouts, cabbage, kale or cauliflower to your salad or stir-fry.
  • Fatty fish. Fatty fish like salmon, tuna, trout and mackerel are rich in omega-3 fatty acids, which help fight inflammation. Try adding fish to your diet a couple of times a week. If you’re not a big fan of fish, ask your doctor about taking an omega-3 supplement.
  • Garlic. Garlic is a member of the allium family—which also includes onions and leeks. These items contain a compound called diallyl disulfide that may help with a number of diseases—including arthritis. “This compound may have some effect in limiting cartilage-damaging enzymes,” says rheumatologist Scott Zashin, MD, clinical professor at the University of Texas Southwestern Medical School in Dallas.
  • Tart cherries. Some people with arthritis have found relief from products made from tart cherries. The ingredient in cherries that helps with joint symptoms is the same one that gives this fruit its red color—anthocyanin. A 2013 study published in Osteoarthritis and Cartilage found that subjects who drank tart cherry juice had improvements in the pain and stiffness of OA.
  • Turmeric. One of the best-researched inflammation fighters isn’t a food at all, but a spice. Tumeric contains a compound called curcumin. A 2012 review published in the International Journal of Molecular Sciences said that “curcumin could be beneficial in the management of chronic inflammatory-related joint disease,” but authors warned that there is a considerable lack of data regarding side effects and safety. The compound has, however, been used for centuries in India to ward off inflammatory diseases. You’ll find this yellow spice in Indian cuisines—particularly curries.
  • Vitamin CAntioxidants in vitamin C may slow the progression of OA, research finds. A 2011 study from the University of South Florida reported that people who took vitamin C supplements were 11 percent less likely to develop knee OA than those who didn’t take the supplements. You can get vitamin C from strawberries, kiwi, pineapple, or cantaloupe. However, Frechman warns against taking supplements with much higher doses than 65 to 85 milligrams, because in large doses vitamin C can increase the risk of kidney stones.
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Chronic Pain





Physical pain is an inescapable part of life no matter how healthy you are. For most of us, pain is temporary, for example when we experience a headache or a sports injury. And while that is rarely a consolation in the moments when we feel it, acute pain serves a valuable function, says Dr. Marcia D. Wolf, M.D., Medical Director at the Mid Atlantic Pain Medicine Center and Clinical Instructor at Johns Hopkins University, School of Medicine. Pain acts as a signal of tissue damage initially. “Once the tissue-damaging event has stopped, the brain dampens the pain signal so you are not continuously aware of it — and it stops hurting,” says Dr. Wolf.

But with chronic pain, “the signal goes haywire and something hijacks the normal response,” says Dr. Wolf. “Chronic pain is the rewiring and amplification of a signal that should have been shut off.” Statistics on the subject are sobering. A report from the Centers for Disease Control and Prevention found that one in five U.S. adults are living with chronic pain. “Pain becomes chronic when it has persisted beyond its usefulness,” explains Dr. Wolf. “We used to say that if it continued for three months it was chronic. Now we know it can be chronic in 10 days.”

What’s more, chronic pain can be exacerbated by stress, both emotional and physiological. “It’s a chicken and egg scenario, or a continual loop,” Dr. Wolf tells Thrive. “Once you have it, the more you agonize over it, the more it can intensify.” 

Chris Stake, who has experienced chronic pain for almost two decades, knows this intensity well. Stake, 48, developed osteoarthritis of the hip in her early 30s. “It got so bad, I was actually crawling up the stairs of my house,” she says. A hip replacement has alleviated the osteoarthritis, but now Stake suffers from migraines. “I feel like there’s a tight rubber band around my head that I just want to cut off to release the pressure, and I get nausea too.” 

Stake believes her temperament and positive attitude have helped her to cope. “I look for solutions and how can I address the problem so I don’t feel defeated,” she says. Along with identifying and avoiding triggers for her migraines, including alcohol, incorporating small Microsteps into her daily life, such as making time for exercise and meditation, has provided some relief.

Dr. Wolf is an advocate of these small, everyday behaviors that can have a huge impact. “I tell patients that stress is what turns up the volume on the chronic pain.” If you can get control of the stress, you may also be able to turn the volume down on the pain so you won’t feel as bad. To help, here are a few science-backed strategies you can try.

Prioritize sleep

Quality sleep needs to be a top priority for people with chronic pain, Dr. Wolf tells Thrive. Acknowledging that sleep may prove to be more of a challenge for chronic pain sufferers, her advice is to focus on the things you can control — things that really make a difference. For instance, try to avoid caffeine in the afternoon and evening; make sure the room temperature is comfortable (not too warm and not too cold); consider an ice pack or a heating pad in bed. (Just make sure to use a heating pad that is safety-certified and is equipped with an auto shut-off function). You could also experiment with different pillows for support. “If you wake up and feel like you need to get up and move around, that’s OK,” Dr. Wolf says. “I also recommend people with chronic pain get tested for sleep apnea, because we know that sleep disorders can worsen the pain response.”

Be mindful  

Mindfulness can be a useful tool for dealing with chronic pain. “Mindfulness gives me a sense of empowerment, so I feel I have some control over my health. And it takes away the stress that contributes to my migraines,” says Stake. Dr. Wolf believes the power of mindfulness lies in its ability to “take your attention away from the body part that hurts in order to stay present in what you’re doing, whether that’s folding laundry or walking in nature.” There’s no single right way to practice mindfulness, and Dr. Wolf has one unusual suggestion: “I recommend to my patients with chronic pain that they consider buying a fish tank, or simply look at marine life on the TV screen. Studies have shown that watching fish helps people relax.”

Use your breath

Breathing exercises can’t be underestimated when it comes to stress and pain relief, says Dr. Wolf. “Get into a comfortable position and focus on your breath. Inhale deeply, with a slight hold, followed by a concentrated, prolonged exhale as you imagine releasing the pain from the body and relaxing the muscles.” Do this simple technique as often as you like for at least a couple of minutes, adds Dr. Wolf.

Exercise

There’s a common myth that movement is off-limits for people who experience pain, but low or no impact exercise can often be beneficial. “I’m a huge proponent of people with chronic pain getting into water — especially warm water, such as a heated swimming pool,” says Dr. Wolf. “Just float, or walk, or stand in the water.” Low impact Zumba or any gentle dance class is a good possibility for many people, continues Dr. Wolf, because there’s constant motion combined with the mood-boosting effects of music. Stretching is great too, but Dr. Wolf advises people to avoid yoga, unless they are experienced or have their doctor’s OK first. “Certain poses can be stressful. I want people to stretch their muscles, not their tendons,” she says.

Cut yourself some slack 

Dr. Wolf points out that there is a balance between committing to taking steps to feel better and being gentle with yourself. “If you had a horrible day, give yourself permission to be human. It’s OK to take a break from exercise, for example, and not feel guilty. Just get back on track as soon as you can.” 

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Measles making a deadly comeback across Africa



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Once-rare measles outbreaks are returning to many African countries, where low vaccination coverage leaves many vulnerable.

About 44% of the world’s 2019 cases, as of September, were recorded in Africa – including a major outbreak in Madagascar with more than 150,000 cases and 1,000 deaths. In some places, health workers are in short supply and maintaining the cold chain is a challenge; elsewhere, vaccine misconceptions play a part.

In Uganda, a 2017 outbreak surprised health officials, given the country’s vaccine coverage – though that falls shy of reachaching herd immunity. Officials surmise many children got first doses but missed out on boosters.

Measles is having a deadly resurgence across Africa, where, as of September, about 44% of this year’s cases worldwide have been recorded. That’s due in large part to a massive outbreak in the island nation of Madagascar off the coast of Mozambique, where more than 150,000 cases have been reported and more than 1,000 people have died due to low vaccination rates and a vaccine shortage once the outbreak took hold.

In Uganda, vaccination rates are higher, but thinly stretched health budgets, mistrust of vaccines and complacency among people who think measles is a disease of the past have helped lead to the outbreaks.

“For the last 15, 20 years, medical students had never even seen measles,” said Dr. Edison Arwanire Mworozi, a pediatrician at Mulago who sits on the government’s immunization steering committee. “[People] never thought it would come back. They thought, ‘If my child is healthy, why should I inject him?’”

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EMPATHY

In this digital age, there is a big disconnect between leaders and the people they lead. Many managers think they are doing a great job but when you ask the people they lead, it’s quite the opposite. Many employees feel unappreciated and undervalued. Employee engagement is at an all time low. What seems to be missing link? Empathy. 

Many organizations are focused on achieving goals no matter what the cost to employees. If we treat people only as the means to an end, we will never have their loyalty. Treat your people right. Great leaders are concerned about getting the job done as well as the well-being of those under their care. It doesn’t mean being overly attentive or soft but demonstrate that you value people. Without empathy, you can’t build a team, inspire followers or elicit loyalty. Leaders that possess this trait always make time for people.

Nobody cares how much you know, until they know how much you care”. – Theodore Roosevelt

Empathy and listening go hand in hand. Why? Because listening shows you care. You can’t show empathy if you do not listen. Good listening skills is fast becoming an endangered species due to information overload and shortened attention span. The quality of our listening determines the quality of our influence. Employees want to be heard and they want to be respected. Listening transmits that kind of respect and builds trust.

If you want to increase employee engagement and loyalty. Pretty simple! Show people that you genuine care! Sometimes it’s the little things we do that counts the most. It’s the simple things people remember. The thoughtful gesture, the kind word, the much needed support. It’s doesn’t cost much to show employees you genuinely care, but it can make the biggest difference in keeping them loyal, happy and engaged.

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Prostate Cancer Treatment Goes Nanogold


Christmas decoration, close-up full frame

One in nine men will be diagnosed with prostate cancer in their lifetime, making it the most common nonskin cancer in the United States. Traditionally, therapies to treat prostate cancer have not been as specific as they could be, often leading to unwanted side effects and damage to the sensitive surrounding tissue. Now, a new study from investigators at Mt. Sinai’s Icahn School of Medicine provides new data that biocompatible gold nanoparticles, designed to convert near-infrared light to heat have been shown to safely and effectively ablate low- to intermediate-grade tumors within the prostate.

Findings from the new study were published recently in PNAS through an article titled “Gold nanoshell-localized photothermal ablation of prostate tumors in a clinical pilot device study.” This treatment could offer patients a targeted therapy option that would preserve critical structures within the prostate, thus avoiding side effects associated with whole-gland treatment such as prostatectomies.

Removal or other whole-gland treatment of the prostate carries risks of urinary incontinence and erectile dysfunction. However, technological advances have provided clinicians with options for focal therapies with fewer complications.

In the current study, researchers tested the effectiveness of AuroLase® Therapy, a treatment from medical device company Nanospectra Biosciences that is based on technology invented at Rice University. The technique was used in the clinical trial to target and treat the prostate cancer cells using a custom-built MR US fusion guided platform in collaboration with Philips Healthcare. AuroLase uses gold-silica nanoshells (GSN), particles invented that is composed of a silica core and a gold shell with a diameter of 150 nm. AuroShells are designed to absorb energy from near-infrared light and convert it to heat, resulting in selective hyperthermic cell death, without affecting adjacent non-tumorous tissue. The treatment was effectively demonstrated in previous cell studies and animal models. Following treatment, the particles are cleared through the liver, while some remain sequestered in the liver and spleen. There are no known side effects.

“Gold-silica nanoshells infusion allows for a focused therapy that treats the cancer, while sparing the rest of the prostate, thus preserving a patient’s quality of life by reducing unwanted side effects, which could include erectile dysfunction and/or the leakage of urine,” explained lead study investigator Ardeshir Rastinehad, DO, associate professor of urology, and radiology, at the Icahn School of Medicine at Mount Sinai.

Sixteen men aged 58 to 79 with low- to intermediate-grade prostate cancer (Gleason score of 4+3) received GSN infusion. All were diagnosed and treated at using a targeted biopsy technique called magnetic resonance-ultrasound fusion imaging, which uses MRI technology to extract a tissue sample directly from the tumor. Patients underwent GSN infusion and high-precision laser ablation and received an MRI of the prostate 48–72 hours after the procedure, MRI-targeted fusion biopsies at 3 and 12 months, and a standard biopsy at 12 months. Patients were discharged on the same day as the procedure after several hours of monitoring.

Amazingly, GSN-mediated focal laser ablation was successful in 87.5% of lesions treated at one year of follow-up. The goal of researchers was to find an eradication of cancer cells during a biopsy.

“Mount Sinai’s interventional urology program is research-driven and offers patients minimally invasive treatment therapies that improve quality of life,” said Ash Tewari, MD, chair of the department of urology at the Mount Sinai Health System and professor of urology at the Icahn School of Medicine at Mount Sinai. “Dr. Rastinehad’s gold nanoparticle research shows that patients are not only benefiting from this treatment but also experiencing minimal side effects.”

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FOREST BATHING

The Woodland Trust says the Japanese practice of “forest bathing” should be prescribed on the NHS to tackle stress and other mental health problems. According to the charity, hugging trees, listening to bird song and kicking through leaves are all activities that can boost mental health.

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Denis Costille | ShutterstockThe Trust is urging GPs to prescribe forest bathing for mental health conditions and direct patients to their nearest woodland.

Head of innovation at the Woodland Trust, Stuart Dainton, say all family doctors should have the knowledge to point patients towards the nearest suitable woodland where they can absorb nature, informally or as part of a structured program. He is appealing to GPs to make use of the more than 1,000 sites covered by the Trust in the UK.

Stemming from the Japanese art Shinrin-yoku, the practice was devised 40 years ago by the Japanese Ministry of Agriculture, Forestry, and Fisheries as part of an initiative to tackle stress among men. The activity involves breathing deeply and absorbing the atmosphere of the forest as a way of yielding calming, rejuvenating and restorative effects.

Participants are encouraged to immerse themselves in the environment and take in the sights, sounds, touch and smells of the forest.

It’s about invigorating the senses by walking in the woods, smelling, listening to the sounds of the woods, touching the ground. We’re almost losing that as a society.”

Stuart Dainton

He adds that forest bathing should also be encouraged for children to help fight the “always on” culture prompted by social media.S

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BBC presenter Kate Humble is calling for schools to conduct lessons outside, referring to how difficult she found education whilst surrounded by four walls:

I find it stultifying and boring and I spent probably more of my school career going ‘How can five minutes feel like five hours?’ There is no reason why maths, English literature or any subject cannot be taught outside.”

Kate Humble

Forest bathing is now practiced by more than five million Japanese people and has quietly been gaining popularity in the UK. The therapy, which has become a cornerstone of preventative health care in Japanese medicine, has prompted a number of scientific studies that seem to prove its beneficial effects.

Research mainly conducted in Japan and South Korea, has shown that two hours of time spent mindfully exploring a forest can lower blood pressure, reduce the stress hormone cortisol and improve memory and concentration. Studies have also found that trees release substances called phytoncides, which have anti-microbial properties and can boost the immune system.

As a result of these findings, the Japanese government decided to introduce shinrin-yoku as a national health program and now forest therapy is an established practice throughout the world.

An increasing number of companies are now offering structured forest bathing programs that last anything from between a couple of days through to week-long residential stays.

The Forestry Commission, which is the largest proprietor of wooded land, has also announced that it plans to launch nationwide programs. In addition, it provides printable recommendations on how to practice the activity, including tips on how to breathe correctly.

Health benefits of forest bathing

Beneficial effects of forest bathing (that have been scientifically proven) include:

  • Increased natural killer cell count and improved immune system function
  • Reduced blood pressure
  • Improved sleep
  • Higher energy levels
  • Improved mood
  • Increased concentration, particularly among children with ADHD
  • Faster recovery from illness or surgery
  • Decreased stress

Helen Stokes-Lampard from the Royal College of GPs advises that getting outside can have a “really positive impact” on health:

We do know that patients often benefit from non-medical interventions such as an exercise class, learning a skill or joining a community group. This is now referred to as ‘social prescribing,’ and ‘forest bathing’ is one of many activities that people might find beneficial for their overall wellbeing.”

Helen Stokes-Lampard

Dainton says that social prescribing through aspects of Shinrin-yoku, forest bathing, is a route to helping the nation destress: “One in four of us are potentially going to suffer from mental health problems. Part of the solution is just getting outside and enjoying nature.”

Forest bathing “practitioner” Faith Douglas points out that forest bathing has been out there for years: “ This is something our ancestors did, this is something that cultures do all over the planet — it’s simply being mindful in a natural environment.”

How many people could benefit from forest bathing?

Millions of people are affected by mental health problems every year in the U.S. Statistics on the prevalence and impact of these conditions in the U.S. include the following:

  • Around one-fifth (46.6 million) of adults experience a mental health condition every year
  • Each year, an estimated one in 25 (11.2 million) adults develop a serious mental health problem that significantly limits or disrupts day-today activities
  • Around one in five (21.4%) individuals aged 13 to 18 years develop a severe mental health condition
  • Around 13% of those aged 8 to 15 years develop a severe mental health condition
  • The percentage of adults living with schizophrenia is 1.1%
  • For bipolar disorder, the figure is 2.6%
  • Almost 7% (16 million) adults experienced at least one major depressive episode in the past year
  • About 18% of adults developed an anxiety disorder such as phobia, post-traumatic stress disorder and obsessive-compulsive disorder.
  • Of 20.2 million adults who had a substance abuse problem, 10.2 million also had a mental health illness
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Sudden cardiac deaths linked to Energy drinks in young people.

“High amounts of sugar and caffeine can aggravate underlying heart issues, causing fatal arrhythmias!”

To many adolescents and young adults, energy drinks have become essential for getting through the day. But they carry a serious risk of sudden death, a new study finds.

An international research team, has concluded that energy drinks are the cause of many sudden cardiac deaths in young, healthy individuals. The main concern is that these beverages can easily aggravate underlying heart issues. Because of their high amounts of caffeine and sugar, dangerous arrhythmias can easily develop in the hearts of young people who drink them.

Many people already balk at the high amounts of labeled caffeine on these drinks. The problem is that there are many additional sources of caffeine that are “masked” by the labeling.

“Masked” caffeine

Ingredients such as guarana, ginseng, and taurine have caffeine concentrations that are equal to, or higher than, caffeine found in coffee. Ingesting high doses of any of these substances can be very dangerous.

Roughly 31% of adolescents from ages 12 to 19 consume energy drinks on a regular basis. An even higher number of people use alternatives to these beverages, such as gums or inhalers. The high amounts of caffeine in all of these products is causing serious harm, the study found. Of the 5,448 caffeine overdoses reported in the United States in 2007, 46% of them occurred in people under the age of 19. The question is, how can we halt this trend of overconsumption by young people?

Dr. Sanchis-Gomar and his team came up with several guidelines to keep young people from over-indulging. They caution that:

  • One can (250 mL) of an energy drink per day is safe for most healthy adolescents.
  • Energy drink consumption before or during sports practice should be avoided.
  • Adolescents with clinically relevant underlying medical conditions should consult cardiologists before drinking energy drinks.
  • Excessive energy drink consumption together with alcohol or other drugs, or both, may lead to adverse effects, including death.

In the study published in the Canadian Journal of Cardiology, Dr. Sanchis-Gomar goes on to say alerting physicians to the dangers of energy drinks is extremely important.

“It is important for physicians to understand the lack of regulation in caffeine content and other ingredients of these high-energy beverages,” he said. Knowledge and awareness are key to providing safety for young people. 

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Broken heart

You Really Can Die From A Broken Heart – Cardiologist Explains.

The concept of ‘dying from a broken heart’ is a tale that is often shared in our favorite movies and fairy-tales, painting a picture of a love that was so perfect that once just can’t imagine living without their partner. A romantic notion indeed, but experts are speaking up and revealing that ‘Broken heart syndrome’ isn’t reserved for works of fiction! In fact, people are suffering from the condition right here in America today!

Also known as ‘stress-induced cardiomyopathy,’ this is a condition that is caused when someone is under sudden extreme stress, like that caused by the loss of a loved one. 

Dr. Matthew Lorber, a psychiatrist at Lenox Hill Hospital in New York explains, “Broken heart syndrome – which is, in fact, a real thing – is when someone finds out some shocking news, typically terrible news, and there’s a massive release of these stress hormones that are released into the bloodstream, and the heart is then bombarded with these stress hormones. This could be the news, certainly, of a loved one dying, which is where the ‘broken heart syndrome’ name comes from. This could be the news of getting a divorce. This could be a boss coming in and telling you that you’re fired – anything that can cause intense stress”

Source: Collective Evolution

Lorber also warns that this shocking or stressful news doesn’t have to be negative in nature. For example, a father being told for the first time that he is about to have a baby can trigger a similar bodily reaction. When the stress hormones reach the heart, they cause a temporary weakening of the left ventricle, limiting its ability to adequately function. As a result, the heart momentarily ‘freezes,’ causing circulation problems.

While there are some risk factors that will increase your chances, anyone can experience broken heart syndrome regardless of how healthy you may be. That being said, 90% of cases are in women, specifically those with a history of mental health problems, or those who have a history of neurological problems such as seizures. 

Those who are over the age of 50 are also at a higher risk. Surprisingly, a history of heart disease does not impact your risk of broken heart syndrome.

The condition is treatable in most cases; however, it is important that all Americans educate ourselves on the signs and symptoms so as to seek medical assistance at the first sign. Often mimicking a heart attack, stress-induced cardiomyopathy often presents with chest pain, shortness of breath, low blood pressure, nausea, dizziness, fainting or an irregular heartbeat.

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