Spending time outdoors is good for you, from the Harvard Health Letter

BOSTON?Summer is here. The outdoors beckons. Heed that call and you'll reap physical and mental health benefits, reports the July 2010 issue of the Harvard Health Letter. Here are five good reasons to get outdoors:

Your vitamin D levels rise. Sunlight hitting the skin begins a process that leads to the creation and activation of vitamin D. Studies suggest that this vitamin helps fight certain conditions, from osteoporosis and cancer to depression and heart attacks. Limited sun exposure (don't overdo it), supplemented with vitamin D pills if necessary, is a good regimen.

You'll get more exercise. If you make getting outside a goal, that should mean less time in front of the television and computer and more time walking and doing other things that put the body in motion.

You'll be happier. Light tends to elevate people's mood, and there's usually more light available outside than in. Physical activity has been shown to help people relax and cheer up, so if being outside replaces inactive pursuits with active ones, it might also mean more smiles.

Your concentration will improve. Children with ADHD seem to focus better after being outdoors. It might be a stretch to say that applies to adults, but if you have trouble concentrating, outdoor activity may help.

You may heal faster. In one study, people recovering from spinal surgery experienced less pain and stress and took fewer pain medications when they were exposed to natural light. An older study showed that the view out the window (trees vs. a brick wall) helped recovery in the hospital.

Read the full-length article: "A prescription for better health?go alfresco"

Also in this issue:

  • Aspirin and cancer prevention

  • Peripheral neuropathy treatment

  • Niacin for boosting "good" HDL cholesterol

  • Safety of using ibuprofen p.m. as a sleep aid

  • Omega 3s and nutrition

The Harvard Health Letter is available from Harvard Health Publications (www.health.harvard.edu), the publishing division of Harvard Medical School, for $29 per year. Subscribe at www.health.harvard.edu/health or by calling 877-649-9457 (toll-free).

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ROCK ISLAND, Ill. - A Rock Island Hy-Vee dietitian was one of six Illinois dietitians to earn Recognized Young Dietitian of the Year by the Illinois Dietetic Association.

Chrissy Mitzel, of Davenport, Iowa, was nominated by the Mississippi Valley Dietetic Association, the local Quad Cities area dietetic group, because of her active dedication and participation in the group since she moved to the area, said Vicky Bean, MVDA nominating committee chairwoman.

"Chrissy has helped present education programs to MVDA areas and willingly serves on committees," Bean said.

The award is given to select Illinois Dietetic Association members who are younger than 35 years old. Members who participate in specific dietetic groups, demonstrate concern for the promotion of health and nutrition and demonstrate leadership in careers or association activities are eligible for the award.

Mitzel said she was extremely honored for winning the award. "I'm so young and it's such a big recognition," she said. "I was excited."

Mitzel credited her two-year career at Rock Island Hy-Vee for winning the award. "My job is very exciting and I have many opportunities," she said. "I have a lot of variety and it gives me to opportunity to touch so many people in the community."

Her position at Hy-Vee is Mitzel's first job since she graduated from school and became a registered dietitian.

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Men throughout Illinois encouraged to get a prostate cancer screening during Men's Health Week: June 14-20, 2010

CHICAGO - June, 20, 2010, Governor Pat Quinn today joined Dr. Damon T. Arnold, Illinois Department of Public Health Director and a prostate cancer survivor, and Access Community Health Network to encourage men throughout the state to recognize the importance living a healthy lifestyle, which includes preventative health screenings, such as prostate exams.

"Father's Day is the perfect time to urge the men in your life to take their health seriously," said Governor Quinn. "Men often ignore health problems until it's too late. With regular medical check-ups and screenings, many preventable health problems can be detected early and treated."

At an event held at Access Grand Boulevard Health and Specialty Center in Chicago, Governor Quinn urged men to get screened for prostate cancer. Medical professionals were onsite to administer prostate cancer screenings to men in attendance.

Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer. Prostate cancer accounts for about 11 percent of cancer-related deaths in men. Prostate cancer is the most common cancer, other than skin cancers, in American men. One in six men will develop prostate cancer over their lifetime.

"As a prostate cancer survivor myself, I know the importance of early detection through routine screening.  I'm healthy and cancer free today because of prostate cancer screenings," said Dr. Arnold. "I urge every man to overcome their fears of prostate cancer exams and go get screened."

The Illinois State Cancer Registry estimates approximately 9,030 new cases of prostate cancer will be diagnosed in Illinois during 2010 and an estimated 1,330 Illinois men will die from it. Across the United States, approximately 218,000 new cases of prostate cancer are expected this year.

Access Community Health Network (ACCESS) is the largest private primary health care provider serving the underserved in the Chicagoland area. ACCESS operates more than 50 community health center locations in underserved, low-income neighborhoods throughout Chicago and Chicago's suburbs.

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New Law Allows Illinois' Free Medical Clinics to Employ Health Care Workers Licensed Out-of-State

LA GRANGE - June 19, 2010. Governor Pat Quinn today signed a bill into law to allow health care workers authorized to practice in other states to work at free medical clinics in Illinois. The new law will improve access to health care for low-income families by increasing the number of licensed workers allowed to work at Illinois' free medical clinics.

"I am happy to sign this new law that will make it easier for Illinois families to receive much-needed medical care," said Governor Quinn. "As long as the health care worker is licensed and in good standing in another state, we welcome them to Illinois to help working families in need of health care."

House Bill 5744 ensures that health care professionals who work at free medical clinics in Illinois will be allowed to practice as long as they are licensed and in good standing elsewhere in the United States. The new law requires workers to provide the clinic with a copy of their out-of-state license, and ensures that they do not provide services beyond those their license allows. Additionally, the free medical clinic must meet the standards set in Illinois' Good Samaritan Act.

Studies done by the Illinois Department of Commerce and Economic Opportunity found that the number of potential caregivers in Illinois - including nurses - is projected to decrease 4.2 percent between 2000 and 2020; while the number of those who need care is projected to increase by 31 percent. The studies show that Illinois could be facing a shortage of over 21,000 nurses by 2020.

Additionally, according to the Center for Workforce Studies of the Association of American Medical Colleges, retirements in the health care field over the next 10 to 15 years will greatly weaken the health care workforce. House Bill 5744 will clarify who can work at free medical clinics and help to increase the number of health care workers available to staff those clinics.

The new law passed the Illinois General Assembly unanimously and was sponsored by Rep. Angelo Saviano (R-Elmwood Park) and Sen. Randy Hultgren (R-Wheaton). It takes effect immediately.

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WASHINGTON, D.C. - June 18, 2010 - Senator Tom Harkin (D-IA), Chairman of the Senate Health, Education, Labor and Pensions (HELP) Committee, today applauded Senate passage of legislation to ensure seniors and veterans can continue to receive medical care from the doctors they depend on.  The legislation, which provides a six month extension of the Medicare payment fix for doctors, is fully paid for and was passed by unanimous consent.  The bill now heads to the House for its consideration.

"I am encouraged that the Senate passed an extension of the Medicare payment fix for doctors.  Iowa's seniors deserve to continue to receive the highest quality medical service and stops doctors from taking a 21 percent pay cut," said Harkin.  "I am disappointed, however, that the Medicare fix was separated from an extension of unemployment insurance, a benefit that helps families pay the rent, put food on the table and keep their kids in school as they search for work.  I will continue to fight for this extension and hope that the Senate takes it up expeditiously."

The 21 percent payment cut, which is a result of flaws in Medicare's physician payment formula, the Sustainable Growth Rate (SGR) formula, took effect June 1.  The Centers for Medicare and Medicaid Services placed a temporary hold on the processing of Medicare reimbursement claims to delay implementing the reduced doctor payments.  Unfortunately, the agency was forced to begin processing Medicare claims with the 21 percent payment cut today in order to reimburse doctors' offices for their services.

Panel Discussion about Medical Marijuana to Follow Screening of Award-winning 'Waiting to Inhale`

MUSCATINE, IOWA – A free screening of the award-winning medical marijuana documentary "Waiting to Inhale" will be held at the Musser Public Library, 304 Iowa Ave., on June 19, at 2:00 p.m.

The screening will be immediately followed by a speech by medical marijuana advocate and MPP grantee Jimmy Morrison and a panel discussion with patients Lisa Jackson, who suffers from fibromyalgia, and Jacob Orr, who has chronic pain due to a car accident. House Assistant Minority Leader Jeff Kaufmann (R-Wilson) is expected to attend as well.

WHAT: "Waiting to Inhale" screening, followed by a panel discussion

WHEN: Saturday, June 19, at 2:00 p.m.

WHERE: Musser Public Library, 304 Iowa Ave., Muscatine, IA

Produced and directed by Jed Riffe, "Waiting to Inhale" examines the medical marijuana debate up close by taking viewers inside the lives of patients, doctors, and activists, while seeking to understand why opponents support the continued criminalization of sick and dying patients who could benefit from medical marijuana.

"Waiting to Inhale" was the winner of the 2005 CINE Golden Eagle Award, the Gold Special Jury Remi Award at the 38th Annual WorldFest-Houston and the 2005 Best Documentary Film/Video at the New Jersey International Film Festival.

With more than 124,000 members and supporters nationwide, the Marijuana Policy Project is the largest marijuana policy reform organization in the United States. For more information, please visit www.mpp.org.

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June 14, 2010

Today the Obama Administration issued new rules that govern whether individual and employer-sponsored health insurance plans can remain exempt - or "grandfathered" -- from the new health care requirements passed by Congress and signed into law by the President in March.  The New York Times wrote, "... in some respects, the rules appear to fall short of the sweeping commitments President Obama made while trying to reassure the public in the fight over health legislation."  Sen. Chuck Grassley, ranking member of the Committee on Finance, made the following comment on the new rules.

"My goal in health care reform always is to fix the parts of our health care system that are broken, but still allow people to keep the things they like.  Today's new rules from the federal government on 'grandfathering,' which were crafted without any opportunity for public input, are just more proof that despite all of the promises made by the President and other supporters, you actually can't keep what you like under the new partisan health reform law.  Change is coming for a lot of people, whether they want it or not."


Washington, D.C. - Senator Tom Harkin (D-IA) announced today that the first round of checks have been mailed to Iowa seniors impacted by the "donut hole," or the Medicare Part D coverage gap.  The tax-free, $250 rebate checks were mailed to seniors who have already hit the donut hole and do not receive Medicare Extra Help.  Checks will be mailed each month to seniors as they encounter the gap in their prescription drug coverage to help cover their costs. 

Last year, approximately 43,106 Medicare beneficiaries in Iowa hit the donut hole and did not qualify for Medicare Extra Help to defray the cost of their prescription drugs.

"Iowa seniors should have access to quality, affordable health care, and soon, they will see some of those immediate benefits of the new health reform law," Senator Harkin said. "These checks will help plug the gap in coverage and make much-needed medication easier to obtain.  It is important for Iowa seniors to know they do not have to do anything to receive this rebate check -- it will be automatically mailed to them when they reach the donut hole, if they don't already receive Medicare Extra Help."

In addition to the monthly checks, starting in 2011 Iowa Medicare beneficiaries who do not receive Medicare Extra Help will receive a 50 percent discount on brand-name drugs and biologics they purchase when they are in the coverage gap.  The coverage in the gap will increase on top of the discount until 2020, when the donut hole will be completely filled in.   

Senator Harkin also urged seniors to be on the alert for potential scams as checks begin to hit mailboxes. 

"Please be vigilant with your personal information, especially your social security number," Senator Harkin said. "Identity theft and fraud are very real threats.  If you receive a phone call or request for sensitive information, do not respond, and please call 1-800-MEDICARE to report a suspected scam."

The Patient Protection and Affordable Care Act also works to protect Iowa seniors from fraud and identity theft scams, and Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder have invited Attorney General Tom Miller to join them in educating seniors and other Medicare beneficiaries on preventing scams and fraud.  The Departments will convene a series of regional fraud prevention summits and invite top federal and Iowa officials to help ensure fraud is being reduced across the country. 

The Patient Protection and Affordable Care Act also provides free annual wellness visits for Iowa seniors and eliminates deductibles, copayments, and other cost-sharing for preventive care.  The law includes incentives for care coordination to improve health care quality and to better spend the more than 90 percent of Medicare dollars spent on treating chronic conditions.

It is that time of year again when days become longer and nights become shorter, and when the beautiful summer weather calls everyone to enjoy the sun's rays.  Simply being outdoors during the summer months can be quite a pleasure.  But it is also important to take precautions when heading outdoors.

For those with fair skin, being over-exposed to the sun's ultraviolet rays can have harmful effects.  In fact, one in five of us will develop skin cancer in our lifetimes, making it the most common form of cancer in the country.  And as the years go on, this number has only been rising.

But skin isn't the only victim. Long-term exposure to UV rays can also cause immune system suppression and premature aging.

In particular, we need to encourage the young people in our lives to take precautions.  Most Americans receive 50 to 80 percent of their lifetime sun exposure before they reach the age of 18.  Just one or two blistering sunburns in childhood may double the risk of developing melanoma.

Getting some sun exposure does have its benefits, the most important being the direct intake of Vitamin D, helping us to absorb calcium for stronger and healthier bones.  And spending time outdoors has countless advantages as well, such as the development of a more active lifestyle.

But we need to caution our loved ones from spending too much time in the sun and encourage them to take other precautions, such as wearing extra clothing, always wearing sunscreen and wearing a hat.

Here are six basic tips for protecting yourself and your family year round:

  • When outdoors, use sunscreens rated SPF 15 or higher.  Apply the lotion liberally, uniformly and frequently.  Make sure the sunscreen you are using is broad-spectrum sunscreen (to filter UVB and UVA rays).

  • Stay out of the midday sun (from 10am to 4pm) whenever you can.  You also should protect yourself from UV radiation reflected by sand, water, snow and ice.  UV radiation can go through light clothing, windshields, windows and clouds.

  • Wear long sleeves and long pants of tightly woven fabrics, a hat with a wide brim and sunglasses that absorb UV.

  • Stay away from sunlamps and tanning booths.

  • Do not sunbathe - period.

  • Teach your children good sun-protection habits at an early age.

The American Cancer Association also provides greats resources to better understand how to protect ourselves.  You can find this information at  http://www.cancer.org.

Being outdoors and enjoying the great Iowa weather is highly encouraged!  Just be careful and remember that simply protecting yourself from the sun's harmful rays can help you live a longer and healthier life.

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The Trinity Cancer Center is one of 24 sites nationwide participating in a study to see if special exercises can help prevent lymphedema - a swelling of the arm and/or hand due to trauma to or removal of the lymph nodes - from occurring in breast cancer patients after surgery.  Trinity, which serves eastern Iowa and western Illinois, is the only site in Iowa and the only one outside of Chicago in Illinois participating in the study, which seeks to enroll 560 women across the country.

According to the Journal of Clinical Oncology, one recent study found that 42 percent of women will develop lymphedema within 5 years of treatment.  Lymphedema impacts not only how a person feels but also how well the person can perform activities of daily living.

To be eligible for the study, women must be recently diagnosed with breast cancer, be scheduled for surgery as part of their treatment but have not had surgery yet, be at least 18 years old and have no previous diagnosis of lymphedema.

Women who meet criteria and choose to participate will meet with a Trinity cancer research a total of five times.  The first visit includes the completion of consent and survey forms and measuring of hands and arms prior to surgery. The second "baseline" visit occurs up to six weeks after surgery and includes lymphedema education, completion of surveys and measurements and meeting with a therapy specialist to learn exercises that may help prevent lymphedema.

Participants also will be fitted for an elastic sleeve at that time.  Elastic sleeves are often used to prevent swelling during certain activities for those at risk of lymphedema.  There is no cost to receive the sleeve for study participants.

Subsequent visits will occur six, 12 and 18 months after the baseline visit to track measurements and complete further surveys.

"Lymphedema can severely impact quality of life," said Judy Howell, RN and study coordinator.  "Local participants could be helping to chart the course of post-surgical preventative care for thousands of other women across the country."

Trinity's Cancer Center has been offering national clinical trials and major prevention studies to members of the greater Quad-City area since 1987. Trinity, through an affiliation with the Cedar Rapids Oncology Project, is a part of a Community Clinical Oncology Program (CCOP), one of only 62 nationwide.

The National Cancer Institute (NCI) has recognized this CCOP for excellence in cancer research. Trinity's Cancer Center has direct access to NCI-approved cancer treatment studies through the North Central Cancer Treatment Group, located at Mayo, Rochester, the Eastern Co-operative Oncology Group, the Clinical Trials Support Unit and other national research programs.  This means people living in the Quad-City area have local access to national cancer prevention studies and treatment clinical trials.

The study is funded by the Susan G. Komen Breast Cancer Foundation, the Lance Armstrong Foundation, the National Cancer Institute and a private donor.  For more information, contact Judy Howell at (309) 779-5059.

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