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Kid Safety for Spring Sports March 24, 2011

Posted by acroanmph in Public Health.
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Most sport injuries are preventable

Hello Spring. And hello sport injuries.

The number one serious pain for kids in sports is overuse injury – a series of small injuries to an immature body causing minor fractures, minimal muscle tearing and progressive bone deformities. This occurs when a child or teen specializes in one sport year-round rather than developing skills and muscles for a variety of sports or other activities. Kids are more susceptible to injury due to the rate at which their bodies are growing and this causes a weakness in growth plates and the tendons surrounding them. Most sports injuries can be prevented with some knowledge and practice of injury prevention techniques.

Prevent Baseball Injuries

According to the American Academy of Orthopedic Surgeons, there are over 627,000 baseball-related injuries every year. “Little Leaguer Elbow” occurs when repetitive throwing creatives an excessively strong pull on elbow tendons and ligaments. Other common baseball injuries include muscle strains, sprains, cuts, lacerations, and contusions.Here are some useful guidelines for your youth team:

  • Warm-up exercises should include the hamstring, back, elbows and shoulders
  • Make sure each player is wearing appropriate gear, including that which is gender-specific
  • Instruct players in how to avoid being hit by a baseball, and opt for softer balls to decrease injury
  • Inspect the playing field for divots, holes, glass and other debris
  • Use breakaway bases to decrease sliding runner injury
  • Be familiar with fields including telephone and cardiac defibrillator location
  • Only teach sliding to kids age 10 and up
  • Teach the “obstruction” rule – that blocking the base without possession of the ball is dangerous to the runner and the first baseman
  • Adhere to these pitch count limits:

Age      Per Game      Per Week
8-10            50                75
11-12          75                100
13-14          75                125
15-16          90            2 games
17-18         105           2 games
Ages for learning types of pitches:
Fastball          8
Change-up    10
Curveball       14
Knuckleball    15
Slider             16
Forkball         16
Splitter          16
Screwball       17

Prevent Skating Injuries

Because skateboarding and in-line skating both involve speed, balance and coordination over hard surfaces, rails and ramps, the risk of severe injury is high. In 2009, there were over 406,000 hospital-treated injuries, according to the U.S. Consumer Product Safety Commission. The injuries included extremity fractures, sprains, strains, and head injuries.

Recommended injury prevention for skaters:

  • Use quality skates, and shorter decks for beginning skateboarders
  • Keep equipment in proper working condition
  • Learn the basics of the sport and how to stop properly
  • Learn how to fall
  • Wear proper protective equipment
  • Helmets should sit low on the forehead, have side straps that form a “V” around each ear, does not move in any direction when the head moves, does not interfere with movement, vision or hearing
  • Only put one person on a skateboard
  • Tricks and jumps are not learned quickly. They should be practiced in a controlled environment.
  • Do not use headphones while skating

Younger skaters, ages 6-10, should always be closely supervised by an adult or trustworthy teen, and wear proper safety gear which includes helmet, knee and elbow pads, and wrist guards. Children this age are more at risk of injury because they have a higher center of gravity, less development and poor balance, slower reaction times, less skill or ability than they think, and cannot accurately judge speed and traffic.

Prevent Football Injuries

Over 12 million children play football each year, and the sport is responsible for sending over a million and a quarter of them to doctors’ offices and hospitals. While the risk in football is not higher than other sports, these injuries are preventable. Kids should be grouped according to weight and size, not age, for contact sports. Do not encourage kids to “play through” any pain they may be feeling. Concussions, injury to the spinal cord and neck, re-injury and even death from heat illness are the most common injuries.

Have players go through a hands-on visual safety instruction program. Injury is directly related to the level of play. Senator Blumenthal’s co-sponsorship of the Children’s Sports Athletic Equipment Act bill (introduced by Sen. Udall) can be read here.

Prevent Cheerleading Injuries

While the age of cheerleaders decreases the rate of injury increases. Most commonly these include ankle sprains, knee and wrist injuries, low-back pain and (catastrophic) head injuries. Prevention is possible with good spotting techniques, qualified coaching, and compliance with rules. Proper equipment includes recommended shoes, learning on mats or other soft flat surfaces, and correct teaching of spotting, says the American Academy of Pediatrics.

Related Fact Sheet:

Heads Up: Concussion in Youth Sports (CDC)

What’s A Better Predictor: A Seismograph Lab or Your Pet? March 21, 2011

Posted by acroanmph in Public Health.
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Who can predict natural disasters?

I’ve always felt wowed to live in a city where seismograph data is collected 24/7. It’s exciting yet humbling to know that in the blink of an eye we are at the mercy of Mother Nature. And that in this city, the data must be assessed every minute of every day for the safety of our communities.

What I’ve noticed from seismograph labs is that they are able to identify the magnitude after an event but unable to predict it with enough warning to be meaningful to people. Why, with all our technological advancements did the Japanese have only a few minutes warning prior to the catastrophic events last week? For what reason do we tout and expend for these advanced scientific labs? Perhaps they are primarily research-focused and are not just yet able to predict mass shifting of continents and destruction of thousands of lives. The events are too spontaneous to provide any type of valuable warning, only general predictions that rarely give higher than a 50/50 chance of an occurrance within the next 30 years.

We’ve all heard stories of animals’ acute disposition and sensitivity to energy in the air prior to natural disasters and human illness events, such as seizures. The “job dogs” are highly trained to sense events in people and places and provide some type of warning. But humans have looked to animals for thousands of years for their keen susceptibility to detect differences in low-frequency energy.

Historians in Helice, Greece in 373 B.C. recorded that rats, snakes and weasels hurriedly left the city in droves days prior a massive earthquake.

For countries with 80% of residences containing livestock, such as China, animals are an important predictor for advance notice of earthly phenomena. In 1975, odd animal behavior prompted Chinese officials to order the evacuation of Haicheng, population of 1 million. This behavior included bees evacuating their hives in a panic, spontaneous cattle and horse stampedes, caged birds becoming agitated and restless, and snakes leaving their hibernation areas underground, just to then freeze in the snow. Several days later a 7.3-magnitude earthquake occurred, and about 150,000 citizens’ lives were saved. The China Seismological Bureau has used this type of natural activity to accurately predict 20 earthquakes in the last 20 years, but this represents only a handful of earthquakes experienced there.

The “coincidence” of lost pet ads in the San Francisco Chronicle the week prior to the 1906 quakes was astronomical.

Three thousand people died during the 2004 Thailand tsunami, but not one animal. The animals ran for high ground, some elephants even carried people into the hills.

The US Geological Survey began studying animal behavior relevant to these phenomena during the 1970′s, but these short-lived experiments were abandoned.

Rupert Sheldrake, biologist and author, believes comparable patterns of animal behavior prior to earthquakes have been reported independently by people all over the world. “I cannot believe that they could all have made up such similar stories or that they all suffered from tricks of memory.” According to National Geographic News, Sheldrake has proposed a special hotline or Web site where people could call or email observed odd behavior in their animals. A computer would analyze the incoming messages to determine origination data. “A sudden surge of calls or e-mails from a particular region might indicate that a quake was imminent. Such a project would capture the imagination of millions of people, encourage large-scale public participation and research—and would be fun,” he said. “What is holding this research back is not money but dogmatism and narrow-mindedness.”

Bee Pollen: Superfood March 14, 2011

Posted by acroanmph in Public Health.
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Bee pollen: most complete food source on earth.

I first became aware of bee pollen when one of my children was prescribed it to treat allergies by our holistic health practitioner. Bee pollen works as an antihistamine and so is beneficial for almost any type of allergy, especially seasonal allergies such as hay fever. A dark vial contained the tiny yellow balls, which were delicious.

Benefits of bee pollen have been cited in ancient Egyptian and Chinese tribal texts as a cure all, health fortifier, anti-aging compound, used to enhance physical and mental well-being.

The most famous report of extreme longevity has been among the Abkhazians, in the Caucasus Mountain Range of Georgia. While claims of living to ages 125-150 appear erroneous and undocumented, it is true that a great deal of the population live to over 100. A major staple of their diet is honey, many descend from generations of beekeepers.

Because bee pollen is assimilated into the body naturally at the cellular level, benefits are noticed after just a brief period of regular use. Men aged 40-45 can benefit from bee pollen by greatly reducing their symptoms or risk of developing prostate cancer, and both men and women find it supports sexual and reproductive health.

Nutritional Properties

  • Bee pollen is 40% protein
  • Contains high proportions of B-Complex vitamins, as well as vitamins A, C, D, E
  • Contains 22 amino acids, 27 mineral salts, and over 5,000 enzymes necessary for digestion and healing
  • It is 15% lecithin which increases weight loss and improves cholesterol counts
  • Contains 96 known nutrients

Other Benefits

  • It is rich in the bioflavonoid rutin, which strengthens capillaries
  • Improves complexion
  • Provides an increase in natural energy with a build-up over time
  • Can improve developmental problems in children
  • It’s natural phenylalanine curbs appetite
  • May be taken daily

Tips & Warnings

  • Production of pollen in the hive includes a fermentation process which allows it to last forever within the hive. Once removed from the hive, it should be stored in the refrigerator as heat destroys many of the enzymes.
  • Severe allergic responses including anaphylactic shock may occur. Test with one pollen grain, and if you suffer no adverse reaction, increase dosage to an optimum amount of 1 tablespoon per day. Check with your doctor before taking bee pollen.

Interestingly, honey is the only existing compound which scientists have not been able to reproduce in the laboratory.

Curb the Epidemic: Safe Drug Disposal on Take-Back Day March 8, 2011

Posted by acroanmph in Public Health.
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Accidental drug deaths at an all-time high.

Unintentional drug overdose, now a national epidemic on the rise, ranks second in cause of death behind only motor vehicle accidents. Prior to this, motor vehicle accident deaths remained the leading cause of death for 80 years, and now in at least 16 states, drug induced deaths ranks first. The rate has increased fivefold since 1990, while suicide, homicide and undetermined poisoning rates have remained relatively stable.

The majority of these overdoses occur with cocaine, heroine, and opioid painkillers. The highest percentage of hospitalizations for a specific drug was a quintupling of methadone, perhaps due to a tenfold increase in retail sales, according to the American Journal of Preventive Medicine.

Availability of controlled substances (not used for cancer patients) is spiking and US drug companies are not (yet) taking back unused medications. The common perception of prescribed medications is that they are less addictive and easier to obtain than street drugs. Furthermore, there is general gap in knowledge about how these medications will react with other prescription or over-the-counter drugs. Often, medications are taken by someone to whom they are not prescribed. Every day, 2,500 teens experiment by reaching into medicine cabinets.

While physicians figure out how to safely prescribe fewer pills and educate patients about the risks, and the government, in conjunction with pharmaceutical companies, determines how to budget a drug take-back policy, we can begin to curb the epidemic by returning unused medications at specified drop sites.

All expired or unwanted drugs may be returned.

  • Illegal or controlled substances must be turned in to law enforcement. No questions asked.
  • Many pharmacies will take back non-controlled substances. Look for the large blue metal disposal unit in the pharmacy waiting area.
  • Veterinary, tablet, pill, liquid medications and ointments may be returned.
  • Drugs are safely disposed of by incineration.

Other helpful tips:

  • Leave prescriptions in original containers. Identifying information may be blacked out for privacy.
  • Locate your state or local poison control center. Every call to a poison control center saves $175  in other medical spending by reducing calls to 9-1-1, ambulance dispatches, and ED services. (Up to 50% of all trauma patients seen in the ED are due to alcohol or other drug use prior to admission.)
  • Flushing or throwing away drugs and medication contaminates ground water, waterways and landfills.
  • Access the Drug Take-Back Network to find safe disposal sites are in your area.
  • The next DEA National Take-Back Day is April 30, 2011, but you can dispose at participating pharmacies or sheriff’s departments at any time.

Last September, the first DEA-sponsored Take-Back Day collected 121 tons of unused and unwanted drugs. This immediately reduced potential teen deaths due unintentional drug overdoses by 50%.

Got Tech Neck and Cell Phone Elbow? March 3, 2011

Posted by acroanmph in Public Health.
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On the rise: tech neck, cubital tunnel and cell phone elbow.

We recognize the rounded back, oddly angled neck, and whirring thumbs among users of today’s necessary technology. A surge in tendonitis in the neck and forearms has resulted from our overuse of not just laptops, but increasingly, cell phones. The American Physical Therapy Association has named BlackBerry Thumb an official workplace malady. Musculoskeletal strain has landed many an employee in the doctor’s office with complaints of sore backs, necks and arms, stiffness and migraines.

For around $200 some spas now offer a 60 minute tech neck massage to temporarily relieve these aches and pains affecting the fingers, hands, arms, neck, upper back and head. (Another popular spa service is a cell phone facial, typically costing $225-$250.) But the problem persists with our addiction to cell phones which now function as so much more. The tiny screens cramp our fingers and shoot pain from the fourth and fifth fingers up through the elbow.

In addition to using hands-free headsets, taking breaks, and rolling the neck, there are other measures to prevent long-term injury from overusing our devices:

  • Be aware of your posture and time spent on your phone. Often, awareness alone is enough to change behavior;
  • Use the full range of your muscles regularly to keep oxygen and blood flowing through extremities;
  • Keep ergonomics in mind and hold your device at or below eye level to keep your cervical spine in a neutral position;
  • Avoid texting while walking and certainly while driving;
  • Lengthen the spaces between vertebrae and increase circulation by practicing yoga;
  • Try sleeping with SquidFace™ or ComfyRest™ pillows;
  • If all else fails, try non-steroidal anti-inflammatories and physical therapy.
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