Sunday, 17 April 2016

Princess Health and  Teens now more likely to use e-cigs than tobacco; health officials call for regulations and better education about the products. Princessiccia

Princess Health and Teens now more likely to use e-cigs than tobacco; health officials call for regulations and better education about the products. Princessiccia

By Melissa Patrick
Kentucky Health News

The number of adolescents using electronic cigarettes has risen so much that more of them use e-cigs than tobacco products, says the federal Centers for Disease Control and Prevention.

The findings come from the National Youth Tobacco Survey, which collected data from about 20,000 middle- and high-school students across the country from 2011 to 2015.

Only 1.5 percent of high schoolers used e-cigarettes in 2011, but that zoomed to 16 percent in 2015, with most of the increase seen between 2013 and 2014. The number of middle-school students using e-cigarettes increased from less than 1 percent in 2011 to 5.3 percent in 2015.

Tobacco smoking with hookahs, or water pipes, showed a lesser but significant increase, rising to 7.2 percent from 4.1 percent among high-school students and to 2 percent from 1 percent among middle-school students.

During this same time frame, children's use of cigarettes, cigars and other tobacco products decreased. The share of high-school and middle-school students who reported smoking a cigarette in the last month dropped, respectively, to 9.3 percent from 15.8 percent; and to 2.3 percent from 4.3 percent.

The rise in e-cigarette and hookah use offset the decrease in traditional tobacco use, meaning there was no overall change in use of nicotine or tobacco products among middle and high school students between 2011 and 2015.

An estimated 25.3 percent of high school students and 7.4 percent of middle school students say they have used a tobacco or nicotine product in the past 30 days. That amounts to 3.82 million high school students and 880,000 middle school students.

The study did not give state-by-state figures, but Kentucky has long ranked high in youth tobacco use.

One of the reasons for the rise in popularity of e-cigarettes is that there are no restrictions on buying them on the internet, Carina Storrs reports for CNN after interviewing Brian A. King, deputy director of research translation in the CDC Office on Smoking and Health, who led the current research.

"The fact that we have a flavored product that is easier to access and possibly cheaper has created a perfect storm to lead to increased use," King said.

Also, King said, e-cigarette companies appeal to youth by advertising heavily on social media, selling trendy accessories and employing celebrities to market the products. King said older peers and family members could also be providing e-cigs, just as they have provided conventional cigarettes to.

Pediatricians have called for raising the smoking age to 21 and for the regulation of e-cigarettes.

As of April, 2016, 141 cities in 10 states and the state of Hawaii have raised the legal age to buy tobacco or vaping products to 21, according to the tobacco21.org website.

In Kentucky, Democratic Rep. David Watkins, a retired physician from Henderson, filed a bill this year to raise the legal age for buying tobacco or vaping products to 21, which made it out the the House Health and Welfare Committee, but was not called up for a vote on the House floor. Kentucky banned the sale of e-cigarettes to minors in 2014.

The Food and Drug Administration introduced a proposal in 2014 to oversee and regulate electronic cigarettes, but it has still not been finalized.

Dr. M. Brad Drummond, associate professor of pulmonary and critical care medicine at Johns Hopkins University School of Medicine, told Storrs that tighter restrictions are needed around purchasing, taxation, flavoring and advertising of e-cigarettes, noting that this would have an effect on "denormalizing their use." He also said teens need to be better educated about the harms associated with e-cigs.

Princess Health and If legislature won't help protect Kentuckians from the health threat of tobacco, local governments should, Herald-Leader says. Princessiccia

Since the Kentucky General Assembly "adjourned without tackling the addiction that kills the most Kentuckians, tobacco," local communities need to take up the challenge, the Lexington Herald-Leader said in an editorial Sunday.

To drive home the primary role that tobacco plays in Kentucky's poor health, the newspaper ran a map of the most recent County Health Rankings, showing that "the places where smoking rates are highest have the worst health outcomes."

The Democrat-controlled state House passed a statewide ban on smoking in workplaces last year, but the bill got nowhere in the Republican-controlled Senate, and with new Republican Gov. Matt Bevin opposed to it and all House seats on the ballot this year, the bill didn't get a vote in the House.

Bevin has said smoking bans should be a local decision. The editorial says, "One of the cheapest, most effective ways to do that (since the legislature won�t) would be to join the places across Kentucky that have enacted local smoke-free laws." About one-third of Kentucky's population lives in jurisdictions with comprehensive smoking bans.

Read more here: http://www.kentucky.com/opinion/editorials/article72143017.html#storylink=cpyThe
Read more here: http://www.kentucky.com/opinion/editorials/article72143017.html#storylink=cpy

Princess Health and Study indicates fast food contains industrial chemicals linked to health problems such as infertility, diabetes and allergies. Princessiccia

People who eat a lot of fast food have higher levels of chemicals that "have been linked to a number of adverse health outcomes, including higher rates of infertility," especially among men, Roberto Ferdman reports for The Washington Post.

Researchers at George Washington University in Washington, D.C., say the connection could have "great public health significance," Ferdman writes. "Specifically, the team found that people who eat fast food tend to have significantly higher levels of certain phthalates, which are commonly used in consumer products such as soap and makeup to make them less brittle. . . . The danger, the researchers believe, isn't necessarily a result of the food itself, but rather the process by which the food is prepared."

Here's how the study was done: Researchers analyzed diet and urinalysis data for nearly 9,000 people, collected as part of federal nutrition surveys in 2003-2010. "Food eaten at or from restaurants without waiters or waitresses was considered fast food. Everything else � food eaten at sit-down restaurants and bars or purchased from vending machines � was not," Ferdman writes. "The first thing the researchers found was that roughly one-third of the participants said they had eaten some form of fast food over the course of the day leading up to the urine sample collection," which fits with government estimates.

People who said they had eaten fast food in the previous 24 hours "tended to have much higher levels of two separate phthalates," Ferdman reports. Those who said they ate only a little fast food had levels 15 and 25 percent higher than those who said they had eaten none. "For people who reported eating a sizable amount, the increase was 24 percent and 39 percent, respectively. And the connection held true even after the researchers adjusted for various factors about the participants' habits and backgrounds that might have contributed to the association between fast-food consumption and phthalate levels."

The study was reported in Environmental Health Perspectives, a peer-reviewed journal funded by the National Institutes of Health.

"There is little consensus on the harms of phthalates, which are widely used in commerce and give materials such as food packaging added flexibility, except that exposure to them is widespread," Ferdman writes, citing the federal Centers for Disease Control and Prevention. "But there is growing concern that the chemicals could pose a variety of risks, particularly when observed in the sort of levels seen in the study."

Noting several other studies, such as those linking the chemicals to diabetes and allergies, Ferdman reports, "Many governments have moved to limit exposure to the industrial chemicals. Japan disallowed the use of vinyl gloves in food preparation for fear that their use was compromising health. The European Union, which limits the use of the chemical, has been nudging manufacturers to replace it. And the United States restricted its use in toys."

So, why do people who eat fast food seem to have much higher levels of these chemicals? That is unclear, Ferdman writes, "but it's easy enough to guess: the sheer amount of processing that goes into food served at quick-service restaurants. The more machinery, plastic, conveyor belts, and various forms of processing equipment that food touches, the more likely the food is to contain higher levels of phthalates. And fast food tends to touch a good deal more of these things than, say, the food one purchases at a local farmers' market."

Ferdman concludes, "It certainly seems as though eating fast food is more toxic than avoiding it, and not for the obvious reasons." He quotes Marion Nestle, the Paulette Goddard professor of nutrition and food studies at New York University: "Traditional fast food was never meant to be daily fare, and it shouldn�t be," said  "It�s too high in calories and salt and, as we now know, the chemicals that get into our food supply through industrial food production."

Saturday, 16 April 2016

Princess Health and  April 16th, 2016 For The Challenges. Princessiccia

Princess Health and April 16th, 2016 For The Challenges. Princessiccia

April 16th, 2016 For The Challenges

It's been an amazing week. It's also been a challenging week! I'm sincerely grateful for the blessed opportunities I've enjoyed and for the challenges.

The life stream presented many challenges this week: Planning around unusual schedules, being in unfamiliar places, increased responsibilities at work, navigating two consecutive super long and super busy days and rounding out the week performing four stand-up shows at the comedy club in my hometown.

The fundamental element stream ran well, in the background of my life, with its non-negotiable elements completely honored and kept each day, very well.

There were some close calls.

My life stream and fundamental elements stream must always run parallel to one another. When the life stream gets too thick and starts crowding the fundamental elements stream, that's when things can get dicey.

I found myself reaching for critically needed spot support via text and call twice. I haven't had two "criticals" in one week in a very long time. But again, it was challenging. And reaching for support instead of excess food is a big part of the plan that keeps me well. I've always heard, "It isn't what happens to us, it's how we handle what's happening." That's truth. The support exchanges provided much needed perspective--and almost like magic, the challenges quickly become manageable again.

The week started with a trip to New York and Today on NBC!
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The week ended with four performances at LOL Comedy Club in my hometown
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Working with comedians Robert Hawkins (left) and Bob Khosravi (right) was truly a pleasure. They're both incredible!!

Peggy writes:
"Love the new mug. Keep up the good work. I'm not fully committed to a plan yet but every day I read your blog and it's wearing off on me how easy and how hard it is to have integrity, determination, a plan in place and you make it sound like fun as well as a challenge to be met."

My Reply:
"That mug instantly became my favorite! Thank you, Peggy! 
I'm glad you're coming here each day. You'll find yourself along the way. Being okay with where you are--even when it's diametrically opposed to your goals, dreams and desires, provides a more stable foundation for you to move forward--and in my experience, that compassionate self-embrace actually provides the peaceful stability needed for a clearer perspective moving forward. You're alright!
Making the challenges of it all fun--and enjoyable, yes yes and YES! 
When you wake for the day, do you dread the plan or do you look forward to it with enthusiasm--because you know where it's taking you? Finding ways to structure your plan in a way you can enjoy and genuinely look forward to each day, is key!! And not just because you know where it's taking you--also because you've designed it--customized to your "personal settings,"--your likes, dislikes--and nature."

I planned today well. I also made it a refreshingly restful day. I plan on catching up on some needed rest--and best of all, I plan on the upcoming week being much less challenging.

The challenging times are a test. I feel very confident in concluding: This time, I passed! I'll bring the same tools to the next challenge!

Today's Live-Tweet Stream:














































Thank you for reading and your continued support,
Strength,
Sean

Princess Health and Governor kills bill that would have encouraged donation of organs and bone marrow; sponsor's primary foe is son of Bevin appointee. Princessiccia

By Melissa Patrick
Kentucky Health News

Gov. Matt Bevin has vetoed a bill that would have allowed Kentuckians to take time off of work to be "living donors" or donate bone marrow without risk of losing jobs or income. The bill would have required paid leave of absence for such reasons, and offset the cost to the employer with tax credits.

Rep. Ron Crimm
"I was deeply disappointed," Republican Rep. Ron Crimm, sponsor of the bill, said in a telephone interview. "I thought it was a very good bill."

Crimm, from Louisville, said the Republican governor called him and told him it was a good bill, but that he wasn't accepting anything that would generate a cost to the state.

Bevin said in his veto message, "House Bill 19 is a noble and well-intentioned piece of legislation designed to encourage the generosity of time and financial resources by both individuals and employers. However, the financial costs and administrative burden on the Department of Revenue to implement House Bill 19 far outweigh the limited benefit this legislation can provide."

The Legislative Research Commission's fiscal note on HB 19 says it would cost about $100,000 to set up the system, but future cost would be "minimal." Crimm said he didn't think it would cost that much to set it up and that he told the governor so.

HB19 is modeled after a similar program in Pennsylvania, which allowed LRC staff to look at the fiscal impact of its tax credit as a point of comparison. They found that in a four-year period, Pennsylvania had only three taxpayers claiming a donor credit for a total of $3,505.

"Therefore,staff estimates that the revenue impact of the credit permitted by HB 19 would also be minimal," says the fiscal note. Crimm said, "It's nothing."

Tom Loftus of The Courier-Journal noted that Crimm faces a "stiff primary election" May 17 against Jason Nemes and that Nemes' father, Mike Nemes, a former state representative, is Bevin's deputy labor secretary.

Asked if he thought this might have influenced the governor's veto, Crimm laughed and said, "If that is true, then I'm very, very disappointed that I supported him." Then he said, "I don't think the governor would have done that." But then he said, using what he said is an old "Pennsylvania Dutch" expression, "It wonders me. ... Everybody, one-hundred-percent of the people in the House and the Senate, voted yea on the bill." The legislation passed 95-0 in the 100-member House and 37-0 in the 38-member Senate.

Friday, 15 April 2016

Princess Health and  April 15th, Rest Of The Way. Princessiccia

Princess Health and April 15th, Rest Of The Way. Princessiccia

April 15th, Rest Of The Way

I made it through one more day having maintained the integrity of my of my maintenance calorie budget. abstinence from refined sugar and once again I exceeded my water goal.

But it wasn't easy.

The schedule was overbooked from the beginning. It wasn't until I was on the road to the comedy club in my hometown when I was able to take a deep breath--sip on my coffee and get ready for an awesome night of stand-up.

I really enjoyed my sets this evening.

On my way home tonight, I promised myself I would post a quick update and allow the Tweets to take it the rest of the way.

I'm doing just that.

Today's Live-Twitter feed:










































Thank you for reading and your contued support.
Strength,
Sean

Princess Health and Study says proton-pump inhibitors, used to treat heartburn, acid reflux and ulcers, could increase the risk of kidney disease. Princessiccia

webmd.com
Long-term use of commonly prescribed medications called proton-pump inhibitors, used for heartburn, acid reflux or ulcers, could increase the risk of chronic kidney disease, kidney failure or lead to a decrease in kidney function, according to new research  published in the Journal of the American Society of Nephrology.

In 2013, about 15 million Americans were prescribed proton-pump inhibitors, but the number of users is likely higher, because many are sold without a prescription, the American Society of Nephrology said in a news release.

Proton-pump inhibitors are sold under the brand names Prevacid, Prilosec, Nexium, Protonix, Aciphex and others. Nexium is one of the top ten drugs prescribed in the U.S., Troy Brown reports for Medscape Medical News.

The study looked at data from the U.S. Department of Veterans Affairs and found 173,321 people who used PPIs and 20,270 who took histamine H2 receptor blockers, an alternative class of drugs also used to treat heartburn.

Histamine H2 receptor blockers are sold under the brand names Tagamet, Pepcid, Axid and Zantac

Researchers analyzed the data over five years and found that patients who took PPIs had a 96 percent increased risk of developing kidney failure and a 28 percent increased risk of chronic kidney disease compared to the patients who took the histamine H2 receptor blockers. And those who used PPIs over a long period of time, were at a higher risk of having kidney issues, says the release.

"The findings suggest that long-term use of PPIs may be harmful to the kidneys and should be avoided. PPI use may not only increase the risk of developing chronic kidney disease, but may also increase the risk of its progression to complete kidney failure," says the release.

�The results emphasize the importance of limiting PPI use only when it is medically necessary, and also limiting the duration of use to the shortest duration possible,� Dr. Al-Aly, one of the researchers, said in the news release.� A lot of patients start taking PPIs for a medical condition, and they continue much longer than necessary.�