Research

Promoting mental health: 10 tips for a healthier mind

healthy-mindThough it is harder to observe, mental health can be just as important as physical health to achieving overall wellness and quality of life.

Chris Frasz, who teaches mindfulness training and seminars in Petoskey, noted that it’s important to be proactive with mental health if striving for overall well-being.

“If we want to be in good physical shape we engage in various physical activities. Similarly, if we want strong mental health, we need to be proactive about it,” he said.

Because stress can make the brain more susceptible to mental illness and issues, Frasz suggests meditation techniques at his workshops as a means of coping with stress.

Here are some other suggestions from top health sources that can help support a healthy mind.

1. Physical exercise

According to The Washington Post, a 2014 review in the Journal of Clinical Psychiatry found that physical activity reduced symptoms of depression in people with mental illness and even reduced symptoms of schizophrenia.

2. Use social media wisely

This one may come as a surprise, but time spent on social networking has been linked to depressive symptoms in some studies. According to The Washington Post, research suggests that reading other people’s “chipper status updates” can actually make people feel worse.

3. Get more sleep

According to Harvard Health Publications, sleep problems may increase the risk for developing mental illnesses. Studies also show that treating sleep disorders may help alleviate symptoms of mental health issues such as anxiety.

4. Consider nutrition

Eat what nourishes the whole body, including your brain. According to Psychology Today, healthy carbohydrates increase serotonin which has a calming effect on mood. Protein increases dopamine and tyrosine which can help combat stress. Omega-3 fatty acids are necessary for cognitive function.

5. Supplement if needed

Most doctors will agree that it is difficult to get all nutrients from food. Experts suggest adding supplementation, especially Vitamin D. An article from Harvard Medical School notes that Vitamin D deficiencies have been linked to depression.

6. Be grateful
Gratitude has been linked to improved well-being as well as happiness. According to Psychology Today, research now shows that keeping a gratitude journal or making a daily list can be effective in developing a healthier perspective.

7. Take a break

Though routines get us through the week and keep us efficient, doing something out of the ordinary can do wonders for shifting mindset and battling stress. Researchers at the University of Michigan suggest that this can include taking a vacation or even just walking in a new park or trying a new restaurant.

8. Laugh

University of Michigan studies show that laughter can boost immune function, ease pain, relax the body and reduce stress. Laughing also lowers cortisol (stress hormone) and increases endorphins, which elevate mood.

9. Quiet your mind

Meditation — or the practice of harnessing one’s thoughts — can be effective in dealing with the root of problems such as anxiety and stress. Try mindfulness training (as suggested by Frasz) or explore other techniques such as those taught in yoga, or Tai Chi.

10. Seek professional help

According to the University of Michigan Health Services, seeking help is a sign of strength not weakness. A professional counselor or psychologist may be able to suggest an effective treatment plan in combating mental health issues.

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Diagnosing Kidney Cysts

By Sally Robertson, BSc

Kidney (renal) cysts are fluid-filled sacs that form on one or both of the kidneys. Usually, these cysts do not cause symptoms or kidney damage, in which case they are referred to as simple kidney cysts.

Simple kidney cysts are very different from the type of cysts that develop when a person has the genetic condition polycystic kidney disease (PKD), which causes scarring of the kidney tissue that can eventually damage the kidney and lead to kidney failure.

Simple cysts sometimes cause symptoms if they have become large enough or have started to press on other organs. They can also become infected, leading to pain and fever.

Physical inactivity increases risk of thrombosis

May 3, 2016 | Medical University of Vienna

Women with poor physical fitness display significantly higher platelet activation than women with average to very good fitness. Platelet (thrombocyte) activation can lead to the formation of potentially life-threatening blood clots. These blood clots can block blood vessels (thrombosis) and cut off the blood supply to organs.

thrombosis-post

Women with poor physical fitness display significantly higher platelet activation than women with average to very good fitness. That is the major finding of a study of 62 young women, conducted by the research groups of Ivo Volf (MedUni Vienna Institute for Physiology) and Rochus Pokan (University of Vienna Institute for Sports Sciences) and sponsored by the Austrian Heart Foundation. Platelet (thrombocyte) activation can lead to the formation of potentially life-threatening blood clots. These blood clots can block blood vessels (thrombosis) and cut off the blood supply to organs.

Too Many People Still Take Unneeded Antibiotics

By Dennis Thompson

TUESDAY, May 3, 2016 (HealthDay News) — Nearly one-third of the antibiotics prescribed in the United States aren’t appropriate for the conditions being treated, a new federal government study shows.

antibiotic-study

“We were able to conclude that at least 30 percent of the antibiotics that are given in doctors’ offices, emergency departments and hospital-based clinics are unnecessary, meaning that no antibiotics were needed at all,” said lead researcher Dr. Katherine Fleming-Dutra.

Such misuse has helped fuel the rise of antibiotic-resistant bacteria, which infect 2 million Americans and kill 23,000 every year, said Fleming-Dutra, a pediatrician and epidemiologist at the U.S. Centers for Disease Control and Prevention.

Antibiotics are most misused in the treatment of short-term respiratory conditions, such as colds, bronchitis, sore throats, and sinus and ear infections, the researchers reported.

“About half of antibiotic prescriptions for acute respiratory conditions were unnecessary,” Fleming-Dutra said.

PulmCrit Wee: Ultrasound-guided blakemore tube placement

May 4, 2016 | Josh Farkas

Introduction

The most widely feared complication of placing a Blakemore tube is complete inflation of the gastric balloon while it is not in the stomach.  If the gastric balloon is fully inflated anywhere outside the stomach (i.e. esophagus, trachea, bronchus, duodenum), this may cause visceral perforation.

Two cases of ultrasound-guided Blakemore placement

Case #1

A patient required Blakemore tube placement due to refractory variceal hemorrhage.  With continuous monitoring via transgastric ultrasonography, the Blakemore tube was advanced.  The tube could be visualized entering the stomach.  When the tube was advanced to a depth of 50 cm, the gastric balloon was inflated with 50ml of air.  The balloon was well visualized by ultrasonography to be inflating within the stomach.

Since ultrasonography is not a validated tool to confirm placement in the stomach, an abdominal X-ray was also ordered and waiting at the bedside.  A portable X-ray was obtained, which confirmed that the balloon was inflated below the diaphragm.

Abdominal ultrasonography was resumed following the X-ray, but at that point the Blakemore tube could no longer be seen within the stomach.  Further evaluation revealed that the tube had been inadvertently withdrawn while positioning the patient after the X-ray.  The tube was re-advanced to 50cm, at which point the balloon could again be visualized within the stomach.  At this point, the balloon was fully inflated under direct ultrasonographic guidance.

Breast cancer detection using sonography in women with mammographically dense breasts

BMC Med Imaging. 2014; 14: 41.
Published online 2014 Dec 30. doi:  10.1186/s12880-014-0041-0

Jimmy Okello, Harriet Kisembo, Sam Bugeza, and Moses Galukande

 BreastSonographyPost

Abstract

Background

Mammography, the gold standard for breast cancer screening misses some cancers, especially in women with dense breasts. Breast ultrasonography as a supplementary imaging tool for further evaluation of symptomatic women with mammographically dense breasts may improve the detection of mass lesions otherwise missed at mammography.

The purpose of this study was to determine the incremental breast cancer detection rate using US scanning in symptomatic women with mammographically dense breasts in a resource poor environment.

Methods

A cross sectional descriptive study. Women referred for mammography underwent bilateral breast ultrasound, and mammography for symptom evaluation. The lesions seen by both modalities were described using sonographic BI-RADS lexicon and categorized. Ultrasound guided core biopsies were performed. IRB approval was obtained and all participants provided informed written consent.

Results

In total 148 women with mammographically dense breasts were recruited over six months. The prevalence of breast cancer in symptomatic women with mammographically dense breasts was 22/148 (15%). Mammography detected 16/22 (73%) of these cases and missed 6/22 (27%). The six breast cancer cases missed were correctly diagnosed on breast ultrasonography. Sonographic features typical of breast malignancy were irregular shape, non-parallel orientation, non circumscribed margin, echogenic halo, and increased lesion vascularity (p values < 0.005). Typical sonofeatures of benign mass lesions were: oval shape, parallel orientation and circumscribed margin (p values <0.005).

Conclusion

Breast ultrasound scan as a supplementary imaging tool detected 27% more malignant mass lesions otherwise missed by mammography among these symptomatic women with mammographically dense breasts. We recommend that ultra sound scanning in routine evaluation of symptomatic women with mammographically dense breasts.

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