Archives for September 2011

“Ataxia” is derived from a Greek word meaning “lack of order”. Clinically, ataxia is a neurological symptom involving a lack of muscular coordination as a consequence of nervous system dysfunction.

Although it can be a non-specific symptom associated with many infections, injuries or conditions, for example, ataxia also describes a group of specific degenerative disorders of the nervous system – the hereditary and sporadic (non-hereditary) ataxias.

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It is estimated that 150,000 people in this country are affected by the hereditary or sporadic ataxias:

  • Hereditary Ataxia: This form represents a group of inherited degenerative diseases of the spinal cord, cerebellum and sometimes other regions of the nervous system. It includes disorders such as Friedreich’s ataxia, and ataxia-telangiectasia syndrome.
  • Sporadic Ataxia: This form of the condition arises spontaneously in individuals who have no known family history of ataxia.

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Age of Onset
The onset of ataxia and its symptoms can vary greatly from one case to the next, and even within the same family of affected patients. Recessively-inherited disorders, however, tend to mostly manifest first in childhood, whereas dominantly-inherited forms mostly become evident in adulthood. Some patients may not even begin to show symptoms until they are in their 60s.

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Some Common Symptoms

  • Incoordination of hands, arms and legs
  • Slurring of speech
  • Imbalance (patients may walk with feet wide apart to help balance)
  • Difficulty swallowing
  • Progressive problems with activities requiring fine motor control, such as writing and eating

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Treatment
These degenerative conditions are chronic and progressive, and there is no definitive, effective drug therapy to treat the lack of coordination seen in these cases. Ancillary treatments such as physical therapy, speech therapy, occupational therapy, and emotional support are helpful adjuncts, however; and drug treatments may certainly be helpful for some of the symptoms, such as muscle jerking, sleep disturbance, and depression.

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September 25th is International Ataxia Awareness Day each year, and September 18th 2011 brings the Walk N’ Roll For Ataxia in Auburn, MA. If you’re local & can volunteer for an hour or so on the day to help raise money for this rare condition, please visit the site for further information (or alternatively to see if there is a similar event in your state).

All proceeds will go to the National Ataxia Foundationa nonprofit organization whose mission is to encourage and support research into hereditary ataxia.

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Photo Credit Morguefile

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The most recent landmark issue of the medical journal The Lancet focuses on the 10th anniversary of the 9/11 terror attacks, and in particular some of the resultant health effects, both domestic and foreign.

 

 

A Decade On

Researchers at Mount Sinai World Trade Center Clinical Center of Excellence and Data Center have completed the first long-term study of the medical impacts on disaster responders and recovery workers who were involved at the World Trade Center site.

They evaluated over 27,000 firefighters, police officers, construction workers, and municipal workers in the 9 years following the 9/11 attacks, and found substantial and persistent health problems:

  • Physical conditions: These included sinusitis (42% of workers), lung injury (42%), gastroesophageal reflux disease (39%), and asthma (28%).
  • Mental health problems: Conditions such as post-traumatic stress disorder (32%), depression (28%), and panic disorder (21%) were common.

The incidence of these conditions was typically increased in workers who had higher exposure to the dust cloud at Ground Zero. Co-morbidity was also common – many workers with a physical condition also reported at least one mental health issue, and vice versa.

“Several studies have evaluated the health impacts of 9/11, but this is the first long-term study to demonstrate the lasting burden of disease experienced by the brave men and women who responded in the aftermath of the terrorist attacks at the World Trade Center,” reported Juan Wisnivesky, MD, DrPH, Vice-Chair for Research in the Department of Medicine and lead author on the study.

 

NYC’s Greatest Acute Environmental Disaster

Collapse of the World Trade Center towers following the 2001 terror attacks resulted in what has been labeled as the greatest acute environmental disaster in the history of New York City. It is estimated that maybe up to 90,000 workers and volunteers spent time helping at Ground Zero, and thus may have been affected by the dust cloud in some way.

First responders at the scene were subjected to the highest level of exposure, and suffered the most damage. They were exposed to many toxins and carcinogens that were released into the environment following collapse of the towers, with fires burning at 1,000 degrees. These included asbestos, glass fibers, lead, hydrochloric acid, polycyclic aromatic hydrocarbons, benzene from jet fuel, and polychlorinated biphenyls.

While the official quoted number of victims who died in the World Trade Center is 2,753, the depth of the attacks cannot be defined by mortality alone. Even now, ten years on, rescue and recovery workers suffer persistent physical and mental health issues. The results of the Mount Sinai study reinforce how important it will be to continue to monitor the rescue and recovery workers over an even longer term since many of these conditions may persist for years.

Philip Landrigan MD, Dean of Global Health and Chair of the Department of Preventive Medicine at Mount Sinai School of Medicine commented how “These men and women risked their lives and their health to support their fellow Americans after the devastation of 9/11. We should do everything in our power to provide the best long-term care possible to these heroes.”

On September 23rd 2011, The International Freelancers Academy is hosting the world’s biggest online conference for freelancers. And the best part is that registration is completely FREE!

Registration is ridiculously easy – just visit the link above & register by providing your email address. They’ll confirm your “seat”, and then all you have to do is plug in and listen on the day itself.

 

 

The schedule of sessions looks wonderful – all kinds of seminars that cover things from what to charge, how to use LinkedIn to find clients, money management advice, self promotion….and many more.

Although this is obviously not specifically geared toward freelancers in medical writing, all these things apply to this field too! A solo business is a solo business, whatever its niche – so head over and sign up. Even if you only manage to get to hear one or two sessions, I’m sure it’ll be a worthwhile experience.

 

I feel honored to have been asked to write a guest post for Cathy Miller while she is currently in San Francisco to support her teammates as they walk there as part of the Susan G. Komen 3-Day For The Cure event.  She herself will be doing the 3-Day, 60-Mile Walk For Breast Cancer in San Diego in November – amazingly her 8th walk for this cause!

So while Cathy continues to generously give so much for others, I thought it would be a great opportunity to share my thoughts on volunteerism, especially highlighting the health benefits to the volunteer!

You can follow Cathy on Twitter, and also via her business writing sites: Simply Stated Business and Simply Stated Health Care.

Are you:

  • Busy?
  • A food lover?
  • Always looking for some new, easy, & (somewhat) nutritious recipes?

I always love finding new recipes to try out, & they score bonus points if they’re even vaguely healthy! Here are three tried & tested options that I thought I’d share with you this week:

Almond Cocoaccino

Grilled Greens Pizza

Chocolate Cupcakes With Buttercream Frosting & Heath Bar Sprinkles

Although the sun’s powerful ultraviolet rays are responsible for its harmful effects, including skin cancer, there are thankfully plenty of ways for you to take action and protect yourself from excessive sun exposure.

 

 

8 Simple Ways To Reduce Your Risk Of Skin Cancer

  • Stay indoors where possible to avoid unnecessary sun exposure, especially during peak hours between 10 am and 4 pm.
  • If you have to go outside, the American Academy of Dermatology recommends use of broad spectrum sunscreen with a sun protection factor (SPF) of at least 15 (preferably at least 30), even on cloudy days, for adequate protection. The higher the SPF, the greater protection from sunburn, caused mostly by UVB rays. “Broad spectrum” sunscreen products protect against UVA and UVB rays.
  • Wear lip balm of SPF 15 or higher.
  • Seek the shade where possible outdoors, especially between 10 am and 4 pm. (Tip – If your shadow is shorter than you, the sun’s rays are strongest).
  • When in the sun, wear clothing to protect as much of your skin as possible. Long-sleeved shirts and long pants made of tightly woven fabric are most useful, and dark-colored clothing provides more protection than light-colored items. Avoid fabrics that you can see light through. A wide-brimmed hat is also especially helpful to protect the face, neck, and ears. Special clothes with UPF (ultraviolet protection factor) can also guard against sun exposure.
  • Don’t forget eye protection. Ideal sunglasses do not need to be expensive. They simply need to be able to block both UVA and UVB rays. If the label states either “UV absorption up to 400nm” or “meets ANSI UV requirements”, then the glasses block at least 99% of UV rays.
  • Add UV-protective film to the windows of your home and car (this allows in up to 80% of visible light, while blocking 99.9% of UV radiation).
  • Avoid tanning salons. (The American Academy of Dermatology opposes indoor tanning.)

 

So while we should all be able to enjoy the sunshine, it’s equally important to protect our skin from its harmful effects. It’s impossible to completely avoid sunlight (and nor should we want to!), but by following a few simple guidelines, you will be able to work and play outdoors while protecting your skin from the damaging effects of UV rays.

 

We may be heading into the fall, but temperatures are still soaring in many parts of the country. And outdoor activities are still popular at this time of year in all regions, whether they involve hiking, biking, or barbecuing!

Although we used to think that soaking up the sun could only be good for us, we now know that this isn’t necessarily the case, and the dangers of ultraviolet rays are well known.

The Sun’s Rays:

The sun produces two types of rays that can penetrate the atmosphere and cause health problems associated with sun exposure:

  • Ultraviolet A (UVA) Rays: These comprise about 95% of the UV radiation that reaches the earth’s surface. Although less intense than UVB rays, their prevalence is higher and they can penetrate the skin more deeply. Their intensity is similar during daylight hours at all times of the year, and they can also penetrate glass and clouds. This is the predominant ultraviolet form that is emitted by tanning booths, and these powerful booths can emit up to 12 times the dose of UVA as the sun. Consequently it is not surprising that people using tanning booths are more likely to develop skin cancers such as basal cell carcinoma, squamous cell carcinoma, and malignant melanoma.
  • Ultraviolet B (UVB) Rays: These represent the main cause of reddening of the skin and sunburn due to sun exposure. The highest amount of UVB is emitted in the US between 10am and 4pm from April to October. It should be remembered, however, that UVB damage is possible all year round, especially in people at high altitudes. Surfaces such as ice or snow can also reflect the UVB rays such that they can hit the skin twice. These rays, however, do not have any significant ability to penetrate through glass.

 

What Are The Effects Of Sun Damage On Our Skin?

Both UVA and UVB can penetrate the atmosphere and contribute to various health problems, in particular:

  • Premature aging of the skin
  • Skin cancers
  • Eye conditions such as cataracts

It should be remembered that sun damage is permanent and cumulative. The short-term effects of excessive, unprotected exposure to UV rays are sunburn and tanning. Long-term exposure causes the skin to age prematurely, leading in particular to wrinkles, age spots, and skin cancer.

Skin cancer represents the most common cancer type, with more than 2 million Americans diagnosed with some form of this disease annually – more than lung, prostate, breast, pancreatic, colon, ovarian, and uterine cancers combined. The staggering number of skin cancer cases has also steadily increased over the past 30 years.

UV radiation is now recognized as a carcinogen by both the US Department of Health and Human Services, and the World Health Organization. It is considered the main cause of non-melanoma skin cancers (including basal cell carcinoma and squamous cell carcinoma) which affect more than 250,000 Americans each year. It is also believed that UV radiation frequently plays a key role in malignant melanoma formation. This is the most deadly type of skin cancer, killing more than 8,000 Americans annually.

 

The good news, however, is that skin cancer is a largely preventable cancer, since most cases are linked to sun exposure. So as we enter the holiday weekend, and the final week of our official summer, don’t forget to respect your skin and eyes while you enjoy the sunshine outdoors. Take adequate precautions to protect yourself from the sun’s powerful rays.