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Strictureplasty: Purpose, Procedure, Risks, and Recovery – Healthline

Jun 5th, 2021
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Intestinal strictures are a common complication of Crohns disease. Strictures are a narrowing of a specific section of your intestine that makes it difficult for food to pass through. They may sometimes lead to intestinal blockage.

Strictureplasty is a type of surgery used to correct strictures in your digestive tract. In this article, well take a look at the procedure, risks, and recovery.

Strictureplasty is a surgical treatment for intestinal strictures. It involves widening damaged parts of your intestines. If multiple strictures are present, they can be treated at the same time.

The authors of a 2007 meta-analysis of 3,529 strictureplasties concluded that strictureplasty is a safe and effective treatment for strictures in the lower part of your small intestine, including the ileum and the jejunum. Strictures caused by Crohns disease typically occur here.

Strictureplasty is less effective at treating strictures in the upper part of your small intestine or duodenum, which are more likely to be caused by ulcers.

In a strictureplasty, no parts of your small intestine have to be removed. This helps to avoid a complication called short bowel syndrome, which can limit the absorption of water and nutrients.

A 2013 research review indicated that strictureplasty is a safe and effective alternative to removing parts of the bowel for people at risk of short bowel syndrome.

Strictures are caused by inflammation of your digestive tract. Theyre a common symptom of Crohns disease, but can also be caused by:

Over time, chronic inflammation causes your intestinal walls to thicken into scar tissue, forming a stricture. Strictures are narrower than healthy intestinal tissue. If left untreated, they can block the passage of food matter through your digestive tract.

During a strictureplasty, a surgeon opens your abdomen and makes a series of cuts along the length of the stricture. The damaged tissue is then restructured and resewn to allow for a wider opening.

Prior to the surgery, you might be asked to undergo tests to determine your nutritional health. If you are malnourished, your doctor might prescribe vitamins or supplements to be taken before and after the strictureplasty.

Colorectal surgeons use computed tomography (CT) or magnetic resonance imaging (MRI) scans to identify the size, number, and location of strictures. Before the procedure, your surgeon will explain in detail the technique they will use.

The day before the surgery, you might be asked to take a laxative to empty your bowels. In other cases, an enema is given prior to the surgery to make sure your bowels are clear.

On the day of the surgery, a nurse will check your vital signs and prepare you for the operation.

Strictureplasty is usually done under general anesthetic. You will be unconscious and you shouldnt be able to feel anything. An anesthesiologist will explain the risks and side effects.

The surgeon will make an incision to open your abdomen. The surgical technique used to treat your stricture(s) depends on the length of the stricture.

The most commonly used strictureplasty techniques include:

Sometimes, surgeons use a combination of these techniques. According to a 2012 meta-analysis of 4,538 strictureplasties, both conventional and nonconventional techniques for strictureplasty had similar rates of complications.

After the strictureplasty is finished, the surgeon will close the incision site.

Recovery from strictureplasty generally depends on both your health prior to the surgery and how effective the surgery is.

You can expect to remain in the hospital for around a week following the procedure so that your healthcare professional can monitor your condition. During this time, you will be given medication for pain and any side effects of the anesthetic.

Before you go home, youll receive additional instructions to help with your healing process. For instance, you might be asked to avoid driving or housework. Your doctor may suggest a light diet of low-fiber foods and prescribe medication and supplements to help restore your digestive function.

It may be several months before you fully recover. As you regain your strength, you should notice an improvement in your symptoms.

As with any surgery, strictureplasty comes with a risk of complications. The most common complications include:

According to the 2007 meta-analysis mentioned above, the rate of complications for strictureplasties of the lower small intestine was approximately 13 percent.

Strictureplasty is a surgical procedure used to treat strictures in your gastrointestinal tract.

Strictures occur when the walls of your small intestine become thicker due to chronic inflammation. This causes a narrowing of your small intestine that can obstruct the passage of food through your digestive tract.

Strictureplasty is a preferable option for people who may have had previous bowel resections and are at risk of developing short bowel syndrome.

Talk with your doctor to discuss the risks and benefits of this procedure, and to determine whether strictureplasty might be a good option for you.

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Strictureplasty: Purpose, Procedure, Risks, and Recovery - Healthline



Coconut Water Health Benefits: 8 Benefits of Coconut Water – Parade

Jun 5th, 2021
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Whether youre adding it to your smoothies or (if youre feeling really creative) making it into ice cubes, nothing beats the refreshing taste of coconut water during the hot summer months.

Unlike coconut milk, which comes from the coconut flesh and has a white color and thicker consistency, coconut water is the clear liquid that comes from the inside of coconuts. And its not just packed with flavorits also high in nutritional value. Long story short: There are a lot of benefits of coconut water. Here are the ones to know about.

Heres the nutritional breakdown of coconut water:

Related: 20 Drinks That Can Help You Lose Weight (Its Not Just Water)

This is one of the biggest advantages of drinking coconut water. Being hydrated not only keeps your body functioning properly, but research shows hydration improves sleep quality, cognition, and mood.

By and large, coconut water is simply a fun and delicious way to consume more water. I recommend that people drink their body weight in ounces of water each day, says Serena Poon, CN, CHC, CHN.

For example, if you weigh 150 pounds, you would consume 150 ounces of water. Sometimes people find it difficult or boring to drink so much water, so it can be nice to switch things up a bit and add beverages like coconut water or unsweetened iced herbal teas. Coconut water does intrinsically contain sugar and sodium, so I would recommend drinking no more than one coconut water per day, Poon explains.

One cup of coconut water has just 44 calories, which is less than the amount of most popular sports drinks, Dr. Stacie Stephenson, Certified Nutrition Specialist and CEO ofVibrantDoc, states. Of course, thats 44 more calories than in a glass of water, so dont overdo it. A cup or two after a workout is plenty.

Pro tip: You can also dilute coconut water with regular water to cut the calories further.

Coconut water also contains several electrolytes that support increased hydration. In fact, studies show its on par with the electrolytes in sports beverages.

Coconut water is an excellent source of potassium, and also contains magnesium, calcium, and sodium in lesser amounts. Though it is often touted as a sports drink, coconut water may not contain enough sodium to replenish those engaging in intense exercise, Poon explains. That being said, the general population arguably does not get enough potassium and consumes more than enough sodium, so coconut water can be a great way to consume some essential electrolytes.

Being packed with vitamins and minerals is what makes coconut water so nutritious. Considering the prevalence of mineral deficiencies in Americans, especially those who eat a standard American diet, coconut water is a great way to hydrate while also shoring up minerals, says Dr. Stephenson. Coconut water naturally contains potassium, calcium, magnesium, manganese, iron, zinc, copper, and phosphorous, as well as vitamin C and thiamin. You wont get all that from a sugary sports drink.

Having antioxidants in your diet is essential to staying healthy and youthful from the inside out. Antioxidants are important compounds that help protect your cells from the damage of free radicals, Poon states. These free radicals can come from environmental exposure to toxins, as a byproduct of processed foods or stress, and from your bodys natural metabolic process and cause oxidative stress.

Oxidative stress is one of the main causes of aging and diseases that come with aging.Eating a diet that is high in antioxidants, e.g., a diet that is rich in a variety of vegetables and fruits, can help protect your body from this deleterious process, Poon explains. Studies have shown that coconut water may deliver antioxidants that help protect the body from free radicals.

Keeping your blood sugar levels balanced also keeps your energy and mood balanced. And healthy eating is what will keep your blood sugar stable. Coconut water contains substances that research shows can help to keep blood sugar steady and decrease HbA1c levels (a measure of blood sugar over time), says Dr. Stephenson.

Related: From Blood Sugar to BMI, Here Are the Top Health Facts You Should Know

Research demonstrates that coconut water may be helpful for managing hypertension.One reason that this may be true is because of potassium content, Poon states. Potassium helps balance sodium in the body, which supports healthy blood pressure. If you are living with hypertension, you would likely want to moderate (check with your doctor!) coconut water intake because of the sugar content. High sugar intake is linked to higher blood pressure.

Magnesium is an important mineral that plays a role in 300 different enzyme systems in the body that impact everything from muscle to nerve to cardiovascular function. Magnesium may also support stress release, sleep quality and help relieve constipation.

Though it is one of the most important minerals in the body, it is very common to not consume enough magnesium in your diet, Poon explains. A 16-ounce container of coconut water contains about 8% of your daily value, which isnt a ton, but its a delicious way to consume more of this important nutrient.

Yes, but there are a few things you should keep in mind. Generally, it is likely safe to consume coconut water every day, but I would personally limit consumption to just one per day, says Poon. Even if coconut water has no added ingredients, it does contain quite a bit of sugar intrinsically. Some brands also add sweeteners and flavors, I would avoid these brands if possible.

Too much sugar in your diet can be extremely damaging to your overall health.

Overconsumption of sugar is linked to many conditions, such as higher blood pressure, inflammation, weight gain, diabetes, and fatty liver disease. People living with kidney disease may want to use caution with coconut water, as high potassium consumption can be detrimental to your health, Poon adds. Check with your doctor if youre unsure if coconut water is right for you.

Dr. Stephenson elaborates on the danger of excessive potassium intake.

Coconut water is high in potassium (a cup has about 575 mg, which is more than in a banana). This is great since many people are potassium deficient, and potassium helps to regulate electrolyte balance in the blood and may help to reduce blood pressure, Dr. Stephenson states. However, too much of a good thing is not always a good thing. If you are swilling coconut water by the gallon, you could build up too much potassium before your kidneys have a chance to process it. This is called hyperkalemia, and it can affect your heart rhythm, in extreme cases, cause a heart attack.

Related: Does Sugar Cause Inflammation?

However, you would have to drink quite a bit to be at risk. To get all the benefits but none of the risks, keep your intake of unsweetened coconut water to no more than two or three cups per day, says Dr. Stephenson.

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Overall, coconut water is safe to consume, but in moderation.One other caution is that coconut water is technically from a tree nut, Dr. Stephenson adds. So, if you have a tree nut or coconut allergy, you should avoid coconut water.

Next, read about how to make these hydrating, caffeinating coconut water protein pops.

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Coconut Water Health Benefits: 8 Benefits of Coconut Water - Parade



Ask the experts: Is it safe for my teenager to take supplements as part of a weight training programme? – The Independent

Jun 5th, 2021
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My 15-year-old son is taking creatine and protein supplements as part of a bulking and shredding weight training programme. How safe is this for adolescents?

Paediatric dietitian Lucy Upton ( says: This is a dietary practice were seeing increasingly, and studies have shown use of protein shakes or powders in up to 35% of adolescent boys in the US and 25% in Australia with likely similar figures in the UK.

The scientific literature doesnt present robust evidence that these products are safe supplements for children and adolescents. The risk or implications of their use at the moment are relatively unknown. Although there may be scope to consider their use in certain groups of teenagers, there are also no clear guidelines about how they could be used safely in this group, with examples such as safe upper limits or products nutritionally tailored for the unique needs of children and adolescents.

From the perspectives of both a paediatric and a sport dietitian, they wouldnt be recommended for use. Children and young people have unique nutritional requirements compared to adults thus dietary practices such as this, typically followed by adults, cannot simply be applied to children. Children go through rapid periods of growth, and at varying ages have increased needs for certain nutrients. Meeting these needs requires a carefully balanced and varied diet.

Given the vulnerability of children and adolescents to media, or perceived pressures around body image, its important to reflect on why young people are engaging in these dietary practices. Is it solely to influence sports performance, or is body image or disordered eating practices involved?

Periods of excess calorie consumption for bulking followed by calorie restriction, alongside disproportionate consumption of certain nutrients like protein is likely to impact on young peoples dietary balance overall, risking shortfalls in other key nutrients.

The safety and effectiveness of these supplements, particularly when engaging in dietary modifications, arent well studied in children or teens, and wouldnt be recommended. Supplement use and associated dietary practices could pose risk for a childs or teens physical, emotional and mental health.

The use of dietary supplements with the exclusive intention to enhance exercise performance in adolescent athletes is unwarranted and can be hazardous. Professional advice should be sought if the adolescent displays obsessive or irrational body image attitudes. Its important they understand body composition is only one contributor to sports performance. Dietary and training strategies exclusively designed to manipulate physique, independent of performance, should be avoided.

And sports dietitian Kerri Major, whos also a personal trainer and author of The Dietitian Kitchen, adds: Children and teens, even those who are more active, are typically able to meet their daily protein requirements from food with ease. Wed always recommend a food first approach, and its important to remember dietary sources of protein offer additional nutrients that contribute to overall health for children and teens too.

Inappropriate or misjudged use of these supplements theoretically could have implications for mood, growth, hormone and cardiovascular functioning.

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Ask the experts: Is it safe for my teenager to take supplements as part of a weight training programme? - The Independent



Review | I ate the BTS meal at McDonald’s and had some mixed feelings – The Daily Collegian Online

Jun 5th, 2021
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Fun fact: I ate my first chicken nugget when I was 16 years old. Ive come a long way since then, and now at the age of 20, I consider myself to be something of a nugget connoisseur. Now is my greatest nugget challenge yet: reviewing McDonalds new BTS meal.

After the mortifying ordeal of entering a McDonalds alone to order the BTS meal from a cashier who didnt seem to know what the BTS meal even was, I went home and inspected the packaging.

My order came in a cute bag with the McDonalds logo and a purple BTS logo next to each other. Other than that, the rest of the packaging looked like anything else you would get at McDonalds. This was disappointing, considering all the fun purple packaging I had seen on social media over the last couple weeks.

As far as the food goes, it was standard McDonalds fare: a 10-piece McNuggets with medium fries and a drink.

My first impression upon looking at the food laid out in front of me: laziness.

Its clear to see there was a lack of creativity involved in the development of the BTS meal, but this is not the first time its happened. As of late, McDonalds seems fond of collaborating with musicians for limited-time special meals but often fails to deliver on truly making these offerings something memorable or special.

Take 2020s Travis Scott meal for instance. McDonalds could have created a unique barbecue or Southwest-inspired hamburger to pay homage to the rappers Texan heritage, but instead it simply added bacon to a quarter pounder and served some preexisting barbecue sauce on the side.


I walked downtown blaring Travis Scotts 2016 album Birds In The Trap Sing McKnight on my

Likewise for this meal, there are a number of things McDonalds could have done to add some BTS flair. What the fast food chain really should have done is give these chicken nuggets a brand-new, Korean-inspired flavor. A K-BBQ spiced nugget would have been the perfect way to acknowledge the bands Korean heritage and offer new flavors that even more people would flock to try out.

If McDonalds didnt want to put in that amount of effort, it could have easily included seven nuggets to represent the seven band members instead of opting for the standard 10-piece.

Still, despite its flaws and my nitpicks, the BTS meal was not a complete disaster. In fact, there were a couple things I loved about it, namely the two new dipping sauces.

With pastel pink and purple packages and adorable graphics, the sweet chili and cajun sauces were the spicy stars of the BTS meal.

The sweet chili sauce was tangy and peppery, with a little sweetness to counteract the heat. If youre at all familiar with gochujang, the spicy Korean condiment that goes with pretty much everything, its easy to see the Korean influence in this sauce. Its safe to say I was a fan.

Despite having a drawing of a fire on the package, the cajun sauce turned out to be a little milder than its counterpart. That being said, I did prefer its well-rounded hot mustard taste to the sweet chili sauce.

Im really hoping McDonalds decides to keep both sauces on its permanent menu. Sadly, I imagine thats unlikely considering these adventurous, bold sauces are unlikely to appeal to the average American palate.

Bottom line: Had McDonalds spent a little less money on marketing and a little more on developing fun, inspired flavors, the BTS meal would have stood out more than the other options at McDonalds.

If youre looking for my recommendation, I say forgo the BTS meal and just get a regular order of nuggets or fries, but ask for the sweet chili and cajun sauces on the side. I think youll be pleasantly surprised.

If you're interested in submitting a Letter to the Editor, click here.

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Review | I ate the BTS meal at McDonald's and had some mixed feelings - The Daily Collegian Online



Par-tay! Safe summer party planning tips and ideas – UCHealth Today

Jun 5th, 2021
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With the warm weather (finally!), COVID-19 vaccinations available to people age 12 and older, and the unofficial start of summer upon us, people feel like celebrating. Time to party!

But, its important to note that even though weve come a long way from last March and the start of the pandemic its not over yet. In Colorado, less than half of the states residents have been fully vaccinated. That means when you throw your summer soiree, theres a good chance youll have a mix of vaccinated and unvaccinated party-goers. How do you plan a festive event while still keeping everyone safe and comfortable?

UCHealth Primary Care Aspen Creek Medical Center nurse practitioner Staci Ruddy offers guidance for safe party planning as well as some fun ideas. Her first recommendations: keep the gathering small and hold it outside if possible.

If youre indoors, try to keep windows open and use a larger space that allows for social distancing, Ruddy said.

If everyone attending is vaccinated, then no safety guidelines are needed for your party since the risk of spreading COVID-19 is very low, she said. However, when theres a combination of vaccinated and unvaccinated people attending an event, it creates a need for limitations.

But how do you know whos vaccinated and whos not? Ruddy recommends stating your expectations in your invitation. At this point, people know the drill regarding mask-wearing, so its unlikely theyll be put off by you addressing it head-on. (Click here to learn more about getting a vaccine)

If you have expectations for people who are not vaccinated, have traveled recently, or are otherwise at risk, spell it out if you want people to wear masks and practice social distancing, which is what the CDC recommends.

Now we have this hybrid of people who are vaccinated and those who are not. I think its reasonable to say that we want to keep our community, family, and friends safe, so were asking that you not attend or attend virtually if you feel you could be at risk. And, if you have not been vaccinated that you plan to wear a mask while youre [at the party], Ruddy said.

Research shows that theres no evidence of COVID-19 being transmitted through food, so you dont have to worry about that. However, you will want to keep surfaces clean and serve individual snacks.

Ruddy offers a few options for serving your guests food and beverages in a low-risk manner. For one, you can serve a pre-packaged picnic meal to everyone or host a picnic in a park where everyone brings their own food. You can also hire a food truck for dinner and an ice cream truck for dessert.

If youre hosting a barbecue, just have one or two people at the grill to flip burgers and brats and consider giving every person their own disposable serving utensils for the sides.

The same goes for serving the drinks. Make one person the bartender, so youre minimizing the number of people that come in contact with dishware and glasses. You can also pour drinks in advance and set them out so that everyone can take their own.

If your party is a family affair where adults and kids will be in attendance, the unvaccinated kids should carry on as they have throughout the pandemic: masks, social distancing, and frequent hand-washing. Since children are not always great about social distancing, Ruddy recommends planning games that will keep them outside and busy without being too close to each other.

Planning games such as kickball and soccer, wheres theres not so much physical touching of an item, will makes things easier on the kids and adults. Another idea is sidewalk chalk where you can space kids apart, she said. Other fun kids ideas include a scavenger hunt, bubble wands, and a watermelon eating contest. Plan ahead and get creative.

On the safe side, put out extra masks (think cute and fun) and hand sanitizer. In fact, consider giving those away as party favors.

On the festive side, add lanterns or candles, flowers, and place cards. Place cards can also help you ensure that people are six feet apart when sitting down to dinner.

In addition to planning games and activities for the kids, you can also plan activities for adults and families. Play an instrument? Invite guests to bring their own and form their own jam band. Have access to a pool? Make it a pool party. Some other ideas include:

We live in a beautiful place. Instead of hosting at your house, consider a public park with BBQ grills or an activity-themed party such as a bike ride or hike followed by a picnic. Before you send out invitations, be sure to read the latest guidance from the CDC and Colorado Department of Public Health and Environment on gatherings and events.

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Par-tay! Safe summer party planning tips and ideas - UCHealth Today



Diabetes Burnout: 6 Ways to Find Relief – Healthline

Jun 5th, 2021
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Managing type 2 diabetes can feel like a full-time job. And, like many demanding roles, it can lead to burnout that makes it hard to stay on track.

Theres never a break, says Tami Ross, RD, a certified diabetes care and education specialist and the author of What Do I Eat Now?: A Guide to Eating Well with Diabetes or Prediabetes.

Keeping up with everything that diabetes requires, including monitoring blood sugar levels and going to regular doctor appointments, can be exhausting. Add on everyday stressors, the pandemic, and other chronic conditions, and you can easily start feeling depleted and defeated.

While diabetes burnout is common, there are ways to recover from it. Keep reading to learn about the warning signs of burnout and what to do about it.

Even though theres no standard definition for diabetes burnout, it usually involves feeling frustrated and exhausted from the daily demands of managing the condition, according to a 2019 article from the American Journal of Nursing.

Diabetes burnout affects more than just your emotional health, though. It can also impact your ability to control your diabetes. In a 2018 study, more than a third of adults with type 2 diabetes pointed to burnout as a barrier to following treatment plans.

Universally, people with diabetes burnout become overwhelmed by the demands of living with diabetes and [are] tired of managing their condition, says Andrea Newcom, RD, a diabetes care specialist and health coach at Omada Health.

Identifying diabetes burnout can be tricky because its unique to the individual, says Shahzadi Devje, RD, a certified diabetes educator.

The length, severity, and signs of diabetes burnout not only vary between people, but also within the same individual. One episode of burnout may look different from another, depending on whats going on in your life.

While there arent standard measurement tools for the condition, diabetes burnout may include psychological symptoms, like:

Changes in the way youre managing the condition may also be warning signs of diabetes burnout. You may have the condition if you find yourself:

Symptoms of diabetes burnout can also be physical. The stress-related condition is linked to sleep changes, headaches, body aches and pains, and more frequent bouts of illness, says Devje.

Although symptoms may overlap, diabetes burnout and depression are not the same thing.

[W]ith diabetes burnout, these feelings are specific to diabetes, says Ravi Kavasery, MD, the medical director of quality and population health at AltaMed Health Services.

With depression, however, the sadness, frustration, and hopelessness pervade all areas of your life, Kavasery says. According to a 2014 study, about 20 to 30 percent of people with diabetes experience depressive disorders.

If you think you may have depression or diabetes burnout, talk with a healthcare professional to figure out the root of the problem and ways to cope.

While it might not be possible to get rid of the daily demands of managing diabetes, there are ways to beat burnout from the condition. Here are some tips on recovering from diabetes burnout.

When youre feeling burnt out, you might be tempted to push through, ignore your feelings, or bash yourself for not following through with treatment plans.

Yet the first step in managing burnout is accepting its presence including the emotions that come from it. Journaling can be a helpful tool to explore your feelings in a judgment-free space.

Talking with a doctor or healthcare professional about your burnout symptoms can feel uncomfortable or even upsetting. However, Kavasery says its important to remember that youre not doing anything wrong.

We all need support in different ways, and sometimes our individualized care plans stop working for us, he says.

When talking with a healthcare professional, be honest about the ways diabetes burnout is affecting your life. That way, you can work together as a team to address the problem and find solutions that work for you.

Counteract burnout symptoms by getting strategic about whats causing them to begin with.

Ask yourself: What about diabetes management is stressing you out? What in particular is making it harder to focus on your health?

If the problem is an unrealistic diabetes management plan, like exercise goals that dont fit into your busy schedule, talk with your healthcare team about alternative solutions.

Your goals and targets must be relevant and fit within your lifestyle [so they dont] feel like a continued burden, Devje says.

Trying new techniques to manage your diabetes can be a helpful way to feel re-inspired and alleviate burnout.

Breathe new life into your old ways of managing the condition, says Sabrina Romanoff, PhD, a clinical psychologist. She suggests trying new diabetes-friendly recipes if your go-to meals have you stuck in a rut.

Other ideas include switching up your exercise routine by walking different routes, signing up for online or in-person fitness classes, or rediscovering your favorite childhood sport.

Another way to address diabetes burnout is by finding ways to connect with other people with the condition. Building relationships with those who truly get you gives you the opportunity to share your hardships and successes, says Ashley Ellis, PharmD, a diabetes educator and the clinical director at Compwell.

Consider tapping into a diabetes support group, either in person or virtually, to exchange tips and tools for managing diabetes and fighting burnout.

A vacation from the office can often help cure work-related burnout. Likewise, a short, safe vacation from the things you do to control diabetes may also help you feel less burnt out, Ross says.

Ross suggests talking with your healthcare team about how to safely take a few days off to help restore your energy. That might mean resting instead of going through your normal exercise routine, or checking your blood glucose levels slightly less often for 1 to 2 days.

If you know someone with diabetes who seems to have the symptoms of diabetes burnout, you may be able to help them find some relief. Here are ways to show your support,

Genuinely connect with your loved one by stating your concern and desire to support them. Romanoff suggests saying, It looks like things have been challenging for you recently. Whats been on your mind, and what can I do to help?

Give your loved one space to express their frustration and sadness, Ellis says. You can also show empathy by recognizing the immense effort and energy required to manage a complicated condition, Devje adds.

Enjoy active adventures together with the intention of having fun, rather than talking about and dealing with diabetes.

Helping them take a break from thinking about the condition can remind them that diabetes doesnt have to prevent them from enjoying their life.

Diabetes burnout can make it difficult to acknowledge all the hard work that goes into controlling the condition.

Ross recommends praising your loved one for the things theyre doing well, such as following diet recommendations or getting exercise. This can provide them a much-needed confidence boost.

Once you recover from diabetes burnout, find ways to keep it at bay. Here are some tips on preventing diabetes burnout.

When prioritizing your health, making achievable goals can help set you up for success. That might mean moving your body for 10 minutes after every meal or taking a brisk walk during your lunch break, Ellis says.

Small wins can help build your confidence, so you can achieve even bigger goals over the long term.

Stress can trigger or exacerbate burnout, so its important to develop ways to cope. Here are some ways to reduce stress, according to the Centers for Disease Control and Prevention (CDC):

For many people, food goes beyond a source of nourishment by preserving family traditions, special memories, culture, and identity, Devje says.

Being told to revamp your diet to manage diabetes and remove culturally significant foods can reduce the joy of eating and create a negative, fearful relationship around food, she says.

If your diabetes management plan includes making changes to your diet, consider connecting with a dietitian or other healthcare professional about ways to continue incorporating culturally relevant foods into your meals.

Technology can make it easier and even more fun to build healthy habits. Try apps for cooking, exercise, meditation, or other self-care practices to add excitement into your daily life.

Diabetes burnout is a common experience that can leave you feeling frustrated, exhausted, and unmotivated to stick to your treatment plan.

However, there are ways to recover from diabetes burnout and prevent it from coming back. You may find relief by joining a diabetes support group, trying new recipes and types of physical activity, or taking a brief, safe break from your routine.

If youre experiencing symptoms of diabetes burnout that are making it difficult for you to manage the condition, talk with a healthcare professional about ways to cope.

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Diabetes Burnout: 6 Ways to Find Relief - Healthline



In the Public Health: How to safely enjoy outdoor dining this summer – Burlington Hawk Eye

Jun 5th, 2021
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By Christa Poggemiller| The Hawk Eye

With the new Centers for Disease Control and Preventionguidelines, we can get back to some of our favorite summer pastimes. After spending so much time indoors this past year, a picnic or barbeque can be a good way to reconnect with the spirit of summer.

When packing the picnic basket or the cooler, food safety may not be the first thing that comes to mind, but it should be. While staying hydrated, sunscreen and bug spray are important staples to summertime, proper food storage and preparation are just as important. The days are getting hotter and those foods that need to be kept cold can spoil quickly in the sun, and while youre flipping burgers or grilling kabobs, make sure you grab your meat thermometer to ensure proper cooking temps.

Cold foods need to be kept cold. Perishable foods like luncheon meats, cooked meats, chicken, and potato or pasta salads should be kept in an insulated cooler packed with several inches of ice, ice packs or containers of frozen water. Wrap raw meat, poultry and fish securely and separately to keep their juices away from other foods. Food cross-contamination is the primary cause of foodborne illnesses. Each year, approximately 48 million people get food poisoning, or about one in six Americans.

While driving, keep the cooler in the coolest part of the car. Once outside, place the cooler in the shade or out of the sun whenever possible. Make sure to replace the ice in the cooler as soon as it starts to melt.

Bringing food to the proper cooking temperature helps to prevent foodborne illness. The best way to ensure food has been heated for enough time and at a high enough temperature to kill harmful bacteria is to use a food thermometer. Meat and poultry cooked on the grill often brown fast on the outside and may look done but may not be thoroughly cooked. Recommended food cooking temperatures vary according to the meat; poultry needs to be cooked at 165 degrees Fahrenheit; ground meat 160 degrees; and beef, pork, lamb, and veal must be 145 degrees.

What is a barbeque without spending time visiting? Of course, we leave the food out to snack on later. But after sitting in the heat for a couple of hours is it really safe to eat? Generally, if food is left out of refrigeration for more than two hours it may no longer be safe to eat and when the temperature is above 90 degrees, food should not be left out for more than one hour. If you plan to keep those leftovers, place the perishables back on ice once you finished eating to ensure they do not spoil or become unsafe to eat.

Whether you are planning an outside meal or just cooking at home, clean food preparation is a must. Always wash hands for at least 20 seconds with warm, soapy water before and after handling food. If you are away from home, find out if there is a source of potable (safe drinking) water for cleaning hands and surfaces. Otherwise, consider bringing water, disposable washcloths, moist towelettes and paper towels for cleaning hands and surfaces.

For more information regarding foodborne illness visit illness. To report a foodborne illness, contact your local health department or the State of Iowa food poisoning report line at 844-IowaSic.

Christa Poggemiller is director of Des Moines County Public Health.

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In the Public Health: How to safely enjoy outdoor dining this summer - Burlington Hawk Eye



Health and Nutrition Field Supervisor – ReliefWeb

Jun 5th, 2021
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***Health and Nutrition Field Supervisor, Kismayo**- Somali-National only**

Save the Children is the world's leading independent organisation for children. We work in 120 countries. We save children's lives; we fight for their rights; we help them fulfil their potential.

We work together, with our partners, to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.

We have over two million supporters worldwide and raised 1.9 billion dollars last year to reach more children than ever before, through programmes in health, nutrition, education, protection and child rights, also in times of humanitarian crises.

Following a major transition, our international programmes are now delivered through a merged operation with 15,000 staff, managed through seven regional hubs and reporting to a relatively small, central office. We're changing to become more efficient, more aligned, a better partner, a stronger advocate, a magnet for world-class people and relevant for the 21st century.


Under the general guidance and direction of the Health and Nutrition Officers, the health and nutrition field supervisor will support the implementation of all health and nutrition activities in the field. Implement and monitor health and nutrition activities in Kismayo town and by extension the riverine villages. He/she will Coordinate and work closely with the district health team in Jubbaland and other health and nutrition partners in the region. Promote best practices in health and nutrition programmes and contribute to the overall success of the project.


Reports to: Health/ Nutrition Officer- Kismayo.

Number of direct reports: Health centre-based staff

Dimensions: Save the Children has been working in Somalia for more than 60 years. The Country Office has over 550 staff across 14 field offices (Boroma, Burao and Hargeisa in Somaliland; Bosasso, Gnarowe, Galkayo and Gardo in Puntland; Beletweyne, Adaado, Abudwak, Baidoa, Kismayo, Dhobley and Mogadishu in Central South Somalia). Our Country Office coordination and administration base is in Nairobi, Kenya. In 2018, we reached more than 2.5 million people through our humanitarian and longer term development work in Health, Nutrition, Water, Sanitation & Hygiene (WASH), Education, Food Security and Livelihoods (FSL), Child Protection and Child Rights Governance. The Country Office manages 65 active awards totalling US$165 million from a range of governmental/institutional donors, including DFID, ECHO, EU, FFP, OFDA, and DANIDA being some of our largest.




Please apply in English saving your CV and covering letter as a single document. To see a full a job description, please visit our website at

Application will close on 10th June, 2021.

We need to keep children safe so our selection process reflects our commitment to the protection of children from abuse. Employment is subject to our Child protection standards including background checks and adherence to our Child Safeguarding Policy

Save the Children is an equal opportunity employer and seeks to employ and assign the best qualified talent.


Save the Children International does not charge any kind of fee at whichever stage of the recruitment process and does not act through recruitment agents

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Health and Nutrition Field Supervisor - ReliefWeb



What Is Zero-Waste Cooking, and How Do You Do It? – Healthline

Jun 5th, 2021
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For many people, cooking, eating, and sharing meals with loved ones are some of lifes greatest pleasures.

Yet, for those of us who are concerned with the health of the planet, cooking and eating arent without problems. The amount of waste created by food production and preparation is one of the greatest issues facing the sustainability of our food system.

At the same time, creative solutions to food waste are on the rise. Through efforts to compost food scraps and eliminate single-use plastics, restaurants, chefs, and sustainability organizations are testing out new ways to reduce food waste.

Zero-waste cooking is an action you can take in your home, too. With a bit of planning and practice, you can reduce waste from your meals and have a more sustainable kitchen.

This article explains what zero-waste cooking is and how to get started.

The notion of zero-waste cooking is just about as literal as it sounds it means trying to leave behind as little food and packaging waste as possible when cooking and eating.

A zero-waste lifestyle can also extend past the kitchen. Some people apply similar waste-reducing concepts to clothing, beauty and wellness products, and more.

One way to think of zero-waste cooking is in terms of the old dictum reduce, reuse, recycle. It involves the following:

These are just a few of the steps you might take in a zero-waste kitchen.

It may not always be possible to eliminate every last bit of waste from your meals. The structure of our current food supply and the abundance of processed foods makes this task incredibly difficult.

Opponents of zero-waste even argue that this lifestyle isnt realistic.

They believe that since some amount of waste is a necessary byproduct of economics and human consumption, its better to focus on managing waste efficiently instead of trying to eliminate it completely (1).

These arguments might sound convincing on the surface, but the truth is, working toward a zero-waste lifestyle isnt about being perfect none of us are. Very few people are able to completely eliminate waste from their lives.

Rather, zero-waste cooking is part of a greater movement to live sustainably and reduce your impact on the planet. Its about doing the best you can with what resources you have available.

There are many ways to live a zero-waste lifestyle. Zero-waste cooking is one avenue that chefs, foodies, families, and individuals alike use to reduce the environmental impact of preparing and eating food.

One of my favorite things about zero-waste cooking is that it feels like a decision that benefits so many people and places my family, others in our community, and the planet.

Ive noticed it can also help your pocketbook as you do more in the kitchen with less. Reducing your waste might mean giving up certain things you can do without or making dishes on your own rather than buying them premade, both of which can save you money.

Whats more, zero-waste cooking can be creative, experimental, and downright fun though, in the end, the main reason why so many people are trying zero-waste cooking is because its a simple way to reduce their environmental impact.

Current estimations for how much food goes to waste each year are astounding.

Though its hard to pinpoint an exact number, researchers believe that businesses and individuals combined throw away as much as 2540% of all the food produced in the United States each year (2).

Thats nearly 133 billion pounds (60.3 billion kg) of food worth $161 billion (3).

In some cases, a single individual might waste up to 660 pounds (300 kg) of food over the course of 1 year (4).

By repurposing food scraps, doing your best to not let food spoil, and purchasing only as much as you need, you can cut down on your food waste.

Zero-waste cooking also reduces waste from food packaging and serving containers, including takeout boxes.

The Environmental Protection Agency (EPA) reports that more than 23% or nearly a quarter of all trash sent to landfills is packaging and containers, a significant amount of which is food-related, single-use plastics and other materials that arent often recycled (5).

Plus, much more waste from food packaging goes unaccounted for as litter that pollutes roads and waterways.

Zero-waste cooking reduces food packaging via tactics like using reusable containers to buy in bulk, preserving your own foods, using fewer ingredients, and making most of your meals at home.

Zero-waste cooking is not only fun and thrifty but also benefits the planet by reducing food waste and the reliance on single-use takeout containers and disposable packaging.

Zero-waste living is a concept thats taken shape over the past 40 years or so.

Although no scientific evidence directly links zero-waste cooking to better human health outcomes, it may benefit your health in several ways.

When we throw food away, it not only wastes the food itself but also the abundance of resources including water, energy, land, and labor that went into growing, preparing, and distributing the food.

Wasted food is also a major contributor to greenhouse gas emissions. These gases absorb heat and trap it in the atmosphere, which leads to global warming.

When food rots in landfills, it releases methane a potent greenhouse gas even stronger than carbon dioxide (5).

The food system as a whole contributes nearly 13% of all greenhouse gas emissions each year. Wasted food that which spoils or is thrown away accounts for nearly 8% of gases (5, 6).

Thus, less food waste means fewer greenhouse gas emissions and a healthier planet for all.

Less food waste also means more food to go around for others.

Some chefs and entrepreneurs focus their zero-waste efforts on rescuing food that would otherwise go to waste and redistributing it to people in their community who are in need or just want to make sure that good food isnt wasted.

Due to their perishable nature, many nutritious fruits and vegetables spoil before they can be eaten (7).

Ensuring that these nutrient-dense foods are eaten instead of discarded may help others increase their intake of health-promoting nutrients like vitamins and minerals.

Plus, by avoiding food containers and packaging, you may reduce your exposure to harmful chemicals used to make plastics and other food-grade materials (8).

Though zero-waste cooking isnt tied to specific health benefits, it may indirectly bolster health by encouraging the consumption of whole foods, reducing exposure to harmful chemicals, and improving the environment around us.

There are many ways to practice zero-waste cooking.

Each of us lives and eats within unique circumstances. We have access to various types of kitchens and cooking equipment, eat on different schedules, and may have dietary needs and preferences to consider.

Thus, your zero-waste cooking methods probably wont look the same as others. Thats to be expected and even celebrated, as everyone has their own ways of reducing waste.

Here are 6 common zero-waste cooking techniques, though many more exist. You may even develop your own ideas after getting familiar with the basics.

In my experience, planning my meals is the most important step to keeping a zero-waste kitchen.

Meal planning not only means deciding what youre going to eat during the week but also entails thinking about how and when youre going to prepare your meals, as well as the ingredients youll need.

Many people plan an entire weeks worth of meals or more rather than one days, though the exact time frame varies from person to person.

A few things to consider when planning zero-waste meals are:

Knowing what you plan to eat lessens your chances of ordering takeout, which usually comes in disposable containers and easily leads to food waste from extra-large portions.

Millions of tons of paper, plastic, and glass packaging end up in landfills each year. Though not all of that comes from takeout and restaurant meals, theyre certainly large contributors. Around 45% of the materials in landfills come from wasted food and food packaging (5, 9).

Thats not to say you cant ever order takeout while practicing a zero-waste lifestyle.

In this day and age, busy schedules, social time with family or friends, or a desire to support your favorite restaurant are all common reasons to order in or go out to eat.

With a few small adjustments, you can enjoy occasional takeout while minimizing waste. These include:

Finding ways to reuse leftovers, scraps, and overlooked parts of fruits and veggies, such as stems or peels, may be one of the most exciting parts of zero-waste cooking. In my experience, its the step that leaves the most room for culinary creativity.

It may be daunting initially, but a big component of zero-waste cooking is experimenting. The more you work with repurposing foods, the more confident youll become.

Plus, you can repurpose food scraps in an infinite number of ways. Here are a few:

Composting is a process by which natural organic matter is turned into nutrient-rich soil. Its also a great way to keep food scraps out of landfills.

All it takes to get started is a compost bin or an area in your yard where you can dispose of scraps.

Composting is a great way to recycle leftover (10):

However, not all scraps can be composted. If youre worried about rodents or flies getting into your compost pile, avoid adding foods like (10):

When I first started trying to zero-waste cook, I learned its important to get in the right mindset before stepping foot in the kitchen. In other words, much of zero-waste cooking truly starts with planning and shopping.

Making thoughtful decisions at the store has just as much impact on waste as the decisions you make at home.

Some easy ways to zero-waste shop include:

Paying close attention to expiration dates and estimating the shelf life of any perishable food you plan to buy are equally as important.

You can also research food rescue organizations in your community. Food rescue groups work with farmers, distributors, and grocery stores to save food that would otherwise be thrown out, instead redistributing it at affordable costs.

Although we intend to eat the food we buy, sometimes it inevitably spoils while sitting on the counter or in the back of the refrigerator. Weve all been there before.

It may seem basic, but storing food properly is an oft-overlooked way to prolong the shelf-life of perishable foods.

To store food properly, keep your fridge and countertops clean so that theyre free of bacteria or other microbes that could cause food to rot quicker. If you notice food beginning to spoil, immediately separate it from the rest of your food so that the bacteria dont spread.

It may also be best to go ahead and eat food that seems as if it wont last much longer.

However, if food has grown mold, turned mushy, or begun to smell, you shouldnt eat it. Even in a zero-waste kitchen, its better to compost or repurpose what you can rather than risk getting sick from eating spoiled food.

If your fridge has humidity-controlled crisper drawers, storing foods in the appropriate drawer is a good idea. You can also keep foods you might not use very often, such as flour or nuts for baking, in the fridge or freezer to extend their freshness.

Preserving foods that may spoil soon, or that you have too much of to begin with, is a tried-and-true way to make food last longer.

The most common types of preserving done at home are:

Zero-waste cooking starts with planning your meals, after which you can determine how to cook and eat the foods you buy while leaving behind as little waste as possible.

Reducing the waste generated from meals and snacks is a great way to lessen your environmental footprint and support good health and proper nutritional intake.

You can start with small changes like buying foods in bulk, taking your own bags to the store, and eating any and all leftovers.

Thats just the tip of the iceberg, as zero-waste cooking comprises a broad set of sustainability efforts that can be as simple or as complex as youd like.

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What Is Zero-Waste Cooking, and How Do You Do It? - Healthline



Hundreds of galahs die from internal bleeding after eating rat baits amid mouse plague in western NSW –

Jun 5th, 2021
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Residents in NSWs central west are devastated after finding hundreds of dead galahs clumped at the bottom of trees in a local cemetery.

Parkes resident Kelly Lacey took to social media to spread awareness about the scenes that broke her.

I have been caring for (what I suspect are) poisoned galahs for quite a while now, she wrote.

Seeing them sitting with each other under trees, knowing they were suffering until they have eventually died, has utterly broke me.

NSWs Environmental Protection Agency (EPA) confirmed to that that officers had investigated the deaths and found that some of the birds had died from rodent baits.

It comes as Parkes and surrounding areas have been battling a mice plague for several months, causing residents to take to lay traps and poisoned baits.

The EPA said there had been bird deaths around Forbes, Parkes, Dubbo, Narromine, Condobolin and the Riverina as a result of rat baiting.

EPA Executive Director Regulatory Operations Carmen Dwyer said in a statement: The safe baiting of mice is an important step in reducing mice numbers and pesticide users must make sure they handle baits safely.

They were suffering until they have eventually died.

Grain-eating birds can be impacted after eating the pesticide coated grain.

Our advice is to think carefully about where the bait is being placed, only use the recommended amount of bait.

Kelly said the birds she found at Parkes cemetery had consumed a very potent poison that meant they bled internally.

This is the reality of the mouse plague (and YES I agree with killing mice! But not spreading poisoned grain, she wrote.

Heartbreakingly, she found that two birds were still alive.

This is just devastating.

However, one of them died on her drive home.

This is just a devastating situation all round, she said.

Sick and completely heartbroken.

Last month, the government announced a $50 million package to fight the mice scourge that included chemically treated grain to fight against the vermin.

NSW Agriculture Minister Adam Marshall announced affected rural households would be eligible for rebates of up to $500, and small businesses will be able to claim up to $1000.

Farmers can also get their grain treated for free, as part of the provision.

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Hundreds of galahs die from internal bleeding after eating rat baits amid mouse plague in western NSW -


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