T H E

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R E P O R T E R

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2014 Guide

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7 Myths About ADHD

According to recent studies, attention deficit hyperactivity disorder, or ADHD, appears to be more prevalent than ever before. Nearly 1 in 10 kids between the ages of five and 17 is being diagnosed with ADHD. Despite that prevalence, misinformation regarding the disorder continues to circulate, and that information can make it harder for parents to understand the disorder. Dispelling the misinformation surrounding ADHD may help those who are truly affected by the disorder get the treatment they need. Myth# 1: ADHD is not a real disorder. Many people honestly feel that ADHD was a concept drummed up by psychiatrists and pharmaceutical companies to increase business. However, the condition is real and is recognized by major health institutions, including the Surgeon General of the United States and the National Institutes of Health. Myth #2: ADHD is only a childrens disorder. Statistics indicate that while the majority of the people diagnosed with ADHD are children, at least 4 percent of adults experience it at as well. The reason the statistics may be lower for adults is that ADHD is often misdiagnosed or goes undiagnosed in adults. Myth #3: ADHD is caused by bad parenting. There are a number of people quick to point fingers at parents, laying the blame for ADHD at the feet of mom and dad. But some people with ADHD have difficulty controlling impulsivity and behavior, and that difficulty may have nothing to do with how those people were raised. Myth #4: More boys have ADHD than girls. According to a 2001 report from the U.S. Surgeon General, girls are less likely to be diagnosed with ADHD despite need. Girls tend to have lower rates of hyperactivity and external symptoms than boys, but they may have greater intellectual impairment due to ADHD. As a result, girls may be underdiagnosed with the condition. Myth #5: Those with ADHD are lazy. People with ADHD are no more lazy or less determined than those who have not been diagnosed with the disorder. ADHD is a neurobehavioral disorder that changes the way the brain responds and presents unique challenges. A person with ADHD is no more at fault for the behaviors associated with ADHD than a person with depression or mania is for the symptoms associated with those conditions. Myth #6: All people with ADHD are hyper and lack focus. A person with ADHD may present mixed symptoms of the condition or be predominantly characterized by one. That means hyperactivity may not be part of the equation, especially for those who are largely inattentive. On the flip side, while some people with ADHD have trouble focusing on certain tasks, some actually get overly focused on things they enjoy. This is known as hyperfocus, and it may come at a detriment to the things they do not like. Myth #7: ADHD is overdiagnosed. Experts say that ADHD is still largely underdiagnosed and undertreated, and many are not getting the therapy and/or medication they need. Contrary to popular belief, taking medication for ADHD is not a precursor to drug addiction or substance abuse. Many ADHD sufferers who do not get the care they need self-medicate and are at a greater risk for substance abuse.

How To Reduce Your Risk For Diabetes

Millions of people across the globe suffer from diabetes, a term used to describe a group of metabolic diseases in which a person has high blood pressure resulting from the bodys cells not responding properly to insulin and/or inadequate insulin production. According to researchers at Australias Baker IDI Heart and Diabetes Institute, if the spread of type 2 diabetes continues at its current rate, there will be roughly 439 million adults with diabetes across the globe in the year 2030. Though some cases of diabetes cannot be prevented, a healthy lifestyle can prevent or delay the onset of type 2 diabetes. Type 2 diabetes is the most common form of diabetes, occurring because the body does not use insulin properly. Initially, the pancreas will make extra insulin to account for the bodys resistance to insulin, but over time the pancreas cannot produce enough insulin to maintain normal blood glucose levels. The risk of developing type 2 diabetes increases as people age, and while there is no way to halt the aging process, there are many other ways for men, women and children to reduce their risks of developing type 2 diabetes. Shed those extra pounds. Being overweight increases your risk for a host of ailments, including type 2 diabetes, heart disease and stroke. According to the American Diabetes Association, losing as little as 10 to 15 pounds can make a significant difference for people looking to reduce their risks of developing type 2 diabetes. When attempting to lose weight, men and women should recognize that making lifestyle changes is a more effective way to shed pounds and keep weight off than fad diets that may promise quick weight loss but tend to be less effective at keeping that weight off over the long haul. Suc-

REDUCE DIABETES Though aging increases a persons risk for type 2 diabetes, a healthy lifestyle that includes routine exercise and a healthy diet can help men and women reduce that risk significantly. cessful weight loss typically involves a combination of physical activity and a healthy diet. Include physical activity as part of your daily routine several days per week, taking it slow at first if you have not exercised regularly in quite some time. As your body begins to adapt to exercise, you can gradually increase the intensity of your workout routines. Adopting a healthy diet is another way to lose weight and maintain that weight loss. A diet low in calories and fat is a good start. Men and women who need to lose a significant amount of weight may want to work with a dietitian and/or nutritionist to create a meal plan that is likely to produce the best results and address any vitamin or nutrient deficiencies they might have. Focus on fiber. Adding more fiber to your diet is another way to prevent or delay the onset of type 2 diabetes. Foods that are high in fiber tend to make people feel fuller, reducing the likelihood that you will overeat. Fiber also helps the body control its blood sugar levels, and fiber can lower a persons risk of heart disease. Many foods include fiber, but some high-fiber foods include beans, fruits, nuts, and vegetables. Avoid refined carbohydrates. Studies have shown that diets rich in refined carbohydrates increase a persons risk of developing diabetes, while additional studies have shown that diets rich in whole grains protect the body against diabetes. Researchers examining the results of several studies that explored the relationship between whole grains and diabetes found that eating an extra two servings of whole grains each day can reduce a persons risk of type 2 diabetes by as much as 21 percent. Refined carbohydrates, which can be found in white bread, white rice, mashed potatoes and many cereals, cause sustained spikes in blood sugar and insulin levels, which can increase a persons risk of diabetes.

What To Expect At An Annual Physical

strength and balance tests, may be tested during a physical. Doctor also may look for sensory changes in the extremities of the body. Doctors may order urine and blood analyses to verify that the levels are within range. A blood test usually will include a cholesterol test, and may include an examination of blood-sugar levels to rule out diabetes. Men and women over the age of 40 may be referred to specialists who can conduct a mammography, colonoscopy or prostate examinations. These tests will rule out the presence of cancer or other diseases. Doctors also may suggest patients have their vision and hearing checked. Annual physicals can reassure men, women and children that they are in good health. Such examinations also can serve as early detection systems that can catch potential health problems.

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WHAT TO EXPECT Knowing what to expect in an annual physical can help relieve some anxiousness. Routine health screenings are an integral part of maintaining personal health. Although some individuals make frequent visits to their physicians, many others limit their doctor visits to their annual physicals. Those who have never had a physical examination may be unsure of what to expect of such a procedure. A physical examination is a simple procedure for many people. The following procedures are what constitute a physical for younger patients without preexisting medical conditions. VITAL SIGNS During a physical, doctors will check patients vital signs. Patients can expect to have their blood pressure taken and pulse rates measured. Respiration rates may be taken to determine if there is a lung or heart problem. Doctors also will examine a patients ears, nose and sinuses. The neck and possibly under the arms. MEDICAL HISTORY Doctors also discuss patients medical histories, updating their charts with any new information when necessary. Inquiries about particular health issues that run in the family will be discussed, as well as any illnesses or hospitalizations patients may have had in the past. PHYSICAL EXAMINATION During the physical examination, doctors will look at and feel patients abdomens to detect the size of their livers and to determine if there is any abdominal fluid present. The stethoscope may be placed on the abdomen to listen for bowl sounds. The physician also may examine other areas of the body, including the back and spine to ensure there are no abnormalities. A weight and height check will be given. Females who do not see a separate gynecologist also may receive a pelvic examination and breast exam during their physical examinations. Men can expect a visual examination of the penis and testicles. The physician will check the external structure to look for abnormalities like tumors or hernia. DERMATOLOGICAL EXAM Some doctors will examine the skin for the appearance of unusual moles or growths that could be indicative of skin cancer or refer patients to a dermatologist for such an examination. ADDITIONAL TESTS Nerves and neurological responses, including

Emphasize Oral Hygiene

Of all the plans people make at the dawn of a new year, getting healthier is often at the top of the list. Although many individuals are concerned about shedding a few pound, there are many other ways to focus on health in the upcoming months, including paying more attention to dental hygiene. Proper dental care can not only keep a smile bright, it can affect other areas of the body. One of the keys to oral health is the use of fluoride to prevent dental caries. In fact, many health professionals will say that exposure to fluoride, whether through use of toothpaste or fluoridated water supplies, is probably the most effective cavity-prevention treatment available. Fluoride helps the teeth in a number of ways. Fluoride can promote tooth remineralization. This means it attracts other minerals, particularly calcium, to the areas of the teeth where tooth decay can form, helping to strengthen teeth. Fluoride also helps to make teeth more resistant to decay. New tooth mineral created when fluoride is present helps to make teeth harder, making it more difficult for acids and bacteria to penetrate the enamel of the teeth and cause damage. HEART DISEASE AND ORAL HEALTH The millions of bacteria that proliferate inside of the mouth and contribute to dental caries also can affect other areas of the body. Evidence suggests the same bacteria that can cause plaque and gum disease may lead to cardiovascular problems. According to information from Harvard Medical School, several species of bacteria that cause periodontitis have

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A HEALTHY MOUTH GOES HAND AND HAND WITH A HEALTHY YOU Those assessing their health in the new year should not overlook their oral hygiene. been found in the atherosclerotic plaque in arteries in the heart and elsewhere. This plaque can lead to heart attack. Although research is ongoing, there is reason to believe that oral bacteria could also harm blood vessels or cause blood clots by releasing toxins that resemble proteins found in artery walls or the bloodstream. When the bodys immune system responds to these toxins, blood clots may form more easily. Some evidence also points to a correlation between inflammation in the mouth and inflammation in the body. With the new year upon us, now may be the ideal time for men and women to take inventory of their personal health. Schedule a physical examination with a doctor, visit an optometrist or opthalmologist for an eye exam and remember to visit the dentist for a cleaning, checkup and a possible fluoride treatment to protect the mouth and body.

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The Early Warning Signs Of Alzheimers Disease Physical Therapy A Vital Part Of Treatment & Recovery
Alzheimers disease is the most common form of dementia. It is a progressive, degenerative disorder that attacks neurons and essentially robs people of their memory and language skills. Although there is no cure for Alzheimers, there are therapies that can slow its neurological impact. Recognizing the early warning signs of Alzheimers can encourage people to begin treatments that can stave off some of the more debilitating symptoms of this disease. Though its most common among the elderly, Alzheimers is not a normal part of aging. The Mayo Clinic says that the reasons behind the inception and progression of Alzheimers disease are largely unknown. It is believed damage starts a decade or more before problems become evident. Abnormal deposits of proteins begin to form the amyloid plaques and tau tangles throughout the brain, and these formations are the hallmarks of the disease. Once-healthy neurons gradually begin to lose their efficiency and ability to function and communicate with one another. As more neurons die, entire areas of the brain shrink. The hippocampus, which is the area of the brain essential in forming memories, may soon become compromised. Millions of people in North America are estimated to have Alzheimers disease and many others will be diagnosed. The following are the most common early signs and symptoms of the disease. Memory loss: According to the Alzheimers Organization, early memory loss can include forgetting important dates or repeatedly asking for the same information. Forgetting recently learned information and having to rely increasingly on memory aids is another potential indicator of Alzheimers. Declining cognition: Impaired reasoning or judgment, trouble finding the right words and visual and spatial issues also may be early indicators of Alzheimers. Difficulty completing familiar tasks: Those with Alzheimers sometimes have trouble driving to a familiar location or remembering the rules to a favorite game. People who were once good with numbers may now have difficulty balancing their checkbooks, while those who love to cook may have trouble following recipes. Time confusion: Another indicator of Alzheimers disease is losing track of time. One may have trouble understanding something that isnt happening in the present. Alzheimers sufferers often forget where they are and how they got there. Misplacing items: Everyone loses something at a point in time, but those with Alzheimers may put items in unusual places. They may sometimes accuse others of stealing when they cannot retrace their steps and find items. Decreased judgment: Decision-making abilities may be compromised. A person with Alzheimers may take unnecessary risks or give away sums of money. Mood changes: People with Alzheimers may suffer from confusion, suspicious feelings, depression and anxiety. A person may upset easily or become anxious outside of his or her comfort zones. Age and family history of Alzheimers disease are the biggest risk factors. The liklihood of developing Alzheimers doubles about every five years after age 65, says the Alzheimers Organization. In addition, those with a parent, child or sibling who have developed Alzheimers are more likely to develop the disease than people with no such family history. A physical and neurological exam, which may include blood tests and brain imaging, will be used to diagnose Alzheimers disease. Individuals can learn more by making appointments with their doctors. Illnesses of the musculoskeletal system can result in temporary loss of mobility. But physical therapy can help to prevent those temporary problems from becoming permanent. The American Physical Therapy Association says physical therapists diagnose and treat individuals of all ages who have conditions that limit their abilities to perform functional activities. Limitations in mobility may result from injury or illness or be present at birth. Many physical therapists develop a plan to reduce pain and restore function through various treatment techniques with the ultimate goal of restoring a patients functional independence. Physical therapists are licensed healthcare professionals who must receive a degree from an accredited physical therapist program before taking national licensure exams that enable them to open a practice or work in a facility. The Bureau of Labor Statistics predicts a 30 percent growth in physical therapy careers through 2018, which is a rate better than all other occupations. Unemployment rates for physical therapists are very low, and they are in high demand. Physical therapists employ various physical modalities to help with certain conditions. For example, a patient may be asked to perform various range-of-motion exercises to restore function to an injured part of the body. Physical therapists also may use heat, cold and electrical impulses to reduce pain and stimulate muscle function. Physical therapy sessions frequently include some form of massage as well. While athletes frequently rely on physical therapy as they recover from injuries, others can benefit from physical therapy as well. For example, physical therapy may work in conjunction with other treatments for cardiopulmonary disease. The cardiopulmonary system delivers oxygen to active tissues, which plays an important part in movement. When the cardiopulmonary system is compromised, muscles and other tissues may not function as they should, and certain exercises and mobility therapies may be needed. Physical therapists also aid in improving physical ailments related to neurological diseases, such as

PHYSICAL THERAPY Is often a persons best chance at becoming strong and being able to resume to normal activities quicker after illness or injury. cerebral palsy, multiple sclerosis, spinal cord injuries, Parkinsons disease, and Alzheimers disease. Physical therapists may also help treat poor vision, poor balance and paralysis. Children who have learning disabilities related to a neurological or physical condition may benefit from certain forms of physical therapy. For example, vision problems can compromise academic performance, so physical therapy that aims to enhance visual tracking skills and strengthen the eyes in conjunction with corrective lenses may help youngsters, or even adult students, perform better in the classroom. Very often physical therapy will be recommended by a general doctor or an orthopedic surgeon as part of recovery from a surgery or a condition. The therapist may work in conjunction with another doctor to provide a program that helps foster a faster and safe recovery. Physical therapy tends to begin gradually and resistance is slowly built up as the body strengthens. The length of physical therapy will depend on the condition and the recommendation of the therapist and doctors overseeing the treatments.

How To Identify Depression

Nearly everyone feels down at one point or another. But when feelings of sadness stretch on and are accompanied by other symptoms, normal sadness might have given way to depression. The Centers for Disease Control and Prevention estimate depression affects one in 10 American adults at different levels, while Statistics Canada says around 5 percent of Canadians have reported symptoms that meet the criteria for a mood disorder, including depression. Many sufferers of depression believe it is a personal weakness and something they should be able to control, but mood disorders are recognized mental illnesses that say nothing about a persons strength of character. Often brought on unexpectedly, mood disorders like depression cannot be traced to a single root cause. Many within the medical community believe depression is genetic. According to the CDC, certain groups are more likely to meet criteria for depression than others. These include women, people ages 45-64, African-Americans, Hispanics, and people with less than a high school education. There are unique symptoms associated with depression. Not every person with this mood disorder will exhibit each and every symptom, but the following symptoms appearing together is often an indicator of depression: feelings of sadness and loss feelings of irritability loss of pleasure in usually enjoyed activities changes in sleeping patterns, such as insomnia or sleeping too much difficulty concentrating frequent headaches noticeable lack of motivation anxiety and panic attacks withdrawal from friends and family inability to make decisions recurring thoughts of suicide or self-harm People exhibiting symptoms of depression should first reach out to their primary care physicians, who can begin a preliminary diagnosis and look for symptoms indicative of depression. A doctor also can perform blood work to rule out other conditions that may be contributing to problems with mood, such as hormonal changes or illnesses. Some doctors may refer patients to a mental health professional who is much more qualified to treat mood disorders. A mental health professional will likely conduct an interview with the patient and pay considerable attention to the patients medical history. Gaining a stronger grasp of a patients symptoms enables doctors to prescribe the most effective courses of treatment. Treatments range from medication to talk therapy to cognitive-behavioral therapy. Those who do not respond to more conventional treatments can discuss further options with their doctors. Patients who are prescribed an antidepressant medication should expect several weeks to pass before the medication is fully effective. Antidepressants are not universally effective, and people being treated for depression or another mood disorder should not grow discouraged if one course of treatment is ineffective. Many treatment options are available to people with mood disorders. Those who think they may be suffering from depression should first remember that they are not alone. Visiting a doctor promptly can help sufferers of mood disorders address their conditions more quickly.

The Many Benefits Of Massage Therapy

Advertisements for vacation destinations often paint couples massages as the premier romantic activity. Its true that massages can be relaxing and sensual, making such sessions ideal gifts come Valentines Day. Yet, massages arent just sultry oils and New Age music. They can actually be very good for overall health. Massage therapy is beneficial in various ways. Massage is no longer just available in upscale health clubs or luxury spas. Massage spas have cropped up in malls, hospitals, clinics, and even office buildings, making massage therapy that much more accessible. The Mayo Clinic notes that while more research is needed to confirm the benefits of massage, it may be helpful for a variety of health ailments. In addition to easing sore muscles, reducing joint pain and helping soft tissue strains or injuries, massage can promote relaxation, reduce anxiety and calm feelings of stress. Massage reduces levels of the stress hormone cortisol. This helps to lift spirits and can often lower blood pressure. Massage also may help to boost the neurotransmitters dopamine and serotonin, which are associated with depression. According to Health magazine, massage also can help promote healthy sleep. It has something to do with the effect of massage on delta waves, which are the brain waves connected to deep sleep. There is some

MASSAGE The gift of a massage session can be romantic and improve ones overall health evidence that massage can also increase white blood cell counts, promoting improved immunity. Many people rely on massages to relieve pain. According to a report published in 2011 in the American College of Physicians Annals of Internal Medicine, massage helps people in pain feel and function better than those who do not receive treatment. Massage can alleviate stiffness and pain and promote a better range of motion. And pain relief is not just for the back, arms and legs. Massage can reduce risk for migraines and decrease pain from tension headaches. Massage even has beauty benefits. Rubbing the face and scalp can promote blood flow and encourage lymphatic drainage. This can add vitality to the complexion and plump up the skin. Dull hair may appear more shiny and revitalized. People can explore different types of massage and experiment with what works best for their ailments. Everything from Swedish massage to reflexology is offered at massage clinics. Because massage involves being partially or completely undressed and having a massage therapist touch various areas of the body, it is important to find a therapist with whom you feel comfortable. Make sure that the therapist is fully certified and qualified. It also helps if he or she is properly vetted by the spa or clinic. Therapists will heed a persons preferences with regard to the massage, only concentrating on the areas specified. If anything feels uncomfortable or a client prefers not to have an area of the body touched, he or she simply needs to address that with the therapist at the beginning of the session.

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Did You Know?

According to the American Red Cross, after a person has donated blood, his or her red cells need about four to six weeks before they are completely replaced. That is why organizations like the Red Cross require donors wait at least eight weeks between donations. That is not to be confused with apheresis, a process by which platelets and other blood components, such as red cells and plasma, are collected from a donor. During apheresis, a cell separator is used to collect platelets or other components from blood that is drawn from the donor. The remaining components are then returned to the donor during the donation process. As many as 24 apheresis donations can be made in a single year. In November 2013, the Federal Food and Drug Administration announced a plan to ban all trans fats from food. Certain foods may have different timelines depending on the availability of trans fats substitutes. Trans fats, typically created via the process of adding hydrogen to vegetable oils to make them semi-solid, are frequently used to prolong the shelf life of processed foods. Research has shown that trans fats are more dangerous than other types of fats because they raise the level of LDL, or bad cholesterol, in the blood, while also lowering the level of HDL, or good cholesterol. The result can be cloggedarteries and an elevated risk of heart disease.

MILK MATTERS for YOUR HEALTH

Did You Know
That during teen years, half of all bone is formed and about 15% of adult height is added. Drinking milk may lower your risk for colon, and other types of cancer. Your local retailers have been providing ARPS Dairy products since 1936.

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WEDNESDAY, JANUARY 22ND, 2014 HEALTH

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Can Human Growth Hormone Cheat Aging & Fat?

improve metabolism, fend off weight gain and restore the vigor of youth. The off-label use of HGH has resulted in a multi-billion dollar industry but not without significant controversy. HGH, also known as somatotropin or somatropin, is a natural substance excreted by the pituitary gland in the brain. It stimulates growth and cell reproduction and regeneration. As a person ages, his or her HGH levels decrease. In certain instances, doctors will prescribe HGH to treat childrens growth disorders or deficiencies in adults. However, some patients seek it for improved vitality or as an anabolic agent to improve athletic performance. Many people view HGH as the fountain of youth because it can help diminish wrinkles and the physical signs of aging while improving energy levels and helping fight depression. But while HGH has its upside, there is still much to be learned about this complicated hormone. Several small clinical studies have looked at HGH in the injectable form. Many tout the efficacy of the hormone in growing muscles and bone, improving skin, ramping up sexual drive, and helping with weight loss. According to Stuart Weinerman, M.D., Division of Endocrinology at North Shore/Long Island Jewish Hospital, and Assistant Professor of Medicine at Hofstra/North Shore LIJ School of Medicine, the largest review of trials with HGH demonstrate that long-term use of growth hormone caused an average 2.3 kilogram (about 5 lbs) loss of weight, 2.6 kg (5.6 lbs) loss of fat, 1.4 kg (3 lbs) increase in lean body mass and no consistent change in bone density. Patients using HGH tend to feel better, too, as seen in quality of life scores. But these benefits often come at a cost. One significant disadvantage of HGH injections is that they are very expensive. Over the course of a year, men and women receiving HGH injections can expect to pay thousands of dollars for those injections, particularly if they are not covered by insurance. Injections also can only be given by a licensed medical practitioner, requiring multiple trips to the doctor during the course of therapy. Another pitfall of injectable HGH is that it is an artificial source of the hormone. When the body becomes accustomed to receiving HGH from an external source, the pituitary gland may decrease the natural production of HGH. Should a person cease therapy, he or she may find that they are now deficient in the hormone. The Mayo Clinic says that HGH isnt the magical answer for staving off aging. The organization warns that there is little evidence that taking HGH supplements provides any measurable benefit for healthy individuals and it may actually result in side effects that are unhealthy. These can include carpal tunnel syndrome, swelling in the arms and legs, joint pain, muscle pain, and enlargement of breast tissue in men. HGH also may contribute to conditions such as diabetes and heart disease.

HGH: Several people use human growth hormone to lose weight and prevent the physical effects off aging. Human growth hormone performs a number of biological functions and is in abundance when children and adolescents are growing. But HGH has recently become a coveted cosmetic supplement designed to

Exercise Benefits The Brain, Too

Regular exercise can benefit the body in many ways, helping men and women maintain healthier weights and lower their risks for developing potentially deadly diseases. Though many people are quick to associate exercise with its physical benefits, those hours spent on the treadmill also can boost brain power. As the American Psychological Association acknowledges, the connection between exercise and mental health is hard to ignore, and the APA notes that the following are just a few of the mental benefits men and women might reap from regular exercise. IMPROVED MOOD Many people feel great after exercising, especially if that exercise comes at the end of a particularly stressful day. However, those extra laps on the track or those hours spent on the treadmill dont just pay short-term dividends. In a controlled trial overseen by Duke University researcher and clinical psychologist James Blumenthal, sedentary adults with major depressive disorder were assigned into one of four groups: supervised exercise, home-based exercise, antidepressant therapy, or a placebo pill. Those in the exercise and antidepressant groups had higher rates of remission than those in the placebo group, and Blumenthal concluded that exercise was generally comparable to antidepressants for men and women with major depressive disorder. In addition, in following up with patients a year later, Blumenthal found that those who continued to exercise had lower depression scores than those participants who were less active. Blumenthals study was not the only one to conclude that exercise can have a positive impact on mood. In a review of 11 studies that examined the effects of exercise on mental health, Boston University professor of psychology Michael Otto and his colleagues found that exercise could be a powerful tool when treating clinical depression, and even recommended clinicians include exercise as part of their treatment plans for depressed patients. ANTIDOTE TO ANXIETY Some researchers, Otto included, have begun to examine the effects of exercise on treating and possibly preventing anxiety. The bodys nervous system responds quickly when people feel frightened or threatened, often causing the bodys heart rate to increase and sweating and dizziness to occur. Those people who are especially sensitive to anxiety respond to these feelings with fear, and that makes them more likely to develop panic disorders. In studying 60 participants with heightened sensitivity to anxiety, Otto and Smits found that the subjects who participated in a twoweek exercise program exhibited marked improvements in anxiety sensitivity compared to those participants who did not take part in the exercise program. Otto and Smith concluded that this improvement was a result of the exercise group participants learning to associate the symptoms common to both fear and exercise, such as sweating and an elevated heart rate, with something positive (exercise) instead of something negative (anxiety). Regular exercise benefits the human body in numerous ways, not the least of which is its impact on the brain. More information on the link between exercise and improved mental health is available at www.apa.org.

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Evergreen Manor is a recognized Evergreen Manor offers leader in post-acute care many services and amenities not offered in other skilled 4 Star facility as deemed by CMS nursing centers (Medicare.gov)
5 Star facility in Quality Measures 2012 Atrium Centers Quality Award Recipient Past 2 years Deciency Free Surveys with Ohio Department of Health. 95% Family/Resident satisfaction scores. Previous winner of Atrium Presidents award Open dining with meal choices Small setting offers personalized care Peaceful country setting within city limits Average longevity of staff at center over 8+ years. Free Wi Fi Medicaid assistance Financial planning and on-site banking Medical Director, Dr. Bell serving our residents for over 5 years And much, much more . . .

Evergreen Manor provides a continuum of specialized services

Physical, Occupational, and Speech Therapy Post Surgery Rehabilitation Orthopedic Therapies Neurological & Pulmonary Care Alzheimers & Dementia Care Short Term Respite Stays Outpatient Therapy Cardiac Recovery Hospice Services On site Podiatry, Dental, Audiology, Optometry, and Counseling/Social Work services

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WEDNESDAY, JANUARY 22ND, 2014