American College of Obstetricians and Gynecologists (ACOG) Previous recommendation was women age 40 to 49 get a mammogram every 1-2 years, 50 and older yearly. New recommendation is all women starting at age 40 get a yearly mammogram. Also recommend all women age 40 and older get an annual clinical breast exam, women 20 to 39 get a clinical breast exam every one to three years depending on their family history for breast cancer. Also recommend that women practice self awareness by doing regular self breast exam, NOT to replace the clinical breast exam in the Doctors office. How does this compare to the US Preventative Services Task Force guidelines.
Causes: Psychological: Tendency to insomnia, persistent stress, learned insomnia Lyfestyle: Stimulants (caffeine, nicotine, certain medications), alcohol, shift work, lack of exercise, sleeping pills Environmental Factors: Noise, light Physical Illness/Psychiatric Illness: Depression, sleep apnea, restless leg syndrome, gastroesophageal reflux (heartburn) Tips For Good Sleep Hygiene: Don’t go to bed unless you are sleepy If you are not asleep after 20 minutes, then get out of bed Begin rituals that help you relax each night before bed Get up at the same time every morning Get a full night’s sleep on a regular basis Avoid taking naps if you can Keep a regular schedule Use you bed only for sleep and sex.
Fitness For Less: Everyday opportunities-walk instead of ride, stairs, park further out, household chores, play with the kids Consider modest investments-inexpensive fitness products like dumbbells, jump ropes, fitness balls, videos/DVDs/pod cast, video games Office Exercises: Make the most of your commute Look for opportunities to stand Take ‘fitness breaks’ instead of coffee breaks Trade your office chair for a fitness ball Keep fitness products in your work area ‘Get social’-bring along a coworker Conduct a meeting ‘on the go’ Pick up the pace If traveling for work-when waiting on a plane walk in the airport, and use hotel fitness rooms MAKE IT FUN!
Causes: Food Processing causing bacteria to be on the food before you get it Food Growing again causing bacteria to be on the food before you get it Food Handling causing contamination from a person or a surface used to prepare the food From the Environment by contamination from dirt, dust and contaminated water Prevention: CLEAN: Hot soapy water to clean hands, surfaces and tools SEPARATE: Keep uncooked meats from having contact with raw vegetables COOK: Rule of thumb for meat is center temp greater than 160 degrees F CHILL: Promptly put in cooler or fridge within 1-2 hours of preparation WHEN IN DOUBT, THROW IT OUT Treatment: Fluids and.