lunes, 15 de septiembre de 2014

#ShareWellness for National Wellness Week

#ShareWellness for National Wellness Week
National Wellness Week BadgePracticing wellness is essential to behavioral health. During SAMHSA's 4th annualNational Wellness Week, use Facebook and Twitter to share how you enhance your physical, emotional, social, intellectual, spiritual, financial, occupational, and environmental wellness. Use the hashtag #ShareWellnesswhen you post a photo, video, or message of your favorite health and wellness activities.
Stay involved in the #ShareWellness social media conversation to learn more about wellness and gather ideas for new wellness activities that could improve your overall health and well-being. For more information aboutSAMHSA's National Wellness Week 2014, stay connected with SAMHSA on Twitter (@samhsagov) and Facebook.

Suicide Is on My Mind | Office on Women's Health Blog

Suicide Is on My Mind | Office on Women's Health Blog

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Suicide Is on My Mind

hands grasping each other

Ed. note: This blog post is cross-posted from the blog. The original post date was September 10, 2014. Read the original post.
I’m a survivor of suicide. For me, that means that I’ve attempted to end my life by suicide and survived the death of my aunt who ended her life with a gun.
Suicide is a serious public health problem and can have lasting, harmful effects on individuals, families, and communities. While its causes are complex and determined by multiple factors, the goal of suicide prevention is simple: Reduce risk factors and increase protective factors. Effective prevention promotes awareness of ways to prevent suicide and encourages a commitment to compassionate community.
This World Suicide Prevention Day, an experience Sister G., a Mormon missionary, shared with me comes to mind. Sister G. was a widow whose husband, a neurosurgeon, died of brain cancer five years prior to her being my missionary partner.
He was her world. His death crumbled so much of the life they had built together that she felt she had to relearn how to live. About a year after his death, she was not doing well. She hadn’t felt happiness in a long time and couldn’t imagine how it might return. So she got a gun and stepped into the shower.
Just as she got in the shower, the phone rang. She said she felt paralyzed by the ring. Still, she decided she should answer because … why not?
It was her daughter who boldly said: Mother! You put that gun down right now! You know as well as I do that if you pull that trigger the only thing that will happen is your body will fall to the ground, but everything will feel the same and you won’t be able to fix any of it!
Our dear Sister G. collapsed on the floor, and her daughter drove over finding her still on the floor crying, the gun nearby.
The guns were removed from the house, and the desire to die didn’t return.
As a suicide survivor, this story has saved me through many dark moments. It has also given me the boldness to call friends when I believe they are in need and ask them what’s happening.
We all know someone who is struggling with post-traumatic stress, depression, or anxiety. Let us take this opportunity to evaluate how we respond to each other. Do we really look into the eyes of those around us and recognize them as people — fellow human beings — with feelings, hopes, trauma, sadness, and love?
We can prevent suicides and attempts, but it is going to require the heart of every person willing to work at it. If it is true that the more important the answer, the more the answer comes from your heart, then the answer to the question of suicide demands our hearts — the heart of each one of us to turn compassionately to ourselves and to one another so that we can all reach our ultimate potential.
If someone you know is showing one or more of the following behaviors, he or she may be thinking about suicide. Don’t ignore these warning signs. Get help immediately.
  • Talking about wanting to die or to kill oneself
  • Looking for a way to kill oneself
  • Talking about feeling hopeless or having no reason to live
  • Talking about feeling trapped or in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing or feeling isolated
  • Showing rage or talking about seeking revenge
  • Displaying extreme mood swings
If you or someone you know needs help, call the National Suicide Prevention Lifeline at 1.800.273.TALK (8255). Trained crisis workers are available to talk 24 hours a day, seven days a week.
If you think someone is in immediate danger, do not leave him or her alone — stay there and call 911.

URGENT UPDATE – Tuesday, September 16 Public Health Grand Rounds session has been relocated to CDC’s Chamblee Campus

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Tomorrow’s Public Health Grand Rounds session has been moved to CDC’s Chamblee Campus. Individuals who are interested in joining us in person should contact the Grand Rounds team immediately We apologize for any inconvenience that this change may have caused. Please join us at the Chamblee campus, Building 106, Room 1A. Since several of our guests will have to clear security, please plan to arrive early to help facilitate this process.

For individuals who were planning on viewing the session online, please note that the session will still be available via live webcast from CDC’s Chamblee campus in Atlanta, Georgia on Tuesday, September 16, at 1 p.m. (EDT) at

Heart attacks and strokes contribute to the almost 800,000 deaths from cardiovascular disease each year. The trauma to families and communities is devastating; the cost to the US economy is nearly $1 billion each day in medical costs and lost productivity. To achieve sustainable prevention, the Department of Health and Human Services launched Million Hearts®, a national initiative to prevent one million heart attacks and strokes by 2017. Million Hearts® focuses the efforts of federal agencies, states, regions, communities and individuals on this common goal, ensuring the coordination of public health, clinical care and policy approaches to this complex problem. 
Million Hearts® focuses on increasing the number of communities who go smoke-free, decreasing sodium in the food supply, and eliminating trans-fat. In addition to changes to our environment, Million Hearts® calls for changes in the health care system that will produce better performance in the ABCS (Aspirin when appropriate, Blood pressure control, Cholesterol management, Smoking cessation).  
Join us as we hear about the progress that has been made, along with the work that is still needed, to reach the goal of preventing one million heart attacks and strokes by 2017. Specifically, we’ll hear how public health and clinical care experts are coming together in communities to improve blood pressure control, how comprehensive tobacco policy efforts can have statewide impact, and how efforts to promote healthy nutrition can occur through increasing the availability of lower sodium products.  
As Million Hearts® approaches its half-way mark, we need to accelerate that progress. There is a role for local and state governments, individuals, local and national organizations, providers, health care systems and insurers. Together, we can send a clear signal that cardiovascular events can be prevented when each of us takes a few, specific, impactful actions. Please tune into this grand rounds to learn what you can do to help prevent heart attacks and strokes. 
Future Grand Rounds topics include: Utilizing Pharmacists to Improve Our Nation’s Health, Unusual Donor Derived Transplant-associated Infections and Climate and Health. 
Email your questions about this topic before or during the session. Follow us on Twitter #cdcgrandrounds

Presented By: 
Janet Wright, MD   
Executive Director, Million Hearts®
Division of Heart Disease and Stroke Prevention 
Centers for Disease Control and Prevention 
“Million Hearts: Where We Are and Where We Need To Go” 
Andrew Tremblay, MD 
Chair, Department of Primary Care
Cheshire Medical Center/Dartmouth-Hitchcock  
Keene, New Hampshire 
“Success in Blood Pressure Control: 2013 Million Hearts® Hypertension Control Champion” 

Patricia P. Henley, MEd  
Director, Office of Community Health and Tobacco Use Prevention
Massachusetts Department of Public Health  
“Tobacco Use Prevention in Massachusetts” 

Patricia L. Cummings, MPH, PhD  
Program Manager, Sodium Reduction Initiative    
Epidemiologist, Division of Chronic Disease and Injury Prevention
Los Angeles County Department of Public Health
Partnerships to Improve Cardiovascular Health through Sodium Reduction in Los Angeles County, California”  
Facilitated By: 
John Iskander, MD, MPH, Scientific Director, Public Health Grand Rounds
Phoebe Thorpe, MD, MPH, Deputy Scientific Director, Public Health Grand Rounds 
Susan Laird, MSN, RN, Communications Director, Public Health Grand Rounds
For non-CDC staff or those outside of the CDC firewall: 
live external webcast will be available. Presentations are archived and posted 48 hours after each session. Due to security measures at CDC’s Roybal campus, non-CDC staff who wish to attend these sessions in person must have prior clearance and a U.S. state-issued photo ID (e.g., driver’s license, U.S. passport).  
Names of non-CDC staff (both domestic and international) who wish to attend these sessions in person should be submitted to the Grand Rounds Team. Please note that all information for international visitors must be submitted at least 10 days in advance.  
For CDC staff requiring reasonable accommodations:  
It is the policy of CDC to provide reasonable accommodations (RA) for qualified individuals with disabilities to ensure their full inclusion in CDC-sponsored training events.  Employees are asked to submit RA requests at least two weeks prior to the training event.  Please e-mail the request to 
Grand Rounds is available for Continuing Education. 
ALL Continuing Education hours for PHGR are issued online through the CDC/ATSDR Training and Continuing Education Online system. If you have questions, e-mail or call Learner Support at 1-800-418-7246 (1-800-41TRAIN). 

Those who attend PHGR either in person, Envision, IPTV, or “web on demand” and who wish to receive continuing education must complete the online seminar evaluation. Thirty days from the initial seminar the course number will change to WD2346 and will be available for continuing education until February 18, 2016.  The course code for PHGR is PHGR10.
Target Audience: Physicians, nurses, epidemiologists, pharmacists, veterinarians, certified health education specialists, laboratorians, others
  1. List key measures of burden of disease involving morbidity, mortality, and/or cost. 
  2. Describe evidence-based preventive interventions and the status of their implementations. 
  3. Identify one key prevention science research gap. 
  4. Name one key indicator by which progress and meeting prevention goals is measured. 
CE certificates can be printed from your computer immediately upon completion of your online evaluation. A cumulative transcript of all CDC/ATSDR CE’s obtained through the TCE Online System will be maintained for each user. We hope that this will assist CDC staff and other public health professionals to fulfill the requirements for their professional licenses and certificates.

Register for Upcoming Let's Move Faith & Communities Cooking Matters Webinars

Register for Upcoming Let's Move Faith & Communities Cooking Matters Webinars

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Join Share Our Strength


Let’s Move Faith & Communities for
a series of online trainings on

September 17, 24, and October 1, 1-2 p.m. EDT

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Register for each training here:
October 1Cooking Matters

Let’s Move Faith and Communities is excited to team up with Share Our Strength’s Cooking Matters to train community health leaders on how to empower families with the skills to stretch their food budgets and cook healthy meals so their children get nutritious food at home.
As part of the No Kid Hungry campaign to end childhood hunger in America, Share Our Strength’s Cooking Matters teaches participants to shop smarter, use nutrition information to make healthier choices and cook delicious, affordable meals. Founded in 1993, Cooking Matters and thousands of volunteer instructors have helped more than 150,000 low-income families in communities across the country learn how to eat better for less.

Cooking Matters at the Store
THIS WEDNESDAY September 17, 2014, 1-2 p.m. EDT. Register here!
Cooking Matters at the Store tours provide families with hands-on education as they shop for food, giving them skills to compare foods for cost and nutrition. Participants learn how to plan and budget for healthy, affordable and delicious meals for their families. This webinar training will show you how to run a Cooking Matters at the Store Tour, including tips on recruiting participants, resources available to you and best practices for leading a tour.
Cooking Matters in Your Food Pantry
September 24, 2014, 1-2 p.m. EDT. Register here!
Cooking Matters in Your Food Pantry helps with planning, organizing and leading food pantry demos in your community. This webinar training will provides sample outlines of several nutrition education lessons and activities that can be used in the food pantry setting, easily customized to the amount of time you have available for your demonstration. It also contains a wide selection of handouts and recipes to use at your demo and to send home with clients. We will also discuss setting up a well-stocked pantry in the home so clients can access quick, healthy meals with budget and time in mind.

Cooking Matters
October 1, 2014, 1-2 p.m. EDT. Register here!
Cooking Matters hands-on courses empower families with the skills to be self-sufficient in the kitchen. Participants practice fundamental food skills, including proper knife techniques, reading ingredient labels, cutting up a whole chicken, and making a healthy meal for a family of four on a $10 budget. Each course is team-taught by a volunteer chef and nutrition educator and covers meal preparation, grocery shopping, food budgeting and nutrition. This webinar training will cover some of the fundamental food skills that are taught in Cooking Matters courses, including resources available to you like the Smart Phone App with recipes!
Let’s Move Faith and Communities trains, educates and equips community-based health leaders with best practices and resources that they can adapt to fit the needs and goals of their communities.
Get moving and sign up at
You’ll receive news updates, tools and resources, as well as invitations to participate in relevant webinar trainings and conference calls to support your efforts to improve the health and wellness of your community!
Register for Upcoming Let's Move Faith & Communities Cooking Matters Webinars

CDC - NIOSH Science Blog – Thank You Truck Drivers!

CDC - NIOSH Science Blog – Thank You Truck Drivers!

Thank You Truck Drivers!

TruckWhen you eat lettuce from California or purchase a new couch, consider how these goods got to your local grocery store or home. Nearly 2 million heavy or tractor-trailer truck drivers cross the nation every year to bring us the goods we are used to finding on our store shelves or to deliver our online purchases [BLS 2012External Web Site Icon]. In honor ofTruck Driver Appreciation WeekExternal Web Site Icon(September 14-20), we want to thank all truck drivers for their hard work and dedication.
Truck drivers are essential to the United States. It is important that safety and health professionals and truck drivers and their employers work together to keep truck drivers safe and well. A recent NIOSH survey found that when compared to the U.S. adult working population, more long-haul truck drivers (heavy and tractor-trailer truck drivers whose freight delivery routes require them to sleep away from home) were obese, cigarette smokers, and diabetic. For example, obesity and current smoking were twice as prevalent.
These results suggest that the job itself, which can include long hours sitting, stress factors like traffic and demanding schedules, and limited access to healthy foods, may contribute to a higher chance for health problems. This gives our partners and us an opportunity to use the work setting to identify and stimulate changes that can lead to better health. To do so, it is essential that we communicate effectively with truckers and trucking companies.
NIOSH is exploring different ways to share health information with the trucking industry. We are seeking your input to help us determine:
  • What is the best way to get our information out to long-haul truck drivers?
  • Who would long-haul truck drivers listen to?
  • What health and safety topics are important to long-haul truck drivers?
We value your input and urge you to assist us by submitting any comments you might have to this blog article. In the months to come, we will post current research from our long-haul truck driver research study.
Thank you for your assistance,
W. Karl Sieber, Ph.D.
Karl Sieber is a NIOSH Research Health Scientist with the Surveillance Branch of the Division of Surveillance, Hazard Evaluations, and Field Studies. He is the Project Officer for the National Survey of U.S. Long-Haul Truck Driver Health and Injury. The survey was supported by NIOSH with partial funding from the Federal Motor Carrier Safety Administration, U.S. Department of Transportation.

The Timing of Cord Clamping and Oxidative Stress in Term Newborns

The Timing of Cord Clamping and Oxidative Stress in Term Newborns

The Timing of Cord Clamping and Oxidative Stress in Term Newborns

  1. Julio J. Ochoa, PhDa,b
+Author Affiliations
  1. aDepartment of Physiology, and
  2. bInstitute of Nutrition and Food Technology “José Mataix Verdú”, University of Granada, Granada, Spain;
  3. cDepartment of Obstetrics and Gynaecology, School of Medicine, University of Granada, Granada, Spain; and
  4. dService of Obstetrics and Gynaecology, University Hospital San Cecilio, Granada, Spain


BACKGROUND: Clamping and cutting of the umbilical cord is the most prevalent of all operations, but the optimal timing of cord clamping is controversial, with different timings offering advantages and disadvantages. This study, for the first time, compares the influence of early and late cord clamping in correlation with oxidative stress and inflammation signaling, Because cord clamping timing may have a significant influence on placenta-to-infant blood transfer, thereby modifying oxygenation of maternal and fetal tissues, and on the transfer of inflammatory mediators throughout the placenta.
METHODS: Sixty-four pregnant subjects were selected at the Gynecology and Obstetrics Services Department of the Clinico San Cecilio Hospital, Granada, Spain, based on disease-free women who experienced a normal course of pregnancy and a spontaneous, vaginal, single delivery. Half of the subjects had deliveries with early-clamped newborn infants (at 10 s), and the other half had late-clamped deliveries (at 2 min).
RESULTS: Erythrocyte catalase activity was significantly greater in the late-clamped group than in the early-clamped group (P < .01 for the umbilical vein and P < .001 for the artery). The values for superoxide dismutase, total antioxidant status, and soluble tumor necrosis factor receptor II were all significantly higher in the late-clamped group compared with the early-clamped group (P < .01, P < .001, and P < .001, respectively).
CONCLUSIONS: The results suggest a beneficial effect of late cord clamping, produced by an increase in antioxidant capacity and moderation of the inflammatory-mediated effects induced during delivery of term neonates.
Key Words:
  • Accepted May 21, 2014.

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