New hormonal Rx for breast CA approved

Health,Women's Health |

Researchers are cautiously enthusiastic about anastrozole (Arimidex) a new hormonal agent that has shown a 22% increased survival rate for postmenopausal women treated for metastatic breast cancer.  Anastrozole which has just been approved by the Health Protection Branch of Health Canada has the added benefit of being a well-tolerated drug with minimal side effects.  Two identical international trials one in North America and one in Europe and Australia were conducted with more than 500 postmenopausal women unsuccessfully treated with tamoxifen and ready for second-line hormone therapy. Two-hundred and sixty-three women were randomized to receive either 1 mg/day or 10 mg/d anastrozole and 253 were randomized to receive 40 mg megestrol acetate the standard second-line hormonal therapy.   (more…)

Women Have Less Time for Exercise

Women's Health |

If your facility is in a lower-income area, then you can support your community’s health by encouraging women to exercise. A study published in the American Journal of Public Health (December 2001) found that women with an annual of income less than $20,000 had less time to exercise compared to men with the same income. (more…)

Unequal Pay for Unequal Work Pay-for-Performance, Part 2

Health |

Make a commitment to increasing productivity

Individual performance is inextricably connected to the overall productivity of your business. To improve individual performance,explain to employees how their individual actions affect the whole facility. Exploit the power of pride by recognizing outstanding performances. (more…)

Unequal Pay for Unequal Work Pay-for-Performance, Part 1

Health |

Simply stated, capitalism creates wealth by encouraging people to be productive. Why don’t you try the same concept in your fitness facility? Pay-for-performance works like this: You set standards for performance, then reward those who exceed the standards. Pay-for-performance does not take into account years of service, seniority, education, potential or other measures of future achievements. All that matters is performance. Consider the steps involved in setting up an effective pay-for-performance program in your facility. (more…)

Speech Concerns in Toddlers

Children's Health |

Your pediatrician is not concerned about your son’s language development, because he hasn’t had a history of ear infections and because he is using language fairly well. It is not likely that your son is having problems hearing. (more…)

Tonsils To Go or Not to Go?

Health |

A generation ago, “having your tonsils out” was almost a rite of passage. Parents expected it. Children’s fears were calmed with the promise of getting “all the ice cream you want.” (more…)

Why Should We Care About Menopause? Part 2

Women's Health |

It’s going to be difficult for an 80-year-old woman to defy her age for one-third of her life, regardless of genetics and plastic surgery. It should not be an impossible goal to have 80-year-old women take pride in their appearance, enjoy their favorite hobbies that may include dancing, swimming, hiking, etc., and continue to expand their minds. (more…)

Why Should We Care About Menopause? Part 1

Women's Health |

Too often, women have symptoms associated with menopause but don’t know what causes them and what may make them better. I find it maddening when women go to their healthcare providers and describe their symptoms only to be given a prescription for hormone replacement therapy (HRT) without a thorough explanation of risks, benefits and alternatives. (more…)

Will I Still Get My Period if I Choose HRT?

Health |

For women who have not had hysterectomies, combining progestin with estrogen is necessary to eliminate the risk of endometrial cancer. But one of the consequences of taking estrogen in combination with progestin is that it can cause women to resume or continue monthly menstrual bleeding. While women have options in choosing HRT that can reduce menstrual bleeding, some form of monthly bleeding or spotting will accompany HRT in many women.

The most common HRT regimen includes low-dose progestin for between 12 and 14 days a month. Nearly 90 percent of women who take this regimen begin bleeding as soon as the progestin is stopped. Monthly bleeding occurs for many years after HRT is started, but as time passes, the bleeding often lessens and eventually stops.

Because many women are reluctant to continue having “periods” after menopause, doctors are now prescribing an HRT program that includes progestin every day. In this program, between 30 and 50 percent of women have irregular spotting for the first six months of therapy.

Spotting can also be a sign of uterine tissue problems or cancer, so if you are spotting, your health care provider may recommend an endometrial biopsy to rule out other problems.

If you are interested in hormone replacement therapy but are concerned about continuing to have monthly menstrual bleeding, talk to your health care provider about your options.

Grass Vs. Artificial Turf

Health |

Inhale the scent of a freshly cut grass field. Run on this same surface and feel the give as the ground accommodates your weight and direction. Slide in the puddles and avoid divots as you navigate the playing surface. (more…)