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Medical clinics expanding care to needy

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WASHINGTON - An out-of-work David Thomas walked into a Milwaukee food pantry just seeking groceries. Thomas learned he was a stroke waiting to happen and got blood pressure medicine along with his bread.

It s part of a growing movement to offer medical care for the poor and uninsured in the places where they regularly gather.

Despite an increasing number of free medical clinics, treatment is hard for the needy to track down. That s especially true for the nation s top health problems high blood pressure, diabetes and high cholesterol that require ongoing care even when the person feels no symptoms if they re to avoid heart attacks, strokes, kidney failure and amputations.

Consequently, "they only come when they re out of medicines or have symptoms. It s so frustrating," says Dr. Jim Sanders of the Medical College of Wisconsin.

Churches nationwide are offering blood pressure screening days and health fairs. Projects in numerous states are teaching barbers and beauticians how to teach their customers about stroke symptoms or to encourage a mammogram while giving a haircut.

In Milwaukee, Columbia St. Mary s and the medical college aim to provide scientific evidence that "chronic disease management" ongoing wellness care can significantly improve food pantry users health in nine months.

And because four of those conditions are diet-related, patients also will get nutrition education: Cooking classes in the pantry s kitchen and tips to make the often carbohydrate- and salt-heavy food-bank staples a little healthier. Medical students will be sent shopping with patients, helping with things like label-checking for salt.

"Try to talk them into a head of broccoli. It s going to be an eye-opener."

Five days after starting pantry-provided pills, Thomas blood pressure was dropping fast.

The program, which aims to treat 2,500 patients over three years, is funded by a $450,000 grant from a charity, but patients are expected to contribute for medications if at all possible. Sanders predicts that for $4 or $5, a month s supply of generic hypertension or cholesterol medicine will be adequate for most. The seriously ill will be sent out for more advanced care, and nurses will enroll patients who qualify into Medicaid or other health programs.

"This is definitely an innovative program," says Dr. Jada Bussey-Jones, a preventive health expert at Emory University.

It s not the first time food banks and medical clinics have teamed up, notes Dr. Georges Benjamin of the American Public Health Association, pointing to a long-standing collaboration in the nation s capitol.

But there s little data showing how well this kind of nurse-led community project works, or that it can be cost-effective, Sanders says.

"The most important principle here is going where the people are," Benjamin says. "There no reason you can t do immunizations there, no reason you can t do nutritional counseling there. ... It makes a lot of sense."

___

EDITOR s NOTE Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

By LAURAN NEERGAARD, AP Medical Writer Tue Dec 25, 9:55 AM ET

WASHINGTON - An out-of-work David Thomas walked into a Milwaukee food pantry just seeking groceries. Thomas learned he was a stroke waiting to happen and got blood pressure medicine along with his bread.

It s part of a growing movement to offer medical care for the poor and uninsured in the places where they regularly gather.

Despite an increasing number of free medical clinics, treatment is hard for the needy to track down. That s especially true for the nation s top health problems high blood pressure, diabetes and high cholesterol that require ongoing care even when the person feels no symptoms if they re to avoid heart attacks, strokes, kidney failure and amputations.

Consequently, "they only come when they re out of medicines or have symptoms. It s so frustrating," says Dr. Jim Sanders of the Medical College of Wisconsin.

Churches nationwide are offering blood pressure screening days and health fairs. Projects in numerous states are teaching barbers and beauticians how to teach their customers about stroke symptoms or to encourage a mammogram while giving a haircut.

In Milwaukee, Columbia St. Mary s and the medical college aim to provide scientific evidence that "chronic disease management" ongoing wellness care can significantly improve food pantry users health in nine months.

And because four of those conditions are diet-related, patients also will get nutrition education: Cooking classes in the pantry s kitchen and tips to make the often carbohydrate- and salt-heavy food-bank staples a little healthier. Medical students will be sent shopping with patients, helping with things like label-checking for salt.

"Try to talk them into a head of broccoli. It s going to be an eye-opener."

Five days after starting pantry-provided pills, Thomas blood pressure was dropping fast.

The program, which aims to treat 2,500 patients over three years, is funded by a $450,000 grant from a charity, but patients are expected to contribute for medications if at all possible. Sanders predicts that for $4 or $5, a month s supply of generic hypertension or cholesterol medicine will be adequate for most. The seriously ill will be sent out for more advanced care, and nurses will enroll patients who qualify into Medicaid or other health programs.

"This is definitely an innovative program," says Dr. Jada Bussey-Jones, a preventive health expert at Emory University.

It s not the first time food banks and medical clinics have teamed up, notes Dr. Georges Benjamin of the American Public Health Association, pointing to a long-standing collaboration in the nation s capitol.

But there s little data showing how well this kind of nurse-led community project works, or that it can be cost-effective, Sanders says.

"The most important principle here is going where the people are," Benjamin says. "There no reason you can t do immunizations there, no reason you can t do nutritional counseling there. ... It makes a lot of sense."

___

EDITOR s NOTE Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

Best answer - the questions were elected four months ago

Very high risk of blood lipids, it is easy to cause atherosclerosis, hypertension and cardiovascular and cerebrovascular diseases, and so, therefore, should be given in addition to lipid-lowering drug therapy, family meals treatment should not be overlooked. Here are some to lipid-lowering food.

(1) soybean products including soy milk, tofu, bean sprouts, etc.. Modern Nutrition Research shows that soybean is not only rich in nutrition, and reducing the role of lipids. If a daily intake of 30 to 50 grams of soy protein can significantly lower serum total cholesterol, LDL and triglyceride levels, without affecting high-density lipoprotein cholesterol levels. The researchers pointed out that the lipid-lowering effect of soybean significantly with the level of the original serum lipids. The higher the blood lipids, lipid-lowering effect of the soybean significantly.

(2) with garlic vasodilator, and resolve excessive platelet aggregation effect, and prevent cholesterol biosynthesis and antioxidant role. There are reports that, the daily dose of garlic powder or garlic fine and adhere to eat garlic, 4 to 5 weeks later, blood pressure will be reduced by 10%, reduce serum total cholesterol 8% to 10%. If a day per person to eat garlic can prevent cardiovascular disease.

(3) promotion of clot dissolution with onion, reduce serum lipids, expansion and increase coronary blood flow peripheral role. Foreign scholars study, eat onions in the elderly, can prevent hyperlipidemia, arteriosclerosis, cerebral thrombosis, and the occurrence of coronary heart disease and development.

(4) In recent years research has shown that black fungus, black fungus have anti-platelet aggregation, reduce cholesterol and prevent blood lipid deposition role. At the same time, they also discovered a black fungus anti-lipid peroxidation role. Lipid peroxidation and closely related to aging, therefore, the elderly often edible black fungus, can prevent hyperlipidemia, atherosclerosis and coronary heart disease, and longevity.

(5) with kelp Ruanjian Sanjie, Lee water buck, lowering blood lipids, and promote the rehabilitation of patients with cerebrovascular disease role. Regular consumption in the prevention of hypertension, hyperlipidemia and atherosclerosis useful.n

Corn: rich in calcium, magnesium, selenium, and other substances, as well as lecithin, linoleic acid, vitamin E, they have reduced the role of serum cholesterol.

Oats: contain extremely rich in linoleic acid, unsaturated fatty acids of all of the 35% -52%; vitamin E content is very rich, and oat-containing saponins. They have lower serum cholesterol concentration role.

Milk: containing hydroxy methyl glutaric acid can inhibit cholesterol synthesis in vivo activity of the enzyme, thereby inhibiting the synthesis of cholesterol, lower blood cholesterol levels. In addition, the milk contains more calcium, may also reduce the body s absorption of cholesterol.

Onion: Hypolipidemic its effectiveness and its contained diallyl disulfide and a small amount of the sulfur amino acids. These substances are glycosides, with the exception of hypolipidemic, but also the prevention of atherosclerosis, the artery has a protective effect. Also with prostaglandin A, diastolic blood vessels, lower blood pressure and function.

Garlic: Garlic Garlic and effectiveness of lipid-lowering substances contained - the allicin. Garlic s active ingredient is antibacterial, anti-tumor characteristics, can prevent atherosclerosis, such as lowering blood glucose and lipids.

Almond: almond free cholesterol, saturated Only 7% of the fat palmitic acid. Hyperlipidemia patients of days eating 30 g almonds, could be replaced with high saturated fatty acids in food.n

Egg: In the past, that of high cholesterol content of eggs, eat habitation formed after coronary heart disease. Has now been confirmed that eggs contain lecithin, enabling blood cholesterol and body fat to maintain state without suspended sediments in the vessel wall, thereby effectively lowering serum lipid levels. Eating an egg a day recommended suitable.n

Of blood cholesterol and triglyceride is the most important lipid, which is not too small, not too many. In the current nutritional conditions, the elderly are prone to high blood lipids, blood cholesterol showed a higher than 5.5 mmol / L (220mg/100m1) or blood triglyceride content higher than 1.76 mmo1 / L (160mg / 100m1). Hyperlipidemia closely linked with the incidence of coronary heart disease, lowering blood lipid control is one of the important means of coronary heart disease. With the type of hyperlipidemia, serum cholesterol and triglyceride is a one or two are higher increase is the key to choosing a suitable diet.

The only higher blood cholesterol and triglyceride normal, restaurants must limit cholesterol. Jichi or should eat food containing cholesterol, such as the animal brain, spinal cord, offal, egg yolk, mussels, river snail, abalone, squid, roe, etc.. Lean pork, beef, duck, chicken, fish, milk fermentation biliary solid content is not high, some may be appropriate to eat, to nutritional supplements. Single-eat vegetarian physical disadvantage. Do not use Xunyou cooking, as far as possible use less Suyou. Soybean, onion, garlic, mushrooms, fungus, such as the role of a cholesterol-lowering can eat as much as possible.

Only increased blood triglyceride and blood cholesterol is not high, the attention of dietary matters to be different. The first is to limit consumption to increase campaign to make weight to the normal range, secondly, to eat or do not eat sugar, because sugar can be converted into triglycerides in the body. It should also be alcohol, because long-term blood alcohol concentration can be increased triglyceride levels to rise. Such patients eggs, mussels, crabs and other foods containing cholesterol could be more appropriate to relax, occasionally eat animal fat is not a bad idea.

Many patients have blood cholesterol and triglycerides increased, compared to the control diet of strict. It is necessary to limit high-cholesterol food, but also reduce the weight, but also alcohol.

Given the current number of hypolipidemic drugs have some side effects more or less, reasonable diet is the safest method.n

To be mainly light, the best meat Eating of chicken (skinless), pork (thin) and fish, vegetables-have less oil, not drinking and smoking.

Eating out less, if unavoidable. That ease of use tea to wash fresh things you (after you have done this, you will know that you eat a day more oil shots)

More water! ! !n

Lead to high blood lipids is a major factor in coronary heart disease.

Coronary Heart Disease name coronary atherosclerotic heart disease. Coronary heart itself is the main nutrient provided arteries. The so-called atherosclerosis, the accumulation of vascular wall is a large number of low-density lipoprotein, triglyceride and fibrinogen, atherosclerosis plaque formation, vascular increasingly narrow and lose flexibility.

Vascular stenosis flow will be impeded, resulting in myocardial ischemia, which caused angina, heart failure, arrhythmia, and other reactions. Especially on the wall of atherosclerosis plaque rupture at any time in shedding in the blood vessels of the size of thrombus formation. Bulky and large patches of obstructive coronary vascular thrombosis, myocardial infarction; small volume of plaque along the vascular thrombosis and small micro-vascular flow to the brain, causing cerebral infarction, stroke, stroke.

Frequent arrhythmia, often feeling flustered, chest tightness, heart disorders, will trigger serious heart fibrillation, the heart suddenly stopped beating.

Myocardial infarction in coronary heart disease, brain stem, the risk of sudden death is enormous, and no one knows when they will attack, and when the attack will surprise people. Many people have also good, and suddenly there will be no!

There is a material and help you and your treatment of coronary heart disease risk from the threat of sudden coronary heart disease. It is the role of softening blood vessels, reducing blood lipid \ elimination of thrombosis and atherosclerosis plaque, stable rhythm, therefore, it can reduce the incidence of heart disease 80%, heart disease death rate has dropped 50 per cent. You can log in China cardio-cerebral Health Network (www.cccho.cn) a detailed understanding. Recently, 256 yuan can apply for the free trial.

I wish you the best of luck.


Related: Medical clinics expanding care to needy


Additional information:

From www.onelocalnews.com:
A diet high in fruit and vegetables may also help to improve cholesterol levels for those with high cholesterol. So, fruits and vegetables.
In case your diet does not contain high cholesterol foods, but you still have high cholesterol levels, then to learn how to lower your cholesterol.
But its not just the cholesterol in foods that counts. Foods high in. Following a healthy low fat diet almost always lowers.
For many people, high cholesterol is caused by eating a diet that is high in saturated fats and cholesterol. Some people, however, have an inherited.
High blood cholesterol is one of the major risk factors for heart disease. Diet. Saturated fat and cholesterol in the food you eat make your blood.
One of the main ways blood cholesterol can reach undesirable levels is through a diet high in saturated fat and cholesterol. Fatty cholesterol.
Information about diet tips for children with high cholesterol from the American Academy of Family.
Information on a low cholesterol diet and how to understand the cholesterol. In the event of high cholesterol or triglyceride levels, physicians.


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