(NewsUSA) - Many older adults would prefer to remain in their own homes as they age, but a lack of affordable options makes this plan a challenge for individuals and their families, according to results of a new survey of more than 1,700 caregivers and other respondents in two rural California counties.     

Older individuals may find themselves burning through savings to stay at home, or forced to move to a nursing home or long-term-care facility if they can’t afford to hire home-care help, according to the survey. The survey was sponsored by Legacy Health Endowment, a California-based nonprofit healthcare grant-making foundation.   

Often, adult children become caregivers, and they face financial and emotional hardships of their own. Nearly 80% of the survey respondents says that their caregiving responsibilities have affected their ability to pay their household expenses. Adult children may sacrifice saving for their own retirements, funding their children’s college education, or making down payments on a home to financially support and care for aging parents.     

In these situations, “caregivers shoulder the burden of rearranging their schedules, juggling doctors’ visits and prescriptions, squeezing in regular shopping trips and performing essential housekeeping chores, all while caring for a spouse or aging parent,” explains Jeffrey Lewis, President and CEO of Legacy Health Endowment.   

The burden is even heavier for women, says Lewis. “Women who leave the labor force early because of care-giving responsibilities cost themselves an average of $324,044 in lost salary and Social Security and pension contributions over their lifetimes,” he adds.     

Other key survey results related to women caregivers include the following:     

• Approximately 90% think services that allow seniors and those who are disabled to live where they prefer are important.     
• Approximately 72% say that caregiving responsibilities have impacted their physical, mental, and emotional health.     
• Approximately 60% report decreasing their work time because of caregiving responsibilities.

The survey also found overwhelming support from respondents for respite care for primary caregivers, who often face fatigue and burnout. More than 91% say they support programs that provide resources for their own mental health as well as resources to help with caregiving.  

The survey was sponsored by Legacy Health Endowment and conducted by J. Wallin Opinion Research, and conducted in English and Spanish between March 25 and April 19, 2022, in Stanislaus and Merced counties. The data were collected by professional interviewers by calling cell phones and landline phones, as well as online interviews via text, e-mail and social media.     

For full survey results,visit legacyhealthendowment.org.

(By George Renaudin, SVP, Humana) - Now that we’re halfway through 2022, it’s important that people with Medicare re-evaluate what is included in the Medicare Advantage health plans they selected to ensure they’re maximizing their coverage throughout the year.

While it’s common for Medicare Advantage members to use benefits such as coverage for doctor’s appointments, preventive screenings and vaccines, many plans offer additional benefits so individuals should look to take advantage of the innovative options that might be included in their plan, such as:  

• Transportation Benefits: Several health plans cover non-emergency medical transportation to and from doctor’s appointments. If transportation has been a problem for you, or you’d prefer to not drive, inquire with your health plan about transportation benefits in your area.     

• Fitness Programs: The SilverSneakers health and fitness program is designed for individuals with Medicare. Members have access to 15,000 participating U.S. fitness locations which may have cardio equipment, pools, and free weights as well as fitness classes and social events. The program also includes yoga, walking groups and on-demand video classes.     

• COVID Care: In addition to the free tests offered by the government, some Medicare Advantage plans currently offer 14 days of home-delivered meals (up to 28 meals) as well as $0 copays for testing, treatment, and vaccinations.     

• Insulin Savings: The price of insulin can be a barrier for the 3.3 million people with Medicare who use it. Fortunately, many plans offer a benefit to help members save money on insulin costs. For example, some Humana members pay no more than $35 for a 30-day supply of select insulins at all in-network pharmacies.     

These are just some of the benefits included in Medicare Advantage plans. If you’re currently enrolled in a plan, reach out to your agent or health plan to confirm what you’re eligible for so you can take advantage of these resources, as the only opportunity to change your plan outside of the annual election period is if you encounter certain events, such as moving or losing other insurance coverage.

Humana is a Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organization and a stand-alone PDP prescription drug plan with a Medicare contract.  Enrollment in any Humana plan depends on contract renewal.

George Renaudin is a senior vice president at Humana.

(NewsUSA) - When was the last time you thought about the health of your nails? In fact, healthy nails are not only attractive, but they are also important to overall health.     

Nails can even be a window into underlying serious disease. Proper nail care helps keep your hard-working hands and feet looking and feeling their best by decreasing infection risk and breakage. As temperatures start to rise and RSVP season kicks into high gear, it’s time to show your nails some love.     

According to Dr. Dana Stern, a board-certified dermatologist and an Assistant Clinical Professor of Dermatology at the Mount Sinai Medical Center in New York City, the most common mistakes people make when it comes to caring for their nails are choosing the wrong products and using the wrong tools.     

“We need to think about nail care in the same way we think about skin care and pay more attention to products we’re using and how we focus on not just the look of our nails but the underlying health,” says Dr Dana.     

Dr. Dana, the only dermatologist who devotes her entire practice to nail diagnosis, treatment, and surgery, is a go-to dermatologist for patients seeking advice on how to treat nail conditions and gel damage, as well as the best ways to keep their nails healthy and beautiful. Some common nail complaints she hears from patients are dryness, weakness, ridges, and aging related nail issues. She also hears her patients talk about dry, brittle nails from all the hand washing and use of hand sanitizer.     

Dr. Dana shares her top three tips to improve the look and health of your nails:     

First, when you’re choosing products, be mindful of the ingredients and steer clear of harmful chemicals such as formaldehyde, a known carcinogen and an ingredient that is in many nail strengthener formulas. Just as you wouldn’t want to use a product with harsh substances on your face or body, the same goes for products you put on your nails.     

Second, stop using abrasive emery board nail files. These files can be damaging, as they cause microscopic tears at the tips of the nails. Instead, look for glass or crystal files that will give your nails a smooth edge and won’t cause snags or tears.   

 Lastly, always wear gloves when doing wet work around the house or garden, such as washing dishes. Nails are like little sponges, and over-saturation will weaken the nail, making it prone to breakage.     

To promote nail health and help consumers take care of their nails at home, Dr Dana developed  the Nail Renewal System, which uses plant-based science to combat brittle, ridged, weak and over-processed nails. Hailed by celebrities as a nail miracle, the system produces healthy, lustrous nails within minutes of the first treatment.     

“Skin care products have progressed in line with scientific advancements, so why haven’t nail care products? It is time for a nail care brand that does more than merely mask the issues -- that revolutionizes the way people care for their nails,” says Dr. Dana.   

“In the same way that exfoliation improves the health of your skin, the Nail Renewal System is designed to remove damaged, superficial nail cells and promote hydration to improve the health of your nails,” she explains. “I like to call it a buff with benefits.” The Nail Renewal system is the first nail treatment with glycolic acid for essential exfoliation, and the product is free of formaldehyde, parabens, artificial fragrance, dyes and other toxic ingredients often found in nail care products.     

Another key ingredient is in the hydrating formula of the Nail Renewal System. Pistacia Lentiscus is a natural nail strengthener derived from the sap of a unique evergreen tree in the Mediterranean.     

The biggest myth Dr. Dana hears in her practice? “Nails do not need time to breathe in between color applications -- they don’t have lungs.” Actually, nails receive oxygen from increased blood flow resulting from exercise. So cardio is not only good for your heart, but also for your nails.     

Need more incentive to show your neglected nails some love? A nail trend that’s sweeping the fashion runways and featured in magazines is  “#TheNakedManicure.” In the same vein as the “no makeup” makeup look, it features shiny, clear nails you can show off with confidence without the pitfalls associated with polish and time and money spent at the salon.     

Dr. Dana’s Nail Renewal System is distributed through Rare Beauty Brands, a global brand platform of purpose-driven beauty brands.  

Visit drdananails.com for more information.

(NewsUSA) - Sometimes an egregious wrong gets righted.     

Such appears to be the case for military members and their families who’ve been seeking justice in the courts for exposure to contaminated water that sickened generations at the Camp Lejeune Marine base in North Carolina.     

Public outrage over their treatment heated up after victims’ lawsuits were dismissed in 2016 because of a state statute prohibiting plaintiffs from launching cases if more than 10 years have passed since the contaminating event. But last March the U.S. House of Representatives passed the bipartisan Camp Lejeune Justice Act of 2022 that essentially overrode that legal hurdle  -- “Thirty-four years of people were exposed to toxins in the drinking water,” one congressman raged -- and the Senate seems poised to follow suit.     

Now one of the nation’s most experienced tort law firms, Weitz & Luxenberg, has announced that it’s preparing to file lawsuits against the government in U.S. federal court on their behalf.     

“We believe they deserve compensation, especially because they and their families became sick while serving our country,” said Robin Greenwald, a partner at the firm and co-chair of its Environmental and Consumer Protection Unit. “They drank the water, they bathed in it, and they used it to cook their food.  And that water was contaminated with toxins at concentrations anywhere from 240 to 3,400 times the levels permitted by safety standards.”     

The 156,000-acre Camp Lejeune, with 11 miles of beach capable of supporting amphibious operations, is used for military training purposes primarily by the Marine Corps but also other branches of the armed forces.  Some of the most damning evidence comes from the U.S. Department of Health and Human Service’s own Agency for Toxic Substances and Disease Registry (ATSDR): “It is ATSDR’s position that exposure from the 1950s through February 1985 to trichloroethylene, tetrachloroethylene, vinyl chloride and other contaminants likely increased the risk of cancers, adverse birth outcomes, and other adverse health effects” for those on the base.   

The Marine Corps first discovered volatile organic compounds in Camp Lejeune’s drinking water in 1982. However, it was already too late for people like now-retired Marine Corps Master Sgt. Jerry Ensminger, whose 9-year-old daughter Janey died in 1985 after having been diagnosed with leukemia two years earlier.         

“The entire first trimester of (her mother’s) pregnancy was there on the base,” Ensminger told theHill.com on the eve of the bill’s passage. “We’ve got more documented evidence of what happened at Camp Lejeune than they have for Agent Orange.”   

Assuming the Camp Lejeune Justice Act is ultimately signed into law by the president, who would be eligible to file lawsuits?     

Those who lived, worked, or were exposed to drinking water at the base for at least 30 days from August 1, 1953, to December 31, 1987, and subsequently suffered water toxicity-related diseases.  Among the conditions associated with exposure to the chemicals found in the drinking water:       

• Breast, lung, liver, kidney and esophageal cancers     
• Leukemia     
• Cardiac defect     
• Female infertility     
• Miscarriage     
• Parkinson’s disease     
• Non-Hodgkins lymphoma     
• Fatty liver disease   
 • Myelodysplastic syndromes     
• Multiple myeloma     
• Renal toxicity     
• Neurobehavioral effects     
• Scleroderma     

Weitz & Luxenberg encourages those who believe they fit the criteria and have been diagnosed with one or more of those conditions to schedule a free consultation.     

The firm has a stellar track record in handling toxic contamination lawsuits. It won a landmark $423-million settlement against some of nation’s biggest oil companies, for example, in a suit involving the contamination of 153 public water systems with the gasoline additive methyl tertiary butyl ether. And Greenwald was co-lead counsel for an $11 billion settlement in 2020 against Monsanto Company on behalf of nearly 100,000 Americans suffering from Non-Hodgkins lymphoma from their exposure to the weed killer Roundup.       

As for Camp Lejeune, the ATSDR has said as many as 1 million military and civilian staff and their families might have been exposed to the contaminated drinking water. The victims who initially stepped forward only to have their cases dismissed in 2016 because of the North Carolina statute -- and they were only a tiny fraction of that number -- had reportedly filed claims totaling nearly $4 billion.

(NewsUSA) -  

“Grocery Girl”
by Virginia’dele Smith       

This is the touching first book in the Green Hills wholesome small-town romance series. If you like strong but vulnerable characters, emotional growth, and quaint backdrops, then you’ll adore this celebration of joy.  

Maree Davenport refuses to let a tearful past rule her future. The big-hearted fabric designer is determined to find happiness. When she literally runs over a handsome new firefighter in the produce section, the hopeless romantic is certain she’s just collided with destiny.  

Everyone Rhys Larsen ever loved has died. And though he may have hit it off with Maree, the haunted EMT knows better than to let her into his heart. But when an accident leaves her wounded and in need of care, he vows to nurse her back to health. Purchase at https://amzn.to/3IuASdT.

“Bed of Rose and Thorns”
by Lee Hunt  

Sir Ezra is an Elysian Bell; he has a frightening potential that he keeps hidden deep beneath tight layers of steel armor. He secretly loves a dark Queen whose touch would mean his death. Banished for brutally slaughtering the Prince of Erle and husband to the Queen, Ezra can only dream of seeing her again.  

Recalled to the Queendom after 11 years, Ezra hopes to catch a fleeting glimpse of the woman he was sacrificed for. Instead, he finds a nation in rebellion and the Queen to be an elusive phantom. His only friend, Sir Marigold, tells him that he is not needed in the capitol. Looking for both the truth and the absent Queen, Ezra only finds more secrets and enemies. Purchase at https://amzn.to/3tFs8xH.

“Diet for Great Sex: Food for Male and Female Sexual Health”
by Christine DeLozier, L.Ac.  

Sex truly becomes great when our nerves, blood vessels and hormones operate in synchrony. Luckily, modern research has shown that diet affects this trifecta, and having a great sex life just might  be as easy as preparing the right dinner.  

In this cheeky scientific guide, author Christine DeLozier, a licensed acupuncturist, explains how the foods we eat can balance hormones, increase blood flow and strengthen nerve conduction to and from the genitals. Calling upon her years of experience treating sexual health issues, and her training as a research scientist, DeLozier walks readers through the specific foods that will lead to great sex and explains the science of how it works. Purchase at https://amzn.to/3Ddghd6.

“Gut Feelings: The Patient’s Story”
by Douglas A. Drossman MD and Johannah Ruddy M.Ed.  

Gut-brain disorders affect about 40 percent of all Americans. This book builds upon the authors’ first book, “Gut Feelings: Disorders of Gut-Brain Interaction,” by presenting the personal stories of eight patients to create a full understanding of their disorders, personal experience of illness and their relationship with the health care system.  

Says MD and NY Times bestselling author Will Bulsiewicz, “In these stories lie an overarching message of hope. Solutions do exist! Healing is possible! But what you will discover, time and again, is that the first step toward healing is the creation of a healthy provider-patient relationship.” Jill Preyer, a patient, adds, “It is very meaningful to finally understand what had been going on in my body all these years.” Purchase at https://bit.ly/3vN3Mmu.

NOTE: BookBites is presented by BookTrib.com.

Reissue: June 15, 2022

(NewsUSA) - In a landmark Memorandum of Understanding (MOU) signed on May 17, 2022, by Mitch Carmichael, the Secretary of State for Economic Development of West Virginia, and Yong Soo Jun, Chairman of UNDBIO, Inc. the State of West Virginia agreed to provide fiscal, tax, and other incentives to promote UNDBIO’s production of insulin in West Virginia.  Secretary Carmichael also pledged to work with state, county, and local officials to promote UNDBIO’s insulin production.     

The purpose of the MOU is to meet the need for reasonably priced insulin in the United States and North America, as currently over 50 million persons are suffering from diabetes in the United States. In West Virginia alone 16 percent of the adult population suffers from diabetes.  The most commonly used forms of analogue insulin cost 10 times more in the United States than in any other developed country.     

UNDBIO estimates that its manufacture of insulin will create 1,200 new jobs in West Virginia and result in the transfer of its innovative technology platforms including human insulin, insulin analogues, and delivery innovation such as insulin sustained release injection.     

UNDBIO will commence its research and construction of its West Virginia manufacturing plant in the second half of 2022, complete its pilot facility in 2023, and manufacture clinical drugs for human clinical trials in 2024.     

“I am happy to establish our relationship with the State of West Virginia to manufacture affordable insulin and insulin analogues for the diabetic population around the globe,” said UNDBIO’s Chairman Jun. “We would welcome other partners and investors into our global insulin project,” he said.     

UNDBIO officials recently met with U.S. Senator Joe Manchin (D-W.Va.), who said, “UNDBIO has showcased their commitment to bringing long-term, good-paying jobs to West Virginia and as UNDBIO, WVU and state officials continue discussions, my staff and I are prepared to support these efforts to bring manufacturing opportunities to the Mountain State.”     

Support is echoed by U.S. Senator Shelley Moore Capito (R-W.Va.), who said “The news of this agreement between UNDBIO and the State of West Virginia is a positive step forward in UNDBIO’s quest to manufacture insulin right here in West Virginia. While there is still more work to do to finalize this new facility, I stand ready to help to make sure this becomes a reality. I congratulate UNDBIO on this advancement and look forward to supporting them in their investment that could lead to creating more than 1,000 jobs in West Virginia.”     

UNDBIO has signed a Memorandum of Understanding indicating its intention to manufacture insulin at the Research Park owned by West Virginia University (WVU) in Morgantown, West Virginia. The support of federal and state officials of West Virginia was echoed by Gordon Gee, President of West Virginia University, who said, “We look forward to building a strong relationship with UNDBIO that can further an important part of our land-grant mission to provide opportunities for better access to health care.”     

For further information, contact: Dr. Haiching Zhao/UNDBIO, [email protected]; Tel: 240-234-4717.

Reissue: June 15, 2022

(NewsUSA) - The pandemic created a major shift in the way people consume - and, more importantly, trust - information, especially as it relates to vaginal health. In fact, a new survey conducted by OnePoll on behalf of RepHresh of 2,000 American women age 24-34 reveals that two in five women named Google as their go-to source of information over a physician when experiencing discomfort or vaginal health symptoms.

Many women are also turning to social media for health advice. For example, on TikTok, hashtags relating to the words "sex education" have over 70 million views. A now infamous TikTok video, providing a tutorial on how to relieve constipation through "vaginal splinting" has racked up over 3 million views and the latest popular #icecubechallenge claims to tighten the vagina and curb bacterial overgrowth.

While these trending DIY/at-home medical hacks can be entertaining, many of these practices are not only ineffective at controlling the natural balance of good and bad bacteria, but can be dangerous and cause more harm than good. Melting an ice cube in the vagina can elevate the natural pH balance and trigger a bacterial infection as the pH of water (7.5-8) is higher than the normal vaginal pH (3.5-4.5). And, while vaginal splinting is a scientific method used by medical professionals, experts caution trying it at home as it poses a risk of bacterial spread if not done properly.

The RepHresh survey found that over half (51%) thought a vagina should have a neutral pH, and only 12% correctly identified "moderately acidic" as the ideal pH balance. In addition, the top three most Googled phrases and questions respondents needed answers about included "vaginal discharge" (44%), "do I have a yeast infection?" (39%) and "vaginal odor" (37%).

With an uptick in misinformation, most women frequently misdiagnose their vaginal symptoms. That's why it's more critical than ever that women turn to trusted health care professionals for advice, proper diagnosis and remedies for the actual problem.

Here are a few important things women might not know, but need to know to maintain good vaginal health:

1. Vaginal odor is completely normal and should not be a cause for alarm. Refrain from using unnecessary scented products, including wipes and washes that claim to eliminate odor with fruity or flowery fragrances, as this will not solve the root cause of the issue, which is an unbalanced pH. Do look for clinically-backed and doctor-recommended products for vaginal health, such as over-the-counter RepHresh Gel, which rebalances pH to a healthy range, eliminates odor, and lasts up to three days.

2. Bacterial Vaginosis (BV) and yeast infections can present similar symptoms, such as unusual vaginal discharge and discomfort, so when women run to the drug store and buy an OTC yeast medication such as Monistat, they are not addressing the root cause of the problem. Two out of three times it is BV, which must be treated with an antibiotic from their health care provider. But, antibiotics can kill the good and bad bacteria and cause a yeast infection, so make sure to take a vaginal probiotic once a day such as RepHresh Pro-B as it contains 2 strains of vaginal lactobacilli to keep the vaginal flora in balance and eat foods high in probiotics like a healthy no-sugar-added Greek yogurt, kefir, kimchi, or miso.

3. High sugar and alcohol intake can elevate pH imbalances and contribute to an overgrowth of yeast. Maintain a healthy moderation of sugary drinks and junk food as excess amounts not only impact vaginal health, but overall weight gain and wellness.

4. Vaginal discharge is a completely normal function in which the vagina naturally removes old cells to keep the environment healthy and clean. Some women have more discharge, while others might experience very little, and it can change in color and thickness depending on the ovulation cycle. However, discharge accompanied with itching, burning, fishy odor, swelling, unusual color, or pelvic pain should be brought to a doctor's attention as it can be a bacterial infection or STI and must be treated appropriately.

Before trying something new, consult with your healthcare provider especially when things seem off to ensure the safety and efficacy of the method or product you are considering. And, don't miss your annual OB/GYN visit.

Maria Sophocles, MD, OB/GYN is the Medical Director of Women's Healthcare of Princeton in Princeton, NJ.

(NewsUSA) - Pregnant or planning a pregnancy? It's time to think about your blood pressure, even if you've never had high blood pressure. About half of pregnancy complications, such as having a preterm baby, are related to high blood pressure. Pregnancy complications also increase your risk of heart disease later in life. But many pregnancy complications can be prevented.

You may begin your pregnancy with a healthy blood pressure of less than 120/80 mm Hg, but still develop a type of high blood pressure that occurs during or right after pregnancy. One complication is gestational hypertension, defined as blood pressure 140/90 mm Hg or greater. It typically occurs after 20 weeks of pregnancy or close to delivery.

Another condition is preeclampsia, a combination of high blood pressure that develops after 20 weeks of pregnancy with other signs your organs aren't working well, such as high protein levels in your urine. Serious cases can lead to life-threatening seizures or coma, a condition known as eclampsia.

Here are seven ways to help keep you and your baby safe from problems related to high blood pressure.

1. Talk to your healthcare provider.

Even if you're not yet pregnant, knowing if you have high blood pressure can help determine if you're at higher risk for pregnancy-related complications. Work with your provider to make a plan for a healthy pregnancy. This includes discussing:

• What a healthy blood pressure range is for you.
• How to control or lower high blood pressure by adopting a healthy lifestyle, such as being physically active, choosing heart-healthy foods that are low in salt and sodium, and not smoking.
• Medications you are taking. If you're already on blood pressure medicine, ask if the type you take is okay to use when pregnant.
• Your family's health history. If others in your family had preeclampsia, your provider may recommend taking extra precautions.
• How other individual factors, such as your age, where you live, your race, or access to healthcare may affect your risk for pregnancy-related complications.

2. Monitor your blood pressure.

Usually, you can't feel if you have high blood pressure. As part of your regular prenatal care, your provider will check your blood pressure at each visit. If it's high, they may suggest you get a home monitor. If you need one, ask someone at your provider's office to help make sure it's working properly and that you're using it correctly. Then keep track of your numbers. Also, ask your healthcare provider when you should call if your numbers go up.

3. Know the signs of preeclampsia.

Preeclampsia may not cause symptoms at first. However, you may notice some mild symptoms, such as:

• Swelling in your hands or face
• Gaining weight suddenly over one to two days
• Gaining more than two pounds a week
• Peeing less often than normal

Preeclampsia generally occurs after the 20th week of pregnancy. It can also develop after delivery, most often within 48 hours. If you have any symptoms or something doesn't feel right, it's always best to call your provider. Go to the emergency department or call 9-1-1 if you experience any of these symptoms of severe preeclampsia:

• Headache that doesn't go away or becomes worse
• Trouble breathing
• Pain on the right side, below the ribs, or in the right shoulder
• Nausea and vomiting
• Vision changes

4. Get support from friends and family.

Share signs of pregnancy complications with your family and friends. Ask them to help you monitor how you're feeling and help you get medical care. When you're talking to a health provider, these friends can make sure you describe all of your symptoms and ask all of your questions, and they can advocate for you so you get the care you need.

5. Try to manage stress.

Stress isn't good for your blood pressure. Practice turning on your body's built-in relaxation response (the opposite of the stress response). Guided imagery, progressive muscle relaxation, and deep breathing exercises are techniques that can help you relax. Moving more can help calm your mind and body, and is important for your overall heart health. Try yoga or meet up with friends for a brisk walk. Being in nature can also be very soothing for some people.

6. Stay healthy post-pregnancy.

After your pregnancy, try to keep up your self-care routines, especially for your heart health. If you had preeclampsia, you'll need to take extra care of your heart. One of the best things you can do is share the details about pregnancy complications with your healthcare providers. Tell them what happened and what treatment you received. You may need a cardiovascular screening three months after pregnancy and then annually. The screening will measure your blood pressure, cholesterol, blood sugar, and weight. Remember -- you know your body. Identifying and modifying cardiovascular disease risks early can significantly reduce the risk for experiencing a heart attack or stroke later in life. Tell your healthcare provider if your blood pressure goes up or something doesn't feel right.

7. Learn more.

Learn more about heart health and pregnancy and find resources for tracking your blood pressure numbers at nhlbi.nih.gov/hypertension.

(NewsUSA) - ¿Está embarazada o planeando un embarazo? Es hora de pensar en su presión arterial, incluso si nunca ha tenido presión arterial alta. Aproximadamente la mitad de las complicaciones en el embarazo, como tener un bebé prematuro, están relacionadas con la presión arterial alta. Las complicaciones en el embarazo también aumentan el riesgo de desarrollar una enfermedad cardíaca años más tarde. Pero muchas complicaciones en el embarazo se pueden prevenir.

Usted puede comenzar su embarazo con una presión arterial saludable de menos de 120/80 mm Hg, pero aun así desarrollar un tipo de presión arterial alta que ocurre durante o justo después del embarazo. Una es la hipertensión gestacional, definida como presión arterial de 140/90 mm Hg o mayor. Por lo general, ocurre después de 20 semanas de embarazo o cerca del parto.

La preeclampsia es una combinación de presión arterial alta que se desarrolla después de 20 semanas de embarazo con otros signos de que sus órganos no están funcionando bien, como niveles altos de proteínas en la orina. Los casos graves pueden conducir a convulsiones o coma potencialmente mortales, una afección conocida como eclampsia.

Aquí se presentan siete maneras de ayudar a mantenerlos a usted y a su bebé a salvo de los problemas relacionados con la presión arterial alta. 

1. Hable con su profesional médico.

Incluso si aún no está embarazada, saber si tiene presión arterial alta puede ayudar a determinar si corre un mayor riesgo de desarrollar complicaciones relacionadas con el embarazo. Trabaje con su profesional médico a fin de hacer un plan para un embarazo saludable. Esto incluye hablar acerca de lo siguiente:

• Cuál es su rango de presión arterial saludable.
• Cómo controlar o reducir la presión arterial alta adoptando un estilo de vida saludable, como ser físicamente activa, elegir alimentos saludables para el corazón que sean bajos en sal y sodio y no fumar.
• Medicamentos que está tomando. Si ya está tomando medicamentos para la presión arterial, pregunte si el tipo que toma puede usarse cuando esté embarazada.
• El historial médico de su familia. Si otras personas en su familia tuvieron preeclampsia, su profesional médico podría recomendarle tomar precauciones adicionales.
• Cómo otros factores individuales, como su edad, el lugar donde vive, su raza o el acceso a la atención médica, podrían afectar su riesgo de desarrollar complicaciones relacionadas con el embarazo.

2. Monitoree su presión arterial.

Por lo general, usted no puede sentir si tiene la presión arterial alta. Como parte de su atención prenatal regular, su profesional médico controlará su presión arterial en cada visita. Si es alta, puede sugerirle que consiga un monitor casero. Si necesita uno, pida a alguien en el consultorio de su profesional médico que la ayude a asegurarse de que funcione correctamente y de que lo está usando correctamente. Luego, haga un seguimiento de sus números. Además, pregunte a su profesional médico cuándo debería llamar si sus números aumentan.

3. Conozca los signos de la preeclampsia.

La preeclampsia podría no causar síntomas al principio. Sin embargo, usted puede notar algunos síntomas leves, tales como:

• Hinchazón en las manos o la cara
• Aumentar de peso repentinamente durante uno a dos días
• Subir más de dos libras por semana
• Orinar con menos frecuencia de lo normal

La preeclampsia generalmente ocurre después de la 20.a semana de embarazo. También puede desarrollarse después del parto, con mayor frecuencia dentro de las 48 horas. Si tiene algún síntoma o le parece que algo anda mal, siempre es mejor llamar a su profesional médico. Vaya al departamento de emergencias o llame al 9-1-1 si experimenta alguno de estos síntomas de preeclampsia grave:

• Dolor de cabeza que no desaparece o empeora
• Dificultad para respirar
• Dolor en el lado derecho, debajo de las costillas o en el hombro derecho
• Náuseas y vómitos
• Cambios en la visión

4. Obtenga apoyo de amigos y familiares.

Informe acerca de los signos de complicaciones en el embarazo a sus familiares y amigos. Pídales que la ayuden a monitorear cómo se siente y la ayuden a obtener atención médica. Cuando hable con su profesional médico, estos amigos pueden asegurarse de que usted describa todos sus síntomas y haga todas sus preguntas, y pueden abogar por usted para que obtenga la atención que necesita. 

5. Trate de controlar el estrés.

El estrés no es bueno para su presión arterial. Practique el activar la respuesta de relajación innata de su cuerpo (lo opuesto a la respuesta al estrés). La visualización guiada, la relajación muscular progresiva y los ejercicios de respiración profunda son técnicas que pueden ayudarla a relajarse. Moverse más puede ayudar a calmar su mente y cuerpo, y es importante para la salud general de su corazón. Pruebe a hacer yoga o reúnase con amigos para dar un paseo rápido. Estar en la naturaleza también puede ser muy relajante para algunas personas.

6. Manténgase saludable después del embarazo.

Después de su embarazo, trate de mantener sus rutinas de cuidado personal, especialmente para la salud de su corazón. Si usted tuvo preeclampsia, necesitará tener especial cuidado con su corazón. Una de las mejores cosas que puede hacer es compartir los detalles acerca de las complicaciones en el embarazo con sus profesionales médicos. Dígales qué sucedió y qué tratamiento recibió. Es posible que necesite un examen cardiovascular tres meses después del embarazo y luego anualmente. El examen medirá su presión arterial, el colesterol, el nivel de azúcar en la sangre y el peso. Recuerde ... usted conoce su cuerpo. Identificar y modificar de manera temprana los riesgos de enfermedades cardiovasculares puede reducir significativamente el riesgo de experimentar un ataque cardíaco o un accidente cerebrovascular años más tarde. Informe a su profesional médico si su presión arterial aumenta o si le parece que algo anda mal. 

7. Obtenga más información.

Obtenga más información acerca de la salud del corazón y el embarazo y encuentre recursos para controlar sus números de presión arterial en nhlbi.nih.gov/hypertension.

(NewsUSA) - Approaching age 65 can be an overwhelming time for many newly eligible Medicare beneficiaries. When can you begin to enroll? Which plans should you consider? What do you need to know?

Here's some information that can help.

You have a seven-month window called the Initial Enrollment Period (IEP) to sign up for Medicare benefits, which begins three months prior to the month you'll turn 65. You are first eligible to receive Medicare coverage at the start of your birthday month. If your current benefits end once you turn 65, it's important to begin researching and comparing your Medicare options early to make sure there's no gap in your coverage.

There are several different types of Medicare plans available:

* Medicare Part A (hospital) and Medicare Part B (medical)

o Administered by the federal government, Original Medicare includes Parts A and B that provide hospital and medical coverage. For most people, Part A is free, so it's important to evaluate your options as soon as you become eligible for Medicare.

* Medicare Part C (Medicare Advantage)

o Offered by Medicare-approved private insurance companies and can be considered an "all in one" alternative to Original Medicare. These plans include all the coverage provided by Medicare Part A and B, and some may include additional benefits like prescription drug coverage, routine dental, vision and hearing care, and innovative offerings such fitness programs, healthy food debit cards for those who qualify and transportation benefits to help you get to doctor's appointments.

* Medicare Part D (Prescription Drug Plans)

o Original Medicare doesn't cover most prescription drugs, so you'll need to sign-up for a stand-alone prescription drug plan (PDP) if enrolled in Original Medicare. These Part D plans are offered by Medicare-approved private insurers, like Humana.

* Medicare Supplement Insurance (Medigap)

o Like Medicare Advantage, these plans are offered by private insurance companies and may help pay some of the healthcare costs that Medicare Parts A and B don't, like coinsurance, copayments or deductibles.

When selecting a prescription drug plan, you'll want to make sure the medications you're currently taking are covered and compare their costs across different plans. Some plans also take steps to help save you money, like Humana for example. They suggest generic or lower-cost equivalent drugs to their members when they're available. And when it comes to costs, look beyond the monthly premium and consider the additional out-of-pocket costs. Always evaluate the full cost of the plan, including co-payments or co-insurance, and the deductible as well as which pharmacies are in network.

While the many plan options can seem overwhelming, there are resources available to help you choose Medicare coverage that best suits your needs. The Medicare Plan Finder on Medicare.gov allows you to easily compare the benefits and costs of different plans. Other resources on sites such as Humana.com include helpful information to consider in shopping for plans like Physician and Pharmacy finders to help you see if your providers are in a plan's network. While planning ahead is helpful, rest assured that, as your needs change, you can change your plan during the Medicare Advantage and Prescription Drug Plan Annual Enrollment Period, which goes from October 15th to December 7th each year.

Medicare-eligible individuals can visit www.Medicare.gov or call 1-800-MEDICARE (800-633-4227), 24 hours a day, seven days a week. Additionally, you can learn about Humana Medicare Advantage and Prescription Drug Plans by going to www.Humana.com/Medicare, www.Humana.com/pdp or calling 1-800-213-5286 (TTY: 711) to speak with a licensed sales agent from 8 a.m. to 8 p.m. local time, seven days a week. 

Humana is a Medicare Advantage HMO, PPO, PDP, and PFFS organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal.