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No Sweat (Pants): Skinny Jeans Key to Staying Skinny this Thanksgiving (VIDEO)




CLEVELAND --
 Can what you wear on Thanksgiving dictate what you can wear after Thanksgiving?

"We want to wear something that's form fitting, things like your skinny jeans or a form fitting dress or something that is snug on your body so you don't tend to overeat," says Amy Jamieson-Petonic, RND, a registered dietitian at University Hospitals Cleveland Medical Center. "When we wear things that are comfortable or things with an elastic waistband, we tend to overeat."

Of course, your choice of wardrobe isn't the only important decision to make on Thanksgiving. There are food choices and plate management but Jamieson-Petonic says many decisions come before the turkey is even served.

"Start the day with a plan," says Jamieson-Petonic. She suggests starting the day with an activity, anything from a walk to a touch football game to a turkey trot. And she also advises against skipping any meals.

"When you skip breakfast, you're going to make your blood sugars drop, you're going to be hungrier, and we tend to overeat when we skip meals," she says.

Your plan doesn't end once your plate is clean, either.

"Be part of the clean up crew," says Jamieson-Petonic. "Your host will love you and if you spend about an hour cleaning off the table, loading the dishwasher, or cleaning up after the meal, you're going to burn about 100 calories."

Top Ten Thanksgiving Tips

   1) Start your day with an activity
   2) Don't skip breakfast
   3) Don't wear loose fitting clothes
   4) Eat vegetables not nuts as an appetizer
   5) Put sides in a small bowl or ramekin to limit portion size
   6) Only choose the foods you really want
   7) Substitute mashed cauliflower for potatoes
   8) Dessert or drinks -- one or the other but not both
   9) Eat slowly since it takes 30 minutes for your brain to realize you're full
 10) Help cleaning up can burn 100 calories


Just Say Maybe: Can PSAs be an effective tool in reducing opioid use? (VIDEO)




CLEVELAND -- When President Trump declared opioids a national health crisis, he also promised money for "really great advertising," saying, "If we can teach young people, and people generally, not to start, it's really, really easy for them not to take them."

This, of course, is not the first time money has been spent on drug education and this is not the first administration to commit money for anti-drug public service announcements.  Most famously, part of President Ronald Reagan's War on Drugs included the "Just Say No" campaign, spearheaded by First Lady Nancy Reagan.

"Did it stop kids from using drugs? Probably not," says Ray Isackila, Manager of Addiction Recovery Services at University Hospitals Cleveland Medical Center. "But it perhaps probably laid the foundation for our culture to become more aware of the need for education, prevention, treatment."

Isackila cites the effectiveness of anti-smoking PSAs on the decrease in teen smoking and praises previous PSA efforts to call attention to the drug problem. But he doesn't share the President's optimism that the prevention of drug abuse will be easy and be done can simply by some catchy PSAs.

"A quick sentence or two, to think that it's going to prevent drug abuse, that's unrealistic," says Isackila. "PSAs are helpful if they're based in research. We have had a history of public service announcements that were borderline scare tactics, kind of shock value, and those have proven not too effective in preventing drug abuse."

Isackila says some PSAs backfire, since making behavior seem risky can also make it attractive to adolescents. He also says celebrity testimonials often don't work because it can send the message you can use drugs and still be a star.

"You can party your brains out for ten years, look, and then you're a hero later," says Isackila. "That's not a message that is intended by the speaker but you have to know your audience."

He suggests honesty in the ads featuring people who know drugs. He also suggests targeting parents, who set the tone in the house with their attitude toward drugs, calling a no tolerance attitude toward drugs the the biggest protective factor parents can give their kids. But PSAs also can't lose sight of the fact they battle a product that makes the user feel good, feel excited, and feel accepted.

"There are some statements made in politics regarding, 'We're going to eradicated drug abuse in our country, we're going to solve the drug problem,' says Isackila. "My opinion is that will not happen in our lifetime."

Five Keys to Successful Anti-Drug PSAs

1) Use honesty, ads based in fact and research from people who know drugs
2) Target parents, not kids
3) Know how seductive drugs can be
4) Avoid scare tactics, since risky behavior can be attractive to young adults
5) Avoid testimonials, which send message you can use drugs and still be a star


Wendy Williams Passes Out During Show (VIDEO)




CLEVELAND -- Daytime talk show show Wendy Williams passed out live on the air during her show on Halloween while dressed as Lady Liberty.

"I saw her eyes kind of flutter back and she stumbled back and fell and it didn't look like she trying to brace her fall," says Lolita McDavid, MD, Medical Director of Child Advocacy and Protection at UH Rainbow Babies & Children's Hospital. "I have to believe that it really did happen. I'm very surprised she came right back."

Dr. McDavid warns this incident is an opportunity for parents to make sure kids where appropriate costumes that don't obscure their vision or potentially cause them to trip.

Williams apparently overheated in her Halloween costume at about 48 minutes into her show she tapes in New York City. She started slurring words and swaying back and forth before eventually collapsing during her annual "How You Doin' Halloween Costume Contest" show. She returned after a commercial break to explain her collapse was not a stunt and that she did indeed pass out.


Cleveland Leads the Nation in Premature Births (VIDEO/AUDIO)





CLEVELAND -- The March of Dimes has released its annual Premature Birth Report Card, which found the premature birth rate (birth before 37 weeks) has risen for the second year in a row after nearly a decade of decline in the United States, increasing from 9.6% in 2015 to 9.8% in 2016. It also found a large disparity based on race -- with a premature birth rate of 9.0% for Caucasian women but 13.3% percent for African Americans. 

With a premature birth rate of 14.9%, Cleveland ranked number one in the nation for percentage of premies among the top 100 cities followed by Detroit (13.9), St. Louis (13.3), Memphis (13.3), and Baltimore (13.0). 

"I'm disappointed," says Jonathan Fanaroff, MD, Co-Medical Director of the Neonatal Intensive Care Unit (NICU) at UH Rainbow Babies & Children's Hospital in Cleveland. "We want to make progress in a field where I'd like to make myself obsolete if I could."

Dr. Fanaroff says there are many factors that contribute to high premature birth rates, including high risk pregnancies, diabetes, high blood pressure, access to care, insurance, late or no prenatal care, and in vitro fertilization.

"We have a wonderful NICU, I'm very proud of the work we do, but the reality is there's no better place than the womb in almost all circumstances," says Dr. Fanaroff. "Keeping the baby in for just a few weeks can make a major difference."

Irvine (CA), Seattle, Portland, Santa Ana (CA), and Irving (TX) ranked at the top of the list and earned a grade of A from the March of Dimes. The U.S. saw 380,000 preterm births last year.

Premature birth is the leading cause of infant mortality and can lead to lifelong health problems including learning disabilities, cerebral palsy, jaundice, respiratory issues, and vision loss.


President Declares Opioid Epidemic a Public Health Emergency (VIDEO/AUDIO)




CLEVELAND -- Opioids claims the lives of about 100 Americans every day so, today, President Trump took the step of declaring the opioid epidemic a public health emergency with the possibility of securing money in a year-end spending package.

"It's greater than a national emergency, it's a public health issue and it's becoming a public health epidemic," says Renee Klaric, Manager of Addiction Services at University Hospitals Cleveland Medical Center. "If you look at a lifetime of treatment at an increasing rate, you will not only have someone who's addicted but you have their family involved and the healthcare system involved so it is going to grow in this generation but also it's going to fall over into the next generation."

Aside from the obvious risk of opioids causing overdoses and death, Klaric says issues like Hepatitis B, AIDS, diabetes, heart issues, and other health problems (or comorbidities) associated with drug use can cost hundreds of thousands of dollars over the lifetime of each patient as well as proving fatal as well.

Since primary care physicians (PCPs) are on the front lines in the battle against opioids,  University Hospitals has hired an addictionologist who specializes in the treatment of people with drug and alcohol problems who will train the other PCPs on helping with the crisis.

"If I have someone who we treat through addiction services and we take them through withdrawal and we send them to one of our primary care physicians who are also treating addiction," Klaric says, "they're also going to treat one of the seventy other co-occurring conditions that come with addiction and that's the beautiful integration of primary care medicine and behavioral health."

With the formation of addiction services, University Hospitals is not looking at opioid abuse in a vacuum but rather an interconnected part of larger problems, looking to treat secondary issues like trauma in addition to the primary problem of alcohol and drug abuse.

Another weapon in the opioid battle is the Northeast Ohio Hospital Consortium on Opioid Addiction which includes the large hospitals in the region working together to look at reforming guidelines for prescribing opioids, studying prescription patterns, and expanding medication-assisted treatments as well as the accessibility of Narcan (or Naloxone).

"They are all working together to reduce opiate overdoses and deaths," says Klaric.



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