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Hospitalization may speed cognitive decline in seniors

People 65 years of age and older experience cognitive decline an average of 2.4 times faster if they have been hospitalized, compared to people of the same age who haven't, according to a new study. For the study, published in Neurology, Robert S. Wilson, PhD. and colleagues reviewed the cognitive decline of more than 1,800 patients aged 65 and older who lived in Chicago. The patients were given a baseline cognitive test and then followed for an average of nine years with the same cognitive test repeated at least three times at intervals of three years. They found that the natural cognitive decline people begin to experience as they age was sped up after a person had been hospitalized, regardless of the reason or how long the hospitalization lasted. "We were expecting that there might be some effect but I didn't expect it to be this big, this broad," says Wilson, a professor of neurological sciences and behavioral sciences at Rush University Medical Center. "[Their decline] had seemingly little to do with the illness that put them there in the first place. It's a very striking finding and somewhat worrisome." Wilson points out that there is a degree of variability to the deterioration some patients may experience after being in the hospital, ranging from some individuals not seeing any change in their cognitive abilities to others declining rapidly. "But as a population, they're doing a lot worse than they were before they went in to the hospital," says Wilson. Why the decline varies from person to person or happens at all is still unknown. Although researchers and health care professionals have heard anecdotal evidence of this phenomenon for several years, no study has been able to identify the mechanism(s) behind it. "That's the million dollar question," says Dr. Marie Bernard, the Deputy Director of the National Institute of Aging, who was not affiliated with the study. "We know that older individuals in the hospital are at greater risk for developing delirium and we know that theoretically, delirium is a temporary phenomenon but reasearch shows it can last for several months. If that… leads to longer term change in cognitive abilities, we don't know." Wilson and Bernard believe caregivers, family, and friends of people 65 and older should be aware that hospitalizations may cause a lapse in an older patient's cognitive abilities. There is no research to show definitively what steps could be taken to avoid that but Bernard believes that a close relationship with the patient's primary care doctor could help. "It would seem reasonable that if you could avoid hospitalization, you could avoid any cognitive decline (from hospitalization)," says Bernard. "When you see the development of new symptoms or causes for concern, contact [the patient's] primary care provider because if you're working closely with [them], you can avoid hospitalization." Filed under: Brain , Senior Health Tagged: Caitlin Hagan – CNN Medical Producer

How to stop your kids from stressing

Editor's note: CNN contributor Amanda Enayati ponders the theme of seeking serenity: the quest for well-being and life balance in stressful times. There is a good chance that my children (and yours) are stressed out on a daily basis. Not necessarily from catastrophic burdens such as death, abuse or abandonment (though far too many children are dealing with those as well), but from the slow boil of everyday anxieties – a swell of unrelenting childhood stress that, in the long term, may bury our kids good and well in a tsunami of serious health problems. More, faster, better High on the list of stressors is the pressure many parents place on their kids: the mentality that the earlier a child does something – walks, talks, reads chapter books, excels in advanced robotics for kindergartners – the better. “Competitive anxieties do get induced in a lot of children because they’re induced in a lot of parents,” says Jay Belsky, an internationally recognized expert in the field of child development and family studies and a professor at the University of California, Davis. “There has been a sea change, a cultural shift,” says Denise Clark Pope, senior lecturer at Stanford University’s School of Education and co-founder of Challenge Success, a project that aims to reduce unhealthy pressure on young people. “We live in a society where there is a premium on performance as opposed to mastery or effort; on grades and scores over engagement; on speed and outer appearances over intrinsic motivations. “Many parents are getting caught up in the craziness, in the ‘more is better’ and ‘faster is better’ mind-set. Children end up overscheduled and in and out of schools and classes, with very little time left over, including for sleep.” Strategies for stress relief The experts Belsky, Pope and Parul Chandra, head teacher at Bing Nursery School, Stanford’s laboratory preschool – favor a handful of strategies that have proven effective in helping children reduce, prevent or cope with stress. Allow for playtime, downtime, family time. A young child’s job is to play. Pope says, “Research shows that playtime, downtime and family time are major protective factors in increasing health and well-being, and lowering stress in children.” Children also need to feel part of an unconditionally loving family. “You can’t have the benefits of family without spending time together. And it doesn’t matter how you define family; it doesn’t have to be biological. What does matter is literally sitting down, having meals and doing activities together,” she says. Studies shows that family meals are the single strongest predictor of higher achievement and fewer behavioral issues for children between 3 and 12. “That’s 25 minutes, five times a week.” Children need time to reflect, to rejuvenate, to rest, Pope says. “And we include sleep in that because lack of sleep is correlated to higher rates of depression and anxiety.” Distract. Belsky finds that distraction can be an effective strategy for both younger and older children. “It’s really a matter of turning their attention elsewhere, away from what’s stressing them,” he says. Early on, adults can help children regulate their attention. Eventually, children will develop the skill themselves and learn to place their focus away from what’s bothering them. Problem-solve. “We as adults tell children how to solve problems,” Chandra says. “But problem-solving with them instead of for them is very important. You want children to think about what it is they are going through. Have them explain it to you. And then articulate it back so that you can be sure that you are understanding correctly and that you’re both on the same page.” Ask open-ended questions such as “What do you think may help?” Having children brainstorm a list of possibilities, making them aware of strategies they have used in the past and getting them to come up with solutions can all be hugely empowering for a child. Keep routines. Chandra advocates maintaining children’s routines during particularly stressful times. “It’s important that they don’t feel like their whole lives are topsy-turvy, that they have parts of the day to look forward to living in the moment and just being a child.” Watch, listen, communicate, reassure, validate. Listen and watch for atypical behaviors in children, suggests Chandra. The younger the children, the harder it will be for them to talk about what they are feeling. Pay attention to your child’s stories. Know that their dramatic play is a window into what they’re thinking, going through and worrying about. Validate children’s feelings. Tell them, "I know how that feels" instead of "you shouldn’t be feeling that way.” Validating is important because it alleviates a lot of stress. But also guide children toward empathizing with others. Ask, “How do you think the other person feels?” Communicate with your child. Talk about your most aggravating times. Bring up things that caused you stress and how you resolved these problems. Reassure children that they will be OK. “There is a whole palate of feelings between mad and sad," Chandra says. "Stress is always going to be there, but you have to give children the skills and words to be able to talk about it. If you don’t, behaviors will come out later and you will wonder where they came from! But acting out usually represents months and years of incidents and feelings that haven’t been discussed – layer upon layer upon layer.” Let children be children. All three experts warn against treating children like smaller versions of adults. “Physiologically, kids are not mini-adults,” Pope says, “and the idea of miniaturizing the adult world is a huge problem. It can lead to things like inappropriate use of media, inappropriate ways of dressing and inappropriate things being put on children’s shoulders.” Chandra advises, “Be mindful of conversations and things that children can pick up on at home. They pick up more than we think they do. And they if do happen to overhear something, explain that it’s an adult agenda, that their parents will take care of it. “Children are innately wired to be happy people, and they tend to live in the moment. We as adults have so much to learn from them.” A life with no stress? Belsky says, “Look, no life is going to be stress-free. There is something to be said for learning to cope with stress that is in your capacity to cope with.” Permitting our children the opportunity to experience some stress and enabling them to deal with it creates coping capacity. When you are building muscle, you shouldn’t be lifting too many weights. But the right amount can strain your muscles enough to increase strength. Coping is the same way. If it’s the right amount, children build capacity. Family’s values Pope recommends that families sit down and take a hard look at the value systems driving them. “Ask the big questions: How are you, your school and your child defining success? It is often that definition, that value system, that is driving the unhealthy stress.” Work together to write a mission statement that articulates the family’s core values, Pope suggests. Who are you as a family? Where are you going? And who are you not? A lot of important parenting choices are made on the fly from your gut. “You ask people what they want for their children and most will say, ‘A happy, healthy, self-sufficient person who gives back to society.’ But if you work backward from that, it’s not about the overscheduled, gratified 8-year-old. We are talking about the long term here.” Pope adds, “And even if that train has already left the station, it’s not too late. It’s never too late! Put your stake in the ground, abide by it and live your values.” Filed under: Children’s Health , Stress Tagged: Amanda Enayati — Special to CNN

UN: Half-Million Haiti Cholera Cases By Dec.

MIAMI (CBSMiami.com) – New numbers from the World Health Organization are providing a sobering look at how bad the health conditions in Haiti have become in 2011. According to the WHO, the number of cholera cases in Haiti is expected to exceed 500,000 by December 31, 2011. So far, 470,000 cases have been reported, along with 6,600 deaths. In addition, the WHO predicted that the disease is likely to become endemic in the Caribbean nation. The WHO is investigating where a large-scale vaccination campaign in Haiti may help. No cases of cholera had been documented in Haiti before an outbreak started last year just months after an earthquake devastated the nation. (TM and © Copyright 2011 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2010 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)

Jamie Oliver’s Food Revolution Season 2 Kicks Off Tomorrow

The Naked Chef, Jamie Oliver , is back for season two of his hit reality show, Jamie Oliver’s Food Revolution . Unlike last season, where he took on the unhealthy Huntington, WV , this time around you’ll find Jamie challenging the entire city of Los Angeles’s school system to offer healthier food options for its students. Our own YumSugar team recently sat down for an exclusive interview with Jamie , and here’s what he said about why he chose LA as the hub for his second installment: We went to LA for two reasons: one, I didn’t want to go back to the next unhealthiest town in America, ’cause I didn’t want it to be seen as a format; two, there’s enough good sh*t going on in California, genuinely, amongst a lot of bad stuff. From a blatantly strategic point of view, if we can make any form of change in California . . . if anything happens in law . . . anything we achieve there will go across the whole of America. It’s sure to be another drama-filled, entertaining season. Food Revolution airs tomorrow at 8/7c on ABC. Will you be watching this season? Yes - I love this show! Don’t think so. Depends. Hopefully it’s as entertaining as last season!

2010 Holiday Gift Guide: Geeky Stocking Stuffers, Fab Bags and Baubles, and What to Buy Your Work Buddy!

Holiday season is here, and there are only a few weeks left to get your shopping done. Need help picking a present for your co-worker or finding the perfect gear for the cooks in your life? We’ve got all your giving needs covered with our 2010 gift guides ! Make sure to check out our video gift guides that are full of beauty picks , ideas for a fit friend , DIY projects , and the season’s best stocking stuffers ! We’ll be helping you check off the names on your list from now until Christmas, and don’t miss all of our holiday planning, tips, tricks, and inspiration to get you excited for the most festive time of the year!

Being pregnant Ideas To make Your Pregnancy Journey Memorable!

There are several individuals who say being pregnant is one of the most typical things amongst the females and it’s completely natural and moreover nothing extraordinary. So why ought to anybody use distinctive pregnancy products or refer to pregnancy guides and many others? Do you know the answer of all such questions! If yes then [...]

Preparations For Acquiring Pregnant After Birth Control

Preparation is vital for acquiring pregnant soon after beginning handle prior to attempting any technique. It may well possibly not be obvious, but a woman’s reproductive system may possibly well possibly have undergone some main changes upon using birth control strategies; thus, making it tough to instantly conceive. Preparation is key if you would like [...]

Things To Consider Before Taking Antibiotics During Pregnancy

For regular people, taking antibiotics like amoxicillin is fairly alright for treating infections brought about by diverse varieties of bacteria. But is the exact similar applicable for pregnant ladies, getting into consideration the fact that they’re in a condition where they’re also caring for an expanding fetus? If you’ll ask experts concerning this concern, they [...]

Tropical Berry Popsicles Recipe

It’s been an unseasonably cool summer in Southern California. But, at long last, a sort of heat wave has finally arrived. As the temperatures rise, the number of ice cream trucks seem to multiply. This was the case when I was growing up and remains true in 2010. Sadly, the selection of frozen treats sold Related posts: Berry Power Berry Season Avocado Frozen Yogurt Recipe Lemon Blueberry Muffin Recipe Almond Spiced Latte Recipe