A dip in the ocean this summer? No thanks.

The Washington Post

A dip in the ocean this summer? No thanks.

Maura Judkis – July 11, 2023

WANTAGH, NEW YORK – JULY 07: A new shark-monitoring drone monitors the waters for sharks as people swim at Jones Beach State Park on July 07, 2023 in Wantagh, New York. Governor Kathy Hochul announced that local beach communities on Long Island and New York City will receive shark-monitoring drones as the state addresses beachgoer safety in response to shark sightings over the 4th of July holiday and reports of people being bitten by sharks at some of New York’s most popular beaches. (Photo by Michael M. Santiago/Getty Images) (Michael M. Santiago via Getty Images)More

Try not to think about the ocean. Because if you’re the type of person prone to listless anxiety, a simple question – What’s a submersible? Where do orcas live? – might take you to a deep, dark place. A place like the Hadal Zone, named for the Greek god of hell, where there is absolutely no light and the only creatures that can survive the crushing pressure are characterized by their transparent, gooey skin. Or maybe a place in the Gulf of Mexico called the “Hot Tub of Despair,” an underwater lake full of methane that kills any organism that enters it. Or perhaps a remote part of the Pacific Ocean that has earned the nickname “White Shark Cafe.”

We are having a “Jaws” Girl Summer. It’s giving Moby-Dick Energy. We’re in our Ancient Mariner Era. Is the ocean more terrifying than usual this year, or are we suddenly just more aware of how terrifying the ocean can be?

Here’s an illustrative roundup of recent horrors. Orcas have trained one another to attack boats off the coast of Spain and Portugal. Over the July Fourth holiday, four people were bitten by sharks on New York beaches, and approximately 200 people needed to be rescued from rip currents in Virginia and North Carolina. A man on a fishing trip to a Freeport, Tex., beach last month arrived to discover that tens of thousands of dead fish had washed ashore. Homes in the Outer Banks are toppling into the waves.

Don’t forget the beach where severed human feet wash ashore on a regular basis in a northwest Washington county that recently announced that it is crowdfunding an investigation to identify a recent set of remains. Or the awful video of the teen who jumped off the party boat in the Bahamas in May, only to be swallowed up by the inky black water, and never seen again. Or the fact that Japan is planning to release more than 1 million cubic meters of treated radioactive water – approximately 500 Olympic-size swimming pools, an amount that is considered “safe” – from the 2011 Fukushima nuclear disaster into the Pacific this summer.

Then there was the OceanGate catastrophe, which made millions of people ponder the specifics of an excruciating death: Trapped at the bottom of the ocean in a claustrophobic metal coffin-like tube, in a dark blacker than any night, with 96 hours of oxygen left to contemplate the unlikelihood of rescue and your imminent suffocation. What actually happened was no less horrific, but somehow seemed kinder: being crushed to death in milliseconds by as much as 6,000 pounds of pressure per square inch.

In the ocean, that’s a good way to go.

That’s what Alexandria Neonakis realized during the days she spent transfixed by the submersible crisis.

“At every step, every fact that you learned about it” – The video game controllers! The strange knocking noises! The fact that it was bolted shut from the outside! – “was so much worse, and it kept getting worse,” says the 38-year-old artist. “Social media just enabled that to go even crazier, because it takes your imagination and it amplifies it, because everybody’s thinking insane things,” such as: Did one of the rich men on the submersible kill another one of the rich men to conserve oxygen?

The speculation became “a feeding frenzy,” she says. Which is yet another terrifying thing you find in the ocean.

Space is also a terrifying void, but “that’s pretty far. I don’t have to worry about that,” Neonakis says. She does not have a quarter of a million dollars to spend on space tourism, so she won’t end up on a rocket anytime soon. And, yes, that’s the same price the now-defunct OceanGate charged people for a trip down to the wreckage of the Titanic, but unlike space, you can get swept away by the ocean for free. “It’s like, right there,” Neonakis says. Near Los Angeles. Where she lives.

The term for fear of the ocean is thalassophobia. Myths about deep-sea monsters can be found in ancient cultures from all across the globe. “The lack of adoration, desire for interaction, or simply fear itself, towards the deep sea is not irrational but rather primal,” wrote a team of marine researchers in a 2021 paper examining why the public seems to not care about deep-sea exploration as much as space exploration. We associate “up” with heaven, and “down” with hell.

And the fear of the unknown, combined with the vastness of a seemingly infinite horizon and improbability of rescue, makes great horror fodder, which is why the ocean has been the setting for so many scary movies. Most are fiction, such as “The Meg” and “The Shallows,” but some, such as 2003’s “Open Water,” about a couple mistakenly left to die during a scuba expedition, are based on true stories. As “Jaws” taught us, you don’t have to be out in the deep ocean to encounter its frights: Just last week, a dorsal fin popped up at Navarre Beach near Pensacola, Fla., prompting a chaotic scramble amid screams of, “Get out of the water!” Jellyfish wrap their tentacles around an ankle. Stingrays slink around the shallows. Something you can’t see just brushed past your thigh.

Mark Fryers, a British researcher who studies media representations of marine culture, says he wouldn’t be surprised if we eventually get a movie based on the ill-fated submersible.

“The sea is something of a castigating mirror: It reflects back our bad deeds,” Fryers says. “We know we’re creating, as a species, more damage in the ocean. It comes back to haunt us. It all washes back to us. There’s a pervasive sense of death and decline and self-examination.”

The problem, too, is that we focus on the unlikely catastrophes and ignore the more commonplace ones: A coast guard that allows a boat full of migrants to capsize. An ocean that is rapidly warming. Microplastics. Instead, we think about the sharp fangs of the anglerfish, or the tentacles of a colossal squid, or the spindly six-foot-long (!) legs of the Japanese spider crab. Those glow-in-the-dark fish with a bajillion fangs. Something called a goblin shark. Even the most delicious creatures in the ocean can be kind of gross, when you think about it: As a popular meme reminds us, shrimps is bugs.

Even if those creatures don’t give you anxiety, there is one that might: the great white shark.

We may have been hearing more about sharks lately – Cape Cod has become “one of the largest white shark hotspots in the world,” according to Scientific American – but it’s been a pretty typical year so far, says Gavin Naylor, director of the Florida Program for Shark Research at the University of Florida.

“We’ve had a similar number of bites thus far this year as we did at this stage last year,” Naylor tells us via email. “Every year people seem to think ‘This year is different.’ I guess they must forget how they felt this time last year.”

It’s related to a phenomenon researchers call “sea blindness,” which sounds like something that afflicted pirates and castaways, but is actually contemporary: It refers to how oceanic issues “tend to disappear from our consciousness, our daily life,” Fryers says, until an event or flash point brings them abruptly back. Like the submersible.

“Every horrifying story about the ocean is so f—ing horrifying. It’s not like it’s a little horrifying. It’s like, ‘Wow, that’s the worst thing I’ve ever heard,'” Neonakis says. Better to just brave the myriad horrors on dry land.

How Is Degenerative Disc Disease Treated?

Verywell Health

How Is Degenerative Disc Disease Treated?

Patty Weasler, RN, BSN – July 10, 2023

<p>laindiapiaroa / Getty Images</p>
laindiapiaroa / Getty Images

Medically reviewed by Cara Beth Lee, MD

Degenerative disc disease treatment aims to minimize symptoms and prevent further disc degeneration. Damage to the disc cannot be reversed. The right treatment option may depend on the extent of deterioration.

Degenerative disc disease is caused by the wear of the shock-absorbing discs (intervertebral discs) between the spinal vertebrae. It can occur in any area of the spine. The symptoms of degenerative disc disease include back pain (especially when sitting), numbness and tingling in the hands or feet, and weakness in the legs.

This article will cover the different treatment options for degenerative disc disease, including conservative treatment and surgery.

Medication

Medication can minimize pain and inflammation in people with degenerative disc disease. It will not stop the progression of the condition, but decrease its symptoms.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs are medications that decrease inflammation and pain. They can relieve the associated back pain and decrease inflammation in the joints in those with degenerative disc disease.

Aspirin and Advil or Motrin (ibuprofen) are common over-the-counter (OTC) NSAIDs. Prescription NSAIDs include Nalfon (fenoprofen), ketoprofen, and sulindac.

Potential side effects of NSAIDs include ringing in the ears, dizziness, gas, bloating, constipation, and nervousness. People who are on blood thinners, have poor kidney function, or are pregnant should talk to their healthcare provider before taking an NSAID.

Nonnarcotic Pain Relievers

Tylenol (acetaminophen) is a common OTC pain reliever. Prescription nonnarcotic pain relievers may also be recommended by a healthcare provider.

Narcotic Medications

Narcotic pain medications may be prescribed by a healthcare provider when pain is moderate to severe.

Narcotics like codeine and morphine work in the central nervous system (CNS) to numb pain. While narcotics are an effective pain medication, they do carry many side effects. These include:

Constipation is a very common narcotic side effect. Talk to a healthcare provider about starting a stool softener or increasing dietary fiber.

Muscle Relaxants

If someone is having muscle spasms in their back then a muscle relaxant may be a good choice to help relieve pain and spasms. Common muscle relaxants include Soma (carisoprodol) and Flexeril (cyclobenzaprine).

Muscle relaxants should not be used long-term, but rather for just three to four days. There are serious side effects like depression and drowsiness.

Antidepressants

Antidepressants may be used to treat pain and poor sleep in people with degenerative disc disease. The chemical reactions in neurons that cause depression seem to be the same nerve pathways as pain.

Using an antidepressant may not be right for everyone, but can be helpful to regain a normal sleep routine due to back pain.

Physical Therapy

People with degenerative disc disease may benefit from physical therapy. The overall goal of physical therapy will be to decrease pain and improve muscle strength and flexibility. This will help the body support the spine and reduce pain and stiffness.

There are many different treatments used under the physical therapy umbrella. They may include:

  • Transcutaneous electrical nerve stimulation (TENS): The electrical stimulation from a TENS unit interferes with or blocks pain signals and can work for back pain.
  • Strength training: Strengthening the core can stabilize the spine and reduce back pain.
  • Improving flexibility: This can improve spine mobility and range of motion. Stretching also decreases back spasms.
  • Posture training: Poor posture contributes to back pain. A physical therapist can teach someone how to sit, stand, and move correctly.
Exercise

Regular exercise is an important component in maintaining spine health. Exercise strengthens back and abdominal muscles, which support the spine. A person with degenerative disc disease should talk to a healthcare provider before beginning an exercise routine. Ask if any motions (such as twisting) should be avoided.

Many types of exercise can be used, like weight training, aerobic exercise, and aquatic therapy, as follows:

  • Weight training combines weights with exercise and helps to prevent bone loss and strengthen muscles.
  • Aerobic exercise like walking, cycling, or running increases the heart rate and blood pressure while also releasing endorphins (the body’s natural pain relievers).
  • Aquatic therapy, or exercise in a pool, is an effective and low-impact aerobic exercise that is beneficial to people with degenerative disc disease. The water decreases pressure on the spine allowing the person to get the benefits of a workout without all the physical stress.
Chiropractic Care

Chiropractic care uses adjustments to the spine to correct improper alignments, reduce pain, and improve the body’s ability to heal itself. There is limited research on the effectiveness and safety of chiropractic care for people with degenerative disc disease, so it should be discussed with a healthcare provider before use.

Acupuncture

Acupuncture is a traditional Chinese medicine practice in which thin needles are inserted into the skin in different areas of the body. An acupuncturist will place the needles along meridians (traditional energy pathways). Acupuncture may improve healing by increasing blood flow or relieve pain by releasing endorphins.

Heat or Cold Therapy

Heat and cold therapy is a common treatment used to alleviate pain in joints.

Cold therapy works by applying an ice pack or cold towel to the painful area for 20 minutes at a time. The cold will interrupt the pain signal, thereby reducing pain. It will also cause the surrounding blood vessels to tighten, which will reduce swelling.

Heat can be used with a warm towel or heating pad. The heat will soothe sore muscles and dilate the surrounding blood vessels, which improves blood flow to the area.

Spine Injections

steroid spine injection can reduce back pain and inflammation caused by degenerative disc disease. The injections use a combination of steroid medication and numbing medicine. Pain relief usually starts soon after the injection and lasts a few weeks to months.

Healthcare providers may limit the number of steroid injections a person can receive in a year. Too many can cause an infection or skin discoloration. Steroid injections are typically used when other conservative treatments are not successful.

Bracing

Another nonsurgical option for degenerative disc disease is a back brace. A back brace is a medical device that is wrapped around the lower back and secured with Velcro. The brace does not completely immobilize the back but does reduce the ability to move. It can stabilize the spine and reduce tension in people with degenerative disc disease.

Surgery

When degenerative disc disease does not respond to conservative treatment, surgery may be necessary. Below are the different surgical options that can be used.

Disc Replacement

Disc replacement is used in place of a spinal fusion in people under 65 years of age who have a herniated disc in the neck. An artificial disc is placed where the damaged disc is removed. One of the greatest benefits is that it allows flexibility and stability in the spine.

People who have a disc replacement can usually go home after one night in the hospital and can walk within 24 hours. They may need to wear a brace for support during the first few weeks after surgery.

Discectomy

discectomy is a common surgery used in the treatment of degenerative disc disease. During the procedure, the injured part of the disc is removed. This alleviates pressure on the surrounding nerves by making room in the spinal canal.

Spinal Fusion

spinal fusion is when a surgeon permanently joins the vertebrae to eliminate movement and stabilize parts of the spine. Spinal fusion may be necessary when there is a severely degenerated disc. It is sometimes done in conjunction with a discectomy and is more often done on the neck than the lower back.

A spinal fusion requires an overnight stay at the hospital. The patient may need to wear a brace after surgery and will need to minimize activity until their surgeon clears them.

How to Prevent Degenerative Disc Disease From Getting Worse

While preventing degenerative disc disease may not be possible, there are several ways to decrease the rate of degeneration. Here are a few steps that can be taken:

  • Stop smoking. Research shows that smoking increases the rate at which the intervertebral disc degenerates.
  • Exercise. Regular exercise will strengthen the back and core muscles that support the spine.
  • Maintain a healthy weight. People with elevated body mass index (BMI) have a higher likelihood of developing degenerative disc disease.
Summary

Degenerative disc disease is a progressive condition that results when the cushions in between the vertebrae wear down. There is no cure for the condition and treatment is aimed at reducing symptoms and preventing further degeneration. Current treatments include exercise, physical therapy, and in severe cases surgery. Talk to a healthcare provider to determine the best treatment route.

Staying active and healthy – here are some key points to stay fit as you get older

Portsmouth Herald

Staying active and healthy – here are some key points to stay fit as you get older

Brandon Brown, Portsmouth Herald – July 8, 2023

Peter Hubbard, 85, spots his wife, Nona, 61, during a recent weight-lifting workout. Both will compete at the Powerlifting America New Hampshire State Championship at The Lift Free or Die Gym in Dover starting at 9 a.m.
Peter Hubbard, 85, spots his wife, Nona, 61, during a recent weight-lifting workout. Both will compete at the Powerlifting America New Hampshire State Championship at The Lift Free or Die Gym in Dover starting at 9 a.m.

Peter Hubbard, an 85-year-old Candia resident, is a big advocate for physical activity, especially as people age.

“There’s lots of research and data that shows that as you grow older, you’re going to lose muscle density and mass, but you can maintain it better through exercise,” Hubbard said. “It’s been proven that exercise improves your life expectancy, it gives you the ability to do things when you get older that you wouldn’t be able to do. You don’t have to lift all these heavy weights, and I don’t expect everybody to go out and try to be a powerlifter, but if you continue to work out and lift weights, then you can live into you 60s, 70s and 80s, and you’re going to have a better quality of life.

This Sunday, Hubbard will compete in the Powerlifting America New Hampshire State Championship at The Lift Free or Die Gym in Dover starting at 9 a.m.

Though there are three events – the squat, the bench-press and the deadlift, Hubbard is only participating in the bench-press. Hubbard’s goal is to bench more than 200 pounds. Hubbard’s wife, Nona, 61, will participate in all three events.

Although preparation for such a competition takes at least three months, Hubbard is in the gym and keeps up with physical activity year-round.

Hubbard is a role model for how to keep your body strong and fit as you enter your golden years.

Caroline Schepker, doctor at Wentworth-Douglass
Caroline Schepker, doctor at Wentworth-Douglass
It’s never too late to get physically fit

The aging process, realistically, begins in the late 20s and doesn’t become noticeable for most people until their 40s or 50s, said Dr. Caroline A. Schepker, a physiatrist who specializes in physical medicine and rehabilitation and sports medicine at Wentworth-Douglass Hospital in Dover.

“It’s usually around the age where people start to notice that they feel a little bit stiffer, maybe a little bit more easily aching, and look like they’ve lost a little muscle mass,” she said. “The best time to start prevention wise is in your 20s and 30s and kind of maximizing your muscle mass and your mobility.”

Additionally, Schepker said it’s never too late to start with things such as mobility training and strength training.

“And what that could look like is working with either a physical therapist or athletic trainer, or personal trainer to develop a whole body strength and conditioning program that also works on mobility, which is just flexibility and range of motion,” Schepker added.

“The general prescription of physical activity, whether it’s in a sport or just going to the gym or doing your own independent exercise, there’s three categories to it,” Schepker said. “One is aerobic exercise, also known as cardiovascular exercise, the second is resistance training or strength training and the third is flexibility and balance; they kind of put those three together.”

From a fitness standpoint, an ideal week involves two to three days, or 150 total minutes of aerobic exercise, at least two days a week with strength training and at least two days a week with range of motion exercises.

The most common problem Schepker sees is pain, and mostly coming from the spine and lower back, and secondly the hips, knees and shoulders.

“What that usually comes down to is a relative lack of core strength conditioning,” she said. “Even very fit active people can lose touch with their core muscles and how to optimally activate them to stabilize their spine. It can really irritate the little joints and discs in the back. So that’s probably what I see in the older, more active athletic population.”

Stretching or no stretching?

Schepker said stretching is actually one of the topics that can be controversial.

“If you really look into the research to stretching, some people say stretch and some people say don’t,” she said. “I think the reason why it’s complicated is because it’s not just stretching, but also mobility and range of motion exercises; they all have their place.”

Schepker said the research and studies shows that the recommendation is that as people get older, connective tissues, such as tendons and ligaments, naturally start to stiffen.

“Our joints generally get a little stiffer, and we lose range of motion, so it becomes important to do some stretching or range of motion medicine,” she said.

While daily is preferred, the American College of Sports Medicine recommends that adults who are 65 and older stretch at least three times per week.

“And what they recommend for that is really performing stretches of all major muscle groups, meaning the muscle groups that surround the hips, the trunk spine, shoulders and holding stretches for at least 10 to 30 seconds,” Schepker said. “Bigger muscles, like the hamstrings, may require up to 60 seconds. But, holding a stretch is called static stretching and that’s generally done after physical activity or kind of in isolation. Whereas before physical activity, it’s more important to do more kind of active range of motion instead of static holds of stretching.”

Schepker said active range of motion includes things like gently moving joints through their range of motions.

“Things like arm circles, arm swings, hip circles, just kind of getting all the joints through their range,” Schekper said.

How should ages 65 and older approach physical activity

Below is a chart that outlines what the American Heart Association and ACSM recommends for frequency, intensity and types of training for those 65 and older.

Physical Activity Recommendation Chart
Physical Activity Recommendation Chart

“Some older adults who have athletic or fitness backgrounds may feel comfortable looking at those guidelines and kind of being independent with them,” Schepker said. “For those who have questions or concerns about how to incorporate any piece of it, whether it’s the aerobic aspect, or the strength training, or the flexibility or the balance, usually the best place to start is speaking with your doctor and/or working with a physical therapist or athletic trainer.”

Schepker said working with a physical therapist or an athletic trainer is a good way to develop a program for themselves and get comfortable with some of the concepts to where they can branch off to do it independently.

Tick safety: A guide to avoiding ticks, treatments for bites and info about Lyme disease

Delaware Online – The News Journal

Tick safety: A guide to avoiding ticks, treatments for bites and info about Lyme disease

Krys’tal Griffin, Delaware News Journal – July 3, 2023

We’ve waited months for warm weather to grace us so we can spend more time outdoors, but with warm weather comes pesky ticks.

As more people hike through summer grasses, play in backyards and camp in forests, ticks are taking the opportunity to shimmy up pantlegs, crawl through sleeves or land in your hair to do what they do best: feed on your blood.

Reports show some states are seeing an increased presence of ticks this spring and summer, and with them, a surge in Lyme disease cases.

Here’s the rundown of everything we know about tick presence, Lyme disease cases and tick bites in Delaware, including prevention, symptoms and treatment.

Where are ticks found?
Trails, forests and other humid and moist environments are where ticks can be found.
Trails, forests and other humid and moist environments are where ticks can be found.

Ticks dwell in a variety of habitats and can be found in forest, meadows and wetlands throughout Delaware. They live in yards and residential areas, too, according to the Delaware Department of Natural Resources and Environmental Control.

Wooded areas, tall grass or brush — the edges where woods and lawn meet — are desirable spots for ticks, along with leaf litter, beneath ground-cover plants and around woodpiles or stone walls where small mammals live.

From there, ticks can latch onto the birds, mammals or reptiles they prey on and spread to other organisms.

Ticks are active year-round if temperatures are above freezing.

What types of ticks are in Delaware?

While there are hundreds of species of ticks found worldwide and dozens in the United States, only a handful are commonly spotted in the First State.

Lone Star tick
This photograph depicted a dorsal view of a female "lone star tick"(Amblyomma americanum).
This photograph depicted a dorsal view of a female “lone star tick”(Amblyomma americanum).

The most common tick species in the area is the Lone Star tick, identifiable by a white dot on its back. Found all over the state, it is more common in Kent and Sussex counties.

And while it may be tiny, it sure is mighty.

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“It’s described as being an aggressive biter,” said Ashley Kennedy, tick biologist at the Delaware Department of Natural Resources and Environmental Control. “The bite itself can be very painful, very itchy.”

A bite from a Lone Star tick could trigger flu-like illness or, in rare cases, alpha-gal syndrome, in which a person develops an allergy to red meat and other products made from mammals such as dairy.

Black-legged/deer tick
The black-legged tick, also called the deer tick or bear tick, is a carrier of Borrelia burgdorfi bacteria, which causes Lyme disease.
The black-legged tick, also called the deer tick or bear tick, is a carrier of Borrelia burgdorfi bacteria, which causes Lyme disease.

The black-legged/deer tick is not as common as other species but is more likely to infect you if it bites you.

One of the illnesses it can cause is Lyme disease, a bacterial infection that can spread to your joints, heart and nervous system if not treated early.

American dog tick
The American dog tick is one of the tick species present in Delaware.
The American dog tick is one of the tick species present in Delaware.

The American dog tick is the least likely to make you sick, but a small percentage of them carry Rocky Mountain spotted fever, Kennedy said.

Rocky Mountain spotted fever is a bacterial disease that begins with symptoms such as fever, headache and rash. It can be deadly if it is not treated early on with the correct antibiotics.

Asian longhorned tick
Asian longhorned tick
Asian longhorned tick

The newest Delaware tick species, first spotted in 2019, is the Asian longhorned tick.

This invasive species has a female-only population that can lay eggs without needing a male and occasionally bites.

What is Lyme disease?
Like mosquitoes, ticks are feared for their capacity to spread debilitating illnesses like Lyme disease.
Like mosquitoes, ticks are feared for their capacity to spread debilitating illnesses like Lyme disease.

A major concern when it comes to ticks is Lyme disease, the most common vector-borne disease in the U.S. but just one of 16 tickborne illnesses that can be passed to humans.

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It is transmitted to humans through the bite of an infected blacklegged tick and can lead to an infection of the joints, hearts and nervous system if left untreated. There is no evidence that the disease can be passed from person to person, according to the CDC.

Lyme disease accounts for approximately 30,000 of the reported tick-borne illnesses each year. The CDC suggests this number is actually closer to 476,000 due to underreporting when it comes to the disease.

Lyme disease in Delaware
Autumn colors at Bellevue State Park.
Autumn colors at Bellevue State Park.

In accordance with the Delaware Division of Public Health’s section of Epidemiology, Health Data and Informatics, the entity cannot disclose the current number of Lyme disease cases in Delaware, said Laura Matusheski, media relations coordinator for DPH.

“Delaware sees cases of Lyme disease in all three counties year-round and continues to monitor disease trends. People who spend time outdoors in grassy or wooded environments are at risk for increased exposure,” the Division of Public Health stated.

The CDC defines Delaware as a high-incidence state for Lyme disease, ranking it among the top 10 states for cases in the United States.

DPH tracks yearly totals for the number of Lyme disease cases reported in Delaware, and the number of cases per 100,000 people per year over the last five years are as follows:

  • In 2018, there were 540 cases of Lyme disease statewide per 100,000 people. New Castle County contributed 302 cases, followed by Kent County at 87 and Sussex County at 131.
  • In 2019, there were 659 cases statewide. New Castle County contributed 437, followed by 86 in Kent County and 136 in Sussex County.
  • In 2020, 353 cases were reported statewide. New Castle County contributed 249, Kent County contributed 43 and Sussex County contributed 161.
  • In 2021, 354 cases were reported statewide. New Castle County reported 250, Kent County reported 40 and Sussex County reported 64.
  • In 2022, the most recent year with data, 385 statewide cases were reported. New Castle County documented 253, Kent County documented 64 and Sussex County documented 68.

As the data shows, New Castle County has reported the highest incidence rates of Lyme disease compared with Kent and Sussex counties, at time documenting cases that are four times greater than throughout the rest of the state.

What are the symptoms of Lyme disease?

Lyme disease bacterium can infect several parts of the body and cause different symptoms at different times. Some of these symptoms may be nonspecific and resemble other diseases, according to the Division of Public Health.

Early symptoms of Lyme disease include:

  • Headache.
  • Fatigue.
  • An expanding red rash, commonly referred to as a bulls-eye rash. It can appear anywhere on the body and be warm to the touch but is usually not itchy or painful. Not all affected individuals will develop a rash.
  • Fever and/or chills.
  • Muscle and joint aches.

If left untreated, the following symptoms can occur:

  • Heart palpitations and dizziness.
  • Severe joint pain and swelling, usually in large joints like the knees.
  • Severe headaches and neck stiffness due to meningitis.
  • Loss of muscle tone on one or both sides of the face, called “Bell’s palsy.”
  • Neurological problems like numbness or tingling in extremities and problems with concentration and short-term memory.

If you think you have Lyme disease, contact your health care provider. Most cases of Lyme disease can be cured with antibiotics taken over the course of a few weeks, but the severity of symptoms and subsequent treatment may vary this timeline.

Some patients experience chronic symptoms months and years after the infection has cleared.

How to keep ticks away from your home
Fall foliage, picture here at Killens Pond State Park in Felton, is the perfect spot for ticks to latch onto unsuspecting hikers.
Fall foliage, picture here at Killens Pond State Park in Felton, is the perfect spot for ticks to latch onto unsuspecting hikers.

When it comes to keeping ticks away from you and your home, there are several ways you can decrease the presence of ticks on your property.

Keeping your grass mowed and removing leaf litter, brush and tall weeds from the edges of your lawn are routine ways to keep ticks out.

Other tactics from the CDC include:

  • Moving firewood, birdhouses and feeders away from your home. Wood should be stacked in a dry area.
  • Using plants that do not attract deer or exclude deer by using various types of fencing. Deer are the main food source for adult ticks.
  • Creating a 3-foot or wider wood chip, gravel or mulch barrier between your property and the woods.
  • Removing old furniture or trash, which ticks love to hide in, from your yard.
  • Keeping playground equipment, patios and decks away from yard edges and trees, instead placing them in sunny locations, if possible.
Tick bite prevention
Check yourself thoroughly after spending time in tick habitats.
Check yourself thoroughly after spending time in tick habitats.

Knowing where ticks usually dwell is the first step in preventing an encounter with them.

If you find yourself in a moist and humid environment that is near wooded or grassy areas, there are extra steps you can take to stay safe while in these places.

For those of you tasked with wading through fall leaves or tidying up the shrubs, wear light-colored clothing to allow you to see ticks crawling on you.

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If you find yourself in an area ripe for ticks, be sure to wear long sleeves and pants. Tuck your pant legs into your socks and consider wearing a hair tie on your sleeves to prevent ticks from crawling into the openings of your clothes.

Other ways to prevent tick bites, according to DPH, include:

  • Applying tick repellent that contains DEET. This lasts only a few hours and needs to be reapplied as necessary. Adults should use a repellent containing less than 50% DEET. Children’s repellents should contain less than 30% DEET. Do not use repellents with DEET on infants under 2 months old.
  • Searching your body for ticks during and after an outing. Be thorough when checking under your arms, inside your belly button, in and around your ear, behind the knees, between the legs, around the waist and in and around all head and body hair.
  • Checking children and pets for ticks. Your beloved pet probably has no clue a tick just latched onto him for a free ride into the house after a round of fetch. Giving your kids another look after they check for ticks can’t hurt either.
Symptoms of a tick bite
An image of what a tick bite looks like
An image of what a tick bite looks like

If you suspect you have been bitten by a tick, many tickborne illnesses share similar signs and symptoms.

See your health care provider if you develop the following symptoms within a few weeks of a tick bite:

  • Fever or chills: All tickborne diseases can cause fever.
  • Rash: Lyme disease, Southern tick-associated rash illness, Rocky Mountain spotted fever, ehrlichiosis and tularemia can cause distinctive rashes.
  • Aches and pains: Tickborne diseases can cause headaches, fatigue and muscle aches.
Tick bite treatment

After spending the day outdoors, your tick check might alert you to some unwelcome hitchhikers on your body.

If you discover a tick on you or your pets, do not use home remedies like petroleum jelly or hot matches to remove the ticks. They do not work, the Division of Public Health said.

Instead, use these steps to help rid yourself of ticks:

  • Use fine-tipped tweezers or shield your fingers with a paper towel, rubber gloves or a tissue to remove ticks. Do not pick at them with bare hands.
  • Grasp the tick close to the skin surface and pull upward with steady, even pressure.
  • Do not squeeze, crush or puncture the body of the tick. Its fluids, such as saliva, body fluids and gut contents, may contain infectious germs.
  • After removing the tick, clean the removal spot with an antiseptic or soap water. Don’t forget to wash your hands afterward!

Why you should never remove a tick with your fingers, according to a nurse

Insider

Why you should never remove a tick with your fingers, according to a nurse

Kim Schewitz – July 4, 2023

A close-up of tick attached to a person's body. Fingers touch the skin on either side of the tick
A tick embedded into the skin.Getty Images
  • A nurse explained why you should never remove a tick with your fingers.
  • Using your fingers risks the tick regurgitating its stomach contents into your body.
  • Ticks bites can spread diseases including Lyme.

A registered nurse has warned against removing ticks with your fingers, amid a particularly bad tick season in the US.

Not removing a tick correctly risks regurgitating its stomach contents into your body, Jennifer Quante, a Texas–based nurse who makes health-related videos, said in a recent TikTok. This could increase the risk of infection, according to Harvard Medical School.

How to remove a tick
Four images displaying how to remove a tick with tweezers
How to remove a tick with tweezers.CDC

The proper way to remove a tick is by using fine-tipped tweezers to grasp it as close to the skin’s surface as possible, the CDC advises. Then, you should steadily pull upwards and avoid twisting, which could cause the tick’s mouth to break off and remain in your skin.

If any parts of the tick can’t be removed easily, leave the area and let the skin heal. Once you have removed the tick, thoroughly wash the bite area and your hands with rubbing alcohol or soap and water.

To dispose of a live tick, either put it in alcohol, flush it down the toilet, place it in a sealed bag or container, or wrap it tightly in tape.

The CDC says you should always get checked out if you develop a rash or fever in the weeks following a tick bite.

“Never, ever, ever, ever remove it with your own hands. You’re just gonna have to, unfortunately, let it stay there until you get access to tweezers,” Quante said.

Quante said folklore remedies, such as burning the tick with a flame or trying to suffocate it with petroleum jelly or essential oils, are all risky.

Ticks can spread disease including Lyme

Not all ticks carry disease, but the bites of those that do can cause Lyme and rarer conditions such as Powassan virus disease and Heartland virus disease. Quante recommended putting the tick in a zip-lock bag after you’ve removed it and sending it out for testing to check if it’s infected.

Insider previously reported that the number of Lyme infections in the US and Europe has soared in recent months in what could be the worst season on record, as tick territories expand due to climate change.

Lyme disease, a tick-borne condition spread by the blacklegged tick, is caused by a bacteria called Borrelia burgdorferi, and Borrelia mayonii less commonly. Though it can usually be easily treated with antibiotics, the infection can cause debilitating symptoms, such as Lyme arthritis and fatigue, if left untreated.

Around 500,000 Americans a year are affected by Lyme disease, according to CDC estimates, and research suggests that 15% of the world has caught the disease.

Early symptoms typically include a fever, muscle aches, joint swelling or pain, headaches, swollen lymph nodes, and sometimes a red bull’s eye rash, known as erythema migrans.

The Most Nutritious Fish for Your Diet Aren’t the Ones You’d Expect, According to Harvard

Mens Journal

The Most Nutritious Fish for Your Diet Aren’t the Ones You’d Expect, According to Harvard

Stacey Ritzen – June 28, 2023

The American Heart Association says that adding fish high in omega-3 fatty acids to your diet twice per week can lead to better cardiovascular health, lowering the risk of heart disease and stroke. But while tuna and salmon come to mind for most people as sources of omega-3s, experts are now saying that the most nutrient-rich seafood comes from smaller fish and bivalves such as clams and mussels.

Christopher Golden, professor of nutrition and planetary health at the Harvard T.H. Chan School of Public Health, told MSNBC that incorporating smaller fish and bivalves to your seafood diet can help boost not just your intake of omega-3 fatty acids, but also micronutrients including zinc, iron, and vitamin B12 that many people are deficient in.

Another perk to eating smaller fish is that because you’re often consuming the entire fish—skin and bones included—they are also rich in calcium and vitamin D.

“Of all of the different equestrial and aquatic-based foods, small fish are the best source of nutrients for these types of things on a per-weight basis,” Golden explained. “So, although they are underutilized, they’re really good at delivering those sorts of nutrients.”

As such, Golden recommends eating “lower on the seafood chain,” with herring, mackerel, sardines, anchovies, clams, oysters, mussels, and scallops providing the biggest bang for your nutritional buck.

Experts have long-touted the health benefits of smaller fish including sardines, herring, and mackerel. However, another advantage is that these fish are less likely to have higher levels of mercury found in larger fish.

“Eating the smaller fish, you’re more likely to have a lesser mercury load than some of the larger carnivorous fish,” Golden continued. “Bivalves from healthy waters and small fish is really the direction to go.”

Many smaller fish and bivalves also come canned, which makes them convenient for pantry storage and less expensive than fresh fish. Of course, you’ll want to stick to fish like sardines which are packed in water or olive oil and avoid salt-cured canned fish such as anchovies, which are high in sodium and can actually raise blood pressure.

“You can’t go wrong with sardines,” registered dietitian Julia Zumpano likewise told Cleveland Clinic a few years back. “They’re a wonderful source of omega-3 fatty acids, they’re caught in the wild and they’re cheap.”

Top Doc: “Drinking Too Much Plain Water Can Harm Your Health” — Here’s What to Drink Instead to Have More Energy + Lose Weight

First for Women

Top Doc: “Drinking Too Much Plain Water Can Harm Your Health” — Here’s What to Drink Instead to Have More Energy + Lose Weight

Lisa Maxbauer – June 27, 2023

Just about every doctor and nutrition expert on the planet recommends drinking water. It also seems to be the one thing that every non-expert — from the keto meat eater to leafy-green plant eater — agrees on. And it makes sense, considering that our bodies are made up of roughly 60% water. Still, most of us aren’t sipping enough of the right kind of fluids to optimize our bodily functions. And we’re tired, groggy, constipated and dragging around a few too many pounds as a result.

Indeed, when it comes to women in midlife and older, dehydration has reached epidemic proportions. As many as 95% of women over age 40 are dehydrated, asserts Howard Murad, MD, author of The Water Secret. “As we age, stress, poor diet and environmental toxins damage the body’s cell membranes, weakening their ability to hold water,” he explains. “This damage leads to subclinical dehydration and the exhaustion, headaches, brain fog, mysterious cravings and weight gain that follow.”

But as important as drinking water is to our health, proper hydration can be surprisingly elusive—especially as we get older. As our cell membranes become less able to conduct water into our cells, it takes a special kind of water to attain a true state of hydration. That’s where “electrolyte water” comes in.

What is electrolyte water?

Electrolyte water most commonly includes, well, electrolytes — minerals that carry an electrical charge when dissolved in water to help revitalize the cells in the body and optimize their overall function — like sodium, potassium and magnesium. In fact, electrolyte water is becoming so popular that manufacturers are producing versions in hundreds of flavors and variations — and they’re flying off store shelves.

Liquid IV water on a grocery store shelf
The Image Party/Shutterstock
What is liquid IV?

One brand of electrolyte powder that has made an unusually large splash is Liquid IV. The name elicits an image of getting a quick infusion of health-boosting nutrients, much like people get intravenously at the hospital, without any painful needles or pokes. Touted as a “hydration multiplier,” this powdered mineral mix comes in individual packets — also called “sticks” — that can be added to bottles or glasses of water.

Each packet promises to deliver hydration two times faster and more effectively than plain water alone. Tests have also shown these packets hold three times more electrolytes than the traditional sports drinks of our youth like Gatorade. Another of electrolyte mix sticks brand popular among keto enthusiasts is LMNT.

These types of ready-made mineral mixes get a thumbs up from hydration experts. “An electrolyte drink mix made without added sugars would be the first thing I’d recommend to help people hydrate effectively and quickly,” asserts Dana Cohen, MD, author of Quench. Her advice: “Start salting your water, not your food.”

Why we need electrolyte water

Electrolytes play a number of crucial roles inside the human body. These nutrients help nerves transmit electrical impulses and support muscle function, preventing muscle cramps and fatigue. Electrolytes also help the body maintain a healthy pH balance and support the kidneys in their crucial role of filtering fluid and toxins.

Nutrition expert Ann Louise Gittleman, PhD, NY Times bestselling author of over 35 books, including The New Fat Flush Plan, explains, “Minerals are the spark plugs of life and adding electrolytes to water is a perfect hydration solution.”

“When we talk about dehydration, we’re often not only losing water, but also electrolytes like sodium and potassium, which are critical for bodily and cellular functions,” explains Dr. Cohen. “In order to properly replenish what we lose through sweat, we need not only to replace water but to replace electrolytes” as happens when drinking an electrolyte water like Liquid IV.

And it’s not just people who exercise who benefit from electrolytes. The body uses up minerals for countless other reasons — like to process alcohol or sugar that we’ve consumed, or when we’re sick or undergoing a medical treatment, when pregnant or breastfeeding or even traveling or stressed.

Electrolyte water versus plain water

“Drinking too much plain water can flush out vital nutrients and electrolytes from our cells and tissues, actually harming our health and limiting our body’s ability to perform,” explains Dr. Cohen. Researchers have found that our cells have a hard time absorbing plain water to undo chronic, low-level dehydration like the kind we may experience every day and not realize.

In fact, when we lack sodium, potassium and magnesium — as many of us do — we’re dehydrated on a cellular level. And by the time we experience noticeable symptoms like thirst or weaknesses, we’ve already been dehydrated for a while. James DiNicolantonio, Pharm.D., author of The Obesity Fix, agrees with Dr. Cohen, saying, “True hydration is replenishing water, plus lost minerals.”

How electrolyte water helps with weight loss

Replacing the body’s minerals by drinking electrolyte water, like Liquid IV, has another perk: It can control cravings. Research shows that when our body is lacking water or minerals, we feel an extra urge to overeat. Dr. DiNicolantonio says, “We seek out food, like a bag of salty chips, to obtain the salt our body demands.”

Dr. Cohen asserts, “Most of the time, when we feel hungry, we’re actually dehydrated.” But that hunger leads us to reach for food, rather than ultra-hydrating liquids, so we lose the ability to sense what true thirst feels like in the body. And this malfunction seems to only worsen over time. Dr. Cohen explains, “After a lifetime of learning to ignore our thirst, the mechanism goes numb.”

When we replace minerals, however, and achieve true hydration, it leads to effortless slimming. The proof: When people in a University of California-Irvine study added electrolytes to their diet, they shed 56 pounds in 6 weeks.

Actress Donna Mills, 82, legendary star of the television show “Knots Landing,” is a fan of electrolyte powers. She told us, “More and more, I’ve become aware of the importance of drinking water for overall health. I try to drink at least two large bottles of water a day. Playing tennis helps — after every couple of games, I go to the side and drink. Exercise reminds me to drink. I like to put lemon wedges or electrolyte powder in the water.”

How to make an electrolyte water even better than Liquid IV

To achieve the deep hydration only possible with mineral-infused water, you can try Liquid IV packets for yourself buy on Amazon ($24.66 for 16 servings) or you can create your own electrolyte mix to add to water at home. For a time-tested recipe, we turned to health and weight-loss guru Jorge Cruise, bestselling author of more than 20 books. For more than 20 years Cruise has been helping women control their cravings and achieve proper hydration. His secret weapon is his homemade recipe for Zero Hunger Water. Follow this recipe to make this DIY electrolyte mix in bulk.

Ingredients:

1/4 tsp. salt (like Redmond Real Salt (buy on Amazon, $10.84)

1/8 tsp. potassium chloride powder (like Nutricost, buy on Amazon, $23.94)

1/16 tsp. magnesium glycinate powder (like Doctor’s Best), buy on Amazon, $17.07

1/4 tsp. glycine powder (like Nutricost, buy on Amazon, $21.95), optional

Directions:

Combine all the ingredients in an empty water bottle and mix well. Add 16 oz. of filtered water and shake. Sip throughout the day to quell cravings, refilling as needed. Each bottle contains roughly 500 mg. of sodium, 500 mg. of glycine, 200 mg. of potassium and 60 mg. of magnesium. For optional flavor, add 1 packet of TRUE orange, grapefruit or lime crystalized flavoring and sweeten with stevia or monk fruit to taste. You can also add this mix to other beverages such as iced tea or mocktails.

Cruise recommends drinking around 32 ounces of electrolyte water every two hours. As always, women with high blood pressure should consult their doctor before changing their sodium intake.

While three electrolytes — sodium, potassium, and magnesium — in this recipe are familiar to most of us, one thing on the list may sound new: the amino acid glycine. “Glycine improves the absorption of sodium, so it strengthens the hydration abilities of electrolyte water to turn off false hunger,” says Dr. DiNicolantonio. That’s why Cruise has added glycine to his slimming Zero Hunger Water recipe. Cruise finds, “Glycine makes electrolyte water three times more powerful in giving people radical hunger control.”

Real-world proof of the slimming power of electrolyte water

Cruise is amazed by the slimming results he’s seen in his clients who use this electrolyte water recipe. “I think of it as the over-50 fat cure,” says Cruise, who routinely witnesses clients lose up to 2 pounds a day following his hydration advice. In fact, Sandy Rosser, 60, of Fayetteville, N.C, lost 95 pounds with Cruise’s electrolyte water. She shares, “Calorie counting never addressed the root of my problem, which was mineral deficiency!”

Cruise sums it up, saying, “If you’re always craving carbs, sweets or salty snacks, it’s actually ‘false hunger’ triggered by an electrolyte imbalance.”

For more information, listen to Jorge Cruise’s “Zero Hunger Guy” podcast and sign up for his free Zero Hunger Water Club and receive support at ZeroHungerWater.com.

The Benefits of Regularly Eating Cherries

Very Well – Health

The Benefits of Regularly Eating Cherries

Lauren Panoff, MPH, RD – June 26, 2023

<p>Yulia Naumenko / Getty Images</p>
Yulia Naumenko / Getty Images

Medically reviewed by Roxana Ehsani, MS

Cherries are a beloved stone fruit of many plants in the Prunus genus. They are considered drupes, fruit with juicy outer flesh and a single pit inside, like peaches or olives. Cherries are delicious and contain vitamins, minerals, fiber, and antioxidants.

This article examines the many types of cherries, their nutritional profile, and the benefits of regularly incorporating cherries into your diet.

How Many Types of Cherries Are There?

There are over 20 types of cherries, but you have likely only seen a few varieties at your grocery store or local farmers market.

The two major categories of cherries are sweet and sour, each with many different varieties. In the United States, sour cherries predominantly grow in the Midwest and East Coast, whereas sweet cherries are plentiful on the West Coast. Varieties include:

  • Sweet cherries include dark red or black varieties, such as Bing, Lambert, Chelan, Sweetheart, and Tulare. These are slightly heart-shaped and juicy. They work well in salads and tarts. Rainier and Royal Ann are other popular sweet cherry varieties, which are pink and yellow and often served as part of a charcuterie board or cheese plate.
  • Sour cherries include varieties such as Montmorency and morello. These are bright red with a tart flavor, making them great for pies, cobblers, and other sweet desserts.

Cherries are a nutritious snack all on their own. There’s not one variety that’s significantly healthier than another, so try them all and decide which you like the best. All you have to do is wash them and be sure to remove them or eat around the pit inside.

Benefits: What Makes Cherries Healthy

Cherries are often regarded as superfoods, which suggests their powerful health benefits. What makes cherries so healthy is that they’re packed with nutrients.



Superfoods

“Superfoods” is a marketing term highlighting foods that prevent disease and support overall health. There is no standard, science-backed criterion to deem foods “super,” although most foods marketed as such contain antioxidants and omega-3 fatty acids.

Exercise Recovery

The anti-inflammatory and antioxidant compounds in cherries may help you recover from intense exercise and resume exercising quicker. Tart cherries and tart cherry juice have been extensively studied for this.

Some research indicates that cherries can benefit your muscles by:

  • Reducing soreness
  • Promoting recovery
  • Reducing exercise-associated pain associated with exercise

One study among endurance runners found that those who consumed 480 milligrams (mg) of powdered tart cherries daily for 10 days before running a half marathon ran the race 13% faster than the placebo group who did not consume tart cherries. Additionally, the cherry group reportedly experienced less muscle soreness after the race, allowing them to recover more quickly than the placebo group.

Heart Health

Cherries contain many heart-healthy compounds. For example, they are a good source of fiber, an essential nutrient for maintaining normal cholesterol levels and other blood markers. They also contain potassium, a mineral that helps balance sodium and promotes healthy blood pressure.

Research shows that cherry juice can help reduce blood pressure in adults within two hours of consumption and can help lower high low-density lipoprotein (LDL) cholesterol (considered bad cholesterol), a risk factor for heart disease.

Joint Health

Many people experience joint pain from the buildup of uric acid crystals, which can lead to inflammation. Cherries have been studied for their unique ability to normalize uric acid levels. This is why many people with joint pain and related conditions like gout (inflammatory arthritis) may benefit from adding cherries to their diet.

One review of 29 studies on cherry intake and gout found that cherries were beneficial for reducing related joint pain within a matter of days. Another study found that cherry extract and fresh cherry consumption were associated with a 35% reduction in gout attacks as soon as two days after consumption.

Sleep

Cherries contain melatonin, a natural compound that regulates your circadian rhythm (sleep-wake cycle). As the day ends, your brain releases melatonin to help prepare you for sleep. Melatonin levels decrease as morning nears to help you wake up for the day.

As we get older, melatonin levels naturally begin to decline. One study using tart cherry juice found that it increased participants’ melatonin levels, improving their sleep quality and duration of sleep.

Most studies on cherries and sleep use tart cherry juice or cherry extract. Fresh cherries may not have the same effect.

Nutrition Profile of a Single Serving of Cherries

Eating cherries one by one from a bag is easy, but you may wonder about their nutritional benefits. The standard serving size of fresh fruit is one-half cup.



Nutrition Profile of Cherries

A one-half-cup serving of fresh sweet raw pitted cherries offers the following:

  • Calories: 50
  • Protein: 1 gram (g)
  • Total fat: 0 g
  • Fiber: 1.5 g
  • Total sugars: 10 g
  • Calcium: 10 mg
  • Vitamin C: 5 mg
  • Potassium: 170 mg
  • Magnesium: 8 mg

Like other fruits, cherries are fat-free, offer limited protein, and contain carbohydrates from natural sugars and fiber. They also have a wide variety of vitamins and minerals.

Furthermore, cherries contain polyphenols and antioxidants, which are plant compounds with anti-inflammatory and protective properties for cellular health.

When Are Cherries Not as Healthy?

Cherries are a nutrient-rich fruit that fit into almost any diet pattern. Of course, people with a cherry allergy should not eat them, but are there other potential downsides to cherries?

When considering the health contributions of cherries, remember that you get the most benefits from fresh, raw cherries than those that have undergone heavy processing.

Products like canned and maraschino cherries contain significant added sugar, which can spike your blood sugar. And they don’t offer the benefits of fiber and other plant compounds found in raw cherries. Consuming fresh cherries vs. sugary cherry products is also better for people with diabetes.

A high added sugar intake increases the risk of numerous chronic diseases. Dried cherries may not have added sugar but do contain a more concentrated amount of natural sugars per serving than fresh cherries.

Eating many cherries in one sitting could lead to digestive symptoms if you’re not used to eating whole plant foods, fiber-filled fruits, and natural sugar. If you’re concerned about potential side effects, stick to a serving size of fresh or frozen cherries, which is one-half cup at a time.

Summary

If you’re a fan of cherries, you’re not alone. These juicy little fruits are very popular, especially in the summertime. Cherries are also a rich source of vitamins, minerals, fiber, antioxidants, and other plant compounds responsible for various health benefits. Including cherries in your diet may benefit your heart, joint health, sleep, and exercise recovery.

This is How Much Water People 50 and Older Should Drink Each Day, According to a Urologist

Parade

This is How Much Water People 50 and Older Should Drink Each Day, According to a Urologist

Emily Laurence – June 23, 2023

When do you reach for a glass of water? If it’s only when you’re thirsty, hot, or with a meal, then you likely aren’t drinking enough. It’s important to drink water throughout the day—even if you aren’t thirsty—and your hydration needs may change as you get older.

Here, urinary health specialists explain how much water people 50 and older should actually be drinking every day. Plus, their expert tips on making sure you’re getting enough.

Related: Summer is Here! Learn the 10 Key Signs of Dehydration (and How to Fight It)

How Hydration Needs Change as We Age

Dr. David Shusterman, MD, a urologist and the founder of New York Urology, explains that as we age, there are several reasons why the risk for dehydration can increase. “As we age, our kidneys become less efficient at conserving water, and our body’s ability to regulate fluid and electrolyte balance may also decline,” Dr. Shusterman explains.- ADVERTISEMENT -https://s.yimg.com/rq/darla/4-11-1/html/r-sf-flx.html

He adds that older adults may also have medical conditions or take medications that can increase the risk of dehydration. “For example, diuretics, laxatives and some blood pressure medications can increase urine output and cause dehydration,” he says. Aleece Fosnight, MSPAS, PA-C, CSC-S, CSE, NCMP, IF, a medical advisor at Aeroflow Urology, adds that diabetes medications can also increase the risk of dehydration. “These medications work on the kidneys to release more sugar into the urine and water follows sugar,” she says.

For all these reasons, it’s important to be extra mindful of staying hydrated as you age.

Related: 11 Tasty Low-Calorie Drinks To Keep You Hydrated If Water’s Just Not Your Thing 

How Much Water Should People 50 and Older Drink Every Day?

No matter how old you are, Dr. Shusterman says to aim for drinking between 1.5 and 3.5 liters (or 52 and 118 ounces) of water every day. That’s the equivalent of between 6.5 and 15 glasses of water every day—even if you aren’t thirsty.

Both experts say that there are signs that you’re not drinking enough water to be aware of. The main indicator is the color of your urine. Both experts say that urine should be yellow or clear. If it’s dark yellow or amber, that’s a sign that you need to drink more water. It’s also important to know the physical signs of dehydration. “Symptoms of dehydration can include thirst, dry mouth, fatigue, dizziness, confusion, and dark urine,” Dr. Shusterman says. He says that in severe cases, dehydration can lead to heat exhaustion, heatstroke and even death.

Both experts have several tips for making sure you’re staying hydrated. First, be sure to drink water before, during and after physical activity. Dr. Shusterman even recommends having a water bottle with you at all times, even if you aren’t engaging in physical activity. That way, you can stay hydrated all day, including while you’re in the car, at appointments or running errands.

Fosnight’s favorite hydration tip is to download a water app for your phone. “It will let you know when you need to drink water or remind you to drink water,” she says, adding that she typically encourages people to drink four to six ounces of water every hour to stay hydrated throughout the day. Some water apps to consider include WaterllamaWater Time Drink Tracker & Reminder, and WaterMinder. There are also smart water bottles, such as HidrateSpark Pro ($79.99), Icewater ($15.99), and Waterh ($59.99), that light up as a reminder to take a drink.

Besides drinking enough water, Dr. Shusterman says that filling up on hydrating foods can also be beneficial. Fruits and vegetables, in particular, have high water content. He adds that it’s also important to avoid consuming foods or drinks that are dehydrating. The big ones to be aware of are alcohol and caffeine. “Alcohol and caffeine can increase urine [output] and cause dehydration,” Dr. Shusterman says. If you do consume caffeine or alcohol, be sure to drink water alongside it so you stay hydrated.

Related: Eat Your Water! 7 Fruits and Vegetables That Will Keep You Hydrated

Dr. Shusterman says that foods high in sodium can also increase the risk for hydration. “The American Heart Association recommends that adults consume no more than 2,300 milligrams of sodium per day,” he says. As with water, if you are consuming high-sodium foods, be sure to up your water intake.

The body can’t function properly when it’s not well-hydrated—and you’ll definitely notice a difference in how you feel if you aren’t drinking enough water. Follow these hydration rules and you’ll be giving your body what it needs more than anything: water.

Next up, find out if it’s possible to drink too much water and how to know if you’re overdoing it.

Titanic submersible: 5 passengers on missing sub likely dead following ‘catastrophic implosion’

Yahoo! News

Titanic submersible: 5 passengers on missing sub likely dead following ‘catastrophic implosion’

Christopher Wilson – June 22, 2023

The Coast Guard announced Thursday that it believed the five passengers who disappeared while attempting to explore the Titanic shipwreck were likely lost due to a “catastrophic implosion” of their vessel.

U.S. Coast Guard Rear Adm. John Mauger announced at a press conference that on Thursday morning, five major pieces of debris had been found on the seafloor about 1,600 feet from the site of the Titanic, a finding “consistent with the catastrophic loss of the pressure chamber.” Mauger said they then notified the families and offered their condolences.

Shortly before Mauger’s comments, the company running the expedition, OceanGate, announced that the five passengers “have sadly been lost.”

OceanGate's tourist submersible vessel.
OceanGate’s tourist submersible vessel. (OceanGate/Handout via Getty Images)

“These men were true explorers who shared a distinct spirit of adventure, and a deep passion for exploring and protecting the world’s oceans,” read the statement. “Our hearts are with these five souls and every member of their families during this tragic time.”

The grim announcement came four days after a 21-foot tourist submersible named the Titan was reported missing approximately 900 miles east of Cape Cod, triggering a massive search to find the vessel before its occupants ran out of oxygen.

The Titan had been projected to run out of its 96-hour supply of breathable air on Thursday morning. And because the door was bolted from the outside, those inside would not have been able to open it on their own even if they were able to reach the surface. Asked about the possibility of recovering remains, Mauger called the conditions “unforgiving” and said there weren’t prospects for doing so at this time.

A missing sub and extensive search
The five occupants of the Titan and the Titan.
The five occupants of the Titan: Stockton Rush, Hamish Harding, Shahzada Dawood, Paul-Henri Nargeolet and Suleman Dawood, and the Titan. (Shannon Stapleton/Reuters; Courtesy of Jannicke Mikkelsen via Reuters; Courtesy of Engro Corporation Limited via Reuters; J. Sagat/AFP via Getty Images; Courtesy of Engro Corporation Limited via Reuters; OceanGate/Handout/Anadolu Agency via Getty Images)More

The Titan, operated by OceanGate, a private exploration company based in Everett, Wash., launched early Sunday morning to tour the Titanic wreckage with five passengers on board: OceanGate CEO Stockton Rush, 61; British billionaire and explorer Hamish Harding, 58; Pakistani businessman Shahzada Dawood, 48, and his 19-year-old son, Suleman; and Paul-Henri Nargeolet, a 77-year-old French explorer.

The Polar Prince, a Canadian research vessel and support ship for the expedition, lost contact with the submersible about an hour and 45 minutes after launch. OceanGate reported the Titan missing on Sunday evening, triggering a massive international search effort led by the U.S. Coast Guard and assisted by the U.S. Air Force, Navy, Air National Guard, Royal Canadian Navy and Canadian Coast Guard.

Read more on Yahoo News

A Canadian P-3 aircraft equipped with sonar listening equipment detected underwater “banging noises” on Tuesday and Wednesday, raising hopes that the Titan crew might be found alive. But Coast Guard officials cautioned at the time they were not sure what caused the noises even while remaining adamant that the search remain in the rescue phase.

“This is a search and rescue mission, 100%,” Frederick said Wednesday. “We are smack dab in the middle of search and rescue, and we’ll continue to put every available asset that we have in an effort to find the Titan and the crew members.”

Troubling signs
OceanGate's tourist submersible on the surface of the sea.
OceanGate’s tourist submersible on the surface of the sea. (OceanGate/Handout/Anadolu Agency via Getty Images)

Founded in 2009, OceanGate charges up to $250,000 per person for a chance to visit the remnants of the Titanic, which sank in 1912 on its inaugural trip from England to New York. While Rush stated last year that the submersible had made it down to the wreckage a dozen times over the last two years, there had been a number of red flags about the operation. In 2018, more than three dozen oceanographers and deep-sea explorers wrote a letter to OceanGate warning that its “experimental” approach could lead to “catastrophic” consequences for its Titanic dives.

A 10-minute segment from CBS News Sunday Morning in November 2022 foreshadowed the tragedy. Journalist David Pogue discussed some of the paperwork he had to sign in an almost humorous tone, reading, “This experimental vessel has not been approved or certified by any regulatory body, and could result in physical injury, emotional trauma, or death,” before adding, “Where do I sign?”

In the 2022 piece, Pogue noted that while he was on the expedition the submersible never made it to the wreck site because of communications errors. He quoted one passenger as saying, “We were lost for two and a half hours.” Pogue’s own scheduled trip to the Titanic was canceled due to poor weather, and a back-up excursion to the trip to a Continental Shelf was called off due to technical difficulties after 37 feet of descent.

In a tweet Monday, Pogue said the craft was, in fact, lost for five hours and that adding an emergency locator beacon was discussed. Pogue added, “They could still send short texts to the sub, but did not know where it was. It was quiet and very tense, and they shut off the ship’s internet to prevent us from tweeting.” The company cited the need to keep “all channels open” as a reason for cutting off internet access, he said.

Another former passenger on the Titan told the BBC on Tuesday said he had to sign a “death waiver” that “lists one way after another that you could die on the trip,” including “[mentioning] death three times on page one, and so it’s never far from your mind.”