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COMMENTARY: COVID-19 Diary Day 2: Insomnia -- The Mark of Medical Practice  - web md

COMMENTARY: COVID-19 Diary Day 2: Insomnia -- The Mark of Medical Practice

Don Dizon shares how he is dealing with the pandemic, knowing that despite COVID-19, people still need care, chemotherapy needs to be administered, and new patients are still coming in for evaluation.
web md - 15 hours ago
COVID-19 Hitting Some African American Communities Harder  - web md

COVID-19 Hitting Some African American Communities Harder

In states such as Michigan and Louisiana, as well as in cities like Chicago and Milwaukee, African American people are making up a disproportionately large number of COVID-19 cases and deaths, officials say.
web md - 16 hours ago
What’s it like to be a healthcare worker in a pandemic? - harvard

What’s it like to be a healthcare worker in a pandemic?

Millions of healthcare workers on the front lines of the fight against the coronavirus have a much higher risk of becoming infected, and are being put in further danger due to shortages of protective equipment, but they continue to do their jobs while adapting to current conditions. The post What’s it like to be a healthcare worker in a pandemic? appeared first on Harvard Health Blog.
harvard - 16 hours ago
No School Forces Many Medical Workers to Stay Home  - web md

No School Forces Many Medical Workers to Stay Home

About 29% of U.S. health care workers have children between 3 and 12 years of age, the analysis showed. In households without a non-working adult or a sibling age 13 or older to care for them, 15% of health care workers will require child care if schools close.
web md - 2 days ago
Mysterious Heart Damage Hitting COVID-19 Patients  - web md

Mysterious Heart Damage Hitting COVID-19 Patients

Most of the attention in the COVID-19 pandemic has been on how the virus affects the lungs. But evidence shows that up to 1 in 5 infected patients have signs of heart damage and many are dying due to heart problems.
web md - 2 days ago
Patients on Steroids With COVID-19 Might Need Rescue Steroids  - web md

Patients on Steroids With COVID-19 Might Need Rescue Steroids

Those on steroids because of known adrenal disease, and for more common ailments, may need additional 'stress' doses of IV corticosteroids in the case of severe infection with COVID-19, endocrinologists urge.
web md - 2 days ago
Lifestyle changes are important even if you take medications - harvard

Lifestyle changes are important even if you take medications

People who are prescribed medication for high cholesterol or high blood pressure may be more likely to gain weight and less likely to exercise, but for those who are on such medications, it's even more important to commit to making healthier lifestyle choices. The post Lifestyle changes are important even if you take medications appeared first on Harvard Health Blog.
harvard - 2 days ago
Test for Coronavirus Antibodies Approved by FDA  - web md

Test for Coronavirus Antibodies Approved by FDA

The test checks for protective antibodies in a finger prick of blood, revealing whether a patient has ever been exposed to the coronavirus and now may have some immunity, The New York Times reported.
web md - 5 days ago
COMMENTARY: NYU Med Student Joins COVID Fight:

COMMENTARY: NYU Med Student Joins COVID Fight: 'Time to Step Up'

New York med schools asked fourth-year students to graduate early and volunteer to help battle COVID. One student discusses how he weighed the potential life-or-death decision to join the front lines.
web md - 5 days ago
Coronavirus Hangs Around After Symptoms Subside  - web md

Coronavirus Hangs Around After Symptoms Subside

It took about five days from the time patients were infected until symptoms appeared, and about eight days before they disappeared. Patients were contagious for one to eight days, the researchers said in a news release from the American Thoracic Society.
web md - 5 days ago
WalMart Will Check All Workers

WalMart Will Check All Workers' Temperatures

Employees with a temperature of over 100 degrees Fahrenheit will be sent home for at least three days and may be advised to seek medical treatment. The workers will be paid for showing up for work, CBS News reported.
web md - 6 days ago
In Some Cases, COVID-19 May Harm the Brain  - web md

In Some Cases, COVID-19 May Harm the Brain

It's believed the brain can be damaged by viral infection whenever a patient's immune system overreacts to the virus. This immune system hyperactivity triggers a "cytokine storm" -- an overproduction of immune cells and their activating compounds, known as cytokines.
web md - 6 days ago
How does cardiovascular disease increase the risk of severe illness and death from COVID-19? - harvard

How does cardiovascular disease increase the risk of severe illness and death from COVID-19?

Initial investigation into COVID-19 focused on its respiratory effects, but a more recent report describes serious cardiovascular complications in people with pre-existing heart disease. How does this underlying condition increase risk for these people? The post How does cardiovascular disease increase the risk of severe illness and death from COVID-19? appeared first on Harvard Health Blog.
harvard - 6 days ago
Top 10 Must-Dos in ICU in COVID-19 Include Prone Ventilation  - web md

Top 10 Must-Dos in ICU in COVID-19 Include Prone Ventilation

With new European Society of Intensive Care Medicine guidelines on caring for critically ill COVID-19 patients covering more than 50 recommendations, Medscape asked one author for his essential top 10.
web md - 6 days ago
Top 10 Tips for Diabetes Telehealth Prophetic in Face of COVID-19  - web md

Top 10 Tips for Diabetes Telehealth Prophetic in Face of COVID-19

A new article sets the stage for routine virtual diabetes visits, offering 10 top tips that will undoubtedly be of use for transforming care during the COVID-19 pandemic, and likely for long afterwards.
web md - 6 days ago
Abortion Access Shifting in Some States Amid COVID-19  - web md

Abortion Access Shifting in Some States Amid COVID-19

In addition to challenges the coronavirus pandemic already poses to women seeking healthcare, several states have included surgical abortions as restricted procedures in executive orders related to COVID-19.
web md - 6 days ago
Ranitidine (Zantac) recall expanded, many questions remain - harvard

Ranitidine (Zantac) recall expanded, many questions remain

The FDA has not yet released the results of its testing of the heartburn medication ranitidine. The testing method used by the online pharmacy that originally alerted the FDA may have affected their results. The post Ranitidine (Zantac) recall expanded, many questions remain appeared first on Harvard Health Blog.
harvard - 6 days ago
Taking Stock - positively positive

Taking Stock

My intention is to walk this part of my life’s journey with a tremendous amount of compassion for myself and others. To navigate with as much positivity as I can muster, to set the intention to come out the other side knowing myself more, connecting a bit more deeply with the world outside my door even if it is over Zoom, and realizing that when push comes to shove, we sure as hell do know how to come together when faced with a difficult time. The post Taking Stock appeared first on Positively Positive.
positively positive - 1 week ago
FDA Requests Zantac Be Pulled From the Market  - web md

FDA Requests Zantac Be Pulled From the Market

Six months after independent testing first raised the possibility that popular heartburn drug ranitidine (Zantac) might break down into the powerful carcinogen n-nitrosodimethylamine (NDMA), the FDA has asked for the removal of all ranitidine products from the market.
web md - 1 week ago
EPA Didn’t Tell Residents About Gas Risks: Report  - web md

EPA Didn’t Tell Residents About Gas Risks: Report

A new government report has rebuked the U.S. Environmental Protection Agency for failing to tell residents about the health risks they face by living near facilities that release cancer-causing ethylene oxide gas.
web md - 1 week ago
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harvard
What parents need to know about a vegan diet

What parents need to know about a vegan diet

harvard - 3 months ago

A vegan diet is made up of only plant-based products no meat, fish, dairy, or eggs (some people also exclude honey). While these diets are still relatively rare, they are becoming more common. Some families or teens choose them for health reasons, and its certainly true that plant-based diets are low in saturated fat and can have other health benefits. Some choose them for philosophical reasons either sustainability, or not wanting to harm animals, or both.

Whatever the reason, its important to get educated before you begin. You should talk to your doctor, and if possible its a good idea to also meet with a nutritionist. Because while vegan diets can absolutely be healthy, there are some nutritional and other issues that can cause trouble if you arent careful.

Calories and protein for children eating a vegan diet

Two issues you should learn about and plan for are:

Calories. Plant-based foods tend to have fewer calories than animal-based ones. This is not a bad thing, given the current obesity epidemic in the US, but its important to be sure that children and teens get enough calories to grow and support daily activity. The number of calories a child needs will depend on their age, size, and activity level. Nuts, nut butters, and soy products can help add calories, as can granola and other whole-grain products.

Protein. Protein is crucial, not just for building muscle but for all sorts of body processes. This is another nutrient that is simply easier to get from animal products, as there is more of it and it is complete, meaning that it has all the amino acid building blocks that humans need. The protein you get from plant products is less accessible to the body and may or may not be complete and for that reason, people on vegan diets need to eat more protein than those on animal-based diets, to be on the safe side. As with calories, the amount of protein a child needs depends on their age and size. Nuts, legumes (including peanuts), soy products, and whole grains are good sources of protein.

Key minerals and vitamins for children eating a vegan diet

Consider sources for key minerals and vitamins:

Calcium. Calcium is important, especially for bone health. Dairy is the easiest source of calcium, but there are other ways to get it, including foods like kale, bok choy, and broccoli. Many alterna-milks such as soy milk and almond milk are fortified with calcium (and vitamin D), as are some brands of orange juice.

Iron. Iron is important to keep our blood and our bodies healthy and strong. Fortified cereals and some other plant products have iron, but its not a bad idea to give your child a multivitamin with iron.

Vitamin B12. This is another crucial nutrient that can be harder to get on a plant-based diet. While vegans can get it from soy beverages and fortified cereals, its another reason why a multivitamin is a good idea.

Vitamin D. While the main source of vitamin D is sunshine (really!), most of us dont spend enough time in the sun to get enough of it, and need to get it from our diet. If a child isnt going to get it from fortified dairy products, then a supplement is the way to go. For younger children, the 400 IU that is present in most multivitamins is enough; older children may need more. Talk to your doctor about what is best for your child.

Fiber. This is one thing that vegan diets may actually have too much of, given that plants have a lot of fiber. The most common problem with getting too much fiber is that it can fill you up, making it harder to get enough of the calories and other nutrients you need. Giving children some refined grains like cereals can help, as can giving peeled fruits and cooked vegetables rather than raw.

What else should you consider?

Its also helpful to consider the emotional aspects of being on a vegan diet. If your family is not vegan and your child is asking to be, its important to understand why. The reasons may be perfectly fine and healthy, but some children, especially teens, choose vegan diets in order to lose weight. If you suspect that your child may have an eating disorder, talk to your doctor.

Being on a restrictive diet can be difficult for some children, too, who may feel different from their peers, or excluded from group eating experiences like birthday parties. This is something that you should think about as parents and talk about as a family. If its important to you that your child adhere to a vegan diet in all settings, you should talk about strategies for navigating that, both in terms of making sure your child has food to eat in every setting, and in terms of helping them talk about their dietary choices with their friends.

Eating, after all, is about more than just feeding our bodies. Eating can and should be fun, no matter what diet we choose.

Follow me on Twitter @DrClaire

The post What parents need to know about a vegan diet appeared first on Harvard Health Blog.

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