Feeding Your Friends

FIT’s Chef Lizzie shows you how to feed your hungry friends healthy food they’ll love.

To watch more Chef Lizzie videos and help your family become healthier eaters, visit WebMD.
http://www.webmd.com/parenting/raising-fit-kids/food/food-videos?vid=vd-1863-rfk-1003

Reviewed by Hansa Bhargava, 10/22/12
SOURCES: USDA Choose My Plate, Chef Lizzie Marie Cuisine
©2012 WebMD, LLC. All rights reserved.

When your friends come over, instead of asking your mom to fix you a snack, have you ever thought about just making something yourself?

You might even have fun doing it. Stick around and I’ll share some of my ideas.

“Lizzie!…Hurry up!…We’re hungry.”

Ok, just give me a second! Welcome to Healthy Cooking with Chef Lizzie. When my friends come over, it’s usually not too long before we’re in the kitchen looking for something to eat. So I learned to plan ahead.

I always have some quick, healthy snacks on hand that I can pull out and serve quickly, and one of my favorites is frozen grapes…

Just wash them and pop them in the freezer and they’re ready anytime…
I froze these last night… Mmmm

Another easy way to make fruit more fun, along with cheeses too, is to use cookie cutters to make them into fun shapes. It pretty much tastes the same, but my friends always like it this way the best.

Those are the quick ideas, but if you want to get a little fancier, and have a little fun, I’ve got a special recipe for something kids love.

Pizza!

Start with whole-wheat English muffin halves and put them in a toaster. Or you can use sprouted grain muffins instead. That’s what I’m using. Once they’re toasted, it’s time for the fun.

Spread about a tablespoon of marinara sauce on each half. Marinara adds some Italian flavor, and doesn’t have as much sugar as pizza sauce does.

Top the marinara with turkey pepperoni for more flavor—and protein.

Finish the pizzas by sprinkling mozzarella cheese on top. And now it’s time for the rest.

Now ask an adult to help by putting the pizzas in the oven at 350 degrees for 5–7 minutes, or until the cheese is melted and a little brown on top.

And that’s all there is to it!

“we’re outta here!”

You and your friends can have lots of fun making these. In fact there’s only one thing that’s more fun—eating them.

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ANA (Antinuclear Antibody) Test: MedlinePlus Lab Test Information

 

What is an ANA (Antinuclear Antibody) Test?

An ANA test looks for antinuclear antibodies in your blood. If the test finds antinuclear antibodies in your blood, it may mean you have an autoimmune disorder. An autoimmune disorder causes your immune system to attack your own cells, tissues, and/or organs by mistake. These disorders can cause serious health problems.

Antibodies are proteins that your immune system makes to fight foreign substances like viruses and bacteria. But an antinuclear antibody attacks your own healthy cells instead. It’s called “antinuclear” because it targets the nucleus (center) of the cells.

Other names: antinuclear antibody panel, fluorescent antinuclear antibody, FANA, ANA

What is it used for?

An ANA test is used to help diagnose autoimmune disorders, including:

  • Systemic lupus erythematosus (SLE). This is the most common type of lupus, a chronic disease affecting multiple parts of the body, including the joints, blood vessels, kidneys, and brain.
  • Rheumatoid arthritis, a condition that causes pain and swelling of the joints, mostly in the hands and feet
  • Scleroderma, a rare disease affecting the skin, joints, and blood vessels
  • Sjogren’s syndrome, a rare disease affecting the body’s moisture-making glands

Why do I need an ANA test?

Your health care provider may order an ANA test if you have symptoms of lupus or another autoimmune disorder. These symptoms include:

What happens during an ANA test?

A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.

Will I need to do anything to prepare for the test?

You don’t need any special preparations for an ANA test.

Are there any risks to the test?

There is very little risk to having a blood test. You may have slight pain or bruising at the spot where the needle was put in, but most symptoms go away quickly.

What do the results mean?

A positive result on an ANA test means that antinuclear antibodies were found in your blood. You may get a positive result if:

  • You have SLE (lupus).
  • You have a different type of autoimmune disease.
  • You have a viral infection.

A positive result doesn’t necessarily mean you have a disease. Some healthy people have antinuclear antibodies in their blood. In addition, certain medicines can affect your results.

If your ANA test results are positive, your health care provider will likely order more tests, especially if you have symptoms of disease. If you have questions about your results, talk to your health care provider.

Is there anything else I need to know about an ANA test?

Antinuclear antibody levels tend to increase with age. As many as one-third of healthy adults over the age of 65 may have a positive ANA test result.

References

  1. American College of Rheumatology [Internet]. Atlanta: American College of Rheumatology; c2017. Antinuclear Antibodies (ANA) [updated 2017 Mar; cited 2017 Nov 17]; [about 3 screens]. Available from: https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Antinuclear-Antibodies-ANA
  2. Hinkle J, Cheever K. Brunner & Suddarth’s Handbook of Laboratory and Diagnostic Tests. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Antinuclear Antibodies (ANAS); 53 p.
  3. Lab Tests Online [Internet]. Washington D.C.: American Association for Clinical Chemistry; c2001–2018. Antinuclear Antibody (ANA); [updated 2018 Feb 1; cited 2018 Feb 8]; [about 2 screens]. Available from: https://labtestsonline.org/understanding/analytes/ana/tab/test
  4. Lab Tests Online [Internet]. Washington D.C.: American Association for Clinical Chemistry; c2001–2018. Scleroderma; [updated 2017 Sep 20; cited 2018 Feb 8]; [about 2 screens]. Available from: https://labtestsonline.org/understanding/conditions/scleroderma
  5. Lupus Research Alliance [Internet]. New York: Lupus Research Alliance; c2017. About Lupus [cited 2017 Nov 17]; [about 2 screens]. Available from: https://www.lupusresearch.org/understanding-lupus/what-is-lupus/about-lupus
  6. Lupus Research Alliance [Internet]. New York: Lupus Research Alliance; c2017. Symptoms [cited 2017 Nov 17]; [about 3 screens]. Available from: https://www.lupusresearch.org/understanding-lupus/what-is-lupus/symptoms
  7. Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Merck & Co., Inc.; c2017. Sjögren’s Syndrome [cited 2017 Nov 17]; [about 3 screens]. Available from: https://www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/autoimmune-disorders-of-connective-tissue/sj%C3%B6gren-syndrome
  8. Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Merck & Co., Inc.; c2017. Systemic Lupus Erythematosus (SLE) [cited 2017 Nov 17]; [about 3 screens]. Available from: http://www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/autoimmune-disorders-of-connective-tissue/systemic-lupus-erythematosus-sle
  9. Mayo Clinic [Internet]. Mayo Foundation for Medical Education and Research; c1998–2017. ANA test: Overview; 2017 Aug 3 [cited Nov 17]; [about 3 screens]. Available from: https://www.mayoclinic.org/tests-procedures/ana-test/home/ovc-20344718
  10. Mayo Clinic [Internet]. Mayo Foundation for Medical Education and Research; c1998–2017. ANA test: Results; 2017 Aug 3 [cited Nov 17]; [about 7 screens]. Available from: https://www.mayoclinic.org/tests-procedures/ana-test/details/results/rsc-20344732
  11. Mayo Clinic [Internet]. Mayo Foundation for Medical Education and Research; c1998–2017. ANA test: Why it’s done; 2017 Aug 3 [cited Nov 17]; [about 4 screens]. Available from: https://www.mayoclinic.org/tests-procedures/ana-test/details/why-its-done/icc-20344722
  12. National Heart, Lung, and Blood Institute [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; Blood Tests; [cited 2018 Feb 8]; [about 3 screens]. Available from: https://www.nhlbi.nih.gov/health-topics/blood-tests
  13. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): U.S. Department of Health and Human Services; rheumatoid arthritis; 2017 Nov 14 [cited 2017 Nov 17]; [about 2 screens]. Available from: https://ghr.nlm.nih.gov/condition/rheumatoid-arthritis
  14. UF Health: University of Florida Health [Internet]. University of Florida; c2017. Antinuclear antibody panel: Overview [updated 2017 Nov 17; cited 2017 Nov 17]; [about 2 screens]. Available from: https://ufhealth.org/antinuclear-antibody-panel
  15. University of Rochester Medical Center [Internet]. Rochester (NY): University of Rochester Medical Center; c2017. Health Encyclopedia: Antinuclear Antibody [cited 2017 Nov 17]; [about 2 screens]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=antinuclear_antibodies
  16. UW Health [Internet]. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2017. Antinuclear Antibodies (ANA): Results [updated 2016 Oct 31; cited 2017 Nov 17]; [about 8 screens]. Available from: https://www.uwhealth.org/health/topic/medicaltest/antinuclear-antibodies/hw2297.html#hw2323
  17. UW Health [Internet]. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2017. Antinuclear Antibodies (ANA): Test Overview [updated 2016 Oct 31; cited 2017 Nov 17]; [about 2 screens]. Available from: https://www.uwhealth.org/health/topic/medicaltest/antinuclear-antibodies/hw2297.html
  18. UW Health [Internet]. Madison (WI): University of Wisconsin Hospitals and Clinics Authority; c2017. Antinuclear Antibodies (ANA): Why It’s Done [updated 2016 Oct 31; cited 2017 Nov 17]; [about 3 screens]. Available from: https://www.uwhealth.org/health/topic/medicaltest/antinuclear-antibodies/hw2297.html#hw2304

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Fibromuscular Dysplasia- Patient Experience, Struggles, and Living with FMD

Kari Ulrich, a patient with Fibromuscular Dysplasia (FMD), shares her story of struggles before and after being diagnosed with FMD in 2007. Kari reveals details of symptoms, treatments, lifestyle changes, living her life with FMD, and resources available for patients to obtain more information about this often misdiagnosed disease.

More information is available at: http://www.mayoclinic.com/health/fibromuscular-dysplasia/DS01101

Learn more about the Medical side of FMD with Dr. Rooke here: http://www.youtube.com/watch?v=n9QTpvP_sYg

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Living as a Gallbladder Cancer Survivor

 

For some people with gallbladder cancer,
treatment can remove or destroy the cancer. The end of treatment can be both stressful and exciting. You may be relieved to finish treatment, yet it’s hard not to worry about cancer coming back. This is very common if you’ve had cancer.

For other people, the cancer might never go away completely. Some people may get regular treatment with chemotherapy or other treatments to try and help keep the cancer in check. Learning to live with cancer that doesn’t go away can be difficult and very stressful.

Life after cancer means returning to some familiar things and also making some new choices.

Follow-up care

After you have completed treatment, your doctors will still want to watch you closely. It’s very important to go to all follow-up appointments. During these visits, your doctors will ask about symptoms, and do physical exams, and may order blood tests or imaging tests, like CT scans.

If you’ve had surgery and have no signs of cancer remaining, many doctors recommend follow-up with imaging tests about every 6 months for at least the first 2 years, but not all doctors follow this same schedule. Follow-up is needed to check for cancer that has come back or spread. It’s also needed to check for possible side effects of certain treatments.

This is the time for you to ask your cancer care team any questions and discuss any concerns you might have.

Almost any cancer treatment can have side effects. Some may last for a few weeks to months, but others can last the rest of your life. Don’t hesitate to tell your cancer care team about any symptoms or side effects bothering you so they can help you manage them.

Ask your doctor for a survivorship care plan

Talk with your doctor about developing a survivorship care plan for you. This plan might include:

  • A suggested schedule for follow-up exams and tests
  • A schedule for other tests you might need in the future, such as early detection (screening) tests for other types of cancer, or tests to look for long-term health effects from your cancer or its treatment
  • A list of possible late- or long-term side effects from your treatment, including what to watch for and when you should contact your doctor
  • Diet and physical activity suggestions
  • Reminders to keep your appointments with your primary care provider (PCP), who will monitor your general health care

Keeping health insurance and copies of your medical records

Even after treatment, it’s very important to keep health insurance. Tests and doctor visits cost a lot, and even though no one wants to think of their cancer coming back, this could happen.

At some point after your cancer treatment, you might find yourself seeing a new doctor who doesn’t know about your medical history. It’s important to keep copies of your medical records to give your new doctor the details of your diagnosis and treatment. Learn more in Keeping Copies of Important Medical Records.

Can I lower my risk of gallbladder cancer progressing or coming back?

If you have (or have had) gallbladder cancer, you probably want to know if there are things you can do that might lower your risk of the cancer growing or coming back, such as exercising, eating a certain type of diet, or taking nutritional supplements. Unfortunately, it’s not yet clear if there are things you can do that will help.

Adopting healthy behaviors such as not smokingeating wellgetting regular physical activity, and staying at a healthy weight might help, but no one knows for sure. Still, we do know that these types of changes can have positive effects on your health that can extend beyond your risk of gallbladder cancer or other cancers.

About dietary supplements

So far, no dietary supplements (including vitamins, minerals, and herbal products) have been shown to clearly help lower the risk of gallbladder cancer progressing or coming back. This doesn’t mean that no supplements will help, but it’s important to know that none have been proven to do so.

Dietary supplements are not regulated like medicines in the United States – they do not have to be proven effective (or even safe) before being sold, although there are limits on what they’re allowed to claim they can do. If you’re thinking about taking any type of nutritional supplement, talk to your health care team. They can help you decide which ones you can use safely while avoiding those that might be harmful.

If the cancer comes back

If the cancer does recur at some point, your treatment options will depend on where the cancer is located, what treatments you’ve had before, and your overall health. For more information on how recurrent gallbladder cancer is treated, see Treatment Options Based on the Extent of Gallbladder Cancer.

For more general information on recurrence, you may want to see Understanding Recurrence.

Getting emotional support

Some amount of feeling depressed, anxious, or worried is normal when cancer is a part of your life. Some people are affected more than others. But everyone can benefit from help and support from other people, whether friends and family, religious groups, support groups, professional counselors, or others. Learn more in Life After Cancer.

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New Blood Pressure Guidelines: What you Need to Know

 

Understanding your blood pressure reading

Making sense of your blood pressure reading can be tricky, but we’ve broken it down to help you better understand what the numbers mean.

A blood pressure reading involves two numbers, one over the other. For example, a reading might be presented as 120/80.

Systolic pressure, the top number, is the pressure on the arteries when the heart beats and pumps blood.

Diastolic pressure, the bottom number, is the pressure on the arteries in between heartbeats.

Although both systolic and diastolic measures are important, research has found that systolic pressure is a strong predictor of heart problems caused by high blood pressure, especially among older adults. Normal blood pressure is less than 120/80.

New blood pressure guidelines

In late 2017, the American Heart Association and the American College of Cardiology announced updated high blood pressure guidelines. The new guidelines are based, in part, on research carried out and funded by the National Heart, Lung, and Blood Institute (NHLBI) at NIH.

Under the updated AHA/ACC guidelines, if you have systolic blood pressure rates of 130 and higher you are considered to have high blood pressure. The old guidelines set high blood pressure rates at 140 or higher.

These new guidelines were informed by a number of clinical studies that showed that lifestyle changes can help high-risk individuals reduce their blood pressure—and may ultimately save lives.

Those changes include heart-healthy diets, weight loss, and exercise as key first steps in reaching a lower blood pressure target.

One study that helped inform the guidelines was the SPRINT (Systolic Blood Pressure Intervention) trial, which was supported by NHLBI.

SPRINT studied 9,300 adults, aged 50 and older, at risk for heart disease from around the U.S. It showed that achieving a lower blood pressure goal of 120 mm Hg (instead of 140) reduced the rate of heart events by about 25 percent and the overall risk of death by 27 percent.

Talk to your health care provider

You can measure your blood pressure at home with a monitor and in your health care provider’s office. Some people have higher blood pressure readings at the doctor’s office due to the stress that appointments can create. It’s known as “white coat hypertension.”

Be sure to talk to your health care provider about your blood pressure reading and any follow-up steps you need to take.

SOURCE: National Heart, Lung, and Blood Institute: Blood Pressure Reading Opens new window

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Inside Your Bones

Take a look inside your bones, and learn how they give you support.

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Wearing a Scoliosis Brace: Anna’s Experience – Pediatric Orthopedic Surgery

Treated with scoliosis bracing, Anna has successfully completed brace treatment. She describes her experience while wearing the brace and gives helpful advice to other patients requiring treatment for spinal curvature. To request an appointment, visit: http://www.mayoclinic.org/departments-centers/childrens-center/overview/appointments?mc_id=us&utm_source=youtube&utm_medium=sm&utm_content=video&utm_campaign=mayoclinic&geo=national&placementsite=enterprise&cauid=100504

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From the lab – Bringing Prosthetic Hands to Life

 

NIH is improving prosthetic, or artificial, limbs so that they can work better and feel more natural to patients.

Using vibrations and a complex, computerized interface between patients’ brains and limbs, the team of researchers was able to trick the patients’ brains into moving their prosthetic hands.

In the small group of patients with limb loss, a surgeon redirected the nerves for the missing part of the limb—in this case, nerves for the hand and fingers—to other remaining muscles. When the subject tries to move their amputated limb, the reconnected muscle contracts. Those signals can then be connected to a computer to drive the motion of bionic hands.

The motion-sensing bionic arm and hands coordinate more naturally and fully with the brain by vibrating near the muscles, which creates sensations that help control the prosthesis.

The research study was funded in part by NIH’s National Institute of Neurological Disorders and Stroke and the NIH Director’s Transformative Research Award. The award supports projects that are often risky and untested but have the potential to lead to major research findings.

“Decades of research have shown that muscles need to sense movement to work properly. This system basically hacks the neural circuits behind that system,” says James W. Gnadt, Ph.D., of NINDS. “This approach takes the field of prosthetic medicine to a new level, which we hope will improve the lives of many.”

SOURCES: NIH Research Matters: Improving Control of Bionic Prosthetic Hands; opens in new window National Institute of Neurological Disorders and Stroke: Bionic Limb opens in new window

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