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Archive for July, 2014

Hourstracker: Keep track of your hours worked with this easy to use management app | App Saga

HoursTracker HD – Timesheet & Time Tracker (4.5 stars with 423 Ratings)
iPad App
$1.99 Free for a limited time

 

Time is money, and if you’re someone who isn’t sure where all your time is going, or maybe you’re someone who has to actually bill someone for your services based on time spent, then HoursTracker HD is just the app for you.

This powerful hour tracking app will allow your to track and estimate your earnings based off hourly income. You can set up any number of jobs and then clock in and out when necessary. The app will do the rest by filing away your hours in whatever category you choose. You can even input past or future hours, if necessary, giving you plenty of options to choose from.

With HoursTracker HD, you get a full report of the hours you worked. When used together along with HoursTracker Pro for the iPhone, it can even log your hours automatically when you are at a specific location. It’s a great tool to track your hourly salaries, just in case your work messes up on calculating your hours or you forget to punch in at work.

There are a lot of great features in HoursTracker HD for anyone working at an hourly rate. Don’t miss this useful app.

App Screenshots

via Hourstracker: Keep track of your hours worked with this easy to use management app | App Saga.

Tomato, Onion, and Roasted Lemon Salad Recipe – Bon Appétit

tomato-onion-and-roasted-lemon-salad-940x600

INGREDIENTS

  • 1 lemon, halved lengthwise, thinly sliced, seeds removed
  • 1 tablespoon thinly sliced fresh sage leaves
  • ½ teaspoon sugar
  • 2 tablespoons olive oil, divided
  • 1 tablespoon pomegranate molasses
  • ½ teaspoon ground allspice
  • Kosher salt and freshly ground black pepper
  • pound mixed small tomatoes, such as Sun Gold, cherry, or heirloom, halved
  • ½ small red onion, thinly sliced
  • ¼ cup fresh flat-leaf parsley leaves with tender stems
  • ¼ cup fresh mint leaves, torn if large
  • ¼ cup purple sprouts or microgreens (optional)

INGREDIENT INFO

  • Pomegranate molasses is available at Middle Eastern markets and some grocery stores, and online.

NUTRITIONAL INFORMATION

Calories (kcal) 80 Fat (g) 5 Saturated Fat (g) 0 .5 Cholesterol (mg) 0 Carbohydrates (g) 9 Dietary Fiber (g) 2 Total Sugars (g) 5 Protein (g) 1 Sodium (mg) 10

PREPARATION


  • Preheat oven to 325°. Cook lemon slices in a medium saucepan of boiling water 2 minutes to remove bitterness. Drain and pat dry.
  • Gently toss lemon slices with sage, sugar, and 1 Tbsp. oil in a medium bowl. Spread out on a parchment-lined baking sheet and bake until lemons are no longer wet and only slightly colored, 15–20 minutes. Let cool.
  • Whisk pomegranate molasses, allspice, and remaining 1 Tbsp. oil in a large bowl; season with salt and pepper. Add lemons, tomatoes, onion, parsley, mint, and sprouts, if using, and toss gently; season with salt and pepper.

via Tomato, Onion, and Roasted Lemon Salad Recipe – Bon Appétit.

Muggy summer sees increase in insect bites

moggy
An increasing number of people are falling prey to creatures like ticks, horseflies, midges and mosquitoes.

Scientists says the warm, wet weather has created exactly the right conditions for the insects to breed and multiply.

Websites such as NHS Choices have seen a surge in the number of searches for advice and figures show a year-on-year increase in hospital admissions for insect bites.

Nicola Leech reports.

via BBC News – Muggy summer sees increase in insect bites.

Minister Norman Baker wants UK ban on animal tests

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The minister in charge of regulating animal experiments in the UK has said he wants to see an end to all testing.

 

Lib Dem MP Norman Baker – a longstanding anti-vivisection campaigner – said a ban on animal testing “would not happen tomorrow”.

But he claimed the government was moving in the right direction.

The coalition is committed to reducing the number of live animal experiments – but animal rights campaigners say they have broken that promise.

Mr Baker, who as crime prevention minister at the Home Office has responsibility for regulating the use of animals in science, said he was trying to persuade the industry to accept the economic case for ending tests.

“I am firmly of the belief it is not simply a moral issue but that we as a nation can get a strategic advantage from this – something that will be good for the economy,” Mr Baker told BBC News.

“I have been encouraging the industry to come up with alternatives to animal testing.”

‘Privacy clause’

The scientific community says research on live animals is vital to understanding disease and has resulted in new vaccines and also treatments for cancer, Parkinson’s disease, asthma and HIV – but opponents say it is cruel and pointless, as alternative research methods are available.

Mr Baker has also promised legislation before the next election to increase transparency – potentially giving the public the chance to obtain details about what happens to animals in laboratories.

At the moment, the Home Office blocks requests for data on research contracts and the justification for using live animals as the issue is exempt from the Freedom of Information Act.

Laboratory mice
Researchers are protected by a “privacy clause” in Section 24 of the Animals (Scientific Procedures) Act 1986.

Mr Baker has carried out a review of the Section 24 following a high profile campaign by the National Anti-Vivisection Society and celebrities including Joanna Lumley and Eddie Izzard.

In a statement, Mr Baker said: “The coalition government is committed to enhancing openness and transparency about the use of animals in scientific research to improve public understanding of this work. It is also a personal priority of mine.

“The consultation on Section 24 of the Animals in Science Act has now concluded and we are currently analysing responses in preparation for pursuing potential legislative change.”

The number of experiments on animals in the UK increased by 52% between 1995 and 2013, according to official statistics.

Latest figure show show 4.12 million procedures were carried out with animals in 2013, a rise of 0.3% on the previous year.

‘Suffer and die’

There was a 6% increase in breeding genetically modified animals and a 5% decrease in other procedures.

Mice, fish and rats were the most commonly used species in 2013, with 3.08 million procedures carried out on them.

Animal stats
The rise in the total number of procedures was 0.03% between 2012 and 2013

 
There was an increase in testing of guinea pigs (+13,602); sheep (+2,919); rabbits (+1,233); pigs (+350); gerbils (+279); monkeys (+216) and reptiles (+183).

But there was a fall in experiments on birds (-13,259); amphibians (-3,338); cattle (-1,167); goats (-969) and hamsters (-354).

British Union for the Abolition of Vivisection chief executive Michelle Thew said: ‘We continue to be disappointed that the government has failed to deliver on its 2010 pledge to reduce animal experiments and to end the use of animals to test household products.

“Millions of animals continue to suffer and die in our laboratories.

“The UK should be leading the way in reducing animal testing, yet we remain one of the world’s largest users of animals in experiments and the numbers continue to rise.

“We have, however, been encouraged by recent statements from Home Office Minister, Norman Baker, that increased transparency regarding animal experiments will be dealt with within this Parliament.”

via BBC News – Minister Norman Baker wants UK ban on animal tests.

The very public NHS privatisation debate

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Cancer care is one area where contracts are being put out to tender

 

It has been one of the talking points of the week and one of the most hotly debated subjects on social media – is the NHS in England being privatised by the back door?

Labour has tried to push the issue, arguing that privatisation is being forced through. And one estimate put the number of contracts being advertised at nearly £6bn.

More heat is generated on this issue than almost any other area in public policy.

Some believe passionately that the very fabric of the health service is threatened by the tendering of contracts for patient care. They argue that organisations with a profit motive are by definition unsuitable to be awarded such contracts. The need to make a profit, critics argue, will result in costs and service quality being cut.

Others point out that private sector operators are widely involved in social care, so why not health services? Ever since the creation of the NHS, one key part of healthcare, general practice, has been operating at arms length and run in effect as small businesses.

Local commissioning

Examples of contract talks which are currently underway include cancer and end of life care for Staffordshire and Stoke-on-Trent and elderly care in Cambridgeshire.

It has been made clear the deals could involve NHS groups, voluntary organisations and private companies.

Labour’s Shadow Health Secretary Andy Burnham has argued that the government’s controversial Health and Social Care Act had greatly accelerated the momentum behind private provision.

He claimed the legislation required those who commission health services to seek tenders from a range of providers.

Competition, according to ministers, can never be allowed to over-ride the need to ensure integrated services. ”

 
Mr Burnham has called for all talks on new contracts to be halted until the general election when, as he put it, the electorate could give their verdict on the process.

But the government was quick to point out that Mr Burnham himself, when he was health secretary, had widened the involvement of private providers in the NHS, for example private hospitals doing hip replacements.

Whitehall sources argued that the proportion of clinical spending in England accounted for by the private sector had increased by 1.7% to 6.6% since the election, whereas under the last four years of the Labour government it had gone up by 2.1 percentage points.

The organisation of health procurement in England under the coalition has changed radically and much of the privatisation debate focuses on that.

Clinical commissioning groups in each area, run largely by GPs, decide where to spend money on behalf of patients.

Ministers argue that if these groups want to sign contracts with private organisations because they believe patients will benefit then politicians should not interfere.

‘No agenda’

GP with patients
Family doctors often run the groups that decide how to spend the local health budget

 

The key question is whether these groups feel obliged to put services out to tender.

The Department of Health says the reform legislation enshrines the right of commissioners to procure from the NHS if they feel satisfactory alternatives are not available.

Competition, according to ministers, can never be allowed to over-ride the need to ensure integrated services.

Labour disagrees and claims commissioning groups feel under pressure to widen the range of providers.

So what do commissioning groups have to say about it?

The debate will remain live through to the election and beyond”

The NHSCC is their representative organisation. Its co-chair Dr Steve Kell said there was no privatisation agenda and that competition should only be used if it was in the best interest of patients.

Interestingly, though, he added that members were regularly faced with difficult decisions on the need to tender and there was a need for further clarity on the legal framework.

There is no doubting that the volume of services provided by non NHS organisations is increasing.

The management consultancy Bain has estimated that about £5.8bn of NHS work is currently being advertised to the private sector, up 14% on last year.

Christian Mazzi, head of health at Bain, the management talked of a “growing comfort” with outsourcing across Britain.

Some are far from comfortable about the growth of outsourcing in healthcare.

Others argue it’s a sensible process if services are improved and that patients are hardly likely to worry if they are happy with their care.

One thing they can agree on is that the debate will remain live through to the election and beyond.

via BBC News – The very public NHS privatisation debate.

England records rise in dementia diagnoses

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Seaside areas such as the Isle of Wight have a high number of dementia diagnoses

 

The number of people in England diagnosed with dementia has risen by 62% over seven years.

In 2013-14, 344,000 people received a diagnosis – up from 213,000 in 2006-07, when statistics were first collected.

The provisional figures also suggest an 8% rise in the number of recorded dementia cases since 2012-13.

The rise could be due to a number of factors, including an ageing population and improved diagnosis, the Health and Social Care Information Centre said.

These latest figures further underline the urgent need for better treatments to help the hundreds of thousands of people who are affected by this devastating condition”

Hilary EvansAlzheimer’s Research UK

 

Half of people living with dementia were still not registered as having the condition, said George Mcnamara, of the Alzheimer’s Society.

“With an ageing population and more people developing the condition, diagnosing dementia must remain a priority,” he added.

Hilary Evans, of Alzheimer’s Research UK, said the figures gave some idea of the scale of the challenge in England.

“This report does not set out to investigate the reasons for the rising figures, but it’s likely that recent moves to improve dementia diagnosis rates, along with an ageing population, will have contributed to this increase,” she said.

The Health and Social Care Information Centre said the data would be used in planning services.

“We are all aware of the challenges facing our ageing population, and these figures will be vital for those planning and monitoring the effectiveness of dementia treatments and services,” said chairman Kingsley Manning.

via BBC News – England records rise in dementia diagnoses.

創意派對料理 開胃提升食慾

舉辦派對,不妨利用簡易方便又快速料理的食材,做出許多變化的創意派對料理。
舉辦派對,不妨利用簡易方便又快速料理的食材,做出許多變化的創意派對料理。

 
隨著暑假到來,親朋好友或是小孩的同學到家中聚餐的頻率也跟著變高,三五好友團聚、話家常,既溫馨又歡樂,但是,派對最困擾的就是事前的準備工作、尤其是女主人往往因為該做什麼適合聚會的料理招待賓客,而感到非常困擾。那麼,如何利用簡易方便又快速料理的食材,做出許多變化的創意派對料理呢?

其實,準備夏天的派對料理並沒有大家所想像的困難,只要選擇有開胃、提升食慾效果的食材入菜,並掌握多配色多蔬果、多樣少份量的原則,將單調的食材上加入些許的變化就相當足夠。而且相較於以家常菜宴客,派對料理碗盤使用的較少、也較不油膩好清洗。

至於派對菜色該如何挑選、食材又要怎麼搭配,才能做出既好吃又能兼顧健康的佳餚美饌呢?一場令人盡興的派對饗宴,除了歡愉熱絡的氣氛,最重要還是讓賓客能夠吃得飽又吃得巧。因此,選擇一道能讓客人帶飽足感的主食是絕對不可或缺的。若能再搭配一些清爽解膩的finger food當配菜。如果人數多,還可在加上一道收尾的小甜點,就能夠讓賓主盡歡了。

有許多人參加派對時,喜歡喝點小酒來增加彼此間的氣氛,為避免酒精傷胃,建議民眾在選擇派對菜色時,也可多設計一些含有蔬果的派對小點,讓出席的人既可以攝取到足夠的膳食纖維,又能緩解酒精的吸收,使聚餐更加盡興。

【墨西哥香辣香腸炒麵麵包】散發著麥香的麵包把起司的濃郁、香腸的鮮辣包裹起來。

【墨西哥香辣香腸炒麵麵包】散發著麥香的麵包把起司的濃郁、香腸的鮮辣包裹起來。

主食可以製作【墨西哥香辣香腸炒麵麵包】,散發著麥香的麵包把起司的濃郁、香腸的鮮辣包裹起來,製作完成後把炒麵麵包切成2~3等份,方便賓客拿取食用。

【墨西哥香辣香腸炒麵麵包】

材料:桂冠墨西哥香辣香腸義大利麵、桂冠沙拉、熱狗麵包、彩椒(切丁)、墨西哥辣椒(切片)、起司絲、黑橄欖(切片)

作法:

1.平底鍋炒香墨西哥香辣香腸義大利麵。

2.將拌炒好的義大利麵灑上彩椒丁、墨西哥辣椒片及黑橄欖片,淋上沙拉醬,最後灑上少許起司絲。

3.放入烤箱烤至表皮呈現金黃色即可。

配菜就做【金沙芙蓉豆腐】,鹹鴨蛋的香與火腿、洋蔥的甜,結合桂冠沙拉醬香濃的美味,引出豆腐滑嫩的口感。 要做出讓人食指大動的Finger food只要掌握「集中」、「托高」兩個原則,把配色豐富的食物集中堆疊,再拿個漂亮的盤子將料理擺盤,一端出來立刻讓大家驚呼連連!

【金沙芙蓉豆腐】**,鹹鴨蛋的香與火腿、洋蔥的甜,結合桂冠沙拉醬香濃的美味。

【金沙芙蓉豆腐】**,鹹鴨蛋的香與火腿、洋蔥的甜,結合桂冠沙拉醬香濃的美味。

【金沙芙蓉豆腐】

材料:桂冠芙蓉豆腐、洋火腿切末、洋蔥末、熟鹹鴨蛋切末、蔥花

調味料:桂冠沙拉50公克、玉米粉40g、太白粉40g、白胡椒粉1小匙

作法:

1.芙蓉豆腐切成4小塊,混合太白粉、玉米粉沾裹後,放入220度油鍋炸至金黃色取出備用。

2.熟鹹鴨蛋去殼切成末狀、火腿與洋蔥切丁、蔥綠切小段備用。

3.鍋中加1大匙油炒香洋火腿末、洋蔥末、熟鹹鴨蛋末,灑上白胡椒粉與蔥花拌均勻。炸好的豆腐擠上沙拉醬,鋪上炒好的蛋黃餡料即完成。

繽紛又甜蜜的甜點【搖滾遊戲湯圓】,做法簡單又能在女生之間引起話題。

繽紛又甜蜜的甜點【搖滾遊戲湯圓】,做法簡單又能在女生之間引起話題。

甜點可用湯圓當做材料,發揮創意搭配花生粉、巧克力脆片…等沾料,就能做出繽紛又甜蜜的甜點,【搖滾遊戲湯圓】做法簡單又能在女生之間引起話題。留一些湯圓讓客人自己動手沾也很好玩!

【搖滾遊戲湯圓】

材料:桂冠芝麻湯圓、花生湯圓、紫糯芝麻湯圓、紫糯花生湯圓、粉紅芝麻湯圓、紅豆湯圓、搖滾沾料(玉米脆片、巧克力脆片、雙色芝麻粒、彩色米、椰子粉、花生粉…等)

調味料:黑糖蜜(或蜂蜜)

作法:

1.煮熟桂冠湯圓。

2.將湯圓放入各種沾料中搖動,滾滿沾料。

3.食用時加點黑糖蜜即可。

via 創意派對料理 開胃提升食慾 | 20140731 | 華人健康網.

夏天消暑黃金拍檔 全家人輕鬆一夏

炎炎夏日,來杯透心涼的啤酒加上炸雞、烤物,是許多民眾最愛的夏日消暑黃金組合,但你知道嗎?經常食用上述看似絕配的食物組合,不但無法真正達到消暑目的,更會增加肥胖、三高問題的風險!營養師表示,想避免上述問題,吃的健康、無負擔又不卡油,使用夏季當令蔬果,搭配低熱量、口味清爽的豆腐料理成輕食,就是不錯的選擇。

選擇有合格認證的廠商,及當季容易取得的食材,例如,美生菜、番茄、蘿蔔或者豆腐等,都是相當應景的夏季當令食材。

選擇有合格認證的廠商,及當季容易取得的食材,例如,美生菜、番茄、蘿蔔或者豆腐等,都是相當應景的夏季當令食材。

外食族重口味 恐增肥胖、三高風險

陳宜娟營養師表示,隨著國人的飲食和生活習慣的改變,現代人三餐多以外食解決,一不小心就容易吃下過多油膩、太鹹或太甜的食物,長期下來,不僅會造成人體的負擔,造成肥胖,還會併發三高等問題。

陳宜娟營養師提醒,夏天天氣悶熱,食物保存不易,細菌特別容易滋生。

陳宜娟營養師提醒,夏天天氣悶熱,食物保存不易,細菌特別容易滋生。

飲食若不加以留意、控制,恐增加罹患糖尿病、脂肪肝、高血壓等慢性病的風險。因此,建議民眾,依照衛福部國民健康署建議,採取少油、少糖、少鹽又多纖的健康均衡飲食方式,達到體重管理的目的,以降低民眾罹患慢性病的機率。

食安問題百出 當令、合格認證食材有保障

除了在日常飲食中盡可能降低食物的調味,增加高纖食物的攝取,來達到均衡飲食、維持健康的目的外,近年來層出不窮的食安問題,不禁也讓許多媽媽擔心究竟可以給家人吃些什麼食物。

對此,陳宜娟營養師強調,民眾其實不需過度擔心,只要選擇有合格認證的廠商,及當季容易取得的食材,例如,美生菜、番茄、蘿蔔或者豆腐等,都是相當應景的夏季當令食材。

夏日高溫胃口差?低卡輕食喚食慾

由於夏季天氣炎熱,多數民眾會有食慾不振、胃口變差的情況。因此,陳宜娟營養師建議民眾,不妨可以選擇吃些少油、口味清爽、低熱量的輕食料理,增加家人的進食意願。

營養師建議民眾可選擇涼拌、川燙、清蒸…等的料理方式,來減少用油,並自行斟酌醬料、調味料的用量,以減少鈉含量的攝取,不僅能吃安心,更能減少身體的負擔。

以下介紹2道料理步驟簡單,適合全家人一起下廚動手做的夏日輕食料理,提供給民眾嘗試看看:

【白玉蟳味棒捲】

【白玉蟳味棒捲】

【白玉蟳味棒捲】

材料:桂冠蟳味棒、白蘿蔔、竹筍、蘆筍。

調味料:柴魚醬汁少許。

作法:

  1. 白蘿蔔水平削薄片備用。
  2. 擺上蟳味棒、竹筍條、蘆筍條,再捲成捲,淋上柴魚醬汁蒸7分鐘即可。

食譜特色:蟳味棒的鮮甜滋味搭配上晶瑩剔透的白玉蘿蔔及當季蔬菜,簡單幾步驟,就能變身清爽的和風料理。

【桂花山藥玉芙蓉】

【桂花山藥玉芙蓉】

【桂花山藥玉芙蓉】

材料:桂冠芙蓉豆腐、日本山藥 80公克、秋葵 2枝。

調味料:芙蓉豆腐內附柴魚醬包 2包、桂花蜜 2大匙。

作法:

  1. 山藥切絲、秋葵汆燙備用。準備適量的山藥絲、秋葵。
  2. 桂冠芙蓉豆腐取出依序放上備料。淋上桂花蜜及柴魚醬包即完成。

食譜特色:高營養、低熱量的山藥和秋葵,配上桂花蜜香,能帶出芙蓉豆腐的清雅,是夏季最對味的涼拌前菜!

親子同料理 關係增溫更健康

對父母親而言,這樣的輕食料理方式,有降低罹患慢性病、心血管疾病風險的作用。至於小朋友,以這種融入天然蔬果、低卡、少油的飲食方式,可以避免孩童出現肥胖身材、減少未來罹患代謝症候群的機率。此外,在家DIY料理,不但有助於增加親子間的互動,家長也能在料理過程中,教導孩子正確的健康飲食觀念。

【營養師小叮嚀】:

最後,陳宜娟營養師提醒,夏天天氣悶熱,食物保存不易,細菌特別容易滋生。因此,更要注意食材的衛生問題,食物的清潔和保存條件都不能疏忽,才不會誤食不潔食物,造成腸胃道疾病找上門。

via 夏天消暑黃金拍檔 全家人輕鬆一夏 | 20140731 | 華人健康網.

鼾聲如雷鬧離婚 支架止鼾不擾眠

研究發現,50%以上成年人有「習慣性打鼾」的困擾,80%與軟腭過度振動有關。(攝影/駱慧雯)
研究發現,50%以上成年人有「習慣性打鼾」的困擾,80%與軟腭過度振動有關。(攝影/駱慧雯)

 
再打鼾就離婚!長庚醫院在2年前針對998名女性進行網路調查,發現9成枕邊人有打鼾的現象,1成女性因此想終結婚姻關係。事實上,打鼾達80分貝就像摩托車喇叭聲,不僅會嚴重干擾他人的睡眠,自己也會因此增加心血管和腦血管疾病的風險,醫師建議,若是因軟腭鬆弛所引起的習慣性打鼾,可嘗試用微創支架手術改善。

年約30歲的邱先生是貨車司機,每天工作忙碌,回到家就倒頭呼呼大睡,但因打鼾聲音日漸增大,讓懷孕5個月的太太飽受失眠之苦,嘗試減重、側睡和早睡等方法都不見效果後,求助睡眠門診的協助。

邱先生經長庚醫院睡眠中心的睡眠生理檢查後,被診斷為輕度的阻塞性睡眠呼吸中止症,呼吸中止指數(AHI)11.9,且主因正是軟腭過度鬆弛,考量到工作無法請假太多天、傳統手術常有的咽喉傷口疼痛和出血等因素,決定接受一次性的微創止鼾支架手術,手術僅花20分鐘、不需住院,就能降低打鼾聲量,讓家人睡得更安穩。

5成民眾習慣性打鼾 8成起因軟腭振動

根據長庚醫院睡眠中心的過往研究發現,50%以上成年人有「習慣性打鼾」的困擾,每星期打鼾超過4天,其中80%與軟腭振動有關,因軟腭過度鬆弛,呼吸經過的氣流加速後引發周圍軟組織的振動,導致鼾聲的發生。

微創止鼾支架手術在上側軟腭肌肉層打入3根支架,可減少軟腭振動的範圍。(攝影/駱慧雯)

微創止鼾支架手術在上側軟腭肌肉層打入3根支架,可減少軟腭振動的範圍。(攝影/駱慧雯)

林口長庚醫院兒童耳鼻喉科主任李立昂表示,一般人睡覺時發出的音頻在120Hz以下、音量約40至50分貝,就像平常呼吸一般,是可接受的範圍;而打鼾聲音若達60分貝、150Hz,接近平常講話的聲量,就會讓枕邊人醒來,且認為打鼾者在說夢話;不過,若鼾聲雷動,音量超過80分貝、音頻超過1千次,罹患睡眠呼吸中止症的風險也越高。

林口長庚醫院耳鼻喉部主任李學禹表示,除了年紀老化所造成的軟腭肌肉鬆弛,一般人可利用以下方法緩解打鼾症狀,包括適度減重避免肥胖、不讓體重增加太快、避免過度勞累、早睡或側睡,但若仍無法有效改善,則應尋求專業醫師的協助。

治療打鼾新趨勢:保留完整軟腭、縮小振動區

李學禹醫師表示,傳統止鼾手術是將懸雍垂與下側軟腭做部分切除與縫合,或將顱顏骨骼重組,雖然可減少打鼾,但卻有術後疼痛、傷口出血、吞嚥困難、倒嗆、味覺改變等風險,因此臨床治療多朝向保留完整軟腭、減少上側軟腭振動幅度的微創手術發展。

目前常見的微創治鼾手術有無線電波縮容術和微創止鼾支架手術兩種。李學禹醫師說明,無線電波縮容手術是利用電波能量在上側軟腭製造傷口且使其纖維化,進而達到縮小軟腭容積、增加呼吸通道空間、減少打鼾次數的效果,但其往往需多次手術才能看到效果,且每次效果約維持3個月至半年就會下降。

李學禹醫師表示,微創止鼾支架手術的減鼾效果可維持至少2至3年。(攝影/駱慧雯)

李學禹醫師表示,微創止鼾支架手術的減鼾效果可維持至少2至3年。(攝影/駱慧雯)

較新的止鼾方式則為微創止鼾支架手術,一次在上側軟腭肌肉層打入3根長度1.8公分的輕巧支架,形成一片減振區,可減少軟腭振動的範圍,治鼾效果可持續2至3年以上。

微創止鼾支架手術在上側軟腭肌肉層打入3根支架,可減少軟腭振動的範圍。(攝影/駱慧雯)

微創止鼾支架手術在上側軟腭肌肉層打入3根支架,可減少軟腭振動的範圍。(攝影/駱慧雯)

微創止鼾術有限制 重度呼吸中止症不適用

李立昂醫師表示,從林口長庚醫院所進行的人體試驗中,發現無線電波縮容術雖然可顯著減少輕度阻塞性睡眠呼吸中止症患者的打鼾次數,但平均鼾聲量反而增加;而微創止鼾支架手術的主要作用則在降低鼾聲的最大音量。

醫師表示,微創止鼾支架手術僅需局部麻醉,安全性高,但目前僅適合輕度至中度症狀的打鼾患者,嚴重者仍需醫師評估,睡覺時配戴陽壓呼吸器止鼾或做傳統的局部切除手術。

via 鼾聲如雷鬧離婚 支架止鼾不擾眠 | 20140730 | 華人健康網.

三高男硬撐!加班過勞中風偏癱

現代爸爸真辛苦,經常超時工作,醫師提醒若本身又有三高疾病的危險因子,恐會加速心血管疾病的發生。

現代爸爸真辛苦,經常超時工作,醫師提醒若本身又有三高疾病的危險因子,恐會加速心血管疾病的發生。

父親節將至,辛苦的爸爸們,還在為家庭拚經濟嗎?醫師提醒,正值青壯年的爸爸們普遍有三高疾病,本來就是心腦血管疾病的高風險族群,若又有抽菸和超時工作的情況,將會加速惡疾發作,甚至導致中風癱瘓,不僅自己需面對漫長的復健之路,家中經濟也可能陷入困境,雪上加霜。

從事貨運司機的45歲陳姓男子,4年前健檢發現有抽菸、高血壓、高膽固醇及輕微血糖不穩的問題,醫師以「佛萊明罕風險分析」預測,10年內發生心腦血管疾病的機率將高達26%,但因當時身體沒有任何不適,未積極戒菸和治療,甚至常常超時工作,每個月平均加班近80小時,沒想到日前突然在下班時中風發作,右側肢體偏癱、無法工作,一家老小因頓失經濟支柱,心情徬徨不安。

青壯年爸爸做健檢 三高疾病分居前3名

光田醫院健康管理中心統計近2年接受健檢的35至50歲爸爸資料,結果發現高達8成爸爸的膽固醇異常居冠,6成有高血壓,排名第二,而有高血糖問題的爸爸也有近4成之多,許多人甚至同時具備這3項危險因子,但很多男性不喜歡跑醫院看醫生,常覺得沒不舒服就不用治療,結果沒幾年就導致更嚴重的疾病爆發。

光田醫院職業醫學科醫師施旭姿表示,高血脂、高血壓、高血糖都是潛藏在身體裡的不定時炸彈,若忽略不加以重視改善,恐怕數年內將引發嚴重的心腦血管疾病,而透過目前國際通用的「佛萊明罕風險分析」(預測十年內發生心腦血管疾病發生率的公式),則可以推算出大概的發生率。

陳姓患者因未積極戒菸和治療,且經常加班過勞,導致三高疾病惡化,才4年就併發腦出血。(圖片提供/光田醫院)

陳姓患者因未積極戒菸和治療,且經常加班過勞,導致三高疾病惡化,才4年就併發腦出血。(圖片提供/光田醫院)

舉例來說,1名35歲男性健康檢查後,發現血壓140mmHg,空腹血糖140mg/dL,總膽固醇250mg/dL(略為偏高),高密度膽固醇(保護性膽固醇)30mg/dL(略為偏低),加上每天抽一包菸的話,十年內發生中風、心肌梗塞等心腦血管疾病的機率就高達22%,年齡越高發生率也將會跟著提高。

不過,如果能改善任何一項健康的危險因子,發生率都會大幅降低。最有效的是戒菸,發生率將會降為12%;若同時戒菸並控制血壓及膽固醇,發生率則會降至7%。

儲蓄健康資本 飲食、運動、健檢不可少

施旭姿醫師指出,現代人外食比例高、工作忙碌、缺乏運動,若三餐或消夜又常吃高熱量、高膽固醇的食物,很可能年紀輕輕就罹患三高疾病。父親節將屆,建議辛苦的爸爸們除了要儘量保持良好的飲食和運動習慣、戒除菸酒外,最好能定期接受健康檢查,並積極配合醫師改善各項健康的危險因子,不要等到疾病發生才後悔莫及。畢竟,健康的身體,才是全家人幸福的根本。

via 三高男硬撐!加班過勞中風偏癱 | 20140731 | 華人健康網.

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