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Almost everyone gets stuck shoveling snow at some point during the winter. To prevent back pain and strain, one spinal expert has some advice. Orthopedic surgeon Dr. Srinivasu Kusuma, from the University of Chicago Medicine Medical Group, noted it’s all in the precautions you take before you tackle your snow-covered driveway. Decide if it’s safe to shovel. If you already have back issues and don’t exercise often, or if you are prone to lightheadedness or shortness of breath, maybe you shouldn’t be shoveling. Instead, consider using a snowblower. For those with heart problems or chest pains during exercise, Kusuma urges they check with their doctor about shoveling. Warm up your muscles. “Make sure to warm up before you shovel, just as you would before a workout,” Kusuma said in a university news release. Stretching and strolling can warm up your muscles. If you’re going to shovel bright and early, make sure your muscles are loose before shoveling. Don’t have time to stretch out in the a.m.? You might want to shovel in the evening then. Appropriate winter gear is important. A coat, pants, hat and gloves will keep you warm in frigid weather. Wearing waterproof boots can also give you traction and prevent slips and falls, Kusuma said. Use a lightweight shovel with an adjustable handle. Use proper technique. Push the snow to the side… read on >

The Affordable Care Act might have done more than provide more Americans with health insurance: New research suggests accompanying expansions in Medicaid may be linked to higher numbers of low-income people having jobs or going to school. That’s what happened after Michigan expanded its Medicaid under new rules from the Affordable Care Act. Researchers surveyed more than 3,000 low-income people with Healthy Michigan Plan coverage in 2016 and again about a year later. During that time, there was an overall 6-point increase in the percentage of study participants who had jobs or were in school, which was higher than employment gains in the general population over the same period. Even larger increases in employment and school enrollment were seen among study participants who were black (nearly 11 points), men (6.7 points), people aged 35 to 50 (8 points) and those with the lowest incomes (9 points), according to the University of Michigan study. “While on a statewide level, both in the general population and the low-income population, employment levels didn’t change much between 2016 and 2017, we saw a clear increase in employment or student status among those in the Healthy Michigan Plan, even among those with health conditions who we might think would need more time to achieve this,” said study author Dr. Renuka Tipirneni, an assistant professor of internal medicine at Michigan. While… read on >

Allowing pharmacists to provide the opioid overdose drug naloxone without a prescription led to a huge increase in dispensing of the lifesaving drug in Ohio. Ohio state lawmakers gave that permission in 2015. Since then, there’s been a 2,328% increase in naloxone dispensing, according to University of Cincinnati researchers. The study also found that counties with low-employment rates had 18% more naloxone dispensed per month than high-employment counties. The findings were published online Jan. 31 in JAMA Network Open. “Our study shows that this change in the Ohio law allowed pharmacists to have more opportunity to participate in the management of patients addicted to opioids,” said lead researcher Pam Heaton, a professor of pharmacy practice. Most states allow pharmacists to dispense naloxone (commonly known as Narcan) without a prescription. As of May 2019, about 75% of Ohio’s community pharmacies were registered to do so. Heaton said the dispensing rate in low-employment counties probably owes to the fact that the local pharmacy is often the only health care contact for people there. “We do not know whether the naloxone was for personal use, a family member or a friend, because the law was written to specifically allow access,” she said in a university news release. Heaton also noted that the study focused on access and didn’t examine the impact of increased naloxone distribution on the rate… read on >

Don’t get tackled by the flu if you go to a Super Bowl party this weekend. Some simple precautions can protect you and others, said Libby Richards, an associate professor who specializes in public health at Purdue University School of Nursing in West Lafayette, Ind. “If you are sick or a family member or friend you are planning on visiting for a Super Bowl gathering is sick with the flu or influenza-like illnesses, you should avoid contact,” Richards said in a university news release. “Don’t visit until the symptoms have resolved — even if that means having to stay home for the big game,” she advised. If you’re hosting a party, encourage people to wash their hands before eating and to use utensils when they handle food. Have antibacterial hand gel near common gathering places and provide paper towels, not cloth, in bathrooms. After high-fiving with others to celebrate a great play: “Don’t touch your face, eyes, nose or mouth afterward, as that is an easy way to transfer germs,” Richards said. The United States has recently seen an increase in flu activity, according to the latest update from the U.S. Centers for Disease Control and Prevention. At least 15 million people have been diagnosed with the flu this season, resulting in 140,000 hospitalizations and 8,200 deaths, including 54 children, the CDC said. The best… read on >

Your Super Bowl party this Sunday may leave you feeling beat on Monday morning, a new survey finds. A survey from the American Academy of Sleep Medicine found that nearly 40% of U.S. adults are more tired than usual the day after the Super Bowl. “It’s easy to stay up too late after enjoying a night of football, food and friends,” said academy President Dr. Kelly Carden. “”To get the sleep you need after the Super Bowl, it is recommended that you plan ahead and prioritize your bedtime on Sunday night to avoid a tired day at work on Monday,” Carden said in an academy news release. Here’s a post-Super Bowl sleep plan: Don’t eat or drink after halftime. Heavy eating and drinking can make it hard to sleep. Turn the TV and other electronic devices off after the game. Don’t stay up for postgame commentary on social media. Take time to unwind. Make bedtime a priority. You need at least seven hours of sleep to feel your best in the morning, so don’t go to bed too late. More information For more on getting a good night’s sleep, see the National Sleep Foundation.

(HealthDay News) — Keratosis pilaris, sometimes called chicken skin, is a condition that causes small rough bumps, says the American Academy of Dermatology. Though the condition is generally harmless, some people opt for treatment. To treat chicken skin, the academy suggests: Apply a moisturizer with urea or lactic acid after a shower or bath. Using a loofah or microdermabrasion kit to diminish bumps. Talk to your doctor about medication to exfoliate your skin. Consider laser treatment if moisturizer and medicine both fail.

Mothers who smoke during pregnancy put their infants at increased risk of fractures in their first year of life, researchers warn. The study looked at more than 1.6 million people who were born in Sweden between 1983 and 2000, and followed for an average of 21 years. Over that time, nearly 378,000 fractures were recorded. But the rate among those whose moms smoked during pregnancy was higher than among those whose mothers didn’t smoke. And the more a woman smoked while pregnant, the greater her child’s fracture risk, the findings showed. Those whose mothers smoked one to nine cigarettes a day had a 20% higher risk, while 10 cigarettes or more per day brought a 41% higher risk. While smoking during pregnancy increased fracture risk during an infant’s first year, it was not associated with a higher risk later in life. This suggests that smoking during pregnancy has only a short-term impact on bone health, according to the authors of the study published Jan. 29 in the BMJ. Epidemiologists Judith Brand and Scott Montgomery, of the School of Medical Sciences at Orebro University in Sweden, led the study. They pointed out that their observational study doesn’t prove cause and effect. In addition, they noted that the findings also have some limitations, including the possibility that some women would not admit to smoking during pregnancy or… read on >

The coronavirus that has rapidly infected nearly 6,000 people in China is spreading across the globe, with five cases confirmed in the United States. The death toll in China so far has topped 130. Here’s what else you should know about the new coronavirus, called 2019-nCoV, which originated in the city of Wuhan: “This is a new virus that has not been previously identified in humans,” said Debra Chew, a former epidemic officer at the U.S. Centers for Disease Control and Prevention. “It belongs to a large family of viruses called coronaviruses. These viruses can cause respiratory illnesses such as the common cold, and more severe illnesses such as the severe acute respiratory syndrome (SARS) or the Middle East respiratory syndrome (MERS),” Chew said. “Currently, a lot is unknown about the Wuhan coronavirus, but the CDC and the World Health Organization are actively investigating to learn more about this virus, the way it spreads and its severity of illness,” added Chew, a professor at Rutgers New Jersey Medical School Should Americans be concerned? “While any new virus is a serious public health concern, the immediate health risk to the American public is deemed low at this point,” said Chew. “The virus is thought to have some limited person-to-person spread, and the CDC and WHO are conducting ongoing investigations to learn more about the degree of… read on >

Whether you’re stopping at a casual fast-food place or sitting down to eat in a full-service restaurant, eating out is an easy way to fill up when you’re hungry. But those meals may not deliver much nutritional value, a new study suggests. The researchers found that 70% of fast-food meals consumed in the United States were of poor nutritional value. For full-service restaurants, around half of the meals were of poor nutritional value. Less than 0.1% of the restaurant meals analyzed during the entire study period — 2003 to 2016 — were considered to be of ideal nutritional quality. “On any given day, nearly one-third of American adults eat at a full-service restaurant, and nearly half at a fast-food restaurant. The nutritional quality of most of these meals is poor and almost none are ideal, and this is true for both quick-serve and full-service restaurants,” said senior study author Dariush Mozaffarian. He’s dean of the Friedman School of Nutrition Science and Policy at Tufts University in Boston. “Today, more American adults are sick than are healthy, and much of this is due to diet-related illness. Looking for healthier restaurant options should be a priority for all Americans,” he added. Over the past 30 years, American meals have largely shifted away from meals prepared at home to restaurant meals, the study authors said. Today, the typical… read on >

(HealthDay News) — Ankle sprains can occur when the ankle is rolled, twisted or turned the wrong way, says Mayo Clinic. Pain, tenderness and swelling are typical symptoms of a sprained ankle. To help prevent ankle sprains, Mayo Clinic suggests: Warm up before exercising or playing sports. Be careful when walking, running or working on an uneven surface. Use a support brace or tape on a weak or previously injured ankle. Wear shoes that fit well. Minimize wearing high heels. Don’t participate in activities you are not conditioned for. Keep your muscles strong and flexible. Practice stability training and balance exercises.

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All Sauce from Weekly Gravy:

Shovel That Snow, but Spare Your Back

Obamacare May Have Boosted Jobs, Education for Poor

When Pharmacists Allowed to Give Anti-Opioid Med Without Rx, Access Soars

Your Game Plan for Keeping ‘Super Bowl Flu’ at Bay

Too Much Super Bowl Can Mean Too Little Sleep

Health Tip: Treating Chicken Skin

Smoking While Pregnant May Weaken Baby’s Bones

Checklist: What You Need to Know About Coronavirus

Eating Out: A Recipe for Poor Nutrition, Study Finds

Health Tip: Preventing Ankle Sprains