• What You Need to Know About

    Ebola

    Recent news of the first Ebola death in the United States is alarming. But is there any reason for Americans to fear the spread of the disease here?

    Amesh Adalja, MD, an infectious disease specialist at UPMC and a senior associate at the UPMC Center for Health Security, says the risk of it spreading in the U.S. is very low because it can only be transmitted under specific conditions.

    Ebola is a deadly disease, it’s a scary disease, but it’s not very contagious. It doesn’t spread through the air; it only spreads through intimate contact with blood or body fluids,” says Dr. Adalja.

    “It is far less contagious than the flu — a respiratory virus easily spread by sneezing and coughing. Also, Ebola is only contagious when a person has symptoms. With the flu, a person is contagious the day before symptoms appear.”

    Although the risk of Ebola spreading is low, the Centers for Disease Control and Prevention (CDC) and other agencies have taken steps to prevent that from happening in this country. That includes increased airport screenings before and after entering the United States from Ebola-affected countries. In addition, the CDC has issued Level 3 travel warnings urging U.S. residents to avoid nonessential travel to Guinea, Liberia, and Sierra Leone in West Africa.

    Protocols also have been established to ensure health care facilities are prepared to properly detect and handle the disease. UPMC facilities are ready, says Dr. Adalja. Each hospital in our system has comprehensive and detailed action plans in place.

    “We know how to stop the spread of Ebola. But it’s crucial for hospitals to prepare in advance,” he says. “UPMC has easily accessible protocols from the moment a patient arrives in the Emergency Department through their hospital stay — how we screen that person, how we isolate that person, how we test for it, who we communicate with — it’s all laid out.”

    About the 2014 Epidemic

    According to the CDC, the 2014 outbreak is the largest in history and the first documented appearance in West Africa. About half the people who contracted the virus have died. In the U.S., the Texas patient who had recently traveled from Liberia died on Oct. 8.

    Ebola Facts

    • A person infected with Ebola is not contagious until symptoms appear.
    • Symptoms of Ebola may appear anywhere from two to 21 days after exposure, but the average is eight to 10 days.
    • Early symptoms include:

    o Fever (higher than 101.5° F)

    o Headache

    o Diarrhea

    o Vomiting

    o Stomach pain

    o Muscle pain

    o Unexplained bleeding or bruising

    How Ebola Spreads

    Ebola is spread through direct contact with:

    • Blood and body fluids (urine, feces, saliva, vomit, sweat, and semen) from a person sick with the disease; and
    • Items contaminated by blood or body fluids from an infected patient, like needles, medical equipment, clothing, or bedding.

    Are You at Risk?

    If you’ve traveled to an area with an outbreak, or had close contact with someone sick with the disease, you may be at risk. The CDC recommends that you:

    • Check for signs and symptoms for 21 days.
    • Take your temperature every morning and evening.
    • Call your doctor — even if you do not have symptoms — to evaluate your exposure level and consult with public health authorities to determine if any actions are needed.
    • Continue normal activities, including going to work, while you are symptom-free.

    If You Get Sick after Travel to an At-Risk Area

    • Get medical care immediately if you develop a fever (higher than 101.5° F).
    • Alert your doctor about your recent travel to West Africa, or contact with a person sick with Ebola, and symptoms before you go to a doctor’s office or emergency department. Calling ahead will help the doctor or emergency department care for you — and protect others.

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  • Recipe: Homemade

    Pumpkin Spice Latte

    Fall is finally here and we are officially excited about EVERYTHING pumpkin! Instead of buying the famous coffeehouse drink, skip out on the saturated fat, carbohydrates, and sugars by crafting your own version of the pumpkin spice latte in the kitchen. You may be used to waiting in a long line for this tasty treat, so you’ll be pleasantly surprised to find you can whip up this recipe in half the time. Better yet, this version uses real pumpkin, not syrup! Pumpkin is low in fat and calories, and also packs a healthy dose of antioxidants, vitamin A and vitamin C, as well as iron. Pumpkin is also a great dietary source of fiber.

    So, save yourself some calories, money, and time spent in line by adopting this version of a fall favorite!

    Pumpkin Spiced Latte

    Ingredients

    2 cups skim milk

    2 tablespoons canned pumpkin

    2 tablespoons Stevia

    2 tablespoons vanilla extract

    1/2 teaspoon pumpkin pie spice

    1/2 cup hot brewed coffee

    Whipped cream, pumpkin pie spice and ground nutmeg, optional

    Directions

    Combine milk, sugar, and pumpkin in a small pan over medium heat until steaming.

    Remove heat, stir in pumpkin pie spice and vanilla

    Transfer the mixture to a blender. Process for 15 seconds or until foamy

    Pour into two mugs, add ¼ cup coffee

    Top with whipped cream and a pinch of pumpkin spice

    Nutritional Facts

    1-1/4 cups (calculated without whipped cream) equals 307 calories, 0 g fat (5 g saturated fat), 33 mg cholesterol, 346 mg sodium, 39 g carbohydrate, 1 g fiber, 22 g protein

    Do you have any favorite healthy fall recipes you enjoy with seasonal fruits and vegetables? Share them with us in the comments!

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  • Infographic:

    Colors of the Eye

    From the famous lines of beloved songs to the stories of ancient legends, eye color has captivated audiences throughout time. The origins and genetic makeup associated with eye color makes the color of one’s eye more complex than a simple collection of aesthetic traits, however. Genes and pigment concentrations are two important factors in determining eye color. Some eye colors are more rare than others and can be linked to genetics or family origins and heritage.

    Hannah Scanga, MS, a genetic counselor at the UPMC Eye Center, explains, “The two primary genes that influence the color of the eye, primarily brown and blue eyes, are OCA2 and HERC2. Additional genes influence other eye colors and specific variations, including green or hazel eyes and gold rings.” The scale of eye color from most to least common is brown, blue, hazel, green, and silver.

    According to Ellen Mitchell, MD, “Concentrations of the pigment melanin in the iris of the eye is the primary determinant of eye color. Higher amounts of melanin lead to darker colors while lower amounts result in lighter eye colors.” Dr. Mitchell continues, “The pigment lipochrome also plays a role in determining eye color, specifically green eyes.”

    Eye color can also change due to factors like pupil size, emotions, and age. However, if these changes are drastic or only occur in one eye this may indicate a medical condition and you should discuss symptoms with a doctor.Eye Color Infographic

    Are you still curious about some of the fascinating facts behind blue (green, or brown) eyes? Visit the UPMC Eye Center website to learn more about the latest breakthroughs in the field of optometry and the different eye conditions we treat. Call 1-800-446-3797 to schedule an appointment today.

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  • 5 Ramen Noodle

    “Health Hacks”

    It’s that time of year again. The time when college students flock back to campus, ready to ace their tests, reunite with friends, and feast on the infamously unhealthy Ramen Noodles. Unfortunately, the beloved college-food was the subject of a recent health study, which linked it to series health issues. Even more disheartening? These issues were gender specific. Women who ate the noodles at least twice per week saw a 68 percent increase in their risk of cardiometabolic syndrome, while men saw no notable difference in their risk. But with all-nighters and deadlines looming, it’s not easy to toss the prepackaged delicacy into the trash for good. So what’s a busy college kid to do?

    Leslie Bonci, director of sports nutrition at UPMC Center for Sports Medicine, commented on the story and assured students that it doesn’t take much effort to make Ramen healthier. So next time late-night hunger strikes, try these simple steps to save your wallet and your health:

    Ramen Graphic

    1. Ditch the Seasoning

    The sky-high sodium content is the biggest health issue, so try adding flavor another way! Use water or broth and flavor it with garlic, ginger, herbs, chili, or sesame oil.

    2. Add Veggies

    If you live on campus, grab some vegetables from the salad bar to use in your Ramen. Otherwise, break out the frozen veggies to give your noodles an extra kick of nutrients!

    3. Pack in the Protein

    Chicken, shrimp, tuna, tofu, grilled salmon, eggs…the list goes on! Any protein you choose will make your Ramen healthier and keep you feeling full longer than Ramen alone.

    4. Use your Leftovers

    Have extra food from last night’s dinner? Combine it with ramen noodles (sans seasoning) for a delicious reworking that makes you forget you’re eating leftovers.

    5. Go Dry

    Cook the noodles, drain, and lightly toss in your favorite dressing or sauce! Think low-sodium soy sauce, Italian dressing, vinaigrette, or teriyaki sauce.

    6. Get Creative

    There are dozens (if not hundreds) of Ramen recipes for you to try. There are even Ramen Noodle cookbooks! So don’t settle for boring noodles, spice it up with a creative recipe.

    Eating habits tend to change when entering college mode, as campus life warrants an active and hectic lifestyle. Quick, convenient and unhealthy meals often take center stage, landing healthy eating and cooking in the bleachers. When you’re looking to get creative with regular old Ramen, check out some of our health hacks. Think of it as teaching an old dog new tricks, but this time you’re the dog and the tricks are disguised as noodles. Bring your dorm room dining to a new level while also becoming more conscious of the ingredients your putting in your body!

    How do you make your Ramen healthier? Share your ideas below!

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  • 7 Health Benefits of

    Lemon Juice

    There’s more to lemons than meets the eye. This fruit may pair well with some of your favorite dishes, but it also offers incredible health benefits. Lemons are packed with nutrients, promote weight loss, and have even been linked to kidney stone prevention and cancer treatment! This tangy fruit has also been known to possibly help halt bad breath and get rid of dandruff when applied to the scalp. In addition to its properties as a beauty treatment and health aid, there are a number of uses for lemons. Whether you enjoy the fruit alone or with your morning tea, here are just a few reasons to embrace lemons and their juice:

    1. Relieves a sore throat: Warm water mixed with honey and lemon can soothe a sore throat during cold season.
    2. Cancer-fighting benefits: Studies have shown lemons may have anticancer benefits.
    3. Prevents kidney stones: Lemon juice is shown to help prevent kidney stones by raising the urine’s citrate levels.
    4. Aid in digestion: Lemon promotes the production of digestive enzymes in the liver, which help eliminate waste from your body.
    5. High in essential nutrients: Lemons are high in many vitamins like Vitamin C (promotes immunity and battles infection), calcium (important for muscle function, intracellular signaling, and hormonal secretion), potassium (helps muscles and nerves work properly), and folate (Fights against spinal birth defects and helps red blood cell formation).
    6. Promotes weight loss: The pectin in lemons and their juice helps you feel fuller for longer, which will make your weight loss much more manageable.
    7. Helps clear skin: Lemons have natural antibacterial qualities and alpha hydroxyl acids, like many over-the-counter acne medications. It brightens, exfoliates, and helps remove blackheads!

    So how will you incorporate lemons and lemon juice into your life? Have you already seen the benefits of lemon in your daily diet or personal care regimen? Tell us in the comments below!

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NCAA Athlete Isaiah Austin Dreams Despite Marfan Syndrome Diagnosis

by Heart and Vascular Institute

Isaiah Austin, an NCAA athlete who played center for the Baylor Bears’ college basketball team, was destined to become a First Round NBA draft pick in June 2014. However, in the days leading up to the NBA draft, Austin tested positive for Marfan Syndrome. The diagnosis may have sidelined his career as an athlete —but not as an advocate for those suffering from the disease.

What is Marfan Syndrome?

Marfan syndrome is a genetic disorder that affects one out of every 5,000 men and women. It impacts the body’s connective tissue, which holds the body’s cells and organs together, playing a large part in growth and development.

The disorder is genetically inherited, and does not discriminate on the basis of gender or race. Occasionally, an individual may become the first person in the family to develop the disorder. This is known as a “spontaneous mutation.”

Marfan syndrome is present in a person from birth, though some of the signs aren’t visible until the teen years or adulthood.

Some telltale symptoms of Marfan syndrome are:

  • Aortic enlargement — This symptom may not be evident until a person is adulthood teenager or young adult
  • Tall stature
  • Thin body frame
  • Long arms, legs, and fingers
  • Crowded teeth
  • Flat feet
  • Flexible joints
  • Chest either sticks out or is sunken inward
  • Curvature of the spine
  • Stretch marks on skin not related to rapid weight loss or gain
  • Eye problems such as extreme nearsightedness, early glaucoma, or cataracts
  • Sudden collapse of a lung

Isaiah Austin fits the profile of many individuals with Marfan syndrome. He stands 7’1” and has very long limbs — one characteristic of those with the disease.  Austin is also blind in one eye as a result of a detached retina. Vision problems are a characteristic of Marfan syndrome, as well. 

Is Marfan Syndrome Deadly?

Marfan syndrome can potentially be fatal. The most common cause of death for those with the disorder is aortic dissection. Because Marfan syndrome affects the body’s connective tissues, this means that a small tear in the walls of the heart and aorta can become bigger and cause the aorta to grow wider, resulting in an aneurysm.

How Can Marfan Syndrome Be Treated?

There is no cure for Marfan syndrome, but early detection and treatment can help to prevent or slow the progress of complications. Routine heart tests can help monitor heart health for those with Marfan syndrome. In some cases, surgery may be required to replace the affected portion of the aorta or the aneurysm in order to prevent aortic dissection. Additionally, there are now medicines, such as beta blockers and angiotensin receptor blockers, that can help to delay the development of an aortic aneurysm.

Children’s Hospital of Pittsburgh of UPMC participated in a national study performed by the Pediatric Heart Network to compare the effects of treatment with beta blockers versus angiotensin receptor blockers to prevent aortic aneurysms in pediatric patients with Marfan syndrome.

What’s Next for Isaiah Austin?

As reported by Forbes, Isaiah Austin recently launched a website and is committed to raising awareness of Marfan syndrome. His website offers t-shirts that sport the slogan “Dream Again.” Sales of the shirts support the Marfan Foundation, a comprehensive resource for patients, loved ones, and health care professionals.

In an interview with ESPN, Austin said, “I had a dream that my name was going to be called,” despite his diagnosis. While he met with NBA officials ahead of the draft and discussed his ineligibility, the NBA planned to honor the young athlete and drive awareness to his cause.

In an emotional moment during the NBA draft, Austin was given a chance by the NBA to “Dream Again” when NBA Commissioner Adam Silver called his name, making Austin’s dream come true. Although Austin may be sidelined from the court due to Marfan syndrome, he is destined to make one of the greatest rebounds of his career by raising awareness for those who also live with the disease.

Sources

http://www.forbes.com/sites/darrenheitner/2014/06/27/how-isaiah-austin-became-nbas-most-valuable-draft-pick/

http://www.marfan.org/about/marfan

http://www.marfan.org/about/signs

http://www.upmc.com/services/heart-vascular/programs/pages/genetics.aspx

http://www.nhlbi.nih.gov/health/health-topics/topics/mar/treatment.html

http://www.nlm.nih.gov/medlineplus/ency/article/000181.htm

http://www.isaiah-austin.com/

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About Heart and Vascular Institute

As a recognized leader in cardiovascular care — with a rich history in clinical research and innovation — the UPMC Heart and Vascular Institute offers a full spectrum of personalized cardiovascular services. As one of the first heart transplant centers in the United States, UPMC has made significant contributions to the advancement of cardiovascular medicine.