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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: For many, treadmill stress test is a thing of the past

By Todd Miller, M.D.




Effective ways to assess cardiac condition


JewishWorldReview.com | DEAR MAYO CLINIC: I just read that the treadmill stress test is no longer recommended. What's the reasoning behind this? I've had the test before, and it seems like a good way to find heart problems.

ANSWER: A treadmill stress test can be helpful if a doctor suspects someone has heart problems, or if a person is at high risk for heart disease. However, this test is no longer recommended for people at low risk for heart disease who do not have symptoms. For that group, the test is not needed because assessing risk factors such as age, smoking, cholesterol, blood pressure, diabetes and family history has been shown to be nearly as effective in identifying an individual's potential for heart disease.

A treadmill stress test gathers information about how well your heart works as you exercise. Because exercise makes your heart pump harder and faster than it does during most daily activities, the test may be able to reveal problems within your heart that might not be noticeable otherwise.



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During the stress test, you walk on a treadmill while an electrocardiogram, or ECG, records the electrical signals that trigger your heartbeats. Before you start, sticky patches -- called electrodes -- are placed on your chest, legs and arms. They're connected by wires to the ECG machine. A blood pressure cuff is placed on your arm to check your blood pressure during the test.

You start slowly. As the test progresses, the speed and incline of the treadmill increases. The goal is to have your heart work hard for about eight to 12 minutes to thoroughly monitor its function. You continue exercising until you develop symptoms that do not allow you to continue. Occasionally your doctor may stop the test sooner for other reasons.

A common reason doctors use an exercise stress test is to look for coronary artery disease. In this condition, the arteries that deliver blood to the heart muscle are narrowed or completely blocked. Coronary artery disease is the most common cause of death in the United States. Many patients with coronary artery disease have symptoms, such as shortness of breath or chest discomfort, during physical activity. But a large number of people who have this disease do not have any symptoms, and their first sign of a problem is a heart attack.

Because of this, it's been a common practice in the U.S. to screen patients for coronary artery disease during routine physical exams by doing a treadmill stress test. The U.S. Preventive Services Task Force, a group of medical experts from around the country, looked at the evidence of following this practice. They found that for people who are at low risk for coronary artery disease and have no symptoms, there's little evidence that a treadmill stress test can accurately predict who will suffer a heart attack.

When used as a screening test in low risk people, the results of the treadmill test are occasionally misleading and can suggest that a problem is present when in fact none exists. Clarifying this issue may require performing more invasive and expensive tests, such as a coronary angiogram -- a procedure used to closely examine the heart's arteries.

Instead of a treadmill stress test, talk to your doctor about your risk for coronary artery disease. If your age, family history, cholesterol levels, smoking, blood pressure or other medical conditions point to the possibility that you could develop the disease, you and your doctor can decide on the best way to watch for heart problems over time. In some cases, that could mean eventually doing a treadmill stress test.

For most people at low risk, the best approach is to see your doctor for regularly scheduled checkups, and follow a lifestyle that makes it less likely you will develop heart disease. You should stay active, eat a low-fat diet, control your cholesterol and blood pressure, not smoke, and maintain a healthy weight. -- Todd Miller, M.D., Cardiovascular Diseases, Mayo Clinic, Rochester, Minn.

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