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In this issue

Jonathan Tobin: Defending the Right to a Jewish State

Heather Hale: Compliment your kids without giving them big heads

Megan Shauri: 10 ways you are ruining your own happiness

Carolyn Bigda: 8 Best Dividend Stocks for 2015

Kiplinger's Personal Finance editors: 7 Things You Didn't Know About Paying Off Student Loans

Samantha Olson: The Crucial Mistake 55% Of Parents Are Making At Their Baby's Bedtime

Densie Well, Ph.D., R.D. Open your eyes to yellow vegetables

The Kosher Gourmet by Megan Gordon With its colorful cache of purples and oranges and reds, COLLARD GREEN SLAW is a marvelous mood booster --- not to mention just downright delish
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

Heart disease and dementia

By Harvard Health Letters





What you need to know now


JewishWorldReview.com | Q. My father-in-law was just diagnosed with vascular dementia. The doctor said heart disease probably contributed to the problem. What exactly is vascular dementia, and how can I help my husband avoid the same fate?

A. The word "dementia" means "deprived of mind." It's a catchall term that covers the memory loss, confusion, changes in personality, and dwindling ability to perform everyday activities that affect millions of older people. One main cause of dementia is Alzheimer's disease, a progressive accumulation of tangles and clumps of protein in and around brain cells. These tangles and clumps make it difficult for brain cells to communicate with one another, and can eventually kill them.

The second most common type of dementia, vascular dementia, develops when blood vessels do not supply adequate oxygen to the brain. Typically, small blockages deprive some brain cells of oxygen, causing them to die.

Most of the time, the brain damage occurs in small enough amounts that it goes unobserved by the patient, family members, or friends. In effect, the patient is experiencing a series of small strokes. The mental deterioration thus proceeds in a "stepwise" pattern, in which a person experiences a cognitive decline, seems to stabilize, then further deteriorates after another stroke. Specific symptoms may include confusion, slurred speech, or impaired thinking. This type of vascular dementia is also known as multi-infarct dementia.


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Less often, vascular dementia develops after a person experiences a major stroke (one that blocks a large blood vessel and causes significant brain damage). This may cause an abrupt mental change, sometimes accompanied by paralysis or slurred speech.

Symptoms depend on the area and extent of brain damage. Thus, the cardinal feature of Alzheimer's -- memory loss -- may or may not be present in someone with vascular dementia. Likewise, specific thinking deficits may appear (such as difficulties calculating), while other aspects of cognition (such as ability to plan) remain stable.

A number of factors put people at greater risk for developing vascular dementia. These include high blood pressure, high cholesterol, diabetes, and heart disease. Risk also goes up for people who smoke or are overweight.

Once vascular dementia develops, treatment options are limited. Drugs available for Alzheimer's are sometimes prescribed, but offer at best temporary and modest protection of cognition.

The emphasis is therefore on preventing vascular dementia. A scientific statement from the American Heart Association and American Stroke Association, published in the September 2011 issue of Stroke, offers updated recommendations for preventing vascular dementia.

The same steps people take to protect their heart and arteries should also protect the brain. These include the following:

1. Control blood pressure, cholesterol, and blood sugar.

2. Don't smoke cigarettes.

3. Adopt a heart-healthy diet, such as a Mediterranean-type diet that is rich in vegetables and fruits, whole grains, oily fish, and unsaturated fats.

4. Exercise regularly.

5. Drink alcohol in moderation.

6. Spend time with family and friends.

7. Keep your mind active with education, volunteering, and hobbies.

8. Identify and treat depression.

It may be worth asking your father-in-law's physician whether any of these steps might still be worth trying, if only to stave off further decline. But certainly encourage your husband to start paying attention to his heart health. Although it can be hard to adopt these healthy strategies, knowing that they can prevent memory loss and dementia could encourage people to redouble their efforts. -- Michael Craig Miller, M.D., Editor in Chief, Harvard Mental Health Letter

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