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Here are some common questions college students have about diet, nutrition, and metabolism:healthy-foods-jpg-11.jpg

  • “Are you concerned about the “Freshman 15”?
  • “Do you power through the day with caffeine and sugar only to crash in the afternoon?”
  • “Do you constantly go on different diets and wonder why they never work?”
  • “Do you wonder which information to trust on the internet about food and nutrition?”
  • “Are you confused with all the different messages on the media about diets and nutrition?”
  • “Would you like to learn how to eat to support your metabolism and have optimal energy throughout the day?”

Come join us for a free workshop with UW graduate and Registered Dietitian Mya Kwon to learn about some things you might have not known about nutrition and metabolism, and how to sort through the web of information and misinformation when it comes to food, diets, and nutrition in the media.

When: 4:30pm, Thursday April 24

Where: Hall Health Center

To RSVP, please contact Mark Shaw, Director of Health Promotion 

** Healthy refreshments and gift cards will be provided to participants. 


What is altitude illness?

mountain.jpgAltitude illness is a condition which occurs in many travelers making rapid ascents to high altitudes. It is commonly referred to as acute mountain sickness (AMS). It most often occurs at altitudes of 3,000 meters (approximately 10,000 feet) or more. In some individuals, it has been reported as low as 2,500 meters (8,000 feet).

We suspect that altitude illness is caused by the body's reaction to lower levels of oxygen found at high altitudes. The disease may occur several hours to days after ascending to high altitudes. Symptoms range from mild to severe.

Classic, high risk areas of the world for altitude illness include any mountain range over 10,000 feet, such as the Alps, Andes, or Himalayas. In addition, travelers to areas of North American, East Africa, and the polar regions are at risk.

Symptoms of altitude illness

Altitude illness can range from mild to severe.

Mild symptoms

  • Headache
  • Fatigue
  • Sleep disturbance
  • Appetite loss
  • Nausea
  • Difficulty breathing

Severe symptoms

  • Shortness of breath while resting
  • Rapid pulse at rest (>100-110 beats per minute or BPM)
  • Decreased urination
  • Visual changes
  • Severe headache
  • Loss of coordination
  • Mental confusion
  • Productive cough

The last group of symptoms may represent fluid accumulation in the brain (high altitude cerebral edema) or lungs (high altitude pulmonary edema). In these severe cases, the disease can be fatal if not treated rapidly and requires descent to lower altitudes. Luckily, in most travelers, altitude illness is mild and does not become severe.

Asthma does not increase the risk of altitude illness. In fact, people with asthma often do well at altitude since there is less pollution in the air.

Prevention of altitude illness

The best prevention is slow ascent. In general, start with a 2-4 stay at an altitude of 8,000-10,000 feet. This should be followed by a slow ascent of altitudes of no more than 1,000 feet (300 meters) per day about 10,000 feet. Upon arrival at altitude, you should avoid strenuous activity until you acclimate.

Maintain fluid intake to avoid dehydration and follow the maxim, "climb high and sleep low." Avoid alcohol, cigarettes and sedatives (including narcotics).

Use of coca tea or coca leaves

The active ingredient in coca leaves is a mild stimulant that may help you stay alert and hydrated. This may make you feel better at altitude. Unfortunately, it does not prevent altitude illness.

coca.jpgGingko biloba or Viagra™ (sildenafil)

It is unknown whether these two medications are effective in preventing altitude sickness, and therefore, their use is not recommended.

Fitness level

Physical conditioning does not protect against altitude illness. Susceptibility is based on your body's response to altitude and is not reflective of aerobic capacity.

Treating altitude illness

If slow ascent is not possible or if you have a history of recurrent altitude illness, preventive medications may be needed. An example is Mt. Kilimanjaro (19,340 feet), which is often climbed in less than seven days.

Acetazolamide (Diamox)

The drug of choice to prevent altitude illness is acetazolamide. Take this medication 24 hours before ascent above 10,000 feet through 24-48 hours after you reach peak altitude. Avoid this medication if you have a history of sulfa antibiotic allergy, liver or kidney disease, or severe lung disease. Acetazolamide may cause tingling of the lips, fingers and toes, frequent urination, and a metallic taste with carbonated beverages.

Dexamethasone

If you cannot take acetazolamide, dexamethasone can be used. If you've had adverse reactions to steroids or have diabetes, this drug may not be safe for you. Dexamethasone can cause headaches, nausea, dizziness, abdominal pain, and can suppress your immune function if used over a long period of time.

Treating severe altitude illness

If symptoms of acute mountain sickness develop, you should stop your ascent, rest and get adequate fluids and calories. If altitude illness symptoms worsen, rapid descent to lower altitudes should begin as soon as possible. You should also see a medical professional.

Oxygen, use of hyperbaric chambers and medications may be needed.

Additional resources

 


Traveler's diarrhea is the most common infectious disease experienced by international travelers. It can be caused by bacteria (most common), viruses or parasites that have been ingested through contaminated food or drink. Traveler's diarrhea can be mild to extreme in severity.

Preventing traveler's diarrhea

Remember: boil it, cook it, peel it, or forget it! In other words, if you don't boil, cook, or peel your food, you could get sick.

Other prevention tips include:

  • Wash your hands with soap and water or use alcohol-based hand sanitizers before eating.
  • If you're having coffee, tea, or other drinks that require water for preparation, use bottled or disinfected water.
  • Don't use tap water for drinking or brushing your teeth, and be sure to avoid ice. Drink bottled water with an intact seal or purify water yourself.bottled water.jpg
  • Avoid unpasteurized dairy products.
  • Avoid food of questionable preparation or origin (like buffets).
  • Avoid food from street vendors.
  • Steer clear of food that has been rewarmed (like quiche).
  • To clean vegetables, start with boiled water, and add bleach (2-4 drops per liter of water). You may also use enough iodine tablets to make the water the color of dark tea. Soak veggies in the water for several hours, and then drain produce and rinse again with clean water.

Treating traveler's diarrhea

Traveler's diarrhea can range from mild to severe. Treatment varies based on severity.

Mild diarrhea

Mild traveler's diarrhea is characterized by 3-4 unformed stools in 24 hours with mild cramping.

intestines.jpgRecommended treatment:

  • Drink plenty of clear fluids or consider the use of Oral Rehydration Solution (ORS) or Ceralyte. (Appropriate for adults and children.)
  • Loperamine (Imodium AD) will decrease diarrhea for about 4 hours, allowing you to travel or sleep. Follow the directions on the box of loperamine. Not to be used for children under 12 or if you have bloody diarrhea.
  • Try to eat as soon as possible. It's best to start with easily digested foods, like bananas, rice, applesauce and toast. Avoid milk products for 72 hours after last diarrhea.

Moderate diarrhea

Symptoms of moderate traveler's diarrhea include increased frequency of unformed bowel movements with one or more of the following: Fever up to 101° F, abdominal pain, nausea or vomiting.

Recommended treatment:

  • Drink plenty of clear fluids or consider the use of Oral Rehydration Solution (ORS) or Ceralyte. (Appropriate for adults and children.)
  • Loperamine (Imodium AD) will decrease diarrhea for about 4 hours, allowing you to travel or sleep. Follow the directions on the box of loperamine. Not to be used for children under 12 or if you have bloody diarrhea.
  • Prior to your trip, an antibiotic will be prescribed for you depending on your history and destination. It is important to discuss all your medications with your provider before taking antibiotics, as some drugs reduce the efficacy of antibiotics, or cause unpleasant side effects:
    • Ciprofloxacin (Cipro), which should be taken in conjunction with Loperamine (Imodium AD). Not to be used in pregnant or breastfeeding women, or in children under 18.
    • Azithromycin (Zithromax), the preferred medication for children under 18. It may be dispensed as a powder to allow a parent or guardian to administer it as a liquid. Azithromycin should be taken with food to avoid stomach upset.
    • Rifaximin (Xifaxan), which is used for individuals who are not able to tolerate other antibiotics.

Severe diarrhea

Severe traveler's diarrhea is moderate diarrhea with increased bowel movements and all of the other symptoms. You can take antibiotics if you have severe diarrhea, but if symptoms worsen (increased abdominal pain, inability to drink fluids, or blood diarrhea), seek medical care. You may have giardia or amoebiasis.

Diarrhea in children

Young children (under age 5) are particularly susceptible to becoming dehydrated from diarrhea. Do not use loperamine (Imodium AD) in children.

If a breastfeeding infant has diarrhea, continue breastfeeding. An infant or toddler should have at least one wet diaper every 4-6 hours. If there is a longer period between wet diapers, the child needs more fluids and should be seen by a health care provider. Parents and guardians should have a low threshold for seeking medical help if a child in their care experiences vomiting and diarrhea.

Additional resources


Your guide to staying in tip-top physical and mental condition

Dashboard.jpg

Just as regular maintenance is health insurance for your car, it is also health insurance for your body. Maintaining your health now will prevent you from needing major "repairs" later. Making healthy choices now will save you a lot of trouble in the future.


aca_piggybank.jpgThe United States healthcare system is among the most complicated in the world, and can be overwhelming to a newcomer.  This article will help you to navigate the complex world of providers, facilities and services.


insurance.jpg

What is the Affordable Care Act?

The Affordable Care Act, also known as Obamacare or the ACA, is a law intended to reform the health care system and make health insurance more affordable.  The law has gone into effect in stages.  For example, a provision that requires insurance to fully cover preventive services (like cancer screenings) was implemented in 2010, while the part of the law that stops insurance companies from denying people health insurance because of pre-existing conditions takes effect in 2014.

If you already have health insurance

Say you've already got health insurance.  How does Affordable Care Act affect you?  Well, there are a couple of ways:

  • If you're insured through a parent, you are eligible to continue to receive that coverage up until you're 26 years old.  That means that you've got more time to figure out the other Affordable Care Act provisions before you need to start arranging for your own coverage.
  • Your insurance now covers the full cost of some services that are meant to prevent illness, including birth control, regardless of whether your plan includes a deductible, co-insurance or co-pays.  These services include things like immunizations (like that pesky measles vaccine you have to get in order to attend college!), pap smears and birth control.  Even if your insurance has a deductible, or an amount that you have to pay out-of-pocket before your coverage kicks in, you won't be charged for these services.  Same thing goes for co-insurance (the percent of a service or visit that your insurance company normally makes you pay for) and co-pays (the amount you pay at your doctor's front desk or when you pick up a medication at the pharmacy).
  • If you're a graduate teaching assistant (TA) or research assistant (RA), and have the Graduate Appointee Insurance Plan (GAIP), expect expanded coverage for preventive care.  Otherwise, your benefits should remain mostly unchanged.

If you already have health insurance, you don't need to do anything new or different, unless your insurance company says so.  Be sure to read about the preventive services that are now fully covered by your plan, regardless of whether you have a deductible, co-insurance or co-pays. 

If you purchase student health insurance through UW

If you buy the Student Health Insurance Plan (SHIP) through the University of Washington, you should expect to find very little changed.  However, SHIP is subject to the same requirements as other health insurance policies, and therefore now fully covers preventive services like birth control and immunizations.  You can read about your benefits under SHIP here.

Please note that SHIP will no longer be offered starting Fall Quarter of 2015. Click here for more information.

If you don't have health insurance

Starting January 1, 2014, the Affordable Care Act will require everyone to purchase a health insurance plan, just like the government requires people who own a car to buy car insurance.  Fortunately, if you're a typical college student without much income, there are subsidies available to lower the cost of private insurance.  If you are low-income, you might be eligible for public insurance, also known as Medicaid, for which you would not need to pay.

Please note that under Medicaid (aka Washington Apple Health), mental health services can only be provided by one of the Regional Support Networks (RSNs). Medicaid does not cover these services at Hall Health Center.

In order to obtain coverage for services received at Hall Health Center and other parts of UW Medicine, you must have an insurance plan through one of the following companies:

  • BridgeSpan
  • Regence Blue Shield
  • Molina Healthcare

Eligibility information for Washington residents

If you are an uninsured resident of Washington State, you may have two options:

Curious as to how much you might be looking at paying for your health insurance?  Here's a special calculator that estimates your monthly payment for health insurance (though keep in mind that you might be eligible for Medicaid if you earn less than 138% of the Federal Poverty Level).

Eligibility information for residents of other states

Depending on where you're from, your home state may or may not have its own health insurance exchange (a website set up to facilitate finding and purchasing a health insurance plan).  You can use the federal government's Health Insurance Marketplace to get routed to your state's exchange.  If your state does not operate an exchange, you can use the federal government's version to buy your plan.

Similarly, your state may not have opted to expand Medicaid eligibility.  Read more here about the Medicaid expansion.

International students

If you are a citizen of another country attending the University of Washington, you are required to enroll in the Student Health Insurance Plan (SHIP). You can read about your benefits here.

Other provisions of the Affordable Care Act

There are other elements of the Affordable Care Act that may affect you:

  • Starting in 2014, insurance companies can no longer reject you or charge you more because you have a medical condition
  • If you don't have health insurance at the end of 2014, you may have to pay a penalty (probably less than $100).  Take a look at this graphic to find out if the penalty could apply to you.

Additional resources

Online

Get help enrolling through a Patient Navigator (a health insurance expert).

Read about insurance and Hall Health.

Check out this cartoon-style infographic on what the Affordable Care Act means for young people.

The federal government's HealthCare.gov website offers lots of resources to help you make sense of the Affordable Care Act.

Washington State's Health Plan Finder is where you'll purchase health insurance if you need to buy an individual (i.e., not employer- or parent-sponsored) plan and are a Washington resident.

If you're not a Washington State resident, the federal government's Health Insurance Marketplace can help you purchase a plan.

 

Authored by: Hall Health Center Health Promotion staff

Reviewed by: Hall Health Center Administration staff, January 2014


An estimated one in ten U.S. adults suffers from depression.  Many people have their first experiences with depression while they're in college.  This article will help answer the following questions:


Antibiotics are medications that destroy bacteria or slow down their growth.  You might wonder about why your medical provider prescribes antibiotics for some conditions, but not for others. 

When you might be prescribed antibiotics

If you are diagnosed with a bacterial infection, your provider may write you a prescription for antibiotics.  Bacteria are microscopic organisms that can sometimes cause the following infections:


Legal in Washington but not on campus

Possession of up to one ounce of marijuana is legal in Washington State for those over the age of 21.  However, you may not smoke pot anywhere on the University of Washington campus.


How can I help a friend whose alcohol use may be harming them?

The most obvious signs that a friend has a drinking problem include:


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