Article Library

Why should antibiotic stewardship be important to the patient?
Microbiome, Gut, Medical Harm Joy H. Stepinski Microbiome, Gut, Medical Harm Joy H. Stepinski

Why should antibiotic stewardship be important to the patient?

According to the Centers for Disease Control and Prevention (CDC), antibiotics have advanced medical care by treating previously known fatal conditions and extending life. Yet, the inappropriate use of these medications can contribute to antibiotic resistance, adverse risks (like C. diff), longer hospital stays, higher medical costs, and negatively affect population health [1]. In fact, antibiotic resistance can be a factor to medical harm, causing 2 million infections and 23,000 deaths annually [2]. Judicious use of antibiotics is therefore important, yet the CDC relates that 30% of prescribing in both inpatient and outpatient settings are not necessary [1, 2].

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Gut Microbiome and Mental Health
Microbiome, Gut, Mental Health Joy H. Stepinski Microbiome, Gut, Mental Health Joy H. Stepinski

Gut Microbiome and Mental Health

The relationship between the body and the trillions of bacteria and other microbes it harbors is extremely complex and continues to be discovered. A high diversity of microbes is beneficial to the body and is characteristic of a resilient environment. On the other hand, low diversity can contribute to disease. This can be related to poor diet, antibiotics, obesity, stress, and other factors [1]. The gut microbiome (the term for the abundance of microorganisms and their environment) can plan a role in mental well-being, in addition to physical health.

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Tipping the Balance of Fat
Obesity, Cardiovascular Health, Diet Joy H. Stepinski Obesity, Cardiovascular Health, Diet Joy H. Stepinski

Tipping the Balance of Fat

High fat diets are, for the most part, a big part of American meals. At breakfast, eggs, bacon, and sausage are enjoyed. In the nice weather, people grill large steaks and burgers. When eating dessert, ice cream is an undeniable favorite. Although these foods are largely part of life, they are comprised of high amounts of fat. Fat is a requirement of the body, and is needed for fuel and energy storage, cell membranes, and synthesizing other molecules. Yet what happens if it is consumed in excess?

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New Changes with Weight Assessment
Obesity Joy H. Stepinski Obesity Joy H. Stepinski

New Changes with Weight Assessment

Earlier this summer the American Medical Association (AMA) advised that body mass index (BMI), a value calculated from a person’s height and weight, should not be the sole factor in deciding if a patient has a healthy weight. The problem with relying heavily on BMI is that it neglects the direct measurement of body fat.

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Informed decision-making: Be empowered!
Informed Decision-Making Joy H. Stepinski Informed Decision-Making Joy H. Stepinski

Informed decision-making: Be empowered!

Ethics are a moral code that guides the conduct of healthcare professionals. There is a duty to the patient to avoid or minimize harm, as well as respect patient preferences [1]. The four fundamental principles of ethics include beneficence, nonmaleficence, justice, and autonomy. In addition to these are veracity (truth-telling) and confidentiality. These pillars keep the patient at the forefront of care.

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Living life well: Healthspan vs. lifespan
Whole Health Joy H. Stepinski Whole Health Joy H. Stepinski

Living life well: Healthspan vs. lifespan

On the Joy in Whole Health Facebook page, I shared an article titled “Healthspan may be more integral to your well-being than lifespan” [1]. The authors explained that while lifespan refers to the total number of years lived, healthspan encompasses the number of years lived without a debilitating disease.

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Feet: The foundation of health
Whole Health Joy H. Stepinski Whole Health Joy H. Stepinski

Feet: The foundation of health

Feet are so incredibly important to whole health and quality of life. Approximately one-third of seniors report foot problems [1], which is a big reason for seeking healthcare among the elderly. Such reported issues are related to falls, balance, mobility, skin and nail hygiene, foot deformities, wounds, pain, and ramifications from poorly fitting shoes.

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Medication Risk: Becoming an Informed Healthcare Consumer
Medical Harm, Informed Decision-Making Joy H. Stepinski Medical Harm, Informed Decision-Making Joy H. Stepinski

Medication Risk: Becoming an Informed Healthcare Consumer

Medication safety is paramount when considering one’s overall health. Many professional and federal organizations outline details on their websites (such as the FDA and CDC). The Agency for Healthcare Research and Quality (AHRQ) explains that with improvements in available therapeutics, there are corresponding risks

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Benefit of Canada’s Dietary Guidelines
Nutrition Joy H. Stepinski Nutrition Joy H. Stepinski

Benefit of Canada’s Dietary Guidelines

In 2019, Canada unveiled a brand-new food guide after a three-year process involving multiple discussion forums with stakeholders, including the Canadian public and healthcare professionals. The goal was to understand the needs and expectations of a food guide.

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Children and Constipation
Microbiome Joy H. Stepinski Microbiome Joy H. Stepinski

Children and Constipation

Constipation is a huge problem among children and adults alike. Among the pediatric population, there is a global prevalence of 9.5 to 16% [1], affecting more children in the United States and Europe than in Africa.

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Impact of Fiber on Overall Health
Microbiome, Whole Health Joy H. Stepinski Microbiome, Whole Health Joy H. Stepinski

Impact of Fiber on Overall Health

Gut health has been widely publicized in recent years. As the largest microbiome within the human body, the intestine houses an abundance of microbes that have important functions. These microbes direct biological processes [1], including immune function, glucose and lipid metabolism, and brain and nervous system communication.

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Eggs and the Connection to Cardiovascular Disease
Cardiovascular Health Joy H. Stepinski Cardiovascular Health Joy H. Stepinski

Eggs and the Connection to Cardiovascular Disease

Eggs are not only a favorite breakfast food for many people, but also an important ingredient in baking tasty treats like cakes and pies. While some research rings the alarm on the health benefits that eggs fail to achieve, others make claims that eggs provide important nutrients. For the purpose of this discussion, let’s take both sides into consideration.

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Atrial Fibrillation: Pathophysiology, Standard Treatment, and Modifiable Risk Factors
Cardiovascular Health Joy H. Stepinski Cardiovascular Health Joy H. Stepinski

Atrial Fibrillation: Pathophysiology, Standard Treatment, and Modifiable Risk Factors

Atrial fibrillation (A fib or AF) is considered to be the most common type of heart arrhythmia [1]. The sinus node, located in the right atrium, is a group of specialized cells that serve as an internal pacemaker for the human body. This is important because the node spontaneously generates the heartbeat. It releases an electrical impulse that causes the cardiac cells within the two upper chambers, or atria, to become excitable and conduct the impulse to the surrounding cells.

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The Value of the Dinner Table
Children, Nutrition, Mental Health Joy H. Stepinski Children, Nutrition, Mental Health Joy H. Stepinski

The Value of the Dinner Table

Recently I wrote a newsletter article about the current healthcare concerns among children. I came across many articles that shared the importance of family dining. Throughout my adult years, I have always remembered the importance my mother gave to serving meal at the table. There were only rare occasions when schedules could not be sorted out to make this happen. Family dinner was a way for the family to gather, discuss current events, and the ongoings of the day. More importantly, the time was central to connection, sharing, and valuing one another. Let’s take a look at some of the benefits that the literature reports.

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Protecting the Future Generation
Children, Nutrition, Obesity Joy H. Stepinski Children, Nutrition, Obesity Joy H. Stepinski

Protecting the Future Generation

Children are full of life, vigor, and vitality. As a popular song lyric goes, “Children are our future.” They are appropriately viewed as the next generation to make an impact upon the world. Fittingly, the health of the pediatric population is vital to their flourish into adulthood. The general health status of children has been a growing concern and cannot go unnoticed.

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A Look at the Keto Diet
Diet, Seizures, Cancer Joy H. Stepinski Diet, Seizures, Cancer Joy H. Stepinski

A Look at the Keto Diet

A ketogenic diet is a way of eating that causes the body to enter into a chronic state of ketosis [3]. The body primarily uses glucose as a source of energy. However, in certain circumstances, such as starvation, a different metabolic state can be used.

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