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Summer Coolness Caution: How Excessive Cold Can Trigger Arthritis

Summer weather is heating up, people have put on short-sleeved shorts, air conditioning, fans and other equipment to reduce the heat, but many people feel summer is coming, but joint pain up.
"Sometimes my knees and elbows hurt and my joints feel cold. I shouldn't feel so hot in summer."
Ms Zhang, a citizen, has been suffering from joint pain recently.

Qingyang city hospital of traditional Chinese medicine rheumatism bone disease director Geng Wen told reporters, in the traditional concept, people think that winter susceptible to arthritis, but it is not the case.
In accordance with the traditional Chinese medicine health preservation "winter Tibet summer release", people wear thick clothes in winter, do not frequently add or reduce clothes, keep warm work very well, while in summer arthritis occurs frequently, mainly related to living habits.
In summer, the heat and humidity are obvious, and people sweat a lot. People overindulge in cooling equipment such as air conditioning, fans and MATS, and overindulge in cold drinks and raw and cold food, leading to excessive moisture, damaging the spleen Yin, and thus inducing arthritis.

"Every summer, young people but more joint diseases, outpatient contact with a lot of patients, mainly rheumatoid arthritis, rheumatoid arthritis, postpartum rheumatism in the majority.
Geng said.

Rheumatoid arthritis includes external rheumatism and rheumatoid arthritis.
Outside rheumatism, namely rheumatism sex arthritis, postpartum rheumatism, basically because overwork, catch cold place causes joint ache, won't cause the swelling of joint and be out of shape commonly.
Rheumatoid arthritis causes swelling and pain around the joints, especially in the small joints of the hands and feet, and even joint deformation.
Once the above symptoms occur, must be the first time to the hospital specialist outpatient clinic.

"To prevent arthritis in summer, it is important to pay attention to healthy eating habits, reasonable and regular exercise and necessary warmth protection."
The elderly should take calcium supplements to ensure normal bone and joint metabolism, and eat less cold and cold food, geng said.

In summer, we should also take necessary measures to keep warm. It is suggested to add or remove clothes according to the temperature. Neither can you add or remove clothes frequently to let joints catch cold, nor can you wrap them too tightly.
Especially suffering from rheumatoid arthritis or rheumatoid arthritis of the patient, should do not expose the joint, do not sleep cold bed, do not blow air conditioning fan, do not wash cold water bath.

To prevent arthritis also beware of misunderstanding, not the more exercise will be more healthy.
Geng Wen reminds, climb a mountain, climb a stair, the square dance of high intensity when motion is excessive, easy cause knee joint meniscus, articular surface injury, appear prematurely the occurrence of degenerative sex knee osteoarthritis, must move moderately so.
Moderate health exercises such as walking, radio gymnastics, tai chi, yoga and other aerobic exercises are recommended.
For people with arthritis, exercise is encouraged when the joint is not swollen or red.
If the joint stiffness and pain more obvious, do not go out in the morning or night when the cold is heavy.
If you have high swelling, a large amount of joint cavity effusion and other symptoms, it is recommended to rest, not exercise.

"From the perspective of TCM health preservation, the daily care of joints is also important.
It is recommended to wash hands and face with warm water every day, and wash feet in the evening. Hot water should be soaked above the ankle joints to promote blood flow in the lower extremities.
Also according to the doctor's guidance, in the case of non-allergic skin, at night when the feet add some warm Yang tongluo Chinese herbs, such as safflower, artemsia argyi, ginger, pepper, can also be used for external application.
Geng said.

Emerging Challenges to Adolescent and Young Adult Sexual and Reproductive Health

June 18, 2020 - Social alienation and limited access to contraception and abortion services during the COVID-19 pandemic are affecting the sexual and reproductive health of adolescents and young adults, according to a new study by researchers at Columbia University's Mailman School of Public Health and Columbia University.
Rutgers University.
The researchers looked at how to deal with these challenges as well as peers and relationships.
The findings were published in the journal Perspectives on Sexual and Reproductive Health.

Dramatic changes in adolescents and young adults include school closures, possible increases in family time, interruptions in normal trajectories towards increased independence, and very limited or no physical contact with sexual and romantic partners.

Although the pandemic may reduce opportunities for some young people to have sex, interruption of contraception and abortion may remain a significant problem for adolescents and young adults who are able to remain close to their partners during the pandemic, the authors note.
"The good news is that certain services can be addressed through telemedicine, including access to multiple forms of contraception and testing and treatment for sexually transmitted diseases," said Lesley Cantor, professor and chair of the Department of Global Public Health at Rutgers.
"If telemedicine remains as widely used as it was during the pandemic, young people's access to sexual and reproductive health may actually improve."
However,

There is not much data on testing for sexually transmitted infections or seeking abortion treatment specifically for young people.
But despite the clear evidence that abortion is essential and needs to be timely, many states have tried to limit its use by limiting abortion.
The drop in vaccination rates for all children over the age of two is also worrying, with the use of the HPV vaccine, which protects against cancer-causing infections and precancerous infections, plummeting.

LGBTQ youth are also affected, although fortunately, many LGBTQ centers quickly moved support groups and other services online.
Services such as QChat Space are already using digital platforms to convene and support LGBTQ youth.
However, for some young people whose families are not receptive, months of isolation can lead to serious tensions and confidentiality issues, which may further isolate LGBTQ youth.

The social disruption caused by the pandemic affects young people's health and well-being, but one positive aspect is that young people are digital natives familiar with online platforms and social media.
"Young people are supposed to be independent at this time, so maintaining distant relationships with friends and romantic partners can be particularly challenging for those who have to return home after a period of time.
We think their continued digital connectivity is now working against them and now positive for them."
David Bell, MD, associate professor of population and family health and pediatrics at the Maiman School of Public Health in Columbia.

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