Health,
Fitness,
Science & Style
Shoe Fitting Advice
from a professional
We received this letter
from Dr. Corinne Kauderer and asked if we might include it in our
Fitness and Style section:
Dear SeniorWomenWeb
I just read your article (IF
THE SHOE FITS...you can bet it's not fashionable by Julia Sneden)
on finding the right pair of shoes and it struck a chord close to
my heart. Most of the time, women tend to be driven to buy the most
stylish shoes; however, this does not mean they will be the most
comfortable! Our feet have five toes, most of the time, but shoe
designers seem to forget this fact. They design shoes for three
or maybe four toes! They want women to "fit" into their designs
because they look good to them.
To be fitted properly
for shoes, one should go to the shoe store in the mid afternoon
when the feet are not swollen nor are they too narrow. Mid afternoon
seems to be the right time period. Also, have the shoe salesman
measure you.
Our feet do change over
time; they get wider from the normal aging process and they get
longer form pregnancy. Every shoe manufacturer also uses different
size models to make their shoes. Don't assume that for life you
will be a size 8. Most women over time need wider and longer shoes
with a larger or higher toebox(that is the front end of the shoe).
Once you have found the
"right" shoe, wear it and be happy. However, the "right" shoe that
you found a year ago, may not be the same model this year. Remember
to be measured each time and check with your Podiatrist-foot doctor
after you purchased your new shoes.
I hope this helps!
Dr. Corinne Kauderer
FACFAOM, FAWCA, FAAPM
Past President, American Association for Women Podiatrists, 1998-2000
7713 13th Avenue, Brooklyn,
NY 11228
Abstract
Objective: To evaluate
the completeness and accessibility of public information about US
clinical trials of drugs in development.
Design: Review
of online registers of clinical trials.
Data sources:
Drugs in phase III trials were identified using three drug industry
sources: PhRMA Survey, What's in the Pipeline, and the NDA Pipeline.
Drug trials were then searched for on the following publicly accessible
registers of clinical trials: CancerNet.gov,
CenterWatch.com, ClinicalTrials.gov,
and registers associated with the 37 "Comprehensive Cancer Centers"
designated by the National Cancer Institute.
Main outcome measure:
Extent of availability of public information on phase III trials
of drugs in development for treating either prostate or colon cancer.
Results: Search
of industry sources identified 12 drugs for prostate cancer and
20 for colon cancer undergoing phase III trials. The most comprehensive
publicly available register, ClinicalTrials.gov, contained trial
listings for only seven of the prostate cancer drugs and 10 of the
colon cancer drugs. Trials of three prostate cancer and three colon
cancer drugs were listed on only one register each. A substantial
proportion of trials of prostate cancer drugs (3/12) and colon cancer
drugs (8/20) were not associated with trial listings in any registers.
Conclusions: Existing
trials registers are unlikely to be meeting user needs since many
ongoing drug trials are not listed. There is a clear need for a
comprehensive clinical trials register encompassing all ongoing
trials, including industry sponsored trials.
What is already known
on this topic
There are hundreds of distinct, predominantly online registers of
ongoing drug trials, with overlapping, non-standardised contents
The lack of organisation and centralisation of information on clinical
trials poses problems for those seeking information about ongoing
trials and for researchers preparing and maintaining systematic
reviews
What this study adds
Pharmaceutical industry "pipeline sources" can be used as sources
of information about drugs in clinical trial testing, but these
sources often contain non-standardised and incomplete information,
making it difficult to search for and summarise current testing
activities Many drugs that were identified as undergoing testing
in pipeline sources were not listed in any of the trials registers
searched.
Read the entire report,
Survey of
public information about ongoing clinical trials funded by industry:
evaluation of completeness and accessibility at British Medical
Journal
Multimedia: Blurred
Vision
A series of articles
in the New York Times focused on the mistakes made by the medical
profession in correctly identifying breast cancer beginning with
Spotting
Breast Cancer: Doctors Are Weak Link. Within the framework
of the series is a slide show entitled Doctors Falling Short,
demonstrating what was missed from the mammograms taken of women
who, indeed, had the disease.
An interactive feature
is included on Commonly Missed Breast Cancers. Additional
articles are Breast
Cancer Drug Is a Uterus Cancer Risk and Tips
on Mammography Clinics. A future installment centers on
'How one H.M.O. learned to learn from its mistakes.'
Finally, on PBS Bill
Moyers' program expands on the year long Times investigation
and special report, which "found that many of the 20,000 doctors
who read mammograms lack the necessary skills for the job."
Studies
Read
Changing Patterns of Pharmaceutical Innovation by The
National Institute for Health Care Management Read
Consent, confidentiality,
and the threat to public health surveillance from the British Medical Journal
and the associated commentary: Don't
waive consent lightly, involve the public Read
the summary and the
report from the Swedish National Food Administration.
The UN Food
and Agriculture Commission weighed in and the New York Times offerred a US
view, Fried Carcinogens.
The Centers
for Medicare & Medicaid Services (CMS) are publishing information
on nursing homes in Florida, Colorado, Maryland, Ohio, Rhode Island,
and Washington State as part of a pilot program.
Betty Soldz: Outsmarting
Forgetfulness — strategies helpful to keep your memory
sharp
Read
the guidelines for nursing homes testing at the Centers
for Medicare & Medicaid Services site. The
Washington Post is covering the subject in an article, US
to Unveil First Ratings of Nursing Homes.
National
Alcohol Screening Day is generally held every year. If
you live in an area without a nearby site, please visit www.findtreatment.samhsa.gov
to locate a treatment center where someone can get help for themselves
or those they care for in this situation.
Jane
Brody's New York Times article, Hidden
Plague of Alcohol Abuse by the Elderly, should be part of any alcohol
education program. Alcohol abuse can be overlooked in the elderly.
MIT's Techology
Review has put together a number of their articles on the
future's high-tech health care. They range from brain pacemakers
to virtual clinics and health sensors in your clothes.
The
articles: Brain
Pacemakers: Hearts have long been regulated by electronic implants. Now it's
the brain's turn.
Helping
Doctors Feel Better: New computer simulations that re-create
the sense of touch allow doctors-in-training to perform virtual
procedures without risking harm to a human being's precious skin.
Clothed
in Health: VivoMetrics of Ventura, CA, began beta-testing its
LifeShirt, which looks like a sleek fishing vest and records more
than 40 health parameters. Sewn into the vest are electrodes for
heart monitoring and three conductive bands that gauge the movement
of the heart and lungs from changes in their magnetic fields.
Report
"A new report prepared
for Rep. Henry A. Waxman and Sen. Charles E. Grassley for the Committee
on Government Reform shows that the federal website 'Nursing
Home Compare' is incomplete because it does not include tens
of thousands of recent violations of federal health standards found
during complaint investigations. Read
the report, HHS
'Nursing Home Compare' Has Major Flaws
Link for searchable database
of nursing home violations:
http://dev.cgr.m23.com/index.html
Our Resident Observer
and caregiver, Julia Sneden has written a series on caregiving:
The Slippery
Slope, Part One
The Slippery Slope,
Part Two
The Slippery Slope,
Part Three
One of
the groups existing to deal with some of the issues confronting women is the Congressional
Caucus for Women's Issues and one that is little publicized and as they are
wont to say, flying "below the radar." Women's
Policy, Inc. serves a unique role in the nonprofit community as the only organization
that tracks federal legislation on a broad range of issues that affect women and
their families.
Liz Flaherty—Smoke
Free: Eight Days and Five Minutes But Who's Counting? - Easy,
providing the comparison has to do with bamboo under fingernails
& breech birth without drugs
Fitness
Article
"Men like
to have shoulders that are big and thickly layered with muscle, and men have much
more shoulder strength than women. For both genders, the shoulders perform some
of the work of lifting, but a woman's strength rapidly begins to diminish as soon
as her arms are lifting at shoulder height or above. She relies more on her chest
for lifting and doing heavy work, and once her arms are out of the ideal position
for the chest muscles to do the work, her power drops very sharply. Weightlifting
will improve her power, of course, but the shoulders are never a woman's strong
point."
Shoulders: Strength
and Grace
"Every
hero has a great chest, and when people want to boost their own appearance or
behave with confidence, they lift the chin and thrust out the chest, a sign of
confidence. We associate the chest with courage, high spiritedness, and even self-sacrifice.
The chest, after all, guards the heart. Behind that wall of muscular strength,
the repository of our love and tenderness lies quietly beating, protected and
hidden."
Of Heroes, Grandmothers,
and Good Chest Muscles
A
Suggestion: Print Jeri's articles and pin them up by your exercise area.
Additional articles: The
Mouse and the Martial Artist & Stepping
Up With Jeanne
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