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Unity Health Toronto’s 2023 Summer Safety and Wellness Guide

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Summer is officially underway and it is time to get outside and enjoy the warm weather. Alongside sunshine and bike rides, come a series of common questions about how to stay safe and healthy: How much water should I be drinking? How do I protect myself from bug bites? Do I need to be wearing sunscreen?

We reached out to a couple of physicians at Unity Health to find out how to stay protected while enjoying the outdoors this summer.

Keeping Cool

Over the past few years, Toronto has seen more extreme weather events, including heat waves. Even on a typical summer day, it is important to know how to prevent heat illnesses and dehydration.

Dr. Jessica He, a physician with the St. Joseph’s Academic Urban Family Health Team, shared her insights on how to stay cool and safe.

Dr. Jessica He is a family physician at the St. Joseph’s Academic Urban Family Health Team.

What are heat illnesses?

Heat illnesses range from mild to severe, He explains. For mild cases, known as heat syncope, you begin to feel dizzy or like you are about to faint. The next level is heat exhaustion where you begin to feel nauseous, weak or lightheaded, and you may even vomit. The final level is heat stroke where you feel lethargic, confused and delirious—which are all signs of a heat emergency. “Early recognition makes a huge difference, because there are things that you can do to intervene before it progresses all the way to heat stroke,” says He.

What can I do to protect myself from heat stroke?

“The first thing is to know yourself and whether you’re someone who is more at risk for getting heat stroke,” says He. This often includes children and elderly people. You will also be more at risk if you are doing strenuous activities outdoors, don’t drink many fluids or are on medications that influence your ability to sweat or urinate, she notes.

If you begin to feel symptoms of heat stroke, He recommends that you move to a shaded area or, if possible, an air-conditioned building. If you begin to feel dizzy or lightheaded while standing, sit or lie down – it can help to put your feet up to facilitate blood flow. He also suggests drinking water or an electrolyte drink to restore the lack of fluid in your body.

How much water should I be drinking in the summer months?

Contrary to popular belief, He states that we do not need to drink eight glasses of water a day. “Most people have regulatory mechanisms that will increase your thirst drive if you are dehydrated, so it’s important to listen to that,” she says. Unless you have a health issue that requires you to follow different rules, He encourages people to simply drink when they are thirsty and keep water nearby.

Sun Safety

While it’s great to spend time in the sun, it’s important to know how to protect yourself. In another conversation with He, she shared how using a sunscreen that has the right sun protection level (SPF) for you can protect you from sun-related injuries like sunburns and even skin cancer.

Who should wear sunscreen? Is it necessary to wear it if you have a darker skin tone? 

He notes that skin tone does play a factor in how much you are at risk for sun-related skin damage, with lighter skin tones being more at risk and darker tones being less at risk. However, she points out that it is beneficial for everyone to wear sunscreen. “Being at lesser risk doesn’t mean being at no risk,” she says.

What level of SPF do you need for your specific skin tone?

“Generally, the SPF that we recommend is 30 and above,” says He.

Re-application is also key. “Even if SPF 60 may provide more sun protection than SPF 30, if you don’t reapply it as much, then you’re probably getting better protection from an SPF 30 that reminds you to apply more often,” she says.

How many times should I re-apply sunscreen?

Every two hours, especially if you will be outside or in the water frequently, He recommends. According to He, this is most important during peak hours of sunlight between 10 a.m. and 4 p.m. “Sunscreen is beneficial, but only as long as it’s actually on your body,” she says.

Can my medication influence my sensitivity to the sun?

He states that two common ingredients that can make skin more sensitive to the sun or heat are doxycycline and topical retinoid. They are often included in medications for severe acne or hyper-pigmentation. If using them, she notes that you should stay aware of your exposure to the sun and ensure you purchase a sunscreen that gives you enough protection.

Bugs and Ticks

Due to warmer temperatures, the tick population in Ontario is increasing. We learned more from He on how to stay protected from these tiny parasites, as well as other bugs when we spend more time outdoors in the summer.

When should I look for ticks on my body?

He encourages checking for ticks during and after spending time outdoors or going on a hike. After 24 hours have passed from the time you were first exposed to a tick, you are more at risk of contracting Lyme disease, so she emphasizes that it is important to check your skin frequently.

How can I distinguish a tick bite from a mosquito bite?

Mosquito bites are typically small and localized, and will not become bigger than five centimeters, describes He. Tick bites, on the other hand, usually result in a rash or skin discoloration that can expand around the bite, she explains.

How can we protect ourselves from tick and mosquito bites?

A few tips He shares for avoiding tick and mosquito bites are to, first, wear long sleeves and pants when you know you will be outdoors for long periods, and second, use a bug repellant. “Ticks can also be prevented by sticking to the center of hiking trails, as they tend to live in bushes and shrubs,” she adds.

To avoid mosquitos, try not to be outside in the early morning or late evening when they tend to be active.

How do I treat a mosquito or tick bite?

“Generally, your body will be good at resolving mosquito bites, so it’s mainly about symptom management,” says He. “You can use an over the counter itch cream to help.”

He also advises that you see your family doctor within three days of a tick bite appearing. The doctor may be able to offer an antibiotic to prevent Lyme disease. Beyond that, she says to monitor yourself for the next 30 days to see if symptoms of Lyme disease emerge, which present a flu-like illness. “If that happens, there are antibiotics that we can give for that as well,” she notes.

Cycling Safe

In the summer months, people often use bicycles and other kinds of active transportation. However, biking accidents can be some of the most devastating.

We spoke to Dr. Sahil Gupta, an emergency physician at St. Michael’s Hospital, about how to stay safe on the roads.

Dr. Sahil Gupta is an emergency physician at St. Michael’s Hospital.

What are some of the most common injuries you treat related to bike safety?

In a downtown area, many of the injuries that Gupta and his team see are cycling-related injuries, such as head trauma, concussions or major brain injuries, as well as orthopedic injuries to the bone or soft tissue. He notes that these injuries can take weeks or months to heal, while others can be lifelong.

How can we protect ourselves from road related injuries?

Protective gear such as helmets and knee and elbow pads are the primary way to protect yourself from road related injuries, Gupta shares. He also states that the built environment plays a role in injury prevention. “Infrastructure that separates cyclists or pedestrians from cars and traffic calming measures can reduce the number of injuries,” he says.

If you could create a bike safety kit, what would you include?

In addition to protective gear like helmets, Gupta recommends making sure your brakes are in good working order and using a bike with thicker tires in the city. Thicker tires have more grip and do not fall as easily into uneven road surfaces like pavement cracks or streetcar tracks, he explains.

By: Kaela Tenn

 

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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