Jewish Herald-Voice (Houston, Tex.), Vol. 82, No. 39, Ed. 1 Thursday, December 20, 1990 Page: 4 of 40
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I
Page FOUR
THE JEWISH HERALD-VOICE
CAJE
—
From Page Three
CHOLES-
TEROL
AND
HEART
9135.
□
DISEASE
By ELLISON H. WITTELS, M.D.
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part of the treatment.
Houston.
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3
1.
New equipment in the Mildred and Gil Gertner Jewish National Fund
forest and park in the neighborhoods of Yoseftal and Dado.
□
□
%
■ his year in the United States, over 500,000 men and women
will die from atherosclerotic artery disease - heart attack, an-
gina pectoris or sudden death. Cholesterol is now well-recog-
Moshe Goitnick, member of the Petach Tikvah City Council and new
chairman of Center Board, watches as Mayor Giora Lev receives a gift
from Buster Feldman, president of the lewish Federation of Greater
MEDICAL NEWS FROM TH E MAIMON I DES
SOCIETY OF HOUSTON is a new feature in the Jewish
Herald-Voice. Each week, there will he an article written by a member
of the Maimonides Society, discussing topics in medicine of general in-
terest. lewish physicians who are interested in joining the society should
contact membership chairman, Dr. Carl Schmulen, 791-1800. Following
is the fifth Maimonides column on a current medical topic:
8333
8
322333223*
8833
8833:
community professionals, rabbis
and cantors. Lay leaders and par-
ents will also find sessions of in-
terest at Mini-CAJE.
CAJE, the New York City-based
Coalition for the Advancement of
Jewish Education, is best-known
for its annual summer Conference
on Alternatives in Jewish Educa-
tion, held in a different city each
year, and attracting some 2,000
Jewish educators from all over
the globe. The regional "‘mini-
conferences" extend the CA|E
experience to many more partici-
pants.
San Antonio's Mini-CAJE is co-
sponsored by CAJE, SAAJE (the
San Antonio Association for Jew-
ish Education) and the Education
Directors Council of San Antonio.
San Antonio's Mini-CAJE expe-
rience will include a Saturday
evening "kumsitz"’ social at the
Northwest Loop Holiday Inn,
featuring a performance by come-
dienne Nancy Braun. The Sunday
program includes a kosher lunch.
For information, contact chairper-
son Deena Bloomstone, Temple
Beth El, 211 Belknap Place, San
Antonio, Texas 78212 - 512/733-
Bush Absolutely convinced9
that the Gulf coalition will
stay firm if Israel is attached
e
4
The recommended diet contains less than 30% fat (10% saturated,
10% polyunsaturated and 10% monounsaturated), 50%-60% carbo-
hydrate and 15% to 20% protein. Three nutritional factors which raise
cholesterol are saturated fatty acids (animal fats, coconut oil, palm
oil, palm kernel oil and cocoa butter)/cholesterol in food and being
overweight.
If the cholesterol remains significantly elevated after a few months
on diet, medication may then be considered. Medicationcan effec-
tively lower cholesterol. There are. several different types of medica-
tion now available. In general they work by blocking cholesterol ab-
sorption or cholesterol production. Because medication has the po-
tential for side effects, these need to be carefully selected by your
physician. They are not a substitute for a proper diet.
Exercise helps lower cholesterol by promoting weight loss. Exercise
and weight loss also increase the HDL (good) cholesterol. Although
alcohol may increase the HDL-cholesterol, it is not recommended as
a treatment. •
Cholesterol is a risk factor for heart disease in individuals over 65
‘ years of age. Because atherosclerosis begins early in life, children
need to have proper diet. For young and old, diet is appropriate
treatment. The diet should not restrict essential vitaminis, minerals and
nutrients.
• nized as a major risk factor for atherosclerosis and coronary
artery disease. While several recent articles have attempted to mini-
mize the importance of cholesterol, the facts remain quite clear.
All major population studies, animal studies, clinical trials and pa-
tient reviews have all shown that the higher the cholesterol level the
more likely it is that a man or woman will develop coronary artery
disease. More importantly, lowering cholesterol will decrease the risk
of developing coronary disease. The Lipid Research Clinic's Coronary
Primary Prevention Trial, a seven-year study conducted by the Na-
tional Institutes of Health and in which Baylor College of Medicine
was 1 of 12 participating centers, showed that for every 1% that that
cholesterol was lowered, the risk of heart disease decreased by 2%.
Recent studies have also shown that individuals who have had heart
disease can decrease the risk of recurrent disease or death by de-
creasing their blood cholesterol. Decreasing cholesterol can decrease
or prevent atherosclerosis.
The National Cholesterol Education Program recommends that
every adult over the age of 20 know his or her cholesterol level. Cho-
lesterol should be below 200mg/dl. If the cholesterol is above this,
then a cholesterol lowering diet should be followed. Diet is always a
dge4.*1
#85,63, $55
ae •
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s
Over the last several decades we have seen a significant decrease
in the death rate from coronary artery disease. Half of this decrease is
from better treatment and half is because of prevention. Early identi-
fication and treatment of those with elevated cholesterol can further
decrease coronary disease mortality.
QUESTIONS:
Q) What is the difference between good cholesterol and had chb-
lesteroR
A) The low density lipoprotein - bad cholesterol - causes athero-
sclerosis. The heavy density lioporotein - the good cholesterol - re-
moves cholesterol from the artery and transports it to the liver. The
higher the HDL-cholesterol the better. The higher theLDL-choles-
terol the more likely it is that coronary disease will develop.
Q. What is a coronary artery risk factor?
A. These risk factors increase the likelihood that a man or woman will
develop coronary artery disease. The presence of a risk factor does
- not mean that coronary disease will develop, nor does the absence of
a risk factor mean that coronary disease will not develop. It increases
the possibility that coronary disease will occur. Risk factors are syn-
.ergistic. The more risk factors the much more likely it is that coronary
artery blockage frpm atherosclerosis will develop. Major risk factors
include elevated cholesterol, elevated blood pressure and cigarette
smoking. Additional risk factors include being more than 30% over
desirable body weight, being a type A personality, having diabetes,
being a male, being over age 40 and having a family history of heart
disease with onset before the age of 55 in a parent, sister, brother or
child. Lack of exercise appears to also increase the risk of heart dis-
ease.
Aaiwzonidet
a S Medical news from the
Maimonides Society of Houston
*
L
7
b
"low-profile" position in the Houston provides assistance to
crimsisinees o’ the Persian humanitarian projects in Israel
He did not say what the United
States would do should Iraq at-
tack Israel but he had assured
Prime Minister Yitzhak Shamir
in their meeting on Dec. 12 that
Ellison H. Wittels, M.D., is the medical director of the Sid W. Rich-
ardson Institute for Preventive Medicine of the Methodist Hospital. □
it would "react" and Secretary
of State James Baker has told
Congress it would "respond".
Neither has defined thoseac-
tions but many assume they
mean forceful cooperation with
Israel in military terms.
"Saddam's best shot at crack-
ing (he cohesion of the coalition ■
against him is to draw Israel
into it by direct attack," a re-
porter asked Bush. He noted
Security Affairs Advisor Brent
Scowcroft has indicated "spe-
cific discussion with Israel and
the coalition partners about
that contingency. Has there
been any assurance by Israelis
or the coalition partners that
they would not crack apart if he
attacked Israel?"
"I'm convinced the coalition
would not fall apart," the Presi-
dent responded. "I can't give
you the specifics on it but I'm
absolutely convinced of it. And
you can assume the way I've
answered the question that
we've inquired about that."
"Secondly," Bush continued,
"Israel has had what I would
call a low-profile position in all
of this for which I salute them.
It's not easy. Their security,
they feel, could well be at stake
tf P
* ’ ar
V
RANDOLPH W. EVANS, M.D. ” SHELLY RUBENFELD, M.D.
Editor, Medical News Chairmap, Maimonides Society
WASHINGTON - President from some radical act by Sad- . . .
Bush has stated that the United dam Hussein. But I have no ar- Arab countries in the coalition,
States has consulted with the 27 gument with Mr. Shamir over incudingsaudi Arabia and
other nations in the coalition the way the Israelis have con- yria,remain in a state of war
confronting Iraq on their reac- ducted themselves nor do I wit Israel and have not ac-
tion should Saddam Hussein at- think that the coalition partners cepte Unite Nations Security
tack Israel and he is "absolute- (have any argument) on that Council Resolutions 242 and
ly convinced" that it would not particular point regardless of .. a oloWe, eArab- S
fall apart should that happen. what their historic relationship ra 1 wars in an ' re
In responding to a query at a with Israel may have been." spec ive y.
White House news conference Apart from Egypt, the seven IOSEPH POLAKOFF
on Dec. 18, the President also
"saluted" the Israelis for their
- --2,
2,5-
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Samuels, Jeanne F. Jewish Herald-Voice (Houston, Tex.), Vol. 82, No. 39, Ed. 1 Thursday, December 20, 1990, newspaper, December 20, 1990; Houston, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1582969/m1/4/?q=Lamar+University: accessed June 8, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; .