Woman health

Health Matters: What you didn't know about Miscarriages

Before becoming pregnant, doctors say a woman’s health needs to be closely evaluated. “We really want to start counseling patients with certain medical conditions before they get pregnant,” said Dr. Cherrie Morris, an OB/GYN with Lee Health.
Things like obesity, diabetes, and high blood pressure can all impact a woman’s ability to get pregnant and even increase the likelihood of having a miscarriage. “Obesity is another medical issue that we definitely want to address because that has effects on miscarriage rates,” said Dr. Morris.
A woman’s age can also put her at risk of having pregnancy complications or a miscarriage. “When you’re in your 30s, it may be as high as 20 percent and then later 30s you may get to 25 percent and then in your 40s the miscarriage rate can get to 50 percent,” said Dr. Morris.
But if a woman has a miscarriage, doctors say there’s one thing they need to understand. “They did absolutely nothing wrong. A majority of miscarriages is a result of chromosome abnormalities, and there’s nothing you can do about that,” said Dr. Morris.
Doctors say a miscarriage will not affect a woman’s chance of having a normal pregnancy in the future. “It’s not because you exercised too much. It’s not because you had a glass of wine. It’s not because you were stressed out. You got pregnant, so that tells me that your anatomy is probably normal if we don’t know that already,” said Dr. Morris.
If a woman has three consecutive miscarriages, doctors may evaluate the patient to find out why. “You can have certain uterine anomalies for example, that can definitely increase your risk for miscarriage,” said Dr. Morris.
Talking to your physician about your pregnancy plans, learning your family history, improving your lifestyle and taking prenatal vitamins, can help women have a healthy pregnancy.

Traditional dress around the world


The Sari, India

Ostensibly the simplest item of clothing possible – a single length of fabric, up to nine metres long – the sari is also one of the world’s most versatile and stylish garments, which can be draped in dozens of different ways. The sari spans all of Indian society, from simple cotton versions that are woven in the street throughout the villages of India to extremely glamorous contemporary styles that grace the catwalk during India Fashion Week.

Kilts, Scotland

From Braveheart to Strictly Come Dancing, the kilt has been used to represent all things Scottish, anachronistically so in the case of Mel Gibson’s costume as William Wallace. However, visit any Scottish Highland Games, and you’ll see that kilt-wearing traditions are alive and well, from the immaculately dressed competitive dancers to the pipe players in formal attire and, most impressively of all, the participants in the "heavy events" – for you cannot toss a caber properly unless wearing a kilt.

Tracht, Southern Germany and Austria

Tracht – that’s lederhosen for men and dirndls for women – is the traditional dress across southern Germany and Austria. There are many variations on the basic styles depending on the area and on fashion, from the pom-pom hats of the Black Forest (bollenhut) to thoroughly modern versions: there’s nothing quite like a tight pair of leather shorts worn at a Pride festival to put a contemporary twist on those Bavarian lederhosen.

Balinese temple dress, Indonesia

Anyone visiting a Balinese temple should at least wear two basic elements of Balinese traditional dress, a sash (selendang) and a sarong-style skirt known as a kain. However, the full Balinese outfit for women, which also includes the kebaya blouse, is an elaborate ensemble worn for temple festivals that shows off Bali’s gorgeous textiles, such as ikatweaving and batik, to the full.

Maasai beadwork, Kenya

One of the smaller ethnic groups in Kenya, but one of the most recognisable, the Maasai’s reputation worldwide belies its size, no small part thanks to their stunning attire: brilliant red cloth, extraordinarily intricate beadwork and – for young men – long, ochre-dyed hair. The beadwork in particular contains much meaning, a bride’s collar being the pinnacle of Maasai craftsmanship.

Herero women, Namibia

The traditional dress of the Herero women in Namibia is an adaptation of Victorian dress, as worn by the German colonists they fought in a bloody conflict at the start of the twentieth century, and now retained as a proud part of Herero identity. The silhouette is distinctive: a full, floor-length skirt, fitted bodice with puffed sleeve, with a magnificent horn-shaped hat, the shape of cattle horns, completing the look.

Sámi clothing, Lapland

The northernmost reaches of Norway, Sweden and Finland, and the Kola peninsula of northwest Russia, are home to the Sámi, who are among the oldest peoples in Europe. There are variations in costume throughout the region, though the main item is the kolt(or gákti in northern Sámi), a tunic or dress. The simple bright colours of blue, red, yellow and green always feature and reindeer skin and fur is used for belts, boots and gloves.

Gho, Bhutan

In Bhutan, a tiny Himalayan kingdom tucked between China and India, it’s obligatory for everyone to wear the national dress. For men this means the gho, a knee-length gown tied at the waist by a belt called a keram. For formal occasions a silk scarf, a kabney, is added to the ensemble, the colour of which depends on the wearer’s status. For the women, traditional dress is typically an ankle-length dress called a kira, and the equivalent scarf is called a rachus.

Bowler hats, Bolivia

Think bowler hats and the first person who springs to mind is an English city gent – Mr Banks from Mary Poppins perhaps. But in the markets of La Paz in Bolivia you’ll see Aymara women, known as cholas, wearing hats that bear a striking resemblance to the classic bowler as part of their traditional outfits. It’s said that a consignment of hats were sold cheaply to local women in the 1920s when they were found to be too small for the European workers they were intended for, and so starting a fashion trend that endures.

Nagaland, northern India

Visit the northern Indian region of Nagaland for the Hornbill Festival in December and you’ll witness a sartorial treat. During the festival each of the tribes of the Nagaland show their finery, each tribe having its own magnificent style, and with a spectacular range of headdresses on display, incorporating feathers, cane, dyed goat fur and boar tusks. The region is also known for its crafts and weaving, including beautiful Naga shawls.

Conical hats, Vietnam

Vietnam is home to an extraordinary wealth of clothing traditions, with the most elaborate outfits found in the north, such as red brocades of the Flower Hmong people and the decorated headdresses of the Red Dao. However, the most recognisably Vietnamese item is the conical hat, or non la, an essential accessory throughout the country. The version available Hué, non bai tho, has lines of poetry written into the brim, only visible when you hold it up to the light.

Flamenco dresses, Andalucía, Spain

Traje de flamenco or traje de gitana are the flamboyant dresses that finish in a cascade of ruffles (volantes), which are synonymous with the flamenco dancers of southern Spain. Seville’s Feria de Abril is the best time to see them worn by local women. However, the ultimate flamenco dress is the bata de cola, the long-tailed version worn for the style of dance of the same name, an intricate and beautiful dance where the dancer controls the tail so that it swishes and flicks as if it has a life of its own.

The ten-gallon Stetson, Texas, USA

Yee ha! Enormous Stetson, boots…rhinestones? The southern cowboy’s work wear has been glammed up a bit, thanks to the stars of both kinds of music, but the hat remains a true American icon. John B. Stetson was in fact from Philadelphia, and he started his company there in 1865, but it’s always been a symbol of cowboy country, and in Texas the ten-gallon Stetson is the only style to be seen in.

Sardinian traditional dress, Italy

Closer to North Africa than mainland Italy, Sardinia’s mixed history is evident in its traditional dress, elements of which have strong Spanish and Moorish influences. Though each village has its own style, there are common features – a veil, bonnet or shawl, long pleated skirts and richly embroidered blouses. Some of the most spectacular are from the province of Nuoro.

Changing the Guard, Seoul, South Korea

Seoul is a frenetic, modern city, and its pop culture is taking over the world, but at its heart are a series of beautiful royal palaces such as Gyeongbokgung. Here they have revived the costumes and traditions of the Joseon dynasty’s Changing the Guard ceremony, which is re-enacted three times a day.

The keffiyeh, shemagh or ghutrah, the Middle East

The scarf headdress worn by men across the Middle East comes in many variation of colour, style and name. It’s known as shemagh in Jordan and the ghutrah in Saudi Arabia, where it is normally either white or red and white, and held in place by the agal, a black band. However, the Palestinian black-and-white keffiyeh is the most recognizable verson, having been appropriated worldwide both as a symbol of protest and a fashion item, most absurdly when Balenciaga produced one for their 2007 catwalk show.

Coiffe, Brittany, France

coiffe is an intricate lace headdress worn as part of the folk costumes of Brittany, though now only seen for local festivals, or pardons. The most striking is the bigouden coiffe, from the area around Pont L’Abbé, a starched lace cylinder that rises to up to an astonishing 30–40cm tall.

Kimono, Japan

Meaning 'the thing worn', kimonos are the ultimate symbol of traditional Japanese culture. From the seventeenth century onwards they developed as the main item of dress for men and woman, and a means of expression for the individual wearer. They are still worn for special occasions, such as weddings, with modern adaptations making an appearance all over the world. The surface decoration is significant, with symbols such as the crane, for example, indicating good fortune and long life.

Menswear, Todos Santos Cuchumatán, Guatemala

Maya textiles are evident throughout the Guatemalan Highlands, nowhere more so than Todos Santos Cuchumatán, where local traditions are still widely observed. Mam is the first language, not Spanish, and the clothing for men in particular is brilliantly distinctive – red-and-white striped trousers, black woollen breeches, embroidered shirts and straw hats. Visit for the All Saints fiesta to see Todos Santos culture in all its glory, in particular the frenetic horse race that starts the festivities.

The Chanel suit, Paris, France

The uniform of a certain type of woman on New York’s Upper East Side, the Chanel two-piece suit may be made from a Scottish-inspired tweed, and be worn by the well-heeled the world over, but its home will always be the Parisian couture house. To pay homage to the classic, visit the building on Rue Cambon which was Chanel’s apartment when she first designed it in the 1950s, and which still houses a Chanel shop on the ground floor.

HEALTH MATTERS: Increase your breast cancer awareness, talk to your doctor

  • PPL-DULTZ-0929

    • With Breast Cancer Awareness Month approaching what better time is there than now to talk with your doctor about your risk for breast cancer and screening and early detection?
      Except for skin cancer, breast cancer is the most common cancer in American women. More than 300,000 will be diagnosed with the disease this year alone.
      Fortunately, when breast cancer is detected early it is often treatable.
      Today, as the American Cancer Society notes, there are more than 3.1 million breast cancer survivors in the United States thanks in large part to finding breast cancer early through screening and increased awareness, as well as better treatments.
      The University Medical Center of Princeton Breast Health Center offers sophisticated breast care technologies, including 3D mammography, for the detection and treatment of breast cancer.
      Know your risk factors
      Age and gender are the two biggest risk factors for developing breast cancer. While breast cancer can affect men, it is 100 times more common in women and the risk goes up with age.

      Other risk factors include:
      • Changes in breast cancer-related genes (BRCA1 or BRCA2)
      • Having your first menstrual period before age 12
      • Never giving birth, or being older when your first child is born
      • Starting menopause after age 55
      • Taking hormones to replace missing estrogen and progesterone in menopause for more than five years
      • A personal history of breast cancer, dense breasts or some other breast problem
      • A family history of breast cancer
      • Getting radiation therapy to the breast or chest
      • Being overweight, especially after menopause
      Signs and symptoms
      Most of the time there are no symptoms with breast cancer. It is usually found in a mammogram or as a lump in the breast that isn’t painful. Other warning signs may include:
      • Thickening in the breast
      • Redness, swelling, warmness or darkening of the breast
      • Puckering or an indentation in the skin visible when you lift your arm over your head
      • Pulling or tightening in the breast
      • Pain or tenderness not tied to your monthly cycle
      • Nipple tenderness, discharge or physical changes to the nipple such as inversion
      While other conditions can cause these symptoms, any change in your breast should be checked by your doctor.
      Mammograms save lives
      Though the guidelines for screening mammograms may have changed in recent years, it remains clear that mammograms save lives. A mammogram is a low-dose radiation X-ray that is used to look inside the breast. Mammograms can detect cancers when they are very small and still confined to the breast.
      The UMCP Breast Health Center offers the latest in mammography technology — a procedure known as digital tomosynthesis. The procedure produces a 3D view of the breast by taking multiple X-rays of breast tissue slices. For many patients, especially those with dense breast tissue, 3D mammography offers a clearer view of the breast compared with traditional 2D technology.
      Some studies have suggested that 3D mammography might lower the chance of being called back for follow-up testing, and may also be able to find more cancers.
      Decisions about when to start screening, the frequency of screening and when to end screening are unique to every woman and should be discussed regularly with your doctor.
      With an emphasis on shared decision-making, the American Congress of Obstetricians and Gynecologists this summer updated its recommendations for screening mammography. They recommend:
      • Woman at average risk of breast cancer should be offered screening mammography at age 40. If they have not initiated screening in their 40s, they should begin screening by no later than age 50. The decision about the age to begin mammography screening should be made through a shared decision-making process. This discussion should include information about the potential risks and benefits.
      • Women at average risk of breast cancer should have screening mammography every one or two years based on an informed, shared decision-making process that includes a discussion about the benefits and harms of annual and biennial screening and incorporates patient values and preferences.
      • Women at average risk of breast cancer should continue screening mammography until at least 75 years. Beyond age 75, the decision to discontinue screening mammography should be based on a shared decision making process informed by the woman’s health status and longevity.
      Lower your risk
    • When it comes to lowering your risk for breast cancer, there are some things that are simply beyond your control like age, gender and family history.
      However, there are certain steps you can take to lead a healthy lifestyle and reduce your risk, including:
      • Maintaining a healthy weight
      • Exercising regularly
      • Getting enough sleep
      • Limiting alcoholic drinks to no more than one per day
      • Avoiding exposure to chemicals that cause cancer
      • Breastfeeding any children you have, if possible
      • If you are taking hormone replacement therapy, talking to your doctor about the risks and benefits
      For women with a family history of breast cancer or inherited changes in the BRCA1 or BRCA2 genes, there are medicines, as well as preventive surgery, that could help reduce the risk for developing the disease.
      Center of excellence
      Since the first Breast Cancer Awareness month was celebrated in the 1980s, tremendous progress has been made in screening and treatment for breast cancer. New screening technology in addition to advanced surgical options and new medical and radiation treatments have improved outcomes over the past several decades.
      Breast cancer can be treated successfully if it is detected early. Talking to your doctor is the first step.
      The National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons, awarded the three-year full accreditation to the breast care services provided at UMCP and the UMCP Breast Health Center in East Windsor.
      The UMCP Breast Health Center has also been designated a Breast Imaging Center of Excellence by the American College of Radiology, signifying that UMCP meets the highest standards of the radiology profession.
      For more information or to make an appointment, call 609-688-2700.
      To find a physician with Princeton HealthCare System, call 888-742-7496 or visit www.princetonhcs.org.

      Rachel P. Dultz is fellowship trained breast surgical oncologist and board certified surgeon as well as a fellow of the American College of Surgeons. She is the medical director of the Breast Health Center at University.

    See The World With Me-Pictures

    Autumn Colours Around UK


    As the leaves start to turn, we reveal where best to see autumn colour in the UK.
    The National Arboretum, in Gloucestershire, is managed by the Forestry Commission and has collections of everything from oaks, to cherries, birches and limes.
    The Japanese maples are particular colourful at this time, in a blaze of red, orange and yellow.


    This Cumbrian forest has sculpture trails as well as glorious, rust-hued pines and broadleaf woodland. There are also plenty of walking and biking trails. 
    Castle Coch
    A dense swathe of copper beech trees surround a late 19th-century Gothic castle in Tongwynlais, near Cardiff. Their colours are at their most dramatic in the last two weeks of October. 

    Sheffield Park Garden
    The rare trees and shrubs are starting to show their colours in this landscaped garden near Haywards Heath in Sussex, designed by 'Capability' Brown. It has four lakes in its centre and a cricket pitch. 
    Batsford Arboretum
    Close to the Cotswold hills, a wet summer has encouraged growth at this arboretum, where leaves are already turning golden. You can monitor their colour on the park's website. 

    Meikleour beech hedges
    The world's highest hedge is found in Perthshire, a wall of riotous colour during autumn. There is a programme of guided walks for those wanting to take in the changing colours, starting in late October.

    This 200 acre site in the New Forest is predicting a longer than usual colour spectacle this year with auburn and russet leaves expected on its maples, dogwoods and liquidambers, plus jewel lilies and autumn art in the coming months. 

    Burnham Beeches
    This nature reserve is filled with ancient woodland that once nearly covered the entire county of Buckingham shire. It has many walking trails and is a good option for Londoners wanting to see one of nature's greatest, seasonal shows. 

    Health Benefits and Nutrition Facts of Lemons

    A little lemon juice not only makes everything tasty, but also healthy. Read on the Nutrition facts and Health Benefits of Lemons and how lemons aid in weight loss.
    Nutrition Facts of Lemons
    A raw lemon without peel of about 58 grams contains 17 calories, and offers 0.6 grams of protein, 0.2 grams of fat, 5.4 grams of carbohydrates.
    Lemons are also packed with of thiamin, riboflavin, vitamin B-6, pantothenic acid, calcium, iron,magnesium, phosphorus, potassium, copper and manganese.
    Health Benefits of Lemon
    Lemons are alkalizing for the body and it helps in restoring balance to the body’s pH
    Lemons are loaded with vitamin C and flavonoids, which protects from infections like flu and cold. The Vitamin C also aid in neutralizing free radicals linked to agin
    Lemons are wonderful stimulant to the liver and are a dissolvent of uric acid as it liquefies the bile. Lemon water in the mornings is great liver detoxifier.
    Intake of Lemon juice diluted with water every two to four hours can treat scurv
    Lemon water dissolves gallstones and prevention of kidney stones formation.
    Lemon peel is packed with potent phytonutrient tangeretin which helps for brain disorders like Parkinson’s disease.
    Lemons have properties to destroy intestinal worms. The powerful antibacterial properties in lemons help in treating bacteria of malaria, cholera, diphtheria, typhoid and other deadly diseases
    Rutin found in lemons has the potential to improve eye disorders, including diabetic retinopathy
    Lemons contain 22 anti-cancer compounds, and they help slowing or halting the growth of cancer tumors and flavonol glycosides aid in stopping cell division in cancer cells.
    Risks and Precautions of Lemons
    Lemon juice contains acid which is harmful to tooth, so use it by diluting with water.
    If not washed properly, these lemons may contain potentially pathogenic microbes.

    More about Lemons

    Lemons are one of the most versatile fruits out there. And no, we’re not just talking about in cooking! Lemon juice is an acid, a natural disinfectant, and a nutritional powerhouse. Its scent is perfect for humans, but a deterrent for pests. It helps preserve food and can easily replace harsh chemical-based ingredients. Is there anything this unassuming fruit can’t do?! Read on for incredible ways to use lemons. Have a favorite use of your own? Let us know in the  Comments!
    Home & Cleaning.
    1. Clean Cutting Boards, Rolling Pins, Salad Bowls, and More. Cutting boards and other wooden kitchen products are germ, and funky smell, hotbeds. Lemons to the rescue! The stuff works very well on both odors and bacteria; after you’ve washed your cutting board, rub 1/2 of a lemon over the wood and let it sit for 20-30 minutes. Rinse the juice off and dry.
    2. Get Rid of Grease. Nip grease in the bud — on counters, dishes, ranges, whatever — by rubbing 1/2 of a lemon with coarse salt sprinkled on it over the affected area. Wipe clean with a towel. Make sure the surface or dish you’re cleaning responds well to acid before doing this trick.
    3. Clean Plastic Containers. Reusing plastic food containers is a great way to reduce waste, but smells can linger forever. Overcome that stink by soaking the container in a mixture of equal parts lemon juice and water.
    4. Overcome Odors. Keep a couple lemon peels in your fridge (it works better than baking soda!) and the bottom of your trash can to avoid unpleasant smells.
    5. Easily Clean Graters. Cheese graters are a pain in the neck to clean. Ease that pain with the help of 1/2 of a cut lemon; rub the lemon over the grater and wash as usual.
    6. Polish Chrome and Stainless Steel. Forget that sponge — lemon rinds are excellent mild abrasives and work wonders of chrome and stainless steel. Scrub the metal, rinse, and towel dry.

    Beauty & Fashion.
    7. DIY Deodorant. Commercial deodorants are full of scary, harsh chemicals. But what’s the alternative — becoming a social pariah?! Luckily, that’s where lemon juice comes in. Dabbing a little juice in your armpits works just as well, if not better, than the store-bought stuff.
    8. Lighten Nails. As we age, our nails start to yellow. Reverse that by soaking your nails in a cup of water and the juice of 1 lemon. Soak for a few minutes and rinse.
    9. Remove Armpit Stains from Clothes. Scrub a mixture of equal parts lemon juice and water onto the stain, then let the shirt air dry.
    10. Zap Mildew. Mildew-y clothes aren’t ruined! Form a paste out of lemon juice and salt, apply to the mildew, and let air dry.
    11. Sanitize Jewelry. Safety first! You can sanitize metal jewelry in a mixture of equal parts lemon and water. Better skip your fanciest gems and metals here, though.
    12. Replace Toxic Bleach. Skip the bleach in your laundry room by adding 1/2 cup lemon  juice to the wash instead.

    Food & Drink.
    13. Lower Salt Intake. Your taste buds get a similar sensation from sour flavors as they do salty flavors, which makes lemon juice one of the best salt substitutes out there. Skip the shaker and season your meals with citrus.
    14. Prevent Sticky Rice. To get perfect fluffy, stick-free rice, add 1 teaspoon of lemon juice to the pot while the rice is simmering.
    15. Preserve Food. A little lemon juice will help keep both guacamole and pesto green, and prevent apples, potatoes, pears and cauliflower from browning.
    16. Refresh Sad Lettuce. Placing soggy, wilted lettuce in a bowl of ice water and the juice of one half lemon will bring sad lettuce back from the compost bin.
    17. Wash Produce. Nearly all fruits and veggies — even organic — will benefit from a good washing. Go the DIY route. Check out a recipe here.
    Pets, Garden & More.
    18. Keep Out Kitty. What smells great to humans is repulsive to cats. Adding some lemon juice to a spray bottle, and misting an off-limits area — like the kitchen countertops, for instance, or the Christmas tree — will help keep feisty felines away.
    19. Breathe New Life Into a Humidifier. If your humidifier is starting to smell a little strange, just add a few teaspoons (3-4) to the water.
    20. Kill Weeds Naturally. Lemon juice is an ultra-effective weed killer. Soak the unwanted plants with the stuff to kill them without all of the harsh chemicals.
    21. Revive Hardened Paintbrushes. Give a new life to those hardened bristles. Bring lemon juice to a boil on the stove, drop in the brushes, and let it sit for about 15 minutes. Wash and rinse in soap water and let dry.
    22. Repel Ants and Other Pests. Ants, roaches, and moths hate the smell of citrus. Place lemon juice in a spray bottle, and regularly mist door thresholds, window sills, and anywhere else bugs might creep in.