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Talking to your doctor about an abusive relationship

Intimate partner violence can occur between people of any gender or sexual orientation. Abuse can leave people feeling isolated, confused, or hopeless, and talking to a health professional is one way to get help in the form of medical treatment or access to appropriate services.

Trauma-informed care: What it is, and why it's important

Because medical exams are invasive, and because many people have experienced some form of trauma and may be uncomfortable with aspects of the exam, healthcare providers should approach care with consideration for what patients may have experienced.

Can vitamin C prevent a cold?

The nutrient appears to have modest prevention power.


Image: Wavebreakmedia Ltd/Thinkstock

Vitamin C is often touted as a natural cold remedy. The nutrient is featured in supplements promising to boost the immune system. Nobel laureate Dr. Linus Pauling famously claimed that taking large doses of vitamin C helps thwart a cold. Is there something to these claims? "The data show that vitamin C is only marginally beneficial when it comes to the common cold," says Dr. Bruce Bistrian, chief of clinical nutrition at Harvard-affiliated Beth Israel Deaconess Medical Center.

About vitamin C

Our bodies don't make vitamin C, but we need it for immune function, bone structure, iron absorption, and healthy skin. We get vitamin C from our diet, usually in citrus fruits, strawberries, green vegetables, and tomatoes. The Recommended Dietary Allowance for men is 90 milligrams (mg) per day, and for women, it's 75 mg per day.

Are cracking joints a sign of arthritis?

On call

Q. My knees have been cracking for a long time, but lately I've noticed my ankles and elbows sometimes crack and pop. Is this a sign of early arthritis?

A. The good news is that the usual painless joint cracking or popping does not represent an early form of arthritis, nor does it cause joint damage (despite what our mothers told us about cracking our knuckles). The cracking sound appears to come from tendons or muscles moving over the joint or from the popping of nitrogen bubbles normally found in the joint space.

Can you be overweight and still be fit?

Excess weight carries health risks. But how much is too much?


 Image: © FredFroese/Getty Images

The idea that someone can be "fat and fit" — that is, overweight but still healthy — has been around for some time. But don't be fooled.

"The latest science is quite clear that excess weight can carry considerable health risks, including a higher risk for heart attack and stroke," says Dr. Jorge Plutzky, director of preventive cardiology at Harvard-affiliated Brigham and Women's Hospital. "While there is no one-size-fits-all number when it comes to a person's ideal weight, men should not ignore significant weight gain and the implications it has for their future health."

6 things you should know about vitamin D


Image:/Thinkstock

Figuring out all the factors that can affect your vitamin D level is complicated. Your body makes vitamin D when sunlight hits the skin. You can also get the vitamin from food (mainly because it's been added; few foods are natural sources of vitamin D) or by taking a supplement.

The process by which the body makes vitamin D is complex. It starts when the skin absorbs rays in the invisible ultraviolet B (UVB) part of the light spectrum. The liver and the kidneys also participate to make a form of the vitamin that the body can use.

Clostridium difficile: An intestinal infection on the rise

Intestinal infection known as C. diff can spread through spores and cause diarrhea

Why would you get an intestinal infection, like C. diff, from treating a different illness with antibiotics?

When you're admitted to a hospital, you expect to receive tests and treatments that will make you feel better. When you get antibiotics in the hospital, you expect that the drugs will treat or prevent infection. But it doesn't always work that way. A distressing number of patients acquire infections while they are in the hospital. And antibiotic therapy can actually increase the odds of coming down with a hospital-acquired infection, particularly when the cause is a bacterium named Clostridium difficile. Although doctors are working hard to control intestinal infections caused by the bug commonly (if not fondly) known as C. diff, the problem is rapidly becoming more common, more serious, and harder to treat.

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