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African American Health
Del Smith - UrbanJoint.com Staff Writer

The Fourth Annual Circle of Sisters event was held at the Jacob Javits Convention Center in New York City a few months ago. If you have had the opportunity to attend this event, you know that it is an exciting occasion full of music and live performances by well-known artists. It’s also an ideal place to gather information on business, fashion, education, insurance, health, art and much more.

The room was filled with more than 100 merchants, eager to sell their products and services. I spoke to a dozens or so vendors, purchased a few items and collected business cards as I strolled through the event. One of the vendors I spoke to was a representative of Alcon Laboratories, a global health care company and leader in eye care products—they were administering free eye exams to the public. I have not experienced problems with my eyes or my vision, but it seemed like a good idea to have my eyes examined anyway. After all, regular check ups are an important step in preventing and detecting disease in its early stages. So, I waited in line for about 20 minutes and carried on conversation with the other participants. I was happy to see so many brothers and sisters interested in taking the eye exam, especially since there were so many other exciting things going on around us.

The eye exam was quick, accurate and painless. Some participants received favorable results, others were told that they needed new glasses or to consult their doctor or eye care professional for further examination. The Alcon Rep gave me a sheet with my test results, which I mailed to my doctor when I returned home. As I was leaving the booth, he asked me if there was a history of Glaucoma in my family. Glaucoma is an eye disease that runs in many African-American families and is the leading cause of blindness amongst this group. I had no reason to be concerned about Glaucoma but I was interested in learning more about the eye disease so I placed my name on the mailing list.

A few weeks passed and I received a Glaucoma pamphlet in the mail from Alcon Laboratories. As I read more about this eye disease, I learned that although African Americans have a greater risk of getting the disease, it is not known if the disease is due to a patients’ African-American heritage or the darkness of their eyes. Either way, we must take steps to educate ourselves and protect our eyesight, especially if we have a relative with the disease.

The Q & A listed below comes directly from the pamphlet “A New Generation of Hope for African-American Families with Glaucoma”. I also used a second source entitled “Healthy Living”, a Cothran Publication. Cothran Publications is dedicated to enhancing the quality of life for people of African decent by promoting awareness of disease.

What is Glaucoma? Glaucoma is an eye disease that involves damage to the optic nerve, which sends visual signals to the brain. No one knows exactly what causes this damage, but pressure buildup in the eye is proven to be one of the major risk factors associated with glaucoma.

What is the optic nerve? The optic nerve is a bundle of more than 1 million nerve fibers. It connects the retina, the light-sensitive layer of tissue at the back of the eye with the brain. A healthy optic nerve is necessary for good vision.

Is there more than one type of Glaucoma? Yes, there are several different types of glaucoma. The most common is called open-angle glaucoma (OAG), which accounts for about 80% of all cases. It develops slowly over time, usually after the age of 40, though African Americans can acquire glaucoma much earlier. Patients with this type of glaucoma may experience a gradual narrowing of their peripheral vision, which many call “tunnel vision,” or areas of vision loss.

Why do African Americans have a higher rate of getting glaucoma? The reason for the higher rate of glaucoma and subsequent blindness among African Americans is still uncertain. Reasons may include:

  1. A greater susceptibility to damage to the optic nerve
  2. A higher occurrence of earlier onset pressure in the eye
  3. Not prioritizing detection and treatment of glaucoma

Over 750,000 African Americans in the U.S. have glaucoma, but only about half of them are aware they have it. One out of every four African American glaucoma patients has a close relative with it. As an African American, you are 6-8 times more likely to develop glaucoma than a Caucasian. You’re also more likely to develop the disease earlier, and have it progress faster.

What are the symptoms of Glaucoma? Most people who have glaucoma don’t know they have it. It has no symptoms at first. Vision stays normal, and there is no pain. As glaucoma remains untreated, people may notice that although they see things clearly in front of them, they miss objects to the side and out of the corner of their eye. Without treatment, people with Glaucoma may find that they suddenly have no side vision. It may seem as though they are looking through a tunnel. Over time, the remaining forward vision may decrease until there is no vision left. With early treatment you can often protect your eyes against serious loss and blindness.

How is Glaucoma detected? To detect glaucoma, your eye care professional will conduct the following tests:

Visual Acuity - This eye chart test measures how well you see at various distances.
Tonometry - This standard test determines the fluid pressure inside the eye.
Pupil Dilation - This examination provides your eye care professional with a better view of the optic nerve to check for signs of damage. To do this, your eye care professional places drops into the eye to dilate (widen) the pupil. After the examination, your close-up vision may remain blurred for several hours.
Visual Field - This test measures your side (peripheral) vision. It helps your eye care professional find out if you have lost side vision, a sign of glaucoma.

Can Glaucoma be treated? Yes. Although you will never be cured of glaucoma, treatment can control it. This makes early diagnosis and treatment important to protect your sight. Most doctors use medications for newly diagnosed glaucoma, however, new research findings show that laser surgery is a safe and effective alternative.

How is Glaucoma treated? The primary effect of any glaucoma treatment is lowering IOP (intraocular pressure). This has been proven over the years to be an effective way to help prevent or slow down vision loss in glaucoma patients. IOP can be lowered with medication and/or surgery. In most cases, medication is used before surgery, which is often reserved for patients who haven’t responded adequately to or are intolerant of medications. Glaucoma medications include:
  • Prostaglandin Analogues
  • Beta Blockers
  • Alpha Agonists
  • Carbonic Anhydrase Inhibitors
  • Miotics

No matter what medication your eye doctor prescribes for you, it is important to follow your doctors’ instructions. In fact, your doctor may put you on two or more of these medications if you need them. Failing to use the medication as prescribed may help speed the progression of glaucoma and possibly lead to blindness.

As you know, it is important that we take our health seriously, even if we are in good health. Because of our heritage, the American Academy of Ophthalmology (AAO) recommends that African Americans 20–39 years old get a comprehensive eye exam every 3–5 years. If you’re over the age of 40, they recommend once every 2-4 years. If you’re over 65 years old, it is recommended that you have your eyes examined every 1-2 years.

I will post future articles on African American health issues in upcoming months. Glaucoma is just one of many diseases affecting African Americans. If you had little knowledge about glaucoma prior to reading this article, I hope that you feel a bit more informed about the disease and if you or family members have not had your eyes checked in a very long time, please make an appointment as soon as possible.

Thank you for taking the time to increase your awareness about Glaucoma. Peace.
Source: Del Smith - UrbanJoint.com Staff Writer
Link: Full Story

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CAREER FOCUS
Del Smith - UrbanJoint.com Staff Writer

Sunday, January 26, 2003

CAREER FOCUS<br>
Del Smith - UrbanJoint.com Staff Writer

Over the next couple of months, the Insight column will focus on “Careers”. Specifically, we will discuss How to Write an Effective Cover Letter and Resume and How to Assess a Potential Employer. Then we’ll work our way through the Application and Interview Process. I will provide a list of Do’s and Don’ts, The Most Common Questions that Interviewers Ask, and How to Answer Them, Tips to Use During Salary Negotiations, How to Decline an offer and finally, we will discuss employee development and succession planning.
Source: Del Smith - UrbanJoint.com Staff Writer
UrbanjointMaste
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LET’S TAKE A BREAK FROM HEADLINE NEWS REPORTS ON WAR AND TERRORISM!
Saturday, December 07, 2002
Hello Everyone, Happy Holidays!! My name is Del Smith, Staff Writer for UrbanJoint.com. I just wanted to take a few moments to introduce myself to UJ members and welcome you to the new “Insight” column. The “Insight” column will cover a variety of general interest topics for mature readers who want to stay informed in areas such as health, news, community, parenting, education, self-help, business, and a whole lot more. Although this column will cover a wide range of subjects, the purpose of the “Insight” column is to maintain a standard that promotes positive and informative expressions regardless of the topic. I hope that you will enjoy reading this new column and welcome your feedback and personal perspectives. Articles will be posted bi-weekly. My first article is on media coverage. Enjoy.
Source: Del Smith - UrbanJoint.com Staff Writer



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