2022 ACC/AHA Guideline for the Diagnosis and Management of ...
Best Natural Sunscreens Of 2023
There are several important factors to consider when deciding if a natural sunscreen is right for you and your family.
IngredientsIf you or your family have any allergies to ingredients in chemical sunscreen, a natural sunscreen can provide a good alternative. Currently, the FDA has approved two active ingredients for natural sun protection, zinc oxide and titanium dioxide. The sunscreen you choose should list either one or both of these as the active ingredients on the product label. However, if other active ingredients are listed, it's likely the sunscreen in question has a combination of chemicals and minerals.
Activity LevelIf you're gearing up for long days at the beach or playing sports in the sun, choosing a natural sunscreen that is sweat- and water-resistant is crucial, as is reapplying frequently. Because natural sunscreen sits on top of the skin as a barrier to reflect UV radiation away from the skin, it's important to reapply after rubbing off with a towel, even if it's within the time frame the product is considered water resistant.
Outdoor fun isn't the only time to think about applying sunscreen, however. UVA rays penetrate clouds and even glass, so if you work in a sunny office space or frequently go from indoors to outdoors, consider using a broad spectrum sunscreen for daily facial wear.
Skin SensitivityIf you know you have sensitive skin or are purchasing a product for babies or children, a natural sunscreen can offer sun protection with fewer ingredients and risks of reaction. Look for a natural sunscreen labeled as hypoallergenic and appropriate for sensitive skin. Additionally, when it comes to facial sunscreens, selecting a product that is non-comedogenic, meaning it won't clog pores, can help avoid breakouts. The Centers for Disease Control and Prevention (CDC) doesn't recommend sunscreen use on infants younger than 6 months.
SPFSkin type plays a role in the amount and type of sunscreen you need to use, as people with fair skin typically absorb more solar energy compared to people with darker skin tones, according to the FDA. SPF refers to how much UV radiation is required to produce sunburn on sunscreen-protected skin versus skin without sunscreen. For example, a person wearing SPF 15 sunscreen will take 15 times longer to burn than someone wearing no sunscreen at all. When it comes to mineral sunscreens, higher SPFs mean higher concentrations of zinc oxide or titanium dioxide, which can lead to thicker layers of white lotion on the skin.
However, it's important to keep in mind that SPF measurement doesn't equate solely to the amount of time spent in the sun—it's also dependent on the strength of UV rays at that time, according to the FDA. For example, sun exposure in the early morning is different from sun exposure between 10 a.M. And 4 p.M. When the sun is strongest.
Beyond sunscreen, sun protection routines should include additional measures, such as wearing protective clothing, hats and sunglasses and avoiding direct sunlight when UV radiation is strongest. And as you prepare for time outside, be sure to follow product instructions regarding application and how frequently to reapply sunscreen.
The Perfect Wing-Man to Your Skincare Routine
An easy-to-use mineral shield with the best ingredients like Zinc, Green Tea, and Vitamin E. ClearStem's Sunscreen can be used directly over makeup to replace the SPF that may have worn off since the morning. You can use this as often as you like to control shine, calm inflammation, and protect your skin from UV damage.
At 225, The President's (and Sousa's) Marine Band Marches Forth
© Craig Hudson/For the Washington Post Col. Jason K. Fettig, director, acknowledges the audience during an April 23 performance by "The President's Own" United States Marine Band. (Craig Hudson for The Washington Post) Perhaps it's because we're so accustomed to hearing the United States Marine Band in the context of official business, a blur of crimson trimmed in blue, pumping out some Sousa march at some serious ceremony — but we've got a bad habit of taking "The President's Own" (as they are nicknamed) for granted, assigning its pomp entirely to circumstance.
This is perhaps the natural outcome of being the oldest professional music organization in the country — the band so integral to the musical landscape of the country that we barely notice it's there, with all the stature and stealth of a mountain range.
But as it turns 225 this weekend with a celebratory concert on Sunday at Strathmore, the Marine Band deserves better, and "Aspire: 'The President's Own' at 225" aims to deliver, offering both a survey of the band's historic legacy and a snapshot of a commanding musical outfit with a surprisingly vanguard spirit.
A total of 135 musicians make up the United States Marine Band, and Sunday's celebratory concert features the 65-piece Marine Chamber Orchestra — a band-within-a-band established in 1950 with the addition of full-time professional string players — and will be led by Marine Band music director Lt. Col. Jason Fettig.
Along with a trove of classic John Philip Sousa, it's a program animated by a wide variety of American music. George Walker's "Lyric for Strings" and Charles Ives's second symphony will neighbor contemporary works by Jennifer Higdon ("Aspire," from which the program takes its name) as well as a pair of world premieres: Jonathan Leshnoff will premiere his "Symphony for Winds" and composer Joel Puckett will debut "There Was a Child Went Forth," based on the writings of Marine Band superfan Walt Whitman (who often reviewed performances for the Sunday Herald) and featuring tenor Nicholas Phan.
A suite of "American Songs" pays tribute to Copland, Bernstein and Gershwin. And lesser known craftsmen of American marches like Philip Phile and Francis Scala get an overdue salute.
© Craig Hudson/For the Washington Post Col. Jason K. Fettig is a spirited conductor and musician with a keen ear for contemporary work. (Craig Hudson for The Washington Post) Fettig, the band's 28th music director, will also welcome three former Marine Band music directors to the stage on Sunday: Col. John R. Bourgeois (1979-1996), Col. Timothy W. Foley (1996-2004) and Col. Michael J. Colburn (2004-2014), a mentor-protege lineage that has extended directly into Fettig's tenure. (Fettig served for 13 years as Colburn's assistant.)
"There is this unbroken chain of influence and of tradition and of culture that we have passed along to each other," Fettig says. "And I think you feel that and see that in the way the band has evolved over the last 40, 50 years."
Fettig began his musical career studying clarinet and music education, fully intending to become a band director. When a chance came in 1997 to audition for the Marine Band, Fettig took it on a whim and was shocked to discover he'd made the cut.
He went on to conduct his first concert as assistant director in 2001, and became music director in 2014.
"When I was a younger man, when I got into the band, I was thrilled to be here," Fettig says. "I thought it was the greatest thing on Earth to have this chance to conduct the Marine Band, and I did it rather fearlessly at the time. It was only a little later that I realized the mantle that I was in line to take on, and as the years have gone by, the weight of that responsibility has gotten heavier and heavier."
Fettig, a spirited conductor and musician with a keen ear for contemporary work, makes this burden look like light work. This past season has seen the Marine Band take on classical works by Bach, Handel and Beethoven as well as contemporary fare by Philip Glass, Valerie Coleman and Reena Esmail. And yes, plenty of marches.
"We have such important duties to the country, sometimes that can be limiting to the repertoire we play and how actively we push the art forward." Fettig says. "But over the years we've found a way in the Marine Band to do both of those things — to ensure that we are telling the stories of our service members and representing the Marine Corps in a proud way, but also celebrating the abilities of these musicians and the resource this organization represents to our arts community."
© Craig Hudson/For the Washington Post "The President's Own" United States Marine Band maintains a busy public-facing schedule. (Craig Hudson for The Washington Post) The mandate and mission of the United States Marine Band is "to perform for the President of the United States and the Commandant of the Marine Corps." This means you can find some form of the band at the White House every calendar day. This could be a chamber orchestra, a string quartet, a solo piano, a brass band. The President's Own performs at state dinners, official ceremonies and full honors funerals — members appear at Arlington National Ceremony daily.
But beyond the rigor of this mandate, the band maintains a busy public-facing schedule, including educational outreach initiatives, frequent commissions of new work from emerging composers, a concert season of 30 to 40 shows per year and an annual tour that brings the band to a region of the country for as many as 28 performances in 31 days. An average year finds the Marine Band meeting close to 1,200 commitments.
© Craig Hudson/For the Washington Post Every member is a fully enlisted Marine. (Craig Hudson for The Washington Post) The Marine Band was founded in 1798 by the fifth Congress as part of "an act for establishing and organizing a Marine Corps," signed by John Adams, and further authorizing "a drum major, a fife major, and 32 drums and fifes."
Another 18 musicians were added in 1899, and the band established itself performing for government functions in Philadelphia (which served as the nation's capital until 1800) and embarking on recruitment efforts for the corps, attracting curious ears and new Marines in every city through which they marched.
But from its first performance in the new capital in August of 1800 (on what was known as Camp Hill), the Marine Band has been a D.C. Institution. Its inaugural inauguration was that of Thomas Jefferson in March of 1801. And it was Jefferson — a major music nerd himself — who suggested to then-Marine Corps Commandant Lt. Col. William Ward Burrows that a team be dispatched to Italy to recruit professional musicians.
That initial group of 16 Italian musicians who arrived from Catania in 1805 largely left the service before their three-year contacts were up (though future Marine Band leader, fife and drum major Venerando Pulizzi, was among their ranks). But it did set an early standard of musicianship that the band has maintained.
The Marine Band is considered a distinct unit of the corps. Every member is a fully enlisted Marine. The current recruitment process auditions professional-level musicians who are also suited to perform as Marines. And while they don't receive the same physical and weapons training as their counterparts, Marine Band members must prove fit for service in every other way, which includes qualifying for high-level security clearance (given the band's daily proximity to the White House).
© Craig Hudson/For the Washington Post The mandate and mission of the United States Marine Band is "to perform for the President of the United States and the Commandant of the Marine Corps." (Craig Hudson for The Washington Post) But as meticulously selected as its musicians may be, the band also maintains a long tradition of members unwittingly finding their way into the ranks.
Sousa, for instance, nearly joined the circus but for a last-minute intervention by his father, who swiftly enlisted the 13-year-old as an apprentice to the Marine Band in 1868. He served until 1875, left to pursue music professionally and returned in 1880 to become the 17th director of the band.
Sousa radically expanded and enhanced the role of director, by developing the band's own library of music (previous directors would exit with their respective catalogues) and by incorporating his own compositions. His 129 marches composed between 1873 and 1932 include the particularly compelling 1889 hit single, "The Washington Post" — penned to promote an essay contest and quickly tangled up in the "two-step" dance craze.
"Even in Sousa's time," Fettig says, "when he was the bandleader in the 1880s, he was performing transcriptions of operas at about the same time they were being premiered or played in Europe. So a lot of Americans heard some of this contemporary opera in the late 19th century for the first time by the band playing it."
Sousa's long shadow has given Fettig a degree of anxiety, but also a comforting sense of continuity. This inheritance is most clearly honored by Fettig in his initiation of the first comprehensive collection of Sousa's marches produced by The President's Own since the 1970s. The seven-volume "The Complete Marches of John Philip Sousa" can be downloaded free at the Marine Band website.
Among other traditions associated with the music directorship of the Marine Band, Fettig also acts as music director for the amateur talents (i.E. Journalists of the Washington press corps) who sing parodic political ditties at the Gridiron Club's annual dinners.
"It's a very strange job to have," Fettig says. "One that I never would have guessed would be on my résumé."
© Craig Hudson/For the Washington Post "Being all things to all people is one of our biggest challenges," Fettig says. (Craig Hudson for The Washington Post) Fettig is focused on the near future for now. On July 16 at the Kennedy Center, composer/conductor John Williams will return to conduct the Marine Band, having first led the band in 2003 for its 205th anniversary.
But he's also thinking about the long game, and how the arts can be of service to the country.
"Being all things to all people is one of our biggest challenges," he says. "But the common denominator is service."
The United States Marine Band presents "Aspire: 'The President's Own' at 225," on April 30 at 7:30 p.M. At the Music Center at Strathmore. Strathmore.Org
5 Natural Blood Thinners
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Some foods, including turmeric, have blood-thinning properties that may help promote blood circulation. But these foods may also interfere with anticoagulant drugs.
Your body has a way of protecting you from bleeding. Most of the time your blood's ability to clot is a good thing. There are times when blood clots can be dangerous.
If you have certain conditions such as an irregular heart rhythm or a congenital heart defect, or if you've had certain procedures such as heart valve surgery, your doctor may prescribe a blood thinner.
These conditions and heart valve replacement surgery increase the chance of developing life-threatening blood clots that may cause a heart attack or stroke. Blood thinners lower your risk for heart attack and stroke by decreasing the chance that blood clots form.
There are also some ingredients found in nature that some believe help reduce the risk of clotting. However, they haven't been tested and compared against prescription blood thinners.
You may want to talk to your doctor about the following natural remedies that have been reported to help thin the blood.
Never take these natural remedies instead of or with your prescription blood thinning medication without first talking to your doctor.
Read more for additional information on some natural blood thinners.
Turmeric is a spice that gives curry dishes a yellow color, and it's long been used as a folk medicine. According to a 2012 study, one of its main active ingredients, curcumin, acts as an anticoagulant.
It works to inhibit coagulation cascade components, or clotting factors, to prevent clots from forming.
Shop for turmeric.
Ginger is in the same family as turmeric and contains salicylate, a natural chemical found in many plants. Salicylates are found in plants. They are derived from salicylic acid.
Acetylsalicylic acid, synthetically derived from salicylate and usually called aspirin, can help prevent stroke and heart attack.
Foods with salicylate, such as avocados, some berries, chilies, and cherries, may also keep blood from clotting. More studies are needed to see if they're as effective as prescription medicines.
Shop for ginger.
Cinnamon and its close cousin, cassia, are both widely available and contain coumarin, a chemical that, in certain drugs, acts as a powerful anticoagulant.
Cinnamon and cassia may also lower blood pressure and relieve inflammation caused by arthritis and other inflammatory conditions. However, studies done in humans don't provide evidence cinnamon is of use for any health-related condition.
Use caution when using cinnamon as a blood thinner. A 2012 risk assessment showed long-term cinnamon consumption in foods, including cinnamon-based breads and teas, can cause liver damage.
Cayenne peppers can have a powerful blood-thinning effect on your body because of their high levels of salicylates. They can be taken in capsule form or easily ground up as a spice for food.
Cayenne peppers can also lower your blood pressure and increase circulation.
Shop for cayenne peppers.
If you have cardiovascular, or heart and blood vessel, disease, or if you want to help prevent it, your doctor may recommend a heart-healthy diet.
A heart-healthy diet includes fresh fruits and vegetables, 100 percent whole grains, healthy oils, low- or no-fat milk products, and healthy proteins.
A heart healthy diet limits high-fat, high-cholesterol, and high-sugar foods. This best diet for your overall health.
If you do take Coumadin (warfarin), it's very important to eat about the same amount of vitamin K-containing foods every day.
High intake of vitamin K may lessen the effectiveness of warfarin. If you are taking warfarin or other anticoagulants, avoid high-dose vitamin K supplements.
Rich dietary sources of vitamin K include green leafy vegetables, such as lettuce and spinach, as well as broccoli and brussel sprouts.
There are many natural remedies to reduce blood clotting. It's important you don't them instead of or with your prescription blood thinner and other medications without first talking to your doctor.
Natural products and some foods can interfere with your prescription medication. They may make your blood too thin, which increases your chance of bleeding. Natural remedies may also decrease the effectiveness of your prescription medication, increasing the chance of clot formation.
Always speak to your doctor before starting any medications, home remedies, or treatments that could have an effect on your health.
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