Thursday, July 02, 2015
Doctor's Perspective
What kind of sunscreen should I wear?

By Dr. Anthony Policastro Summer is here and with summer comes the sun's rays. We all know that these rays can be harmful and that there are ways to protect against them. However, there is often confusion as to the best type of sunscreen to use for protection. The sun provides two main types of ultraviolet rays. Ultraviolet-B (UV-B) is the main cause of sunburns so protection against sunburn requires protection against UV-B rays. However, both Ultraviolet-A (UV-A) and UV-B can cause skin cancer. For that reason protection against both is necessary. That means you need to look at the label on sunscreen and sunblock. The label should indicate the kind of protection provided. To be on the safe side, one should look for one labeled broad spectrum protection which would indicate effectiveness against both UV-A and UV-B rays. The next question to answer has to do with the level of Sun Protection Factor (SPF). It can get very confusing with numbers that range all over the map. Much of it has to do with reaching a point of diminishing returns. An SPF of 30 will provide you with about 97% protection. Higher numbers do two things. They raise the level of protection above 97%. However, that extra few percent really does not add a lot. It might add cost to the product. On a practical basis, it does not really make a huge difference. In theory, it should also provide protection for a longer period of time. Unfortunately, regardless of the SPF number, you should reapply sunscreen about every two hours. You will need to do it more frequently than that if you are in and out of the water. For that reason, you might want to look at products labeled water resistant so that becomes less of a worry. Application should occur about 15 minutes before going out into the sun. That waiting period will actually increase the level of protection significantly. Thus there is a method to selecting a proper sunscreen product. The label should read "broad spectrum protection" and it should be about SPF 30 and water resistant. Sunscreen should be applied about 15 minutes before going out into the sun and reapplied avery two hours after that. Following these rules of thumb will provide the best protection possible against sunburn in the short term and skin cancer in the long term.

Nanticoke Memorial to hold Diabetes support group Nanticoke Memorial Hospital, Seaford, will be holding a free diabetes support group on Monday, July 20 from 5-6 p.m. to be held at the hospital. As a person with diabetes, are you struggling to make positive behavior changes in your life or would just like to share with others coping with diabetes? Come join our free support group for individuals with diabetes. The support group will feature the topic of "Diabetes & Your Heart". There will also be a question and answer period. Registration for this support group is required. To register for this free group and to obtain additional information regarding the support group, contact Nanticoke Memorial Hospital's Diabetes Education department at 302-629-6611, extension 2446.

Safe Sitter Classes offered Nanticoke Health Services offers Safe Sitter classes for children ages 11-13, who are interested in learning child care essentials and safety. Classes are from 8 a.m. to 4 p.m. on Saturday, July 11 and Monday, Oct. 12. The Safe Sitter course is designed to train teenagers how to be safe baby/child sitters. Components include infant/child development and care, safety, injury prevention, first aid, accident management, rescue breathing and choking management. Cost is $35 per student, which includes the class and all materials needed. Advance registration is required. To register or for more information, call 629-6611, ext. 2540.

Nanticoke Memorial to offer Diabetes educational sessions Nanticoke Memorial Hospital, Seaford, will be holding a four-session diabetes educational program on July 22, 29, Aug. 5 and 12, from 5 -7 p.m. to be held at the hospital. Registration for this class is required. The cost of the four-session program may be reimbursable by insurance. This four-session program includes weekly education sessions and individualized meal planning for diabetes self-management. Our goal is to give you the self-management skills to control your diabetes. Family members/significant others are welcome to attend the weekly sessions. Program Schedule- What is diabetes: physiology and self-care skills review; Eating out, reading labels; Self blood glucose monitoring and management; Sick day rules, traveling; Medications used to manage diabetes; Stress managementcoping with diabetes and lifestyle changes; Summary and course evaluations, goal setting Pre-registration is required prior to attending classes. To register and to obtain additional information regarding the course, Contact Nanticoke Memorial Hospital's Diabetes Education department at 302-629-6611, extension 2446.

Easter Seals plans kick-off event Join Easter Seals at the kick-off event of the third annual Walk With Me Delmarva 2015 on Thursday, July 23 from 3 to 5:30 p.m. at Easter Seals Tunnell Center, 22317 DuPont Blvd., Georgetown.

Enjoy food from Grotto Pizza, desserts and giveaways while learning more about how Walk With Me Delmarva raises critically needed funds to help people with disabilities in your local community. Everyone is welcome. RSVP to Linda Forte at 302-253-1100, ext. 1121 or Meet 2015 Walk With Me Ambassadors, Diane, Ed and Luz and learn how Easter Seals has impacted their lives. Registration is open for Walk With Me Delmarva 2015, which will be held on Sunday, Oct. 18 at Baywood Greens, Long Neck. Visit to register or donate to the event.

County Health Rankings released Healthier Sussex County is a collaboration between community members and area hospitals with a mission to make Sussex County one of the healthiest in the nation. Bayhealth Milford Memorial, Beebe Healthcare, and Nanticoke Health Services have joined together to support this mission and positively impact our community. The recently released County Health Rankings & Roadmaps report, published annually by the Robert Wood Johnson Foundation in collaboration with the University of Wisconsin Population Health Institute, provides detailed information about each county's health outcomes, length of life, quality of life, health factors, health behaviors (such as smoking), clinical care, socioeconomic factors, and physical environment. From 2013 through 2014, Healthier Sussex County had two major goals: to increase rates of diabetic monitoring and to increase mammography screenings in Sussex County. According to the County Health Rankings, Sussex County residents showed progress in these two areas. The rate of diabetic monitoring increased from 86 to 87 percent, and mammography screenings increased from 71.9 to 72.6 percent. In addition, during 2014, a new Healthier Sussex County initiative focused on getting county residents and hospital employees to become more active and lead healthier lives. This initiative has grown into a statewide effort in 2015 championed by Delaware Governor Jack Markell, with the motto, "Motivate the First State." Gov. Markell has challenged the First State to walk together to one million miles. The Motivate the First State challenge information and sign-up can be found at

Nanticoke offers childbirth classes Nanticoke Memorial Hospital is offering childbirth classes on Tuesdays from 6:30-8:30 p.m. at the hospital. The class will meet each Tuesday for a total of five weeks - four weeks related to childbirth education and the fifth week will be a breastfeeding class. Sessions include: July 7, 14, 21, and 28. Maternity education classes are designed to offer information, counseling, support, and hands-on experience to help prepare for a new family member. They will cover pregnancy in general, information to prepare the expectant mother for labor and delivery, and will include a tour of Nanticoke Memorial Hospital's Mother Baby Care Unit. A refresher course is available for those who have previously taken childbirth classes. The refresher class covers breathing techniques, signs, symptoms, and stages of labor, birthing options, and a tour of the Mother Baby Care Unit. Cost of the childbirth course is $50, and cost for the refresher course is $25. Mothers are encouraged to bring their partner or support person for all courses. Advance registration is required. To register, or for more information, call 629-6611, ext. 2540.

Mammography Van in Greenwood On Wednesday, Aug. 12, the Delaware Division of Public Health's (DPH) Women's Mobile Health Screening (WMHS) van will be stationed outside the CHEER Activity Center in Greenwood to provide mammography screenings. DPH provides funding to the Delaware Breast Cancer Coalition (DBCC) to operate and staff the year-round efforts of the mammography van in partnership with Beebe Medical Center. Appointments for mammography screenings are available from 9 a.m. to 3 p.m. Women need to obtain a prescription from their doctor and call the WMHS office to make an appointment, 1-888-672-9647. The WMHS van provides mobile mammography services to low income, uninsured, and underinsured women. Medicaid, Medicare, and most health insurance is accepted. WMHS staff can help women apply for Screening for Life, a program of DPH that pays for the cost of a mammogram for eligible women, or find another program that can help cover the cost of a mammogram. If you have a problem with your breasts, or have had breast cancer, you should not be screened on the van. The Delaware Cancer Consortium recommends screening annually beginning at age 40, depending on one's family history. For more information and to make an appointment, call 1-888-672-9647.