You have entered an incorrect email address! Please enter your email address here Editor’s Note: This is the eighth in a series of articles published by The Apopka Voice in 2016 that were the most noteworthy events of the year. The Apopka Voice will publish them starting today and running until Friday, December 30th. During the New Year’s weekend (Friday, December 30th – Sunday, January 1st) we will publish a poll and let the readers decide on which story is the most impactful of the year. Originally Published: June 15th, 2016The Apopka City Council voted 5-0 last night to approve Chuck Carnesale as Apopka’s new fire chief. He takes over a department of more than 80 firefighters.“He started as an Explorer at age 13, graduated high school, Fire Academy and EMT school simultaneously in 1989, and was a dispatcher at age 17,” said Mayor Joe Kilsheimer. ” he has filled almost every position at The Apopka Fire department.”“I hate to mention I’ve been on this journey for 33 years when my mother dropped me off to look at fire trucks,” said Carnesale. “Thank you. I won’t let you down. I won’t let the public down. I won’t let the firefighters down.”Carnesale has served as assistant fire chief since 2013, heading up the fire department’s emergency medical and ambulance services. He is certified as a firefighter, EMT/paramedic, fire officer, fire inspector and instructor in various fields. In 1990, Carnesale was hired as a full-time firefighter/EMT. In 2000 he was recognized by then Gov. Jeb Bush as Apopka’s Firefighter of the Year.Chuck CarnesaleHe was promoted to engineer in 2001, lieutenant in 2005, captain and EMS coordinator in 2006 and assistant fire chief in 2013. Carnesale attended Seminole State and Valencia colleges, Florida State Fire College and the National Fire Academy in Emmitsburg, MD.He has served on several medical boards, and this year Orange County Medical Director Dr. George Ralls appointed him to the Orange County EMS Advisory Council.The City Council was pleased with Kilsheimer’s choice.“Chuck is an amazing person,” said Commissioner Kyle Becker. I know he is going to do a fantastic job. I couldn’t be more happy for you (Carnesale).”“I’m glad we brought someone in from our own fire department,” said Commissioner Billie Dean. “We have the best fire department in America. We should hire from within. I commend you (Kilsheimer) on the choice.”Carnesale replaces former Fire Chief Lee Bronson. TAGSApopka Fire DepartmentChuck CarnesaleFire Chief Previous articleBiggest Apopka stories of 2016: Warrant issued for Richard Anderson’s arrestNext article5 Ways to Beat Mindless Eating Denise Connell RELATED ARTICLESMORE FROM AUTHOR LEAVE A REPLY Cancel reply Florida gas prices jump 12 cents; most expensive since 2014 UF/IFAS in Apopka will temporarily house District staff; saves almost $400,000 Please enter your name here Please enter your comment! Share on Facebook Tweet on Twitter Gov. DeSantis says new moment-of-silence law in public schools protects religious freedom Save my name, email, and website in this browser for the next time I comment.
Reviewed by James Ives, M.Psych. (Editor)Aug 27 2018Patients with high blood pressure are relying solely on medication to reduce their risk of heart attack, stroke and heart failure, rather than decreasing salt intake as instructed by their physicians, according to research presented today at ESC Congress 2018, the annual meeting of the European Society of Cardiology.Lack of adherence to recommended lifestyle changes is leading to higher salt intake for hypertensive patients, more medications needed to treat their condition and more side effects from those medications, according to lead author Dr Kazuto Ohno, Enshu Hospital, Hamamatsu, Japan.”Patients may be able to improve this vicious cycle by restricting salt intake,” Dr Ohno said. “In consequence, they may avoid diseases caused by hypertension, such as heart attacks, stroke and heart failure. Moreover, they may be able to avoid side effects from antihypertensive drugs, such as dizziness and fainting.”Excess salt intake is one of the most important causes of hypertension and salt restriction is a key strategy to manage it, but few studies have been done on the relationship between salt intake and blood pressure in hypertensive patients undergoing antihypertensive drug treatment.Study authors enrolled 12,422 patients taking medication for hypertension who visited the hospital for a physical checkup from 2010-2016. Individual salt intake was estimated in grams per day using a spot urine calculation formula shown to be effective in previous studies.Blood pressure levels and patients maintaining the target blood pressure of less than 140/90mmHg improved during the seven-year study among all groups, but individual salt intake increased across all groups as well.”Although blood pressure values in hypertensive patients had lowered, salt intake was gradually increased,” Dr Ohno added. “We think improvement in blood pressure control is not due to salt restriction but due to drug treatment.”Guidelines for the Management of Hypertension 2014 published by the Japanese society of hypertension, recommend less than six grams of salt intake per day, Dr Ohno said, but less than four percent of study participants were following those recommendations.Related StoriesScientists turn type A blood into universal type O, potentially doubling blood transfusion stocksNew ACC/AHA guidelines could improve detection of gestational hypertensionBlood pressure medication associated with increased risk of diverticulosisPatients in the study were divided into three groups according to whether they were currently prescribed one, two, three or more antihypertensive drugs.”The observational study in hypertensive patients with antihypertensive drugs found two comparative facts: an improvement of blood pressure levels and an increase in salt intake,” Dr Ohno explained. “In particular, in hypertensive patients with multiple antihypertensive drugs, salt intake was higher than those taking only one antihypertensive drug.”Salt intake for healthy people was targeted less than 8 g/day for men and less than 7 g/day for women in Dietary Reference Intakes for Japanese (2015) published by Ministry of Health, Labor and Welfare4.”However, the National Health and Nutrition Examination Survey 2016 5 reported 10.8 g/day in men, 9.2 g/day in women,” Dr Ohno said. “More awareness about the harms of higher salt intake is needed in both hypertensive patients and healthy people. We can check the amount of salt in a lot of food and seasoning, such as soy sauce, miso paste, mayonnaise and so on, which are printed on the food labels. It is impossible to measure salt intake in every meal, so all of us should try to take food with reduced salt by referring to food labels.”Dr Ohno said future research should consider whether nutritional guidance can improve the accomplishment rate of the target blood pressure and decrease the number of antihypertensive drug prescriptions.”As a new attempt, we have explained their estimated salt intake value and gave nutritional guidance including salt, calories and so on to participants since 2017. We think salt restriction is an important modifiable factor of lifestyle to treat and prevent high blood pressure,” he concluded. Source:https://www.escardio.org/The-ESC/Press-Office/Press-releases/Patients-with-high-blood-pressure-unlikely-to-reduce-salt