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After sudden cardiac arrest, surgery to implant an implantable cardioverter defibrillator (ICD), or a fitting for a wearable cardioverter defibrillator (WCD), you will need regular visits with your doctor to check your condition, the device, or any medicines you are taking. You can get an ID card with information about your device to keep with you. It can be helpful in an emergency, to show airport security, or for medical personnel who need to know more about your device. If you have an ICD, be aware of the signs of complications with your device.

High blood cholesterol is treated with heart-healthy lifestyle changes and medicines to control or lower your high blood cholesterol. Lipoprotein apheresis is a procedure that can be used to treat familial hypercholesterolemia.

Lifestyle changes can often help improve short-term insomnia. A type of counseling called cognitive behavioral therapy for insomnia is usually the first treatment recommended for chronic insomnia. Several medicines can also help manage insomnia and help you have a regular sleep schedule. You may need to visit a doctor who specializes in treating sleep problems.

James L. Hadler, MD1, Dhara Patel, MPH2, Kristy Bradley, DVM3, James M. Hughes, MD4, Carina Blackmore, DVM5, Paul Etkind, DrPH6, Lilly Kan, MPH6, Jane Getchell, DrPH7, James Blumenstock, MA8, Jeffrey Engel, MD2 (Author affiliations at end of text).

Low-income and minority communities have higher rates of nutrition-related chronic diseases than do high-income and nonminority communities and often have reduced availability to healthful foods.

Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq@cdc.gov.

On July 1, 2014, this report was posted as an MMWR Early Release on the MMWR website (http://www.cdc.gov/mmwr).

The mission of the National Center for Immunization and Respiratory Diseases (NCIRD) is to prevent disease, disability and death through immunization and by control of respiratory and related diseases. To achieve this goal, the mission of the Immunization Services Division is to protect individuals and communities from vaccine-preventable diseases through provision of federal funds and contracts to purchase vaccine, the provision of technical and financial support of immunization programs, provider and public education, and evaluation and research.

This is a time of many physical, mental, emotional, and social changes. Hormones change as puberty begins. Most boys grow facial and pubic hair and their voices deepen.