Interested for an ECG class?
Here's a good one:
http://library.med.utah.edu/kw/ecg/index.html
Friday, December 14, 2007
Saturday, December 1, 2007
Some Early Symptoms of Ovarian Cancer by Fran Mullens
Do you know the early symptoms of ovarian cancer? One out of seventy women will develop ovarian cancer, and if detected early, the survival rate is about ninety percent. Ovarian cancer can progress from stage to stage quickly, and it is even more aggressive than breast cancer, so it is important to identify this disease in it's early stages.
For a long time ovarian cancer was considered asymptomatic, and has been called the silent killer. Now we know it does have early symptoms. The problem is women often ignore them and physicians do not always recognize the potential urgency of evaluating the symptoms.
According to medical records of ovarian cancer patients, the most common symptom was cramping abdominal pain. In women diagnosed with Stage I and II ovarian cancer the most common symptoms were abdominal pain and urinary urgency, frequency or incontinence.
Patients in the later stages, Stage III and IV ovarian cancer, the most commonly documented symptoms were abdominal pain and increased abdominal girth. These symptoms are not considered unique to ovarian cancer or directly related to the reproductive pelvic organs such as the fallopian tubes, the uterus, or cervix and ovaries, therefore, the possibility of ovarian cancer is often overlooked with these early symptoms.
These early symptoms can indicate many conditions, not just ovarian cancer. Women should pay special attention if they have incontinence and abdominal pain that do not improve when treated. If a woman has been treated for abdominal, urinary or pelvic symptoms and the tests for the most common causes are negative, then more tests should be conducted and the possibility of ovarian cancer should be contemplated.
When the above symptoms are present and the doctor is unable to arrive at a clear diagnosis, then ovarian cancer must be considered. It will require a pelvic examination and ultrasound along with a blood test to ensure it is not present.
The urinary tract symptoms are usually due to the tumor pressing on the bladder, which causes an increased pressure inside the abdomen, resulting in urine loss. The symptom of abdominal pain more than likely is caused by pressure from the tumor or from fluid in the abdomen prompted by the tumor.
Women should be aware of the early symptoms of ovarian cancer. The symptoms are quite vague and can easily be mistaken for another disease.
Early symptoms of ovarian cancer can be mistaken for many things. You can get additional useful and practical information concerning cancer and other Women's Health Issues at http://www.womens-health-talk.wcf-ltd.com/
Article Source: http://EzineArticles.com/?expert=Fran_Mullens
For a long time ovarian cancer was considered asymptomatic, and has been called the silent killer. Now we know it does have early symptoms. The problem is women often ignore them and physicians do not always recognize the potential urgency of evaluating the symptoms.
According to medical records of ovarian cancer patients, the most common symptom was cramping abdominal pain. In women diagnosed with Stage I and II ovarian cancer the most common symptoms were abdominal pain and urinary urgency, frequency or incontinence.
Patients in the later stages, Stage III and IV ovarian cancer, the most commonly documented symptoms were abdominal pain and increased abdominal girth. These symptoms are not considered unique to ovarian cancer or directly related to the reproductive pelvic organs such as the fallopian tubes, the uterus, or cervix and ovaries, therefore, the possibility of ovarian cancer is often overlooked with these early symptoms.
These early symptoms can indicate many conditions, not just ovarian cancer. Women should pay special attention if they have incontinence and abdominal pain that do not improve when treated. If a woman has been treated for abdominal, urinary or pelvic symptoms and the tests for the most common causes are negative, then more tests should be conducted and the possibility of ovarian cancer should be contemplated.
When the above symptoms are present and the doctor is unable to arrive at a clear diagnosis, then ovarian cancer must be considered. It will require a pelvic examination and ultrasound along with a blood test to ensure it is not present.
The urinary tract symptoms are usually due to the tumor pressing on the bladder, which causes an increased pressure inside the abdomen, resulting in urine loss. The symptom of abdominal pain more than likely is caused by pressure from the tumor or from fluid in the abdomen prompted by the tumor.
Women should be aware of the early symptoms of ovarian cancer. The symptoms are quite vague and can easily be mistaken for another disease.
Early symptoms of ovarian cancer can be mistaken for many things. You can get additional useful and practical information concerning cancer and other Women's Health Issues at http://www.womens-health-talk.wcf-ltd.com/
Article Source: http://EzineArticles.com/?expert=Fran_Mullens
Office Chairs - Things to Consider By Amy Pedersen
When looking for the right ergonomic chair to help support your back, there are several things to consider. First, does the chair have a comfortable lumbar back rest. Many ergonomic chairs have adjustable lumbar supports that allow you to move the lower back rest up and down or forwards and backwards to best fit your body. This option is especially helpful if there are multiple users of the chair. If there is a primary user, however, a fixed lumbar support may be appropriate.
Another point to consider is this the width of the chair. There should be enough hip space when sitting back against the lumbar support. Inadequate hip room can make you sit more forward on the seat pan reducing the support to your thighs. Also make sure that the chair back rest is large enough to provide good back support. Many ergonomic chairs are designed to provide mid and upper back support, in addition to good lower back support. Finally, look for chairs with reclining backrests. The body naturally moves while sitting to help maintain a healthy spine. To help relive built up pressure choose chairs that allow you to easily recline while still providing lumbar support in different postures and whose back is able to track where your back moves.
Ergonomics affect all of us, not just those of us who sit in our office chair in front of our computer all day long. When seated in the average office chair, one does not normally give much thought as to the ergonomics or positioning of their body. That is, not until they start to feel the tension or experience pain from a RSI or repetitive stress injury. At this point, the damage may already be done and once injuries such as this have occurred, the effects can be irreversible. Injuries such as carpal tunnel are currently the number one debilitating condition that is a disability reported by insurance Companies. Maybe ergonomics do affect us after all.
They affect not only the sufferers of RSI's but the employers as the corporations are the ones paying out the big bucks in insurance money due to the number of worker's compensation claims being filed daily. Ergonomics is the solution to all of these problems and once businesses and the average computer geek start to realize how important ergonomics are to overall body health and employee productivity, they may become more important.
It shouldn't take injury or problems to arise for people to become educated on ergonomics and office chair positioning. Your office chair takes a good beating, with you sitting in it for such long periods of time throughout your day. Make sure that your body does not take the same beating and learn to sit properly and practice good workplace ergonomics. Educate yourself on ergonomics and your back, neck and entire body are sure to thank you for it.
© 2007 Sit On This Ergonomics, LLC.
Author Bio: Amy Pedersen has worked in the Ergonomics and Office Furniture industry for over 10 years and is owner of Sit On This Ergonomics, operating a number of ergonomic websites dedicated to Office Chairs and the practice of good Workplace Ergonomics.
Featuring a wide variety of Executive Chairs, Leather Office Chairs, Mesh Seating & Task Office Chairs with an Online Sales Catalog. Their Huge Office Chair Collection and the Sit On This Ergo website provides detailed ergonomic information on proper chair positioning and seating in the workplace environment to help people to find the perfect Office Chair for their situation.
Visit Our Office Chair Collection: Sit On This Ergonomics
More Ergonomic Information: Ergonomics Explained
Article Source: http://EzineArticles.com/?expert=Amy_Pedersen
Another point to consider is this the width of the chair. There should be enough hip space when sitting back against the lumbar support. Inadequate hip room can make you sit more forward on the seat pan reducing the support to your thighs. Also make sure that the chair back rest is large enough to provide good back support. Many ergonomic chairs are designed to provide mid and upper back support, in addition to good lower back support. Finally, look for chairs with reclining backrests. The body naturally moves while sitting to help maintain a healthy spine. To help relive built up pressure choose chairs that allow you to easily recline while still providing lumbar support in different postures and whose back is able to track where your back moves.
Ergonomics affect all of us, not just those of us who sit in our office chair in front of our computer all day long. When seated in the average office chair, one does not normally give much thought as to the ergonomics or positioning of their body. That is, not until they start to feel the tension or experience pain from a RSI or repetitive stress injury. At this point, the damage may already be done and once injuries such as this have occurred, the effects can be irreversible. Injuries such as carpal tunnel are currently the number one debilitating condition that is a disability reported by insurance Companies. Maybe ergonomics do affect us after all.
They affect not only the sufferers of RSI's but the employers as the corporations are the ones paying out the big bucks in insurance money due to the number of worker's compensation claims being filed daily. Ergonomics is the solution to all of these problems and once businesses and the average computer geek start to realize how important ergonomics are to overall body health and employee productivity, they may become more important.
It shouldn't take injury or problems to arise for people to become educated on ergonomics and office chair positioning. Your office chair takes a good beating, with you sitting in it for such long periods of time throughout your day. Make sure that your body does not take the same beating and learn to sit properly and practice good workplace ergonomics. Educate yourself on ergonomics and your back, neck and entire body are sure to thank you for it.
© 2007 Sit On This Ergonomics, LLC.
Author Bio: Amy Pedersen has worked in the Ergonomics and Office Furniture industry for over 10 years and is owner of Sit On This Ergonomics, operating a number of ergonomic websites dedicated to Office Chairs and the practice of good Workplace Ergonomics.
Featuring a wide variety of Executive Chairs, Leather Office Chairs, Mesh Seating & Task Office Chairs with an Online Sales Catalog. Their Huge Office Chair Collection and the Sit On This Ergo website provides detailed ergonomic information on proper chair positioning and seating in the workplace environment to help people to find the perfect Office Chair for their situation.
Visit Our Office Chair Collection: Sit On This Ergonomics
More Ergonomic Information: Ergonomics Explained
Article Source: http://EzineArticles.com/?expert=Amy_Pedersen
The Manual for Ergonomic Office Chairs - Your Guide To Troubleshooting, By Jonathan Andrew
The first thing you should do when you are experiencing problems in adjusting it is to consult the manual for ergonomic office chair operation which came with your chair and try to find the solution to difficulty. Ergonomic office chairs are designed to be user-friendly, but accidents do happen and a damaged chair may not work as it should. The manual for your ergonomic office chair will probably have at least one suggestion as to what is causing the trouble. If it does not, it will certainly have telephone number with which you can contact the chair's manufacturer for advice.
The manuals for ergonomic office chairs are relatively simple do not take long to search through; your manual should have instructions on how to make the necessary adjustments to put your ergonomic chair back into working condition. With the help of the manual for your ergonomic office chair, you can get the job accomplished without knowing the first thing about how your ergonomic chair actually works. The ergonomic manual for your office chair will very probably have simple illustrations of the steps you should follow to repair your chair. chair.
Determine The Problem And Follow The InstructionsYou first need to examine your chair to determine as best you can where the problem lies; you can do this by seating yourself on the chair and attempting to engage its various features. When you have identified the features which aren't working, you can look them up in the manual for your ergonomic office chair.
If your reclining chair, for instance, fails to recline, look in the index of the manual for your ergonomic office chair and try to locate an illustration of its reclining mechanism. Then compare the illustration to the actual appearance of your chair's mechanism, and adjust it according to the manual's instructions. The re-seat yourself in the chair and engage the reclining feature. If you have done as the manual for your ergonomic office chair instructed, you will probably have corrected the trouble.
If, however, you have made a number of adjustments to your chair but are still experiencing the same problem, you should simply ask for help from the experts. If you have some handymen around your office, ask them to take a look at the manual for your ergonomic office chair and see if they can determine how to make the proper adjustments. If that fails, give the manufacturer a call and continue from there.
You can also find more info on ergonomic office and office chair ergonomic. Knowergonomic.com is a comprehensive resource to know about Ergonomic chairs.
Article Source: http://EzineArticles.com/?expert=Jonathan_Andrew
The manuals for ergonomic office chairs are relatively simple do not take long to search through; your manual should have instructions on how to make the necessary adjustments to put your ergonomic chair back into working condition. With the help of the manual for your ergonomic office chair, you can get the job accomplished without knowing the first thing about how your ergonomic chair actually works. The ergonomic manual for your office chair will very probably have simple illustrations of the steps you should follow to repair your chair. chair.
Determine The Problem And Follow The InstructionsYou first need to examine your chair to determine as best you can where the problem lies; you can do this by seating yourself on the chair and attempting to engage its various features. When you have identified the features which aren't working, you can look them up in the manual for your ergonomic office chair.
If your reclining chair, for instance, fails to recline, look in the index of the manual for your ergonomic office chair and try to locate an illustration of its reclining mechanism. Then compare the illustration to the actual appearance of your chair's mechanism, and adjust it according to the manual's instructions. The re-seat yourself in the chair and engage the reclining feature. If you have done as the manual for your ergonomic office chair instructed, you will probably have corrected the trouble.
If, however, you have made a number of adjustments to your chair but are still experiencing the same problem, you should simply ask for help from the experts. If you have some handymen around your office, ask them to take a look at the manual for your ergonomic office chair and see if they can determine how to make the proper adjustments. If that fails, give the manufacturer a call and continue from there.
You can also find more info on ergonomic office and office chair ergonomic. Knowergonomic.com is a comprehensive resource to know about Ergonomic chairs.
Article Source: http://EzineArticles.com/?expert=Jonathan_Andrew
Where To Buy A Good Memory Foam Mattress by Robin Obrien
The word is spreading; memory foam mattresses provide unparalleled support and comfort. Traditional inner-spring mattresses just can't offer the same degree of restful sleep as this new type of mattress. But, not every memory foam mattress is created equal so you need to be careful about what you buy. Here's what's on offer from some of the big name players in the industry.
There are many manufacturers making memory foam mattresses. This is a good thing but also a bad thing for the consumer. The Tempurpedic mattress was the first on the market and remains the most popular today, but other brands now offer the consumer a greater choice, and at a price that is usually a good deal lower than buying a Tempur mattress. But, not all memory foam is the same. Each company has its own, secret recipe and some are definitely better than others.
First off, let's take a look at the original memory foam mattress; the Tempurpedic. This mattress still sets the standard that other brands try to match. The foam used has a 5.3 lb/cubic foot density. This is important as this plays the most important part in how the mattress feels (comfort) and how much support it gives. Basically, this measurement tells you how heavy the material is for every cubic foot. Many other manufacturers tout that their foam is much cheaper than that of Tempur, but you'll usually find that their mattresses have a lb/cubic foot density somewhere between 2.5 and 4.0. This makes the foam softer and fails to provide good support. Of course, they produce a mattress with a lower density because manufacturing costs are reduced: less material; more air.
In the early days, there was only one type of mattress available from Tempur but now the company makes several types. The ClassicBed is the original. The Tempurpedic AdjustableBed along with its specially designed base, allows you to change the position of the mattress. It has a patented 'Wallhugger' design so that you stay nearer to your nightstand. The idea behind the adjustable mattress is that it can help alleviate the symptoms of acid reflux, lower back pain, hiatal hernia, minor arthritic pain and much more.
The best selling mattress from Tempurpedic is called the CelebrityBed. It comes with an even thicker top layer of memory foam. This gives it a softer feel than that of the ClassicBed; an old complaint was that a Tempurpedic mattress was too firm, so the introduction of this model was a smart move by the company.
Sealy are the world's largest manufacturer of mattresses so it isn't surprising that it has started to make its own version of memory foam mattresses. Currently, there are 3 models to choose from; the Sealy TrueForm 8 series, 9 series and 11 series. The numbers indicate the overall thickness of the mattress. Also, each mattress uses memory foam of a 5.25 lb/cubic foot density, which tells you it is of good quality. The 8 series comes with a top layer of 3" 5.25 lb memory foam and 5" of high density foam. The 9 series comes with a top layer of 3" 5.25 lb memory foam and 5" of high density foam giving the mattress a slightly more firm and supportive feel. Finally, the 11 series comes with 1.5" Convoluted Visco Top Layer of 5.25lb density, followed by a 3.5" Visco Middle Layer of 5.25lb density with a 6" Polyurethane Core of 2.15lb density. The idea behind the middle layer of convoluted foam is to help reduce heat that some sleepers complain of when sleeping on any kind of foam mattress.
Sealy mattresses are of good quality and cost a little less than a comparable Tempur-Pedic mattress.
Not to be left behind, Serta has released its version called the True Response mattress. It too uses a high density core - it's 10" thick. The top layer is of lighter, memory foam. The company doesn't specify what the density of the foam is, why they don't give out this information is a mystery; a high density is usually a major selling point for a manufacturer.
The Serta True Response mattress does come with Smart Fabric Technology by Outlast. This fiber layer is designed to wick away moisture and regulate body temperature for a cooler, more restful sleep - as stated before, heat is often an issue for some when sleeping on a memory foam mattresses.
The Serta retails for around the same price as a comparable Sealy.
All of the above 3 are major players in this sector. They aren't the only ones, but each is a well-known company with a good reputation. All offer excellent warranties with its memory foam mattress. Choosing which is better is very much down to personal choice. Some may find the Tempur a little too firm while others prefer the look and feel of the Sealy. The best advice is to actually go along to a store and try each one of them out before you buy.
Follow the links for a memory foam mattress such as the Tempurpedic mattress and the Sealy mattress.
Article Source: http://EzineArticles.com/?expert=Robin_OBrien
There are many manufacturers making memory foam mattresses. This is a good thing but also a bad thing for the consumer. The Tempurpedic mattress was the first on the market and remains the most popular today, but other brands now offer the consumer a greater choice, and at a price that is usually a good deal lower than buying a Tempur mattress. But, not all memory foam is the same. Each company has its own, secret recipe and some are definitely better than others.
First off, let's take a look at the original memory foam mattress; the Tempurpedic. This mattress still sets the standard that other brands try to match. The foam used has a 5.3 lb/cubic foot density. This is important as this plays the most important part in how the mattress feels (comfort) and how much support it gives. Basically, this measurement tells you how heavy the material is for every cubic foot. Many other manufacturers tout that their foam is much cheaper than that of Tempur, but you'll usually find that their mattresses have a lb/cubic foot density somewhere between 2.5 and 4.0. This makes the foam softer and fails to provide good support. Of course, they produce a mattress with a lower density because manufacturing costs are reduced: less material; more air.
In the early days, there was only one type of mattress available from Tempur but now the company makes several types. The ClassicBed is the original. The Tempurpedic AdjustableBed along with its specially designed base, allows you to change the position of the mattress. It has a patented 'Wallhugger' design so that you stay nearer to your nightstand. The idea behind the adjustable mattress is that it can help alleviate the symptoms of acid reflux, lower back pain, hiatal hernia, minor arthritic pain and much more.
The best selling mattress from Tempurpedic is called the CelebrityBed. It comes with an even thicker top layer of memory foam. This gives it a softer feel than that of the ClassicBed; an old complaint was that a Tempurpedic mattress was too firm, so the introduction of this model was a smart move by the company.
Sealy are the world's largest manufacturer of mattresses so it isn't surprising that it has started to make its own version of memory foam mattresses. Currently, there are 3 models to choose from; the Sealy TrueForm 8 series, 9 series and 11 series. The numbers indicate the overall thickness of the mattress. Also, each mattress uses memory foam of a 5.25 lb/cubic foot density, which tells you it is of good quality. The 8 series comes with a top layer of 3" 5.25 lb memory foam and 5" of high density foam. The 9 series comes with a top layer of 3" 5.25 lb memory foam and 5" of high density foam giving the mattress a slightly more firm and supportive feel. Finally, the 11 series comes with 1.5" Convoluted Visco Top Layer of 5.25lb density, followed by a 3.5" Visco Middle Layer of 5.25lb density with a 6" Polyurethane Core of 2.15lb density. The idea behind the middle layer of convoluted foam is to help reduce heat that some sleepers complain of when sleeping on any kind of foam mattress.
Sealy mattresses are of good quality and cost a little less than a comparable Tempur-Pedic mattress.
Not to be left behind, Serta has released its version called the True Response mattress. It too uses a high density core - it's 10" thick. The top layer is of lighter, memory foam. The company doesn't specify what the density of the foam is, why they don't give out this information is a mystery; a high density is usually a major selling point for a manufacturer.
The Serta True Response mattress does come with Smart Fabric Technology by Outlast. This fiber layer is designed to wick away moisture and regulate body temperature for a cooler, more restful sleep - as stated before, heat is often an issue for some when sleeping on a memory foam mattresses.
The Serta retails for around the same price as a comparable Sealy.
All of the above 3 are major players in this sector. They aren't the only ones, but each is a well-known company with a good reputation. All offer excellent warranties with its memory foam mattress. Choosing which is better is very much down to personal choice. Some may find the Tempur a little too firm while others prefer the look and feel of the Sealy. The best advice is to actually go along to a store and try each one of them out before you buy.
Follow the links for a memory foam mattress such as the Tempurpedic mattress and the Sealy mattress.
Article Source: http://EzineArticles.com/?expert=Robin_OBrien
Bush urges additional AIDS money
MOUNT AIRY, Md. - President Bush urged Congress on Friday to approve an additional $30 billion for the fight against AIDS worldwide over the next five years, and announced he would visit Africa early next year to further highlight the need and his administration's efforts.
"We dedicate ourselves to a great purpose: We will turn the tide against HIV/AIDS — once and for all," Bush said. "I look forward to seeing the results of America's generosity."
Bush chose the gymnasium at the Calvary United Methodist Church in this tiny western Maryland town to make his remarks. The church supports a Christian group home and school in Namibia for children orphaned by the disease. Before speaking, he met with representatives from churches and other religious groups that have been fighting AIDS, part of his attempt to highlight his belief that faith-based organizations are the best vehicles for such work.
Evangelical Christians, who make up a large and influential portion of Bush's political support, have been key to his policies increasing U.S. involvement in the fight against AIDS, particularly in Africa. Bush has been said to believe that the United States, and his administration, do not get enough credit for the work being done on the issue.
"Every year American taxpayers send billions of their hard-earned dollars overseas to save the lives of people they have never met," he said.
But "in return for this extra generosity, Americans expect results," the president said, adding that his program demands measurable progress, accountability and the involvement of local partners. The result: The number of people in sub-Saharan Africa receiving treatment for AIDS has gone from 50,000 five years ago to nearly 1.4 million now.
"We have pioneered a new model for public health," Bush said. "So far, the results have been striking."
In May, the last time he devoted a speech to the topic, Bush asked Congress to double the $15 billion that the U.S. committed over the program's first five years to therapy, testing and counseling through the President's Emergency Plan for AIDS Relief. The program is active in 120 countries, with a concentrated focus on 15, including Namibia, in sub-Saharan Africa, Asia and the Caribbean.
As of the end of September, 1.36 million people in those focus countries have received antiretroviral treatment through the program, with a focus on averting infant infections by treating pregnant women. Others receive testing and counseling.
"Some call this remarkable success. I call it a good start," Bush said, adding that he has worked with other nations and the private sector to increase their commitments.
Doubling the funding for PEPFAR would provide treatment for 2.5 million people, the White House said.
Also in honor of Saturday's World AIDS Day, the White House hung a red ribbon — 28 feet tall and 8 feet wide — in the North Portico of the mansion to symbolize the fight against AIDS. It will stay up for two days and, on Saturday, guests who visit the White House will receive a red ribbon sticker and a fact card.
The White House also said Friday that the Department of Homeland Security will publish a final rule this winter aiming to help reduce discrimination against those living with the virus that causes AIDS. The new rule would establish a categorical waiver for HIV-positive people seeking to enter the United States on short-term visas. A 1993 law prohibits HIV-positive people from receiving visas to visit the United States without a waiver. A categorical waiver will enable HIV-positive people to enter the United States for short visits through a streamlined process.
The Children of Zion Village, an orphanage in northeastern Namibia, was opened in 2003 by missionaries Gary and Rebecca Mink of Rising Sun, Md. They belong to Mount Zion United Methodist Church in Bel Air, which provides most of the home's $14,000-a-month operating funds with help from other United Methodist churches in Maryland and Ohio, said Lisa McLaughlin, board chairwoman of Children of Zion Inc.
The facility is home to 55 children up to 17 years old. Children of Zion also feeds 116 more orphans in nearby Mafuta and hopes to build a group home and preschool there.
http://news.yahoo.com/s/ap/20071201/ap_on_go_pr_wh/bush_aids;_ylt=AkOII8oqG0DP7VElpCJ5v9HVJRIF
"We dedicate ourselves to a great purpose: We will turn the tide against HIV/AIDS — once and for all," Bush said. "I look forward to seeing the results of America's generosity."
Bush chose the gymnasium at the Calvary United Methodist Church in this tiny western Maryland town to make his remarks. The church supports a Christian group home and school in Namibia for children orphaned by the disease. Before speaking, he met with representatives from churches and other religious groups that have been fighting AIDS, part of his attempt to highlight his belief that faith-based organizations are the best vehicles for such work.
Evangelical Christians, who make up a large and influential portion of Bush's political support, have been key to his policies increasing U.S. involvement in the fight against AIDS, particularly in Africa. Bush has been said to believe that the United States, and his administration, do not get enough credit for the work being done on the issue.
"Every year American taxpayers send billions of their hard-earned dollars overseas to save the lives of people they have never met," he said.
But "in return for this extra generosity, Americans expect results," the president said, adding that his program demands measurable progress, accountability and the involvement of local partners. The result: The number of people in sub-Saharan Africa receiving treatment for AIDS has gone from 50,000 five years ago to nearly 1.4 million now.
"We have pioneered a new model for public health," Bush said. "So far, the results have been striking."
In May, the last time he devoted a speech to the topic, Bush asked Congress to double the $15 billion that the U.S. committed over the program's first five years to therapy, testing and counseling through the President's Emergency Plan for AIDS Relief. The program is active in 120 countries, with a concentrated focus on 15, including Namibia, in sub-Saharan Africa, Asia and the Caribbean.
As of the end of September, 1.36 million people in those focus countries have received antiretroviral treatment through the program, with a focus on averting infant infections by treating pregnant women. Others receive testing and counseling.
"Some call this remarkable success. I call it a good start," Bush said, adding that he has worked with other nations and the private sector to increase their commitments.
Doubling the funding for PEPFAR would provide treatment for 2.5 million people, the White House said.
Also in honor of Saturday's World AIDS Day, the White House hung a red ribbon — 28 feet tall and 8 feet wide — in the North Portico of the mansion to symbolize the fight against AIDS. It will stay up for two days and, on Saturday, guests who visit the White House will receive a red ribbon sticker and a fact card.
The White House also said Friday that the Department of Homeland Security will publish a final rule this winter aiming to help reduce discrimination against those living with the virus that causes AIDS. The new rule would establish a categorical waiver for HIV-positive people seeking to enter the United States on short-term visas. A 1993 law prohibits HIV-positive people from receiving visas to visit the United States without a waiver. A categorical waiver will enable HIV-positive people to enter the United States for short visits through a streamlined process.
The Children of Zion Village, an orphanage in northeastern Namibia, was opened in 2003 by missionaries Gary and Rebecca Mink of Rising Sun, Md. They belong to Mount Zion United Methodist Church in Bel Air, which provides most of the home's $14,000-a-month operating funds with help from other United Methodist churches in Maryland and Ohio, said Lisa McLaughlin, board chairwoman of Children of Zion Inc.
The facility is home to 55 children up to 17 years old. Children of Zion also feeds 116 more orphans in nearby Mafuta and hopes to build a group home and preschool there.
http://news.yahoo.com/s/ap/20071201/ap_on_go_pr_wh/bush_aids;_ylt=AkOII8oqG0DP7VElpCJ5v9HVJRIF
Up to 50 million Chinese at risk from AIDS: UN
BEIJING (AFP) - Up to 50 million Chinese people are at risk of contracting HIV/AIDS, United Nations officials warned Friday, a day after the government said the spread of the disease has slowed.
Chinese health minister Chen Zhu said Thursday there were an estimated 50,000 new HIV infections in 2007 and China has about 700,000 HIV/AIDS cases.
This compares with the estimated figure of 650,000 announced nearly two years ago based on work carried out by the Chinese government, the United Nations and the World Health Organisation.
But a day ahead of the World AIDS day, UN officials warned against complacency and cautioned that between 30 and 50 million people in China remained at risk of contracting HIV/AIDS.
"Thirty to 50 million are exposed to substantial risk of HIV infection today. It shows you the potential and magnitude of the issue for the future," said Bernhard Schwartlander, China coordinator of UNAIDS.
The fact that heterosexual contact was the top cause of new infections in 2007, accounting for 44.7 percent, should also raise an alarm.
"It is remarkable and important to recognise that, because that shows the potential of that spread is quite significant," he said.
Schwartlander said although the current overall number of HIV/AIDS cases seemed relatively low for China's 1.3 billion population, infections were rising in more and more areas.
The rapid increase in male homosexual activities, expanding sex industry and more widespread drug use in China in recent years have also contributed to the potential for further spread of the
disease.
"We may be seeing fewer infections than we have seen in earlier years, but that can change rapidly again," he warned.
Independent AIDS activists have long warned that the official estimates underestimated the rampant spread of the disease and the real number of people suffering from the disease could be 10 times higher.
But Khalid Malik, UN resident coordinator disagreed.
"The (official) numbers are estimates first of all, they (the real figures) could be a little lower, a little higher, but definitely not in the multiples."
http://news.yahoo.com/s/afp/20071130/hl_afp/healthchinaunaids_071130110017
Chinese health minister Chen Zhu said Thursday there were an estimated 50,000 new HIV infections in 2007 and China has about 700,000 HIV/AIDS cases.
This compares with the estimated figure of 650,000 announced nearly two years ago based on work carried out by the Chinese government, the United Nations and the World Health Organisation.
But a day ahead of the World AIDS day, UN officials warned against complacency and cautioned that between 30 and 50 million people in China remained at risk of contracting HIV/AIDS.
"Thirty to 50 million are exposed to substantial risk of HIV infection today. It shows you the potential and magnitude of the issue for the future," said Bernhard Schwartlander, China coordinator of UNAIDS.
The fact that heterosexual contact was the top cause of new infections in 2007, accounting for 44.7 percent, should also raise an alarm.
"It is remarkable and important to recognise that, because that shows the potential of that spread is quite significant," he said.
Schwartlander said although the current overall number of HIV/AIDS cases seemed relatively low for China's 1.3 billion population, infections were rising in more and more areas.
The rapid increase in male homosexual activities, expanding sex industry and more widespread drug use in China in recent years have also contributed to the potential for further spread of the
disease.
"We may be seeing fewer infections than we have seen in earlier years, but that can change rapidly again," he warned.
Independent AIDS activists have long warned that the official estimates underestimated the rampant spread of the disease and the real number of people suffering from the disease could be 10 times higher.
But Khalid Malik, UN resident coordinator disagreed.
"The (official) numbers are estimates first of all, they (the real figures) could be a little lower, a little higher, but definitely not in the multiples."
http://news.yahoo.com/s/afp/20071130/hl_afp/healthchinaunaids_071130110017
Thursday, November 29, 2007
Breast Cancer Ribbon By Nathalie Fiset
Breast cancer is one of the leading causes of death among women. Statistics show that every woman has a 1-to-8 chance of being diagnosed with the illness. And every year, the numbers are increasing. That is why more and more people are spreading information about it, raising funds to help patients and conducting research for its prevention and cure. And what better way to symbolize breast cancer awareness and advocacy is through the breast cancer ribbon.
Its Origin and What It Symbolizes
The pink ribbon was first used in the 1990s. During that time, wearing ribbons was the trend to promote awareness and advocacies for different causes. Who can forget the red AIDS ribbon during events and awards such as the Oscars and Tony Awards? But the ribbon's roots can be traced back to 1979, when families and friends of Iranian hostages used a yellow ribbon to signify hope and solidarity.
A healthy person is said to be "in the pink of health." That is the reason why the color pink was chosen for the ribbon. The color of health was used to give hope and strength to the patients who are suffering from the illness. The bright and vibrant color has also been a symbol of femininity, making it all truly perfect to represent an illness that afflicts women.
This is not to say that men do not have their own version of the breast cancer ribbon. While few men may have suffered from the disease, this does not mean that men should take this for granted. That is why there is also a breast cancer ribbon for males. In addition to the color pink is blue - to signify that men, too, can be ill with breast cancer. It was created in 1996 by Nancy Nick. Since then, it was used by groups and organizations such as the John W. Nick Foundation to increase awareness of breast cancer among men.
From then up to now, people realize the importance of funding cancer research, for without financial help, researchers will not be able to discover new medicine, treatment, as well as screening test procedures. Companies are also doing their part to help in this endeavor. Some jewelers manufacture rings and necklaces with the ribbon design. For example, a cosmetics company Estee Lauder launched the pink ribbon design in their compacts. Avon has raised millions of dollars from sales of products which featured the ribbon.
At present, the breast cancer ribbon can be seen in any race or fund-raising event dedicated to breast cancer patients. It can be seen practically anywhere - in breast cancer walks, marathons, fashion shows and all other fund-raising events. Designers and manufacturers have incorporated the design in almost anything - robes, pins, shirts, quilts, tree ornaments, stuffed toys and pens. When you buy any of these products, a fraction of the amount you pay is donated to breast cancer research or foundation.
Wearing the Pink Ribbon
Making the lapel pin is easy. You will need a piece of ribbon 0.5 inches wide and 3 inches long. The ends must be cut at an angle or diagonally. With the longer edge on top, hold the ribbon at its midpoint. Then fold the left end down so the edge now points downward. You can make a crease on the fold if desired. Still holding the midpoint and with the left end folded down, bring the right end down so the two edges cross at a point below the midpoint. The point where the ends cross need to be secured by a pin or glue or you can sew them together with a stitch or two.
Now you can wear your own pink ribbon lapel pin. Show your support for women all over the world. That person can be someone in the family, or a friend, or nobody in particular. Wear the pink ribbon as a lapel pin, or as a shirt design. Or you can post a picture in your website. The breast cancer ribbon is not only a symbol of awareness. More importantly, it is the symbol of hope and faith for those diagnosed with the illness - hope and faith that, with the advances in medicine and support of the people who love them, they can be cured.
For more information on breast cancers and their solutions, please visit:http://fightbreastcancers.com/breast-cancer-ribbon.htmlhttp://fightbreastcancers.com/http://www.drnathaliefiset.com
Article Source: http://EzineArticles.com/?expert=Nathalie_Fiset
Its Origin and What It Symbolizes
The pink ribbon was first used in the 1990s. During that time, wearing ribbons was the trend to promote awareness and advocacies for different causes. Who can forget the red AIDS ribbon during events and awards such as the Oscars and Tony Awards? But the ribbon's roots can be traced back to 1979, when families and friends of Iranian hostages used a yellow ribbon to signify hope and solidarity.
A healthy person is said to be "in the pink of health." That is the reason why the color pink was chosen for the ribbon. The color of health was used to give hope and strength to the patients who are suffering from the illness. The bright and vibrant color has also been a symbol of femininity, making it all truly perfect to represent an illness that afflicts women.
This is not to say that men do not have their own version of the breast cancer ribbon. While few men may have suffered from the disease, this does not mean that men should take this for granted. That is why there is also a breast cancer ribbon for males. In addition to the color pink is blue - to signify that men, too, can be ill with breast cancer. It was created in 1996 by Nancy Nick. Since then, it was used by groups and organizations such as the John W. Nick Foundation to increase awareness of breast cancer among men.
From then up to now, people realize the importance of funding cancer research, for without financial help, researchers will not be able to discover new medicine, treatment, as well as screening test procedures. Companies are also doing their part to help in this endeavor. Some jewelers manufacture rings and necklaces with the ribbon design. For example, a cosmetics company Estee Lauder launched the pink ribbon design in their compacts. Avon has raised millions of dollars from sales of products which featured the ribbon.
At present, the breast cancer ribbon can be seen in any race or fund-raising event dedicated to breast cancer patients. It can be seen practically anywhere - in breast cancer walks, marathons, fashion shows and all other fund-raising events. Designers and manufacturers have incorporated the design in almost anything - robes, pins, shirts, quilts, tree ornaments, stuffed toys and pens. When you buy any of these products, a fraction of the amount you pay is donated to breast cancer research or foundation.
Wearing the Pink Ribbon
Making the lapel pin is easy. You will need a piece of ribbon 0.5 inches wide and 3 inches long. The ends must be cut at an angle or diagonally. With the longer edge on top, hold the ribbon at its midpoint. Then fold the left end down so the edge now points downward. You can make a crease on the fold if desired. Still holding the midpoint and with the left end folded down, bring the right end down so the two edges cross at a point below the midpoint. The point where the ends cross need to be secured by a pin or glue or you can sew them together with a stitch or two.
Now you can wear your own pink ribbon lapel pin. Show your support for women all over the world. That person can be someone in the family, or a friend, or nobody in particular. Wear the pink ribbon as a lapel pin, or as a shirt design. Or you can post a picture in your website. The breast cancer ribbon is not only a symbol of awareness. More importantly, it is the symbol of hope and faith for those diagnosed with the illness - hope and faith that, with the advances in medicine and support of the people who love them, they can be cured.
For more information on breast cancers and their solutions, please visit:http://fightbreastcancers.com/breast-cancer-ribbon.htmlhttp://fightbreastcancers.com/http://www.drnathaliefiset.com
Article Source: http://EzineArticles.com/?expert=Nathalie_Fiset
Breast Cancer Symptoms by By Nathalie Fiset
Every year, more women are diagnosed with breast cancer. Statistics show that on the average, 1 out of 8 women can have the illness. The good news, however, is that it can actually be treated. At present, there are significantly more breast cancer survivors than there were 10 or 20 years ago. Aside from medical breakthrough, the reason for this increase is early detection. As soon as we see any of the breast cancer symptoms, we should seek medical help immediately.
What is breast cancer?
Breast cancer is the uncontrollable or abnormal growth of cells in the breast. When cell growth can no longer be controlled, the cells spread and affect other healthy cells. It may start at the lobules, ducts, or tissues and vessels in the breast. Basically this is how breast cancer cells behave.
The problem is, not all breast cancers are easy to detect. Of course, if you have any of the risk factors of breast cancer, then you will most likely develop the illness. But even so, there is no hard and fast rule with regard to breast cancer symptoms. Feeling pain in the breast may not necessarily be cancer. Some tumors, although apparent, are actually benign or harmless. On the other hand, a simple rash may be cancer. Nonetheless, it is still wise to at least be familiar with the symptoms just in case the tumors are evident.
What are the breast cancer symptoms?
Every woman knows how a breast should normally look like. Breasts should be its usual size, contour and color, free of any distortion or swelling. Here are the things to watch out for:
- Lump, thickening or mass that you may feel when you gently press your fingers flat on the breast surface. This is detected during a breast exam. - Swelling or redness or change in color of the breast. - Change in the shape, or distortion of the breast, or if a breast grows noticeably bigger than the other. It is not necessary that breasts be perfectly symmetrical, but if you notice one breast grows larger over a period of time, then it is time to see a doctor. - Dimpling or ridges on the skin, as well as rash or scaled skin. - Inverted nipple or that which is pushed inward or has changed position. - Nipple discharge, whether colorless, milky, yellow or blood discharge.
Men can also have breast cancer, although rarely. The symptoms are the same as that for women. Other symptoms for male breast cancer are nipple pain, nipple and areola sores and enlarged lymph nodes.
If you see any of the symptoms, see your doctor immediately.
What screening tests are available?
It is advised for women from age 20 up to do a monthly personal breast check. Once this practice becomes habitual, you will become more familiar with your breasts, making the symptoms more obvious if they arise. Consult a doctor for the proper procedure of breast inspection, or you can visit websites which feature the steps to a breast examination. If you are not sure of how to do the exam yourself, you can undergo a clinical breast exam. Here, the doctor does the checking for you. A doctor can find lumps that you may miss during a self-exam.
Apart from self-examination, women are also advised to undergo screening tests such as mammograms to know if you have cancer, even if the symptoms are not present.
Mammography is a procedure to detect or screen as well as diagnose cancer, if symptoms are present. There are two types of mammograms: screening and diagnostic. Women at age 40 are advised to take mammograms annually. Other screening tests such as MRI scanning and ultrasound may also be taken, depending on the age and risk factors, and upon the doctor's advice.
So the next time you do a breast self-exam, or just stare at your breasts, you know what your breasts should and shouldn't look like. Once a symptom is noticeable, it's time to see a doctor. Do not be afraid to do so, because, sooner or later, you will still need to see one, but better make it sooner before it's too late. Knowing the breast cancer symptoms can actually save you, as cancer can be cured if detected early.
For more information on breast cancers and their solutions, please visit:http://fightbreastcancers.com/breast-cancer-symptoms.htmlhttp://fightbreastcancers.com/http://www.drnathaliefiset.com
Article Source: http://EzineArticles.com/?expert=Nathalie_Fiset
What is breast cancer?
Breast cancer is the uncontrollable or abnormal growth of cells in the breast. When cell growth can no longer be controlled, the cells spread and affect other healthy cells. It may start at the lobules, ducts, or tissues and vessels in the breast. Basically this is how breast cancer cells behave.
The problem is, not all breast cancers are easy to detect. Of course, if you have any of the risk factors of breast cancer, then you will most likely develop the illness. But even so, there is no hard and fast rule with regard to breast cancer symptoms. Feeling pain in the breast may not necessarily be cancer. Some tumors, although apparent, are actually benign or harmless. On the other hand, a simple rash may be cancer. Nonetheless, it is still wise to at least be familiar with the symptoms just in case the tumors are evident.
What are the breast cancer symptoms?
Every woman knows how a breast should normally look like. Breasts should be its usual size, contour and color, free of any distortion or swelling. Here are the things to watch out for:
- Lump, thickening or mass that you may feel when you gently press your fingers flat on the breast surface. This is detected during a breast exam. - Swelling or redness or change in color of the breast. - Change in the shape, or distortion of the breast, or if a breast grows noticeably bigger than the other. It is not necessary that breasts be perfectly symmetrical, but if you notice one breast grows larger over a period of time, then it is time to see a doctor. - Dimpling or ridges on the skin, as well as rash or scaled skin. - Inverted nipple or that which is pushed inward or has changed position. - Nipple discharge, whether colorless, milky, yellow or blood discharge.
Men can also have breast cancer, although rarely. The symptoms are the same as that for women. Other symptoms for male breast cancer are nipple pain, nipple and areola sores and enlarged lymph nodes.
If you see any of the symptoms, see your doctor immediately.
What screening tests are available?
It is advised for women from age 20 up to do a monthly personal breast check. Once this practice becomes habitual, you will become more familiar with your breasts, making the symptoms more obvious if they arise. Consult a doctor for the proper procedure of breast inspection, or you can visit websites which feature the steps to a breast examination. If you are not sure of how to do the exam yourself, you can undergo a clinical breast exam. Here, the doctor does the checking for you. A doctor can find lumps that you may miss during a self-exam.
Apart from self-examination, women are also advised to undergo screening tests such as mammograms to know if you have cancer, even if the symptoms are not present.
Mammography is a procedure to detect or screen as well as diagnose cancer, if symptoms are present. There are two types of mammograms: screening and diagnostic. Women at age 40 are advised to take mammograms annually. Other screening tests such as MRI scanning and ultrasound may also be taken, depending on the age and risk factors, and upon the doctor's advice.
So the next time you do a breast self-exam, or just stare at your breasts, you know what your breasts should and shouldn't look like. Once a symptom is noticeable, it's time to see a doctor. Do not be afraid to do so, because, sooner or later, you will still need to see one, but better make it sooner before it's too late. Knowing the breast cancer symptoms can actually save you, as cancer can be cured if detected early.
For more information on breast cancers and their solutions, please visit:http://fightbreastcancers.com/breast-cancer-symptoms.htmlhttp://fightbreastcancers.com/http://www.drnathaliefiset.com
Article Source: http://EzineArticles.com/?expert=Nathalie_Fiset
FDA approves Zyrtec for Non-prescription use in Adults and Children
November 21, 2007
The U.S. Food and Drug Administration has approved tablet, chewable tablet, and syrup formulations of Zyrtec (cetirizine HCl) for nonprescription use. The nonprescription drug is approved for the temporary relief of symptoms due to hay fever or other respiratory allergies (sneezing; runny nose; itchy, watery eyes; itchy throat or nose) in adults and children 2 years of age and older.
The nonprescription Zyrtec products also are approved for the relief of itching due to hives in people 6 years of age and older, including adults.
"The approval of Zyrtec for nonprescription use offers an additional treatment option for children and adults," said Andrea Leonard-Segal, M.D., director, Division of Nonprescription Clinical Evaluation in the FDA's Center for Drug Evaluation and Research. "As for all nonprescription drugs, consumers and caregivers should read and carefully follow all directions on the labeling."
The tablets and chewable tablets are approved for adults and children 6 years of age and older:
for the treatment of the symptoms of hay fever and other respiratory allergies, and
to relieve the itching due to hives.
The syrup is approved for:
adults and children 2 years of age and older for the treatment of the symptoms of hay fever and other respiratory allergies, and
adults and children 6 years of age and older to relieve the itching due to hives.
The company will market two distinct Zyrtec products for each dosage form. One will provide directions for treating the symptoms of hay fever and other respiratory allergies. The other will contain directions for use to relieve the itching due to hives.
Zyrtec may cause drowsiness in some people at recommended doses. Other common side effects include fatigue and dry mouth. On November 9, 2007, the FDA announced that it had approved Zyrtec-D, a product which contains cetirizine HCl and pseudoephedrine HCl, for nonprescription use. Sales of the Zyrtec-D are subject to restrictions in the Combat Methamphetamine Epidemic Act. This law places restrictions on the sale of products containing pseudoephedrine, such as limiting the amount that an individual can purchase, and imposing record keeping requirements on the retail establishments that sell the product and that it be located with the pharmacist. Nonprescription Zyrtec-D was approved for the relief of symptoms due to hay fever or other upper respiratory allergies such as runny nose, sneezing, itchy, watery eyes, itching of the nose or throat, and nasal congestion. Zyrtec-D is also approved for reducing swelling of nasal passages, for relief of sinus congestion and pressure, and for restoring freer breathing through the nose due to hay fever and other upper respiratory allergies. Zyrtec-D is not approved for the relief of itching due to hives.
Zyrtec is marketed and distributed by McNeil Consumer Healthcare, based in Fort Washington, Pa.
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01750.html
The U.S. Food and Drug Administration has approved tablet, chewable tablet, and syrup formulations of Zyrtec (cetirizine HCl) for nonprescription use. The nonprescription drug is approved for the temporary relief of symptoms due to hay fever or other respiratory allergies (sneezing; runny nose; itchy, watery eyes; itchy throat or nose) in adults and children 2 years of age and older.
The nonprescription Zyrtec products also are approved for the relief of itching due to hives in people 6 years of age and older, including adults.
"The approval of Zyrtec for nonprescription use offers an additional treatment option for children and adults," said Andrea Leonard-Segal, M.D., director, Division of Nonprescription Clinical Evaluation in the FDA's Center for Drug Evaluation and Research. "As for all nonprescription drugs, consumers and caregivers should read and carefully follow all directions on the labeling."
The tablets and chewable tablets are approved for adults and children 6 years of age and older:
for the treatment of the symptoms of hay fever and other respiratory allergies, and
to relieve the itching due to hives.
The syrup is approved for:
adults and children 2 years of age and older for the treatment of the symptoms of hay fever and other respiratory allergies, and
adults and children 6 years of age and older to relieve the itching due to hives.
The company will market two distinct Zyrtec products for each dosage form. One will provide directions for treating the symptoms of hay fever and other respiratory allergies. The other will contain directions for use to relieve the itching due to hives.
Zyrtec may cause drowsiness in some people at recommended doses. Other common side effects include fatigue and dry mouth. On November 9, 2007, the FDA announced that it had approved Zyrtec-D, a product which contains cetirizine HCl and pseudoephedrine HCl, for nonprescription use. Sales of the Zyrtec-D are subject to restrictions in the Combat Methamphetamine Epidemic Act. This law places restrictions on the sale of products containing pseudoephedrine, such as limiting the amount that an individual can purchase, and imposing record keeping requirements on the retail establishments that sell the product and that it be located with the pharmacist. Nonprescription Zyrtec-D was approved for the relief of symptoms due to hay fever or other upper respiratory allergies such as runny nose, sneezing, itchy, watery eyes, itching of the nose or throat, and nasal congestion. Zyrtec-D is also approved for reducing swelling of nasal passages, for relief of sinus congestion and pressure, and for restoring freer breathing through the nose due to hay fever and other upper respiratory allergies. Zyrtec-D is not approved for the relief of itching due to hives.
Zyrtec is marketed and distributed by McNeil Consumer Healthcare, based in Fort Washington, Pa.
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01750.html
Strict control of blood glucose in diabetic in prevention of complications.
In type 2 diabetes, the onset and progression of complications is significantly delayed by improving glycaemic control.
Up to 50% fo indiciduals with type 2 diabetes have complications at diagnosis, for example, nephropathy, retinopathy being present in approximately 20% of subjects. Progression of complications can be rapid: diabeteic nephropathy is a leading cause of end stage renal disease (ESRD), and diabetic retinopathy is the leading cause od new cases of blindness among adults.
United Kingdom Prospective Diabetes Study (UKPDS) have demonstrated that 1% decrease in glycosylated haemoglobin (HbA1c) was associated with a risk reduction of 37% for microvascular disease and 14% for myocardial infarction. Loss of glycaemic control was mirrored by a progressive decline in B-cell function of the pancreas (which has already deteriorated by 50% in the majority of individuals at the time of diagnosis as stated above)
Thus, in short, the stratergies in achieving early glycamic control:
UKPDS demonstrated that over 50% of subject were inadequately controlled with one anti diabetic agent, and after 9 years, only 25% of patients on monotherapy achieved the HbA1c target of <7%.
Treatment should be started as early as possible, on top of diet control to control the blood glucose in the body. When monotherapy fails, addign another anti-diabetic should be done promptly, if not insulin.
Reference:
C.J. Bailey et al. Earlier intervention in type 2 diabetes: the case for achieving early and sustained glycaemic control. Int J Clin Pract, Nov 2005, 59, 11, 1309-1316.
Up to 50% fo indiciduals with type 2 diabetes have complications at diagnosis, for example, nephropathy, retinopathy being present in approximately 20% of subjects. Progression of complications can be rapid: diabeteic nephropathy is a leading cause of end stage renal disease (ESRD), and diabetic retinopathy is the leading cause od new cases of blindness among adults.
United Kingdom Prospective Diabetes Study (UKPDS) have demonstrated that 1% decrease in glycosylated haemoglobin (HbA1c) was associated with a risk reduction of 37% for microvascular disease and 14% for myocardial infarction. Loss of glycaemic control was mirrored by a progressive decline in B-cell function of the pancreas (which has already deteriorated by 50% in the majority of individuals at the time of diagnosis as stated above)
Thus, in short, the stratergies in achieving early glycamic control:
UKPDS demonstrated that over 50% of subject were inadequately controlled with one anti diabetic agent, and after 9 years, only 25% of patients on monotherapy achieved the HbA1c target of <7%.
Treatment should be started as early as possible, on top of diet control to control the blood glucose in the body. When monotherapy fails, addign another anti-diabetic should be done promptly, if not insulin.
Reference:
C.J. Bailey et al. Earlier intervention in type 2 diabetes: the case for achieving early and sustained glycaemic control. Int J Clin Pract, Nov 2005, 59, 11, 1309-1316.
Coping with daily activities in Alzheimer's disease
1. Bathing and personal hygiene
- maintain the person's former foutine for bathing as much as possible.
- try to make bathing a pleasant and relaxing occasion.
- simpligy the task as much as possible.
- if the person refuses to bathe, try again later.
- allow the person to do as much as possible unaided.
- if the person appears embarrassed while bathing, wrap a towel around the shoulders or waist.
- think about safety; something firm to hold on to, such as grab-fails, non-slip mat, an extra chair.
- if bathing always leads to conflict, a sponge bath might be better.
- if you constantly have problems, get someone also to help.
2. Dressing
- lay out clothes in the order they are to be put on.
- choose clothes that are easy to put on, for example, elastic waistband vs zippers or buttons, velcro fasterners vs shoelaces.
- buy a few sets of the same clothing if he insists on wearing the same clothes everyday.
- use clothing that fastens at the back if he repeatedly takes off his clothes.
- encourage independence in dressing as long as possible.
- use non slip rubber-soled shoes.
3. Toileting and incontinence
- schedule regular interval for going to the toilet; every 3 hours, after meals, before bed, etc.
- label the toilet door using bring colours and large letters
- leave the toilet door open so it is easy to find.
- make sure clothing can be easily removed.
- make sure clothing can be easily removed.
- limit drinks within reason before bed time.
- providing a bed pan or bedside commode maybe helpful.
- stay calm and keep a sense of humour when accidents happen, don't scold or embarrass the person.
- seek professional advice.
4. Cooking
- assess how well the patient can do their own cooking.
- enjoy cooking as a shared activity.
- install safety devices.
- remove sharp utensils.
- if patient is unable to cook safely, look for other option. ie: home catering. Ensure a balance diet.
5. Eating
- you may have to remind/ show the person how to eat.
- use finger food- it can be easier to manage and not as many.
- cut up food in small pieces to prevent choking. In the late stages of the disease, it may be necessary to mash or liquidise all food.
- remind the person to eat slowly.
- Be aware that the person may not be able to sense hot or cold, and may burn the mouth on hot foods or liquids.
- when the person has difficulty swallowing, consult your physician to learn ways to stimulate swallowing.
6. Driving
- discuss the subject with the peson gently.
- suggest using public transportation.
- if you are not able to dissuade the person from driving, it may be necessary to consult with your doctor.
7. Other medications and cigarettes
- if the patient smokes, supervise use of cigarettes and matches.
- preferably discourage smoking altogether.
- check other medication with your doctors.
Useful website:
www.adfm.org.my
www.healthandage.com
www.alz.org
- maintain the person's former foutine for bathing as much as possible.
- try to make bathing a pleasant and relaxing occasion.
- simpligy the task as much as possible.
- if the person refuses to bathe, try again later.
- allow the person to do as much as possible unaided.
- if the person appears embarrassed while bathing, wrap a towel around the shoulders or waist.
- think about safety; something firm to hold on to, such as grab-fails, non-slip mat, an extra chair.
- if bathing always leads to conflict, a sponge bath might be better.
- if you constantly have problems, get someone also to help.
2. Dressing
- lay out clothes in the order they are to be put on.
- choose clothes that are easy to put on, for example, elastic waistband vs zippers or buttons, velcro fasterners vs shoelaces.
- buy a few sets of the same clothing if he insists on wearing the same clothes everyday.
- use clothing that fastens at the back if he repeatedly takes off his clothes.
- encourage independence in dressing as long as possible.
- use non slip rubber-soled shoes.
3. Toileting and incontinence
- schedule regular interval for going to the toilet; every 3 hours, after meals, before bed, etc.
- label the toilet door using bring colours and large letters
- leave the toilet door open so it is easy to find.
- make sure clothing can be easily removed.
- make sure clothing can be easily removed.
- limit drinks within reason before bed time.
- providing a bed pan or bedside commode maybe helpful.
- stay calm and keep a sense of humour when accidents happen, don't scold or embarrass the person.
- seek professional advice.
4. Cooking
- assess how well the patient can do their own cooking.
- enjoy cooking as a shared activity.
- install safety devices.
- remove sharp utensils.
- if patient is unable to cook safely, look for other option. ie: home catering. Ensure a balance diet.
5. Eating
- you may have to remind/ show the person how to eat.
- use finger food- it can be easier to manage and not as many.
- cut up food in small pieces to prevent choking. In the late stages of the disease, it may be necessary to mash or liquidise all food.
- remind the person to eat slowly.
- Be aware that the person may not be able to sense hot or cold, and may burn the mouth on hot foods or liquids.
- when the person has difficulty swallowing, consult your physician to learn ways to stimulate swallowing.
6. Driving
- discuss the subject with the peson gently.
- suggest using public transportation.
- if you are not able to dissuade the person from driving, it may be necessary to consult with your doctor.
7. Other medications and cigarettes
- if the patient smokes, supervise use of cigarettes and matches.
- preferably discourage smoking altogether.
- check other medication with your doctors.
Useful website:
www.adfm.org.my
www.healthandage.com
www.alz.org
Saturday, November 24, 2007
Diet for Diabetics By Georgia Whitehouse
The ideal diet for diabetics will be calculated by paying close attention to your blood sugar levels. This will be the determining factor in deciding what to eat, how much to eat and when to eat.
Control those blood sugar levels!!
"What is blood sugar and what does it have to do with me??"
This is simply the amount of sugar (also known as glucose) that you have in your blood, and this is determined by the foods that you eat. Now it is vital for anyone to maintain steady blood sugar levels but even more so for diabetics. It is therefore necessary to have some idea of which foods will disrupt your levels and which foods will maintain a steady release of sugar in to the blood.
You see the sugar in your blood is quite different from, say, the sugar in chocolate cake. The sugar found in most processed food has been refined, which basically means that all the goodness has been taken out of it and all that is left is a toxin that the body can not absorb. Now, without going in to the science of this, any refined sugar (including refined carbohydrates such as white bread and white pasta etc.) has a dramatic effect on your blood sugar levels.
Imagine a steady line that suddenly spirals upwards and out of control, because this is what happens to your sugar levels when you put any form of refined sugar or carb in to your body.
And yes, you guessed it, what comes up, must come down. But this time your sugar levels will come crashing down lower than they were before. This is why it is vital to follow a suitable diet for diabetics.
"OK, ok, but how does this really affect me? I mean, we all know that sugar and certain processed foods are bad for us, but how does all this talk of 'blood sugar' really affect me?"
Well, much more than you can imagine.
It might help to think of your blood sugar levels as synonymous with your energy levels. You need sugar for energy right? But not the sugar we were just talking about. You see, there are many different types of sugar, and your body converts whole food in to the sugar that it needs for energy.
We have all experienced the quick release of energy we get from a chocolate bar, but have you also noticed the energy slump that follows the initial high? This is due to the rapid rise and fall it creates in your sugar levels, and it is this that will disrupt your energy levels. What you really need is something that will release sugar slowly in to your blood over time, to provide a steady release of energy. So, if you were to eat a whole food that has not been refined, then your body would convert this in to the sugar that it needs, resulting in steady blood sugar levels and thus a healthier, happier you.
Now the key to all this, is that if you do not maintain steady blood sugar levels, you will mess up your body's sugar production, thus leading to tiredness, dizziness, and many other health complaints in the short term, and diabetes in the long term. And for those who already suffer from diabetes . . . .
IT IS ABSOLUTELY VITAL THAT YOU UNDERSTAND HOW TO CONTROL YOUR BLOOD SUGAR LEVELS THROUGH WHAT YOU EAT IF YOU ARE TO AVOID OR REDUCE THE LONG LIST OF HEALTH COMPLAINTS THAT ARE ASSOCIATED WITH UNHEALTHY EATING AND DIABETES.
A diet for diabetics should therefore consist of healthy whole foods eaten little and often. By eating smaller amounts but at more regular intervals, this also contributes to maintaining steady blood sugar levels
The author of this article is a passionate pioneer for uncovering the truth about diabetes. She also runs a blog called 'Secrets from the Experts (what your doctor doesn't even know!)'.
For more information please click on the following link http://diet-for-diabetics.tumblr.com
Article Source: http://EzineArticles.com/?expert=Georgia_Whitehouse
Control those blood sugar levels!!
"What is blood sugar and what does it have to do with me??"
This is simply the amount of sugar (also known as glucose) that you have in your blood, and this is determined by the foods that you eat. Now it is vital for anyone to maintain steady blood sugar levels but even more so for diabetics. It is therefore necessary to have some idea of which foods will disrupt your levels and which foods will maintain a steady release of sugar in to the blood.
You see the sugar in your blood is quite different from, say, the sugar in chocolate cake. The sugar found in most processed food has been refined, which basically means that all the goodness has been taken out of it and all that is left is a toxin that the body can not absorb. Now, without going in to the science of this, any refined sugar (including refined carbohydrates such as white bread and white pasta etc.) has a dramatic effect on your blood sugar levels.
Imagine a steady line that suddenly spirals upwards and out of control, because this is what happens to your sugar levels when you put any form of refined sugar or carb in to your body.
And yes, you guessed it, what comes up, must come down. But this time your sugar levels will come crashing down lower than they were before. This is why it is vital to follow a suitable diet for diabetics.
"OK, ok, but how does this really affect me? I mean, we all know that sugar and certain processed foods are bad for us, but how does all this talk of 'blood sugar' really affect me?"
Well, much more than you can imagine.
It might help to think of your blood sugar levels as synonymous with your energy levels. You need sugar for energy right? But not the sugar we were just talking about. You see, there are many different types of sugar, and your body converts whole food in to the sugar that it needs for energy.
We have all experienced the quick release of energy we get from a chocolate bar, but have you also noticed the energy slump that follows the initial high? This is due to the rapid rise and fall it creates in your sugar levels, and it is this that will disrupt your energy levels. What you really need is something that will release sugar slowly in to your blood over time, to provide a steady release of energy. So, if you were to eat a whole food that has not been refined, then your body would convert this in to the sugar that it needs, resulting in steady blood sugar levels and thus a healthier, happier you.
Now the key to all this, is that if you do not maintain steady blood sugar levels, you will mess up your body's sugar production, thus leading to tiredness, dizziness, and many other health complaints in the short term, and diabetes in the long term. And for those who already suffer from diabetes . . . .
IT IS ABSOLUTELY VITAL THAT YOU UNDERSTAND HOW TO CONTROL YOUR BLOOD SUGAR LEVELS THROUGH WHAT YOU EAT IF YOU ARE TO AVOID OR REDUCE THE LONG LIST OF HEALTH COMPLAINTS THAT ARE ASSOCIATED WITH UNHEALTHY EATING AND DIABETES.
A diet for diabetics should therefore consist of healthy whole foods eaten little and often. By eating smaller amounts but at more regular intervals, this also contributes to maintaining steady blood sugar levels
The author of this article is a passionate pioneer for uncovering the truth about diabetes. She also runs a blog called 'Secrets from the Experts (what your doctor doesn't even know!)'.
For more information please click on the following link http://diet-for-diabetics.tumblr.com
Article Source: http://EzineArticles.com/?expert=Georgia_Whitehouse
Ten steps to get more patients with type 2 diabetes to glycaemic goal
1. Aim for good lycaemic control, defined as HbA1c<6.5%
2. Monitor HbA1c every 3 months in addition to regular glucose self monitoring.
3. Aggressively manage hyperglycaemia , dyslipidaemia, and hypertension with teh same intensity to obtain the best patient outcome.
4. Refer all newly diagnosed patients to a unit specialising in diabetes care where possible.
5. Address the underlying pathophysiology, including the treatment of insulin resistance.
6. Treat patients intensively so as to achieve target HbA1c <6.5% within 6 months of diagnosis.
7. After 3 months, if patients are not at target HbA1c <6.5%, consider combinition therapy.
8. Initiate combination therapy, or insulin immediately for all patients with HbA1c >9% at diagnosis.
9. Use combinations of oral anti diabetic agents with complementary mechanisms of action.
10. Implement a multi- and interdisciplinary team approach to diabetes management to encourage patient education, and self care and share respobsibility for patients achieving glucose goals.
Reference:
S. Del Prato, A.M. Felton, M. Munro, R. Nesto, P. Zimmet, B. Zinman. Improving glucose management: Ten steps to get more patients with type 2 diabetes to glycaemic goal. int J clin Pract, November 2005, 59, 11, 1345-1355.
2. Monitor HbA1c every 3 months in addition to regular glucose self monitoring.
3. Aggressively manage hyperglycaemia , dyslipidaemia, and hypertension with teh same intensity to obtain the best patient outcome.
4. Refer all newly diagnosed patients to a unit specialising in diabetes care where possible.
5. Address the underlying pathophysiology, including the treatment of insulin resistance.
6. Treat patients intensively so as to achieve target HbA1c <6.5% within 6 months of diagnosis.
7. After 3 months, if patients are not at target HbA1c <6.5%, consider combinition therapy.
8. Initiate combination therapy, or insulin immediately for all patients with HbA1c >9% at diagnosis.
9. Use combinations of oral anti diabetic agents with complementary mechanisms of action.
10. Implement a multi- and interdisciplinary team approach to diabetes management to encourage patient education, and self care and share respobsibility for patients achieving glucose goals.
Reference:
S. Del Prato, A.M. Felton, M. Munro, R. Nesto, P. Zimmet, B. Zinman. Improving glucose management: Ten steps to get more patients with type 2 diabetes to glycaemic goal. int J clin Pract, November 2005, 59, 11, 1345-1355.
Get started on weight management
Have you been told you should lose weight? There are many good reasons to lose extra weight. But don't do it just because someone else tells you to. Choose to do it for yourself because you want to feel, look and live better.
WHY LOSE WEIGHT?For yourselfExercising and eating better to help lose extra weight may mean that:
Your clothes fit better
You have more energy for the things you want to do
Your body is stronger
You feel better about yourself
For your healthIf you are overweight, losing even a little weight can help you be healthier.
The following health problems may be more likely if you are overweight:
Osteoarthritis (joint problems)
Type 2 diabetes
High blood pressure and heart disease
Gallbladder disease
Sleep apnea and other respiratory problems
Certain types of cancer
FATS DON'T WORK
Maybe you've heard about the latest diet fad. You know, the one that tells you to eat only certain types of foods. Or the one that says you'll lose 30 pounds in 30 days. If these diets can do what they claim, then why are over half of the people in the United States still overweight?
The fact is gimmicks and fad diets just don't work in the long run. Some put your body and health at serious risk. Some help you lose weight, but they don't give you the skills you need to keep from gaining the weight back. The key to losing weight: Eat a variety of healthy foods and get regular exercise. Then keep up those habits to keep the weight off for good.
WHAT'S STOPPING YOU?
You may have many reasons why you're not ready to lose weight. You may not feel you have the time or the skills. You may be afraid of losing weight and gaining it back. You may want to wait until tomorrow. Well, you can lose weight. You can keep the weight off if you make changes slowly and stick with them. Decide that the right time to be healthier is now.
Break down those barriers
1. Get a large piece of paper. Fold it in half lengthwise to make a crease down the center.
2. On the left side of the crease, write down your barriers to losing weight. What are your fears? What's stopping you?
3. On the right side of the crease, write down the benefits of losing weight. What are your hopes? What would you do if you were thinner and healthier? What would you do if you were thinner that you don't (or can't) do now?
4. Compare the lists. Do the benefits outweigh the barriers?
As you read on, you will find information, skills, and other tools. These help you get started breaking down your barriers. Your health care providers, family, and friends can give you encouragement and support.
WHAT IS A HEALTHY BODY?Healthy bodies come in all shapes and sizes. Not all bodies are made to be thin. For some people, a healthy weight is higher or lower than the average weight listed on weight charts. And though most magazines are filled with thin people, keep in mind that these models usually weigh less than their healthy weight.
CHOOSE A LONG-TERM GOAL
Pick a challenging goal, but make it one you think you can reach. You don't have to aim for a large amount of weight loss. Losing 5 percent to 10 percent of your body weight is reachable and can help improve your health. Your goal doesn't even have to be a specific weight. You may decide on a fitness goal (such as walking 10 miles a week), or a health goal (such as lowering your blood pressure). Whatever it is, choose a goal that is measurable, so you know when you've reached it.
Most of us rely on weight charts to tell us whether we are at a healthy weight. But these charts show average weights that may not be healthy or right for you. Body mass index (BMI) is another way of finding a healthy weight. The higher your BMI, the greater your risk for obesity and health problems. To figure your BMI, find your height and weight (or the numbers closest to them) on the chart above. Follow each column of numbers to where your height and weight meet on the chart. That is your BMI. Then look at the bottom of the chart for what this BMI means.
FINDING YOUR BMI
If your height and weight are not on the chart, you can still find your BMI. Use this formula to figure your BMI:
1) Multiply your weight in pounds by 703.
2) Divide the answer by your height in inches.
3) Divide this number by your height in inches again. This is your BMI.
Example: 1. 160 pounds x 703 = 1124802. 112480 ÷ 63 inches = 17853. 1785 ÷ 63 inches = BMI of 28
MAKE AN ACTION PLAN
Once you have chosen a long-term goal, set short-term goals to help you get there. Short-term goals are part of your action plan. This plan outlines the steps you are going to take to get where you want to be. Aim for small changes. Keep track of your progress. Reward yourself along the way. Before you know it, you'll be well on your way to your goal. For instance:
Goal:
Be more active.
Action Plan: Take the stairs instead of the elevator at work every day. Walk around the block once three days a week.
Goal:
Cut back on fat.
Action Plan: Use 2-percent milk instead of cream in my coffee. Have fruit instead of a cookie with my lunch on Monday, Wednesday and Friday.
TRACK YOUR PROGRESS
Write down your goals. Then, keep a daily record of your progress. Write down what you eat and how active you are. This record will help you stay on track. It can show patterns, such as times when you tend to eat too much. It also lets you look back on how much you've done. This may help when you're feeling frustrated.
EAT MORE FIBER
High-fiber foods are digested more slowly than lower-fiber foods, so you feel full longer. Try to get an average of 25 to 35 grams of fiber each day. Foods that are high in fiber include:
Vegetables and fruits (not juice, which has little fiber)
Whole-grain or bran breads, pastas, and cereals
Legumes (beans) and peas
REWARD YOURSELF
Even if you don't reach every goal, give yourself credit for what you do get done. For your reward, choose a treat not related to food. For instance, if you've met your exercise goal for the week, take time out for a warm bubble bath. Or if you've stuck to your eating plan, treat yourself to something new: a massage, book, magazine, CD or DVD.
HEALTHY EATINGFood is your body's fuel. You can't live without it. The key is to give your body enough nutrients and energy without eating too much. This sounds simple, but it can be hard to do in our food-obsessed culture. Help yourself by knowing what, when, why, and how you eat. Learning new eating habits will help you manage your weight.
Try the following:
Don't skip meals. Skipping meals often leads to overeating later on. It's best to spread your eating throughout the day.
Eat a variety of foods, not just a few favorites. Not only is this healthier, but it can help ward off cravings.
If you find yourself eating when you're not hungry, ask yourself why. Many of us eat when we're bored, stressed, upset, tired, or just to be polite.
Learn to listen to your body. If you're not hungry, get busy doing something else instead of eating. For instance, if you're bored, stressed, or upset, try going for a walk.
Eat slower. It takes 20 minutes for your stomach to tell your brain that it's full. You may find it easier to stop at one helping.
Pay attention to what you eat. Don't read or watch TV during your meal.
READ FOOD LABELS
Most packaged foods are required to list certain information on the label. Knowing what to look for can help you make good food choices.
Look for the following:
Serving size and Servings per Container: The serving size is the average portion. All the values on the label are based on one serving. Remember to multiply the values on the label by the number of servings you eat.
Calories: The total number of calories in each serving
Total fat: Total grams of fat in each serving.
Fiber: The total grams of fiber in each serving.
DRINK LOTS OF WATER
Your body works better when it has the water it needs. Drinking enough water can help fill your stomach and make you feel less hungry. And water is needed to keep your digestive system working smoothly, especially if you begin to eat more fiber. Drinking more water won't make you gain "water weight." In fact, the more water you drink, the less likely your body is to retain water. Try to drink eight or more 8-ounce glasses of water every day. Instead of plain water, you can make some of your glasses no-calorie, no-caffeine flavored water, carbonated water, or herbal tea.
EXERCISE AND ACTIVITY
Exercise burns calories. It helps build muscle to make your body stronger. And studies show that people who exercise are the most likely to lose weight and keep it off. Use the information that follows to make exercise part of your weight-management plan.
THE BENEFITS OF EXERCISE
There are many reasons to add some exercise to your daily schedule. Here are some of the many benefits of exercise:
Exercise burns calories. The more calories you burn, the less likely you are to gain weight and the more likely you are to lose it.
Exercise increases your metabolism (the speed at which your body burns calories).
Regular exercise may increase the amount of muscle in your body. Muscle burns calories faster than fat. So the more muscle you have, the more calories you burn.
Regular exercise helps your body work better.
Regular exercise gives you more energy and curbs your appetite.
Exercise decreases stress and can improve your mood.
Exercise helps you sleep better.
MAKE ACTIVITY PART OF YOUR DAY
You may not think you have the time to exercise. But
you can work activity into your daily life. Take 10 minutes out of your lunch hour to take a walk. Walk to the newsstand to get your paper instead of having it delivered. Make it a habit to take the stairs instead of the elevator. Make it fun, too. Take a resistance-training or aerobics class with a friend, ride a bike, walk the dog, or join a team sport.
STICK WITH IT
The key is to stay motivated all along the way. There are things you can do to keep yourself on the path to success.
Remind yourself of your goals. Post them near the refrigerator or desk.
Make daily entries in your diary or journal about your activity and eating. A visual reminder of success, like a gold star, can help keep you going.
Every week, take time to look back on how much you've accomplished.
Try taking a class. It can help you learn new skills and meet new people. You might try a low-fat-cooking class or yoga class. Don't be hard on yourself or give up if you slip. Be patient. Learning new skills takes time and practice. Learn from your mistakes and adjust your plan if you need to. Then get right back to it. If you believe you can do it, you will.
This atricle was taken from:
http://www.healthtoday.net/sect_channels1.cfm?ID=816&category=Wellness%20Zone§ion=Channels
WHY LOSE WEIGHT?For yourselfExercising and eating better to help lose extra weight may mean that:
Your clothes fit better
You have more energy for the things you want to do
Your body is stronger
You feel better about yourself
For your healthIf you are overweight, losing even a little weight can help you be healthier.
The following health problems may be more likely if you are overweight:
Osteoarthritis (joint problems)
Type 2 diabetes
High blood pressure and heart disease
Gallbladder disease
Sleep apnea and other respiratory problems
Certain types of cancer
FATS DON'T WORK
Maybe you've heard about the latest diet fad. You know, the one that tells you to eat only certain types of foods. Or the one that says you'll lose 30 pounds in 30 days. If these diets can do what they claim, then why are over half of the people in the United States still overweight?
The fact is gimmicks and fad diets just don't work in the long run. Some put your body and health at serious risk. Some help you lose weight, but they don't give you the skills you need to keep from gaining the weight back. The key to losing weight: Eat a variety of healthy foods and get regular exercise. Then keep up those habits to keep the weight off for good.
WHAT'S STOPPING YOU?
You may have many reasons why you're not ready to lose weight. You may not feel you have the time or the skills. You may be afraid of losing weight and gaining it back. You may want to wait until tomorrow. Well, you can lose weight. You can keep the weight off if you make changes slowly and stick with them. Decide that the right time to be healthier is now.
Break down those barriers
1. Get a large piece of paper. Fold it in half lengthwise to make a crease down the center.
2. On the left side of the crease, write down your barriers to losing weight. What are your fears? What's stopping you?
3. On the right side of the crease, write down the benefits of losing weight. What are your hopes? What would you do if you were thinner and healthier? What would you do if you were thinner that you don't (or can't) do now?
4. Compare the lists. Do the benefits outweigh the barriers?
As you read on, you will find information, skills, and other tools. These help you get started breaking down your barriers. Your health care providers, family, and friends can give you encouragement and support.
WHAT IS A HEALTHY BODY?Healthy bodies come in all shapes and sizes. Not all bodies are made to be thin. For some people, a healthy weight is higher or lower than the average weight listed on weight charts. And though most magazines are filled with thin people, keep in mind that these models usually weigh less than their healthy weight.
CHOOSE A LONG-TERM GOAL
Pick a challenging goal, but make it one you think you can reach. You don't have to aim for a large amount of weight loss. Losing 5 percent to 10 percent of your body weight is reachable and can help improve your health. Your goal doesn't even have to be a specific weight. You may decide on a fitness goal (such as walking 10 miles a week), or a health goal (such as lowering your blood pressure). Whatever it is, choose a goal that is measurable, so you know when you've reached it.
Most of us rely on weight charts to tell us whether we are at a healthy weight. But these charts show average weights that may not be healthy or right for you. Body mass index (BMI) is another way of finding a healthy weight. The higher your BMI, the greater your risk for obesity and health problems. To figure your BMI, find your height and weight (or the numbers closest to them) on the chart above. Follow each column of numbers to where your height and weight meet on the chart. That is your BMI. Then look at the bottom of the chart for what this BMI means.
FINDING YOUR BMI
If your height and weight are not on the chart, you can still find your BMI. Use this formula to figure your BMI:
1) Multiply your weight in pounds by 703.
2) Divide the answer by your height in inches.
3) Divide this number by your height in inches again. This is your BMI.
Example: 1. 160 pounds x 703 = 1124802. 112480 ÷ 63 inches = 17853. 1785 ÷ 63 inches = BMI of 28
MAKE AN ACTION PLAN
Once you have chosen a long-term goal, set short-term goals to help you get there. Short-term goals are part of your action plan. This plan outlines the steps you are going to take to get where you want to be. Aim for small changes. Keep track of your progress. Reward yourself along the way. Before you know it, you'll be well on your way to your goal. For instance:
Goal:
Be more active.
Action Plan: Take the stairs instead of the elevator at work every day. Walk around the block once three days a week.
Goal:
Cut back on fat.
Action Plan: Use 2-percent milk instead of cream in my coffee. Have fruit instead of a cookie with my lunch on Monday, Wednesday and Friday.
TRACK YOUR PROGRESS
Write down your goals. Then, keep a daily record of your progress. Write down what you eat and how active you are. This record will help you stay on track. It can show patterns, such as times when you tend to eat too much. It also lets you look back on how much you've done. This may help when you're feeling frustrated.
EAT MORE FIBER
High-fiber foods are digested more slowly than lower-fiber foods, so you feel full longer. Try to get an average of 25 to 35 grams of fiber each day. Foods that are high in fiber include:
Vegetables and fruits (not juice, which has little fiber)
Whole-grain or bran breads, pastas, and cereals
Legumes (beans) and peas
REWARD YOURSELF
Even if you don't reach every goal, give yourself credit for what you do get done. For your reward, choose a treat not related to food. For instance, if you've met your exercise goal for the week, take time out for a warm bubble bath. Or if you've stuck to your eating plan, treat yourself to something new: a massage, book, magazine, CD or DVD.
HEALTHY EATINGFood is your body's fuel. You can't live without it. The key is to give your body enough nutrients and energy without eating too much. This sounds simple, but it can be hard to do in our food-obsessed culture. Help yourself by knowing what, when, why, and how you eat. Learning new eating habits will help you manage your weight.
Try the following:
Don't skip meals. Skipping meals often leads to overeating later on. It's best to spread your eating throughout the day.
Eat a variety of foods, not just a few favorites. Not only is this healthier, but it can help ward off cravings.
If you find yourself eating when you're not hungry, ask yourself why. Many of us eat when we're bored, stressed, upset, tired, or just to be polite.
Learn to listen to your body. If you're not hungry, get busy doing something else instead of eating. For instance, if you're bored, stressed, or upset, try going for a walk.
Eat slower. It takes 20 minutes for your stomach to tell your brain that it's full. You may find it easier to stop at one helping.
Pay attention to what you eat. Don't read or watch TV during your meal.
READ FOOD LABELS
Most packaged foods are required to list certain information on the label. Knowing what to look for can help you make good food choices.
Look for the following:
Serving size and Servings per Container: The serving size is the average portion. All the values on the label are based on one serving. Remember to multiply the values on the label by the number of servings you eat.
Calories: The total number of calories in each serving
Total fat: Total grams of fat in each serving.
Fiber: The total grams of fiber in each serving.
DRINK LOTS OF WATER
Your body works better when it has the water it needs. Drinking enough water can help fill your stomach and make you feel less hungry. And water is needed to keep your digestive system working smoothly, especially if you begin to eat more fiber. Drinking more water won't make you gain "water weight." In fact, the more water you drink, the less likely your body is to retain water. Try to drink eight or more 8-ounce glasses of water every day. Instead of plain water, you can make some of your glasses no-calorie, no-caffeine flavored water, carbonated water, or herbal tea.
EXERCISE AND ACTIVITY
Exercise burns calories. It helps build muscle to make your body stronger. And studies show that people who exercise are the most likely to lose weight and keep it off. Use the information that follows to make exercise part of your weight-management plan.
THE BENEFITS OF EXERCISE
There are many reasons to add some exercise to your daily schedule. Here are some of the many benefits of exercise:
Exercise burns calories. The more calories you burn, the less likely you are to gain weight and the more likely you are to lose it.
Exercise increases your metabolism (the speed at which your body burns calories).
Regular exercise may increase the amount of muscle in your body. Muscle burns calories faster than fat. So the more muscle you have, the more calories you burn.
Regular exercise helps your body work better.
Regular exercise gives you more energy and curbs your appetite.
Exercise decreases stress and can improve your mood.
Exercise helps you sleep better.
MAKE ACTIVITY PART OF YOUR DAY
You may not think you have the time to exercise. But
you can work activity into your daily life. Take 10 minutes out of your lunch hour to take a walk. Walk to the newsstand to get your paper instead of having it delivered. Make it a habit to take the stairs instead of the elevator. Make it fun, too. Take a resistance-training or aerobics class with a friend, ride a bike, walk the dog, or join a team sport.
STICK WITH IT
The key is to stay motivated all along the way. There are things you can do to keep yourself on the path to success.
Remind yourself of your goals. Post them near the refrigerator or desk.
Make daily entries in your diary or journal about your activity and eating. A visual reminder of success, like a gold star, can help keep you going.
Every week, take time to look back on how much you've accomplished.
Try taking a class. It can help you learn new skills and meet new people. You might try a low-fat-cooking class or yoga class. Don't be hard on yourself or give up if you slip. Be patient. Learning new skills takes time and practice. Learn from your mistakes and adjust your plan if you need to. Then get right back to it. If you believe you can do it, you will.
This atricle was taken from:
http://www.healthtoday.net/sect_channels1.cfm?ID=816&category=Wellness%20Zone§ion=Channels
Strike out stress. By Vaninna Tenorio-Davidon
Everybody gets stressed. Stress can come when you are doing a simple everyday task, such as trying to get a taxicab during rush hour or beating a deadline at work. It can also come during really grave times, when you are resolving a marital conflict or about to lose a loved one.
The lucky ones among us get through their days cheerfully despite the stress. Others are so overwhelmed by it that they cannot function normally.
Many situations create tension and pressure in our lives. The secret is to know how to better
cope with them.
Various stress formsDr. Bernardino Vicente, director of the National Center for Mental Health in Mandaluyong City, Philippines, says the first step is to know the various forms of these stressors.
Normal, serious
Normal garden-variety stressors include eustress, a productive kind of stress. The pressure parents exert on a child to study is an example. "Parents frequently admonish their children to study more or promise him a bike if he gets good grades--that pressure on the child is productive stress," says Vicente.
Serious but unproductive forms of stress. Examples include losing your job or a death in the family.
Internal, external
Internal stress is psychological. Says Vicente: "[It's up to you.] Your doctor says you have goiter and you may have to undergo an operation. Even if it is not yet confirmed, just the thought of going under the knife already stresses you."
External stressors are evident, such as when you are hurrying to work and get a flat tire. Driving in Manila can be stressful; so is going to malls on weekends.
Based on origins
Biological stressors are illnesses like colds, cough or flu, or changes in the body such as during pregnancy.
Environmental factors, such as air and noise pollutants, can be stressors. A high level of lead in the air may cause road rage, according to Vicente.
Social stress results from interaction with people, such as constant rejection by others, or achieving popularity but always finding yourself talked about negatively.
Personal circumstances and standards, like having financial problems or believing you are unattractive, are great stressors. Your boss may just want a one-page report, but because you expect much of yourself, you become stressed by the assignment.
Traumatic stresses are life-threatening or life-changing situations: seeing a relative die in a traumatic way, being kidnapped or experiencing disaster. "We've seen this kind of stress in Bicol [a southern region in the Philippines], where people get flashbacks of what happened when the supertyphoons hit their homes," says Vicente. "This may cause post-traumatic stress disorders and have a long-lasting effect on people."
Workplace stressThe most prevalent stressors come from the workplace: long working hours, deadlines, unusual demands from bosses.
The nature of one's work also determines how stressful the job is. "Rescue and emergency workers, police officers, surgeons--these [people] are all [exposed to] very stressful work," says Vicente.
Some big stressors are easier to handle, while small stressors that people sometimes take for granted can cause injury. Often, if left unmanaged, stressful events pile up and lead to chronic fatigue syndrome, also known as burnout or overstress.
Chronic fatigue syndromeChronic fatigue syndrome is similar to depression. "A person suffering from the syndrome is often tired and [no] drive," relates Vicente.
"One symptom of burnout is a change in values. You see this in government agencies, where there is too much frustration in the bureaucracy," he adds. "Employees lose their initiative and idealism. They just go through the motions of working."
Constant stress also manifests physically, says Vicente. "Many illnesses, like asthma, migraines, ulcers and certain skin disorders, are exacerbated or made worse by stress."
The notion that too much stress can kill also has basis. "There are people with what is called a cardiac personality--aggressive, hostile, very competitive," says Vicente. "Because they want to do a lot of things in a short period of time and their lifestyle is very stressful, there is often that possibility of a heart attack."
This article was taken from:
http://www.healthtoday.net/sect_channels1.CFM?ID=902&category=Wellness%20Zone§ion=Channels
The lucky ones among us get through their days cheerfully despite the stress. Others are so overwhelmed by it that they cannot function normally.
Many situations create tension and pressure in our lives. The secret is to know how to better
cope with them.
Various stress formsDr. Bernardino Vicente, director of the National Center for Mental Health in Mandaluyong City, Philippines, says the first step is to know the various forms of these stressors.
Normal, serious
Normal garden-variety stressors include eustress, a productive kind of stress. The pressure parents exert on a child to study is an example. "Parents frequently admonish their children to study more or promise him a bike if he gets good grades--that pressure on the child is productive stress," says Vicente.
Serious but unproductive forms of stress. Examples include losing your job or a death in the family.
Internal, external
Internal stress is psychological. Says Vicente: "[It's up to you.] Your doctor says you have goiter and you may have to undergo an operation. Even if it is not yet confirmed, just the thought of going under the knife already stresses you."
External stressors are evident, such as when you are hurrying to work and get a flat tire. Driving in Manila can be stressful; so is going to malls on weekends.
Based on origins
Biological stressors are illnesses like colds, cough or flu, or changes in the body such as during pregnancy.
Environmental factors, such as air and noise pollutants, can be stressors. A high level of lead in the air may cause road rage, according to Vicente.
Social stress results from interaction with people, such as constant rejection by others, or achieving popularity but always finding yourself talked about negatively.
Personal circumstances and standards, like having financial problems or believing you are unattractive, are great stressors. Your boss may just want a one-page report, but because you expect much of yourself, you become stressed by the assignment.
Traumatic stresses are life-threatening or life-changing situations: seeing a relative die in a traumatic way, being kidnapped or experiencing disaster. "We've seen this kind of stress in Bicol [a southern region in the Philippines], where people get flashbacks of what happened when the supertyphoons hit their homes," says Vicente. "This may cause post-traumatic stress disorders and have a long-lasting effect on people."
Workplace stressThe most prevalent stressors come from the workplace: long working hours, deadlines, unusual demands from bosses.
The nature of one's work also determines how stressful the job is. "Rescue and emergency workers, police officers, surgeons--these [people] are all [exposed to] very stressful work," says Vicente.
Some big stressors are easier to handle, while small stressors that people sometimes take for granted can cause injury. Often, if left unmanaged, stressful events pile up and lead to chronic fatigue syndrome, also known as burnout or overstress.
Chronic fatigue syndromeChronic fatigue syndrome is similar to depression. "A person suffering from the syndrome is often tired and [no] drive," relates Vicente.
"One symptom of burnout is a change in values. You see this in government agencies, where there is too much frustration in the bureaucracy," he adds. "Employees lose their initiative and idealism. They just go through the motions of working."
Constant stress also manifests physically, says Vicente. "Many illnesses, like asthma, migraines, ulcers and certain skin disorders, are exacerbated or made worse by stress."
The notion that too much stress can kill also has basis. "There are people with what is called a cardiac personality--aggressive, hostile, very competitive," says Vicente. "Because they want to do a lot of things in a short period of time and their lifestyle is very stressful, there is often that possibility of a heart attack."
This article was taken from:
http://www.healthtoday.net/sect_channels1.CFM?ID=902&category=Wellness%20Zone§ion=Channels
Understanding asthma. By Dr. Sonia J. Silos
A good friend of mine in his mid-30s has had asthma since childhood. He tells me that his attacks since then have been few and far between, but that they come at the most inopportune moments. He says, "It has reminded me of its presence at the worst times: when I am elated, when I exert myself physically or at the tail end of the flu."
Yes, living with asthma is difficult but it doesn't have to be that way. The first step is learning about the disease and how it affects you. This will help you better understand how to treat, manage and, ultimately, control asthma.
What is asthma?Asthma is an inflammatory disease of the lungs and its airways. It affects adults and children alike, but asthma in children is different, explains Dr. Agnes Sebastian-Sanchez, pediatric pulmonologist at the Victor R. Potenciano Medical Center and the Healthway Medical Clinics (both in the Philippines). "Children have smaller airways so the symptoms are exaggerated, particularly in younger kids."
Asthma is a chronic condition characterized by acute attacks. These attacks are caused by hyperreactive airways, which produce increased mucus, then subsequently tighten and narrow, causing airway obstruction. All these bring about the common asthma symptoms of coughing, wheezing, and shortness of breath.
But what exactly causes the airways to hyperreact? There are numerous asthma triggers and each individual has his own particular trigger. Once you identify what sets off your asthma attack, you can begin to avoid or limit your exposure to them.
Dr. Rommel Tipones, adult pulmonologist at the National Kidney and Transplant Institute in the Philippines and the Healthway Medical Clinics, shares these handy tools for controlling asthma triggers.
Quit smoking. Ban smoking inside your home.
Keep furry pets out of your home.
Keep doors and windows closed to control the entry of outdoor allergens. Air-conditioning, although expensive, will help.
Remove stuffed animals, carpeting, curtains, or anything that collects dust, from the bedroom. Cover your mattresses and pillows with airtight covers.
Get a flu shot each year. These are safe for adults and children over 3.
Drugs definedAsthma medications can either be inhaled or swallowed (systemic medication). Tipones says inhaled medications are preferred because they deliver the drug direct to the airways, decreasing any side effects that affect the whole body (systemic effects). Medications are classified into relievers, which help stop attacks once they start, and controllers, which help prevent attacks from starting.
Relievers consist of bronchodilators, which keep the airways open, allowing you to breathe during an attack. Inhaled bronchodilators in the proper dose and frequency are very effective. It is the one medication that every asthmatic should have handy wherever he goes. Inhaled bronchodilators are the medication of choice for exercise-induced asthma and are the only medication that those with mild asthma will ever need.
Systemic bronchodilators, although equally effective, have more associated side effects and so are not frequently used. Side effects include a rapid heartbeat, nausea and vomiting, indigestion, dizziness, irritability and difficulty sleeping. When these occur, tell your doctor immediately.
Controllers are anti-inflammatory medications that reduce the swelling of airways and their mucus production. There are different types, including the ever-popular corticosteroids. These are recommended for daily use and are safe and highly effective for long-term therapy. But remember that they have to be used regularly and consistently for maximum effect.
Inhaled corticosteroids are the most frequently used controller medication, but they require spacer devices to avoid side effects such as throat infections. Systemic steroids are only given for severe, uncontrolled asthma. They are extremely effective but can cause serious side effects with prolonged use. Among the many side effects are weight gain, nausea and vomiting, face puffiness and foot swelling, hyperacidity, growth retardation in kids, early cataracts, delayed wound healing and infections.
As such, avoiding their long-term use whenever possible, especially in children, is prudent.
The doctor's roleYour treatment program will usually be individualized because each person's asthma is different. What works for your friend may not work for you. It is the doctor's role to choose the right medication at the right dose for your particular asthma.
After you have been prescribed asthma medicine, see your doctor even when you feel well. Regular checkups can help your doctor ascertain if the medicine is working well for you.
"Generally, improvement should be seen within a month of starting treatment," Tipones points out. It is vital for your doctor to know if:
You are taking more than the usual recommended dose.
You have symptoms at night and have trouble sleeping.
Your daytime symptoms are increasing.
These things signal that your treatment program is not working, and a change of medication or additional medicine might be needed.
Asthma and youFinally, successful asthma management relies heavily on you as the patient. Everyone with asthma has a responsibility to learn everything about the condition.
Know your symptoms and what to do about them. During an attack, knowing the signals that precede it is vital, especially in young children, who usually can't report what they feel. Your job as a parent is to spot those early signs to ward off a severe attack. Be alert for cough especially at night, noisy, irregular breathing, wheezing, flaring nostrils and pursed-lip breathing.
Learn about your medication and how it works. Inhaled bronchodilators relieve symptoms quickly. They take effect within five to 10 minutes, when symptoms should start abating. The earlier treatment is given, the less medicine you'll need to control the attack. It is best to give treatment within five minutes of an attack.
Discover what your triggers are and work hard to avoid or control them.
Complete control of all your triggers is impossible, but you can decrease the frequency and severity of attacks. For instance, those with exercise-induced asthma need not curb their sports activities; they may be advised to take medication instead before engaging in strenuous activity.
Swimming has long been touted as the best exercise for asthmatics. Sebastian-Sanchez says, "Children can benefit from swimming because it teaches proper breathing techniques and there are less environmental triggers associated with it."
Take your med exactly as prescribed, even when you feel well. With controller medicine, the effects are not evident immediately. It takes a few weeks for them to work. For this reason, some people discontinue medication because they deem it unnecessary or see no attack forthcoming.
To control your asthma continuously and permanently, you must adhere to the treatment exactly as the doctor recommends. "Asthma management requires a partnership between the patient, his family and their doctor," Sebastian-Sanchez stresses. Asthma can last a lifetime and can even be life threatening, but if you manage it properly, it is almost always controllable.
The add. to this article:
http://www.healthtoday.net/main_section.CFM?ID=899§ion=FEATURES
Yes, living with asthma is difficult but it doesn't have to be that way. The first step is learning about the disease and how it affects you. This will help you better understand how to treat, manage and, ultimately, control asthma.
What is asthma?Asthma is an inflammatory disease of the lungs and its airways. It affects adults and children alike, but asthma in children is different, explains Dr. Agnes Sebastian-Sanchez, pediatric pulmonologist at the Victor R. Potenciano Medical Center and the Healthway Medical Clinics (both in the Philippines). "Children have smaller airways so the symptoms are exaggerated, particularly in younger kids."
Asthma is a chronic condition characterized by acute attacks. These attacks are caused by hyperreactive airways, which produce increased mucus, then subsequently tighten and narrow, causing airway obstruction. All these bring about the common asthma symptoms of coughing, wheezing, and shortness of breath.
But what exactly causes the airways to hyperreact? There are numerous asthma triggers and each individual has his own particular trigger. Once you identify what sets off your asthma attack, you can begin to avoid or limit your exposure to them.
Dr. Rommel Tipones, adult pulmonologist at the National Kidney and Transplant Institute in the Philippines and the Healthway Medical Clinics, shares these handy tools for controlling asthma triggers.
Quit smoking. Ban smoking inside your home.
Keep furry pets out of your home.
Keep doors and windows closed to control the entry of outdoor allergens. Air-conditioning, although expensive, will help.
Remove stuffed animals, carpeting, curtains, or anything that collects dust, from the bedroom. Cover your mattresses and pillows with airtight covers.
Get a flu shot each year. These are safe for adults and children over 3.
Drugs definedAsthma medications can either be inhaled or swallowed (systemic medication). Tipones says inhaled medications are preferred because they deliver the drug direct to the airways, decreasing any side effects that affect the whole body (systemic effects). Medications are classified into relievers, which help stop attacks once they start, and controllers, which help prevent attacks from starting.
Relievers consist of bronchodilators, which keep the airways open, allowing you to breathe during an attack. Inhaled bronchodilators in the proper dose and frequency are very effective. It is the one medication that every asthmatic should have handy wherever he goes. Inhaled bronchodilators are the medication of choice for exercise-induced asthma and are the only medication that those with mild asthma will ever need.
Systemic bronchodilators, although equally effective, have more associated side effects and so are not frequently used. Side effects include a rapid heartbeat, nausea and vomiting, indigestion, dizziness, irritability and difficulty sleeping. When these occur, tell your doctor immediately.
Controllers are anti-inflammatory medications that reduce the swelling of airways and their mucus production. There are different types, including the ever-popular corticosteroids. These are recommended for daily use and are safe and highly effective for long-term therapy. But remember that they have to be used regularly and consistently for maximum effect.
Inhaled corticosteroids are the most frequently used controller medication, but they require spacer devices to avoid side effects such as throat infections. Systemic steroids are only given for severe, uncontrolled asthma. They are extremely effective but can cause serious side effects with prolonged use. Among the many side effects are weight gain, nausea and vomiting, face puffiness and foot swelling, hyperacidity, growth retardation in kids, early cataracts, delayed wound healing and infections.
As such, avoiding their long-term use whenever possible, especially in children, is prudent.
The doctor's roleYour treatment program will usually be individualized because each person's asthma is different. What works for your friend may not work for you. It is the doctor's role to choose the right medication at the right dose for your particular asthma.
After you have been prescribed asthma medicine, see your doctor even when you feel well. Regular checkups can help your doctor ascertain if the medicine is working well for you.
"Generally, improvement should be seen within a month of starting treatment," Tipones points out. It is vital for your doctor to know if:
You are taking more than the usual recommended dose.
You have symptoms at night and have trouble sleeping.
Your daytime symptoms are increasing.
These things signal that your treatment program is not working, and a change of medication or additional medicine might be needed.
Asthma and youFinally, successful asthma management relies heavily on you as the patient. Everyone with asthma has a responsibility to learn everything about the condition.
Know your symptoms and what to do about them. During an attack, knowing the signals that precede it is vital, especially in young children, who usually can't report what they feel. Your job as a parent is to spot those early signs to ward off a severe attack. Be alert for cough especially at night, noisy, irregular breathing, wheezing, flaring nostrils and pursed-lip breathing.
Learn about your medication and how it works. Inhaled bronchodilators relieve symptoms quickly. They take effect within five to 10 minutes, when symptoms should start abating. The earlier treatment is given, the less medicine you'll need to control the attack. It is best to give treatment within five minutes of an attack.
Discover what your triggers are and work hard to avoid or control them.
Complete control of all your triggers is impossible, but you can decrease the frequency and severity of attacks. For instance, those with exercise-induced asthma need not curb their sports activities; they may be advised to take medication instead before engaging in strenuous activity.
Swimming has long been touted as the best exercise for asthmatics. Sebastian-Sanchez says, "Children can benefit from swimming because it teaches proper breathing techniques and there are less environmental triggers associated with it."
Take your med exactly as prescribed, even when you feel well. With controller medicine, the effects are not evident immediately. It takes a few weeks for them to work. For this reason, some people discontinue medication because they deem it unnecessary or see no attack forthcoming.
To control your asthma continuously and permanently, you must adhere to the treatment exactly as the doctor recommends. "Asthma management requires a partnership between the patient, his family and their doctor," Sebastian-Sanchez stresses. Asthma can last a lifetime and can even be life threatening, but if you manage it properly, it is almost always controllable.
The add. to this article:
http://www.healthtoday.net/main_section.CFM?ID=899§ion=FEATURES
Friday, November 23, 2007
What is Diabetes?
So you've heard the term "diabetes," but what is diabetes? Diabetes is a hormone abnormality that occurs in people all over the world. Normal bodies produce and recognize the hormone insulin, which regulates blood sugar levels and helps breakdown sugar that enters the body. A person with diabetes either doesn't produce insulin or their body doesn't interact correctly with the insulin that it produces.
There are two types of diabetes. Those with Type 1 diabetes do not produce insulin. Type 1 diabetes is usually found when the diabetes sufferer is young.
Type 2 diabetes is the most common type of diabetes. Those with Type 2 diabetes either don't produce enough insulin or their body ignores the insulin. Type 2 diabetes can be diagnosed at any time in a person's life. It's also more common in some groups than in others. For example, African Americans are more susceptible to Type 2 diabetes than Caucasians.
Diabetes can lead to a lot of physical complications. For example, it can lead to blindness, heart disease, kidney disease, nerve damage, amputation or death. Though these problems are real and scary, there are millions of diabetics who live long, healthy, happy lives. The key to staying healthy is understanding the disease and taking steps to minimize the negative effects of the disease.
How Do I Know if I Have Diabetes?
The only surefire way to know if you have diabetes is if you go to your doctor and get a blood test. However, there are some outward symptoms that could mean you have diabetes. For example, extreme thirst, irritability, fatigue and dizziness are all signs of diabetes. The problem with such vague symptoms is that they can mean you have any number of different medical problems. To be sure, go to your doctor and tell him or her all of your symptoms. If diabetes runs in your family you should be especially cognizant of these symptoms.
Coping with Diabetes Though no one wants diabetes, it is one disease that people can live with for a very, very long time. After you're diagnosed with diabetes, your doctor will set up a care plan for you. This will include sugar regulation and dietary modifications. The best way to learn what diabetes is, is by communicating with your doctor.
TheWiseDiabetic.com is the premier diabetes information source online. We have articles on everything from maintaining a normal blood sugar level to the pros and cons of diabetic diets.
Article Source: http://EzineArticles.com/?expert=Michael_Dinsmore
There are two types of diabetes. Those with Type 1 diabetes do not produce insulin. Type 1 diabetes is usually found when the diabetes sufferer is young.
Type 2 diabetes is the most common type of diabetes. Those with Type 2 diabetes either don't produce enough insulin or their body ignores the insulin. Type 2 diabetes can be diagnosed at any time in a person's life. It's also more common in some groups than in others. For example, African Americans are more susceptible to Type 2 diabetes than Caucasians.
Diabetes can lead to a lot of physical complications. For example, it can lead to blindness, heart disease, kidney disease, nerve damage, amputation or death. Though these problems are real and scary, there are millions of diabetics who live long, healthy, happy lives. The key to staying healthy is understanding the disease and taking steps to minimize the negative effects of the disease.
How Do I Know if I Have Diabetes?
The only surefire way to know if you have diabetes is if you go to your doctor and get a blood test. However, there are some outward symptoms that could mean you have diabetes. For example, extreme thirst, irritability, fatigue and dizziness are all signs of diabetes. The problem with such vague symptoms is that they can mean you have any number of different medical problems. To be sure, go to your doctor and tell him or her all of your symptoms. If diabetes runs in your family you should be especially cognizant of these symptoms.
Coping with Diabetes Though no one wants diabetes, it is one disease that people can live with for a very, very long time. After you're diagnosed with diabetes, your doctor will set up a care plan for you. This will include sugar regulation and dietary modifications. The best way to learn what diabetes is, is by communicating with your doctor.
TheWiseDiabetic.com is the premier diabetes information source online. We have articles on everything from maintaining a normal blood sugar level to the pros and cons of diabetic diets.
Article Source: http://EzineArticles.com/?expert=Michael_Dinsmore
What Every Diabetic Needs to Know for Maintaining a Truly Healthy Diet
It was amazingly disappointing to see that the American Diabetes Association refers diabetics to the food pyramid for dietary and cooking advice. This simplistic, and in recent times, often challenged accuracy of the food pyramid is not at all suitable as the be-all, end-all guide to a diabetic diet. There are important eating tips every diabetic should know in order to live a long healthy life with diabetes.
The basics of a diabetic diet are simple: AVOID SUGAR
This well known aspect of a diabetic diet is usually taken to mean avoid candy, desserts, chocolate and other sinful sweets.
The truth is that avoiding sugar is much more complicated than that.
Here are some things the good old food pyramid doesn't tell you:
Here is the best food pyramid for a diabetic:
More Vegetables and ProteinsLight on the Fats and DairyEven Less Sugars and Starches
Think all fruit and vegetable are created equal?
There are fruits and vegetables that are naturally higher in sugars than others. Eating more of the lower sugar fruits and vegetables as part of a diabetic diet is a healthier choice, especially as a long term habit.
High Sugar Fruits
There are fruits that are naturally more high in sugar than others.
These high sugar fruits include: BananasGrapesMangosStrawberriesWatermelon
Better fruits to eat are:Cantaloupe HoneydewApplesBerries - blueberries, raspberries and blackberries
Make sure to buy fresh fruit, organic is best. Never buy canned fruits or dried fruit. They are loaded with artificial sugars and syrups.
Sugary Vegetables, Really?There are vegetables which are very high in sugar. Really. Please don't misunderstand that any vegetables are good and much better than candy, cakes and desserts, but there are better fruit choices than others.
These high sugar vegetables include:CornCarrotsBeatsSweet PotatoesTomatoesRed Peppers
Better vegetable choices are:Green veggies - green beans, spinach, lettuce (anything but iceberg lettuce), zucchiniSquashAsparagusBroccoliCauliflower
Carbs are Secretly a Sugars
Most people are not aware that carbohydrates (carbs) are just as bad as "sugars". Carbohydrates when broken down in the body become sugars. So, is there really a difference. Not really. A diabetic must assimilate and process carbs just as he would need to process sugar, with insulin, which a diabetic is lacking.
Carbs have managed to work themselves into our daily diets too well. Consider the carbs "wrapping" on most foods you eat. Open up the wrapping and just eat what is inside.
For Example, remove "wrapping" such as:Hamburger and hot bug bunsTortillasSliced breads or rolls
Try to avoid complex carbs such as:ChipsCrackersPretzelsMuffins, cakes, dounuts and sweet breadsLoafs of bread (Sprouted grain bread is OK)
Better carb choices are:Potatoes (buy small red potatoes instead of large brown potatoes)Rice (basmati rice is best, but brown rice is ok)Sprouted grains (Ezekiel makes sprouted grain breads and cereals)
Education about the foods you eat and their real content and contribution to your diet is key to maintaining a long and healthy life.
Making smart food choices now and establishing healthy eating choices that become a lifestyle is the best thing a diabetic can do. So start making smart diabetic diet choices now!
Nicole Anderson offer Free information and FREE DIABETIC RECIPES at Diabeitc-Food-Recipes.com. Download free recipes and get great cooking tips!
Article Source: http://EzineArticles.com/?expert=Nicloe_Anderson
The basics of a diabetic diet are simple: AVOID SUGAR
This well known aspect of a diabetic diet is usually taken to mean avoid candy, desserts, chocolate and other sinful sweets.
The truth is that avoiding sugar is much more complicated than that.
Here are some things the good old food pyramid doesn't tell you:
Here is the best food pyramid for a diabetic:
More Vegetables and ProteinsLight on the Fats and DairyEven Less Sugars and Starches
Think all fruit and vegetable are created equal?
There are fruits and vegetables that are naturally higher in sugars than others. Eating more of the lower sugar fruits and vegetables as part of a diabetic diet is a healthier choice, especially as a long term habit.
High Sugar Fruits
There are fruits that are naturally more high in sugar than others.
These high sugar fruits include: BananasGrapesMangosStrawberriesWatermelon
Better fruits to eat are:Cantaloupe HoneydewApplesBerries - blueberries, raspberries and blackberries
Make sure to buy fresh fruit, organic is best. Never buy canned fruits or dried fruit. They are loaded with artificial sugars and syrups.
Sugary Vegetables, Really?There are vegetables which are very high in sugar. Really. Please don't misunderstand that any vegetables are good and much better than candy, cakes and desserts, but there are better fruit choices than others.
These high sugar vegetables include:CornCarrotsBeatsSweet PotatoesTomatoesRed Peppers
Better vegetable choices are:Green veggies - green beans, spinach, lettuce (anything but iceberg lettuce), zucchiniSquashAsparagusBroccoliCauliflower
Carbs are Secretly a Sugars
Most people are not aware that carbohydrates (carbs) are just as bad as "sugars". Carbohydrates when broken down in the body become sugars. So, is there really a difference. Not really. A diabetic must assimilate and process carbs just as he would need to process sugar, with insulin, which a diabetic is lacking.
Carbs have managed to work themselves into our daily diets too well. Consider the carbs "wrapping" on most foods you eat. Open up the wrapping and just eat what is inside.
For Example, remove "wrapping" such as:Hamburger and hot bug bunsTortillasSliced breads or rolls
Try to avoid complex carbs such as:ChipsCrackersPretzelsMuffins, cakes, dounuts and sweet breadsLoafs of bread (Sprouted grain bread is OK)
Better carb choices are:Potatoes (buy small red potatoes instead of large brown potatoes)Rice (basmati rice is best, but brown rice is ok)Sprouted grains (Ezekiel makes sprouted grain breads and cereals)
Education about the foods you eat and their real content and contribution to your diet is key to maintaining a long and healthy life.
Making smart food choices now and establishing healthy eating choices that become a lifestyle is the best thing a diabetic can do. So start making smart diabetic diet choices now!
Nicole Anderson offer Free information and FREE DIABETIC RECIPES at Diabeitc-Food-Recipes.com. Download free recipes and get great cooking tips!
Article Source: http://EzineArticles.com/?expert=Nicloe_Anderson
Advantages of circumcision
In the ancient time, people did circumcise for a various reasons, for example, health, cleanliness, fertility and as a symbol of “the excision of all superfluous and excessive pleasures”. [1]
It is proven that circumcision prevent the cancer of the penis. Complete circumcision in the first three years of life completely prevents this disease and a lesser degree of protection is afforded if circumcision is incomplete or done later in life. It also prevents cancer of the prostate gland. [2]
It is also hygienic, delays orgasm, reduces the risk of getting HIV. [3]
In Malaysia, the prime minister’s religious affairs adviser has suggested that circumcision can bring Malaysians of all races and religions together. Dr Abdul Hamid Othman said that there was growing popularity of circumcision among the country’s non-Muslims minorities who see it as good hygienic practice. He suggested the usage of mass circumcision to promote racial harmony.
In reference to the above issue, the same practice also being carried out by the Africans in the Kenya. The group circumcisions are brought carried out in the outdoor, by traditionally trained circumciser. All the boys are circumcised at the same time using one of the traditional techniques. The Chongoria Hospital’s synthesis-seizing the day program is attempting to combine the safe hospital circumcision with the traditional seclusion period, in order to offer Meru youths modern day education reproductive health and life skills. [4]
References:
1. Kozak, LJ; KA Lees, and CJ DeFrances (2006). "National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data." (PDF). Vital Health Statistics 13 (160). Retrieved on 2007-01-30.
2.Sorrells, M. et al., “Fine-Touch Pressure Thresholds in the Adult Penis,” BJU International 99 (2007): 864-869.
3.J. E. Wright. Non-therapeutic circumcision. Medical Journal of Australia, Vol1: 1083-1086, May 1967.
4.Magoha GA. “Circumcision in various Nigerian and Kenyan hospitals.” PMID: 10734511
It is proven that circumcision prevent the cancer of the penis. Complete circumcision in the first three years of life completely prevents this disease and a lesser degree of protection is afforded if circumcision is incomplete or done later in life. It also prevents cancer of the prostate gland. [2]
It is also hygienic, delays orgasm, reduces the risk of getting HIV. [3]
In Malaysia, the prime minister’s religious affairs adviser has suggested that circumcision can bring Malaysians of all races and religions together. Dr Abdul Hamid Othman said that there was growing popularity of circumcision among the country’s non-Muslims minorities who see it as good hygienic practice. He suggested the usage of mass circumcision to promote racial harmony.
In reference to the above issue, the same practice also being carried out by the Africans in the Kenya. The group circumcisions are brought carried out in the outdoor, by traditionally trained circumciser. All the boys are circumcised at the same time using one of the traditional techniques. The Chongoria Hospital’s synthesis-seizing the day program is attempting to combine the safe hospital circumcision with the traditional seclusion period, in order to offer Meru youths modern day education reproductive health and life skills. [4]
References:
1. Kozak, LJ; KA Lees, and CJ DeFrances (2006). "National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data." (PDF). Vital Health Statistics 13 (160). Retrieved on 2007-01-30.
2.Sorrells, M. et al., “Fine-Touch Pressure Thresholds in the Adult Penis,” BJU International 99 (2007): 864-869.
3.J. E. Wright. Non-therapeutic circumcision. Medical Journal of Australia, Vol1: 1083-1086, May 1967.
4.Magoha GA. “Circumcision in various Nigerian and Kenyan hospitals.” PMID: 10734511
Thursday, November 22, 2007
Rosiglitazone-Latest news from FDA
The U.S. Food and Drug Administration announced today that the manufacturer of Avandia (rosiglitazone), a drug used to treat type 2 diabetes, has agreed to add new information to the existing boxed warning in the drug's labeling about potential increased risk for heart attacks.
People with type 2 diabetes who have underlying heart disease or who are at high risk of heart attack should talk with their health care provider about the revised warning as they evaluate treatment options. FDA advises health care providers to closely monitor patients who take Avandia for cardiovascular risks.
"FDA has moved expeditiously to review the cardiovascular risks of this drug so that we could inform patients and doctors at the earliest possible time of our findings," said Janet Woodcock, M.D., FDA's deputy commissioner for scientific and medical programs, chief medical officer, and acting director of the Center for Drug Evaluation and Research. "FDA remains committed to making sure that doctors and patients have the latest information about the risks and benefits of medicines."
Avandia, manufactured by GlaxoSmithKline (GSK), Philadelphia, Pa., was approved in 1999 as an adjunct to diet and exercise to improve control of blood sugar levels. Avandia is approved to be used as a single therapy or used in combination with metformin and sulfonylureas, other oral anti-diabetes treatments.
During the past year, FDA has carefully weighed several complex sources of data, some which show conflicting results, related to the risk of chest pain, heart attacks and heart-related deaths, and deaths from any cause in patients treated with Avandia.
At this time, FDA has concluded that there isn't enough evidence to indicate that the risks of heart attacks or death are different between Avandia and some other oral type 2 diabetes treatments. Therefore, FDA has requested that GSK conduct a new long-term study to evaluate the potential cardiovascular risk of Avandia, compared to an active control agent. GSK has agreed to conduct the study and FDA will ensure it is initiated promptly.
The revision of Avandia's existing boxed warning – FDA's strongest form of warning – includes the following statement:
A meta-analysis of 42 clinical studies (mean duration 6 months; 14,237 total patients), most of which compared Avandia to placebo, showed Avandia to be associated with an increased risk of myocardial ischemic events such as angina or myocardial infarction. Three other studies (mean duration 41 months; 14,067 patients), comparing Avandia to some other approved oral antidiabetic agents or placebo, have not confirmed or excluded this risk. In their entirety, the available data on the risk of myocardial ischemia are inconclusive.
The previous upgraded warning, added to certain diabetes drugs (in class of drugs related to Avandia) on Aug. 14, 2007, emphasized that these types of drugs may worsen heart failure, a condition in which the heart does not adequately pump blood, in some patients. GSK is also developing a Medication Guide for patients to provide additional information about the benefits and risks and safe use of Avandia.
To date, no oral anti-diabetes drug has been conclusively shown to reduce cardiovascular risk. Consequently, the agency also will be requesting that labeling of all approved oral anti-diabetes drugs contain language describing the lack of data showing this benefit.
Today's action follows recommendations made at the July 2007 joint meeting of FDA's Endocrine and Metabolic Drugs and Drug Safety and Risk Management Advisory Committees. At the meeting, members voted 22-1 to recommend that Avandia stay on the market, pending a review of additional data. The committee also advised that information warning of the potential for increased risk of heart attacks should be added to the drug labeling.
For more information:Rosiglitazone maleate (marketed as Avandia, Avandamet, and Avandaryl)
Information www.fda.gov/cder/drug/infopage/rosiglitazone/default.htm
FDA Issues Safety Alert on Avandiawww.fda.gov/bbs/topics/NEWS/2007/NEW01636.html
The above news was taken from:
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01743.html
People with type 2 diabetes who have underlying heart disease or who are at high risk of heart attack should talk with their health care provider about the revised warning as they evaluate treatment options. FDA advises health care providers to closely monitor patients who take Avandia for cardiovascular risks.
"FDA has moved expeditiously to review the cardiovascular risks of this drug so that we could inform patients and doctors at the earliest possible time of our findings," said Janet Woodcock, M.D., FDA's deputy commissioner for scientific and medical programs, chief medical officer, and acting director of the Center for Drug Evaluation and Research. "FDA remains committed to making sure that doctors and patients have the latest information about the risks and benefits of medicines."
Avandia, manufactured by GlaxoSmithKline (GSK), Philadelphia, Pa., was approved in 1999 as an adjunct to diet and exercise to improve control of blood sugar levels. Avandia is approved to be used as a single therapy or used in combination with metformin and sulfonylureas, other oral anti-diabetes treatments.
During the past year, FDA has carefully weighed several complex sources of data, some which show conflicting results, related to the risk of chest pain, heart attacks and heart-related deaths, and deaths from any cause in patients treated with Avandia.
At this time, FDA has concluded that there isn't enough evidence to indicate that the risks of heart attacks or death are different between Avandia and some other oral type 2 diabetes treatments. Therefore, FDA has requested that GSK conduct a new long-term study to evaluate the potential cardiovascular risk of Avandia, compared to an active control agent. GSK has agreed to conduct the study and FDA will ensure it is initiated promptly.
The revision of Avandia's existing boxed warning – FDA's strongest form of warning – includes the following statement:
A meta-analysis of 42 clinical studies (mean duration 6 months; 14,237 total patients), most of which compared Avandia to placebo, showed Avandia to be associated with an increased risk of myocardial ischemic events such as angina or myocardial infarction. Three other studies (mean duration 41 months; 14,067 patients), comparing Avandia to some other approved oral antidiabetic agents or placebo, have not confirmed or excluded this risk. In their entirety, the available data on the risk of myocardial ischemia are inconclusive.
The previous upgraded warning, added to certain diabetes drugs (in class of drugs related to Avandia) on Aug. 14, 2007, emphasized that these types of drugs may worsen heart failure, a condition in which the heart does not adequately pump blood, in some patients. GSK is also developing a Medication Guide for patients to provide additional information about the benefits and risks and safe use of Avandia.
To date, no oral anti-diabetes drug has been conclusively shown to reduce cardiovascular risk. Consequently, the agency also will be requesting that labeling of all approved oral anti-diabetes drugs contain language describing the lack of data showing this benefit.
Today's action follows recommendations made at the July 2007 joint meeting of FDA's Endocrine and Metabolic Drugs and Drug Safety and Risk Management Advisory Committees. At the meeting, members voted 22-1 to recommend that Avandia stay on the market, pending a review of additional data. The committee also advised that information warning of the potential for increased risk of heart attacks should be added to the drug labeling.
For more information:Rosiglitazone maleate (marketed as Avandia, Avandamet, and Avandaryl)
Information www.fda.gov/cder/drug/infopage/rosiglitazone/default.htm
FDA Issues Safety Alert on Avandiawww.fda.gov/bbs/topics/NEWS/2007/NEW01636.html
The above news was taken from:
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01743.html
Efficacy of folic acid supplementation in stroke and coronary artery prevention
Folic acid and folate (the anion form) are forms of the water-soluble Vitamin B9. These occur naturally in food and can also be taken as supplements. [1]
It is a form of supplementation that most commonly being given to people who suffers from anaemia. It is also a common practice in many countries that folic acid supplementation is given to women intending to become pregnant as it has been shown that folic acid supplementation significantly reduced the risk of getting a neural tube defect baby.
Folic acid can be found in leafy vegetables such as spinach and turnip greens, dried beans and peas, fortified cereal products, sunflower seeds and certain other fruits and vegetables. [1]
Here in this topic, adequate concentration of folic acid, and vitamin B12, may decrease the circulating level of homocysteine. There is evidence that an increased homocysteine level in the circulation is an independent risk factor for heart disease and stroke. [2] The evidence suggests that high levels of homocysteine may damage coronary arteries or make it easier for blood clotting cells called platelets to clump together and form a clot. [3]
XiaobinWang et al. found that folic acid supplementation significantly reduced the risk of stroke by 18%. A greater beneficial effect was seen in those trials with a treatment duration of more than 36 months, which shows a decrease in the concentration of homocysteine of more than 20%. [4]
It is being recommended to be given to population living in areas without grain fortifications. In the modern world, we have seen many people practicing low fibers diet. Thus, folic acid and vitamin B12 supplementation is recommended.
References:
[1]http://en.wikipedia.org/wiki/Folic_acid
[2]Refsum H, Ueland PM, Nygard O, Vollset SE. "Homocysteine and cardiovascular disease". Annual Review of Medicine 49 (1): 31-62. 1998.
[3]Malinow MR. "Plasma homocyst(e)ine and arterial occlusive diseases: A mini-review". Clinical Chemistry 41 (1): 173-6. 1995.
[4]XiaobinWang, HienhuiQin et al. Efficacy of folic acid supplementation in stroke prevention: a meta-analysis. Lacet 2007; 369: 1876-83 June, 07
It is a form of supplementation that most commonly being given to people who suffers from anaemia. It is also a common practice in many countries that folic acid supplementation is given to women intending to become pregnant as it has been shown that folic acid supplementation significantly reduced the risk of getting a neural tube defect baby.
Folic acid can be found in leafy vegetables such as spinach and turnip greens, dried beans and peas, fortified cereal products, sunflower seeds and certain other fruits and vegetables. [1]
Here in this topic, adequate concentration of folic acid, and vitamin B12, may decrease the circulating level of homocysteine. There is evidence that an increased homocysteine level in the circulation is an independent risk factor for heart disease and stroke. [2] The evidence suggests that high levels of homocysteine may damage coronary arteries or make it easier for blood clotting cells called platelets to clump together and form a clot. [3]
XiaobinWang et al. found that folic acid supplementation significantly reduced the risk of stroke by 18%. A greater beneficial effect was seen in those trials with a treatment duration of more than 36 months, which shows a decrease in the concentration of homocysteine of more than 20%. [4]
It is being recommended to be given to population living in areas without grain fortifications. In the modern world, we have seen many people practicing low fibers diet. Thus, folic acid and vitamin B12 supplementation is recommended.
References:
[1]http://en.wikipedia.org/wiki/Folic_acid
[2]Refsum H, Ueland PM, Nygard O, Vollset SE. "Homocysteine and cardiovascular disease". Annual Review of Medicine 49 (1): 31-62. 1998.
[3]Malinow MR. "Plasma homocyst(e)ine and arterial occlusive diseases: A mini-review". Clinical Chemistry 41 (1): 173-6. 1995.
[4]XiaobinWang, HienhuiQin et al. Efficacy of folic acid supplementation in stroke prevention: a meta-analysis. Lacet 2007; 369: 1876-83 June, 07
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