EXAMINE YOUR LIFE AND REACH BOTH YOUR WEIGHT-LOSS AND LIFELONG GOALS: ARE YOU LOOKING FOR SOMEONE ELSE TO CHANGE THE CIRCUMSTANCES OF YOUR LIFE?

January 2nd, 2011

EXAMINE YOUR LIFE AND REACH BOTH YOUR WEIGHT-LOSS AND LIFELONG GOALS: ARE YOU LOOKING FOR SOMEONE ELSE TO CHANGE THE CIRCUMSTANCES OF YOUR LIFE?
People are naturally drawn to gurus and other charismatic leaders because we are looking for someone to guide us, solve our problems, or protect us. Similarly, when people look for love, often they’re really looking for social acceptance, because being part of a couple is society’s ideal. Half the single people in America hate being single because of how others perceive them. “You’re thirty-five and single?” others ask, implying that there’s something wrong with you. When I grew up in West Virginia, if you were over twenty-five and single, you were pronounced either dysfunctional, incorrigible, or too ugly for anyone to want to be with. No one ever considered that you might not want to be married. We, as a society, have very strict standards about what we will and will not accept.
Sometimes we are terrified of being alone because we equate being alone with loneliness. We assume there’s a void and that the void can be filled by a warm body. We embark on a relationship looking for the other person to absolve us of our loneliness and insecurity. And most of the time, these relationships fail, because only you can change your set of circumstances.
Instead of looking to someone else to improve your self-esteem or infuse your life with purpose, try looking to yourself first. After all, no one knows better than you what you need. Only when you are a whole and satisfied person will you be able to have healthy, fulfilling relationships with those around you.
*293\257\8*

WOMEN’S PROBLEMS: THE PROBLEMS OF INFERTILITY

December 30th, 2010

‘We’ve been married now for more than a year, and I’m still not pregnant,’ Nola said with a sigh. ‘Something serious must be wrong, for most of our friends became pregnant within a few months of trying.’ She gave me a resigned look, as if there was nothing left in life.
‘Don’t despair,’ I answered. ‘You have plenty of other friends, whether you know it or not, who are in exactly the same position.’
‘Oh I’ said Nola, brightening a little. ‘I thought Tom and I were a couple of Robinson Crusoes.’
‘Not really. In fact, about ten per cent of marriages fail to reproduce. When you consider there about 100000 weddings each year in Australia, that means that about 10000 of these will go through their married life without the patter of little feet—unless, of course, they can adopt a baby.’
‘Interesting … But it doesn’t solve my problem. Or rather, our problem. We’re desperately keen to have a family. I only took the pill for a few months while we settled down after the wedding. Then, it was the hope of both of us that I’d become pregnant, and we’d be on our way, the family way.
‘So, here I am. What’s more, Tom is willing and ready to go along with any special tests or whatever you advise.’
“I’m glad to hear that,’ I answered. ‘So often the male partner prefers not to become involved. He thinks it is a slur on his manliness, or something. Which, of course, it’s not.’
So the interview wound on. It was typical of many discussions between women and their doctors. It’s a strange world: whilst enormous numbers of women are taking precautions not to get pregnant, a significant number have the reverse problem.
Many women regard it as a slur on their femininity. Psychologically they believe that something is fundamentally wrong with them, that they are odd, different, possibly kinky. Utile do they realize that the more they fill their minds with these thoughts of despair and failure, the less likely they are of becoming pregnant.
*42\45\4*

OBESITY IN WOMEN: SOME QUESTIONS ANSWERED

December 2nd, 2010

What is polycystic ovary syndrome (Stein-Leventhal syndrome)?
Polycystic ovary syndrome (PCOS) is a condition in which excess androgen secretion leads to the formation of a number of follicular cysts within the ovary. These are detectable on ultrasound examination. The ovaries might be enlarged, with thickened capsules, or normal sized. The presenting features vary but may include amenorrhoea, infertility, hirsutism, obesity (although patients may be of normal weight) and irregular, profuse menstrual bleeding. The hormonal findings usually demonstrate raised levels of luteinizing hormone (LH), a constant, low-to-normal level of follicle-stimulating hormone (FSH) and high levels of circulating androgens. Complications can arise from high unopposed oestrogen levels, including endometrial hyperplasia and metrorrhagia, and rarely, endometrial carcinoma.

What is the treatment for PCOS?
Treatment is often aimed at reducing these risks by giving oral progestogens, or oral contraceptives, once an endometrial biopsy has been taken to eliminate the risk of endometrial carcinoma. Alternatively, cyproterone acetate, an antiandrogen and progestational agent, can be used to control hirsutism, along with a cyclical oestrogen to induce withdrawal bleeds.
The most distressing complication is often reduced fertility or infertility, which can be treated in specialist clinics with drugs such as clomiphene to induce ovulation. An alternative is spironolactone, which is a diuretic and androgen inhibitor.

What is the connection between PCOS and obesity?
The high circulating levels of insulin found in obese women with the metabolic syndrome stimulate the ovaries to secrete excess levels of testosterone, leading to hirsutism and other androgenic effects. Like oestrogens, androgens are fat soluble and so are absorbed into the adipose tissue until tissue androgen levels are in a state of dynamic equilibrium with levels in the blood. As well as acting as a store for steroid sex hormones, the adipose tissue also changes androgens to oestrogens, a process known as peripheral conversion. The resulting excess oestrogen level interferes with the feedback mechanisms of the hypothalamopituitary axis, disrupting normal reproductive function and the menstrual cycle.
The greater degree of obesity, the more profound is the effect on the ‘normal ovarian function.
*1/312/5*

Аллергия

November 17th, 2010

Условно различают несколько типов аллергических реакций.
Первый тип, реакции немедленного типа, заключается в том, что образовавшиеся под воздействием аллергена антитела (ИгE) – фиксируются на тучных клетках. Затем при повторной встрече аллергена с ИгЕ из клеток освобождаются биологически активные вещества (медиаторы), повреждающие окружающие ткани. К реакциям такого типа относятся: анафилактический шок, крапивница, отёки Квинке, аллергический ринит и конъюнктивит, связанные с повышенной чувствительностью к пыльце и другим аллергенам, бронхиальная астма.
Второй тип реакции характеризуется тем, что здесь аллерген соединяется с тучными клетками, а затем уже ИгЕ соединяются с ними, и происходит повреждение клеток. В этих реакциях могут частично участвовать антитела классов Ж и М. При этом выделяются токсичные для клеток вещества, повреждающие их (цитотоксический тип реакции). Такой цитотоксический тип реакции наблюдается, например, при лекарственной аллергии, когда лекарственным аллергеном повреждаются клетки крови.
Третий тип реакции (иммунокомплексный) отличается тем, что аллергены (лекарственные, пищевые, вирусные и др.), попадая в организм, соединяются с антителами, чаще классов Ж и М, и образуют с ними комплексы – антиген+антитело. Этот комплекс становится фактором, повреждающим многие клетки, из клеток освобождаются медиаторы, главным образом, кинины, и развивается внутрисосудистое аллергическое воспаление с изменениями в окружающих тканях. Третий тип реакции лежит в основе таких заболеваний как системная красная волчанка, альвеолит.
К четвёртому типу реакций относятся аллергические реакции замедленного типа, т.е. те, которые развиваются через 24-48 ч после поступления в организм аллергена. В этих реакциях роль антител берут на себя непосредственно лимфоциты, на которые воздействует аллерген. Эти лимфоциты приобретают возможность соединяться с аллергеном так, что при этом в них образуются и выделяются медиаторы, так называемые лимфокины, оказывающие повреждающее действие на окружающие ткани. Вокруг места поступления аллергена скапливаются лимфоциты, макрофаги и образуются очаги с последующим некрозом и развитием соединительной ткани. Такой тип реакций лежит в основе развития некоторых инфекционно-аллергических заболеваний (инфекционная бронхиальная астма, некоторые формы энцефалитов, нейродермит и др.). Он играет также большую роль в развитии таких заболеваний как туберкулез, проказа, сифилис, а также в развитии реакции отторжения при пересадке органов.
Нужно сказать, что нередко у аллергиков могут комбинироваться сразу несколько типов аллергических реакций. Так, например, при сывороточной болезни могут развиться аллергические реакции и первого, и второго (цитотоксический), и третьего (иммунокомплексный) типов.

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EVENING PRIMROSE OIL AND ATOPIC CONDITIONS (ASTHMA, HAY FEVER, ALLERGIES AND OTHERS)

September 14th, 2010
On the face of it, eczema, asthma, hay fever and allergies all sound like very different conditions. But in fact they have a lot in common – they are all to do with an abnormal body defense system. Doctors call this condition ‘atopy’.
In fact atopy – or a generalized allergic response – can show itself as any or all of a variety of conditions. As many as one in five of the population suffers from some sort of atopy (though this term is virtually unknown by the layman). Atopy is common in patients with ulcerative colitis, Crohn’s disease, ear problems, nasal polyps, and some obstetric problems.
Atopic eczema is closely linked with other atopic conditions like asthma and hay fever, and it is common to find other members of the family suffering from these things. In some ways, atopic eczema behaves like a type of asthma where the patient is a little short-winded virtually all the time and occasionally has real difficulty in breathing. In one person the atopy shows up as eczema, but in another person it might take the form of, say, asthma.
There are several things in common between eczema, asthma, allergies and other atopic conditions:
1. Faulty immune response. It has been known for a long time that people with eczema, asthma and allergies have something wrong with their immune system. There is some speculation that the abnormalities of the immune system in atopic disease are partly secondary consequences of a disordered fatty acid metabolism. If there is a fatty acid abnormality, various parts of the immune system or things which regulate the immune system are badly affected, particularly PGE1 and the T-lymphocytes. The abnormal fatty acid composition found in people with atopic eczema has similarities with cases of respiratory allergy.
2. Faulty enzyme function. Atopic people may have a defect in the delta-6-desaturase enzyme, which is needed to convert linoleic acid to GLA. The fact that evening primrose oil works in atopic eczema means that the enzyme block can be bypassed, which would indicate that a defective enzyme is the guilty party. This may also be the case with other atopic conditions.
The blocking agents are inhibitors of the delta-6-desaturase enzyme. So people with atopic conditions must be more careful about the things which cause disruption to an already defective enzyme system. The main ones are:
•   Trans fatty acids
•   Too much saturated fat
•   Simple sugars
•   Alcohol
•   Catecholamines – hormones released by adrenal glands during stress
Evening primrose oil does nothing to correct the actual defective enzyme. But, by starting at step 2 in the conversion process of linoleic acid, it gives the body enough essential fatty acids for everything to be able to work properly.
So evening primrose oil helps correct the faulty immune system in people with atopic conditions. This is because it converts to PGE1, which stimulates the T-lymphocytes, which play a key role in the immune system. T-suppressor lymphocytes are a type of white blood cell which seem to keep other parts of the immune system under control and which make sure that the immune system first and foremost attacks foreign invaders, like bacteria and viruses, and not the body’s own tissues.
It seems that the T-lymphocytes, especially T-suppressor cells, are faulty in people with atopic conditions. When T-suppressor cells are defective, auto-immune damage often happens.
*18/60/5*

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BARIUM ENEMA

September 14th, 2010
Medical politics and a demarcation dispute lurk beneath the innocent appearing surface of the Barium Sulfate Enema. The use of flexible fibre optic telescopes by gastroenterologists provides a better view of the lower digestive tract than does the Barium Enema.
If Barium studies are still widely requested by general practitioners it is because competition for the Medicare dollar is fierce. Today’s G.P.s want patients in their own surgeries; and not in the waiting rooms of specialist colleagues. Barium studies bring patients back with a packet of X- Rays and a radiologist’s report. Exit the gastroenterologist. The G.P. rules O.K.
Fortunately over the years the volume of barium swallowed by mouth or introduced in to the back passage as an enema by radiologists has been reduced. Furthermore the difference between Barium studies and endoscopy in terms of reliability is not great. In any event most people prefer Barium studies to the traumatic and uncomfortable insertion of an endoscope.
Home Remedies
Before a Barium Enema the patient undergoes a ruthless purge. It is important for the bowel to be clear of faeces for the test to be accurate. That hurdle and the procedure overcome, many patients complain about the Barium in their bowels “setting like concrete”. At this point a less gentle laxative such as coloxyl with senna for a few nights is in order. This combination will clear the bowel of any remaining Barium.
*17/131/5*

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RETARDING THE AGING PROCESS THROUGH THE REMARKABLE NUCLEIC ACIDS

June 1st, 2010
Aging is caused by the degeneration of cells. Our bodies are made up of millions of these cells, each with a life of somewhere around two years or less. But before a cell dies, it reproduces itself. Why, then, you might wonder, shouldn’t we look the same now as we did ten years ago? The reason for this is that with each successive reproduction, the cell goes through some alteration – basically, deterioration. So as our cells change, deteriorate, we grow old.
Dr. Benjamin S. Frank, author of Nucleic Acid Therapy in Aging and Degenerative Disease, has found that deteriorating cells can be rejuvenated if provided with substances that directly nourish them – substances such as nucleic acids.
DNA [deoxyribonucleic acid] and RNA [ribonucleic acid] are our nucleic acids. DNA is essentially a chemical boiler-plate for new cells. It sends out RNA molecules like a team of well-trained workers to form them. When DNA stops giving the orders to RNA, new cell construction ceases – as does life. But by helping the body stay well supplied with nucleic acids, Dr. Frank has found that you can look and feel six to twelve years younger than you actually are.
According to Dr. Frank, we need 1 to 1 1/2 g. of nucleic acid daily. Though the body can produce its own nucleic acids, he feels they are broken down too quickly into less useful compounds and should be supplied from external sources if the aging process is to be retarded, even reversed.
Foods rich in nucleic acids are wheat germ, bran, spinach, asparagus, mushrooms, fish [especially sardines, salmon, and anchovies], chicken liver, oatmeal, and onions. He recommends a diet where seafood is eaten seven times a week, along with two glasses of skimmed milk, a glass of fruit or vegetable juice, and four glasses of water daily.
After only two months of RNA-DNA supplementation and diet, Dr. Frank found that his patients had more energy and that there was a substantial diminution of lines and wrinkles, with healthier, rosier, and younger-looking skin in evidence.
*103/134/5*
GENERAL HEALTH

SOME PRACTICAL ADVICE FOR WIDOWS AND WIDOWERS

June 1st, 2010
Although knowing the research will not ease your suffering, use it to ease your anxiety. If you have strange or frightening sensations they are probably normal, not signs you are going crazy or breaking down. (The exception is strong fantasies of hurting yourself or someone else physically. Then you must get professional help.)
Confidants help. Feel free to lean on as many people as you can. If being alone is very difficult, call someone. But be selective – call someone who will make you feel better, not worse. If you want help with specific things, ask. If you genuinely would prefer to be alone, don’t be too polite to refuse invitations. Let people in on what you need. Give others the chance to be helpful by not forcing them to read your mind.
If you focused your whole life on your husband or wife, don’t let my emphasis on the importance of planning depress you. Most of us are more resilient emotionally than we think. And even when people enter widowhood with everything against them, they often adjust remarkably well.
Don’t have unrealistic expectations about what you should be feeling or when you will be your old self again. Understand that getting back to “relatively normal” can take as long as a few years. Don’t be disappointed if you seem to be getting better one month and the next are overcome by grief. It is not normal to just improve and improve. Everyone takes two steps forward and one back. If possible, plan for the days you know will be difficult: birthdays, your anniversary, Christmas. Would having a friend over help? In the past, what strategies have gotten you through difficult times? Feeling especially vulnerable on special occasions is normal; it would be shocking if nature made us so malleable that we could completely forget.
Make the thirteenth month a time to assess your progress. How were you at the beginning compared with now? What can you do today that you couldn’t do a year ago? In what concrete ways has your pain lessened? You might list what you have accomplished: “doing the taxes; eating in a restaurant alone; stopped crying every night.” And since you may have trouble being objective, ask your family and friends: “How do I seem now compared with the first few months? Do you see signs that I am getting over Jack’s death?”
Most likely, making this assessment will boost your morale. You will realize you are indeed better in many ways, even though you are far from being over your loss. But if it does not, knowing this is important too. Do you still think about your husband twenty-four hours a day? Are your eyes just as red rimmed and about to brim over? Do you feel just as incapable of loving? Are you still wracked by guilt? If more than a year has passed and all of you still seems to have died along with your spouse, consider getting professional help.
Expect some lack of understanding from others. People may get angry because it is more than six months later and you are not reciprocating for all those dinners. They may not realize you still feel too disorganized even to cook for yourself. They may feel hurt because you would rather be alone than go out. You may meet the opposite type of censure: ‘ ‘How dare he insult Mother’s memory by marrying so quickly?” “It’s appalling the way she goes out with different men all the time!”
Friends and family may also pressure you to do things or make decisions, feeling strongly (but wrongly) that it is best not to ”dwell on things.” Out of their natural urge to do something helpful, they may advocate your taking all sorts of concrete actions: selling your house, moving to Florida.
Although ultimately making dramatic changes may be important in building a new life, experts recommend not undertaking any radical life changes during the first six months. People in the midst of grieving are not in a good position to decide how their lives should go. And being widowed itself is a tremendous change; piling on more changes will multiply the stress.
During the first year, take most advice about how you should behave with a grain of salt. There is no single best way to act. The way you are feeling and acting is likely to be best for you. If you prefer to be alone, don’t capitulate to a friend who urges you to keep busier or get out more. Your next friend is likely to counsel, “It’s better to be by yourself to think.” Neither judgment is necessarily right. At the same time, don’t get angry at friends and relatives. You need their support. Educate them.
Try to cultivate at least one sympathetic widowed friend. Talking to another person who has gone through what you are dealing with can be a great relief. And coming from someone who has been there, the platitude “things will get easier” is not empty. It carries real weight.
*102/159/5*
GENERAL HEALTH

YOUR CHILD’S HEALTH CARE/ GENITAL, GROIN AND URINARY TRACT PROBLEMS: BLOOD IN THE URINE (HAEMATURIA) AND ERECTIONS

September 10th, 2009

BLOOD IN THE URINE (HAEMATURIA)

Blood in the urine (haematuria) can be due to many causes, including trauma and infection. If you suspect that your child has blood in his urine (if it is pink, red or brown in colour), see your doctor as soon as possible. Take a specimen of urine with you so that it can be tested for the presence of blood.

ERECTIONS

Erections occur quite often in the newborn and older child and may be the result of a full bladder, or of self-stimulation. In any event it is completely normal for children to have erections. It is important not to tease your child when he has an erection, nor to punish him. Simply pay no special attention to it, and answer any questions from your young son in an honest and matter-of-fact manner.

*363\90\8*

YOUR CHILD’S HEALTH CARE/ GENITAL, GROIN AND URINARY TRACT PROBLEMS: FORESKIN

September 10th, 2009

FORESKIN, HYGIENIC CARE OF THE

In young boys the foreskin covering the glans of the penis is usually not fully retractable until around the age of 4-5 years. Hygiene of the foreskin is very important and should be taught to your son from an early age. A white secretion (smegma) collects between the foreskin and the glans, and should be cleaned away carefully. In babies, gently pull the skin on the shaft of the penis away from the tip — do not do this more than once or twice a week initially, and never use force. Cleanse the area with water only, so that soap does not collect under the foreskin. If you cannot retract the foreskin at all, do not force it; it will gradually loosen up. Teach the older toddler to retract his own foreskin and wash here carefully once a week.

FORESKIN, PROBLEMS WITH THE

The normal penis Four per cent of boys have a retractable foreskin at birth; 50% at 1 year; 80% at 2 years; 90% at 4 years. The cleaning of the penis should be facilitated by gently retracting the foreskin as far as it goes, but never try to pull it back beyond the point where resistance is met.

Phimosis This is when the foreskin opening is very small, often as a result of inflammation, so that retraction of the foreskin is impossible. Sometimes the phimosis is so severe that there is no stream of urine, and it comes out in a dribble. Usually circumcision is necessary.

Paraphimosis This is when the foreskin is retracted and is unable to be returned to its normal position. This condition is often treated by circumcision too. Balanitis This is an inflammation of the foreskin. If it recurs, circumcision is often necessary.

*362\90\8*

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