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Enjoy Life Now

February 6th, 2010


We have never posted an article like this, however if there was ever an exception to promote spiritual and holistic wellness, this is it. 

This is a wonderful piece by Michael Gartner, editor of newspapers large and small and past president of NBC News.  In 1997, he won the Pulitzer Prize for editorial writing.  It is well worth reading, and a few good chuckles are guaranteed.  Here goes….

My father never drove a car.  Well, that’s not quite right.  I should say I never saw him drive a car.

He quit driving in 1927, when he was 25 years old, and the last car he drove was a 1926 Whippet.

“In those days,” he told me when he was in his 90s, “to drive a car you had to do things with your hands, and do things with your feet, and look every which way, and I decided you could walk through life and enjoy it or drive through life and miss it.”

At which point my mother, a sometimes salty Irishwoman, chimed in: “Oh, bull—-! she said.  ”He hit a horse.”

“Well,” my father said, “there was that, too.”

So my brother and I grew up in a household without a car.  The neighbors all had cars — the Kollingses next door had a green 1941 Dodge, the VanLaninghams across the street a gray 1936 Plymouth, the Hopsons two doors down a black 1941 Ford — but we had none.

My father, a newspaperman in Des Moines , would take the streetcar to work and, often as not, walk the 3 miles home.  If he took the streetcar home, my mother and brother and I would walk the three blocks to the streetcar stop, meet him and walk home together.

My brother, David, was born in 1935, and I was born in 1938, and sometimes, at dinner, we’d ask how come all the neighbors had cars but we had none.  ”No one in the family drives,” my mother would explain, and that was that.

But, sometimes, my father would say, “But as soon as one of you boys turns 16, we’ll get one.”  It was as if he wasn’t sure which one of us would turn 16 first.

But, sure enough, my brother turned 16 before I did, so in 1951 my parents bought a used 1950 Chevrolet from a friend who ran the parts department at a Chevy dealership downtown.

It was a four-door, white model, stick shift, fender skirts, loaded with everything, and, since my parents didn’t drive, it more or less became my brother’s car.  Having a car but not being able to drive didn’t bother my father, but it didn’t make sense to my mother.

So in 1952, when she was 43 years old, she asked a friend to teach her to drive.  She learned in a nearby cemetery, the place where I learned to drive the following year and where, a generation later, I took my two sons to practice driving.  The cemetery probably was my father’s idea.  ”Who can your mother hurt in the cemetery?” I remember him saying more than once.

For the next 45 years or so, until she was 90, my mother was the driver in the family.  Neither she nor my father had any sense of direction, but he loaded up on maps — though they seldom left the city limits — and appointed himself navigator..  It seemed to work.

Still, they both continued to walk a lot.  My mother was a devout Catholic, and my father an equally devout agnostic, an arrangement that didn’t seem to bother either of them through their 75 years of marriage.

(Yes, 75 years, and they were deeply in love the entire time.)

He retired when he was 70, and nearly every morning for the next 20 years or so, he would walk with her the mile to St. Augustin’s Church.  She would walk down and sit in the front pew, and he would wait in the back until he saw which of the parish’s two priests was on duty that morning.  If it was the pastor, my father then would go out and take a 2-mile walk, meeting my mother at the end of the service and walking her home.

If it was the assistant pastor, he’d take just a 1-mile walk and then head back to the church.  He called the priests “Father Fast” and “Father Slow.”

After he retired, my father almost always accompanied my mother whenever she drove anywhere, even if he had no reason to go along.  If she were going to the beauty parlor, he’d sit in the car and read, or go take a stroll or, if it was summer, have her keep the engine running so he could listen to the Cubs game on the radio.  In the evening, then, when I’d stop by, he’d explain: “The Cubs lost again.  The millionaire on second base made a bad throw to the millionaire on first base, so the multimillionaire on third base scored.”

If she were going to the grocery store, he would go along to carry the bags out — and to make sure she loaded up on ice cream.  As I said, he was always the navigator, and once, when he was 95 and she was 88 and still driving, he said to me, “Do you want to know the secret of a long life?”

“I guess so,” I said, knowing it probably would be something bizarre.

“No left turns,” he said.

“What?” I asked.

“No left turns,” he repeated.  ”Several years ago, your mother and I read an article that said most accidents that old people are in happen when they turn left in front of oncoming traffic..

As you get older, your eyesight worsens, and you can lose your depth perception, it said.  So your mother and I decided never again to make a left turn.”

“What?” I said again.

“No left turns,” he said.  ”Think about it.  Three rights are the same as a left, and that’s a lot safer  So we always make three rights.”

“You’re kidding!” I said, and I turned to my mother for support.  ”No,” she said, “your father is right.  We make three rights.  It works.”  But then she added: “Except when your father loses count.”

I was driving at the time, and I almost drove off the road as I started laughing.

“Loses count?” I asked.

“Yes,” my father admitted, “that sometimes happens.  But it’s not a problem.  You just make seven rights, and you’re okay again.”

I couldn’t resist.  ”Do you ever go for 11?” I asked.

“No,” he said ” If we miss it at seven, we just come home and call it a bad day.  Besides, nothing in life is so important it can’t be put off another day or another week.”

    My mother was never in an accident, but one evening she handed me her car keys and said she had decided to quit driving.. That was in 1999, when she was 90.

She lived four more years, until 2003.  My father died the next year, at 102.

They both died in the bungalow they had moved into in 1937 and bought a few years later for $3,000.  (Sixty years later, my brother and I paid $8,000 to have a shower put in the tiny bathroom — the house had never had one.  My father would have died then and there if he knew the shower cost nearly three times what he paid for the house.)

He continued to walk daily — he had me get him a treadmill when he was 101 because he was afraid he’d fall on the icy sidewalks but wanted to keep exercising — and he was of sound mind and sound body until the moment he died.

One September afternoon in 2004, he and my son went with me when I had to give a talk in a neighboring town, and it was clear to all three of us that he was wearing out, though we had the usual wide-ranging conversation about politics and newspapers and things in the news.

A few weeks earlier, he had told my son, “You know, Mike, the first hundred years are a lot easier than the second hundred.”  At one point in our drive that Saturday, he said, “You know, I’m probably not going to live much longer.”

“You’re probably right,” I said.

“Why would you say that?”  He countered, somewhat irritated.

“Because you’re 102 years old,” I said..

“Yes,” he said, “you’re right.”  He stayed in bed all the next day.

That night, I suggested to my son and daughter that we sit up with him through the night.

He appreciated it, he said, though at one point, apparently seeing us look gloomy, he said: “I would like to make an announcement.  No one in this room is dead yet”

An hour or so later, he spoke his last words: “I want you to know,” he said, clearly and lucidly, “that I am in no pain.  I am very comfortable.  And I have had as happy a life as anyone on this earth could ever have.”

A short time later, he died.

I miss him a lot, and I think about him a lot  I’ve wondered now and then how it was that my family and I were so lucky that he lived so long.

I can’t figure out if it was because he walked through life, or because he quit taking left turns.

Life is too short to wake up with regrets. 

So love the people who treat you right.  Forget about the one’s who don’t. Believe everything happens for a reason.  If you get a chance, take it & if it changes your life, let it. Nobody said life would be easy, they just promised it would most likely be worth it.

ENJOY LIFE NOW - IT HAS AN EXPIRATION DATE

Soon, Single Shot to Protect Against Rabies

February 5th, 2010


WASHINGTON - A single shot of vaccine might soon be efficient enough to provide protection against rabies, say researchers.

The team led by Dr James McGettigan, assistant professor of Microbiology and Immunology at Jefferson Medical College of Thomas Jefferson University showed that a replication-deficient rabies virus vaccine that lacks a key gene called the matrix (M) gene induced a rapid and efficient anti-rabies immune response in mice and non-human primates.

“The M gene is one of the central genes of the rabies virus, and its absence inhibits the virus from completing its life cycle,” McGettigan said.

“The virus in the vaccine infects cells and induces an immune response, but the virus is deficient in spreading,” he added.

The immune response induced with this process is so substantial that only one inoculation may be sufficient enough to provide protection.

The current standard vaccine is made from inactivated rabies virus, whereas the experimental vaccine is made from a live rabies virus.

The virus is modified by removing the M gene, thus inhibiting its spread within the vaccine recipient.

“Developing countries do not have the resources to vaccinate people six times after exposure, so many of these 10 million do not receive the full regimen,” said McGettigan.

“Therefore, simpler and less expensive vaccine regimens are needed. The alternative may also be to treat people pre-exposure, as they are with many of the current vaccines used,” he added.

The study appears in Journal of Infectious Diseases.

Nano Drug Delivery Helpful in Treating Erectile Dysfunction

February 5th, 2010


NEW YORK - An innovative drug delivery system comprising nanoparticles quickens response in erectile dysfunction (ED), says a new study.

“The response time…was… just a few minutes, which is basically what people want in an ED medication,” said study co-author Kelvin P. Davies.

“In both rats and humans, it can take 30 minutes to one hour for oral ED medications to take effect,” said Davies, associate professor of urology at Albert Einstein College of Medicine.

Besides, “an estimated 30 to 50 percent of men with ED do not respond to oral use of (such) PDE5 inhibitors (class of drugs called phosphodiesterase type 5),” adds Davies.

The new system, after successful testing in rats, could potentially prevent side-effects associated with oral ED medications in humans.

The drug-delivery system, developed by Einstein College scientists, can carry tiny payloads of various drugs or other medically useful substances and release them in a controlled and sustained manner.

That could spell safer and more effective ED therapy for millions of men with heart disease and other health problems affecting erectile function.

Tens of millions of men worldwide have benefited from oral ED medications such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis).

However, these medications - which belong to PDE5 inhibitors - have limitations. They can cause systemic and serious side-effects.

They include headache, facial flushing, nasal congestion, upset stomach, abnormal vision as well as isolated reports of hearing and vision loss.

Men who have recently suffered a heart attack or stroke or have severe heart disease should use these drugs with caution or not at all.

This study was done to evaluate whether the nanoparticles, which have been shown to penetrate the skin, might allow the targeted delivery of compounds that treat ED and thereby avoid the drugs’ systemic effects.

“Most of the animals, nearly 90 percent, showed a response to treatment with the nanoparticles,” says co-author Joel M. Friedman, Einstein College professor of physiology, biophysics, medicine.

Friedman developed the nanoparticles with his son Adam Friedman, chief resident in the division of dermatology at the college.

Clinical studies on humans could begin in a few years if animal studies continue to show that the nanoparticle delivery system is safe and effective, says a college release.

The study was published in the online edition of the Journal of Sexual Medicine.

Multi-Drug Resistant TB on the Rise in Australia

February 5th, 2010


MELBOURNE - Showing that the incidences of multi-drug resistant tuberculosis (MDR-TB) are on the rise, a report has stressed the need for an overhaul of Australia’s TB strategy.

Based on a review of Victorian Health Department data, the report points out that 31 persons were diagnosed with MDR-TB, a mutant strain that is resistant to two of the most effective antibiotics used to treat TB, from 1998 to 2007.

It further reveals that most of the cases occurred in the final few years of the 10-year review window, with seven recorded in each of 2004, 2006 and 2007.

“Our study revealed that there was a clear increase in the number of patients diagnosed with MDR-TB,” the Australian quoted Caroline Lavender, a scientist at the Victorian Infectious Diseases Reference Laboratory, as writing.

“New data available since the completion of our study reveal that the increase … appears to have been sustained in 2008,”

According to the review, the cases of MDR-TB have risen five-fold as a proportion of all TB notifications in Victoria.

In a paper published in the Medical Journal of Australia, Lavender says that the upward trend has “significant implications for public health policy and planning”.

MDR-TB is the result of improper use of these antibiotics during treatment of patients with ordinary TB.

People with the resistant strain must be put on alternate, and less effective, TB-fighting drugs that require specialist nurses and a longer hospital stay, treatment in a negative-pressure rooms and more lab tests.

About 29 out of 31 MDR-TB patients were born overseas, with almost two thirds coming from India, Vietnam or China.

Lavender says that new TB control strategies are needed, and the use of molecular tests should be increased for the rapid detection of drug resistance.

“Another measure that might prove useful is providing information to people at high risk of TB on arrival to Australia, so they know to seek medical attention early should they develop a persistent cough or other symptoms suggesting of TB,” she said.

Most Deaths in Young People are Preventable: WHO study

February 5th, 2010


GENEVA - Most of the 2.6 million deaths of young people each year are preventable, according to a new study supported by the World Health Organization and released in Geneva Friday.

The main causes of deaths in the 10-24 age group were road traffic accidents, complications during pregnancy and child birth, suicide, violence, HIV/AIDS and tuberculosis.

The study, to be published in the Lancet, a medical journal, found that 97 percent of these deaths were taking place in low and middle-income countries.

“Young people … often fall through the cracks,” said Daisy Mafubelu, WHO’s expert for family and community health.

She said it was important to improve their access to information and services “and help young people avoid risky behaviors that can lead to death”.

There are an estimated 1.8 billion people that fall into this age group, accounting for 30 percent of the world’s population.

Road traffic accidents could be avoided through more appropriate speed limits, strict enforcement of drunk-driving laws and by the use of helmets and safety belts, the WHO said.

Moreover, young people need sex education, condoms and other contraceptives, the ability to perform safe abortions, access to antenatal and obstetric services and testing and care for HIV/AIDS.

The study also led the researchers to conclude that suicide and other violence could be prevented through life-skills training and positive parental involvement in young people’s lives.

Furthermore, the WHO recommended that access to lethal means of all kinds, including guns and toxins, should be reduced, along with limiting the consumption of alcohol.

There also needed to be better care and support for those exposed to child abuse, youth violence, and sexual assault, to help young people deal with the immediate and long-term consequences of these traumatic events.

Ways To Improve Your Brain Health and Fitness

February 5th, 2010


Brain fitness has basic principles: variety and curiosity. When anything you do becomes second nature, you need to make a change. If you can do the crossword puzzle in your sleep, it’s time for you to move on to a new challenge in order to get the best workout for your brain. Curiosity about the world around you, how it works and how you can understand it will keep your brain working fast and efficiently. Use the ideas below to help attain your quest for mental fitness.

1. Play Games

Brain fitness programs and games are a wonderful way to tease and challenge your brain. Suduko, crosswords and electronic games can all improve your brain’s speed and memory. These games rely on logic, word skills, math and more. These games are also fun. You’ll get benefit more by doing these games a little bit every day — spend 15 minutes or so, not hours.

2. Meditation

Daily meditation is perhaps the single greatest thing you can do for your mind/body health. Meditation not only relaxes you, it gives your brain a workout. By creating a different mental state, you engage your brain in new and interesting ways while increasing your brain fitness.

3. Eat for Your Brain

Your brain needs you to eat healthy fats. Focus on fish oils from wild salmon, nuts such as walnuts, seeds such as flax seed and olive oil. Eat more of these foods and less saturated fats. Eliminate transfats completely from your diet.

4. Tell Good Stories

Stories are a way that we solidify memories, interpret events and share moments. Practice telling your stories, both new and old, so that they are interesting, compelling and fun. Some basic storytelling techniques will go a long way in keeping people’s interest both in you and in what you have to say.

5. Turn Off Your Television

The average person watches more than 4 hours of television everyday. Television can stand in the way of relationships, life and more. Turn off your TV and spend more time living and exercising your mind and body.

6. Exercise Your Body To Exercise Your Brain

Physical exercise is great brain exercise too. By moving your body, your brain has to learn new muscle skills, estimate distance and practice balance. Choose a variety of exercises to challenge your brain.

7. Read Something Different

Books are portable, free from libraries and filled with infinite interesting characters, information and facts. Branch out from familiar reading topics. If you usually read history books, try a contemporary novel. Read foreign authors, the classics and random books. Not only will your brain get a workout by imagining different time periods, cultures and peoples, you will also have interesting stories to tell about your reading, what it makes you think of and the connections you draw between modern life and the words.

8. Learn a New Skill

Learning a new skill works multiple areas of the brain. Your memory comes into play, you learn new movements and you associate things differently. Reading Shakespeare, learning to cook and building an airplane out of toothpicks all will challenge your brain and give you something to think about.

9. Make Simple Changes

We love our routines. We have hobbies and pastimes that we could do for hours on end. But the more something is ’second nature,’ the less our brains have to work to do it. To really help your brain stay young, challenge it. Change routes to the grocery store, use your opposite hand to open doors and eat dessert first. All this will force your brain to wake up from habits and pay attention again.

10. Train Your Brain

Brain training is becoming a trend. There are formal courses, websites and books with programs on how to train your brain to work better and faster. There is some research behind these programs, but the basic principles are memory, visualization and reasoning. Work on these three concepts everyday and your brain will be ready for anything.

Health Benefits of Chocolate

February 5th, 2010


Why is Dark Chocolate Healthy?:

Chocolate is made from plants, which means it contains many of the health benefits of dark vegetables. These benefits are from flavonoids, which act as antioxidants. Antioxidants protect the body from aging caused by free radicals, which can cause damage that leads to heart disease. Dark chocolate contains a large number of antioxidants (nearly 8 times the number found in strawberries). Flavonoids also help relax blood pressure through the production of nitric oxide, and balance certain hormones in the body.

Health Benefits of Dark Chocolate:

Dark chocolate is good for your heart. A small bar of it everyday can help keep your heart and cardiovascular system running well. Two heart health benefits of dark chocolate are:

  • Lower Blood Pressure: Studies have shown that consuming a small bar of dark chocolate everyday can reduce blood pressure in individuals with high blood pressure.
  • Lower Cholesterol: Dark chocolate has also been shown to reduce LDL cholesterol (the bad cholesterol) by up to 10 percent.

Other Benefits of Dark Chocolate:

Chocolate also holds benefits apart from protecting your heart:

  • it tastes good
  • it stimulates endorphin production, which gives a feeling of pleasure
  • it contains serotonin, which acts as an anti-depressant
  • it contains theobromine, caffeine and other substances which are stimulants

Doesn’t Chocolate Have a lot of Fat?:

Here is some more good news — some of the fats in chocolate do not impact your cholesterol. The fats in chocolate are 1/3 oleic acid, 1/3 stearic acid and 1/3 palmitic acid:

  • Oleic Acid is a healthy monounsaturated fat that is also found in olive oil.
  • Stearic Acid is a saturated fat but one which research is shows has a neutral effect on cholesterol.
  • Palmitic Acid is also a saturated fat, one which raises cholesterol and heart disease risk.

That means only 1/3 of the fat in dark chocolate is bad for you.

Chocolate Tip 1 - Balance the Calories:

This information doesn’t mean that you should eat a pound of chocolate a day. Chocolate is still a high-calorie, high-fat food. Most of the studies done used no more than 100 grams, or about 3.5 ounces, of dark chocolate a day to get the benefits.

One bar of dark chocolate has around 400 calories. If you eat half a bar of chocolate a day, you must balance those 200 calories by eating less of something else. Cut out other sweets or snacks and replace them with chocolate to keep your total calories the same.

Chocolate Tip 2 - Taste the Chocolate:

Chocolate is a complex food with over 300 compounds and chemicals in each bite. To really enjoy and appreciate chocolate, take the time to taste it. Professional chocolate tasters have developed a system for tasting chocolate that include assessing the appearance, smell, feel and taste of each piece.

Chocolate Tip 3 - Go for Dark Chocolate:

Dark chocolate has far more antioxidants than milk or white chocolate. These other two chocolates cannot make any health claims. Dark chocolate has 65 percent or higher cocoa content.

Chocolate Tip 4 - Skip the Nougat:

You should look for pure dark chocolate or dark chocolate with nuts, orange peel or other flavorings. Avoid anything with caramel, nougat or other fillings. These fillings are just adding sugar and fat which erase many of the benefits you get from eating the chocolate.

Chocolate Tip 5 - Avoid Milk:

It may taste good but some research shows that washing your chocolate down with a glass of milk could prevent the antioxidants being absorbed or used by your body.

 

Successful Aging - DNA and Lifestlye

February 5th, 2010


We all want the same thing out of longevity — to live a long, healthy, happy life. But when it comes to doing studies on successful aging, it gets harder to define. Sure, researchers can give surveys to people and try to assess their overall health — but how do we really know if something is improving longevity in terms of both life span and health span? Some researchers approach the concept of successful aging as “remaining free of disease and disability” while other approach it from a cellular level. Read on for some research examples of these different approaches to successful aging.

The Disease/Disability Definition: Cystatin C and Aging Success

This 6-year study looked at cystatin C as a predictor of successful aging. What the heck is cystatin C? Good question. I had to look it up. Cystatin C is a molecule produced by cells in the body. It is filtered out of the body by the kidneys and reabsorbed. Basically, when the kidneys are working well, levels of cystatin C remain normal. Cystatin C is therefore thought to be a good measure of kidney function and (according to the study) may predict successful aging.

The study defined successful aging as remaining free of cardiovascular disease, cancer, chronic obstructed pulmonary disease (COPD) while being physically and mentally functional. 2,140 people, with an average age of 74 and free of any of the conditions just mentioned were enrolled in the study. Their cystatin C levels were taken at the beginning of the study. Overall, 873 people developed at least one of the conditions listed above (138 cognitive disability, 238 physical disability, 34 COPD and 317 cardiovascular disease). The result? People with a higher level of cystatin C (even within normal levels) were more likely to develop one of the “unsuccessful aging” conditions.

The Genetic Definition: Telomere Length and Physical Activity

Telomeres are the ends of chromosomes. Telomeres are a series of repeating DNA information that act as a buffer because the very extreme ends of chromosomes cannot be copied. Each time a cell divides, the telomeres get shorter. Eventually, when they are too short, the cell can no longer copy itself correctly. Telomere length plays an important part in aging. In this study, researchers made the following observation: We know that being physically inactive increases the risk for age-related diseases and we know that telomere length plays an important part in aging; therefore we should see differences in telomere length based on physical activity level. To find out, researchers had to enroll sets of identical twins (because identical twins have the same DNA and can be compared easily). They enrolled 2,401 twins and gave them a survey on physical activity, smoking and other risk factors. They also took samples of leukocyte (white blood cells) and looked at the telomere length. Physical activity was linked to longer telomere lengths in the study. In fact, the most active subjects’ telomeres were 200 nucleotides longer (nucleotides are the stuff DNA is made of). What does it mean? Lifestyle can change our very DNA and accelerate aging.

Successful Aging and You

For most of us, defining successful aging as being free of disease and disability is probably good enough, through I particularly find it striking how lifestyle gets into your very DNA. What to do? Use this research to motivate yourself to focus on the three pillars of wellness:

  • Eat well
  • Move more
  • Be calm

By improving nutrition, increasing exercise and reducing stress you can slow down your body’s rate of aging and help prevent diseases and disabilities.

 

Low Vitamin C Levels Related to Vascular Disease

February 5th, 2010


BEVERLY HILLS - In the most recent issue of Circulation, investigators have reported that low blood levels of vitamin C were found in patients with particularly severe cases of peripheral vascular disease.

Peripheral vascular disease is a form of atherosclerosis associated most commonly with blockages in the arteries supplying the legs.  These patients have, among other symptoms, pain and cramping in their leg muscles with exertion.  In this study, researchers compared vitamin C levels in patients with peripheral vascular disease to levels in patients without this condition.  They found that those who had vascular disease had vitamin C levels that were only half as high as patients without disease.

While investigators postulate that the antioxidant effects of vitamin C may help prevent peripheral vascular disease, their study only demonstrates an association, and not a cause-and-effect relationship between low vitamin C levels and vascular disease.

 

Introducing - Beta-Carotene

February 5th, 2010


Beta-carotene is one of a group of natural chemicals known as carotenes or carotenoids. Carotenes are responsible for the orange color of many fruits and vegetables such as carrots, pumpkins, and sweet potatoes.

Beta carotene is converted in the body to vitamin A. It is an antioxidant, like vitamins E and C.

Sources

Good sources of beta-carotene include dark green and orange-yellow vegetables, such as carrots, sweet potatoes, squash, spinach, broccoli, romaine lettuce, apricots, and green peppers.

Beta-carotene is not an essential nutrient, although vitamin A is.

Why Do People Use Beta-Carotene?

  • Prevention against cancer and heart disease
  • To slow the progression of cataracts
  • To prevent macular degeneration
  • To boost immunity
  • To protect the skin against sunburn
  • Asthma
  • Depression
  • Infertility
  • Parkinson’s disease
  • Psoriasis
  • Arthritis
  • High blood pressure
  • Cervical dysplasia
  • Intermittent claudication

Safety

Beta carotene is relatively safe. There is some concern that high doses of beta-carotene can cause a slight increase in the risk of heart disease and cancer, especially in people who smoke cigarettes and who consume excessive alcohol.

Other side effects include diarrhea and a yellowish tinge to the skin, both of which subside then the intake of beta-carotene is lowered.

New Evidence for Homeopathy

February 5th, 2010


LONDON - Two new studies conclude that a review which claimed that homeopathy is just a placebo, published in The Lancet, was seriously flawed.

George Lewith, Professor of Health Research at Southampton University comments:

The review gave no indication of which trials were analyzed nor of the various vital

assumptions made about the data. This is not usual scientific practice. If we presume

that homeopathy works for some conditions but not others, or change the definition of

a ‘larger trial’, the conclusions change. This indicates a fundamental weakness in the

conclusions: they are NOT reliable.’

 

The background to the ongoing debate is as follows:

 

In August 2005, The Lancet published an editorial entitled ‘The End of Homeopathy’,

prompted by a review comparing clinical trials of homeopathy with trials of

conventional medicine. The claim that homeopathic medicines are just placebo was

based on 6 clinical trials of conventional medicine and 8 studies of homeopathy but

did not reveal the identity of these trials. The review was criticised for its opacity as it

gave no indication of which trials were analysed and the various assumptions made

about the data.

 

Sufficient detail to enable a reconstruction was eventually published and two recently

published scientific papers based on such a reconstruction challenge the Lancet

review, showing that:

 

 Analysis of all high quality trials of homeopathy yields a positive conclusion.

 The 8 larger higher quality trials of homeopathy were all for different conditions; if

homeopathy works for some of these but not others the result changes, implying

that it is not placebo.

 The comparison with conventional medicine was meaningless.

 Doubts remain about the opaque, unpublished criteria used in the review,

including the definition of ‘higher quality’.

 

The Lancet review, led by Prof Matthias Egger of the Department of Social and

Preventive Medicine at the University of Berne, started with 110 matched clinical

trials of homeopathy and conventional medicine, reduced these to ‘higher quality

trials’ and then to 8 and 6 respectively ‘larger higher quality trials’. Based on these

14 studies the review concluded that there is ‘weak evidence for a specific effect of

homoeopathic remedies, but strong evidence for specific effects of conventional

interventions’.

 

There are a limited number of homeopathic studies so it is quite possible to interpret

these data selectively and unfavorably, which is what appears to have been done in

the Lancet paper. If we assume that homeopathy does not work for just one

condition (Arnica for post-exercise muscle stiffness), or alter the definition of ‘larger

trial’, the results are positive. The comparison with conventional medicine was

meaningless: the original 110 trials were matched, but matching was lost after they

were reduced to 8 and 6. But the quality of homeopathic trials was better than

conventional trials.

 

This reconstruction casts serious doubts on the review, showing that it was based on

a series of hidden judgments unfavorable to homeopathy. An open assessment of

the current evidence suggests that homeopathy is probably effective for a number of

conditions including allergies, upper respiratory tract infections and ‘flu, but more

research is desperately needed.

 

Prof Egger has declined to comment on these findings.

Protecting Your Liver When You Have Diabetes

February 4th, 2010


Article is a Re-Print Courtesy of: http://www.physicaltherapyassistantschools.org/

 It’s a silent killer, and one of the worst diseases that we have brought upon ourselves through lifestyles that are sedentary and self-indulgent. It ranks right up there alongside cancer as a potent ailment that causes intense suffering and even death if you’re not careful about your diet and lifestyle. The worst part of diabetes is that it brings a host of other complications with it – you’re prone to high cholesterol, strokes, cardiac diseases, kidney failure, and complications of the liver.

The liver is one of the most important organs in our body; it is responsible for converting glucose to glycogen; it aids in digestion by generating bile to break down fats, in filters toxic substances from our blood. The liver plays a very important role in regulating your blood sugar – when you eat, the glucose level in your blood rises and this causes your pancreas to produce insulin. When the glucose enters your liver, the insulin acts on it and various enzymes including glycogen are synthesized. Once your meal is digested, your glucose levels fall, and insulin secretion is reduced. Your liver thus holds your energy source – glucose in the form of glycogen – for the next few hours, until you have your next meal.

You can see how diabetics are prone to liver disease because of this process – when your insulin levels are abnormal, your glycogen stores are either too high or too low. The accumulation of glycogen in your liver leads to what is known as the fatty liver syndrome, often seen in people who are diabetic and obese or overweight. A fatty liver leads to cirrhosis, a condition where healthy liver cells are replaced by scar tissue and nodules. The more your liver is scarred, the less it functions normally.

As a diabetic, it’s imperative that you maintain your blood sugar levels through a healthy lifestyle, sensible eating habits, and a regular exercise routine. If not, your liver is at risk, and when you endanger one of the most important organs in your body, you’re asking for a host of health complications.

Liver cirrhosis is also caused by alcohol abuse; so if you’re an alcoholic who also has diabetes, or are a likely candidate for Type II diabetes because of your genes and sedentary lifestyle, you’re dealing yourself a double whammy, a two-fisted knockout punch. You really need to reevaluate your life and make some tough decisions, because if you don’t, you may not have a life to live. Diabetes is a complicated disease; don’t make it more complicated by neglecting to manage it properly.

 

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February 4th, 2010

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Home Remedies Series - Celiac Disease

February 4th, 2010


When people with this disorder consume foods that contain gluten, their immune system reacts violently and this leads to the destruction of the villi, small microscopic projections that line the small intestine and aid in the process of digestion.

As is the case with many other disorders of the immune system, the exact cause behind celiac disease is still unknown. It is surmised that the origins of this disease are genetic in nature, so if someone in your family has this disease, there is a five to ten percent risk that you may have it as well.

The best treatment for celiac disease is to strictly follow a gluten-free diet. Fortunately, with the increase in awareness about this disease, it is now easier to obtain gluten free sources of food from most major markets.

Diet for Celiac Disease

Gluten is not an essential vegetable protein, so you can safely replace sources of gluten such as wheat, rye, and barley with other food items such as corn, and rice. There is no restriction on eating vegetables or meat products. However, it is advisable that you go easy on high fat meat and spicy food items to allow your digestive system to heal. You should include plenty of fresh yogurt in your daily meals as this will help to speed up the healing process.

You should also consume foods that are rich in vitamins and minerals. This will enable your digestive tract to heal faster. Since most gluten-free food is low in fiber, make sure that you get adequate fiber from other sources such as fresh fibrous vegetables. If you regularly follow a gluten-free diet and eat nutritious meals that are full of vitamins and minerals, the symptoms of the disease will eventually subside as your digestive system heals itself. However, once the symptoms have gone, it is essential to continue on a gluten-free diet.

Other Suggestions for Celiac Disease

If you are eating out or buying ready made meals from a supermarket, do ensure that they are marked as gluten free. You should also avoid consuming alcohol that is made from grains that contain gluten, such as beer and whiskey.

 

What Are the Adrenal Glands?

February 4th, 2010


The adrenal glands are the part of the body responsible for releasing three different classes of hormones. These hormones control many important functions in the body, such as:

  • Maintaining metabolic processes, such as managing blood sugar levels and regulating inflammation
  • Regulating the balance of salt and water
  • Controlling the “fight or flight” response to stress
  • Maintaining pregnancy
  • Initiating and controlling sexual maturation during childhood and puberty

The adrenal glands are also an important source of sex steroids, such as estrogen and testosterone.

What are adrenal gland disorders?

Adrenal gland disorders occur when the adrenal glands don’t work properly.  Sometimes, the cause is a problem in another gland that helps to regulate the adrenal gland.  In other cases, the adrenal gland itself may have the problem.  The NICHD conducts and supports research on many adrenal gland disorders.  Some examples include:

  • Cushing’s Syndrome - Cushing’s syndrome happens when a person’s body is exposed to too much of the hormone cortisol. In this syndrome, a person’s body makes more cortisol than it needs. For example, adrenal tumors can cause the body to produce too much cortisol. In some cases, children are born with a form of adrenal hyperplasia that leads to Cushing syndrome. Or, in some cases, certain medications can cause the body to make too much cortisol
  • Congenital Adrenal Hyperplasia - Congenital adrenal hyperplasia is a genetic disorder of adrenal gland deficiency.  In this disorder, the body doesn’t make enough of the hormone cortisol. The bodies of people with congenital adrenal hyperplasia may also have other hormone imbalances, such as not making enough aldosterone, but making too much androgen.
  • Pituitary Tumors - The pituitary gland is located in the brain and helps to regulate the activity of most other glands in the body, including the adrenal glands. In rare cases, benign (non-cancerous) tumors may grow on the pituitary gland, which may restrict the hormones it releases.

In some cases, tumors on the pituitary can lead to Cushing’s syndrome – this is called Cushing disease.  In other cases, the tumors reduce the adrenal gland’s release of hormones needed for the “fight or flight” response to stress.  If the body is unable to handle physiological stress—a condition called Addison’s disease—it can be fatal.

What are the treatments for adrenal gland disorders?

The treatment for adrenal gland disorders depends on the specific disorder or the specific cause of the disorder.  For example:

  • The treatment for Cushing’s syndrome depends on the cause. If the excess cortisol is caused by medication, your health care provider can change dosages or try a different medication to correct the problem.  If the Cushing’s syndrome is caused by the body making too much cortisol, treatments may include oral medication, surgery, radiation, or a combination of these treatments.
  • Congenital adrenal hyperplasia can’t be cured, but it can be treated and controlled.  People with congenital adrenal hyperplasia can take medication to help replace the hormones their bodies are not making.  Some people with congenital adrenal hyperplasia only need these medications when they are sick, but others may need to take them every day.
  • Doctors can successfully treat most pituitary tumors with microsurgery, radiation therapy, surgery, drugs, or a combination of these treatments. Surgery is currently the treatment of choice for tumors that grow rapidly, especially if they threaten or affect vision.  The treatment plan for other pituitary tumors differs according to the type and size of the tumor.

Introducing - Alpha Lipoic Acid

February 4th, 2010


Other names: lipoic acid, thioctic acid, ALA

Alpha lipoic acid is a fatty acid found naturally inside every cell in the body. It’s needed by the body to produce the energy for our body’s normal functions. Alpha lipoic acid converts glucose (blood sugar) into energy.

Alpha lipoic acid is also an antioxidant, a substance that neutralizes potentially harmful chemicals called free radicals. What makes alpha lipoic acid unique is that it functions in water and fat, unlike the more common antioxidants vitamins C and E, and it appears to be able to recycle antioxidants such as vitamin C and glutathione after they have been used up. Glutathione is an important antioxidant that helps the body eliminate potentially harmful substances. Alpha lipoic acid increases the formation of glutathione.

Alpha lipoic acid is made by the body and can be found in very small amounts in foods such as spinach, broccoli, peas, Brewer’s yeast, brussel sprouts, rice bran, and organ meats. Alpha lipoic acid supplements are available in capsule form at health food stores, some drugstores, and online. For maximum absorption, the supplements should be taken on an empty stomach.

Why People Use Alpha Lipoic Acid

  Peripheral Neuropathy

Peripheral neuropathy can be caused by injury, nutritional deficiencies, chemotherapy or by conditions such as diabetes, Lyme disease, alcoholism, shingles, thyroid disease, and kidney failure. Symptoms can include pain, burning, numbness, tingling, weakness, and itching.

Alpha lipoic acid is thought to work as an antioxidant in both water and fatty tissue, enabling it to enter all parts of the nerve cell and protect it from damage.

Preliminary studies suggest that alpha lipoic acid may help. In one of the largest studies on the use of alpha lipoic acid, 181 people took 600 mg, 1200 mg or 1800 mg of alpha lipoic acid a day or a placebo. After 5 weeks, alpha lipoic acid improved symptoms. The dose that was best tolerated while still providing benefit was 600 mg once daily.

  Brain Function

Alpha lipoic acid can cross the blood-brain barrier, a wall of tiny vessels and structural cells, and pass easily into the brain. It is thought to protect brain and nerve tissue by preventing free radical damage.

  Age-Related Conditions

As an antioxidant, alpha lipoic acid can neutralize free radicals which can damage cells. Free radical damage is thought to contribute to aging and chronic illness.

  Other Conditions

Alpha lipoic acid has also been suggested for cataracts, glaucoma, multiple sclerosis, burning mouth syndrome, Alzheimer’s disease and stroke, but large, well-designed studies are needed to see if it’s effective for these conditions.

Side Effects

Side effects of alpha lipoic acid may include headache, tingling or a “pins and needles” sensation, skin rash, or muscle cramps.

There have been a few reports in Japan of a rare condition called insulin autoimmune syndrome in people using alpha lipoic acid. The condition causes hypoglycemia and antibodies directed against the body’s own insulin without previous insulin therapy.

The safety of alpha lipoic acid in pregnant or nursing women, children, or people with kidney or liver disease is unknown.

Possible Drug Interactions

Alpha lipoic acid may improve blood sugar control, so people with diabetes who are taking medication to lower blood sugar, such as metformin (Glucophage), glyburide (DiaBeta, Glynase), should only take alpha lipoic acid under the supervision of a qualified health professional and have their blood sugar levels carefully monitored.

Animal studies indicate that alpha lipoic acid may alter thyroid hormone levels, so it could theoretically have the same effect in humans. People taking thyroid medications such as levothyroxine should be monitored by their healthcare provider.

 

US Tele-Medicine Offers NO COST Refunds on Your Purchases of Alternative Remedies

February 4th, 2010


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Cosmetic Surgery Patients At More Risk Than Ever

February 4th, 2010


LONDON - A special edition of the journal, Clinical Risk, published by the Royal Society of Medicine, looks at how the combination of an under-regulated market, “professional greed”, increased marketing and overwhelming media hype have created a “perfect storm” that threatens patients and practitioners alike. The journal’s editor argues that cosmetic surgery patients in the UK are at more risk than ever before.

Dr Harvey Marcovitch, who commissioned leading experts in the field to write for this special issue said, “Patient safety is this journal’s main aim and there can be no area of medicine where patients in the UK are more in need of protection. We need tight control of advertising of cosmetic surgery - including internet advertising. We need proper regulation of the industry and we need both surgeons and GPs to manage patient expectation.”

In one paper, entitled ‘Clinical Risk in Aesthetic Surgery’, Nigel Mercer, consultant plastic surgeon and President of the British Association of Aesthetic Plastic Surgeons (BAAPS) argues: “We have reached a stage where public expectation, driven by media hype and, dare one say, professional greed, has brought us to a ‘perfect storm’ in the cosmetic surgical market.”

He adds, “There has been a massive increase in ‘marketing’, including discount vouchers, 2-for-1 offers and holidays with surgery! In no other area of medicine is there such an unregulated mess. What is worse is that national governments would not allow it to happen in other areas of medicine. Imagine a ‘2-for-1′ advert for general surgery? That way lies madness!”

Highlights:

Clinical Risk in Aesthetic Surgery: Nigel Mercer discusses the role of the media and advertising and calls for tighter regulations in the UK, comparing this country’s lack of regulation with the Food and Drug Administration’s role in the US.

Key quotes:

- “Perhaps, like tobacco, there should be a Europe-wide ban on advertising all cosmetic ’surgical’ procedures, including on search engines…”.

- “If we have to sell anything, we should sell our advice, not procedures. If we cannot self-regulate, then, like the financial institutions, regulation will eventually be imposed…”

- “All cosmetic treatments are medical interventions, and every medical intervention has a complication and failure rate. Consequently, there are no ‘consumers’ or ‘clients’ but only ‘patients’…”

- “Perhaps the single most important factor in reducing clinical risk in cosmetic surgery is the motive for performing any procedure must never be financial gain, so I suggest we get our act together as an industry as we are in grave danger of biting the hand that feeds us.”

France Sets Standards for Practice of Aesthetic Surgery: French consultant plastic surgeon, Alain Fogli describes the strictly defined guidelines for cosmetic surgery in France which include:

- Surgical procedures can only be undertaken by surgeons who are registered specialists and deemed competent. Possession of a general medical degree, and the fact that the practitioner is ‘experienced’ are not deemed to be sufficient qualifications

- A ban on all forms and methods of publicity and advertising, direct or indirect, in whatever form, including the Internet

Minimizing Risk in Aesthetic Surgery: Foad Nahai, President of the International Society of Aesthetic Plastic Surgeons (ISAPS) and former president of the American Society of Aesthetic Plastic Surgeons (ASAPS) describes how to minimise risk in each facet of ‘the safety diamond’: patient, facility, procedure and surgeon.

He tells readers:

“Regulations governing the training of all cosmetic surgeons are sorely needed. Governments are reluctant to become involved, as they see this issue as a ‘turf battle’ between various physician groups and not a public safety or patient safety issue. However, there is no question that this is a patient safety issue of paramount importance and I take our governments to task for not addressing it.”

- Since by law any physician is allowed to practise cosmetic surgery, attempts by individual physicians or plastic surgery organisations to restrict those who are not qualified is viewed as a restraint of trade.

Improving the Safety of Aesthetic Surgery: Recommendations Following a 14-Year Review of Cases to the Medical Defence Union (1990-2004): Consultant plastic surgeon and BAAPS Secretary, Rajiv Grover, reveals a 14-year audit of claims to the MDU which shows why patients sue. He provides recommendations to avoid these situations such as careful pre-operative counselling, thorough documentation and exploring with the patient what degree of correction and scarring is realistic - and not being falsely optimistic about the likely outcome.

Managing Risk to Reputation: Magnus Boyd, Partner at leading UK solicitors, Carter-Ruck suggests how doctors can protect their reputation and how the media can influence the outcome of a professional investigation or the expression of anger from a disgruntled patient.

Both Dr Harvey Marcovitch and Mr Nigel Mercer are available for comment.

Clinical Risk

The journal Clinical Risk aims to give both medical and legal professionals an enhanced understanding of key medico-legal issues relating to risk management and patient safety, through authoritative articles, reviews and news on the management of clinical risk. The AvMA Medical and Legal Journal and the Healthcare & Law Digest, both included within Clinical Risk, contain articles on current medico-legal issues and reports on a wide range of recently settled clinical negligence cases.

Nationwide Survey Shows Americans Oppose A Cosmetic Tax

February 4th, 2010


WASHINGTON DC - A majority of Americans oppose the inclusion of a five percent tax on cosmetic medical procedures, according to a survey released today. Survey respondents oppose the cosmetic tax by a 52% - 43% margin.

According to the survey, a large majority of respondents, by a 64% - 34% margin, agree that the cosmetic medical procedures tax has no place in health care reform, since these procedures and treatments are not covered by health insurance and the tax will disproportionately impact middle class women.

“It is clear from these results that Americans disagree with this proposed tax,” said Michael McGuire, MD, President of the American Society of Plastic Surgeons (ASPS). “Taxing medical procedures sets a dangerous precedent by inviting the Internal Revenue Service into the physician-patient relationship, and allowing the government to make decisions regarding medical necessity.”

The tax on cosmetic medical procedures was not included in any of the five health reform bills developed and debated in Senate and House Committees. According to the Congressional Budget Office, it is projected to raise approximately $5.8 billion over ten years toward the $856 billion price tag for the proposed Senate health reform bill. However, a similar tax in New Jersey has realized less than one-third of the anticipated revenue and an independent audit of the New Jersey system found that it took $3.39 in expenditures just to collect a single dollar in tax — making a cosmetic tax not only a bad idea but an unreliable way to fund health reform.

According to the survey, there is no significant difference between men and women in their opposition to the proposed tax. On the other hand, respondents over the age of 45 are much more likely to oppose the tax, with opposition increasing among older respondents.

The survey further demonstrates that, by a 49% - 30% margin, respondents were more likely to oppose the tax once informed that sixty percent of all people planning to have cosmetic medical procedures report a household income of between $30,000 and $90,000.

“These numbers confirm what ASPS has been saying all along, that many people mistakenly believe that this is a luxury tax,” Dr. McGuire said. “But in fact, it is a tax on the middle class — despite President Obama’s direct campaign promise not to raise taxes on this group of Americans.”

This survey was conducted by Opinion Research Corporation among a national probability sample of 1,014 adults comprising 506 men and 508 women 18 years of age and older, living in private households in the continental United States. Interviewing was completed during the period December 3-6, 2009.

Source
American Society of Plastic Surgeons