STRIKE BACK AGAINST HEART ATTACK: ARE YOU AT RISK?

The high-risk factors for heart disease include:
A family history of early coronary disease or of ischemic stroke (a father or brother who has had a heart attack or stroke before the age of 55, or a mother or sister who has suffered one before age 65.)
Age. Over 45 if you’re a man. Over 55 if you’re a woman. Also, women in premature menopause, such as those who’ve had a hysterectomy and aren’t taking estrogen.
Menopause in women. Before menopause, the hormone estrogen has a protective effect, keeping women at far lower risk than men. After menopause, however, and the decline in estrogen, their heart disease risk increases ten-fold. The fall in estrogen levels is thought to lower levels of “good” HDL cholesterol, while raising levels of LDL (“bad”) cholesterol.
Hypertension (high blood pressure). Uncontrolled hypertension (140/90 or greater) elevates heart disease risk by about 17 per cent.
High blood cholesterol. Apart from the cholesterol you get from animal foods, your liver manufactures its own. When blood levels are too high they can lead to fatty deposits (called “plaque”) which clog arteries and set the stage for heart disease and stroke. The estimated increase in risk is 11 per cent, according to the Centers for Diseases Control in Atlanta.
Cholesterol moves through your blood in protein-fat packages called lipoproteins. There are two kinds: HDL (or high-density lipoproteins), also known as the ‘good’ cholesterol because it appears to attach to excess cholesterol and escort it out of the arteries; and LDL (low-density lipoproteins), also called the ‘bad cholesterol’, which travels in the bloodstream en route from the liver and can settle in artery walls.
“Total cholesterol” is a combination of HDL and LDL, but
when it’s high it’s unfortunately most likely to be due to an excess
of the ‘bad’ cholesterol. The “good guy” HDLs are usually out-
numbered by the “bad guy” LDLs.
The safe limits of “total cholesterol” are Desirable: Under 200 Borderline : 200 to 239 High : 240 and over
Studies show that heart-attack risk begins to rise steadily once the total cholesterol level exceeds 200 milligrams per deciliter (mg/dl). The risk rises by about 2 per cent for every 1 per cent increase in blood cholesterol.
If you already suffer from heart disease, your total cholesterol should be below 160.
High LDL cholesterol or low HDL cholesterol. A total-cholesterol reading does not, in itself, provide enough information to determine whether you are at risk.
Heart attack risk begins to rise if your LDL level is too high (over 160 mg/dl), or if LDL is above 130 mg/ml and you also have any two of these other risk factors: being male or obese, smoking, or having diabetes, high blood pressure, vascular (blood vessel) disease, or a family history of heart disease before age 55.
HDL level has also emerged as an important determinant of heart-disease risk. Several studies have suggested that a very low level of HDL (below 35mg/dl) puts you at increased risk even if your total cholesterol is in the safety zone.
The type of LDL particles. Newer research has found that
it’s not just the load of LDL cholesterol in your system that points to your risk, but also the type of LDL particles — their size and their density.
This can be a matter of genetics — you can be born with a tendency to LDL particles that are teensy and dense. Or your LDL particles can metamorphose into this type with poor lifestyle habits — too little exercise rich and hearty eating, too much stomach fat.
Whatever its origin, this LDL pattern is known as pattern B, and it triples your risk of developing clogged arteries — even if you have good HDL and LDL totals.
A high level of triglycerides. Derived directly from foods, triglycerides are a type of fat produced by the liver for use as energy. Whether elevated levels of triglycerides constitute a risk factor for everyone remains in dispute; however, there is widespread medical consensus that they appear to put at least women and diabetics at higher risk for heart disease. More and more doctors believe they constitute a risk for men, too.
The desirable level for triglycerides is pegged at below 200 mg/dl; lower than that is even better, particularly if your HDL level is low, or if your LDL falls into the dreaded B pattern.
Your level of homocysteine. This is a chemical produced by your body and in recent years it has emerged as one of the prime suspects in heart disease. Homocysteine is an amino-acid that rushes into your bloodstream after you’ve eaten a meal rich in animal protein. Its dirty-tricks specialty appears to be to trigger off damage in the lining of one of the heart’s arteries. As your immune system rushes to repair the injury, plaque is deposited on the arterial wall, setting the first stage for heart disease.
Levels of homocysteine (which can be measured in a blood test) should not exceed 14. Those with low intake of three B vitamins — B6, B12 and folic acid — have been found to be prone to high homocysteine levels.
Diabetes or certain chronic diseases such as vascular disease.
Smoking. Tobacco, once linked primarily to lung cancer, is now known to generate more heart disease than cancer. It raises the risk of heart disease by 25 per cent.
Steady exposure to second-hand smoke. Virtually every health organization in the U.S., from the National Academy of Sciences to the American Medical Association, has concluded that second-hand smoke is responsible for the deaths of tens of thousands of non-smokers each year, mostly from heart disease.
Severe obesity. Heavier people tend to have higher LDL levels. Excess weight raises heart disease risk by 22 per cent. Every two pounds of excess weight is associated with an increase of 1 mg/dl of total cholesterol.
A sedentary lifestyle. The perils of sitting are still underestimated, though studies have shown that sedentary living ups the risk of heart disease by 65 per cent and is the primary modifiable hazard leading to fatal heart attacks.
Except for those with extremely high cholesterol — above 240 mg/dl — it is sedentary living, not blood cholesterol, that is the greater risk factor for heart disease. Surprised? You’d better believe it.
If a heart attack does occur, sedentary people are about twice as likely to die from it as people who are physically active. By sedentary, researchers mean people who either do no purposeful physical activity or who exercise irregularly — less than three times a week or less than 20 minutes at a time, or both.
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WHAT IS SEX DRIVE?

Sex drive i.e. libido differs from person to person. By knowing the sex drive of your love partner you can regulate your sex life. Men are more sexually active at all ages than women.

How sex drive is related to fantasies?
Higher is your sex drive varied are your erotic fantasies. Low drive is satisfied with one partner while high drive person is more likely to fantasize about having sex with more than one partner. Such people love diversion or perversion in love making.

On what factors your intensity of drive depends?
30% at your drive in sex depends on your upbringing and environment but 2/3 is inherited. Sexy parents have sexy children.

Will deprivation of sex improves the sex drive?
No, going without sex for a long time is likely to decrease your sex drive. People who stop making love for one reason or other have gradually less urge to seek sexual satisfaction.
Why males are more potent regarding their sex drive?

For men orgasm and intercourse are both linked up. It is very rare that man may fail to get orgasm through intercourse, so sexual act is sure to provide him a pleasure while in case of women only about 25% get orgasm even in best circumstances.
Socially it is acceptable for man to enjoy sex while for woman it is a stigma. Sex is also associated with dominance and power of man. Upbringing also plays its part in teaching males to be interested in sex.
Why females have weaker sex drive?
One important reason is that she does not have orgasm very frequently. Achieving orgasm does not come through intercourse alone but is achieved by skill lovemaking and stimulation of the clitoris. Unless and until man is well versed with this fact woman generally does not get orgasm resulting in lower level of sex drive.
Teaching of many mothers to their daughters remains that sex for her is a duty something that man needs and woman has to tolerate. She has never been given a equal status nor even in sex matter.
What is the effect of alcohol on sex drive?
Alcohol taken regularly and in large quantities affects the sex capabilities. Alcohol gives the desire but takes away the performance. In very small quantity it may act as stimulant. Men who are very shy and tense alcohol may remove this barrier.
-Can contraceptive pill reduce the sex drive?
Yes in some cases it may decrease libido. Actually speaking it is more of psychological than physical. Certain tranquillizers may also cause temporary loss of libido.
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Written by admin in: Men's Health-Erectile Dysfunction |

GLUCOSAMINE SULFATE FOR OSTEOARTHRITIS: GLUCOSAMINE VERSUS PLACEBO

One of the best studies of glucosamine was a double-blind placebo-controlled study that involved 252 participants with osteoarthritis of the knee. A total of 241 participants completed this 4-week trial. Of the 120 participants who received the glucosamine, 55% experienced a reduction in pain and stiffness. This was significantly better than the 38% rate of improvement among those who received the placebo.
Not only was glucosamine effective, it did not cause any significant side effects. To be precise, minor side effects, mostly upset stomach and allergy symptoms, were seen in about eight people taking glucosamine. However, similar side effects were seen in 13 people receiving   placebo!   When   a treatment causes fewer side effects than placebo, it is reasonable to call it side-effect free for all practical purposes.
The major weakness of this trial was that it lasted only 4 weeks. For a chronic disease like osteoarthritis, you’d really like to have a study of at least 3 to 6 months’ duration. But it still provides impressive evidence that glucosamine can be an effective treatment for osteoarthritis.
Similar results were seen in two other double-blind placebo-controlled studies, involving a total of 120 participants.
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Written by admin in: Healthy bones Osteoporosis Rheumatic |

SEX AND PUBERTY: MEN’S CANCER

An unfortunate byproduct of the guilt created about masturbation is that the whole genital area can become off-limits. The ‘hands off’ policy flies in the face of good preventive health measures.

I was talking to a colleague recently who is a plastic surgeon specializing in reconstruction of sexual parts. One of his jobs is to reconstruct penises after they have been amputated for treatment of cancer of the glans (knob). He told me how concerned he was that men as a group were so pitifully ignorant of their own sexual parts. ‘Women have gotten used to the idea of going along for a Pap smear. They know to check their breasts regularly, and if they have a problem with their periods they let someone know about it. Nobody tells boys to check themselves out,’ he said. ‘If only they would learn the simple routine of pulling back the foreskin every day, washing away the secretions and checking for any sores, I wouldn’t see nearly as many penises amputated for cancer. A significant number of our young men are dying from testicular cancer when they could be enjoying the prime of their lives. Did you know that this is the most common cause of cancer death in men from fifteen to thirty-five years? If they could just be encouraged to get to know how their ,scrotum feels … check their testicles regularly in the shower … and if they notice one getting bigger than the other, for goodness sake tell their doctor, so that if it does mean testicular cancer, it can be sorted out while it’s still at a curable stage.’

It’s common for people to be strapped into the straitjacket of ‘shoulds’ and ‘oughts’. That’s not to say we don’t need guidelines or rules for living, but so much distress is caused when your ‘shoulds’ say one thing and your better judgment tells you another.

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GET WELL: ACID-ALKALINE FOOD CHART

Balanced body chemistry is of utmost importance for the maintenance of health and correction of disease. Acidosis, or over-acidity in the body tissues, is one of the basic causes of many diseases, especially the arthritic and rheumatic diseases.
All foods are “burned” in the body – more commonly called “digested” – leaving an ash as the result of the “burning”, or the digestion. This food ash can be neutral, acid or alkaline, depending largely on the mineral composition of the foods. Some foods leave an acid residue or ash, some alkaline. The acid ash (acidosis) results when there is a depletion of the alkali reserve or the diminution in the reserve supply of fixed bases in the blood and the tissues of the body.
It is, therefore, vitally important that there is a proper ratio between acid and alkaline foods in the diet. The natural ratio in a normal healthy body is approximately 4 to 1 – four parts alkaline to one part acid, or 80% to 20%. When such an ideal ratio is maintained, the body has a strong resistance against disease. In the healing of disease, when the patient usually has acidosis, the higher the ratio of alkaline elements in the diet, the faster will be the recovery. Alkalis neutralize the acids. Therefore in the treatment of most diseases it is important that the patient’s diet includes plenty of alkaline-ash foods to offset the effect of acid-forming foods and leave a safe margin of alkalinity,
A healthy body usually keeps large alkaline reserves which are used to meet the emergency demands if too many acid-producing foods are consumed. But these normal reserves can be depleted. When the alkaline-acid ratio drops to 3 to 1, health can be seriously menaced. Your body can function normally and sustain health only in the presence of adequate alkaline reserves and the proper acid-alkaline ratio in all the body tissues and the blood.
The Airola Diet will assure a balanced body chemistry and a proper alkaline-acid ratio, as the acid-forming foods from the first food group (seeds, nuts and grains) are well balanced by the alkali-forming foods from the second and third food groups (vegetables and fruits). For optimum health and maximum resistance to disease, it is imperative that your diet is slightly over-alkaline. The ideal ratio, according to the world’s foremost authority on the relationship between the acid-alkaline ratio in the diet in health and disease, Dr. Ragnar Berg, is about 80% alkali-producing foods and 20% acid-producing foods.
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MENTAL HEALTH: LIGHT TREATMENT

In 1979, Dr. Al Lewy, now professor of psychiatry at Oregon Health Sciences University in Portland, and Dr. Wehr began work on a hormone called melatonin, released by the pineal gland in the brain. Their studies revealed that light plays an important role in triggering and setting the biological clocks in animals. Other studies showed that exposure to light stops nighttime production of melatonin in the pineal gland. Dr. Lewy, Dr. Wehr, and their colleagues have found that nighttime melatonin production in humans can be stopped with 2,500 lux-intensity light. (Lux, Latin for light, is the unit of measure for brightness.) This suggests that such brightness could be used to reset human biological rhythms.
It was their melatonin work that brought Herb Kern to the National Institute in 1980. He asked Dr. Lewy to measure his melatonin levels. Mr. Kern, an engineer, had an undiagnosed case of SAD. He had kept records on his mood changes for 15 years and had told his doctors that, as the days got shorter, he “just wanted to crawl into a hole and hibernate.” Mr. Kern recalls, “I finally latched on to the thought that sunlight was the key. When the days got longer in summer, the wheels of my brain would spin again.” But, he says, his doctors didn’t listen to him.
Dr. Lewy suggested lengthening Mr. Kern’s winter days by sitting him in a room under bright fluorescent lights for 6 hours – three before dawn and three after sundown. Within days, Kern reported feeling as if springtime were around the corner. He still takes 2 hours of light treatment at 6 A.M. from fall to spring. “Since using the lights, I have been able to manage my depressions very nicely,” he says.
The doctors spent the next few years focusing on the effects of light on mood and wanted to extend the study with more patients. Dr. Rosenthal told a reporter from the Washington Post about Mr. Kern and another patient. When the article was printed, thousands inquired about treatment. That was the first hint that SAD was a common disorder. With a selected group of patients, the doctors showed that light relieves wintertime depression. They also found that the brighter the light, the shorter the SAD treatment. Since then, studies worldwide have demonstrated the same, and the American Psychiatric Association now lists seasonal mood swings as a form of mental disease.
In New York, Dr. Terman has a new computerized approach: creating an artificial dawn. In phototherapy, “we were turning on very bright light suddenly after the patient wakes up,” he says. “But when the eye is adapted to the dark while sleeping, it is ‘looking’ for a gradual transition to dawn. We put computer systems in a patient’s bedroom to gradually turn on a light from very dim to bright, like a sunrise. Within a few days, we got results equal to any effect of bright-light therapy. The patients wake up spontaneously, refreshed. “
Dr. Terman says he tried it, because he detects seasonal changes in energy level and sleep in himself: “I maintained a summer sunrise throughout winter and was not groggy. It is a natural alarm clock.”
Scientists already have shown that exposure to light can reset the biological clock if work shifts change or jet lag strikes. Some people have delayed sleep – biological clocks that won’t let them go to sleep before 2 A.M. Others have advanced sleep and can’t keep their eyes open after sundown. Light treatment can reset both.
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GENERAL HEALTH
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GOOD NUTRITION FOR OLDER PEOPLE: DIETARY PLANNING

The lifetime pattern of eating is not easily changed, and the older woman who has always liked rich desserts or the man accustomed to eating hearty rich foods will find it difficult to adjust to the lower calorie requirements. The Four Food Groups still furnish the basis for meal planning because they provide all the nutrients needed by the older man and woman.
Since the Basic Diet provides 1165 kcal, the woman of 51 years or older will need to restrict her intake of calorie-rich foods lest she rapidly gain weight. Some useful points to keep in mind when planning meals for older persons are noted below.
1.   Consider the food likes and dislikes of the individual. Learn to use essential foods in dishes acceptable to the person. For example, milk may be disliked as a beverage but well accepted in puddings, custards, cream soups, and cream sauces, on cereals, and so on.
2.   Use fried foods, rich desserts, highly seasoned foods, and strongly flavored vegetables with discretion and according to the patient’s tolerance.
3.   If chewing is difficult, adjust the meals to include finely minced or chopped meats, soft breads, fruits, and vegetables.
4.   Serve four or five small meals when the appetite is poor.
5.   Breakfast is the meal most enjoyed by many older persons, and every effort should be made to provide pleasing variety.
6.   Dinner at noon rather than in the evening is preferred by some.
7.   If coffee and tea produce insomnia, they should be restricted to meals early in the day.
8.   Encourage a liberal fluid intake daily. Adjust the fiber content of the diet if constipation is a problem.
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GENERAL HEALTH
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YOUR CHILD’S HEALTH/EYE DISORDERS: LONG-SIGHTEDNESS (HYPEROPIA)

If your child can see distant objects clearly, but has trouble seeing things from up close, he may be long-sighted. This is one of the commonest problems that children have with their eyesight.

Cause

Long-sightedness is due to the length of the eyeball from front to back being shorter than usual. This interferes with the way light is reflected from the back of the eye, distorting the image transferred to the brain.

Clinical features

Long-sightedness does not usually become apparent until the child is a toddler. It is often associated with a squint. Because the child strains his eyes to see close up, he may complain of sore eyes, headache or fatigue. He may be uninterested in reading because of the eye strain it causes him.

Treatment

If you suspect that your child is long-sighted, see your doctor who will arrange referral to an eye specialist for tests.

When to see your doctor

See your doctor if your child has any of the symptoms described above.

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LEAVING YOUR CHILDREN SOMETHING TO LOVE BY/SOME ANSWERS TO THESE MISASSUMPTIONS REGARDING SEXUALITY: YOU DON’T HAVE TO LEARN WHAT COMES NATURALLY

I don’t need to discuss this stuff. I don’t know why my mom and

dad wanted me to come here. It’s just natural stuff. You don’t have

to learn what comes naturally.

FIFTEEN-YEAR-OLD GIRL

You’re half right and half wrong. Being sexual is natural. You inherit that by being human. But making love, relating to another person sexually, must be learned. Even animals have to be taught, have to be helped to be able to copulate, to have sex together. If you see them doing it, they learned it by watching other animals.

What separates us from other animals is how much and how well we can learn things, and that includes sexual things. That means we can learn to do much more than copulate. We can learn to love, to touch, to treat each other with respect. If you ever have a sexual) problem, it will really be a learning problem, so you will have to ask your parents or the person you love to help you learn more.

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YOUR MARITAL HEALTH/WHY HUSBANDS DON’T HAVE ORGASM: MR. MYTH – THE SEXUAL-DEPRIVATION MYTH

I try to deprive myself. I don’t masturbate and I stop even asking for sex. I thought that maybe a few weeks of celibacy-would prime the pump. Maybe I need a new pump.

HUSBAND

The energy concept of sexuality continues to dominate sex in marriage. It is simply not true that by holding back your sexual expression, you will build up a ‘ ‘sex-drive bank.” As a matter of fact, the less sex you have, the less sexual you tend to feel and think.

One of my medical students was very critical of this material as I presented it. “I’m sure that the less sex I have, the more I want it.” He came back three months later to report, “You’re right. I got so busy in this medical school curriculum that I forgot all about sex. Then I had sex with my girlfriend last night. Now I can’t get it off my mind.”

Sexual activity leading to more sexual interest is why it is important to schedule sex, even though you have been taught that sex ought to be spontaneous. Super marital sex requires making time for sex, not counting on some inner drive to perpetuate sexual interest. Nothing about our health is automatic. Diet, exercise, dental care must be scheduled. Sex is no different. Spontaneity is more likely if regular sex is taking place, because the opportunity for spontaneity is created.

Not all sex can be mutual. If we over-romanticize our sexuality, see it exclusively as a mutually pleasing interaction in every instance, we burden our relationship. The emphasis on doing everything right, putting everything together, completing the shift, is another mechanistic approach to sex left over from the first three perspectives. Sexual frequency and style is a matter under our control. All motivation is preceded by behavior. You will feel sexier if you behave sexily. Saving it up, trying to create a sexual savings account, trying to make sure all account holders are pleased every time only results in loss of interest.

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