Get medical health care information about various diseases like diabetes, Arthritis, Depression and many more at one place.

OSTEOARTHRITIS—MOST COMMON OF ALL

More millions of people suffer from “osteoarthritis” than any other classification. We already know, from the last chapter, that the word “arthritis” means “inflammation of the joint.” The word “osteo” comes from the Greek word “osteon,” meaning “bone.” Compounded, therefore, osteoarthritis can be defined as “inflammation of the bony part of the joint.”
Your joints have many parts—membranes, cartilage, oil sacs, bones, etc. Osteo-arthritis afflicts mainly the bone section, and so derives its name.
Osteo-arthritis is known as a “wear and tear” disease. Over-activity in work or exercise can cause wearing out of the cushion of cartilage at the end of a bone. (Sometimes doctors also refer to “osteo” under the names of degenerative or hypertrophic arthritis.)
We maintain, however, that osteo-arthritis is much more than just a question of bones simply wearing out. For every million persons who have this “wear and tear arthritis,” there are twenty million people of the same age, doing the same type of work who do not have the disease. Why? Because those who are well have better dietary habits!
In the Journal of the American Medical Association (July 2, 1949) Dr. E. F. Rosenberg reports that it is time to refute the belief that osteo-arthritis comes from ageing. As proof, this prominent Chicago doctor makes the following points:
1. Osteo-arthritis of the fingers involves only the terminal joints. As the joints of the entire finger are used, why aren’t the other joints affected?
Only one hip may become afflicted with osteo-arthritis. Yet, through the years, both hips received the same amount of use.
Sedentary workers are often victims of osteoarthritis—without any mechanical or physical wear on their skeletal structure.
Where does osteo-arthritis generally strike? Among men the most common joints affected are the knees, feet and spine. In women, it generally involves the fingers, hands, then the knees and spine. In other words, the parts of the body which do the work feel it first.
If you suffer from this ailment, you at least have plenty of company. More than 70 per cent, of the American population contracts some degree of osteo-arthritis by the time they reach fifty-five years of age!
And this terrible toll has been high for centuries, back to the beginning of time.
Osteo-Arthritis—as Old as the Hills!
This disease began more than 100,000,000 years ago. Fossils of dinosaurs in museums today show that before these animals died, their joints wore out. Their bones rubbed against each other, and frayed in arthritic manner.
During the time of the Egyptians, Greeks and Romans, osteo-arthritis flourished.
In prehistoric and Roman times, just like today every animal and human had one dietary fault in common. They all drank too much water with their meals.
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Астма

Астма представляет собой всемирную проблему, но в некоторых странах она представляет сложную и острую ситуацию: в США, Западной Европе, Великобритании астмой страдают 5-10% всего населения. Мировым эпицентром астмы является остров Тристан-да-Кунья в Южной Атлантике, где астмой болеет каждый третий житель. Высокая заболеваемость астмой на этом острове, объясняется близкородственными узами, поскольку трое из первых пятнадцати поселенцев страдали астмой.
Учёные Австралии обнаружили, что один из каждых пяти второклассников испытывает повторяющиеся эпизоды затруднённого дыхания и почти каждый четвёртый из этой группы детей, позже становился хроническим астматиком и продолжал болеть, будучи уже взрослым.
Астма больше распространена в городах, чем в сельской местности. В основном, в странах западного мира заболеваемость колеблется от 3 до 5%. В большинстве исследований отмечается высокий уровень астмы именно у детей. Последнее изучение тенденции развития показывает, что общая заболеваемость в мире резко возросла. Причины этого роста связывают с ухудшением экологической среды обитания человека.
Астма может передаваться по наследству, но не обязательно по прямой линии, т.е. она может пощадить одно поколение либо проявиться, лишь у племянников, дяди или тётушки. У многих астматиков с видимым отсутствием семейной предрасположенности, возможно, были деды, у которых отмечались хрипы, неправильно диагностированные как хронический бронхит или проблемы с лёгкими. Наличие астмы у близких родственников вовсе не означает наличие болезни у потомков. Всё зависит от окружающей среды. Многие братья и сестры астматиков несут в себе эти астматические гены, однако симптомы болезни у них не обнаруживаются. Народная мудрость гласит, что чаще всего наследует астму первый, родившийся в семье мальчик. Хотя у этой народной теории нет научного подтверждения, многие люди прислушиваются к ней. Дело в том, что научно доказано, что астма, начинающаяся в младенчестве или в детстве, наследуется с большей вероятностью, чем астма, появившаяся в силу разных причин, в зрелом возрасте. Когда один из родителей страдает астмой, тем более, если родитель аллергик, в 50% случаев у ребёнка тоже разовьётся астма.

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SIGNALS OF HEART DISEASE: SYMPTOMS GUIDE – ABNORMAL SKIN COLOR – LOCATION

Diffuse pallor may be caused by general depression of the circulation such as in shock or a fainting episode. Localized pallor is commonly caused by obstructed blood flow to a region that prevents adequate red (oxygenated) blood from reaching the skin. However, your skin may look red in areas where blood flow is abnormally abundant, as occurs in areas of an inflamed arthritic joint.
The location of skin color changes will lead your doctor to a conclusion about where the blood flow abnormality is and what blood vessels are involved. One classic constellation of symptoms is the occurrence of sequential white, blue, and red discoloration of one or more fingers, especially when exposed to cold. This is caused by spasm of the small vessels in the fingers. It is referred to as “Raynaud’s phenomenon.” It may occur as an isolated “disease” in itself, or it may be associated with other illnesses.
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ALZHEIMER’S DISEASE: INVOLUNTARY INCONTINENCE OF URINE

The most common cause of this, especially in elderly women, is an infection in the urine. Severe or repeated infection may mean that the infection goes further up the urinary tract (to the bladder or kidneys) or that there is some abnormality (stones or tumour) in the bladder or kidneys themselves.
Many women suffer from stress or urge incontinence. This is often the result of childbirth, where the muscles around the bladder have been stretched and so cannot keep the opening tightly closed. Usually this means that the person wets himself if they cough, laugh or strain (and overcome the muscles trying to keep the bladder opening closed). Some women however have muscles so weak that they wet themselves soon after they stand up. The same weakness can cause a prolapse, where in its most severe form the womb drops down and can be seen. Usually the prolapse is not so bad, but still causes incontinence.
When constipation is a problem the hard motions in the back passage can push against the bladder and make it pass water. If the bulk of the motions is very big, then the pressure can stop the bladder emptying at all and the bladder fills up (retention). This can happen acutely and be very painful and needs the obstruction removing quickly. Occasionally it happens more slowly and the full bladder keeps going by emptying a little all the time, i.e. the person leaks urine almost continuously. This is a big problem in men because the prostate gland sits at the bottom of the bladder and it commonly gets bigger as men get older. A stage is reached where it begins to cause symptoms (passing small amounts of water frequently and with difficulty) and then it can block off the exit to the bladder in the same way as being very constipated can – indeed constipation and a large prostate gland in men is asking for trouble.
A woman’s vagina (front passage) and the tube (urethra) leading up to and just into the bladder is covered by a delicate lining that needs female hormones to keep it moist and supple. In some women after the menopause (change of life) the hormone levels drop so low that the lining becomes dry and painful and more liable to infections. The bladder opening is also affected and the woman can then become incontinent of urine. The application of hormone creams or the taking of hormone tablets relieves this condition.
Another common cause of incontinence of urine is known as the unstable bladder. As described before, our bladders fill up with urine and as they do so we receive messages telling us how full it is. Within limits, only when we are ready do all the openings relax and the bladder contracts, pushing out the urine. All these actions take place because the nerves around the bladder, etc., use chemical messengers to tell the muscles to relax and contract. In the unstable bladder these chemicals are at fault and the bladder begins to contract when it has only a smallish quantity of urine in it and before it has told the brain it is ready – indeed, before the person is ready. The condition appears to occur more commonly in those suffering from dementia but can occur in anyone (women more than men). The classic tale is of a carer taking someone to the toilet, where they remain quite a while, then on the way out or just back in the living room the person is incontinent. It appears willful, but is not. The condition can be diagnosed from the history and the absence of other causes, but usually a cystometrogram is done. In this test a small catheter (tube) is passed into the bladder and another one into the back passage. The bladder is filled with water and in the unstable bladder contractions of the bladder can be seen occurring too soon. Some exercises and drugs appear to help a lot, but mainly in the unconfused group who need to be able to cooperate with the treatment.
Drugs, as mentioned before, can put a great strain on the bladder. Diuretics (water tablets) especially are the main culprits. They can be either strong or weak; the most common include:
• Strong diuretics
frusemide/Frumil/Frusene
bumetamide/Burinex, Burinex К
•     Weak diuretics
bendrofluazide/Aprinox, Berkozide, Centyl
Dyazide, Moduretic
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EYE CARE: TIPS FOR CONTACT LENS WEARERS

Here are some miscellaneous tips for contact lens wearers:
1. Wait a half hour after awakening before inserting your lenses to give your sleep-swollen corneas a chance to return to normal.
2. A short nap with lenses in place won’t be harmful, but remember not to go to bed for the night with your contacts on.
3. Insert lenses prior to putting on face or eye makeup. Water-soluble eye makeup is best for lens wearers.
4. Wash your hands before putting in a lens to avoid introducing irritating substances into the eyes.
5.        Never touch the inner surface of the lens, which rests against the cornea.
6. If you must use aerosol deodorants and hair sprays (and for the sake of the environment it’s recommended that you do not), apply them before installing your contact lenses.
7. Have new lenses rechecked after ten days and again in a month to be sure they are not damaging the eyes. Repeat such examination once a year.
8. See an ophthalmologist if you develop lasting irritation, redness, pain, blurred vision, or any other eye abnormality, whether or not directly connected to your wearing of contact lenses.
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NATURAL THERAPIES FOR INSOMNIA: NATUROPATHY

Naturopaths not only advise on nutrition but look at their patients’ whole lifestyle, including their working life and any anxieties causing particular stress, and will work with patients to deal with the problems underlying insomnia. Many naturopaths are also trained in osteopathy (described in the next section), which helps to relieve structural and muscular tensions and pain.
Sometimes called nature cure, naturopathy is one of the best established forms of natural and holistic medicine; it has had its followers in Britain since well before the Second World War. It is based on the principle that the body has its own restorative powers, and under the right conditions will heal itself. The right conditions for good health include nutrition, exercise, relaxation, a balanced and unstressed musculo-skeletal system, and a positive outlook on life. Treatment therefore consists chiefly of removing impediments to health rather than adding extras, although naturopaths may use some herbal and homoeopathic preparations as well as nutritional supplements when appropriate to individual needs.
Practitioners may advocate fasting, to rid the body of accumulated poisons — either a complete fast, or a few days on fruit or fruit juices. Fasting doesn’t suit everyone, and the naturopath will take your personal needs and system into account before recommending it. Hydrotherapy (water cure) is also traditionally associated with naturopathy, including treatments such as encouraging the circulation around arthritic joints by alternate applications of hot and cold water, or using sitz baths to improve the circulation in the abdominal area. More elaborate forms of hydrotherapy are applied at some health farms.
Naturopaths will also advise on appropriate exercise and relaxation techniques, and support you in making changes to your lifestyle.
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NATURAL THERAPIES FOR INSOMNIA: NATURAL RECONNECTIVE THERAPY

Although only recently introduced to Britain, Natural Reconnective Therapy is believed to have its origins in Ancient Egypt. It is a method of using gentle pressure on different points of the body with the main focus on the connective tissue, which feels like a deep and very relaxing massage. Practitioners also use their thumbs to separate and realign the vertebrae, totally painlessly.
Like other natural therapies, it aims to restore the body’s self-healing mechanism, and it can treat not only difficult musculoskeletal problems like whiplash injury and slipped discs, but a variety of other conditions.
Natural Reconnective Therapy can help the sleepless not just by dealing with specific aches and pains but by erasing stress from the body. The treatment involves the unique theory that the body contains a system of memory banks, specific places in the connective tissue where tensions are stored. For” example, a nervous system memory bank and a heart memory bank can be found in the shoulder-blade areas. Memory banks can be likened to cassette tapes on which every trauma is recorded; if one becomes full up, physical or emotional ill-health follows. An important part of the treatment therefore consists of a specific method of massaging the appropriate points, wiping out the effects of stress. Thus treating the nervous system memory can erase the effects of emotional trauma and stress which deprive so many people of sleep.
Patients are also recommended to adopt the Way of Life system of eating, which helps to restore the body’s natural harmony.
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YOU AND YOUR CHILD: STRATEGIES FOR MANAGING BEHAVIOUR PROBLEMS IN YOUNG CHILDREN

Maintain a sense of humour. While many behaviour problems really are serious and a cause of considerable stress for parents, keeping things in perspective is important. The fact that the child utters a profanity, or breaks a vase, isn’t necessarily the calamity that it appears to be at the time. Of course, it is still important to employ the strategies outlined below but the ability to laugh, and not to take it all too seriously, is one of the more important things to keep in mind as a parent. Give your child a choice where possible, but set limits on this. Often there is a blow-up in the morning, when you are in a hurry, and your toddler is holding everyone to ransom by refusing to wear the yellow shirt. A limited choice — ‘Which shirt would you like to wear, the yellow one or the red one?’ — will give your child a sense of control as well, and often avoids setting up a confrontation. Observe the two fundamental rules of behaviour modification: reinforce wanted behaviour, and ignore unwanted behaviour. Most parents generally do not pay enough attention to children when they are good, that is, they do not sufficiently reward and reinforce desirable behaviour. Try to catch your child being good, and let him know how pleased you are about it. Praise him verbally, or with a light touch on the shoulder, a cuddle, or even an unexpected reward, such as an icecream. Similarly, wherever possible and appropriate try to ignore undesirable behaviour (see Temper tantrums, p. 144). Obviously, there will be times when this is not appropriate. In these circumstances, use the ‘time-out’ technique which is described below.

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ANXIETY DISORDERS: WORKING THROUGH TO RECOVERY

The working-through process

Recovery is not as simple as we would like it to be. In the beginning, it feels as though we take one step forward then two steps backwards. This is why so many people feel they are never going to recover. It is also part of the reason why so many people become discouraged and give up.

We need to understand the step-by-step process of working through the various stages of recovery. Understanding the working-through process is of the utmost importance, yet it is rarely discussed as an issue.

Patience

One of the first things we need to learn is patience. Everyone, naturally enough, wants recovery now. Not tonight, not tomorrow, not next week, but this very second. This creates further stress which keeps the whole cycle going. Whether we like it or not, we all have to learn patience, with the working-through process and with ourselves. Learning to be patient with ourselves is learning to be kind to ourselves. Being kind to ourselves means we are not putting ourselves under any further unnecessary stress.

We need to direct our energy into the determination to commit ourselves, time and again, to the working-through process despite setbacks.

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ÑHILDREN’S SLEEP PROBLEMS/BUILDING THE BASICS: N PRACTICAL TERMS

As we’ve seen, sleeping through the night is not as simple or common as we might assume.

? Arousals during the night are normal and need not cause problems.

? Sleep problems can arise when a child cannot put himself back to sleep after the arousals.

?    It may be harder for children to sleep undisturbed because a child goes more rapidly through the sleep cycles than an adult; there are more periods of arousals and therefore more chances to awaken.

?    Deep sleep occurs early in the night and again for a short while near morning. Sleep terrors are likely to happen at this time.

?    Light sleep and dreaming occur in the remainder of the night. Nightmares (vs. sleep terrors) happen during that time.

?    You can determine your child’s sleep state by her sleep behavior and by what time she went to sleep.

?    This information will help you assess the nature of the sleep disturbance and what your response will be.

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