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01 Jun 10 TRAVELLING HEALTHY WITH VITAMINS

Vitamins On the Go
Don’t forget to pack the vitamins! Believe it or not, vitamins on vacation – or whatever your reason for travelling – are as important as they are at home. In many cases even more so. The stresses of travel, though they often go unnoticed, can be significant.
If you’re travelling to warm or tropical places, be sure that the vitamins you take are in opaque containers and that you keep them in a cool place, not out in the sun. Pack a good sun-screening cream with PABA or a vitamin-E preparation [20,000 IU]. If you have been taking vitamin-D supplements and want to get off for a while, this is the time. A wise choice of vitamins to bring along would be:
High-potency multiple vitamin and minerals [take 1 with breakfast and dinner]
Vitamin E, 400 IU [dry form]
[take 1-2 daily]
Vitamin C, 1,000 mg. with bioflavonoids [take with breakfast and dinner]
Stress В complex, 50 mg. [take 2-3 times daily]
If you’re heading to chillier environs, be sure to take plenty of vitamin С [time release recommended], and if you plan to be indoors a lot, vitamin D also. The vitamins listed above will work in any climate, but if you do find yourself in an area colder than you’re used to, remember to take the vitamin С with all your meals instead of just breakfast and dinner.
Acidophilus can be a traveler’s best friend. If you’re travelling to foreign ports, keep in mind that acidophilus [3 capsules or 2 tablespoons liquid] three times a day is good for diarrhea prevention.
Are Foreign Vitamins Different?
Vitamins the world over are the same, only dosages vary. Read the label. The metric system is used internationally for measurement, and nutrients are measures by weight. In the metric system, the energy value of food is measured in units called joules, or kilocalories, better known as calories. Four of our calories are the equivalent of 17 joules. In other words, a joule is slightly more than four times a calorie.
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GENERAL HEALTH
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01 Jun 10 MIGRATION AND REVERSE MIGRATION

Who does migrate? Charles Longino offers some clues by charting the flow of older people into and out of particular states over the past few decades. This University of Miami demographer calls Florida a migration “winner” because older people who move there from other parts of the country are mainly younger (in their sixties), more affluent, and healthy. Migrants from Florida to other states (usually northern or mid-western ones) are likely to be older (over age seventy-five), poorer, and more in need of nursing-home care or help with living independently.
California is a “winner” or “loser” depending on the state it is being compared with. It gains in exchange with Illinois, because older migrants from Illinois to California are better off than people who migrate in the opposite direction. But because Arizona has replaced California as a destination for young, well-off retirees, California now “loses” in comparison with its neighbor to the southwest.
The comparisons made by Longino and his colleagues show there are fashions in retirement locations. By analyzing migration patterns from 1960 to 1980, they find that Florida, Arizona, and Texas are becoming more attractive as retirement destinations, while the lure of once very desirable California and New Jersey has waned. More important, their figures show that today there are two types of retirement moves: the well-known exodus to the “hot” (literally and figuratively) retirement states made by more youthful, fairly well-off people just after retirement, and a smaller, less-noticed reverse migration years later. Some retirees who moved “forever” to a Sunbelt state in their sixties are forced to return to their home states in their eighties when they become physically frail, have trouble living by themselves, and need their families near. There can come a time when people are “too old” to stay in their retirement homes.
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GENERAL HEALTH
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11 Sep 09 YOUR CHILD’S HEALTH CARE/ GENITAL, GROIN AND URINARY TRACT PROBLEMS: VAGINA, OBJECTS PLACED IN THE

A normal part of children’s development is to explore their own bodies. As part of this process, girls may place all manner of objects inside their vaginas, ranging from crayons to marbles. These objects are usually promptly forgotten about until parents notice a foul smelling vaginal odour or discharge several days later.

When to see your doctor

Always seek medical advice in these situations. See your doctor immediately if you suspect that your daughter has put a sharp object in her vagina, or if there is any pain or bleeding.

VAGINAL DISCHARGE

Young girls occasionally have a whitish discharge from their vagina, which does not irritate them and does not smell. However, if your daughter complains of itching, and her vulva is reddish in colour, she may have a thrush infection, or dermatitis. Any offensive vaginal discharge, or bleeding in a pre-menstrual girl should arouse suspicion of a foreign object having been pushed into the vagina by the child. Newborn baby girls may have a slight vaginal discharge due to the lingering hormonal influences from the mother.

VAGINAL TEARS

Vaginal tears in children result from some form of trauma, such as landing with legs astride on something sharp, or straddling a fence. This can cause pain and bleeding, and you should see your doctor for advice on treatment of the injury.

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11 Sep 09 YOUR CHILD’S HEALTH/BONE AND JOINT DISORDERS: GENERAL PROBLEMS

Apart from congenital dislocation of the hip, most orthopaedic problems in childhood are not serious. They generally occur as part of the normal growth pattern of the child and eventually correct themselves without any active intervention. Parents often become concerned because their child walks or runs awkwardly, wears out shoes, or appears pigeon-toed or knock-kneed. While it is often wise to have the ‘problem’ checked by your doctor or a paediatric orthopaedic surgeon, special shoes and supports are used too much.

Most orthopaedic surgeons advise parents to save their money — inexpensive shoes are just as satisfactory as the most expensive. Children’s feet will develop and grow normally whatever shoes they wear, as long as they fit reasonably well. It certainly is not necessary to purchase children’s shoes at specialised and expensive shops — those bought at discount stores are just as good.

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11 Sep 09 YOUR CHILD’S HEALTH/BONE AND JOINT DISORDERS: ARTHRITIS, SEPTIC

Cause

Septic arthritis is caused by infection of a joint, most often with a Staphylococcus or Haemophilus germ which has spread from a preceding skin or upper respiratory tract infection.

Clinical features

Septic arthritis occurs most commonly during the first year of life. The onset of illness may be quite sudden and the baby usually has a fever and is generally unwell. Swelling over the affected joint is marked and the baby may not move the affected limb due to pain. A toddler may begin to limp.

X-rays and blood tests can help in confirming the diagnosis. In addition, a special bone scan is usually performed to highlight the areas of infection. Sometimes fluid is aspirated from the joint under local anaesthetic using a needle, and sent to the laboratory for analysis.

When to see your doctor

• if your child has an unexplained fever, or is generally unwell;

• if your child has any swelling or pain over a joint, or is reluctant to use one limb or part of a limb.

Treatment

If your child is suspected of having septic arthritis, it is usual to admit him to hospital for thorough investigation and immediate treatment with the appropriate intravenous antibiotics. The stay in hospital is usually from 10 days to 2 weeks. Only in the most severe cases is surgical drainage necessary.

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11 Sep 09 YOUR CHILD’S HEALTH/BONE AND JOINT DISORDERS: BONE INFECTIONS (OSTEOMYELITIS)

Osteomyelitis is an infection within the bone. It is more common in children between the ages of 3 and 12 years and occurs more frequently in boys.

Cause

The infection is commonly caused by the Staphylococcus germ, which may enter through an open fracture or infected sore.

Clinical features

The onset of the illness is usually sudden and is often, although not necessarily, characterised by fever and general lassitude. The child may avoid moving the affected limb, and an older child may complain of pain. The commonest bones affected are those of the upper arm and leg. Swelling, redness and tenderness occur over the site of the infection.

Investigations

X-rays, blood tests and special bone scans are performed to confirm the diagnosis. These are usually performed in hospital. X-rays themselves are not always conclusive in the early stages of the infection.

When to see your doctor

• if your child has an unexplained fever or is generally unwell;

• if your child complains of pain in part of a limb, or does not move a limb;

• if there is any swelling, redness or tenderness over a bone.

Treatment

It is critical that treatment be started as soon as possible, as this leads to the best long-term results and minimal complications.

given orally for several weeks upon discharge from hospital. While in hospital, bed rest is important. Sometimes surgical drainage of the infection under anaesthetic is necessary.

After the acute phase of the illness has passed, physiotherapy helps to maintain the mobility of the limb.

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21 May 09 YOUR CHILD’S CARE/TEETH: DEVELOPMENT AND TEETH

Children usually cut their first tooth between 6 and 9 months of age; from then on, teeth erupt rapidly. A good rule of thumb is to calculate 7 months plus one month for each tooth. For example a child of 10 months would be expected to have three teeth (7 plus 3 months = 3 teeth). By the age of 3 years, the average child will have twenty primary or ‘milk’ teeth.

As the teeth push through the gums, children can become irritable, drool a lot and sleep poorly. The gums may become sore, reddened and tender. A blister will sometimes appear over the gum to herald the arrival of a new tooth. Contrary to popular opinion, teething in infants and young children is not responsible for fever, ear infections, diarrhoea, or other ailments.

A child experiencing the discomfort of teething may be helped by teething rings or rusks. The pressure of these against the gum may be soothing. The same effect may be achieved by the parent gently rubbing the affected gum with a finger. Sometimes paracetamol given according to directions may ease the pain, and very occasionally a local anaesthetic cream will be of help, though it will tend to wear off quickly.

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18 May 09 VITAMINS – GENERAL INFORMATION

However, it is worth noting that certain foods such as potatoes, which are rich in Vitamin C, also contain an enzyme, ascorbic acid oxidase.

When vegetables are heated slowly, the enzyme becomes active and destroys the ascorbic acid. But if the vegetables are rapidly blanched by immersing in boiling water, then the enzyme does not render the Vitamin Ñ inactive.

The  group vitamins have been claimed to be of use in nervous disorders and as a good pick-me-up for debility, nervous exhaustion and that run-down feeling.

Vitamin Bl, or thiamine, is found in cereals, meat and eggs. A lack of thiamine produces the disease known as beri-beri, a condition seen in World War 2 in prisoners of war fed on a diet of white rice and little else.

Now in our society, the same disease, which affects the heart and the peripheral nerves, is seen mainly in those addicted to alcohol.

Some people can develop an allergy to the synthetic Vitamin Bl tablets or injections.

Vitamin B2, or riboflavin, is found in dairy products and green vegetables, but is widely distributed throughout most natural foodstuffs.

A lack of riboflavin affects the skin and mucous membranes.

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15 May 09 EXERCISE RISK

The idea that participation is better than watching seems to have taken hold in Australia as well as other developed countries and the Western world is on a fitness kick.

Not only the young, but the middle-aged and even the elderly are walking, jogging, swimming and playing tennis and squash.

We have been told that it is all good for our health and likely to reduce the risk of having a heart attack.

When a jogger drops dead, this receives great publicity and can make those of us who are pushing our ageing bodies harder than we have for many years, just a little anxious about whether we are doing the right thing.

The point must be accepted that physical fitness may not protect completely from developing coronary artery disease, nor may it reverse or delay its progress in someone who has recently taken up physical exertion.

People still have heart attacks and some die while sleeping or making love. That shouldn’t keep us awake or make us choose celibacy.

Regular sustained physical exercise, tailored to the needs of age, present fitness and state of health is good for one and may protect from the development of a heart attack. Nothing is absolute in medicine.

The trend back to active exercise for many can only be good for the majority even if, for a few, their exertions are foolhardy or even dangerous.

While exercise may not increase the quantity of life it does seem to increase its quality. Those who take up exercise usually take other steps to improve health such as stopping smoking and improving their diet.

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15 May 09 CANCER OF THE WOMB – GENERAL INFORMATION

Cervical cancer may occur in young women, but its peak incidence is in the late Forties. It is more common in women who have had many pregnancies, in those who have had regular sexual intercourse from an early age and in those who have had many sexual partners. It is also more common in those with a lower socio-economic status.

The herpes virus and the human papilloma virus which causes genital warts are thought to be causes of cancer of the cervix.

Most people still associate cancer with pain but this is usually a late symptom. The earliest symptoms of cancer of the cervix are bleeding and discharge. The bleeding may occur between the periods and may follow intercourse. The discharge is initially clear but later becomes blood-stained and offensive.

But there is a screening test for cancer of the cervix and, if every woman at risk availed herself of it, we could prevent or cure every such case of cancer.

In 1933, Dr George Papanicolaou showed that a simple test of placing a scraping from the cervix on a slide and examining it under the microscope could detect cancer in its earliest stage.

This test has been widely used since the late Fifties but, unfortunately, many women fail to take advantage of it.

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