Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

NECROTIZING FASCIITIS: WHAT CAUSES IT, AND WHAT ARE THE SYMPTOMS?


Necrotizing fasciitis, more commonly known as 'flesh-eating disease', is a rare but extremely vicious bacterial infection.
'Necrotizing' refers to something that causes body tissue to die, and the infection can destroy skin, muscles and fat.
The disease develops when the bacteria enters the body, often through a minor cut or scrape. As the bacteria multiply, they release toxins that kill tissue and cut off blood flow to the area.
Because it is so virulent, the bacteria spreads rapidly throughout the body.
Symptoms include small, red lumps or bumps on the skin, rapidly-spreading bruising, sweating, chills, fever and nausea.
Organ failure and shock are also common complications.
Sufferers must be treated immediately to prevent death, and are usually given powerful antibiotics and surgery to remove dead tissue.    
Amputation can become necessary if the disease spreads through an arm or leg.
Patients may undergo skin grafts after the infection has cleared up, to help the healing process or for aesthetic reasons.  


The dad of a young lady who who had her leg amputated after an competitive flesh-eating bug contaminated a injure said there is wish for his son's staying leg and hands.
Andy Copeland, dad of Aimee Copeland, had written on a weblog devoted to the 24-year-old that health professionals are positive they may be able to preserve the hands of her hands.
She will drop her hands and fingers but health professionals wish the muscular in her hands will allow them to connect prosthetics.
He described her restoration as a 'miracle', including that she is now respiration 39 % fresh air through a respirator, having at one factor been on 100 %. It will gradually be reduced down to 21 %, the same as the air around us.
When the respirator comes out, MSNBC revealed, Mr Copeland programs to contact it 'Aimee Day' and separate the harmful information to her of her scenario.
'She will find out that her hands absence the skill and responsive reaction she has known all her lifestyle.
'How would you answer in such a situation? I think that time will be one of scary and depressive disorder for Aimee.'
Aimee stayed in a crucial scenario on Sunday at the John M. Still Get rid of Heart at Doctors Hospital in Augusta, after health professionals eliminated her eventually left leg and cells from her belly to combat the propagate of a unusual illness known as necrotizing fasciitis.

She went into strokes and was resuscitated during the function and Andrew had written that health professionals might be required to amputate her hands and right feet.
'Her hands and fingers generally appear mummified,' he said at a media meeting with his spouse D and young lady Paige, 25,

However, the household stay positive, as a specialist and cardiopulmonologist have said there is no thoughts harm or permanent harm to the respiratory system, which were under strike.
Previously they had mentioned her possibilities of success were 'slim to none'.
Mr Copeland represents his young lady as 'outdoorsy' and a 'lover of people' and desires that she will gradually complete her masters level.
'What we've got is nothing brief of a magic. My child is in existence and her thoughts is excellent. I know we have a challenging street forward, but right now we're rejoicing,' he said.
Aimee's mom is more careful about her son's upcoming.


Tags: NECROTIZING FASCIITIS: WHAT CAUSES IT, AND WHAT ARE THE SYMPTOMS?

Flesh-Eating Bacteria and Lupus


Illness with flesh-eating germs, a condition known as called necrotizing fasciitis, has arranged Aimee Copeland, a 24-year-old Atlanta college student who allegedly also has lupus.

It's approximated that 5 thousand individuals globally, such as 1.5 thousand People in america, have lupus. Are they at chance of the same life-threatening infection?

WebMD requested Chaim Putterman, MD, primary of rheumatology at Montefiore Medical Center and Jordan Einstein College of Remedies in the Bronx, N.Y. With co-workers Mohammad Kamran, MD, and Linda Wachs, MD, Putterman lately revealed necrotizing fasciitis in eight of the 449 lupus sufferers handled at their medical center from 1996 through 2007.

Is necrotizing fasciitis really an condition with flesh-eating bacteria?

The germs that cause necrotizing fasciitis really do eat epidermis. The germs eat away at the cells under the epidermis and propagate quickly.

There's no individual type of flesh-eating germs. The drug-resistant staph bacteria known as MRSA causes a particularly difficult-to-treat form, but many other germs may be the cause. Over the rest, more than one type of germs is engaged.

Infection usually comes from a cut, breaking through injure, or get rid of. But it can also happen in formerly healthy individuals who did not experience damaged epidermis.

The condition impacts the external epidermis only later in the condition. That means a serious condition can be well innovative before it looks as bad as it is.

"It is this relatively normal overall look of the epidermis that often causes wait in analysis," Putterman and co-workers observe in their review.

That may be why 1 in 3 sufferers with necrotizing fasciitis passes away of the condition.

"One purpose for the bad treatment of these sufferers is a wait in analysis," Putterman says. "That comes from a wait in sufferers looking for care as well as a wait in physicians making a analysis."

Is a individual with lupus at improved chance of condition with flesh-eating bacteria?

Yes, for two reasons.

First, lupus itself makes a individual more likely to get all kinds of attacks, from the common cold to epidermis injuries.

That's interesting, because lupus itself is due to a overactive resistance process that changes against a individuals own body. But the condition also includes a faulty defense reaction to germs and to germs.

The second purpose is that immunity-suppressing medication really help individuals with lupus.

"But sufferers pay a price: adverse reactions. And the most common complication is condition," Putterman says. "Lupus medication reduce the same defense reactions needed to secure you against international intruders such as germs."

Are individuals with lupus at probabilities of necrotizing fasciitis than other individuals with defense suppression?

That's not yet clear, because condition with flesh-eating germs is so unusual. But Putterman's team was able to find eight cases in lupus sufferers at 1 medical center.

This indicates "that a improved attention is guaranteed, particularly among lupus sufferers who are immunosuppressed by advantage of their actual condition, the treatments they require, or both," Putterman and co-workers create in their review.


Tags: Flesh-Eating Bacteria and Lupus

Make Money Writing Articles Or Web Content


What is the one thing that everyone is looking for when they go online? You’ve got it – information. And if you can supply it in all kinds of shapes and forms then you will be paid for doing so, which could lead to a whole new career as a web writer.
Of course it isn’t just online markets that need content; there are hundreds of other markets you could break into as well, including magazines, but overall it is the internet which offers the best opportunities, especially for the beginning writer.
So why should you start online when you want to earn money writing? The reason is simple – it isn’t just editors that need your work. Website owners, people with newsletters that need writing and countless others all have writing jobs that they can’t or won’t do or don’t have the time to do themselves.
That generally sends them scurrying to websites like Elance and Get A Freelancer to find people who will write the articles and content they need for them. There are plus points and negative points to writing for the internet; you won’t often see your work published under your own name as you will usually be ghostwriting it for someone else, but you will get a lot of work since jobs quite often come in batches. You won’t often get just a single article to write for instance – you might get a half dozen, ten, twenty or even more, so the money can soon mount up.
The best places for finding work are the aforementioned sites, but you should also look on classified ad sites such as Craigslist for jobs in your own country and in other places around the world. There are also plenty of writing related websites that can easily be found via the search engines if you look for ‘online writing jobs’ or something similar. Don’t forget blogging jobs as well; if you have your own blog then you already have experience in blogging, so apply for as many as you can. Ongoing blogging jobs are great for bringing in a regular stream of income.
Getting started and building contacts is the hardest part. Go for jobs you feel confident in doing to begin with; after a while you will pick up speed and complete them faster and much more easily. You will soon learn to juggle your work as well in order to meet all your deadlines before they fall due – this is an essential skill you will need to develop in order to position yourself as one of the best in the business.
You could also work for a ghostwriting team if you prefer; these can also be found via the search engines and a simple email should reveal whether they are accepting new writers at any time. This can make life easier since you don’t have to go looking for work all the time – it is generally supplied by the team leader, depending on how that particular team works.
But can you really make a full time income by doing this? The answer is yes you can, but speed and quality are of the essence. If you produce good work then people will naturally come back to you for more of the same. They will also pay more for work of a better standard, so make sure you don’t put yourself down with the $2 an article crowd.
It will take time to build up enough work to be able to leave your current job and start a brand new career as a web writer, but there is no reason why you shouldn’t be able to do this if you persevere and keep checking the classified ad sites and job boards every single day. Don’t wait to apply for jobs either – do it as soon as you see them appear. Getting in early can make all the difference in some cases.
So do you think you have it in you to be a writer? If you do there is a huge market out there just waiting for you to dive in. Just remember where you came from, and leave us a comment by using the form below before you go and begin your new career!
Tags: Ideas To Make Money Online And Offline, How to make money online, way to make money online, how to make extra money, money, ideas, online, offline, Make Money Writing Articles Or Web Content

Jillian Michaels

Her best aspect is not that she has the fail-safe diet program. Jillian Michaels is best at motivating others to be better and to eliminate the negativity surrounding self image and about losing weight. In the show the biggest loser, she has seen many lose weight and have better dietary habits. She has even changed how others view themselves repeating over and over that being fat is not a personality trait but a condition that can be managed and changed.


She started out as a woman who was 165 pounds and in her quest to lose weight she found her calling as a personal trainer. Now, 50 pounds later, she is providing guidance and assistance, some would even say it is outright force to show that losing weight is better and being thin is in.

As a motivator and role model, Jillian has a unique connection with her audience that stems from her own personal journey toward wellness. Before she was a huge TV success, Jillian struggled with her own weight. She was determined to reach her goals — and through dedication and hard work, she did.

Books, DVDs, video games, meal plans — Jillian has them all covered. She is a New York Times bestselling author of two books, Master Your Metabolism and Making the Cut, and is also author of Winning by Losing. Her DVDs, Yoga Meltdown, 30-Day Shred, No More Trouble Zones, and Banish Fat Boost Metabolism, are consistently top sellers on Amazon, and her Web site, JillianMichaels.com, enjoys tremendous success because of people who look to Jillian for a comprehensive online wellness program. In addition, she is an AOL Fitness Coach and has two video games for the Nintendo Wii — Jillian Michaels' Fitness Ultimatum 2009 and Jillian Michaels' Fitness Ultimatum 2010, which is also available for Nintendo DS.

Jillian is currently working on the ninth season of The Biggest Loser. Each season in which she has trained contestants, one of her trainees has taken the top prize. She will release two books in April 2010 — the Master Your Metabolism Cookbook and the Master Your Metabolism Calorie Counter and a spanish version of Master Your Metabolism, called Optimiza tu Metabolismo, in May.

Jillian launched Empowered Media, LLC, with the goal of creating total life solutions for people that involve all aspects of living well, including health, wellness, weight loss, and overall lifestyle. By imparting to her clients a unique and inspiring philosophy that stresses the integration of fitness, nutrition, and behavioral changes, Jillian empowers the people she works with to define and reach their personal goals, both physical and psychological. Empowered Media allows Jillian to communicate her message of health and wellness to a large audience through different media, including an online community, books, DVDs, gaming, and exercise equipment. The company will work toward its objectives with a circle of experts who collaborate with Jillian to act as life architects, helping people to restructure their lives. The company's motto is, "Inspired by Jillian, empowered by YOU!"

We asked Jillian Michaels this morning if she planned to stay and her response was direct, “I might not be.” She said she’s working with NBC, acknowledging that they’ve been great in negotiations, but said “certain things need to happen” for her to stick around another season.

Listen to our interview with Jillian now, as she describes her personal conflict with the season seven contestants, and debates her role in the show going forward.

Anyone watching Biggest Loser season seven can sense that Jillian’s just not that into it. She told us she’s not happy, in fact she’s “miserable.” She warned us in our season six finale interview that season seven would be a tough one because the contestants have “figured it out,” stating that they say just the right things for the camera, and even arrive on campus asking how they go about getting an agent. Jillian told us that while she has kept close, personal relationships with previous contestants, this season was difficult because she just simply hated some of them.

Jillian says there is a price to pay when you’re unhappy all the time, so for now, the decision remains TBD as she sorts it out with NBC.




Tags: Jillian Michaels

     

Generation 'could die before their parents

Today's children could die at a younger age than their parents as preventable diseases reach epidemic levels, the UK's leading hospitals warned today.
Doctors from Liverpool's Alder Hey Children's Hospital said the number of avoidable health complaints such as obesity and tooth decay were booming.
As a result they were spending an increasing amount of time dealing with avoidable conditions.

tooth decay
Around £1m and hundreds of hours are being spent each year on treating health complaints such as obesity and tooth decay
Dr Steve Ryan, medical director at Alder Hey, said: 'It just shouldn't be happening.
'These children should not be suffering from these problems and they should not be here at this hospital.
'People are starting to say maybe this is a generation where children will be dying before their parents.'
Alder Hey is one of Europe's biggest children's hospitals, providing care for more than 200,000 children each year.
One of the areas most affected is the dental department. More than half of the 1,000 dental operations carried out each year are on children under the age of six.
Research has shown people with gum disease and tooth decay have a higher risk of heart disease.
Meanwhile between 500 to 1,000 children a year end up in hospital because they are exposed to their parents' smoking.
Another report predicted that eight out of 10 men and almost seven in 10 women will be overweight or obese by 2020.
BBC's Panorama programme 'Spoilt Rotten? claims around £1m and hundreds of hours of treatment time are being spent each year treating obesity, tooth decay, alcohol abuse and health complaints associated with passive smoking.

What’s in a cigarette

A cigarette may look harmless enough - tobacco leaves covered in classic white paper. But when it burns, it releases a dangerous cocktail of about 4,000 chemicals including:

  • at least 80 cancer-causing chemicals
  • hundreds of other poisons.
  • nicotine, a highly addictive drug, and many additives designed to make cigarettes taste nicer and keep smokers hooked.
This page has more information on the various poisons in cigarette smoke. You can also read about where these come from and how concentrated they actually are.

Cancer-causing chemicals in tobacco smoke

  • Tar - a mixture of dangerous chemicals
  • Arsenic - used in wood preservatives
  • Benzene - an industrial solvent, refined from crude oil
  • Cadmium - used in batteries
  • Formaldehyde - used in mortuaries and paint manufacturing
  • Polonium-210 - a highly radioactive element
  • Chromium - used to manufacture dye, paints and alloys
  • 1,3-Butadiene - used in rubber manufacturing
  • Polycyclic aromatic hydrocarbons - a group of dangerous DNA-damaging chemicals
  • Nitrosamines - another group of DNA-damaging chemicals
  • Acrolein - formerly used as a chemical weapon
  • Other chemicals

Other poisons in cigarette smoke

  • Hydrogen cyanide - used as an industrial pesticide
  • Carbon monoxide - found in car exhausts and used in chemicals manufacturing
  • Nitrogen oxides - a major component of smog
  • Ammonia - used to make fertilisers and explosives
  • More poisons
Tar is a term that describes a collection of solid particles that smokers inhale when they light a cigarette. It is a mixture of lots of chemicals, many of which can cause cancer. When it settles, tar forms a sticky, brown residue that can stain smokers’ teeth, fingers and lungs.
Because tar is listed on packs, it is easy to believe that it is the only harmful part of cigarettes. But some of the most dangerous chemicals in tobacco smoke are present as gases, and do not count as part of tar. This means that cigarettes with less tar still contain all the other toxic chemicals.
Arsenic is one of the most dangerous chemicals in cigarettes. It can cause cancer as well as damaging the heart and its blood vessels.
Small amounts of arsenic can accumulate in smokers’ bodies and build up to higher concentrations over months and years. As well as any direct effects, it can worsen the effect of other chemicals by interfering with our ability to repair our DNA.
Fish and seafood can be major sources of arsenic, but in a form that is less toxic and more readily removed from the body. In contrast, tobacco smoke contains arsenic in a more dangerous form.
Benzene is a solvent used to manufacture other chemicals, including petrol. It is well-established that benzene can cause cancer, particularly leukaemia. It could account for between a tenth and a half of the deaths from leukaemia caused by smoking.
Tobacco smoke contains large amounts of benzene and accounts for a big proportion of our exposure to this poison. The average smoker inhales about ten times more benzene than the average non-smoker.
And some studies have estimated that the amount of benzene that a person inhales through second-hand smoke over their lifetime could increase their risk of cancer.
Cadmium is a metal used mostly to make batteries. The majority of cadmium in our bodies comes from exposure to tobacco smoke. Smokers can have twice as much cadmium in their blood as non-smokers.
Studies have found that the amounts of cadmium present in tobacco smoke are capable of affecting our health. It is a known cause of cancer, and can also damage the kidneys and the linings of the arteries.
Our bodies have proteins that mop up harmful chemicals like cadmium, but the amounts in smoke can overload these proteins. Cadmium can also prevent our cells from repairing damaged DNA. Because of this, it can make the effects of other chemicals even worse.
Formaldehyde is a smelly chemical used to kill bacteria, preserve dead bodies and manufacture other chemicals. It is one of the substances in tobacco smoke most likely to cause diseases in our lungs and airways.
Formaldehyde is also a known cause of cancer. It is believed that even the small amounts in second-hand smoke could increase our lifetime risk of cancer.
Tobacco smoke is one of our major sources of formaldehyde exposure. Places where people smoke can have three times the normal levels of this poison.
Polonium is a rare, radioactive element and polonium-210 is its most common form. Polonium strongly emits a very damaging type of radiation called alpha-radiation that can usually be blocked by thin layers of skin.
But tobacco smoke contains traces of polonium, which become deposited inside their airways and deliver radiation directly to surrounding cells.
The lungs of smokers can be exposed to four times more polonium than those of non-smokers and specific parts may get a hundred times more radiation. One study estimated that someone smoking one and half packs a day receives the equivalent amount of radiation as someone having 300 chest X-rays a year.
Chromium is a metal used to make metallic alloys, dyes and paints and comes in different types. Chromium III or ‘trivalent chromium’ is most commonly used. It is available as dietary supplements and is harmless.
On the other hand, chromium VI or ‘hexavalent chromium’ is very toxic, is found in tobacco smoke, and is known to cause lung cancer. It allows other cancer-causing chemicals (such as polycyclic aromatic hydrocarbons) to stick more strongly to DNA and damage it.
1,3-butadiene or BDE is an industrial chemical used in rubber manufacture. Some scientists believe that of all the chemicals in tobacco smoke, BDE may present the greatest overall cancer risk. It may not be as good at causing cancer as some of the other chemicals listed here, but it is found in large amounts in tobacco smoke.
Polycyclic aromatic hydrocarbons or PAHs are a group of powerful cancer-causing chemicals that can damage DNA and set cells down the road to becoming tumours.
One of these chemicals - benzo(a)pyrene or BAP - is one of the most widely studied of all tobacco poisons. BAP directly damages p53, a gene that normally protects our bodies against cancer.
Nitrosamines are a group of chemicals that can directly damage DNA, like polycyclic aromatic hydrocarbons (PAHs).
They are found in small amounts in food. But tobacco products, including those that are chewed rather than smoked, are by far our largest source of exposure to these chemicals. Even though they are found in relatively small amounts in cigarettes, they are very strong cancer-causing chemicals.
Acrolein is a gas with an intensely irritating smell and is one of the most abundant chemicals in cigarette smoke. It belongs to the same group of chemicals as formaldehyde and acetaldehyde, both of which can cause cancer.
Until now, it wasn’t clear if acrolein causes cancer as well, but recent experiments suggest that it can. We now know that acrolein can cause DNA damage that is similar to the damage seen in lung cancer patients. Since smoke contains up to 1,000 times more acrolein than other DNA-damaging chemicals, it could be a major cause of lung cancer.
Acrolein also stops our cells from repairing DNA damage, like arsenic and cadmium. And like hydrogen cyanide, it kills the hairs that normally clean our lungs of other toxins.
Some of the other cancer-causing ingredients of tobacco smoke include:
  • metals, such as nickel, lead, cobalt and beryllium. While you may be exposed to some of these metals through domestic items or food, inhaling them in tobacco smoke is worse, because they are easily absorbed by the lungs.
  • acetaldehyde, which is also formed in your tissues when you drink alcohol - it is responsible for many nasty hangover symptoms
  • hydrazine, a very toxic chemical used mainly in rocket fuel

Hydrogen cyanide is a poisonous gas. Of all the chemicals in tobacco smoke, it does the most damage to the heart and blood vessels.
Hydrogen cyanide does not cause cancer, but it increases the risk of other chemicals causing cancer by damaging cilia. These are tiny hairs lining the airways that help to clear toxins away. By killing cilia, hydrogen cyanide causes other dangerous chemicals to be stuck in the lungs and airways.
Carbon monoxide is a colourless gas with no smell. It is formed when we burn carbon-based fuels, such as gas in cookers or petrol in car engines. It can make up as much as 3-5% of tobacco smoke.
Carbon monoxide sticks to our red blood cells in place of oxygen. This lowers our blood’s ability to transport oxygen and deprives our tissues and organs of this vital gas.
Like hydrogen cyanide, it kills cilia and reduces our lungs’ ability to clear away toxins. This means that while carbon monoxide does not cause cancer directly, it makes it easier for other chemicals to do so.
Nitrogen oxide is a gas found in car exhaust and tobacco smoke.
Our bodies use it in very small amounts to carry signals between cells. But in large amounts, it is a major air pollutant. It directly damages lung tissue and causes inflammation in the lungs.
Normally, our bodies produce small amounts of nitrogen oxide, which causes our airways to expand. The large amount of nitrogen oxide in tobacco smoke changes things in two ways:
  • When smokers are smoking, it expands their airways even further, making it easier for their lung                 s to absorb nicotine and other chemicals.
  • When they are not smoking, it shuts off their internal nitrogen oxide production line, causing their airways to constrict. This is one reason why regular smokers often have difficulty breathing.
Ammonia is a gas with a strong, irritating smell, and is used in some toilet cleaners. Some studies have found that ammonia enhances the addictive power of nicotine. It changes nicotine into a gas that is more readily absorbed into the lungs, airways and bloodstream.
Like carbon monoxide and hydrogen cyanide, ammonia also kills cilia.
Tobacco smoke also contains many other poisons that produce harmful effects. These can be carried throughout the body via our blood vessels.
As well as hydrogen cyanide and ammonia, gases like sulphur dioxide also kill cilia (protective hairs) in our lungs. This stops them from being able to clear away other harmful chemicals.
Chemicals like hydrogen sulphide and pyridine irritate our airways.
Toluene can damage brain cells and interfere with their development.


      

Smoking and Cancer

People smoke for many different reasons. Smoking is very addictive because tobacco contains a powerful drug called nicotine. Smokers have also been influenced by the clever marketing tactics of tobacco companies for many years.

Nicotine as a drug

Cigarettes are deliberately designed to give you a fast nicotine hit. It takes just 10 seconds for the drug to reach your brain from inhaled cigarette smoke. Nicotine causes addiction in much the same way as heroin or cocaine. It is just as addictive as these ‘harder’ drugs.
Nicotine is a stimulant that increases your heart rate and affects many different parts of your brain and body. Smokers get a high because nicotine triggers the release of dopamine in the brain - a chemical linked to feelings of pleasure.
This also means that smokers start to make a mental link between the act of smoking and feeling good. Because of this, smokers can also become addicted to abstract things like the taste of cigarettes or the feeling of smoking, as well as the nicotine itself.

Withdrawal symptoms

Addiction explains why giving up smoking can cause nicotine withdrawal symptoms. These symptoms include cravings, irritability, anxiety, difficulty concentrating, restlessness and disturbed sleep.
As your body adjusts to the lack of nicotine, these symptoms will start to disappear and most will go away within a month. Withdrawal symptoms can be difficult to cope but the benefits to your health are well worth it.

Nicotine as a poison

Nicotine is a neurotoxin (a poison that kills nerve cells) found in tobacco plants. It acts as a defence mechanism to stop them from being eaten by animals.
However, in cigarettes, the level of nicotine is too low to cause poisoning. And the nicotine in nicotine replacement therapy (NRT) is a safe way to come off the nicotine in cigarettes. Using NRT can double your chances of successfully quitting.

Tobacco advertising and promotion

Half of smokers die from smoking-related diseases. The tobacco industry needs new customers to replace the 114,000 people who are killed by smoking in the UK each year. Cigarette manufacturers make sure that:
  • they know exactly why people smoke
  • they cleverly market products to attract new customers.
In the past cigarette manufacturers have deliberately targeted children and young people. The industry spends a great deal of money on making cigarettes seem glamorous, appealing, fashionable and attractive. Most smokers started when they were young and image conscious. Young smokers often find it difficult to give up in later life.
Cigarette advertising is now banned in the UK. So the industry is developing new and subtle tactics to avoid prosecution.

Stress and relaxation

Many people claim that smoking helps them to cope with stress. But in fact, nicotine is a stimulant and won’t help you to relax. Smokers probably think a cigarette makes them feel better because when they aren’t smoking they suffer from nicotine withdrawal.

Other personal reasons for smoking

People have many other personal reasons for smoking. Smokers may:
  • use smoking as a support for when things go wrong
  • enjoy smoking with others as a shared activity
  • use smoking to start conversations and meet new people
  • smoke to make themselves look more confident and in control
  • think that cigarettes help them to keep their weight down
  • have a cigarette when they’re feeling bored or lonely
  • smoke when they need a break or a moment to themselves.
Knowing why you smoke is one of the first steps towards giving up.


Two Seconds Can Change Your Life

SHOWER OR BATH?
Answer: Shower
It’s a healthier way to clean your body than soaking in the water you wash in.
But baths are brilliantly relaxing. Use the shower head to rinse off afterwards.

young women holding a stop watch
Shower or bath? Green olive or black?: They might seem trivial but these small decisions make a huge difference
WEIGHT OR WAIST SIZE?
Answer: Waist size
The circumference of your waist is a better predictor of heart disease risk than your body mass index (BMI). The reason is that it’s belly fat that poses the
most danger to your heart and arteries.
Research shows that for women, health risk begins to rise with a waist circumference
above 32in — over 35in is a serious threat.
Wrap a tape measure around your skin at mid-abdomen, at or near the belly button.
Keep it snug, but not tight — and don’t suck in your tummy.
MANUAL OR ELECTRIC TOOTHBRUSH?
Answer: Electric
A Review of studies from the past four decades found electric toothbrushes were
more effective than manual alternatives in reducing plaque and gingivitis.
FRUIT JUICE OR FRUIT?
Answer: Fruit
Get the real thing. Fruit juices are loaded with sugar and have been stripped of fibre.
Fresh fruit and vegetables
Most fresh fruits are more than 80 per cent water making them more filling and with fewer calories than dried fruit
BACON OR SAUSAGE?
Answer: Bacon
A sIice of bacon, cooked thoroughly, has fewer calories than a sausage.
EMAIL OR WALK ALONG THE CORRIDOR?
Answer: Walk
You’ll get blood circulating better, burn calories and, most likely, have a more productive, personal conversation than you would have had via the computer.
FRESH FRUIT OR DRIED?
Answer: Fresh
The higher water content (most fresh fruits are more than 80 per cent water)
means a larger volume, making the fruit more filling and satisfying, with fewer
calories. But for convenience and shelf life, use dried fruit as your back-up plan.

 
CASH OR CREDIT?
Answer: Cash
You’ll almost certainly spend less on your groceries if you pay with cash.
In one study, researchers asked several hundred families to do all of their grocery
shopping with cash for three months, then, for the next three months, to use only a credit card.
When the families used cards, they spent between 20 and 30 per cent more on their
shopping.
TEA OR COFFEE?
Answer: Tea
Choose black or green tea. these are jammed with heart-healthy antioxidants that provide more than an energy-boosting punch. they contribute to healthy arteries and may help prevent cancer.
LUNCH OR GRAZE?
Answer: Graze
Nibble food throughout the day, rather than having a large, formal lunch. spreading
out your calories stabilises blood sugar and insulin levels, provides more frequent
relief from stress, tension and boredom and avoids post-meal fatigue because you
don’t have a big meal.
Best reason: all-day grazing frees up lunchtime for other things, such as a walk.
Pitted Green olives
Green olives haven't ripened fully, so they contain roughly half the fat levels of black olives
GREEN OR BLACK OLIVES?
Answer: Green olives
Green olives haven’t ripened fully, so they contain roughly half the fat levels you that they would have achieved had they ripened and blackened.
SPARKLING WATER OR SODA WATER?
Answer: Sparkling Water
There's a reason soda and sodium sound similar.
Soda water is called that because it is based on the use of sodium bicarbonate to 'carbonate' it.
So it should come as no surprise that soda water is salt-rich. With only 3mg of sodium, sparkling water beats soda water's 75mg hands down.

WALK OR RUN?
Answer: Walk
Although runners may scoff at walking, saying it doesn't burn enough calories to result in real weight loss, research has shown that a regular walking programme, mile for mile, has just as beneficial an effect on your waistline.
HARD OR SOFT MASSAGE?
Answer: Hard
The point of massage isn't to stimulate the skin; it's to relieve the muscles lying below. While you're not advised to massage to the point of pain, you need to use effort to work the muscles thoroughly.

CUP OF COFFEE OR 20-MINUTE NAP?
Answer: Nap
This is according to a French review of research on techniques that helped night-shift workers to remain alert. set an alarm to wake you in 20 minutes.
A longer nap could interfere with your sleep later that night.
SWIMMING OR WALKING?
Answer: Walking
While swimming is great exercise for your lungs and heart, it doesn't do anything for your bones because there's little resistance in water.
HOLD IN ANGER OR EXPRESS IT?
Answer: Express it
If you're angry, get it under control and then express it.
Woman lifting weights
With free weights, you can work both sides of your body separately, eliminating muscle imbalances
FREE WEIGHTS OR MACHINES?
Answer: Free weights
With free weights, you can work both sides of your body separately, eliminating muscle imbalances. Only some machines allow that.
Also, gym machines are generally designed for a male body. If you are short or slight, your body may be too small for the machine.
Finally, dumb-bells are inexpensive and portable.
LAUGH OR CRY?
Answer: Cry
While laughing off the situation may seem like a mature 'I'm in control' response, it may be masking or denying some very unhealthy issues.
Crying is a more honest, anxiety-releasing response. It signals to you and your loved ones that all is not well and that change may be in order.
WINE OR GIN AND TONIC?
Answer: Wine
Not only does a glass of wine provide more volume for the alcohol (meaning it lasts longer, so you'll drink less), but the health benefits of wine are legendary.
Choose red for maximum health benefits.

EXERCISE OR ANTIDEPRESSANTS
Answer: Exercise
A study of older adults found that ten weeks of standard exercise was 20 per cent more effective than medication at reducing depressive symptoms.
However, because depression may make you want to do anything but exercise, many doctors recommend combining the two treatments.
Glass of red wine
A glass of wine provides more volume for the alcohol meaning it lasts longer, so you'll drink less
A GOOD BOOK OR A GOOD FRIEND?
Answer: A good friend
Perhaps not every night, but, in general, time spent with friends is time well invested in your health. relationships are critical in terms of reducing the negative effects of stress hormones on blood pressure.
MANUAL OR AUTOMATIC CAR?
Answer: Automatic
The main arguments for driving a manual car  -  you'll burn more calories and less petrol  -  don't hold up.
Changing gears and using the clutch pedal don't add up to exercise unless you're driving an 18-wheel tractor. An automatic will make driving less stressful.
WORK OR SEX?
Answer: Sex
A group of economists found that going from having sex once a month to having it at least weekly is equivalent to the amount of happiness that an enormous pay rise would bring to the average person.
QUICK-DRYING OR STANDARD NAIL POLISH?
Answer: Standard
Quick-drying nail polish may save time, but at the expense of your nails. Most of these formulas contain more formaldehyde and alcohol than standard polishes, which are drying and make nails prone to splitting.
To fast-dry nails naturally, empty ice cubes into your sink and fill with cold water. After each coat of nail polish, dip your wet nails into the cold water for a minute.
Miraculously, they'll be dry when you take them out.
APPLE OR ORANGE?
Answer: Apple
The old adage is true.
A study from the university of Nottingham found that people who ate more than five apples a week had improved lung function, less wheeziness and fewer asthma-like symptoms.

ORGANISED WEIGHT-LOSS PLAN OR SOLO WEIGHT LOSS?
Answer: Organised
Join the group. When researchers assigned 413 overweight men and women to either a self-help programme, in which they met a nutritionist twice and then followed a programme on their own, or to Weight Watchers, they found that, after two years, those in the Weight-Watchers group lost more weight than those going it alone.
SIRLOIN STEAK OR RIBEYE?
Answer: Sirloin
A 300g sirloin steak contains 325 kcal and 13g of fat, six of them saturated, compared to 423kcal and 23g of fat found in the same-size ribeye steak.

The new Reader's Digest book, 5 Minute Health Boosters (www. rubooks.co.uk; £26.99).




     

Obama as a Child

Grinning happily at the camera, this is Barry Soetoro, the cherubic little boy who went on to become America's first black president.
The charming images taken at a child's birthday party in Jakarta 40 years ago were released as Indonesia prepares to welcome Barack Obama back to the country for the first time since he became president.
The Asia-Pacific tour will also take in Australia and Guam and has been described as an 'extremely important trip' involving 'important partners', a White House spokesman said.

Chubby: Barack Obama, then known as Barry Soetoro, centre, is 
pictured at a classmate's birthday party in Jakarta, Indonesia, in 1971
Chubby: Barack Obama, then known as Barry Soetoro, centre, is pictured at a classmate's birthday party in Jakarta, Indonesia, in 1971
Regional security is expected to be a major focus of the visit.
Ahead of the visit, Mr Obama's former teacher Israella Pareira, described the neighbourhood's reaction to the youngster's arrival.
She said: 'His mother was white, his father was Indonesian, and here was a black, chubby boy with curly hair. It was a big question mark for us.'
But if the neighbours were initially curious, it didn't take long for them to accept Mr Obama, his American mother and Indonesian stepfather.
They now speak with pride and affection about the child who stayed for just four years but who left a big impression, before going on to make an even bigger mark in history.
The forthcoming visit will also highlight Mr Obama's multicultural upbringing, his early exposure to Islam and his lasting family connections to Indonesia, a mostly Muslim, Southeast Asian nation of some 230 million people.
Mr Obama's childhood and family history would be an interesting start in life for anyone, but are all the more striking in an American president.
The first black American head of state, he is also the first to spend a significant part of his childhood abroad since Theodore Roosevelt, who travelled widely in Europe and the Middle East with his family.
'He was exposed to American black culture, American white culture and Indonesian culture,' said Kay Ikranagara, who worked with Mr Obama's mother in Jakarta and knew the family well. 'He learned that people in all groups should be listened to.'
Popular: The man who would become president of the USA was 
well-liked in his neighbourhood of Menteng Dalam
Popular: The man who would become president of the USA was well-liked in his neighbourhood of Menteng Dalam
No schedule has been released of his trip, which was delayed a few days so as not to clash with a crucial moment in the US health care debate. As a result, his wife and children, who were originally going to join him during their spring break, will not be accompanying him.
Born to a black Kenyan father, Obama moved to Indonesia when he was seven after his mother, Stanley Ann Dunham, married her second husband, Lolo Soetoro, whom she met when they were studying at the University of Hawaii.
His half-sister, Maya, was born in Indonesia, but after four years Dunham - her marriage slowly breaking up - sent him back to Hawaii, where he lived with his maternal grandparents and attended school.
His mother had 'learned the chasm that separated the life chances of an American from those of an Indonesian. She knew which side of the divide she wanted her child to be on,' he wrote in his autobiography 'Dreams from My Father.' 'I was an American, she decided, and my true life lay elsewhere.'
Dunham became fluent in the Indonesian language and her career as an anthropologist and development worker would often take her back to the country for long periods until her death in 1995. Last year, a book based on her dissertation on blacksmiths in Indonesian villages was published.
Mr Obama and his mother first set up home in the Menteng Dalam neighbourhood. Now a jumble of houses and narrow streets in the shadow of tower blocks, at the time it was on the edge of the city and fruit trees were landmarks.
Many families still live there, and they shared memories of the boy they knew as Barry. Slipping his way to school along muddy lanes, holding onto his mother's hand; trying salted fish from a neighbourhood shop and mistaking it for cheese; playing with the pet crocodiles that were kept in the back garden.
Barack Obama
First Lady Michelle Obama
Just look at him now: Mr Obama delivers remarks on health insurance reform in Ohio earlier this week. First Lady Michelle Obama was pictured during her campaign to improve fitness and combat obesity in children in Washington, yesterday
'He went to everyone's house, played kites with local kids, got stuck in swamps,' said Coenraad Satja Koesoemah, who allowed Dunham to use his front room to teach English - for free - to locals. 'He was a Menteng Dalam kid, what more can I say?'
The family's life in Indonesia came less than a year after one of the most traumatic and bloody periods in the country's history - the massacre of up to 500,000 alleged communists by forces loyal to the American-backed Gen. Suharto, who took over the country on the back of the purge.
During the presidential campaign, Mr Obama's team had to fight back against false reports that he attended a hard-line Muslim boarding school while in Jakarta.
His father was raised a Muslim, but abandoned his faith before he met Dunham. His stepfather was a secular Muslim who was rarely, if ever, seen in the neighbourhood prayer house, according to locals.
Mr Obama's first school in Jakarta was a Catholic one a short walk from his home that had been built just two years earlier by a priest from the Netherlands, the country's former colonial rulers.
For the first five months, Mr Obama struggled with the Indonesian language but soon became proficient. By all accounts, he quickly became a favourite of the teachers and the pupils there, but endured some teasing on account of his looks.
Those early experiences have been cited as key moments that shaped his view on life.
'One of the reasons that he is so cool and non-combative is that he learned to deal with this teasing culture,' said Ikranagara. 'It is a game here, and the trick is not to show you are bothered.'
Soetoro got a job working for an American oil company. Dunham found work teaching English at the American Embassy and shared company with a mixed Indonesian, expatriate academic and artsy crowd.
'After these years I can still see her clearly among the people at the party,' said John McGlynn, a long time Jakarta resident. 'More than anything she was a person who stuck out from the crowd.'
After three years, the family moved to a better neighbourhood on the other side of railroad tracks that divide that part of Jakarta. There, they rented a colonial-era house in the garden of a large villa.
When Mr Obama returns next week, he will find that this part of his past has remained much as he left it, right down to the 'Beware of the dog sign' on the fence, the bench where he used to do his homework and the art deco stained-glass windows on his old house.

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