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A toddler or preschooler, who will have been aware of marital tension before the separation, may still react with feelings of anger at the custodial parent, whom he may blame for sending the other parent away. He will often regress in his behaviour, and become dependent and clingy. Even the briefest separations may be protested and poorly tolerated. Behaviour and social relationships may deteriorate. Sleep problems are common, and aggressive behaviour towards siblings and peers causes additional stress for the parent.
Older children, in addition to the reactions described, may feel guilty that they are somehow responsible for the separation, believing that if they had behaved better or differently, it would not have occurred. Often there is yearning for the absent parent. Sadness and even overt depression are common.
Adolescents may feel intense anger at one or both parents, and may feel loyal and protective to one of the parents. Somatic complaints, such as stomach aches and headaches are common, and there may be problems with schoolwork and with peer relationships. Acting-out behaviour (such as talking back or open hostility) common to adolescents, may be accentuated. One of the developmental tasks of adolescence is to separate from the family, and this is made more difficult if there is separation and divorce during this period. They worry about their own ability to have successful relationships later in life.
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Don’t leave the doctor’s surgery without prescriptions for enough tablets to take the required dose, every six hours in this case, until your next appointment. In our example, this means you would need 112 tablets. You may not, in fact, take all of those tablets, but at least you are free to decide what’s best for you. If you don’t have the tablets, you don’t have the choice.
Your doctor may say that twenty tablets per prescription is the maximum he or she can prescribe. This is not true. In Australia, your doctor can apply to the Department of Health for permission to give you enough painkillers per prescription to last one month. Permission is always given for people with cancer. Find out from a doctor or pharmacist what regulations apply in your country.
If you are in hospital, you have to rely on nurses as well as doctors to get the painkiller you need. First, ask your doctor to write up your painkiller to be taken regularly, (every three to six hours as is appropriate for the particular painkiller), not ‘as required’. If it is written up ‘as required’ you will have to ask for every dose. Even once you persuade the nurse you do need it, you will have to wait while senior nurses and keys are found, so cupboards can be unlocked to get your painkiller out. You shouldn’t have to go through this and you won’t have to if you can persuade your doctor to say you must have the painkiller regularly.
*181/40/1*
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(1.) Don’t panic.
(2.) Assume command (someone has to). (3.) Assess the situation …
Any injuries?
How many?
How bad?
(4.) Delegate specific people to do specific things; particularly with road accidents. Block traffic or divert vehicles on one side of the accident (many a minor injury has been converted to a major one through a car ploughing into the injured person on the road). Send someone to phone police and someone else to phone for an ambulance.
(5.) Move the patient out of danger if it is not practicable to block the traffic. If you worsen the injuries by moving the victim, this is better than the injured — or yourself — being killed by another car.
(6.) Remember the A-B-C of saving lives …
A is for airway. Is he breathing? If not, start artificial respiration. If breathing, check whether it is easy or labored respiration. If he is unconscious and lying on his back, lift his lower jaw upwards and forwards. This lifts the tongue, stopping it from falling back and blocking the airway. Take out false teeth!
 is for bleeding. Look for bleeding, then stop it. Direct pressure will nearly always stop brisk haemorrhage. Put your THUMB on it, or your hands. Pads and bandages are great, but take time. Remember. NO TOURNIQUETS!
Ñ is for conscious state. If unconscious, check the airway as above, turn the head to one side, or, if there is no other apparent injury, place the patient on his side, so that in case of vomiting the vomitus cannot enter the lungs.
R … to that A-B-C let’s add an «R» — Re-assess! Keep going back over the A-B-C.
*624/71/1*
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This germ may contaminate canned or bottled food, particularly if home-prepared. The toxin is deadly. Fortunately, an antitoxin is available, but early diagnosis and treatment is essential.
Food poisoning due to toxins usually develops within four to six hours but those cases due to infection with bacteria or viruses may take 12 to 24 hours to develop. Food may be contaminated with chemicals, especially the heavy metals and then symptoms come on quickly, usually within one to two hours.
If you want to avoid this unpleasant group of illnesses, some simple precautions may help. You would be wise to avoid food which appears «off», in any way. If the color, smell or taste gives an indication that all is not well, leave it alone. This applies to left-over foods at home as well as those you buy.
Foods which are kept warm for long periods are prone to contamination. Look at the standard of cleanliness in the shop. If it is generally good, the owners probably take care of the food as well as the premises. Sloppy people tend to be sloppy in all things.
*367/71/1*
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Why tissues from the womb should sometimes be found elsewhere in the body is a puzzle called endometriosis.
The endometrium is the layer of cells which forms the lining of the uterus or womb. It is this layer which is under hormone control and builds up and becomes thick and spongy, ready to receive the fertilised egg should conception occur.
If it doesn’t this layer of tissue is shed, along with a certain amount of bleeding, and is the menstrual flow which constitutes a woman’s period.
In endometriosis, some of this endometrial tissue is found in other areas. It may be present deep in the muscle layers of the womb itself, in the ovary in the ligaments which hold the womb in place or on any of the abdominal organs. Why this tissue should be present in an unusual position is uncertain.
The problem with this condition is that the ectopic, or «out of place» cells react in the same way to the hormonal changes as the cells in their proper place. They build up, increase their blood supply and then shrivel up and bleeding occurs at the time of the period.
*117/71/1*
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The possible benefit of palliative anti-cancer treatments is that they may control the cancer temporarily. While the cancer is under control, there will probably be less symptoms from it. The patient may feel better, provided the symptoms due to treatment are not as bad as the symptoms due to the cancer were. Sooner or later the cancer will become active again. It will then grow and eventually result in death in much the same way as it would have earlier, if no anti-cancer treatment had been used. In other words, the possible benefit from palliative cancer treatments is that they may delay the eventual outcome. However, they don’t really alter it. In contrast, potentially curative treatments may prevent a person from dying of cancer. Try not to lose sight of the fact that, of course, there is nothing that can prevent you from eventually dying of something. A lot of people with cancer suffer unnecessarily because they let their doctors treat them as though this was not a basic fact of life.
*148/40/1*
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Will the G.I. factor be appearing on food labels?
Food manufacturers are increasingly interested in having the G.I. of their products measured and the G.I. concept is already being discussed on the back of some commercial breakfast cereals. As more products are measured and consumer awareness of glycaemic index increases, we may see manufacturers highlighting the glycaemic index of foods. As consumers, people with diabetes should lobby Diabetes Australia if they believe the information should be on food labels.
Can I still lose weight eating as much carbohydrate as I want?
Possibly not. We recommend a high carbohydrate intake and a low fat intake. While carbohydrate is not usually stored as fat, if you are eating more energy in total than your body requires, then the carbohydrate will be used as a source of fuel in preference to fat. This would have the effect of limiting the breakdown of body fat stores. The idea is to eat enough energy in total to satisfy your appetite (using low G.I. types helps) and nutritional requirements but not more than you need. An increase in your activity level will help burn up body fat as it used as an additonal fuel.
Should I only eat foods with a low G.L?
No, that is unnecessary. You can lower the G.L of your diet effectively by substituting approximately half of your carbohydrate with low G.L types. When we eat a high G.L food with a low G.L food we end up with a meal of intermediate G.L so high G.I. foods needn’t be excluded. It is also generally healthier to eat as wide a variety of foods as possible, so don’t narrow your food choices unnecessarily.
Everybody can benefit from adopting the G.I. factor approach to eating. It is the way nature intended us to eat.
*97\42\4*
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1. A range of factors including gender, age, race, initial level of obesity, diet and genetic influences need to be considered in the prescription of specific physical activity programs for fat
loss.
2. Patients with a genetic predisposition to obesity or with a long history of obesity should have their previous exercise history carefully considered before any prescription as to the type of planned physical activity is given.
3. More attention needs to be given to duration, frequency and intensity of physical activity with pre-menopausal women and particularly those with gynoid-form obesity.
4. Greater attention needs to be paid to the combination of diet and physical activity in the case of long term obesity.
5. More emphasis should be placed on energy input in the initial stages of severe obesity with activity limited to incidental activity or weight-supportive exercise.
6. Consideration needs to be given to the different fat loss responses to exercise in post-menopausal compared to premenopausal women, and in android compared to gynoid forms of overfatness.
7. There is a need for greater attention to spontaneous activity in older patients. This tends to decline naturally and may do so even further after the introduction of a planned, daily physical activity session.
8. Different levels of intensity of physical activity may be required for clients with different levels of cardiovascular fitness.
9. It should not be assumed that individuals of equal fatness have equivalent cardiovascular fitness. Prescription needs to be specific to each individual.
10. For programs that are gym or fitness centre based, provision needs to be made for organised physical activity on days when the gym is not used (i.e. making up a total of 6-7 days/week of organised physical activity).
11. It should be recognised that total energy use and substrate utilisation can vary between individuals depending on gender and age. These variables need to be recognised in developing any individualised prescription.
12. It should be recognised that many people over-estimate the amount of physical activity they carry out during the course of a day. Hence, activity diaries, or pedometers or other measurement tools are suggested to keep track of daily efforts.
*161\186\4*
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1. People at risk for obesity-related health problems, especially adult onset diabetes, need to be particularly careful about gaining abdominal fat.
2. When assessing the health importance of obesity for an individual, total fat, fat distribution and risk of disease all need to be considered.
3. It is more crucial for abdominally obese people to reduce fat for health reasons than for people with a more gynoid pattern.
4. The primary* location of fat storage in an individual (i.e. upper or lower body) influences not only the health risk but also the degree to which changes can be made in body fat content. Abdominal body fat stores tend to be more mobile than those in the lower body.
5. For this reason, body fat in android-shaped males is likely to be more easily mobilised than in most gynoid-shaped females.
6. Because of possible significant genetic, psychological and metabolic differences, long term cases of severe and morbid obesity should be regarded differently to short term cases of overfatness.
7. Because of hormonal changes, the fat loss response of postmenopausal women may be different to that of younger women and hence fat loss treatments may need to be different.
8. The genetic contribution to overfatness needs to be assessed to help determine the difficulty of the potential fat loss response.
9. Look for and consider less obvious health problems that may be related to excessive overfatness, e.g. bad back, bad knees, poor sleep, all of which may affect the fat loss response.
10. Be sensitive to psycho-social problems and sexual disorders in people who are excessively fat.
11. Accept that there are many factors influencing body fat and body shape that cannot be significantly modified, i.e. genetics, gender, age.
*22\186\4*
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All in all, you can see that the secret of staying young is basically the secret of staying healthy. And the secret of staying healthy is closely tied to proper nutrition. More and more researchers of the noble science of Gerontology come, in their quest for the secrets of aging, to the inevitable conclusion that the Fountain of Youth springs from vital nutrition.
It could be truthfully said that:
you are as young as your glands;
you areas young as your cells;
you are as young as your collagen;
you are as young as your enzymes and your digestive system;
you are as young as your arteries and your heart.
But in order to keep your glands and organs young, your colon free from decay and putrifaction, your collagen elastic and your cells healthy and vital, you have to feed your body with the highest quality vital nutrition, which contains all the essential nutrients necessary for the normal function of all these organs and tissues.
Of course, the state of your mind has a determining influence on your health, too. But even the state of your mind, your attitudes, your mental capacities—yes, even the strength of your moral fiber – all depend to a great extent on the quality of your nutrition. «Mens sana in corpore sano» said the old Romans, and this is just as true today. A sound mind can only dwell in a sound body.
The more we search for the secrets of aging the more we convinced that you cannot discuss the problems of premature aging without discussing the problems of nutrition.
Dr. Henry C. Sherman of Columbia University, one of I lie-greatest authorities on nutrition, has stated that not only can human life be extended, but also youthfulness can be preserved and the extended life span made more useful, by the right selection of foods.
Recently, the Journal of the American Geriatrics Society reported on research by a Hungarian scientist, who has found that malnutrition is a prime cause of premature aging.
*136\58\2*
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I will discuss all the nutritive factors connected with better hair growth, or, in reverse, the nutritional deficiencies connected with hair loss and baldness. But first let me disprove one of the fallacious notions held by many authorities on the hair-through-nutrition subject. They claim that for healthy hair growth you need first and foremost «protein, protein and more protein!’
It is true that just about all your body is made up of protein. Of course it is true that your hair is also made up largely of protein. But this does not mean that you have to eat masses of protein each day. Your actual protein need for the normal, healthy functioning of all the vital organs and processes of your body is only about 30 grams a day, which can be supplied by one pint of milk and a cheese sandwich. Protein intake should not exceed 50-60 grains per day—which is less than half what is usually advocated in the United States. Proteins eaten in excess of the actual need, especially animal proteins, are definitely detrimental to your health, including the health of your hair. And don’t forget that practically all natural foods contain some protein, even fruits and vegetables.
Here is something to ponder: Are there many bald heads in Japan, China, India, or Mexico? In these countries a bald man is rare and the hair retains its blue-black color until very old age. Yet these people live, by American standards, on a very low protein diet. Certainly, hereditary factors have some part to play in this. But heredity is not the whole answer, as demonstrated by the fact that Chinese and Mexicans get gray hair and even become sleek-bald when they move to the United States and adopt western habits of eating. Studies of the nutritional habits of these people have shown that their diets are very high in vitamins, especially vitamins C and B; minerals; trace elements, especially iodine; and essential fatty acids—ail very important for healthy hair growth.
If you’d like to undertake a program of feeding your hair from within, please don’t stuff yourself with huge amounts of animal protein. Too much animal protein may cause metabolic disorders, self-intoxication and hardening of the arteries with resultant impaired blood circulation—in other words, it may create the very problems you are trying to remedy. Enough, but not too much, should be the rule in regard to protein.
*111\58\2*
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