Heart Disease is number one killer in Women

Heart Disease is number one killer in Women

Indore:  January, 6th 2011: It is considered that Heart Disease is predominantly a disease of Men. Contrary to the common belief the fact is that Heart Disease is the number one cause of Death in Women and is more common than all cancer combined.

With a view to have more information on the subject, the Indore Chapter of Indian Menopausal Society is going to organize an innovative session on Asians and Coronary Artery disease-Women Heart Health Initiative, on 9th January 2011 at Radisson Hotel, Indore. The session will be addressed by Dr. Sudhir Mungee, MD, FACP, FACC, FSCAI, and interventional Cardiologist in USA.

Dr.Kumud Bhagwat, MS, FICS will be the Chief Guest and Dr. Saroj Srivastava, MS, NAMS, LLB will be the guest of honour.

Dr. Sudhir Mungee, an eminent Interventional Cardiologist in USA and a graduate of MGM Medical College, Indore is one of the pioneers in a new initiative in Women’s Heart Health. This initiative stresses on empowering women and Gynecologist with Heart Disease awareness.

Dr. Sudhir Mungee, MD, FACP, FACC, FSCAI, and interventional Cardiologist in USA.

Dr.Kumud Bhagwat, MS, FICS will be the Chief Guest and Dr. Saroj Srivastava, MS, NAMS, LLB will be the guest of honour.

Dr. Sudhir Mungee, an eminent Interventional Cardiologist in USA and a graduate of MGM Medical College, Indore is one of the pioneers in a new initiative in Women’s Heart Health. This initiative stresses on empowering women and Gynecologist with Heart Disease awareness.

For more details please contact:

Atul Malikram

9827092823

pr@atulmalikram.in

How to Respond to a Femur Fracture

I have received numerous questions about the length of time it takes for a femur fracture to heal. Now this involves many facets of the fracture itself. Depending on the type of fracture and exact location, age of the patient, etc … will no doubt play a huge factor.

Femur fractures can be stubborn when it comes to healing and if you have multiple fractures. Most will heal as planned but there will always seems to be one or two areas that seem to take their time in healing properly.

Back when I had suffered my femur fracture in 1973 there was a simple pinning completed, multiple surgeries due to vascular problems after breaking the bone in nine different locations, then spending four months in a body cast.

The femur being the longest and strongest bone and the body usually is broken from a trauma accident. It takes a great deal of force to break this bone and will also cause damage to the surrounding tissue. The femur is surrounded by a powerful muscle group known as the quadriceps and hamstrings. If the femur is completely fractured the muscles will force the fracture site to shift causing a portion of the femur to lacerate surrounding tissue and or blood vessels. again, this will all depend on the severity of the fracture.

Once repaired by the orthopedic doctor, give the bone time to heal. Once it is healed and you can place your full body weight on the leg you can begin a strengthening program while weight bearing. If there are weight bearing precautions on the affected leg you can do a host of other exercises such as quad sets,, straight leg raises, abduction and adduction exercises.

Your patience will be tested during the healing process but if not healed properly the injury can give you problems for years to come.

It took me almost a full year to get over my fracture and develop the strength in the thigh needed to carry my weight and walk properly with a walker or cane.

Monitor your diet carefully getting plenty of protein and calcium in the diet for bone and muscle re-building and strengthening. Keep a positive you will overcome attitude to this injury and plan on bouncing back stronger then you were in the past.

Remember as the good book says in time "all things shall past"

Hard Disk Failure

There are many different ways in which Hard Disk Failure can occur; however it could be split into 4 main categories:

1. Electronic Failure

2. Mechanical Failure

3. Firmware Corruption

4. Logical Corruption

It is also possible for the faults to happen in combination with each other, depending on what exactly has happened will determine whether the data is recoverable or not. It is worth noting that over time all hard drives will develop bad sectors, unfortunately this is not preventable and will case data loss.

Electronic Failure

This fault relates to errors on the controller board, often caused by electrical surges or power spikes, you will recognise this fault as the HD will not spin when powered up and will not be detected. This type of error is not critical in terms of data loss and a data recovery company will be able to recover lost information.

Mechanical Failure

This type of fault relates to the components in the hard drive failing, this will cause data to become inaccessible. This fault can be detected by powering the system up, the hard drive will make a constant clicking noise, indicating a mechanical fault. In order to fix this fault a specialist company must do it as it requires the faulty parts to be replaced from parts on a working drive, this was all the data can be saved.

Firmware Corruption

This error is an embedded software code that when it goes wrong it does not allow the hard drive to interact properly with the rest of the system

Logical Errors

These errors are different from the rest as the drive remains fine physically; the errors could be due to a seriously fragmented disk.

Heart Disease: America's leading Cause of Death – An "Equal Opportunity" Illness by Lawrence Broxmeyer MD

Inflammation plays a crucial role in the pathogenesis of arteriosclerosis, especially in acute coronary syndromes such as happen with a heart attack. And it was the very inability of ‘established’ risk factors such as high blood cholesterol (hypercholesterolemia), high blood pressure (hypertension) and smoking to fully explain the incidence of cardiovascular disease that has resulted in historically repeated calls to search out an infectious cause and the specific microbe behind it. Today, half of US heart victims have acceptable cholesterol levels, including HDL and LDL fractions, and 25% or more have none of the “risk factors” associated with heart disease, including smoking, high blood pressure or obesity, most of which are not inconsistent with being caused by infection to begin with. [1,2] Cholesterol itself was on the rise in Japanese blood during the very decade (1980-1989) when its incidence in coronary heart disease was on its way down. [22] So Nieto stressed the need to continue to look for an infectious disease behind heart disease. [3}

Which Disease?

Ever since a 1988 report of raised antibodies against Chlamydia pneumoniae in patients with heart disease, it was hoped that this microbe might be behind heart disease and atherosclerosis [28] Hurting this was the low incidence of atherosclerosis in the tropics despite Chlamydia’s high frequency there. [29]. Also Loehe, Bittman and other groups concluded that although Chlamydia, on occasion, might be present, it was not a causative factor in heart disease [30], because there was no correlation between the severity or extent of atherosclerosis and the involvement of chlamydial infection. Recently the Chlamydial hypothesis has been subject to a flurry of antibiotic trials, with mixed results, leaving some investigators to conclude that possibly Chlamydia doesn’t even play a role in atherosclerosis. [42] Certainly this was born out in two sizeable trials, one of which [47] had 1,187 participant. In neither trial [48] could any of the commonly thought of bacterial causes of heart problems – Chlamydia pneumonia and Helobacter pylori be correlated with cardiovascular disease. Nor could a virus. Also, in those trials which did show benefit antibiotics used (Azithromycin, Clarithromycin) are first line agents against certain forms of tuberculosis (fowl tuberculosis or Mycobacterium avium). Contrary to common belief, TB infections occur as a mixed infection with “atypical” TB in up to 11% of cases, even in HIV free individuals. [41] Today the antibiotic Rapamycin is used to coat coronary stents. [45] Rapamycin enhances the killing of mycobacteria like tuberculosis by human white blood cells called macrophages. [46]

Historical Associations

The association between active pulmonary tuberculosis and Acute Myocardial Infarction or heart attack has been reported and stubbornly ignored for around four and a half decades. Certainly, TB shares a more striking connection to heart disease than its nearest competitor, Chlamydia pneumonia. CDC maps for cardiovascular disease case rates bear a striking resemblance to comparable state and regional tuberculosis maps. [4,5]

Long before there was such a thing as a ‘heart specialist’ The National Tuberculosis Association created an offshoot called the American Heart Association (AHA). In one of its first bulletins, the American Heart Association came up with a long list of similarities between tuberculosis and heart disease. [17] And Ellis’s 1977 New England Journal of Medicine article [6], confirmed that the mortality rate for TB and heart disease were curiously about the same: 200 to 300 persons per 100,000.

By 1965, Rutgers investigators Livingston and Alexander-Jackson, working with sterile, post-catastrophic coronary artery and muscle specimens, established low-grade tubercular infection, staining ‘acid-fast’ (stains which did not decolorize when acid-alcohol was added) occuring in all ischemic heart specimens. [11] In that same year Russian investigators began generating their own proof that tuberculosis was causative in both atherosclerotic heart disease [18,19,20,21] and acute myocardial infarction (a heart attack) itself. [13,14,15].

Measuring Heart Trouble With Cardiac Enzymes In The Blood

Cases were soon on record of individuals with no cardiac risk factors, presenting with acute onset chest pain, ST elevation on their electrocardiogram (EKG), and elevated cardiac enzymes – all indicative of a heart attack with no other involvement than pulmonary tuberculosis [37]. As with its predecessor creatine kinase (CK-MB), today’s new enzymatic gold standard for detecting a heart attack, the troponins, are elevated in disseminated tuberculosis, an example of which can be found in TB’s role in acute pericarditis. [43]. Acute pericarditis, often not detected either until death was historically linked most commonly to Mycobacterium tuberculosis. In 1951, Christian [44] suggested that viral infection was more responsible for “idiopathic” (of unknown cause) or “benign” pericarditis. Such a viral cause, however, was never substantiated in many cases. Also, when it was found that the fatty substance (phospolipid) phosphatidylinositol  was not only housed itself inside TB’s cell wall, but was a potent coagulant and thrombin former as well – it further raised the question as to whether M. tuberculosis, by its very nature, lays down the conditions for the vessel clogging atherosclerosis behind heart disease and myocardial infarctions or heart attacks. [31]

Livingston and Alexander-Jackson [11] were far from the first ones to document lab evidence that TB can cause heart disease. Hektoen [7], Osler [8], and Schwartz [11], all documented lab and animal evidence to this effect. MacCallum [9] claimed that of all the infectious causes of heart disease, one one, tuberculosis, caused arteriosclerosis. At autopsy MacCallum cited 101 cases of advance tuberculous arteriosclerosis. In separate studies, Kossowsky [13], Tarakanova [14] and Ferrari-Sacco [15] all directly linked heart attacks with pulmonary tuberculosis.

Further evidence

There can no longer be any doubt that tubercular protein HSP-65 is involved in atherosclerosis. Xu [12] used it to cause experimental atherosclerosis in laboratory animals with normal cholesterol. George and Shoenfeld found it not only in atherosclerosis but fatty streak formation in cardiovascular blood vessels. [32] Mukherjee and De Benedictis showed also that the higher the antibodies against such tubercular protein in the body, the higher the possibility of “restenosis” or future closure of heart vessels. Also Afek proved that the higher the amount of tuberculoprotein (HSP-65) administered, the larger the area of vessel clogging atherosclerosis, even despite a low-fat diet. [34] Xu saw similar changes in New Zealand White Rabbits. [35] Xu’s rabbits had normal serum cholesterol, but when injected with tubercular protein, their arteries soon developed the classic features of arteriosclerosis in humans – both with regards to inflammatory cell accumulation and smooth cell proliferation. [IBID]. The only finding missing from Xu’s animals were “foam cells” – fat laden tissue white blood cells called macrophages in which tuberculosis lives and thrives. Xu remedied this by subjecting his animals to a cholesterol rich diet in addition to tubercular protein. this combination produced classic human heart disease, with foam cells. Xu continued to find sustained antibodies to HSP-65 in human subjects with the severe atherosclerosis predictive of mortality. [49] By 2004 Mandal and Xu even confirmed a positive association between high levels of antibodies to HSP-65, which are cytotoxic, and the vexing atrial fibrillation that often accompanies cardiac surgery. [50]

Present day heart disease “markers” have been suggest as indicators of possible heart disease, even in the 25 million US patients who have none of its “risk factors”. These include blood test for C-Reactive Protein (CRP), interleukin-6 and homocysteine [39] – all of which are similarly elevated in tuberculosis. [32,33,34,40,36].

Although blood cholesterol seems an imperfect criterion by itself for determining coronary heart disease, its intimate interaction with TB is unique. Tuberculosis is the only microorganism to depend on cholesterol for its destructive pathogenesis, and it relies upon cholesterol to enter the body’s white blood cell macrophages. [23] The tuberculous bacilli alone is able to produce [24], esterify [25], take up, modify, accumulate [26], and promote the deposition of, and release [27] of cholesterol. The statins, among the most popular drugs in America (Lipitor), inhibit Coenzyme-A compounds, and as such lower serum cholesterol levels. But they do more. Specifically, when macrophages were depleted of cholesterol by these agents, it hinders tuberculosis’s entrance into the body’s macrophages that TB likes to house in, thrive in, and depends upon. [23]

Nieto concludes that the introduction of antibiotic therapies in the 1940’s and 1950’s could have contributed to the decline of heart disease and heart attacks, and so, by 2000, the CDC found that 14% of the cardiologists in Alaska and West Virginia treated heart patients with antibiotics for angina, heat attacks, angioplasty or after by-pass surgery.

Conclusion

In Tuberculosis in Disguise, Rab and Rahman report cases of congestive heart failure and ischemic heart disease (IHD) with chest pain, raised erythrocyte sedimentation rate, leukocytosis (elevated white cell count) and inverted T-waves across the chest leads in an Electrocardiogram – otherwise indistinguishable from a heart attack, which turned out to be miliary (systemic) tuberculosis. [38]

Though more than 120 years have passed since its discovery Mycobacterium tuberculosis is still the leading cause of infectious death globally due to a single infectious agent. At least a staggering 1.7 million around the globe die of tuberculosis each year, while another 1.9 million are infected and at risk for active tubercular disease. [16] The World Health Organization [WHO] estimates that 1/3 of the planet has contracted TB. It would take such a disease of such magnitude to adequately explain the scope of cardiovascular disease, which affects, according to the CDC (Centers for Disease Control) about 61 million people, or almost one-fourth of the population of the US alone. Almost 6 million US hospitalizations each year are due to cardiovascular disease, which has become an equal opportunity disease that is now both the leading cause of death among women as well as the general US population.

There is at least as much, and probably much more evidence that Mycobacteria, particularly Mycobacterium tuberculosis causes cardiovascular disease than there is regarding Chlamydia Pneumoniae. Yet oddly, to this point Chlamydia has been pursued in therapeutic antibiotic trial after trial…………with not one such trial directed towards tuberculosis.

References

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2. Thom DH, Grayston JT. Association of prior infection with Chlamydia    pneumoniae and angiographically demonstrated coronary artery disease. JAMA 1992;268:68–72.

3. Nieto FJ. Infections and atherosclerosis: new clues from an old hypothesis. Am J Epidemiol 1998;148(10):937–48.

4. CDC Map: TB case rates, United States, 2001. Atlanta Georgia: US Department of Health, Education and Welfare CDC; 2001.

5. CDC Map total cardiovascular disease – 1995 death rate. Atlanta Georgia: US Department of Health, Education Welfare CDC; 1995.

6. Ellis JG. Plague tuberculosis and plague atherosclerosis. The New England J Med 1977;296(12):695.

7. Hektoen L. The vascular changes of tuberculous meningitis. J Exper Med 1986:112.

8. Osler W. Diseases of the arteries. In: Osler W, MacCrae T, editors. Modern medicine Its theory and practice in original contributions by Americans and foreign authors, vol. 4. Philadelphia, PA: Lea & Fabiger; 1908. p. 426–47.

9. MacCallum WG. Acute and chronic infections as etiological factors in arteriosclerosis. In: Cowdry EV, editor. Arteriosclerosis A survey of the problem. New York: MacMillan Co; 1933. p. 355–62.

10. Schwartz P. Amyloid degeneration and tuberculosis in the aged. Gerontologia 1972;18(5-6):321–62.

11. Livingston V. Cancer: a new breakthough. Los Angeles: Nash Publishing; 1972.

12.  Xu Q. Dietrich Induction of arteriosclerosis in normocholesterolemic mice and rabbits by immunization with heat shock protein 65. Arterioscler Thromb 1992;12:789–99.

13. Kossowsky WA, Rafii S. Letter: acute myocardial infarction in miliary tuberculosis. Ann Intern Med 1975;82(6):813–4.

14. Tarakanova KN, Terent’eva GM. Myocardial infarct in patients with pulmonary tuberculosis. Probl Tuberk 1972;50(4):90–1.

15. Ferrari-Sacco A, Ferraro U. Myocardial Infarct and Pulmonary Tuberculosis. Discussion of 2 cases of myocardiocoronary disease appearing during hospitalization in a sanatorium. Minerva Cardioangiol 1966;14(8):465–75.

16. Dye C, Scheele S. Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. JAMA 1999;282:677–86.

17. AHA Similarity of tuberculosis and heart disease. Bull Am Heart Assoc 1927;2(5):22.

18. Bruade VI. Cardiovascular diseases in conjunction with pulmonary tuberculosis (pathological-anatomical findings). Sov Med 1966;29(12):104–7.

19. Kamyshnikova VS, Kolb VG. Biochemical factors involved in atherogenesis in pulmonary tuberculosis. Probl Tuberk 1984;11:48–52.

20. Kazykhanov NS. Lung tuberculosis in patients with atherosclerosis. Sov Med 1965;28(8):37–44.

21. Kazykhanov NS. Arteriosclerosis in patients with pulmonary tuberculosis. Kardiologiia 1967;7(10):137.

22. Okayama A. Ueshima changes in total serum cholesterol and other risk factors for cardiovascular disease in Japan, 1980–1989. Int J Epidemiol 1993;22:1038–47.

23. Gatfield J, Pieters J. Essential role for cholesterol in entry of mycobacteria in macrophages. Science 2000;288:1647–750.

24. Lamb DC, Kelly DE. A sterol biosynthetic pathway in mycobacterium. FEBS Lett 1998;437(1-2):142–4.

25. Kondo E, Kanai K. Accumulation of cholesterol esters in macrophages incubated with mycobacteria in vitro. Jpn J Med Sci Biol 1976;29(3):123–37.

26. Av-Gay Y, Sobouti R. Cholesterol is accumulated by mycobacteria but its degradation is limited to non-pathogenic Heart disease: the greatest ‘risk’ factor of them all 777 fast growing mycobacteria. Can J Microbiol 2000;46(9):826–31.

27. Kamyshnikov VS, Kolb VG. Lipid metabolism and atherogenesis in tuberculosis in experimental animals. Probl Tuberk 1993;4:53–5.

28. Gurfinkel E, Bozovich G. Chlamydia pneumoniae: inflammation and instability of the atherosclerotic plaque. Atherosclerosis 1998;140(Suppl 1):31–5.

29. Stille W, Dittmann R. Arteriosclerosis as a sequela of chronic Chlamydia pneumoniae infection. Herz 1998;23(3):185–92.

30. Loehe F, Bittmann I. Chlamydia pneumoniae in atherosclerotic lesions of patients undergoing vascular surgery. Ann Vasc Surg 2002;16(4):467–73.

31. Rota S  Rota S  Mycobacterium tuberculosis Complex in Atherosclerosis  Acta. Med. Okayama 59:6 pp.247-251 2005

32. George J, Shoenfeld Y. Enhanced fatty streak formation in C57BL/6J Mice by immunization with heat shock protein-65 arteriosclerosis. Thromb Vasc Biol 1999;19:505–10.

33. Mukherjee M. De Benedictis association of antibodies to heat-shock protein-65 with percutaneous transluminal coronary angioplasty and subsequent restenosis. Thromb Haemost 1996;75(2):258–60.

34. Afek A, George J. Immunization of low-density lipoprotein receptor deficient (LDL-RD) mice with heat shock protein 65 (HSP-65) promotes early atherosclerosis. J Autoimmun 2000;14(2):115–21.

35. Xu Q, Kleindienst R. Increased expression of heat shock protein 65 coincides with a population of infiltrating T lymphocytes in atherosclerotic lesions of rabbits specifically responding to heat shock protein 65. J Clin Invest 1993;91:2693–702.

36. Markkansen T, Levanto A. Folic acid and vitamin B12 in tuberculosis. Scand J Haemat 1967;4:283–91.

37. Bakalli A  Osmani B  Acute myocardial infarction and pulmonary tuberculosis in a young female patient: a case report Cases Journal 1: 246 2008

38.  Rab SM, Rahman M. Tuberculosis in disguise. Brit J Dis Chest 1967;61:90–4.

39. Wilson PW. Homocysteine and coronary heart disease: how great is the hazard? JAMA 2002;288(16):2042–3.

40. Bajaj G, Rattan A. Prognostic value of ‘C’ reactive protein in tuberculosis. Indian Pediatr 1989;26(10):1010–3.

41. Tsukamura M, Mizuno S. Occurrence of Mycobacterium tuberculosis and strains of the Mycobacterium avium- M. intracellulare complex together in the sputum of patients with pulmonary tuberculosis. Tubercle 1981;62:43-46.

42. Pislru S Van de Werf F  Editorial: Antibiotic Therapy for Coronary Artery Disease. Can Wizard Change It All? JAMA. 2003;290: 1515-1516

43.  Imazio M Demichelis B  Cardiac Troponin I in Acute Pericarditis  Journal of the American College of Cardiology Vol.42, No. 12 pp. 2144-2148  2003

44. Christian HA Nearly ten decades of interest in idiopathic pericarditis  Am. Heart J. 42:654 1961

45. Li YL  Wan Z  Comparison of Sirolimus- and Paclitaxel-Eluting Stents in Patients Undergoing Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction: A Meta-analysis of Randomized Trials. Clin Cardiol. 2010 Sep;33(9):583-90.

46. Floto AF  Sarkar S Perlstein EO Addendum: Small Molecule Enhancers of Rapamycin-Induced TOR Inhibition Promote Autophagy, Reduce Toxicity in Huntington’s Disease Models and Enhance Killing of Mycobacteria by Macrophages. Autophagy  Landes Bioscience 3:6, 620-622; November/December 2007.

47. Haider AW Wilson PW  The association of seropositivity to Helicobacter pylori, Chlamydia pneumonia, and cytomegalovirus with risk of cardiovascular disease: a prospective study. J. Am Coll Cardiol. 2002 Oct 16;40(8):1408-13.

48.  Ridker PM Kundsin RB Prospective study of Chlamydia pneumonia IgG seropositivity and risks of future myocardial infarction. Circulation 1999 Mar 9;99(9):1161-4.

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© 2010

Treatment For Shingles – What You Should Know

Shingles is not an easy condition to manage. People who have the condition should always seek a treatment for shingles. Here are some things that you may have to consider when you look for shingles treatment.

Why Have I Treated

It is possible for shingles to disappear on its own but it can take up to more than a month for it to heal. Prompt treatment for shingles is important so you can avoid the pain and heal faster. In some cases, immediate treatment can also prevent complications. In rare cases, individuals with shingles can suffer from vision and hearing impairment. Pneumonia and encephalitis are also avoidable rare complications.

When You Should See the Doctor

Common sense should tell you that you should see your doctor immediately once you experience pain, flu like symptoms and blister rashes. This is because the typical treatment for shingles may only be effective when applied early. You should however be especially concerned about shingles treatment if you have some other severe illness. This may mean that your body is not well equipped to fight the disease. Consider further trips to the doctor too for shingles treatment if you develop blisters over or near your eye. This can eventually develop into a complication leading to vision impairment or blindness.

Medical Treatment

A doctor would usually prescribe antiviral medicines taken orally for a treatment for shingles. It is often important that medication should be started within a maximum of three days after the outbreak of the illness. The medication will be more effective then and has a greater chance of reducing complications. Antiviral medicines may be paired with corticosteroids for quick healing and to ease the pain. Antibiotics may also be applied on the rashes to prevent infection.

Treatment for Neuralgia

Other severe complications of shingles are rare but it is believed that at the most, 15% of shingles sufferers eventually develop post herpetic neuralgia. This is a form of persistent pain that can endure for many years. People with this condition may need additional treatment for shingles. Pain relievers in the form of topical anesthetics, antidepressants, opioids and anticonvulsants may be prescribed.

Natural Treatment

There are various natural remedies for shingles. You should however always consult a doctor before considering any natural shingles treatment. One common treatment is to apply ointment containing capsaicin. Capsaicin is what makes pepper hot but it is also a known pain killer.

What You Can Do At Home

Aside from asking for a medical treatment for shingles, you should also ask your doctor about what you can do at home to ease the symptoms. Usually you will be advised to keep the area clean by using mild soap and water. Do not scratch because this can result in infection. You may instead take antihistamine medication. Getting inside a tub of slightly warm water may also do the trick to relieve the pain. For fresh blisters, you can apply wet compress to help it dry up. Loose clothing may be further advised but make sure that fresh blisters are covered to prevent the spread of the virus to those who have never had chicken pox before.

THE CHALLENGES OF GLOBALIZATION AND THE ROLE OF HUMAN RESOURCES

By Arshad Husain

Abstract

Globalization symbolizes the structural making of the world characterized by the free flow of technology and human resources across national boundaries presenting an ever-changing and competitive business environment. A vital aspect of globalization is the way diverse challenges are being faced by nations in an increasingly inter dependent world. No country can meaningfully progress today without efficiently responding to demands and pressures generated by international organizations and processes. World Trade Organization (WTO) for instance is bound to lead in a whole new system of trading relations. This paper is an attempt to address two limitations. First the human factor is the key in the new era of globalization, a primary objective of this paper is to present a conceptual framework for effective management of human resources as a response to the growing interaction of globalization and business performance. That in order to manage employees for competitive edge in a period of globalization. And the second limitation of paper will focus on how training is important for fulfilling strategic goals and especially during times of technological growth and development in the modern world of ever changing information and innovation in order to meet the challenges of globalization.

INTRODUCTION

As we enter a new millennium, the effects of internationalization now known as globalization are everywhere apparent. This has played a major role in sustaining the economic expansion of the global economy in the second half of the 20thcentury. Globalization is seemingly shrinking the planet as barriers to trade are dismantled, transport and communications costs fall, and global production systems are formed and managed by giant multinational corporations.

Globalization can be defined as the ongoing economic, technological, social, and political integration of the world that began after the Second World War. There are several dimensions to this dynamic process, including the increased internationalization of economic markets as reflected, for example, in trade and financial capital flows. The primary objective of this paper is to present a conceptual framework for strategic management of human resources as a response to the growing interaction of globalization and business performance. The rapid integration of the world economy through increased trade and investment, which has been fueled by new technologies, the spread of information and the growing importance of knowledge-based industries, provides the potential for opening up new avenues for human development.

Three central arguments made in this article are:

1. That a great deal of evidence has accrued to suggest that changes taking place in the global business environment often are not accompanied by complementary changes in human resource management practices leading to a situation whereby the failure of some firms is due to the mismanagement of people rather than to problems with technical systems.

2.This is because organizations have achieved relatively low levels of effectiveness in implementing Strategic Human Resource Management practices.

3.That in order to manage employees for competitive edge in a period of globalization, human resource personnel must possess competencies relevant for effective implementation of such strategic HRM policies and training.

HRM ISSUES AND CHALLENGES IN GLOBAL MARKETS

The coming of the 21 century poses distinctive HRM challenges to business especially those operating across national boundaries as multinational or global enterprise. Competing in global markets entail many factors and centralization of its human resource practices is certainly vital to improve global competitiveness and empower employees for global assignments. To achieve success in global marketplace, the challenge of all businesses regardless of their size is to understand global corporate cultural differences and invest in human resources. There are certain human resource management issues that are particular for the global enterprise. The key issues involve staffing policies selecting and retaining talented employee, training and development whilst encouraging employees to be innovative and creative, culture barriers, and legal frame work. Others issues include understanding the challenges of living and working overseas, performance  appraisals from a  distance,  training  and management development, compensation packages, and labor relations and organized labor laws.

STRATEGIC HRM AS A RESPONSE TO THE CHALLENGES OF GLOBALIZATION

The world has undergone a dramatic change over the last few decades, the forces of globalization; technological changes have greatly changed the business environment. Organizations were required to respond in a strategic manner to the changes taking place in order to survive and progress. Strategic Human Resource Management (SHRM) involves a set of internally consistent policies and practices designed and implemented to ensure that a firm’s human capital contribute to the achievement of its business objectives. Strategic human resources management is largely about integration and adaptation. Its concern is to ensure that:

1. Human Resources (HR) management is fully integrated with the strategy and the strategic needs of the firm.

2. HR policies cohere both across policy areas and across hierarchies.

3. HR practices are adjusted, accepted, and used by line managers and employees as part of their everyday work. SHRM practices are macro-oriented, proactive and long term focused in nature; views human resources as assets or investments not expenses; implementation of SHRM practices bears linkage to organizational performance; and focusing on the alignment of human resources with firm strategy as a means of gaining competitive advantage.

The role of people in the implementation of strategic responses has a significant bearing on the success rate. It is therefore imperative for organization to look at the human issues involved before implementation of any strategic responses. At this connection the question is: How can organizations effectively adopt, implement and maximize HRM practices for valued firm level outcomes? That is, how can firms increase the probability that they will adopt and then effectively implement appropriate HRM practices? Insuring that members of the HRM personnel have the appropriate human capital or competencies has been suggested as one way to increase the likelihood of effective implementation of HRM practices .The future HR professional will need four basic competencies to become partners in the strategic management process. These include business competence, professional and technical knowledge, integration competence and ability to manage change.

IMPLICATIONS FOR HRM PRACTICES

HR professional competence describes the state-of-the-art HR knowledge, expertise and skill relevant for performing excellently within a traditional HR functional department such as recruitment and selection, training, compensation, etc. This competence insures that technical HR knowledge is both present and used within a firm.

Business-related competence refers to the amount of business experience HR personnel have had outside the functional HR specialty. These capabilities should facilitate the selection and implementation of HRM policies and practices that fit the unique characteristics of a firm including its size, strategy, structure, and culture .In other words, these competencies will enable the HR staff to know the company’s business and understand its economic and financial capabilities necessary for making logical decisions that support the company’s strategic plan based on the most accurate information possible.

FRAMEWORK AND PROPOSITIONS

The human resource function faces many challenges during the globalization process, including creating global mind-set within the HR group, creating practices that will be consistently applied in different locations/offices while also maintaining the various local cultures and practices, and communicating consistent corporate culture across the entire organization. To meet these challenges, organizations need to consider the HR function not as just an administrative service but as a strategic business.

The following is derived from the framework as mentioned above:

1. Human resource managers may have achieved higher levels of HR professional  competencies and lower levels of business related competencies.

 2. The incidence of implementing strategic HR practices is lower in organizations especially in the developing countries.

 3. Both HR professional competence and knowledge of the business (business related competence) significantly contribute to the extent of implementing SHRM Practices.

 4. Managerial competencies are significantly related to organizational performance.

 5. The extent of implementing SHRM practices contribute significantly to firm level outcomes.

 6. The relationship between SHRM and organizational performance is affected by organizational context variables (firm size, level of technology and union coverage).

It may be pertinent to point out here that the six propositions derived from the framework are particularly relevant for giving insights into the HRM challenges facing organizations in the new era globalization. In other words, these propositions will help us organize thought on the level of readiness (and otherwise) of organizations in response to the challenges of the global business environment. For example, if HR personnel especially in developing countries demonstrates higher levels of HR professional competence relative to the business-related competence (as found in the literature), it would be important to set right this wrong as a stepping stone for succeeding in global business. This is because to succeed in the new era of globalization, the human factor is central. That is why it is necessary for HR personnel to prove themselves beyond reasonable doubt that they are capable of playing key roles in enhancing the status of the HR department (Barney & Wright) must possess a thorough understanding of busines and also act as important influences in the level of integration between HR management and organizational strategy (Golden & Ramanujam).

TRAINING FOR GLOBAL BUSINESS

Firms competing in a global market place, and organizations are to survive and prosper in the modern world of rapid change, they need to be more flexible, faster-moving and faster-learning than before. For that firms are implementing special global training programs, the reason for doing to avoid lost business due to cultural insensitivity, improving job satisfaction and retention of overseas staff and enabling a newly assigned employee to communicate with colleagues abroad. Providing training for employees not only helps them develop their skills and knowledge, but it is also motivational and a building block to organisational success. Global training programs opt for prepackaged programs. (Gary Dessler).

 • Executive Etiquette for Global Transactions: This program prepares managers for conducting business globally by training them in business etiquette in other cultures.

 • Cross Cultural Technology Transfer: This program shows how cultural values affect perceptions of technology and technical learning.

 • International Protocol and Presentation: This program shows the correct way to handle people with tact and diplomacy in countries around the world.

 • Language Training: Language training delivered by certified instructors, usually determined by the learner’s needs.

CONCLUSIONS

This article summarizes the interaction of globalization and business performance especially with a flavor of the challenges from the perspectives of human resources. This article presents a framework for Strategic Human Resource Management as a response to prepare organizations for the challenges of globalization. It has been observed that by and large organizations have achieved relatively low levels of effectiveness in implementing Strategic Human Resource Management (SHRM) practices (Huselid, et al.). The rampant pace of global competition, the speeds of technological developments, rapidly changing demographics, and the incredible increase in information technology have resulted in a business environment that changes day to day, hour to hour. To remain competitive in such a dynamic environment, businesses must continually improve their human resource management systems and organizational changes. If the propositions outlined above are supported, then the real challenge for organizations in the era of globalization is to pay particular emphasis to strengthening their human resources by upgrading the relevant competencies. Addressing these issues is a necessary step towards facing the challenges of globalization in to the next millennium.

REFERENCES

Golden, K.A. & Ramanujam,. Between a dream and a nightmare: On the integration of human resource management and strategic business planning.

Gary Dessler, Ninth Edition Human Resource Management.

Srinivas R.Kandula, Strategic Human Resource Development

Sims, R.S. & Sims, S. J Changes and Challenges for the Human

Resource Professional. Personnel Psychology

Schuler, R. S. 1992. Strategic Human Resource Management: Linking people with the needs of the business. Organizational Dynamics,

Huselid, M. A. & Becker, B. E.. Methodological issues in cross-sectional and panel estimates of the human resource-firm performance link. Industrial Relations

Delery, J. E & Doty, D. H. Modes of theorizing in strategic human resource management: Tests of universalistic, contingency and configurational performance predictions. Academy of Management Journal, Phillips, N. Innovative management. London: Pitman.

Good Food Good Health – Probiotics

Hi everyone

At this time of year anything we can do to help our immune system such as taking probiotics goes a long way to keep us in good health, especially when our bodies are busy fighting off the colds and viruses that are virulent during winter.

As you probably know from reading previous articles I have written that I suffer from COPD, and through this I frequently have to take antibiotics to make sure that no further damage is done to my lungs when I contract colds and chest infections.

I am absolutely against taking antibiotics regularly, but my GP says that this is the lesser of the two evils.

Taking antibiotics kills some of the good bacteria in the gut along with whatever reason you are taking the medication for. So taking prebiotics helps to speed up my body's natural process of producing bacterium and immunity to fight against other viruses.

Did you know that 70 per cent of our immune system is found in our gut, and that our gut is home to over 400 different strains of bacteria.

The bacteria in the gut, which colonises soon after birth from ingested milk, helps to prevent dangerous bacteria such as e.coli from entering and colonising the body.

The guts 'eco-system' of bacteria is a very delicate balance, and can easily be tipped into turmoil by bugs causing diarrhoea and sickness from contaminated or raw foods.

Of course eating a varied diet of good food gives us good health and keeps our immune systems in check, but by adding a probiotic drink or yoghurt can greatly increase the beneficial bacteria in the gut.

As a family we have been taking probiotics for the past couple of years, topping up on the friendly bacteria, and we are all agreed that they have had a good effect on our health and scientists now agree that they do in fact work and help.

I love yoghurt so much that one whole shelf in the refrigerator is always full of them, although for the rest of the family it always used to be 'children, eat your yoghurt to keep your mum happy'!

I started buying probiotic drinks to begin with, which were not received well at all, but as soon as the yoghurt version was available they became a hit, now as soon as I put them I the fridge they are gone!

There are many products available and these can have different names or jargon on them, either Probiotics, prebiotics, bifidobacillus, lactobacillus and omega 3 & 6: –

Probiotics, the most common, living bacteria that top up the normal bacterial found in the gut.

Prebiotics – soluble food that fuels the bacteria in the gut.

Bifidobacillus bacteria thrive in an oxygen-depleted environment.

Lactobacillus bacteria found naturally in milk, is reproduced in the lab from cultured natural sources.

Omega 3 & 6 are polyunsaturated fatty acids vital for growth and cell development and found naturally in foods such as oily fish and kiwi fruit.

By using a probiotic can only help to maintain a healthy balance of good bacteria in the gut, some products have more than one of the above, so it is always advisable to check the label.

People with an unhealthy gut often suffer from symptoms of pain, bloating, trapped wind or gastric problems, could benefit and alleviate some of the problems by using probiotics.

The friendly bacteria in the yoghurts and drinks work by competing for space with harmful bacteria – the good bugs swamping the bad, stimulating the immune system, sending white blood cells and immunoglobin or antibodies to any area needed to prevent harmful
bacteria entering the bloodstream.

A new study published this week confirmed that the benefits of friendly probiotics have a clear effect on the body.

Not only do they significantly change the make-up of gut bacteria that is involved in immune health, but also improve the break down of fat, fibre and protein and the metabolism of vitamins.

Probiotic bacteria also helps to stop the gut absorbing fat, instead being passed out through the body naturally rather than storing it.

These bacteria could be very beneficial for the elderly and also undernourished people, in these instances it is being found to help ward off colds and sore throats.

Research is being carried out to find out whether they are effective in helping protect children against allergies and also with ulcers in the colon – ulcerative colitis.

There is new evidence that a probiotic could be the key in combating the super bug C.difficile. Sufferers of C. diff normally have a recurrence after about 6 weeks as the bacteria re-grows, but bifidobacillus has shown to inhibit this action, so that relapse is unlikely in the patient, so research is ongoing with this.

There are two groups that should definitely avoid the use of probiotics – newborn, where bacteria has not been fully colonised naturally, and others whose immune system has been improvised through chemotherapy or blood poisoning. You can always check with your local health advisor to make sure there are no problems taking them.

Using probiotics is no substitute for eating a healthy diet and is not a quick fix, as always 'good food good health' should be your regime- make it a way of life and by adding a friendly bacteria can only help your body in its tireless task of keeping us at peak condition.

Sandra & Ted

Lump in Tonsils? Can it Be Tonsil Stones?

You've probably been told that if you feel a lump on your throat or tonsils it is an indication that you have some sort of throat infection or tonsillitis. And, if this is the case, you need to avoid social places such as school and work to keep from spreading your infection.

However, what happens if that lump in your throat is not tonsillitis or some other throat irritation? What happens if it's tonsil stones?

Tonsil stones can also make you want to take a sick day and stay away from the social world. This is because these stones, also known as tonsilloliths, also known as those white-disgusting-balls-of-food, -debris-and-bacteria-that-get-stuff-in-your- mouth, can cause horrible bad breath.

If the lump in your tonsils is formed because of a white ball or a cluster of white balls around your tonsil area, then you probably have tonsil stones. The reason these stones cause some bad breath is because the bacteria contains sulfa, a bad-breath indicator. When this sulphuric bacterium is trapped in your mouth, it only has one place to go- out. Unfortunately this can affect your school life, your work life, and most importantly, your social life.

Before you call in sick and avoid any sort of social event in fear of breathing on someone and causing them to faint, you should know that there are simple ways to get rid of these awful stones and get your social life back on track.

Tonsilloliths can be removed by simply coughing or hacking them out. You can squeeze your throat so they pop out or push them out. If this is not working, try scraping them away with a toothbrush or a toothpick. Be careful not to scrape too far though. You can also gargle away the lumps which will loosen the debris and eventually cause the stones to fall off your tonsils and out through your mouth.

When you do have a tonsil stone problem and can feel a lump in your tonsils forming, you need to take the necessary oral precautions. Avoid bad-breath foods and drinks such as garlic, coffee and tea.

Instead chew on herbs such as thyme, mint and cinnamon which can aid in combating bad breath. You need to maintain a good oral hygiene routine which should include daily brushing, flossing and rinsing with a non-sugar mouthwash.

Reclaim your mouth, your tonsils and your social life back.

Spinal Tumor Surgery In India – Low Cost Spinal Tumor Surgery

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Spinal Tumor Surgery

Spine surgery to remove or resect (partially remove) a benign (non-cancerous) or malignant (cancerous) spinal tumor can help reduce or relieve persistent back or neck pain, balance problems, difficulty walking, and bowel and bladder dysfunction.

When and if surgery is performed depends on many things, such as : –

  • Tumor type, including benign or malignant.
  • Tumor size and its location.
  • If the tumor causes spinal cord or nerve compression (if there’s neurologic eficit—aka, nerve problems).
  • If the tumor causes spinal instability, vertebral destruction, or vertebral fracture.

Surgery Goals

The goals of surgery for spinal tumors include : –

  • Remove the spinal tumor, or as much of it as possible
  • Reduce pain and improve function and life
  • Restore spinal stability

Possible Surgical Procedures for Spinal Tumors

Decompression : – Remove the tumor, bone, and other tissues compressing the spinal cord and or spinal nerve roots.

Spinal Stabilization : – Your spine can become unstable after part of the bone or other tissues (e.g., intervertebral discs) are taken out. An unstable spine can move in abnormal ways, putting you more at risk for serious neurological injury.

Combination : – You may need to have both a decompression and spinal stabilization. Decompression and stabilization spine surgeries may be performed as a minimally invasive procedure or by using a more traditional open approach (longer incision, longer recovery time).

Kyphoplasty or Vertebroplasty : – These are similar minimally invasive surgical procedures performed to stabilize a fractured vertebra. Spinal tumors that invade vertebrae may cause it to break and can cause severe pain.

Radiosurgery (CyberKnife) : – This is a non-invasive procedure using precisely targeted radiation to treat certain spine tumors (1). Radiosurgery can help remove tumors using a high-dose of radiation.

Recovery

Most patients need some rehabilitation after surgery. Whether you are transferred to a rehab center directly from the hospital or go as an outpatient, rehab should help you get back to your regular activities of daily living. Certain treatments may be prescribed as part of your continued care. If your spinal tumor is malignant, radiation therapy and / or chemotherapy may be recommended.

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Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.

5 Easy Anxiety Therapy Methods

As many of us know, anxiety disorders are very common around the world. It is defined as “a state of uneasiness and apprehension, as about future uncertainties”. Each person will deal with anxiety differently. Some of the methods may work for some but they may not work for others. Now here I want to share 5 ways on how I deal with my anxiety disorders problem and I call them my own anxiety therapy methods.

The first one would be meditation. Do not underestimate the power of meditation because it can be very relaxing. You need to focus on one’s inner-self and let the problems, uncertainties and fears slip out of focus, so that you can allow for a clearer solution to be found. Well, sometimes, simply stepping away from your problems and calming down can help you see solutions.

The second self anxiety therapy would be exercise. You need to do exercise at least three times a week. You know, exercise can be very invigorating. As anxiety can leave you feeling depressed and run-down, we have to exercise regularly to boost endorphins in your body, leaving you feeling refreshed, happier and less anxious.

Yoga is also a very good anxiety therapy method. It is a form of exercise that does not involve impact. Yoga concentrates more on fluid movements and stretches rather than high impact and vigorous exercise. The fluidity of yoga is very invigorating, yet it is relaxing and calming while still producing endorphins in your system.

The fourth method of anxiety therapy will is the easiest. All you need to do is to find someone to talk to. Sometimes, talking to someone about the things that are making you feel anxious can really help lighten the burden of the anxiety. But remember, you need to find someone that you trust to talk to. By speaking out your anxiety, you may find that you are less anxious.

The final method will be relaxing. Try to indulge in something that will relaxes you the most, some people will find taking a walk in the park relaxing, some will play some games, watching movie or simply listening to some soothing music. That way, you can allow your anxiety to pass by not focusing on it and instead enjoying your relaxing time. By detaching yourself from your problems and fears, even briefly, can help you cope with anxiety.

So with the five simple methods above, I hope you will be able to deal with your anxiety problems better. Be happy and stay healthy.

Do Women With Gestational Diabetes Need to Prepare for C-Sections?

About three to twelve percent of all pregnant women develop gestational diabetes, a condition which means high blood sugars that begins with pregnancy and often resolves itself after the mother gives birth. It is diagnosed between weeks twenty-four and twenty-eight of the pregnancy. Symptoms of gestational diabetes (GDM) are:

  • extreme thirst
  • hunger, or
  • fatigue

but many women do not notice these symptoms. GDM is a common pregnancy-related health problem, and is in the same league as other pregnancy-related conditions that develop during the second or third trimesters, such as high blood pressure.

Gestational diabetes is associated with a number of complications, and women who have this form of diabetes are very likely to be asked to schedule a Caesarian section. In fact, some obstetricians won’t even consider letting a mother with GDM deliver on her own schedule. They only offer induced labor or a pre-planned Caesarian delivery. But what are the risks?

Women who have C-sections compared to women who have normal delivery are:

  • much more likely to suffer injury to the bladder and uterus, and up to 50 times more likely to suffer postpartum infections and blood clots in the legs or lungs
  • twice as likely to be readmitted to the hospital
  • much more likely to suffer pelvic adhesions, which are scar tissue causing problems with urination, defecation, and sexual intercourse
  • at much greater risk in their next pregnancy to suffer placenta accreta, where the placenta forms an abnormally deep attachment to the wall of the uterus… requiring an abortion to save the life of the mother

And women who have C-sections have a one in four chance of still having pain at the surgical site six months after surgery.

About one in four babies is delivered by cesarean section, or C-section, which is a surgical procedure that is essentially “abdominal delivery”.

Babies delivered by cesarean are more likely to:

  • suffer accidental cuts by the surgeon
  • have low Apgar scores and require admission to intensive care, and
  • develop either pulmonary hypertension or type 1 diabetes later in life

A normal delivery is the goal for both mother and child. For mothers who have gestational diabetes, the best way to be able to deliver the baby without surgery is to keep blood sugar levels below 90 mg/dL (5 mmol/L) essentially all the time. It’s a real challenge, but it confers a lifetime of rewards, the lifetime of the child.

Gestational diabetes usually takes the form of Type 2 diabetes in that it can be managed through diet and close monitoring of blood sugar levels.

Comatose Patients and the Risk of Aspiration Pneumonia

Aspiration pneumonia refers to inflammation of the lungs due to inhalation of foreign matters (food, saliva, nasal secretions). Virtually any fluids or solid irritants (dust particles) that frequently enter the airways can lead to the occurrence of aspiration pneumonia. Aspiration pneumonia can generate moderate or high fever due to inflammation of the lower respiratory tract’s soft tissues, membranes and organs involved in the process of breathing. Unattended, this type of pneumonia can result in partial lung failure (atelectasis). Although aspiration pneumonia is not an infectious disease, in time it can lead to serious pulmonary bacterial infections. On the premises of lung inflammation and weakened defenses of the respiratory system (cilia barriers, mucus), aspiration pneumonia facilitates the occurrence of severe bacterial pneumonia. Furthermore, aspiration pneumonia can even lead to death by asphyxiation (due to obstruction of breathing).

The categories of people exposed to the highest risk of developing aspiration pneumonia are: people who can’t swallow properly or have a poor cough reflex (infants, very young children, the elderly) and people with serious disabilities that involve bed confinement. Aspiration pneumonia is very common in comatose patients and people who suffer from paralysis, as immobility and prolonged horizontal position of the body render them very susceptible to inhalation of their own mouth and nasal secretions. Also, prolonged bed confinement can lead to regurgitation of the stomach content inside the throat and mouth, allowing stomach fluids to reach the upper levels of the respiratory tract, from where they may be inhaled into the lungs. Despite the fact that comatose patients are usually fed via tubes that enter directly inside the stomach, they are still exposed to a high risk of aspiration pneumonia as a result of stomach fluids reflux into the throat and mouth.

The occurrence of aspiration pneumonia in disabled or comatose patients can be easily prevented by slightly elevating patients’ head and torso during feedings. Patients should be maintained in this position for at least 30 minutes after feeding. This procedure is recommended for patients who receive tube feedings as well. Patients who suffer from an overproduction of saliva also require special medical care. In order to prevent the inhalation of excess saliva, this category of patients should be kept under permanent medical monitoring. Constant mouth suctioning and frequent wiping of the mouth and nose can prevent the occurrence of aspiration pneumonia in such patients. Constant changing of position can also minimize the risk of aspiration pneumonia in disabled and comatose patients.

Patients who present signs of fluid inhalation need immediate medical assistance. Tube suctioning of the airways is an effective means of clearing patients’ respiratory tract from inhaled foreign matters. Chest massage and application of pressure on patients’ chest can stimulate cough reflexes, thus allowing the elimination of inhaled matters.

Although aspiration pneumonia is highly preventable and treatable (if timely discovered), it still accounts for many deaths among patients with special conditions. People with poor freedom of movement and immobile people need permanent surveillance in order to prevent the occurrence of aspiration pneumonia.

You can find great content regarding pneumonia causes, pneumonia symptoms and many more by visiting http://www.pneumonia-center.com/

Obesity – What Not to Do to Lose Weight

Life in today’s fast forwarded world is full of stress and anxiety. There is a never-ending struggle to succeed (or more commonly to exceed the next door) and owing to this, it’s not very uncommon to ignore our health and looks; and while this is certainly understandable to some extent considering the diabolical amount of workload our lifestyle is imposing on us, we have got to ask ourselves sooner or later “How long are we going to be able to continue this?” or perhaps “How long will my body allow me to continue living like this?”. Now let us just take the issue of obesity in USA. Now I don’t suppose you actually need me to tell you how serious the problem is; just take a look around. But perhaps there’s nothing like some statistical data on our hand to convince the omnipresent critics. So let’s have a look at the current trends in obesity in USA:

“Today, 64% of all Americans weigh too much and over 30% are obese; in 1988 through 1992, fewer than 56% were overweight and fewer than 23% of American adults were obese.”

Source: Exactly as written in “Calories Count – Report of the Working Group on Obesity” by the “U.S. Food and Drug Administration” and if that’s not enough, the statistics for children are even more shocking. Latest researches by the “U.S. Centers for Disease Control and Prevention” suggest that 15% of children and teenagers aged 6 to 19 are obese. This is more than double the obesity rates 2 decades ago. One thing is for certain though; as we Americans get heavier, our health suffers. Overweight and obesity increase the possibility of coronary heart disease, type-2 diabetes, and certain cancers to name a few. According to some unofficial sources, at least 400,000 deaths each year may be attributed to obesity!!

So we’ve got a lot of statistics. Now what? How do they affect us? What do they mean to us? One thing is obvious; we, as Americans are getting obese and this is bad. As for the problems; apart from the health and medical concerns, there are a lot of economical issues. There are some speculations that the growing obesity and thus the reducing productivity has been a significant, if not major contributor in the Today’s “Weak Market”.

And you know what the worst part is? We all know the solution to our problem. But we never do what we must to lose the fat. This is the thing that-for the lack of a better word-bothers me the most. And yeah of course all this hype about obesity has churned out some really ironic circumstances. Some years ago the problem was that the people were not concerned in the least bit about obesity; calling it another “hippies to the rescue” propaganda. But now with all the gyms and supposed magic pills which can reduce your weight at an unbelievable (and medically unhealthy) rate trying to wrangle out any cash they can from the customers, people are spending their hard earned money in the wrong direction to lose their weight. They get caught up in all these cheesy ads like “Hey, take this pill daily and lose xyz KGs of weight in abc days; While eating whatever you were eating already”. Now most people who buy these are not stupid enough to think that this would work the way the marketer says it. But they still buy it because the cost of the pill is nothing compared to the results that are promised. And they feel like they have nothing to lose even if the pills don’t work. This is the mentality that an internet marketer exploits. How do I know? I’ve been one myself for a long time. And trust me; buying “weight-reducing pills” is fine as long they don’t affect your health. But the problem starts creeping in when people get too dependent on these and stop doing what is obvious even to them to lose weight. They keep eating all the junk food at odd times and hope that the pills would work. Hah!!

Now let me give you this one piece of advice. You do not need any pills to lose weight. You do not need any heavy “gymming” to lose weight. Those are for hardcore body-builders. I’ll give you a simple three step method to lose all that flab. The first thing you need to do is get your eating habit on a schedule. Now as I said when I started this article, it is difficult with today’s lifestyle to do this, but it is still better than going spending an hour a day in the gym. After you get your eating habits on track, it’s time to stop eating garbage. We all know that all these fries and pizzas we eat are going to end up as fat in our hips, but we just can’t control ourselves. And I’m not going to waste any of our time trying to convince you to not eat it, because you’ve probably heard anything I have to say to you a lot of times. But you know you’ve got to do this sooner or later. So well, do it. The final step is….. Enjoy your slim body and never go back to that flab again. That’s all. Of course you can spice this up a little by adding a little exercise. But didn’t I tell you we all knew the answer all along.

So let me finish this off with this: Repeat after me: OBESITY is bad. I know how to lose my fat. I do NOT need some stupid pill offered by some cheesy guy on how to lose weight. I need to stop cramming my mouth with junk and I’m going to do this starting right now. Congratulations, you are on your way to what you dreamt of. But I’ll tell you one thing though; I’m not making any friends with the McDonald’s Joker Ronald after this.

Is Your Gastric Bypass Making You Malnourished?

The basic aim of a gastric bypass is to help you lose weight in order to avoid the co-morbidities of obesity, and therefore, your diet following surgery is also specially designed to achieve this objective, and also to maintain the weight loss.

Postoperative dietary patterns require drastic modifications to suit the new metabolic and physiological milieu. The total caloric intake, as well as the intake of macro- and micronutrients, is much reduced due to the anatomical changes brought about by the surgical procedure. Your dietary intake is reduced, as is the absorption of food, consequently the risk of nutritional deficiencies increases manifold.

So, is your gastric bypass making you malnourished?

If your diet is being supervised by a dietician and you are following up regularly with your bypass surgeon, chances that you are suffering from any major deficiencies are minimal. Especially if you have been prescribed special nutritional supplements following monitoring of the blood levels of micronutrients.

If not, you must realize that since you have already been suffering from morbid obesity, you are at a greater risk of nutritional deficiencies, particularly of fat-soluble vitamins, zinc, and folic acid.

You are a risk for anemia, secondary to iron, folic acid or vitamin B12 deficiency, as also neurological disorders such as encephalopathy and peripheral neuropathies due to thiamine deficiency. Other deficiency syndromes to watch out for include vitamin D deficiency leading to osteoporosis, and ocular symptoms from vitamin A deficiency.

It is imperative that you have frequent, small meals which have a low glycemic index, with a high protein content, to combat problems like postoperative nausea, dehydration, dumping syndrome, stomach pain, ulcers, and gastritis.

Nutritional supplementation under supervision is the obvious solution for all these problems. It makes sense to choose a a gender and age specific formula, especially designed for those having undergone a gastric bypass, that contains most of the essential vitamins and minerals, and does not exceed the U.S. Recommended Daily Allowance by more than 150 percent, so as to avoid problems of toxicity.

Essential elements in this regard include iron (recommended daily dose for men is 100 to 200 milligrams, and 300 to 350 milligrams per day for menstruating women), vitamin C (60 milligrams of vitamin C per day), vitamin B complex (1000 micrograms of vitamin B12, 300 milligrams of vitamin B6, and 5 milligrams of folic acid), and calcium (600 milligrams per day).

The warning signs to watch out for include lethargy, fatigue, shortness of breath, pallor, tingling of extremities, brittle nails, hair fall, bleeding gums, dark under eye circles, dry scaly skin, painful oral ulcers or fissures, poor wound healing, easy bruising and frequent infections.

If you suspect that your gastric bypass is making you malnourished, do discuss it with your nutritionist in consultation with your surgeon. They will evaluate you thoroughly and monitor the blood levels of essential nutrients and alter your diet accordingly in order to avoid complications. Very rarely, a revision of the surgical procedure to a more metabolically active procedure may be warranted.

Copyright (c) 2009 Ready 4 a Change

3 home remedies for nervousness

Nervousness

We’ve all been nervous at one time or another. Shaking hands, a trembling voice, and a rolling stomach are some of the most common symptoms of nervousness. A number of situations can bring on nervousness, including public speaking.

In addition to those herbs listed below, other helpful herbs to combat nervousness include blue vervain, chamomile, passionflower, and pulsatilla.

Stress is the body’s reaction to a physical, emotional, social or mental condition imposed on the person. These changes, whether good or bad, produces tension or stress. There is no way to avoid stress completely, injuries, weddings, meetings, childbirth, deadlines, bills to pay, even going to a party is stressful.

It’s part of our daily life and is very hard to control, but there are situations in life that create an extraordinary amount of stress, things like overwork, death of family or friends, surgery etc. Which in turn can be damaging to our health leading to fatigue, headaches, backaches, muscle pain, stiff neck, loss of appetite, memory loss, low self esteem, lower sexual drive, changes in sleep patterns, shallow breathing. Adding all of these up, results in a potential chance of becoming ill with an even more severe condition, things like, high blood pressure, skin disorders, heart attacks, cancer and obesity.

NERVE TEA #1

1 teaspoon betony leaves

1 teaspoon kava kava root

1 teaspoon hops

1 teaspoon dried Akullcap

1 cup boiling water

Combine the above herbs. Take one tablespoon of the mixture and cover with the boiling water; steep for 3o minutes; cool and strain.

Take one tablespoon at a time, as needed, up to one cup a day.

NERVE TEA #2

1 teaspoon powdered ginger

1 teaspoon powdered valerian root

1 teaspoon powdered pleurisy root

2 cup boiling water

Combine the above herbs and cover with the boiling water; steep for 3o minutes; cool and strain. Take one tablespoon at a time, as needed, up to two cups a day.

NERVE TEA #3

1 to 2 teaspoons peppermint leaves

1 teaspoon valerian root

2 cups boiling water

Combine the above herbs and cover with the boiling water; steep for 20 to 30 minutes; strain. Drink up to one cup per day, as need