Child & Adolescent Mental Health: the Right Career at the Right Time

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Child & Adolescent Mental Health: the Right Career at the Right Time

According to the Substance Abuse and Mental Health Services Administration, an estimated two-thirds of the young people who need mental health services aren’t getting them. The time is now for a career in child and adolescent mental health.

Mental Health Career Profile
Establish and maintain interpersonal relationships, discover private, and very often hidden, information, and then use that information to potentially save someone’s life. If you believe a meaningful career is about more than just a paycheck, mental health could your profession. With a growing population and the identification of new disorders, the field is ripe for growth and discovery.

Child and adolescent mental health services typically focus on a variety of mental, emotional, and substance abuse issues kids experience daily. This may mean working with patients as individuals or in group settings in order to find answers to developmental difficulties. Working environments may include hospitals, clinics, schools, as well as mental health facilities.

A Career at the Competitive Edge
Why mental services? In a word, diversity. One of the primary benefits of a career in this profession is that you’re typically not restricted to a predictable track. There are multi-level tiers that cater to a variety of interests and education levels. Many of the niches overlap, which can allow you to explore your preferences. A few of your options include:

• psychiatry occupational therapy
• clinical psychology
• psychiatric nursing
• social services
• psychotherapy
• language development

Flexibility is another key benefit. A surprising percentage of mental health professionals are self-employed, working within their own established practice or as a freelance consultant. Because mental health is such an in-demand profession, graduates may find that they can create their own schedules, deciding when and how much to work based on their own professional and personal obligations.

Mental Health in the Numbers
When most people think of mental health, the psychologist usually comes immediately to mind. And it can be a good place to start when looking at the growth potential in the field of child and adolescent mental health. The Bureau of Labor Statistics reports that psychologists alone held 166,000 positions in 2006. And employment of psychologists projected to increase by 15 percent through 2016–that’s faster than the national average. Also, psychologists working in elementary and secondary schools enjoyed one of the higher annual mean salary levels at ,040.

To Follow This Career Path
While all professionals in the mental health field typically possess a bachelor’s degree in a pertinent subject, students wishing to be competitive for the top jobs should pursue a specialist’s or doctoral degree in psychiatry, psychology, or counseling. For example, if you have your sights set on serving in an educational setting, a specialist (EdS) degree in school psychology traditionally requires 3 years of full-time graduate study plus a 1-year full-time internship.

The requirements for potential psychologists are usually more stringent. Geri Fox, Director of Psychiatry Undergraduate Medical Education with the University of Illinois at Chicago, encourages board certification by completing two years of child and adolescent psychiatry training in addition to earning board certification in general psychiatry.

Kelli Smith is the senior editor for www.Edu411.org. Edu411.org lists colleges and career institutes that offer training and programs in Child and Adolescent Mental Health. Schools listed offer free information packages or academic consultation.


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10 Second Health Tips

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10 Second Health Tips

1. Tea off in the morning. Hot tea can slash your risk of kidney cancer by 15 percent, according to a review in the International Journal of Cancer. Replace your battery acid with a cup of rooibos first thing in the morning.

2. Sleep smarter. Too much sleep, or not enough of it, can kill you. A British study found that getting more than nine hours of sack time a night, or less than six, doubles your risk of an early death from any cause. Aim for seven to eight hours a night.

3. Pop in your lenses post-shower. Soaping up while wearing your contacts can expose your eyes to infection-causing waterborne microbes, say University of Illinois at Chicago researchers.

4. Drink wine, stay lean. Polyphenols, the compounds found in red wine, help your body block fat absorption, an Israeli study found. Red-wine marinades work, too.

5. Lose the lint. Taking two seconds to empty the lint trap in your clothes dryer can prevent you from being a dryer-fire victim. No jokes, it happens to 315 people in the US each year.

6. Check your neck. An American Journal of Medicine study found that a mildly under-active thyroid can boost your heart-disease risk by 65 percent. A quick blood test can assess your level of thyroid-stimulating hormone (TSH).

7. Stretch it out. Genes in your body linked to heart disease, diabetes and obesity can be ‘turned on’ if you sit for hours on end, reports a study in Diabetes. Hit the ‘off’ button by taking hourly laps during TV, book and Web sessions.

8. Steam your broccoli. Italian researchers recently discovered that steaming broccoli increases its concentration of glucosi-nolates (compounds found to fight cancer) by 30 percent. Boiling actually lowers the levels.

9. Skip the spray. Using household spray cleaners just once a week increases your risk of an asthma attack by 76 percent, say Spanish researchers. Use wipes instead.

10. Boost your defenses. An Archives of Internal Medicine review reports that 400IU of vitamin D a day reduces your risk of an early death by seven percent.

11. Scent your air safely. Some air fresheners contain phthalates, compounds that may disrupt hormone processes, Natural Resources Defense Council testing reveals. Check the labels carefully.

12. Lean back. Parking your torso at a 90-degree angle strains your spine, say Scottish and Canadian researchers. Instead, recline the seat back slightly. The ideal angle is 45 degrees off vertical.

Sandra Prior runs her own bodybuilding website at http://bodybuild.rr.nu.


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Imbalance of Ecosystems and Its Effect on Public and Livestock Health

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Imbalance of Ecosystems and Its Effect on Public and Livestock Health

Imbalance of Ecosystems and Its effect on Public and Livestock health

Dr.Kedar Karki M.V.St. (Preventive veterinary Medicine)

Central Veterinary Laboratory Tripureshwor

The health of humans, like all living organisms, is dependent on an ecosystem that sustains life. Healthy ecosystems are the sine qua non for healthy organisms. Yet there is abundant evidence that many life-support systems are far from healthy, placing an increased burden on human health. In some areas of the world, gains in life expectancy and quality of life made during the twentieth century are at risk of being reversed in the twenty-first century. The consequences of ecosystem degradation to human health are numerous, and include health risks from unsafe drinking water, polluted air, climate change, emerging new diseases, and the resurgence of old diseases owing to ecological imbalances. Reversing this damage is possible in some cases, but not in others. Prevention of ecological damage is by far the most efficient strategy.

DEFINING ECOSYSTEMS

An ecological system may be defined as a community of plants and animals interacting with each other and their abiotic, or natural, environment. Typically, ecosystems are differentiated on the basis of dominant vegetation, topography, climate, or some other criteria. Boreal forests, for example, are characterized by the predominance of coniferous trees; prairies are characterized by the predominance of grasses; the Arctic tundra is determined partly by the harsh climatic zone. In most areas of the world, the human community is an important and often dominant component of the ecosystem. Ecosystems include not only natural areas (e.g., forests, lakes, marine coastal systems) but also human-constructed systems (e.g., urban ecosystems, agro-ecosystems, impoundments). Human populations are increasingly concentrated in urban ecosystems, and it is estimated that, by the year 2010, 50 percent of the world’s population will be living in urban areas.

A landscape comprises a mosaic of ecosystems, including towns, rivers, lakes, agricultural systems, and so on. Precise boundaries between ecosystems are often difficult to establish. Often regions slide into one another gradually, over a protracted “transition” zone, as for example between the boreal forest and the Taiga regions of Canada.

ECOSYSTEM HEALTH

It is important to recognize the inherent difficulties in defining “health,” whether at the level of the individual, population, or ecosystem. The concept of health is somewhat of an enigma, being easier to define in its absence (sickness) than in its presence. Perhaps partially for that reason, ecologists have resisted applying the notion of “health” to ecosystems. Yet, ecosystems can become dysfunctional, particularly under chronic stress from human activity.Example for this can be cited the discharge of nutrients from sewage, industrial waste, or agricultural runoff into lakes or rivers affects the normal functioning of the ecosystem, and can result in severe impairment. Excessive nutrient inputs from human activity was one of the major factors that severely compromised the health of the lower Laurentian Great Lakes (Lake Erie and Lake Ontario) and regions of the upper Great Lakes (Lake Michigan). Unfortunately, degraded ecosystems are becoming more the rule than the exception.

The study of the features of degraded systems, and comparisons with systems that have not been altered by human activity, makes it possible to identify the characteristics of healthy ecosystems. Healthy ecosystems may be characterized not only by the absence of signs of pathology, but also by signs of health, including measures of vigor (productivity), organization, and resilience.

Vigor can be assessed in terms of the metabolism (activity and productivity) of the system. Ecosystems differ greatly in their normal ranges of productivity. Estuaries are far more productive than open oceans, and marshes have higher productivity than deserts. Health is not evaluated by applying one standard to all systems. Organization can be assessed by the structure of the biotic community that forms an ecosystem and by the nature of the interactions between the species (both plants and animals). Invariably, healthy ecosystems have more diversity of biota than ecologically compromised systems. Resilience is the capacity of an ecosystem to maintain its structure and functions in the face of natural disturbances. Systems with a history of chronic stress are less likely to recover from normal perturbations such as drought than those systems that have been relatively less stressed.

Healthy ecosystems can also be characterized in economic, social, and human health terms. Healthy ecosystems support a certain level of economic activity. This is not to say that the ecosystem is necessarily self-sufficient, but rather that it supports economic productivity to enable the human community to meet reasonable needs. Inevitably, ecosystem degradation impinges on the long-term sustainability of the human economy that is associated with it, although in the short-term this may not be evident, as natural capital (e.g., soils, renewable resources) may be overexploited and temporarily enhance economic returns. Similarly, with respect to social well-being, healthy ecosystems provide a basis for and encourage community integration. Historically, for example, native Hawaiian groups managed their ecosystem through a well-developed social cohesiveness that provided a high degree of cooperation in fishing and farming activity.

Another reflection of ecosystem health lies directly in the public health domain. In spring 2000, a deadly strain of the bacterium E-coli (0157:H7) entered the public water supply in Walkerton, Ontario, Canada, causing seven deaths and making thousands sick. This small town, with a population of five thousand, is in a farming community. Inadequate manure management from cattle operations was the likely source of this tragedy.

HOW HEALTHY ECOSYSTEMS BECOME PATHOLOGICAL

Stress from human activity is a major factor in transforming healthy ecosystems to sick ecosystems. Chronic stress from human activity differs from natural disturbances. Natural disturbances (fires, floods, periodic insect infestations) are part of the dynamics of most ecosystems. These processes help to “reset” ecosystems by recycling nutrients and clearing space for recolonization by biota that may be better adapted to changing environments. Thus, natural perturbations help keep ecosystems healthy. In contrast, chronic and acute stress on ecosystems resulting from human activity (e.g., construction of large dams, release of nutrients and toxic substances into the air, water, and land) generally results in long-term ecological dysfunction.

Five major sources of human-induced (anthropogenic) stresses have been identified by D. J. Rapport and A. M. Friend (1979): physical restructuring, overharvesting, waste residuals, introduction of exotic species, and global change.

Physical Restructuring. Activities such as wetland drainage, removal of shoals in lakes, damming of rivers, and road construction fragment the landscape and alter and damage critical habitat. These activities also disrupt nutrient cycling, and cause the loss of biodiversity.

Overharvesting. Overexploitation is commonplace when it comes to harvesting of wildlife, fisheries, and forests. Over long periods of time, stocks of preferred species are reduced. For example, the giant redwoods that once thrived along the California coast now exist only in remnant patches because of overharvesting. When dominant species like the giant redwoods (arguably the world’s tallest tree—one specimen was recorded at 110 meters tall with a circumference of 13.4 meters) are lost, the entire ecosystem becomes transformed. Overharvesting often results in reduced biodiversity of endemic species, while facilitating the invasion of opportunistic species.

Waste Residuals. Discharges from municipal, industrial, and agricultural sources into the air, water, and land have severely compromised many of the earth’s ecosystems. The effects are particularly apparent in aquatic ecosystems. In some lakes that lack a natural buffering capacity, acid precipitation has eliminated most of the fish and other organisms. While the visual effect appears beneficial (water clarity goes up) the impact on ecosystem health is devastating. Systems that once contained a variety of organisms and were highly productive (biologically) become devoid of most lifeforms except for a few acid-tolerant bacteria and sediment-dwelling organisms.

Introduction of Exotic Species. The spread of exotics has become a problem in almost every ecosystem of the world. Transporting species from their native habitat to entirely new ecosystems can wreck havoc, as the new environments are often without natural checks and balances for the new species. In the Great Lakes Basin, the accidental introduction of two small pelagic fishes, the alewife and the rainbow smelt, combined with the simultaneous overharvesting of natural predators, such as the lake trout, led to a significant decline in native fish species. The introduction of the sea lamprey, an eel-like predacious fish that attacks larger fish, into Lake Erie and the upper Great Lakes further destabilized the native fish community. The sea lamprey contributed to the demise of the deepwater benthic fish community by preying on lake trout, whitefish, and burbot. This contributed to a shift in the fish community from one that had been dominated by large benthics to one dominated by small pelagics (fish found in the upper layers of the lake profile). This shift from bottom-dwelling fish (benthic) to surface-dwelling fish (pelagic) has now been partially reversed by yet another accidental introduction of an exotic: the zebra mussel. As the zebra mussel is a highly efficient filter of both phtyoplankton and zooplankton, its presence has reduced the available food in the surface waters for pelagic fish. However, while the benthic fish community has gained back its dominance, the preferred benthic fish species have not yet recovered owing to the degree of initial degradation. Overall, the increasing dominance by exotics not only altered the ecology, but also reduced significantly the commercial value of the fisheries.

Global Change. Rapid climate change (or climate warming) is an emerging potential global stress on all of the earth’s ecosystems. In evolutionary time, there have of course been large fluctuations in climate. However, for the most part these fluctuations have occurred gradually over long periods of time. Rapid climate change is an entirely different matter. By altering both averages and extremes in precipitation, temperature, and storm events, and by destabilizing the El Niño Southern Oscillation (ENSO), which controls weather patterns over much of the southern Pacific region, many ecosystem processes can become significantly altered. Excessive periods of drought or unusually heavy rains and flooding will exceed the tolerance for many species, thus changing the biotic composition. Flooding and unusually high winds contribute to soil erosion, and at the same time add to nutrient load in rivers and coastal waters.

These anthropogenic stresses have compromised ecosystem function in most regions of the world, resulting in ecosystem distress syndrome (EDS). EDS is characterized by a group of signs, including abnormalities in nutrient cycling, productivity, species diversity and richness, biotic structure, disease prevalence, soil fertility, and so on. The consequences of these changes for human health are not inconsiderable. Impoverished biotic communities are natural harbors for pathogens that affect humans and other species.

ECOSYSTEM HEALTH AND HUMAN HEALTH

An important aspect of ecosystem degradation is the associated increased risk to human health. Traditionally, the concern has been with contaminants, particularly industrial chemicals that can have adverse impacts on human development, neurological functions, reproductive functions, and that appear to be causative agents in a variety of carcinomas. In addition to these serious environmental concerns (where the remedies are often technological, including engineering solutions to reduce the release of contaminants), there are a large number of other risks to human health stemming from ecological imbalance.

Ecosystem distress syndrome results in the loss of valued ecosystem services, including flood control, water quality, air quality, fish and wildlife diversity, and recreation. One of the major signs of EDS is increased disease incidence, both in humans and other species. Human population health should thus be viewed within an ecological context as an expression of the integrity and health of the life-supporting capacity of the environment.

Ecological imbalances triggered by global climate change and other causes are responsible for increased human health risks.

Climate Change and Vector-Borne Diseases. The global infectious disease burden is on the order of several hundred million cases per year. Many vector-borne diseases are climate sensitive. Malaria, dengue fever, hantavirus pulmonary syndrome, and various forms of viral encephalitis are all in this category. All these diseases are the result of arthropod-borne viruses (arboviruses) which are transmitted to humans as a result of bites from blood-sucking arthropods.

Global climate change—particularly as it impacts both temperatures and precipitation—is highly correlated with the prevalence of vector-borne diseases. For example, viruses carried by mosquitoes, ticks, and other blood-sucking arthropods generally have increased transmission rates with rising temperatures. St. Louis encephalitis (SLE) serves as an example. The mosquito Culex tarsalis carries this virus. The percentage of bites that results in transmission of SLE is dependent on temperature, with greater transmission at higher temperatures.

The temperature dependence of vector-borne diseases is also well illustrated with malaria. Malaria is endemic throughout the tropics, with a high prevalence in Africa, the Indian subcontinent, Southeast Asia, and parts of South and Central America and Mexico. Approximately 2.4 billion people live in areas of risk, with some 350 million new infections occurring annually, resulting in approximately 2 million deaths, predominantly in young children. Untreated malaria can become a life-long affliction—general symptoms include fever, headache, and malaise.

The climate sensitivity of malaria arises owing to the nature of the interactions of parasites, vectors, and hosts, all of which impact the ultimate transmission rates to humans. The gestation time required for the parasite to become fully developed within the mosquito host (a process termed sporogony) is from eight to thirty-five days. When temperatures are in the range of 20°C to 27°C, the gestation time is reduced. Rainfall and humidity also have an influence. Both drought and heavy rains tend to reduce the population of mosquitoes that serve as vectors for malaria. In drier regions of the tropics, low rainfall and humidity restricts the survival of mosquitoes. Severe flooding can result in scouring of rivers and destruction of the breeding habitats for the mosquito vector, while intermediate rainfall enhances vector production.

Ecological Imbalances. Cholera is a serious and potentially fatal disease that is caused by the bacterium Vibrio cholerae. While not nearly so prevalent as malaria, cases are nonetheless numerous. In 1993, there were 296,206 new cases of cholera reported in South America; 9,280 cases were reported in Mexico; 62,964 cases in Africa; and 64,599 cases in Asia. Most outbreaks in Asia, Africa, and South America have originated in coastal areas. Symptoms of cholera include explosive watery diarrhea, vomiting, and abdominal pain. The most recent pandemic of cholera involved more regions than at any previous time in the twentieth century. The disease remains endemic in India, Bangladesh, and Africa. Vibrio cholerae has also been found in the United States—in the Gulf Coast region of Texas, Louisiana, and Florida; the Chesapeake Bay area; and the California coast.

The increase in prevalence of V. cholerae has been strongly linked to degraded coastal marine environments. Nutrient-enriched warmer coastal waters, resulting from a combination of climate change and the use of fertilizers, provides an ideal environment for reproduction and dissemination of V. cholerae. Recent outbreaks of cholera in Bangladesh, for example, are closely correlated with higher sea surface temperatures. V. cholerae attach to the surface of both freshwater and marine copepods (crustaceans), as well as to roots and exposed surfaces of macrophytes (aquatic plants) such as the water hyacinth, the most abundant aquatic plant in Bangladesh. Nutrient enrichment and warmer temperatures give rise to algae blooms and an abundance of macrophytes. The algae blooms provide abundant food for copepods, and the increasing copepod and macrophyte populations provide V. cholerae with habitat. Subsequent dispersal of V. cholerae into estuaries and fresh water bodies allows contact with humans who use these waters for drinking and bathing. Global distribution of marine pathogens such as V. cholerae is further facilitated by ballast water discharged from vessels. Ballast water contains a virtual cocktail of pathogens, including V. cholerae.

Two other examples of how ecological imbalances lead to human health burdens concern the increased prevalence of Lyme disease and hantavirus pulmonary disease. Lyme disease, sonamed because it was first positively identified in Lyme, Connecticut, is a crippling arthritic-type disease that is transmitted by spirochete-infected Ixodes ticks (deer ticks). Ticks acquire the infection from rodents, and spend part of their life cycle on deer. Three factors have combined to increase the risk to humans of contracting Lyme disease, particularly in North America: (1) the elimination of natural deer predators, particularly wolves; (2) reforestation of abandoned farmland has created more favorable habitat for deer; and (3) the creation of suburban estates, which the deer find ideal habitat for browsing. The net result is a rising deer population, which increases the chances of humans coming into more contact with ticks.

By 1995, in the southwestern United States, hantavirus infection was confirmed in ninety-four persons in twenty states, with 48 percent mortality. Variants of the strain that causes hantavirus pulmonary syndrome have also been found in other areas of the country, as well as in Asia and Europe. The virus is apparently asymptomatic in rodents, and it is transmitted in their saliva and excreta. In humans it has a flu-like presentation, which is followed by acute respiratory distress syndrome. The primary reservoir in the Four Corners area of the southwestern United States is the deer mouse. Climatic disturbances, which in recent years are thought to be exacerbated by human activity (e.g., global warming), appear to set up conditions that trigger outbreaks. In the early 1990s, ENSO events initially caused drought conditions to develop in the southwestern United States. This led to a decline in plant and animal populations, including natural predators of the deer mouse. Heavy rains followed the drought in 1993, resulting in a bumper crop of piñon nuts, a major food supply for the deer mouse. Subsequently the deer mouse population greatly increased, bringing about increased contact with humans and triggering the outbreak of hantavirus.

Antibiotic Resistance and Agricultural Practice Antibiotic resistance is a growing threat to public health. Antibiotic resistant strains of Streptococcus pneumoniae, a common bacterial pathogen in humans and a leading cause of many infections, including chronic bronchitis, pneumonia, and meningitis, have greatly increased in prevalence since the mid-1970s. In some regions of the world, up to 70 percent of bacterial isolates taken from patients proved resistant to penicillin and other b-lactam antibiotics. The use of large quantities of antibiotics in agriculture and aquaculture appears to have been a key factor in the development of antibiotic resistance by pathogens in farm animals that subsequently may also infect humans. One of the most serious risks to human health from such practices is vancomycin-resistant enterococci. The use of avoparcin, an animal growth promoter, appears to have compromised the utility of vancomycin, the last antibiotic effective against multi-drug-resistant bacteria. In areas where avoparcin has been used, such as on farms in Denmark and Germany, vancomycin-resistant bacteria have been detected in meat sold in supermarkets. Avoparcin was subsequently banned by the European Union. Another example is the use of ofloxacin to protect chickens from infection and thereby enhance their growth. This drug is closely related to ciprofloxacin, one of the most widely used antibiotics in the year 2000. There have been cases of resistance to ciprofloxacin directly related to its veterinary use. In the United Kingdom, ciprofloxacin resistance developed in strains of campylobacter, a common cause of diarrhea. Multi-drug-resistant strains of salmonella have been traced to European egg production.

Food and Water Security. Agricultural practices are also responsible for a growing number of threats to public health. Some of these are related to inadequate waste management, which has resulted in parasites and bacteria entering water supplies. Others are of entirely different origins and involve apparent transfer across species of pathogens that affect both animals and humans. The most recent and spectacular example is mad cow disease, known as variant Creutzfeldt-Jakob disease in humans, a neuro-degenerative condition that, in humans, is ultimately fatal. The first case of Bovine Spongiform Encephalopathy (BSE), the animal form of the disease, was identified in Southern England in November 1981. By the fall of 2000, an outbreak had also occurred in France, and isolated cases appeared in Germany, Switzerland, and Spain. More than one hundred deaths in Europe were attributed to what has come to be commonly called mad cow disease.

Improper manure management was the likely source of the outbreak of E. coli 0157:H7 in Walkerton, Ontario, Canada. Other health risks associated with malfunctioning agroecosystems include periodic outbreaks of cryptosporidiosis, a parasitic disease that is spread by surface runoff contaminated by feces of infected cattle. This parasite causes fever and diarrhea in immunocompetent individuals and severe diarrhea and even death in immunocompromised individuals.

ECOSYSTEM RESTORATION

Ecosystem pathology in some cases can be reversed simply by removing the source of stress. In cases, for example, where ecosystem degradation is the result of point-source additions of nutrients or toxic chemicals, removal of these stresses may result in considerable recovery of ecosystem health. A classic case is Lake Washington (near Seattle, Washington). This lake had become highly anoxic (oxygen-depleted) owing to a sewage outfall entering the lake. Redirecting the sewage outfall away from the lake reversed many of the signs of pathology.

In cases where it is not feasible to remove the source of stress, more innovative engineering solutions have been tried. For example, in the Kyrönjoki and Lestijoki Rivers in western Finland, spring and fall runoff leads to sharp pulses of acidity. Spring runoff from snowmelt, which releases acid from tilled or dug soils, has been particularly damaging to fish, during the critical time of year for spawning. Fish reproduction is severely curtailed, if not all together eliminated in highly acidic water. Further there have been massive fish kills resulting from the highly acidic waters. One possible remedy is to replace the original drains which take runoff from the land to the rivers with new limed drains that can neutralize the acidity. This solution has been implemented on an experimental basis and appears to substantially reduce acidic runoff.

More radical treatments for damaged ecosystems involve “ecosystem surgery.” In some cases, invading exotic vegetation (such as mangroves in Hawaii) have been removed from regions, and native vegetation has been replanted. In areas of North America where wetlands have been severely depleted owing to farming, urbanization, and industrial activity, efforts have been made to establish new wetlands.

More often than not, however, reversing ecosystem pathology is not possible. Efforts to restore the indigenous grasslands in the Jornada Experimental Range in the southwestern United States provide an example. Overgrazing by cattle has severely degraded the landscape and has lead to replacement of the native grasses by largely inedible shrubs, dominated by mesquite. Erosion by wind and episodic heavy rains have left areas between shrubs largely bare, and subsequently underlying sands have developed in dune-like fashion over a large part of the area. The resulting mesquite dunes have proven highly resistant to efforts to restore the native grasslands, although almost every intervention has been tried, including highly toxic defoliants (Agent Orange), fire, and bulldozing.

Even where it has been possible to restore some of the ecological functions of degraded ecosystems, and thus improve ecosystem health, the restoration seldom results in reestablishment of the pristine biotic community. The best that can be achieved in most cases is reestablishment of the key ecological functions that provide the required ecosystem services, such as the regulation of water, primary and secondary productivity, nutrient cycling, and pollination. In all such efforts, key indicators of ecosystem health (vigor, productivity, and resilience) are essential to monitor progress. Standard ecological indicators can be used for this purpose (e.g., measures of productivity, species composition, nutrient flows, soil fertility) along with socioeconomic and human health indicators.

Experience in efforts to restore highly damaged ecosystems suggests that ecosystem-health prevention is far more effective than restoration. For marine ecosystems, setting aside protective zones that afford a sanctuary for fish and wildlife has considerable promise. Many countries are adopting policies to establish such areas with the prospect that these healthy regions can serve as a reservoir for biota that have become depleted in the unprotected areas. Yet this remedy is not without its limits. Restoring ecosystem health is not simply a matter of replenishing lost or damaged biota. It is also a matter of reestablishing the complex interactions among ecosystem lifeforms. Having a ready source of healthy biota that could potentially recolonize damaged ecosystems is important, but it is only part of the solution.

PREVENTION OF ECOSYSTEM DISRUPTIONS

Given the difficulties in reversing ecosystem degradation, and the many associated human health risks that arise with the loss of ecosystem health, the most effective approach is simply the prevention of ecosystem disruption. However, like many common-sense approaches, this is easier said than done. In both developed and developing countries there is a strong inclination to continue economic growth, even at the cost of severe environmental damage. Apart from selfish motivations, the argument is made that economic growth has many obvious health benefits, such as providing more efficient means of distributing food supplies, providing more plentiful food, and providing better health services and funding for research to improve standards of living. These are indeed benefits of economic development, and have led to substantial increases in health status worldwide.

However, at the dawn of the twenty-first century, the past is not necessarily the best guide to the future. The human population is at an all-time high, and associated pressures of human activity have led to increasing degradation of the earth’s ecosystems. As ultimately healthy ecosystems are essential for life of all biota, including humans, current global and regional trends are ominous. Under these circumstances, a tradeoff between immediate material gains and long-term sustainability of humans on the planet may be the only option. If so, the solution to sustaining human health and ecosystem health becomes one of devising a new politic that places sustaining life support systems as a precondition for betterment of the human condition.

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Senior Vet.Officer,Central Veterinary Laboratory Kathmandu Nepal M.V.St. Preventive Veterinary Mrdicine


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Partners In Dental Health Cosmetic Dentist In Virginia Beach & Norfolk VA

Partners In Dental Health – Cosmetic Dentists In Virginia Beach & Norfolk VA

Added Sugar in Raisin Cereals Increases Acidity of Dental Plaque

As Cosmetic dentists in Norfolk and Virginia Beach, many of our clients that come to Partners In Dental Health ask about sugar and tooth decay. Elevated dental plaque acid is a risk factor that contributes to cavities in children. But eating bran flakes with raisins containing no added sugar does not promote more acid in dental plaque than bran flakes alone, according to new research at the University of Illinois at Chicago.

Some dentists believe sweet, sticky foods such as raisins cause cavities because they are difficult to clear off the tooth surfaces, said Christine Wu, professor and director of cariology research at UIC and lead investigator of the study.

But studies have shown that raisins are rapidly cleared from the surface of the teeth just like apples, bananas and chocolate, she said.

In the study, published in the journal Pediatric Dentistry, children ages 7 to 11 compared four food groups — raisins, bran flakes, commercially marketed raisin bran cereal, and a mix of bran flakes with raisins lacking any added sugar.

Sucrose, or table sugar, and sorbitol, a sugar substitute often used in diet foods, were also tested as controls.

Children chewed and swallowed the test foods within two minutes. The acid produced by the plaque bacteria on the surface of their teeth was measured at intervals.

All test foods except the sorbitol solution promoted acid production in dental plaque over 30 minutes, with the largest production between 10 to 15 minutes.

Wu says there is a “well-documented” danger zone of dental plaque acidity that puts a tooth’s enamel at risk for mineral loss that may lead to cavities. Achint Utreja, a research scientist and dentist formerly on Wu’s team, said plaque acidity did not reach that point after children consumed 10 grams of raisins. Adding unsweetened raisins to bran flakes did not increase plaque acid compared to bran flakes alone.

However, eating commercially marketed raisin bran led to significantly more acid in the plaque, he said, reaching into what Wu identified as the danger zone.

Plaque bacteria on tooth surfaces can ferment various sugars such as glucose, fructose or sucrose and produce acids that may promote decay. But sucrose is also used by bacteria to produce sticky sugar polymers that help the bacteria remain on tooth surfaces, Wu said. Raisins themselves do not contain sucrose.

In a previous study at UIC, researchers identified several natural compounds from raisins that can inhibit the growth of some oral bacteria linked to cavities or gum disease.

If you have questions contact one of our offices or get your free report

Partner In Dental Health has three offices in Virginia Beach and Norfolk to serve you. Get your free report on “What you should know” today. Go to: http://www.cosmeticdentistnorfolkandvirginiabeach.com
or call us at 888-297-8217


Article from articlesbase.com

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Tennessee Health Insurance and Occasional High Blood Pressure

Category : Region II

Tennessee Health Insurance and Occasional High Blood Pressure

Variability in blood pressure appears to predict the risk of stroke more powerfully than high average or usual blood pressure. Three papers published simultaneously in The Lancet, and another study in The Lancet Neurology, all support the idea that variability is the more powerful indicator.

These studies by Professor Peter Rothwell and colleagues at the University of Oxford have major implications for diagnosing, and treating high blood pressure to prevent heart disease and stroke.

Prior to these studies, it was believed that the underlying average blood pressure determined most of the risk of complications from hypertension (raised blood pressure), and all of the benefit from the drugs that are used to lower blood pressure.

Improved Direction in Medical Guidelines Means Better Healthcare

In these studies, Rothwell’s team found that variability of blood pressure (BP) between visits to clinics was a strong predictor of angina, heart failure, myocardial infarction, and stroke, independent of mean BP.

This contradicts assumptions in current medical guidelines that patients with only occasional high readings do not require treatment. Now, it is becoming clear that such patients have a high risk of stroke and other complications. Occasional high BP that may be called episodic hypertension are associated with a high risk of stroke, and can no longer be considered to be benign.

Latest Information about Drugs to Lower Blood Pressure

Rothwell’s team also analyzed previous trials comparing the effects of blood-pressure-lowering medications. They found that different blood-pressure-lowering drugs have different effects on BP variability.

Certain prescription drugs increase this variability, which is dangerous, and others decrease variability, which is helpful. The researchers also found that these effects correlated with differences in the effectiveness of the drugs in preventing stroke.

The research shows that many patients need blood-pressure-stabilizing drugs as well as blood-pressure-lowering drugs. That’s a new concept in medical care, and it’s important to talk with your doctor about reevaluating any medications you’re currently taking that affect your BP.

New Findings Fuel Reevaluation of Prescriptions

In fact, it’s a good plan to regularly discuss all the medications you’re taking with a doctor so you are aware of possible interactions and side effects. Even doctors are joining a national prescription drug awareness campaign that is attempting to get a million people to take a better look at the medications they’re taking.

Take a better look at Tennessee Health Insurance Plans, too, for extra help with prescription medications. Health Insurance in Tennessee can include discount cards to lower your cost for medications. In addition, two of the largest providers of Health Insurance for Tennessee — Aetna and Anthem Blue Cross Blue Shield of Tennessee ‘- are offering at-home delivery for popular medications. That includes maintenance medications that are used to treat heart disease.

Tennessee Health Insurance members who enroll in mail-order prescription programs may also receive a discount for the first time they fill a prescription. Many programs offer additional coupons, free shipping, and other perks to make filling prescriptions more affordable and convenient. Some programs even offer reminders when it’s time to refill a prescription.

Not only is it important to be fully informed of the benefits and risks of medications and how to get the most savings on prescriptions, but it is also important to be educated about non-drug alternatives.

Lifestyle Still Best Bet to Prevent Heart Attack, Heart Disease, and Stroke

Eating plenty of fruits and vegetables, exercising regularly, and keeping your weight under control can lower systolic BP by about 10 to 15 mmHG. Systolic pressure is measured while the heart is beating, and diastolic pressure is when the heart is at rest between beats. BP is measured in millimeters of mercury recorded as mmHg. The systolic pressure is always given first in a reading. For optimal health, those numbers should be lower than 120/80 mmHg.

By Wiley Long – President, eTNHealthinsurance.com – Tennessee’s leading independent online health insurance agency specializing in individual and family Tennessee Health Insurance plans. Get an online Tennessee Health Insurance quote, compare plans, apply online, and Save!


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Learn How to Improve Your Health Naturally With Bioidentical Hormones Replacement Therapy

Category : Region III

Learn How to Improve Your Health Naturally With Bioidentical Hormones Replacement Therapy

How big disaster starts.
One small change in the way you feel every day may portend your health disaster. Sometimes your symptoms are so small and seem so unimportant that you don’t pay attention. But they are really warning symptoms of what could possibly be a disaster.
You are in your 40s or 50s. You have everything you were dreaming of: beautiful kids, a wonderful spouse, big house or apartment and a wonderful job or business. Everything is going smoothly.    And you think, that it is time to relax and enjoy life.    Suddenly you feel like you are on fire, you turn red and start sweating.    And it happens at the worst time, while you are in bed with your beloved or speaking to one of your customers.    A few minutes later the hot flush is gone, but it comes back again and again and again. But now, you are waiting for it every minute, and it makes you crazy.
You notice that you forget where you left your keys and credit cards, you started forgetting about your appointments and now you need to make a shopping list, which you never did before. Then you start yelling at your loved ones – your children and your spouse without reason and you do not understand why. You feel like you cannot control yourself any more. When it comes to sex, you are not enjoying it any more. It’s become painful now, but avoiding it is now causing more problems with your spouse.
One problem after another comes into your life…one new alarm after another goes off. The final disaster in your life has happened — you are not yourself anymore.
One tiny emotional failure in your relationship can lead to drama in your life, but the measurement of this failure was inconspicuous and you hardly noticed it in the beginning. You were together with your spouse and kids for many years but suddenly a strong turbulence is shaking your lives.    Your relationships have started to go disastrously wrong.
One after another, the autopilots in your lives shut off and what used to always work isn’t working anymore. Quickly, you are being sucked into the waves, with no way to save yourself.
You’re screaming out and crying for help, but there’s nothing ahead but despair. The life you worked so hard to get is now sinking.
It’s at about the age of 40 that everything begins. You want to give all your love to your spouse and your children.    Instead you have a mood swing and shout at them making them unhappy. You start arguing more with your spouse, start passing up on invitations to go out with your friends because you are tired. But you used to always be the first one there.
Then it was Sunday. Sex time! It’s a duty and routine now. Suddenly this day felt like a chore for you. You do not have the fantasy and energy that you had before.
Suddenly, you start feeling Hot… hotter!! And then sweating, you realize you are suffering from hot flushes!
You are not feeling pleasure and emotions like before. Finally, after the chore of sex is over, you try to fall asleep, but now you cannot. Your spouse is angry with you because you are keeping him or her awake. Finally at four o’clock in the morning you fall sleep, only to have to wake up in two hours. You wake up in the morning very sleepy and tired, cannot open your eyes and now you feel like you need your morning coffee.  You go to the bathroom to take a shower, look at the mirror and you see wrinkles on your face, wrinkles that you didn’t see before. You start putting creams and make up to cover them but every time gets more difficult to cover them and you feel like you are losing control of your life.
You go to your primary care physician, then to a psychiatrist, but do not get any answers.    But you need an answer now, because you are not yourself any more.    You were at a point in your life, finally, where you were happy with your work, with your status in life, with your family life, with your sex-life. Everything was running smoothly. For the past 40 or 50 years, you have treated your body right, and it, in turn has treated you right.
Until you start noticing little changes creeping in. Wrinkles? A little, for now. Mood swings? Slightly harder to deal with. Loss of energy? Causing a kink in your plans. Loss of libido? Bringing some major tension into the house. Is it the beginning of a disaster? What’s going on with your health?
Could it be one simple test that can prevent the disaster? Could your disaster start even before your first symptom?

Going through menopause or andropause is like trying to cross a stormy Atlantic ocean in a tiny boat. But nobody prepared you for this at all!
What Official Medicine can do for you to get your life back.
No one is able to explain to you why you are suffering and what needs to be done.    To your anger, your doctor, whom you love very much, says, that everything is OK with you. It is just aging, which is normal.    But you know something is disastrously wrong.    You have to get the answer now or you may die.
Official Western medicine does not give an answer to this question.    ”There are no lifestyle changes, surgical procedures, vitamins, antioxidants, hormones, or techniques of genetic engineering available today with the capacity to repeat the gains in life expectancy that were achieved during the 20th century “  according to demographer S. Jay Olshansky of University of Illinois in Chicago as well as 51 longevity experts in their position statement in 2002.
That is why I had to launch my own investigation, based on scientific studies and my own experience. I did not have a choice but to do it, because I was going through andropause myself.
My investigation was based on facts and common sense, not controlled studies.    This method was used by doctor James Lind in about 1750 when he discovered how to fight scurvy. Six groups of two sailors were used. And one group which was given oranges and lemon – improved. The same method was used by doctor Edward Jenner in 1796, when he invented vaccination.
What would happen to the mankind if they would require double blind controlled studies to prove that vaccination is working for smallpox and lemon for scurvy?    We would be dead.    If the treatment is really working you do not need double blind controlled studies to prove it.
It is like your keys for your home door.    It is either fits or not. You do not need double blind controlled studies to figure this out. Normally an investigation like this is done by a group of scientists.    And it should be financed. Usually it is a big pharmaceutical company that invests money in the scientific study. And they did it before: they created drugs that mimic human hormones.
How they created a fake to poison you.
Because natural substances like hormones cannot be patented, they had to come up with something else. Instead of the most important women’s hormone estrogen they offered modified horse estrogens to produce “estrogen” for our women.    Instead of the second important women’s hormone progesterone they offered drugs, that sound like natural progesterone, but actually are synthetic — Progestins.    Why would they name the synthetic stuff like natural?
In the beginning everybody was happy: patients, because they felt better, doctors, because it was less work for them, pharmaceutical companies, because they were getting money.
Until Women’s Health Initiative (WHI) study came out.
Synthetic and semisynthetic hormone mimicking drugs Premarin and Prempro were jewels in the crown of the pharmaceutical company Wyeth. Their sales almost reached 1 billion dollars in 2001 1.    But even Big Pharma could not conceal the WHI damaging conclusions. What they found was that synthetic or semisynthetic hormones are linked to many life-threatening conditions like cancer and blood clots.
They are linked to cancer . They can cause blood clots. Low testosterone and decreased libido as well as gallstones are the complications of synthetic hormones, etc.
But the drugs were on the market already. And they were very profitable. So what they had to do was to warn patients about the risks, but continue to sell the drugs.    Who wants to stop money coming? But how did it happen that FDA approved drugs with life threatening side effects?
It is 2009. New York Times magazine Reporter Natasha Singer is looking into hormone replacement therapy drugs. But she is not interested in how those drugs were approved. After the scandals with Troglitazone or Trovan nobody is excited about it. She was interested in a much more important thing: how it happened that doctors recommended harmful drugs.    What they found was: it was ghostwritten medical papers, signed by doctors, that created medical ” consensus”.
Can We Trust Such “Scientific” Articles?
I still remember my 27 year old female neighbor, who died because of a clot in her legs that went to her lungs. She was on birth control pills. Since then I decided not to advise traditional synthetic hormones to my patients.
So I arrived to my first solid conclusion:    no synthetic or semisynthetic hormones, because:
But do you need hormones at all? May be you can get back your life with diet and supplements? Or may be all you need to do is to bring your cholesterol down? Yoga? Meditation?
I still remember my first patient, suffering from heart attack: gasping, cold sweat, fear in his eyes and death imprinted on his face.    Or one of my cancer patients suffering from
excruciating pain.  Or Alzhemer’s patients, who know about their problem and are ashamed of it.  Maybe all we need to do is to get treatment for heart, cancer and dementia?
Why Eskimo do not have heart attacks
During my medical training I was told many times, that heart attacks are due to high cholesterol. What I did not know was about the Danish Eskimo study.
Danish scientists Bang and Dyerberg discovered that Eskimos almost never die of heart attacks, the number one killer, despite    the fact that they did not have that low cholesterol.
So it was not actually cholesterol, that kills! And they knew about it since the 1970s! It must be something else.    What about cancer? What about Alzheimer’s?    Swedish scientist from University of Lund Staffan Lindeberg, MD went to Kitava Island in New Guinea to study its 24,000 people population. What he found was that they do not have heart attacks! No cancer! No diabetes! No Alzheimer’s! But they die healthy on average at the age of 45 9.
So it is not cholesterol, it is not cancer, it is not dementia, that kills! But what is it then? I was at a dead end. And there was no help in sight. Do you think that Big Pharma will give away money to figure out how to get you better naturally?
Then I made my major breakthrough.
Seeing is believing.    Have you ever seen a person who looks twice as young as her real age? I did. She had beautiful skin and shiny eyes. Her dress could not conceal gorgeous curves of her body.    Her voice was getting to the bottom of everybody’s heart.    She looked like she was in her early 30s. In fact she was in her 60s. Her name was Suzanne Somers. Her Fountain of Youth was Bioidentical Hormone Replacement.
After many years in medical field, I had to admit that nothing like that could be achieved with traditional medicine.    So maybe what she is doing is right? Maybe what she is saying is correct: “It is not your cholesterol, it is not your blood pressure, it is your hormone decline, that kills you.”
Really? How about heart attacks, cancer and Alzheimer’s? When you develop chest pain when you are 20, it is pulled muscle. But if you have chest pain in you 70s — it’s a heart attack.
If you lose your key in your 20s, you’ll just get a new one.    But if you lose your keys in your 70s — it’s Alzeimer’s.    And you are right: we usually do not have heart attacks, Alzheimer’s or cancer in our 20s, when our sex hormone levels are high. But we do have them when our sex hormones are down.
Why?
Because mother nature does not need us that much after we cannot make babies any more. We need to free the space for young individuals, who can. Remember, that there is almost no menopause in the animal kingdom.  Fortunately, there is a loophole for humans: menopause and andropause.
Mother nature’s concept was simple: to ensure that humans are superior in survival compared to any other species in the world.    Therefore humans needed more than simple estrous cycle in animals. It was menopause in females and andropause in males, that changed everything.
Normally a fertile woman has her ovaries with plenty of eggs that are released in cycles. To get pregnant in the beginning of her menstrual cycle she produces sex hormone Estrogen, which makes the follicles with eggs to grow. When the egg is big enough, it is Follicle Stimulating Hormone and Luteinizing Hormone surge that, along with Estrogen, make the follicle break — a process called ovulation.
Then ovaries start producing another sex hormone Progesterone. Freed egg is then going to the uterus that is already prepared by Progesterone.    If there is a sperm there, then pregnancy commences.    If not, then egg is going out and Estrogen and Progesterone production ceases, uterus lining is gone, blood vessels become open and menstrual bleeding starts. Then the Estrogen production starts again, and uterus lining is restored.    Bleeding is over, and woman is ready for another cycle.    These cycles continue, until there are no more eggs in woman’s ovary. When there are no more eggs, periods stop and menopause begins.    Sounds simple.    But there is a problem here: an average woman has about 1 million eggs, but she uses only about 400.
Why are the rest of her eggs wasted?    Instead of using those eggs, women go into menopause and men go into andropause.
Why would mother nature invest in longevity but not in fertility?    The reason why still remains the mystery.
Maybe it is because mother nature wants a postmenopausal woman to take care of her daughter’s children so that she can make more babies? This is what Grandmother’s theory is saying. Or maybe that is because older males can compete with youngsters to
make competition more tough because older males are more experienced and sophisticated? This is what the Patriarch hypothesis is saying.
It does not matter why nature decided to give us menopause and andropause. What matters is: we do have a loophole to live longer. The only thing we have to do is to pretend that we are still young. But how?
How to Pretend to Be Young
1930, Canada, McGill University, Department of Biochemistry.
A young Chairman, Professor Dr. James Collip, who just co-discovered Insulin, was thinking how to get relief of menopausal disaster. After series of experiments and failures he eventually found the solution. What he did was: he extracted estrogen from the urine of pregnant women and gave it as a menopausal remedy. And it did work. Because giving natural hormones of fertile women to postmenopausal individuals was a signal to their bodies that they are still fertile. That is how we can pretend that we are still young. Have you ever run out of gas? Certainly. But you did not think, that it is the end of the world, and your car is not going to run anymore. What you did was: you went to a gas station and filled up the tank, right?
Same here: because you ran out of eggs or sperm, you just need to fill your body with hormones, which are exactly the same as your own. But what hormones exactly we are talking about here? Mainly Estrogen, Progesterone and Testosterone.
Have you ever seen a picture of Marilyn Monroe? Sure. And you admired her, right? What you did not realize was: she is the perfect example of a woman, full of Estrogen: confidence, strong desire to have sex, big breasts and low waist to hip ratio.  That is why estrogen is sometimes called “Marilyn Monroe Hormone”.
Estrogen plays a critical role in a human’s body. It is responsible for breast development, vagina lubrication, burning fat, maintaining your bones, skin and vessels, bringing your good cholesterol up and bad cholesterol down, etc. Because it works as an antioxidant, it protects your brain. No estrogen — mood problems, memory problems, etc. But estrogen alone is not enough.
Confidence and strong sexual desire should be balanced, otherwise they will go too far. And the hormone, that does the job is Progesterone.
Have you ever seen pregnant women? They are calm because they have plenty of Progesterone. Do you know, that a cup of milk in the evening may help to get better
sleep? What you do not know is: milk contains Progesterone, that may help you to calm down, along with calcium and milk protein Casein. Also what you should know, is that Casein in your stomach is broken to CasoMorphin which is an Opioid ( like a street drug )?
Of course Progesterone is not Morphin, but it calms down, normalizes blood pressure, works as a natural diuretic and antidepressant. Its main job is to balance Estrogen. Did you know, that Progesterone is not only a sex hormone? It is also a Neurosteroid, that is produced in your brain and is necessary for its normal function.  But again, Estrogen and Progesterone are not enough. There should be something, that gives us the energy and sense of well-being, as well as ability to maintain our muscles, mental and muscle energy and libido. It is hormone Testosterone that does the job.
1889, Paris, France. Aging former Harvard professor and now Professor of Experimental Medicine of College de France Doctor Charles — Edouard Brown — Sequard, is looking for an elixir of youth.    He is a shrewd observer and a talented scientist. His name is immortalized in the modern neurology by the spinal cord damage syndrome, bearing his name. But he was aging as anybody else. He was desperately looking for a remedy, and he found one, later called Brown-Séquard Elixir. What he did was: he self injected an extract from guinea pigs testicles. According to him his vigor was back, his sense of well-being was back. His Elixir was Testosterone.  It was the famous medical journal, The Lancet, that first published his observations.
Do you think he was prized for his discovery? Actually his colleagues were laughing at him. It took them 40 years to rediscover the importance of Testosterone.  Now we know, that it is not only for sex drive, erections and muscles. It is also to maintain you bones and protect you from Diabetes, Alzheimer’s, heart disease etc.
Bottom line: we need all of them: bioidentical Estrogen, Progesterone and Testosteone ( women and men — both ).
Are Bioidentical Hormones officially recommended?
Not a single other treatment ignited so many debates and controversy, as Bioidentical Hormone Replacement Therapy ( BHRT). The official medicine including FDA, International Menopause Society, American Medical Association, American College of Obstetricians and Gynecologists, Mayo clinic, Endocrine Society, etc.,  is saying, that Bioidentical Hormones carry the same risks as synthetic hormones and there is no evidence of any other benefits of Bioidenticals.
I wonder, why so perfect a consensus is about it. Recently two branches of Government Research were trying to figure out if Chronic fatigue syndrome is associated with with exotic XMRV virus. One group (Harvey Alter, FDA and National Institutes of Health) found that yes, another group (William Switzer, CDC) found that no.
If the scientists, who use the same methods and testing the same virus, cannot come to the same conclusion, then how could they be so unanimous in much more complicated subject as Bioidentical Hormones?
Also, the FDA is saying that risks of Bioidenticals are the same as synthetic. Based on what?   Did they test Bioidentical Hormones? Not that I know of. They assumed, that Bioidenticals work the same as synthetic, which we know are harmful.
It is like saying that one dollar bill has the same value as 100 dollar bill, because they are the same size.
On the other hand the proponents of Bioidentical Hormone Replacement Therapy are saying, that Bioidenticals are safe and have no side effects.
Two French studies, published in 2008, suggest, that Bioidenticals are safer, that conventional BHRT. According to Dr. Kent Holtorf’s literature review “Physiological data and clinical outcomes demonstrate that bioidentical hormones are associated with lower risks, including the risk of breast cancer and cardiovascular disease, and are more efficacious than their synthetic and animal- derived counterparts. Until evidence is found to the contrary, bioidentical hormones remain the preferred method of HRT. Further randomized controlled trials are needed to delineate these differences more clearly.”
Even some prominent clinicians have to admit publicly the advantages of Bioidenticals. According to Dr. Christine Derzko, Chief of Endocrinology at St. Michael’s Hospital in Toronto, “Despite the weak evidence, some promising preliminary data are emerging, suggesting that pharmaceuticals containing BH ( Bioidentical Hormones — Sergey Kalitenko ), estradiol and progesterone, have equal (and in some cases, lower) risk compared with other CHT ( conventional hormone therapy — Sergey Kalitenko ).
Normally we need controlled randomized studies of the efficacy and safety of Bioidentical Hormones.    But there is no such study in sight.    Do you think Big Pharma will invest money in something, that cannot be patented and therefore will unlikely to be profitable?
But what do we do, if we do not have long term studies so far? Let see what experts say: ” I always tell clinicians, that until we have definite randomized trial data — which we may never have — whatever patient wants to do is the correct decision”, — says Dr. Speroff, who is a Professor of Obstetrics and Gynecology at Oregon Health and Science University and a sub-specialist in reproductive endocrinology – one of the most respected OB — GYN doctors in the US,
He is the founder and recently stepped down as director for the Women’s Health Research Unit at OHSU. Doctor Speroff has gained prominence in the area of women’s health throughout his publications, national and international lectures and extensive work on clinical trials.
But do Bioidentical Hormones really work? Do they really prolong life? Or may be they are another myth? I was desperately looking for the answer, but could not find the right one.
How they found longevity secrets.
My next breakthrough came unexpectedly — from Blue Zones study.
Because official medicine does not give us the longevity prescription, not doctors, but National Geographc reporter Dan Buettner decided to look for the areas on Earth, where people live longer, than in the other areas. And he and his group found such areas.
To get the truth about longevity secrets he and other members of his expedition went to identified Blue Zones: Sardinia, Italy: Okinawa, Japan; Loma Linda, California, US; Nicoya. They decided to learn from real people, not from theory, how to live longer. But what did they find?

Longevity lessons from real long living people for Blue Zones:

1. Get enough sun exposure.

2. Eat nuts and tomatoes

3. Be social.

4. Restrict your calorie consumption.

5. Move naturally.

6. Drink enough water.
Sounds like nothing unusual. But somehow together they worked much better than any other protocol suggested. What was the secret behind Blue Zones lessons?
The solution came unexpectedly. While investigating about tomato benefits, I learned that the most valuable their component antioxidant lycopene is going to the testes, adrenal glads and liver.  Looked like tomato are protecting endocrine glands from oxidaive stress, but for what?   To make sure that they make enough hormones!    And I said to myself: “Gee! Maybe it is all about hormones!”
Being social means less stress and hence less harmful cortisol, and therefore more another steroids like estrogen, progesteone and testosterone.    Calorie restriction is proven to raise Human Growth Hormone (HGH) levels. Sun exposure is about vitamin D, which is considered more as a hormone now.
Forget for a second about Blue Zones.    The longest living person on Earth Jeanne Calment, who lived for 122 years and 165 days, was riding a bicycle at age 100 and broke her hip at age 114. This means, that she had enough Estrogen to maintain her bones!
Another centenarian, from Nicoya, named Rafael Angel Leon Leon, had multiple girlfriends until age 94, then he married a woman, who was 40 years younger then he was! Nobody marries an older person who cannot have sex! Therefore Mr. Rafael Leon had enough testosterone to have sex!
Looks like longevity is all about hormones. But what about safety?
It is like trying to answer the question if drinking water is safe. Yes, but in moderation. If you drink it too much your brain will swell to the extent that you may die.
Obviously estrogen itself is not a problem, because your body cannot produce poisonous hormone.    The problem comes when it is too much estrogen, that leads to increased cancer risk or it is converted into poison, that causes cancer.
Normally the main body estrogen – estradiol or E2, is removed from your body very fast by 2 ways:
1.  It is converted into 2 OH estrone, which is benign.

2. Estradiol binds to bile in the gut, becomes water soluble and then is eliminated via
kidneys. So estradiol is removed. No poison made. Danger is over.
But on 3 conditions:

1.    Your body knows what to do with hormone.

2.    There are enough enzymes to do the job.

3.    Your gut functions properly and does not have wrong bacteria in it.
If even a single condition is not met — you might be in danger.
Your body does not know that to do with synthetic and semisynthetic estrogens. Therefore instead of 2 OH estrone they are transformed into 4 OH estrone, which leads to free radical formation and therefore cancer.
Bioidenticals mostly do not have this problem, but what if your body does not have enough enzymes? Or your gut is not functioning properly?
Fortunately we can monitor what your body is doing with estrogen and most of the time make it right.
Bottom line is simple:
Get more energy, better sleep, mood, productivity and sex life with Hormone Balancing. You can get better with Bioidentical Hormone Replacement Therapy ( BHRT ), but be aware of the risk involved. Doing nothing does not bring you anywhere. What can help you is finding the root cause of your problem and solving it.
Bioidentical Hormone replacement is very effective and reasonably safe.
To me it is more than using Bioidenticals, it is about using a holistic, individualized approach instead of standard protocols.    To me it is about using natural remedies instead of potentially toxic drugs. To me it is about finding the root cause of your problem, instead of just treating your symptoms.    Now it is your turn to decide what is right for you.
Blue Zones check list — how to live longer:
1.    Get enough sun light to get plenty of vitamin D, but not too much.    Monkey on the beach sunbathing?
2.    Restrict your calorie intake, but still get enough calories to fight infection or stress.

3.    Eat plenty of tomatoes.

4. Move naturally. Remember monkey in the gym?

5.    Eat handful of nuts regularly.
6.    Drink enough water.

7.    Be social.
My suggestions:
1.    Have enough sleep (at least 8 hours a day).

2.    Follow Paleolithic diet — avoid processed food!

3.    Balance your hormones!
For more information go to www.doctorkalitenko.com.


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Can Tennessee Health Insurance Reform Help The Economy?

Category : Region II

Can Tennessee Health Insurance Reform Help The Economy?

The Affordable Care Act provides tax credits for as many as 66,000 small businesses in Tennessee and almost half of these do not cover their employees with Tennessee health insurance. Tax credits are critical to improving this situation because nine out of ten small business owners found their company’s total health care coverage increased over the previous year. Three-fourths experienced a raise of at least five percent and a fourth were hit with rate increases above 15 percent.

Tennessee employees also spent more for health care coverage. More than three in five workers spent up to 15 percent more, which resulted in a third changing plans to get lower premiums. Almost half purchased plans with higher deductibles than they previously had. That allowed them to maintain some form of coverage, but at the cost of taking on the burden of higher deductibles. They now have to pay for more of their health care out of their own pockets, which frequently limits their access to health care including prevention such as regular exams.

Who Thinks That Health Care Is A Drain On The Economy?

In July of 2009, the Tennessee Small Business Coalition and the Peabody College Center for Community Studies of Vanderbilt University surveyed small businesses. They reported that 61 percent of those surveyed believed that reforming health care would help the economy.

Many small business owners see Tennessee health insurance for their employees as unaffordable because small businesses pay higher premiums than larger firms. Most (approximately 98 percent) large firms provide health insurance for their employees, but only about 46 percent of companies with less than 10 employees do so. Even among businesses with less than 50 employees, more than half (52 percent) of employees are either uninsured or have inadequate coverage.

What Does Health Care Reform Mean For Small Businesses?

Small businesses employing approximately 16.6 million people will be eligible for tax credits through the Affordable Care Act. Tax credits to fight lack of health insurance in Tennessee will become available in 2010, and the credits will increase from 35 to 50 percent in 2014.

The Congressional Budget Office estimates that the new tax credits can offer billion in the coming decade to help reduce premiums for small businesses from eight to eleven percent by 2016. Even greater savings are predicted by 2020.

How Do Small Businesses Qualify for Tennessee Health Insurance Credits?

To qualify for the tax credits, small firms must pay for at least half of their employees’ Tennessee health insurance premiums. The actual amount of the tax credit can vary depending on the size of the firm and the average wage paid.

The state health insurance exchanges should be available in 2014 to give small businesses another way to cover their employees with Tennessee health insurance. These exchanges can lower costs by pooling members. Such pools, as they’re called, make it possible for the costs from members who need health care to be balanced by the premiums from members who don’t incur medical bills.

By 2014, insurers will no longer by allowed to refuse to cover known health problems so all employees will be able to get health insurance for Tennessee. The exchange plans will be required to provide comprehensive benefits while limiting employee’s out-of-pocket costs to ,950 for individuals and to ,900 for families. The health insurance deductibles for small businesses will be limited to ,000 for individual employees and to ,000 for family plans.

By Wiley Long – President, eTNHealthinsurance.com – Health Insurance Advisors in Tennessee – Offering online information on health insurance plans in Tennessee, instant quotes on Tennessee Health Insurance plans, and personal assistance for all your Tennessee Health Insurance needs.


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Universal Health Care; The Canadian Experience – Part 3

Category : Region II

Universal Health Care; The Canadian Experience – Part 3

Here’s To Your Wealth!  Comparative Costs of Private and Public Health Systems
Part 3 of a 3-Part Series

 

Everything comes with a cost and health care is no exception.  But which type of health care model costs the most – the universal public type or the for-profit private system?  The answer depends on the source and perhaps what political stripes that source wears.

While President Obama’s camp continues to promote the public option and what they say will be a lower overall cost to consumers, many conservative politicians and talk show hosts have, of course, campaigned hard to make the opposite seem true.  Their take is that industrialized nations with universal public health care pay far more per capita for sub-standard services compared to their US counterpart.

It’s easy to accept without question, this latter position as fact, particularly if you buy-into another popular view that suggests everything and anything the government administers suffers from waste, inefficiency, ineffectiveness and bloated costs.  Let’s face it, you don’t have to look very far to find examples of poor public governance.  (Does anyone remember stories about a certain stars-and-stripes military outfit paying 0 for hammers and hundreds more for toilets?)

Is Public Sector Governance Necessarily Bad?
What some people seem far too eager to ignore is the fact that given proper governance, a publicly administered system providing an essential service has an important advantage.  That advantage is a missing link of sorts.  The ‘chain’ of service provision has many various links that make up the total cost of providing that service.  Consider that the profit link is often one of the biggest links in the chain.  Somewhere along the line, that profit link will necessarily impact the total cost of providing the service as well as the amount of investment that’s diverted back into the system.


Therefore, in operating a for-profit health care system, regardless of whether the gross profit margin is ten or thirty per cent, at some point along the way a markup must occur to generate the extra revenue needed to feed that profit.  A properly managed public health care system need not implement markups.  In theory, then, the taxpayer isn’t overcharged just in order to meet the profit margin goal.  Does it actually work that way?  Just as with other aspects of the public vs. private health care debate, there are both success and horror stories on each side.

Are Canadian Patients Dissatisfied With Their Health Care System?
So much of the chatter we hear today slams the inefficiency and overboard costs of Canada’s health care system.  But consider that for each story from a Canadian patient who experienced mediocre treatment or long delays, there are far more success stories from patients who are sincerely happy with their treatment and who wouldn’t trade their system for the world. 

Take, for instance, the case of a woman from Windsor, Ontario, whose story was revealed this past summer in an article in a Florida newspaper, the St. Petersburg Times.  This Canadian patient was billed a grand total of .95 after having been in hospital for over two months.  Her friend who lives across the river in Michigan spent two or three days in hospital and was billed over ,000.  Those are some real numbers to chew on.


So, what are the rest of the numbers, vis-à-vis the comparative costs of Canadian and American health systems?  More on that in a bit, but first consider the example of education.  Education is one of the untouchables; a cornerstone of most wealthy nations.  It’s one of those essential services.  The quality of a nation’s education determines, to a great extent, that nation’s future prosperity.  Most kids go to public school and most of those parents would never consider scrapping their district’s public system in favor of a for-profit pay-as-you-go private system.


Public Education is in a Shambles, Right?


Education has for long been as politicized as health care has lately become.  Pour the education facts through a political filter and you get a skewed take.  Just as with the health care debate, those on the right champion the superiority of private schools, citing lower costs per student and higher test scores.  They would also have us believe that public education costs are far more expensive per student compared with that of private school.  Both of these ideas are easily challenged.


A widely accepted figure pegs the average cost per student for public education systems nationwide at under ,000.  Comparatively, according to the National Association of Independent Schools, an organization comprised of private schools, the average cost of annual private school tuition per school-aged child is over ,000.  Reports about this seem to be easily overlooked by those wishing to cash-in on the profit potential of the education business.


But isn’t the quality of education better at most of those private schools as compared to the much more heavily attended public schools?  Private schools’ high teacher-to-student ratio and their more selective community are features that are hard to deny.  However we hear little about the fact that public education systems must follow a host of state and federal laws and guidelines; many of which the private schools need not and do not observe.


Further bolstering the argument was a study out of Washington released in October, 2007, confirming that 12th-grade private and parochial school students had matching scores in core academic subjects when compared to their public school counterparts with similar family and income backgrounds.  Other more recent studies by the University of Illinois showed that public school students actually outperformed their private school counterparts in standardized math tests.

Universal Public Education is a Sacred Cow; Why Isn’t Health Care?

It can therefore be easily argued that a service as essential as education can and is provided both efficiently and effectively by the public sector.  Why, then, are so many opposed to the same idea with health care; another service that’s just as essential?

It’s Not a Free-For-All in Canada
First of all, don’t think that every aspect of health care is included in the package.  The government does not pay for most Canadians’ prescription medicines.  Just like the American experience, most Canadian prescriptions are paid for by way of employment benefits packages or it’s a self-pay deal.  (But the Canadian government does cover prescription costs during in-hospital treatment and for patients in certain income and age brackets.)  Another thing that most Canadians pay for is just about any surgery that is elective and not medically necessary.  So that face-lift, laser scar removal or tummy tuck – well – you’re on your own.  The same applies when it comes to dentistry, orthodontics, optometry and eyewear, chiropractic care, and other medical areas that fall outside traditional physician-provided necessary care; for the most part, Canadian patients or their employer insurance carriers pay for these services and treatments.  These things are generally not coming out of the public purse.


The Canadian medicare system covers, in full and without question, all necessary visits to family physicians and specialists, all necessary medical tests, and all necessary hospital stays.  Quite simply that means no bill and no nasty surprise.

What are the specific costs north of the border?
According a report by the Canadian Institute for Health Spending, in 2008 health care spending in Canada was just over 0 billion.  That covers all aspects of costs and comes out to ,170 per person.  Which nation boasts the highest spending?  Spending in the US is now over ,000 per person annually.  A recent analysis in Memphis Tennessee’s Commercial Appeal newspaper showed that the average American needs to work through the months of January, February and March just to pay for his or her share of the health care bill.


How does the old axiom about statistics go?  Liars figure and figures lie.  Yes, it’s easy to skew the truth with statistics, but it’s hard to argue with bottom-line costs from trusted sources and the real-life experiences of real people.


Regardless of whether you sit on the left, the right or on the fence itself, there’s no denying one more fact.  Since universal medicare was legislated in Canada by Tommy Douglas in 1961, Canadian patients have not had to worry about losing their homes, going bankrupt or plundering their retirement savings as a result of the cost of treating a major illness or disease.


Ask any Canadian and they’ll tell you that knowing they’ll always be covered is peace of mind; which, in itself, is quite therapeutic.


Read Part 1 of this series, The Truth About Canadian Health Care; and Part 2, Real Life Stories About Canadian Health Care.


Visit http://www.themorethingschange.weebly.com for more articles and columns by Stephen J. Kristof.

Stephen Kristof is a writer and a professional instructor in media production. In addition to his articles and opinion pieces, Stephen is also the columnist for his humorous “Go Figure”© Lifestyle Columns. His previous work in broadcasting and his entrepreneurial experience in both advertising and career preparation have broadened Stephen’s perspective on many relevant and crucial issues of the day. Visit his website at http://themorethingschange.weebly.com/


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Tennessee Health Insurance, Healthcare Reform And The Economy

Category : Region II

Tennessee Health Insurance, Healthcare Reform And The Economy

The Affordable Care Act that passed with healthcare reform provides tax credits for as many as 66,000 small businesses in the state of Tennessee. Nearly half of these companies are not protecting their employees with Tennessee health insurance. These tax credits are important to nine out of ten of Tennessee’s small business owners who saw an increase in their company’s total health care coverage for the previous year.

Increases in healthcare costs hit Tennessee employees, as well. More than three in five workers in Tennessee paid up to 15 percent more for health insurance in Tennessee last year. A third of employees switched to plans with higher deductibles in exchange for lower premiums.

Can reforming the healthcare industry help Tennessee small businesses and their employees? Sixty-one percent of small business owners surveyed in July 2009 said that it would. This survey was conducted by the Tennessee Small Business Coalition and the Peabody College Center for Community Studies of Vanderbilt University.

What Will Health Insurance In Tennessee Offer Small Businesses?

Small businesses, which employ approximately 16.6 million Tennessee residents, will be eligible for tax credits through the Affordable Care Act. That’s particularly important because small businesses typically pay higher health insurance premiums than large firms. Tax credits to offset the higher cost of health insurance for small businesses became available in 2010 and that’s just the beginning.

As many as 3.4 million workers in Tennessee may be able to benefit from the tax credits by 2013, and the Congressional Budget Office estimates that tax credits could provide up to billion to subsidize health insurance premiums for small businesses in the coming decade.

Savings are expected to increase by 2020 from efforts to cut administrative costs and increased competition among insurance companies through the health insurance exchanges.

More Affordable Health Insurance in Tennessee Helps Small Businesses

Tax credits are just the beginning of healthcare reform when it comes to helping small businesses cover their employees with health insurance. Beginning in 2010, health insurance companies are required to monitor their spending for administrative costs as well as their profits. By 2011, administrative costs on plans for individuals and small businesses are not to exceed 20 percent of the premiums a company collects. Plan members are to receive a rebate whenever companies violate that rule.

In 2014, small businesses will also have access to state health insurance exchanges. By pooling members, these exchanges can offer lower premium costs making healthcare more affordable. Health insurance plans from the exchanges will limit out-of-pocket costs to ,950 for individuals and to ,900 for families. Individual plan deductibles will be limited to ,000 and the maximum deductible for family plans may not exceed ,000.

Tennessee Health Insurance Exchanges Can Increase Access To Healthcare

Employees of small businesses comprise one of the main categories of people who have no access to healthcare. Since 2005, employee premiums have risen by 47 percent, but wages only increased by 18 percent at the same time that inflation climbed 12 percent.

If you work for a small business that does not provide health insurance, you’ll be able to buy directly from a health insurance exchange in 2014. Families with four members living on incomes up to ,000 will also have access to subsidies that can help to cover the price of premiums. By that time, insurance companies will no longer be allowed to deny coverage to you if you have an existing health problem.

By Wiley Long – President, eTNHealthinsurance.com – Tennessee’s leading independent online health insurance agency specializing in individual and family Tennessee Health Insurance plans. Get an online Tennessee Health Insurance quote, compare plans, apply online, and Save!


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Finding Affordable Ohio Health Insurance

Category : Region III

Finding Affordable Ohio Health Insurance

When you start looking for affordable Ohio health insurance you can take heart from the fact that you will have few difficulties in finding one, especially if you happen to be a student. Not only are student health insurance plans very affordable in Ohio but the plans are available from all the best health insurance companies in the US. Typically, such affordable health insurance plans in Ohio would not cost you more than one hundred dollars per month, and in a few cases, you can get to pay premiums that are well below one hundred dollars per month.

What’s more, the top ranked health insurance companies are offering student health insurance plans at very competitive prices which mean that not only do you get great coverage but you will also be dealing with reputable and trustworthy companies.

Even though students can find some very affordable Ohio health insurance they must still make an effort to find the best option from among competing affordable health plans. Universities in Ohio have their own particular requirements and this means that if you are enrolled as a student with Miami, Ohio State you will get a totally different insurance plan as compared to a student studying in Bowling Green.

President Obama’s promise to reform the US health care industry will ensure that a far larger number of Americans will be able to gain access to affordable health insurance. This would mean an estimated fifty thousand more Ohio children becoming eligible for health insurance coverage.

It is hoped that when the health reforms that President Obama is trying so hard to get passed kick in that health insurance in Ohio will become even more affordable. Once the health care reforms get passed more than 50000 children will benefit from being covered by more affordable health insurance in the state of Ohio.

A good broker will be able to offer suitable plans for individuals and families as well as for small businesses. When choosing the most affordable Ohio health insurance you must, besides looking a more affordable premium also ensure that the insurance company that you are going to deal with has high if not highest ratings.

Other factors that need to be addressed include the out of pocket expenses for a plan and also whether the health plan comes with annual or even lifetime benefit maximum. Once you find answers to these and a few other questions you will then be in a better position to compare the various plans and their associated quotes. With a little bit of effort you should be able to then make a more informed choice regarding which health plan is most affordable to you.

Another tip that is worth following is that before you finally buy your affordable health insurance from an Ohio insurer make sure that you check with the Department of Insurance about the complaint ratio of the company. Any company with a high complaint ratio is to be avoided.

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