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Many relationships end in separation and divorce, and it is inevitable that the children will be affected. A child’s response to divorce will depend on a number of factors, including his age, his cognitive and emotional maturity, the quality of the parental and family relationships before and immediately after the divorce, and especially the amount of tension and disagreement that exists between the parents after the separation.

Separation and divorce make for a stressful and even traumatic time for parents and children alike. Usually there has been a period of marital disharmony before the separation, so the actual event may come as a relief but it inevitably brings with it enormous emotional, domestic and often financial stress. Parents may have difficulty keeping themselves going during the ensuing turmoil, and worrying about the children is an additional and very considerable burden, whatever their age.

It is especially important for parents to mobilise family and friends for support during this time. This may include sharing some of the responsibility for childcare or housekeeping, as well as emotional support. Many parents find that professional counselling is invaluable. Your doctor or community nurse can recommend an appropriate counsellor.

Generally speaking, the better the parents cope with the traumas of the separation, the better the children will cope. Coping does not mean putting on a brave face and pretending that everything is all right when it is not. Sweeping problems under the carpet is never a good idea. Coping means facing up to the inevitable emotional and other turmoil that accompanies every divorce and separation.

For children of all ages, apart from the disruption of a stable family unit with its attendant routines, there is sometimes the additional stress of having to move house, change schools, make new friends, and participate in custody arrangements. Often there is a dramatic change in financial circumstances, so that children experience a sense of material deprivation as well.

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Your doctor may want to write you up for two, three or more different painkillers. It is much better to stick to a strong-enough dose of one painkiller, taken regularly, often enough to keep the pain under control. Tell your doctor you prefer this.

Your doctor may want to give you injections. This is not necessary unless you are vomiting, can’t swallow or are too drowsy to take your painkillers by mouth. You can get just as good an effect with tablets or syrup as injections, but not with the same dose. You need two to four times as much by mouth as by injection in order to finish up with the same amount in the bloodstream. Make sure your doctor allows for this if you are changing from injections to tablets or syrup.

You must take responsibility for telling your doctor just how well or how poorly your pain is being relieved. So many people say ‘Not too bad’ in response to a question about pain relief from their doctors and then both parties leave it at that. You’re the only one who knows how it feels and you must tell your doctor about it if you want relief. You have every right to tell your doctor things like these and to expect some positive action on them: ‘You have prescribed my painkiller every six hours, but it only lasts about four hours for me’, or ‘The pain keeps me awake at night’ or ‘I’m comfortable only if I lie completely still and I expect better pain relief than that’.

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This lovely country of ours is ideal for outdoor living and playing. Unfortunately, we share the great outdoors with a variety of insects, marine creatures and plants, some of which can inflict itchy, painful and, on occasions, even fatal bites or stings.

First aid treatment for snake bite has been changed in recent years. All of us now should be aware that we do not wash, suck out or cut the wound. A firm constricting bandage should be immediately applied over the bitten area, then the whole limb bandaged.

A splint, made from wood or some other material, should also be applied to stop the limb moving and help should be brought to the victim or he should be transported to hospital resting so as not to increase the risk of the venom spreading.

Recently, an antivenene against the Sydney funnelweb spider has been produced and has been used successfully in a case of funnelweb spider bite.

The venom of poisonous fish and snakes is destroyed by heat. Immersing the bitten part in water that is as hot as can be tolerated may destroy the venom.

But what about all those other nasties, whose sting may not be so serious but which can certainly ruin a holiday?

In the past, recommended treatments have been varied and only of limited value but not any more.

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Be careful of frozen chickens. Most contain salmonella germs in the meat but they are rendered harmless by cooking. If you don’t thaw the bird properly, the inside may remain raw and the germs active.

If you travel to exotic places where the standard of hygiene leaves much to be desired, avoid the water.

If you have to drink the water, boil it first and save some to clean your teeth. Don’t eat raw vegetables or fruit unless properly washed in boiled water. You can obtain tablets to sterilise water, if you are unable to boil it.

The local beer in most countries is usually safe and if you drink the widely known brands of soft drinks, rather than the local variety, you usually can’t go wrong.

If, unfortunately, you do succumb to infection, there are some simple rules. Fluid replacement is important in mild cases and may be life-saving in severe infections.

Boiled water (tap water is all right, if at home), orange juice, lemonade (it need not be flat), glucose drinks, even sweet black tea are all of use. Milk and solid food should be avoided.

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This causes the symptoms, and these will depend on where the ectopic endomentrial tissue is situated.

In the ovary, the repeated bleeding leads to the formation of “chocolate” cysts. These cysts may become as large as the size of a baby’s head and are filled with thick chocolate-colored fluid which is old blood.

When the tissue lies deep in the walls of the uterus, it causes enlargement of womb, and often, heavy bleeding with the periods. Pain is a fairly constant symptom with endometriosis, no matter which part is affected.

Women with this condition may also have difficulty conceiving. But, if they do, the absence of menstruation leads to a loss of symptoms and they may remain symptom free for some time, after the pregnancy, even though normal menstruation reestablishes itself.

In the same way, when a woman goes on the pill, the symptoms may totally subside.

The modern treatment of this condition offers the sufferers great hope. It may be treated surgically with either radical or conservative surgery.

In a woman who has finished her family, major surgery to remove the endometriosis-affected tissue and, possibly, hysterectomy can render her symptom-free.

Younger women who wish to retain or establish fertility may require lesser surgical procedures.

A new drug, danazol, which seems to block the action of the female hormones, also gives good results.

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Many patients also suffer unnecessarily because they don’t know the actual aim of their treatment. It is a sad but true fact that many patients have palliative anti-cancer treatments believing they may be cured by them. Many doctors do not make the aim of treatment clear to their patients. Quite often, doctors recommend very extensive surgery or potent chemotherapy with a lot of side effects to people with cancers that cannot be cured. Most of these people wrongly take it for granted that such severe treatments would only be recommended if they had a chance of curing them. Make sure you know exactly what can be achieved by any proposed treatment. You may have to ask directly, and more than once, to get a straight answer.

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If you are overweight (or consider yourself overweight) chances are that you have looked at countless books, brochures and magazines offering a solution to losing weight New diets or miracle weight loss solutions seem to appear weekly. They are clearly good for selling magazines, but for the majority of people who are overweight the ‘diets’ don’t work (if they did, there wouldn’t be so many!).

At best, (while you stick to it), a ‘diet’ will reduce your kilo joule intake. At its worst, a ‘diet’ will change your body composition for the fatter. This is because many diets employ the technique of reducing your carbohydrate intake to bring about quick weight loss. The weight you lose, however, is mostly water (that was trapped or held with stored carbohydrate) and eventually muscle (as it is broken down to produce glucose). Once you return to your former way of eating, you regain a little bit more fat. With each desperate repetition of a diet you lose more muscle. Over years, the resultant change in body composition to less muscle and more fat makes it increasingly difficult to lose weight.

Take it as read, that the real aim in losing weight is losing body fat. And perhaps it would be better described as ‘releasing’ body fat. After all, to lose something, suggests that we hope to find it again some day!

Research in Australia and overseas has shown that the type of food you give your body determines what it is going to burn and what it is going to store as body fat. It has also revealed that certain foods are more satisfying to the appetite than others.

This is where the G.I. factor plays a leading role. Low G.L foods have two very special advantages for people wanting to lose weight:

• they fill you up and keep you satisfied for longer,

• they help you burn more of your body fat and less of your body muscle.

Eating to lose weight with low G.1. foods is easier because you don’t have to go hungry and what you end up with is true fat release.

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Summary of main points.

• Plateaus in fat loss arc common and are due to physiological adjustments and reversion towards old habits.

• Maintenance of fat loss can be extremely difficult due to changes in metabolic rate and body composition.

• Physiological adjustments result in a lower than predicted loss of body fiat with changes in energy balance.

• Adaptations include decreases in metabolic rate, changes in body composition, changes in fat utilisation and modifications of food intake.

• Long term maintenance of fat loss is highest amongst those who exercise regularly, change lifetime eating patterns and have well-developed stress management techniques.

• Plateaus may be countered by change.

As most perennial dieters will tell you, it’s easy to lose fat, but keeping it off is another matter. If fat losses continued in direct proportion to the initial energy deficit (i.e. energy in minus energy out, as proposed in earlier models of fat loss), there would be a steady decline towards a goal given a constant deficit in energy balance, but this is seldom the case. There is an initial significant loss, then the rate of decline decreases until a type of ‘plateauing’ occurs followed often by a return to baseline levels. The challenge is to determine why this is so and if and how this can be modified.

Undoubtedly part of the reason for plateaus and regain is a return to previous habits. People tend to start fat loss programs with great gusto and commitment, but after 3 to 6 months their exercise and dietary habits tend to start slipping back. This is common and understandable given the environment of high-fat foods and labour-saving devices they face. To swim against this environmental ride takes effort and the effort is greater for those more genetically predisposed to obesity. It is not surprising that the effort fades with time. People often find it difficult to admit to a return to old habits and seek metabolic explanations for their plateaus. In truth, for most people the plateaus are due to a combination of behavioural and metabolic factors.

The extent to which metabolic changes slow down fat loss is a matter of some considerable debate. In 1950, the US nutritionist Dr Ancel Keys, wrote: It might seem entirely reasonable that the energetic processes of the body diminish in intensity as the exogenous food supply is reduced. It is reasonable in the sense that a wise man reduces his expenditure when his income is cut.’ This survival tactic has been well-described in animal models of obesity. Studies at Cambridge University on a particular species of desert mouse for example, have shown that when compared with a ‘dry mouse—or one accustomed to plenty of food—the desert mouse is able to adapt to decreases in body weight caused by lack of sustenance by simply slowing down its metabolic processes. Humans have less facility to actively alter metabolic processes to match changes in food intake, although adaptations do certainly occur.

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Summary of main points.

• Fat cells are similar to other cells, but contain a lipid or fat pool for storage of fats to be used as energy.

• The average human body has 30-50 billion fat cells, and obese people have up to 100 billion.

• Most increases in fat mass are associated with increases in fat cell size.

• Lipogenesis refers to the storage of fat in fat cells; lipolysis the breakdown of fat.

• Lipogenesis and lipolysis are controlled by a number of enzymes and hormones.

• There is a constant cycle of fat storage and breakdown at the fat cell level, but increases in lipolysis do not translate into increases in fat burning.

• The state of energy balance j| the major influence in the lipogenesis/lipolysis cycle.

A fat cell (adipocyte) is similar in form to many other types of body cells with the exception of its storage ‘depot’—a lipid (fat) pool, which can make up to 90 per cent of the cell. Otherwise, the adipocyte has a cell nucleus, with all the ‘head office’ functions and genetic materials of other cells, and the cytoplasm (the ‘jelly’) and mitochondria (the ‘powerhouse’) characteristic of skin, bone and other organ cells.

The average fat cell stores around 0.5 micrograms of fat in its lipid pool (a microgram is a millionth of a gram) and the average, non obese individual has between 30-50 billion of these fat cells throughout his/her body (in fact more on her than him, as you’ll see below). Doing the sums on this, you can see that the average person will be carrying around 15kg of fat as his/her ’spare tank’, or energy reserve.

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Which foods will give you longer life and keep you younger longer? The macrobiotic diet outlined in this chapter will improve your health and increase your longevity. It is a predominantly lacto-vegetarian diet high in natural carbohydrates and low in animal proteins. The bulk of this diet consists of raw fruits and vegetables, whole grain products, milk and milk products, plus seeds, nuts, , honey and vegetable oils. Meat, fish and eggs should be excluded totally or used in moderation—fish and eggs used in preference to meat. Remember, the healthiest peoples in the world, known for their longevity, who live in Bulgaria, Russia and Hunza, eat very little meat; and a surprisingly high percentage of Russian and Bulgarian centenarians are vegetarians.

Here are a few other important longevity points to remember:

1. Get plenty of physical excercise, avoid mental and emotional stresses, and get sufficient sleep and relaxation.

Supplement your diet with such natural nutritional substances as brewer’s or food yeast, kelp, cod liver oil (in winter months) and rose hips and whey—all potent longevity foods.

Avoid: white sugar, white flour, coffee, tea, tobacco, salt, canned, preserved and irradiated, foods, processed cereals, ail refined and adulterated foods.

Make an effort to obtain organically grown foods, raised without chemical fertilizers and poisonous pesticides.

Soured milk in the form of yogurt, buttermilk or kefir are longevity foods because of their beneficial effect on the intestinal tract. Also other fermented lactic-acid foods, such as sauerkraut, | sour pickles, and sour-dough bread, are established macrobiotic | factors. Use them liberally.

It has been established that an active sex life is tied to overall good health and longevity. A healthy hormone-producing activity of the endocrine glands and the sex glands has a powerful influence on the health, and consequently is an important factor for potential longevity. An atrophied glandular system and diminished hormone” production bring about premature aging and senility. The following foods have been found to have a beneficial protective and stimulating effect on the normal functions of the glandular and reproductive systems:

wheat germ oil and wheat germ;

sesame seeds, sunflower seeds, and pumpkin seeds;

honey—raw, unrefined, unhealed;

milk and cheese—raw, unpasteurized, unprocessed;

brewer’s yeast or food yeast.

Follow the macrobiotic diet outlined in this chapter and adhere to the advice in the above six points and you can assure yourself of, the best possible health throughout your life. At the same time, this macrobiotic program will prevent premature aging, give you longer life and keep you young longer. This program is in harmony with the recomendations by the most authoritative scientific forum: the International Society for Research on Nutrition and Vital Substances. And, if my own humble opinion is of any value to you, I can testify—after giving this rejuvenating macrobiotic system a 20-year try—that it definitely “works”!

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