Saturday, June 13, 2009

Not getting your daily dose of Vitamin D because you can’t stand the sun’s harsh rays?

D-EFFICIENCY

 Neesha Bukht shows Kiran Mehta how to make up for it with the right foods

 Vitamin D is perhaps the single most underrated nutrient. That's probably because it's free: your body makes it when sunlight touches your skin. It's essential for bone health because without it, even popping calcium pills won't work — your body needs this vitamin to absorb calcium. Of late, with the increasing use of beauty products with a high sun-protection factor, Vitamin D deficiency is on the rise. In fact, even weak sunscreens (with as little as SPF-8), block your body's ability to generate vitamin D by 95 per cent.
    Vitamin D deficiency has been linked to several diseases like arthritis, multiple sclerosis, diabetes and even schizophrenia and certain cancers. If these life-long debilitating conditions aren't scary enough to make you step out, top up on Vitamin D rich foods instead.
VITAMIN D AT EVERY AGE
Pre-teens and teens:
Forty-five per cent of your skeletal mass is added during puberty and adolescence. So Vitamin D is needed greatly at this stage. Rickets, a condition characterised by soft bones, typically affects children deficient in Vitamin D.
    Start your day with some fortified orange juice (142 IUs per 100 ml glass) or some fresh fruit milkshake (approximately 140 IUs). Paneer

contains (140 IUs per 30 to 40 gm) and yoghurt contains as much Vitamin D as milk — 98 IUs per 100 ml (non-fat fortified milk). Give up those fizzy colas, tea and coffee since caffeine tends to leach calcium from the bones.
In your 20s:
In your 'fast living decade', between hectic work schedules and dating, instead of 'convenient' foods such
as burgers and pizzas, opt for a tuna salad (85 gm tuna contains 200 IUs). Your 20s are the last chance to lay down new bones. Gulp down two large glasses of vitamin D fortified non-fat milk every day (one glass contains 100 IUs). The calcium-Vitamin D combination helps your body to absorb its benefits.
In your 30s :
Thirties might be the new 20s, but not so from your bones' viewpoint. Now you cannot drastically change your skeletal structure, but can definitely maintain it. Just concentrate on not allowing your bone density to drop. Apart from an active lifestyle, have tuna twice a week and mushrooms once a week (85 gm of mushrooms gives 100 per cent Vitamin D). Fortified cereal with whole milk is a good breakfast choice.
In your 40s:
At this stage, several lifestyle diseases rear their ugly heads. By now, you spend several hours indoors either working or caring for your family and probably don't get much sunshine. Make sure you eat dark green leafy vegetables thrice a
    week and foods such as salmon (100
gm contains 360 IUs), mackerel (100 gm ounces contains 345 IUs), sardines (50 gm contains 250 IUs), fortified dairy products and cereals.
50s and up:
The need for Vitamin D increases after 50 and it's difficult to meet them without unrealistic diets. Ask your doctor about supplements. Have a whole egg (20 IUs) thrice a week and fatty fish twice a week.

DATA ON D

• Fruits and vegetables are internal sunscreens and can allow you to stay under the sun twice as long without burning. Fruits with this ability include super fruits such as strawberries, pomegranates and kiwis.

• Vitamin D is generated by your kidneys
and liver, so kidney disease or liver damage can greatly impair your body's ability to form the vitamin.

• The healing rays of sunlight cannot penetrate glass, so you don't generate vitamin D when sitting in your car or home.


• Your body can't generate too much Vitamin D from sunlight exposure: it will selfregulate and only generate what it needs.

• If it hurts to press firmly on your sternum, you may be suffering from chronic Vitamin D deficiency right now.






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WORKOUT W I T H N A M I TA

I am a 22-year-old boy and have recently graduated. I am four kilos underweight and am desperately trying to build my body and get in shape. Recently, I enrolled in a gym and started training with light weights, but in vain. Genetically, I have a slim frame and find it difficult to gain weight and build muscle mass. How can I build my body without taking supplements and powders?
    — Meraj

Dear Meraj,
Scientifically speaking, the human body is categorised into three body types: ectomorph, mesomorph and endomorph. Ectomorphs are tall and lean and require more time to build muscle mass; mesomorphs are stocky and have no problem in bulking up; endomorphs are usually overweight and have difficulty reducing weight.
    Though genes do play an important role in determining your body structure, stay focused and put in your best efforts to achieve your goals. As you have dominant ectomorphic characteristics (slim, lightly muscled, a high metabolism) you need to work hard to build muscle mass and definition. Here's what to do:
1 FORMULATE AN APPROPRIATE EXERCISE PLAN
Weight training or strength exercises play an important role in building muscle. An effective routine targets major muscle groups of the upper, middle and lower body. Adding a cardiovascular exercise routine, such as walking or cycling twice a week, will improve overall fitness.
    Based on your current fitness level and medical history, formulate an exercise program that is structured, challenging and progressive. Here are some ways in which you could vary your strength workout routine to recruit different muscle fibres and increase muscle mass: Exercise selection: Do super-sets for bulk and definition. For example: Bench presses followed by dumbbell flies for the chest muscles or barbell curls followed by dumbbell curls for biceps. To increase intensity, target the same muscles from different angles using a variety of exercises. A set of 8 to 12 repetitions with 70 to 85 per cent of maximum resistance is recommended.
Exercise sequence: While performing a series or circuit of strength exercises, proceed from the larger muscles to the smaller ones. Exercise sets: Do multiple-set strength training or single-set strength training. Exercise progression: The key to strength development is progressive resistance. As muscles adapt to a given resistance, increase resistance to stimulate further strength gains.
2 GIVE YOUR MUSCLES ADEQUATE REST
The most important aspect of high-volume or high-intensity training is rest, so as to avoid physical burnout. During weight training, muscles need at least 48 hours of rest in between workouts to recover and recuperate.

3 MAKE A SENSIBLE EATING PLAN
Nutrition is very important and a healthy diet should include carbohydrates, proteins, fats and plenty of water. Carbohydrates (grains, vegetables, legumes) must make 55-60 per cent of your diet, proteins (milk, eggs, meat, fish, sprouts) 15 per cent and fats (oils, butter) 25-30 per cent. Proteins are essential in repairing tissues, so if you work out regularly, consume 1.2 to 1.5 grams of protein per kilogram of your body weight. Animal sources such as milk, milk products, meats and eggs are complete sources of protein. Vegetable proteins are incomplete and need to be combined with other foods. For example, grains and lentil (dal and rice), nuts or seeds with grains, nuts or seeds with legumes; are excellent vegetarian protein sources.




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PRE-MONSOON HEALTH TIPS

Several health problems arise during this season. Here are some precautions that you can take to avoid falling prey to these ailments

Dr Parul R Sheth

  Mumbaiites have been looking forward to pre-monsoon showers. A slight dip in the temperature is good news, but the humidity that goes with it is killing. Even after the first few showers, heat and humidity levels rise. And this is precisely what causes health trouble.
    Once monsoon sets in, much care and precaution may be needed to prevent you from an array of health problems. Begin your preparations now to enjoy those wet showers without any worries.
Pre-monsoon woes
Says Mumbai-based family physician Dr Yogesh Shah, "We have been seeing several cases of viral infections, acute
gastroenteritis and Hepatitis A infections this season. Patients come with complaints of weakness, body ache and fever. Contaminated water and food are the main culprits for Hepatitis A and gastroenteritis infection. Symptomatic treatment works and normally, no antibiotics are required, unless secondary infection is present."
Prevention is the best cure
Monsoon is the time when dirty water mixed with sewage and soil can cause infections. Tap water can get contaminated by overflowing ground water. Water-borne diseases or those infections spread by mosquitoes such as dengue,
malaria, chikungunya or the ones spread by flies such as typhoid, in addition to the viral infections such as gastroenteritis and conjunctivitis, are rampant in the city. Precautions are therefore necessary to avoid falling prey to these ailments.
Start acting now
    
Wipe off the sweat and grime from your face and bathe often to feel cool and fresh. In the monsoon, keep your feet dry. Do not wear wet clothes for long to avoid fungal infections on the skin or nails.
    Drink plenty of potable (boiled or filtered) water.

    Avoid eating roadside foods – cut down on fruits, chaat or pani puris etc, fermented and raw preparations like salads.
    Clean your salads and leafy vegetables under running water. Steaming them is the best way to get rid of germs. Soaking the greens in salt water for about 10 minutes can help remove insects. Avoid eating stale food.
    Clean chopping boards and dust cloths well before use. Wash your hands before handling food, after eating food, after visiting the toilet. Maintain good personal hygiene.
    Use insect repellents, use disinfectants and take precautions to stay away from mosquitoes, flies, cockroaches, termites etc. Use dried neem leaves, camphor, or cloves.
    Carry out thorough pre-monsoon checks for any water leakages from faulty plumbing, electrical switches and clogged drains to avoid mishaps.




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De'ntists Directory in the United States

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Thursday, June 11, 2009

Den Tists List in America

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Dit is een e-mail van Nexct B.V. De inhoud en eventuele bijlagen zijn vertrouwelijk en alleen bedoeld voor de geadresseerde. Dit bericht is met de grootst mogelijke zorgvuldigheid opgezet, maar het kan voorkomen dat er onvolkomendheden blijken bij ontvangst. Neemt u in dat geval alstublieft contact met ons op, dat kan via nummer 020 462 24 24. Houdt u er wel rekening mee dat zowel Nexct als de verzender of de aan Nexct gelieerde ondernemingen en toeleveranciers niet aansprakelijk zijn voor schade als gevolg van onjuistheden, problemen veroorzaakt door, of inherent aan het verspreiden van de informatie via e-mail alsmede technische storingen.

Tuesday, June 9, 2009

Medical Doctor Listing

Practicing Medical Doctors in America

Lots of Physicians in specialties like Orthopedics, Surgery, Radiology, Dermatology, Neurology, General Practice etc..

Sort by over a dozen different fields

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Monday, June 8, 2009

Benefits of GREEN TEA


Green tea has increasingly become a very popular drink worldwide because of its immensely powerful health benefits.

It is extraordinarily amazing what green tea can do for your health.

And if you're not drinking 3 to 4 cups of green tea today, you're definitely NOT doing your health a big favor.

*1. Green Tea and Cancer*

Green tea helps reduce the risk of cancer.

The antioxidant in green tea is 100 times more effective than vitamin C and 25 times better than vitamin E.

This helps your body at protecting cells from damage believed to be linked to cancer.

**************

*2. Green Tea and Heart Disease*

Green tea helps prevent heart disease and stroke by lowering the level of cholesterol.

Even after the heart attack, it prevents cell deaths and speeds up the recovery of heart cells.

**************

*3. Green Tea and Anti-Aging*

Green tea contains antioxidant known as polyphenols which fight against free radicals.

What this means it helps you fight against aging and promotes longevity.

**************

*4. Green Tea and Weight Loss*

Green tea helps with your body weight loss. Green tea burns fat and boosts your metabolism rate naturally.

It can help you burn up to 70 calories in just one day.

That translates to 7 pounds in one year.

**************

*5. Green Tea and Skin *

Antioxidant in green tea protects the skin from the harmful effects of free radicals, which cause wrinkling and skin aging.

Green tea also helps fight against skin cancer.

**************

*6. Green Tea and Arthritis*

Green tea can help prevent and reduce the risk of rheumatoid arthritis.

Green tea has benefit for your health as it protects the cartilage by

blocking the enzyme that destroys cartilage.

**************

*7. Green Tea and Bones*

The very key to this is high fluoride content found in green tea.

It helps keep your bones strong.

If you drink green tea every day, this will help you preserve your bone density.

**************
*8. Green Tea and Cholesterol*

Green tea can help lower cholesterol level.

It also improves the ratio of good cholesterol to bad cholesterol, by reducing bad cholesterol level.

**************

*9. Green Tea and Obesity*

Green tea prevents obesity by stopping the movement of glucose in fat cells.

If you are on a healthy diet, exercise regularly and drink green tea, it is unlikely you'll be obese.

**************
*10. Green Tea and Diabetes*

Green tea improves lipid and glucose metabolisms, prevents sharp increases in blood sugar level, and balances your metabolism rate.

**************

*11. Green Tea and Alzheimer's*

Green tea helps boost your memory.

And although there's no cure for Alzheimer's, it helps slow the process of reduced acetylcholine in the brain, which leads to Alzheimer's.

**************
*12. Green Tea and Parkinson's*

Antioxidants in green tea helps prevent against cell damage in the brain,

which could cause Parkinson's. People drinking green tea also are less likely to progress with Parkinson's.

**************
*13. Green Tea and Liver Disease*

Green tea helps prevent transplant failure in people with liver failure.

Researches showed that green tea destroys harmful free radicals in fatty livers.

**************
*14. Green Tea and High Blood Pressure*

Green tea helps prevent high blood pressure.

Drinking green tea helps keep your blood pressure down by repressing angiotensin, which leads to high blood pressure.

**************
*15. Green Tea and Food Poisoning*
Catechin found in green tea can kill bacteria which causes food poisoning and kills the toxins produced by those bacteria.

**************
*16. Green Tea and Blood Sugar*
Blood sugar tends to increase with age, but polyphenols and polysaccharides in green tea help lower your blood sugar level.

**************
*17. Green Tea and Immunity*

Polyphenols and flavenoids found in green tea help boost your immune system, making your health stronger in fighting against infections.
**************
*18. Green Tea and Cold and Flu*

Green tea prevents you from getting a cold or flu.

Vitamin C in green tea helps you treat the flu and the common cold.
**************
*19. Green Tea and Asthma*

Theophylline in green tea relaxes the muscles which support the bronchial tubes, reducing the severity of asthma.

**************
*20. Green Tea and Ear Infection*

Green tea helps with ear infection problem.

For natural ear cleaning, soak a cotton ball in green tea and clean the infected ear.
**************
*21. Green Tea and Herpes*

Green tea increases the effectiveness of topical interferon treatment of herpes.

First green tea compress is applied, and then let the skin dry before the interferon treatment.

**************
*22. Green Tea and Tooth Decay*

Green tea destroys bacteria and viruses that cause many dental diseases.

It also slows the growth of bacteria which leads to bad breath.
**************
*23. Green Tea and Stress*

L-theanine, which is a kind of amino acids in green tea, can help relieve stress and anxiety.
**************
*24. Green Tea and Allergies*

EGCG found in green tea relieves allergies.

So, if you have allergies, you should really consider drinking green tea.
**************
*25. Green Tea and HIV*

Scientists in Japan have found that EGCG (Epigallocatechin Gallate) in green tea can stop HIV from binding to healthy immune cells.

What this means is that green tea can help stop the HIV virus from spreading.


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Wednesday, June 3, 2009

Health insurance needs PROPER DIAGNOSIS

The author is fellow at ICRIER, New Delhi

IN ORDER TO ENSURE UNIVERSAL access to quality healthcare, the government has been making efforts for increasing health insurance penetration. The Insurance Regulatory and Development Authority (IRDA) recently relaxed norms for health insurance companies and reduced the reserve requirements. The IRDA has already licensed many third party administrators (TPAs) for faster and easier claim settlements and for providing cashless hospitalisation facility. Further, the FDI cap in the insurance sector is also set to be increased from 26% to 49% through the second insurance bill.
    Insurers are looking forward to tap the vast and fast-growing Indian healthcare market. In fact, many insurance companies have begun to offer health insurance. However, the path ahead is not so smooth for health insurers in a country like India. The health insurance industry in India at present is a loss-making one. Though the private sector health insurance is growing at 40% annually, the level of coverage is still very low and has not penetrated rural and semi-urban areas significantly.
    One of the biggest challenges — and an opportunity too — for insurance companies is to convert the huge out-of-pocket health spending (72% of the total health expenditure and 98% of the total private health expenditure) into a formal risk pooling
mechanism which people have never been exposed to before. Such a conversion process is constrained due to several factors, among them the absence of reliable morbidity and health expenditure data. Also important, from a demand-side perspective, is the low level of insurance awareness, poor trust in insurance companies over reimbursement, and absence of regular and adequate income to make regular premium payment.
    The process also involves tackling two important forms of market failures that are making insurers reluctant to sell health insurance — overutilisation of healthcare due to insurance coverage, and mostly the relatively unhealthy people buying insurance. One may wonder if these are not the common problems faced by insurers all over the world. However, the magnitude of these problems may be severe in India.
    Perhaps, both the insured clients and healthcare providers have an incentive for over-utilisation and overprovision of healthcare, adding to the bill of insurance company. Further, at present, the healthcare insurance schemes in India are mainly limited to hospitalisation, forcing the insured persons to be admitted to hospitals even for those illness requiring only out-patient care. One solution can be including the out-patient treatment as well in the insurance package, but the resulting premium will not be affordable for majority of the Indians.
    On the supply side, there are hard
ly any pricing criteria for healthcare services and no benchmark as to how much care is required by patients for each category of illness. Further, healthcare cost inflation is sure to rise further, All these will force insurance company to increase the premium, thus making health insurance a costlier proposition.
    One possible way of controlling the over-utilisation of healthcare due to insurance coverage could be the use of co-insurance and deductibles so that insured clients also have to bear a part of his total incurred health expenditure. But this will be very hard to introduce as already the present insurance schemes cover only a part of the health expenditure and, therefore, any attempt to increase the out-of-pocket healthcare burden of insured clients would make health insurance a less attractive health-financing strategy.
    In India, a majority of those buying insurance do it for investment purposes and not as an insurance product. But the health insurance schemes are without the saving component (being purely of risk pooling). This could dissuade many from getting insured. In such a situation, it is obvious that only those likely to require healthcare are interested in buying health insurance.
    It is time insurance companies applied appropriate and innovative marketing strategies to overcome all these hurdles by taking the Indian reality into account.




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Tuesday, June 2, 2009

WORKOUT W I T H N A M I TA


I am a 50-year-old housewife. I am slightly overweight and have gained five kilos in the last two years due to sedentary habits. I have mild arthritis in my knees and hence, avoid exercising. My doctor suggests that I start exercising. Will it help my joints? What kind of exercises would you recommend? Please suggest ones that I can do at home.
    — Usha Bajoria
Dear Usha,
The right exercise regime can strengthen your joints, increase flexibility and improve cardiovascular fitness. Exercise is also important for weight reduction and overall well-being. Don't get into a vicious cycle of inactivity. This in time leads to more stiffness, reduced strength and cardiovascular fitness.
CONTROLLING ARTHRITIS

• Improve joint care through rest and exercise.

• Maintain an acceptable body weight.

• Achieve a healthy lifestyle.
EXERCISE CHANGES

• Begin slowly and progress gradually.

• Avoid rapid or repetitive movements of affected joints.

• Adapt activities to suit your needs.
EXERCISES
STRETCH
Stretching exercises preserve range of motion and flexibility around each joint. Even inflamed joints can be put through a gentle stretch routine.
STRENGTH TRAIN
Strength training exercises using lightweights builds bone strength. Isometric strength exercises are often used to strengthen joints. Do these exercises only when pain and joint inflamma
tion are under control.
LOW IMPACT CARDIO EXERCISE
In the past, treatment of arthritis excluded aerobic exercise for fear of increasing joint pain. Aerobic exercise is however, safe and effective when the joint inflammation is not acute. Low impact cardiovascular exercises such as swimming, cycling and walking are great too. Note: Always consult your physician for exercise guidelines.
STRETCHING EXERCISES LEG STRETCH
Lie on a mat or carpet. Extend the right leg up and place a bath towel around your right foot. Hold the ends of the towel and straighten your leg. Hold for 10-30 seconds and then switch legs.
SEATED KNEE TO

CHEST STRETCH
Raise one leg up onto the chair, resting your heel on the edge of the chair. Slowly bring the knee closer to you chest. Repeat with the other leg.
WAIST STRETCH
With your feet shoulder-width apart, knees slightly bent and toes pointing straight ahead, place your right hand on your hip while you extend your left arm over your head. Slowly bend at the waist to the side and hold. Repeat on the other side.
UPPER BACK STRETCH
Clasp your hands in front of you so that you feel the stretch in your upper back. Lower your head during the stretch so that your chin is close to your chest.
CHEST STRETCH
Clasp your hands behind your back and slowly lift your hands up until you feel a stretch.
SHOULDER STRETCH
Cross the right arm horizontally over your chest, placing your left hand or forearm just above the elbow joint, pull the right arm closer towards your chest.






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