Health Care

Proximal stressful events are the presumed ‘causes’ of depression. Some, such as substance abuse (excessive intake of alcohol or drugs, both prescribed and illegal), are more influential than generally conceded.
In non-melancholic disorders, depression is much more a consequence of an interaction between an immediate stressor and the individual’s temperament and personality style. The same stressful event can evoke a wide range of responses in different people. Some may ignore it, others worry about it. Some may feel that ‘all is lost’ and others that the ability to control life has slipped away. The individual’s reaction to the stressor contributes to both the onset of the depression and its severity.
The most common causes of melancholic, psychotic and bipolar depression appear ‘biological’. In the past, melancholic depression was called ‘endogenous’ depression, meaning coming from ‘within’. It was therefore considered to be independent of stress. However, stress may precipitate a biological reaction, thus bringing on depression. (A number of medical conditions, for example diabetes, can be similarly brought on by stress in those predisposed to the disease.) As the melancholic disorders are more likely to commence from the age of 40 onwards, an ‘age effect’ on the brain must be conceded. Some external factors may be relevant for the more biological disorders. For example, in comparison to non-melancholic disorders, the onset of manic, psychotic and melancholic depressive episodes is increased in spring, indicating a seasonal cause. The rapid increase in hours of bright sunshine is thought to trigger depression and mania by affecting the pineal gland.
It does seem that the principle depressive sub-types show varying susceptibility (or resistance) to certain life stresses. This idea is developed further on the following pages.

Onions have been used for 5,000 years to cure virtually everything under the sun. Researchers have found that onion has a boosting effects on HDL (good) cholesterol. It has been found that cooking destroys this capacity of boosting the HDL, which is best derived from raw onions. Also, the active agent is one that gives onion its strong taste. The major effect comes from the hotter white and yellow onions; mild red onions don’t possess the same effect. The stronger the onion taste, the sharper the elevation of HDLs.
Onion possesses a vigorous concoction of chemicals that perform complex chemotherapy on the cardio-vascular system. Onions contain a compound known to lower blood pressure. The onion also contains adenosine and other chemicals that keep platelets from sticking together. Besides, the onion works on another function of the blood; it revs up the body’s fibrimolytic, or blood clot dissolving, system. Just as some onion chemicals keep platelets from getting together, others actively work to dissolve clots as they form. Onions, both cooked and raw, contain chemicals that promote clot break up.
Studies in Massachusetts shows that men with high blood levels of fibrinogen (the basic substance that causes clots) are more likely to suffer strokes and coronary and artery disease. Thus, researcher say, too much fibrinogen in your blood maybe as hazardous as high blood pressure. Onions can effectively combat high fibrinogen.
A string of subsequent studies showed that boiled, raw, and dried as well as fried onions could also partially clear blood of the ill effects of dietary fat. That is why it makes good sense to top your hamburger with a slab of raw onion or stir up a few onions with your meat preparations.

Facing a situation where somebody has collapsed is frightening, particularly if it is somebody you know. However, there are some very simple steps that you can take to help you decide the best course of action, which in an emergency could mean the difference between life and death.

Check the scene
Is it safe for you to approach the person who has collapsed?
Do not become a victim yourself. Check for dangers such as chemicals, electricity or traffic. If you can safely remove the danger, do so. If not, consider if you can safely and easily move the person from the danger, or whether you need to call for additional help such the fire service.

Check the response
Is the person who has collapsed conscious?
• Gently squeeze the shoulders and ask loudly, ‘Are you all right?’
• Speak loudly and clearly.
• Always assume there may be a neck injury and squeeze gently.
For babies and young children, do not squeeze the shoulders try to provoke a response by stroking the cheek or the sole of the foot and speaking loudly.

If there is no response
If there is no response, the immediate danger is that the casualty might be unconscious and may have a blocked airway or be in need of resuscitation.
• Shout for help.
• If possible, leave the casualty in the position in which you found him and open the airway.
• When it is not possible to carry out an assessment of the casualty in the position found, turn him on to his back and open the airway.

Resuscitation is the name given to the set of procedures that are applied when a person is not breathing, and their heart has possibly stopped. The full set of procedures is known as cardiopulmonary resuscitation (CRR). Cardio relates to the heart and pulmonary to the lungs.
The person whose heart has stopped (cardiac arrest), or who is not breathing (respiratory arrest), needs immediate treatment to improve the chances of survival. As speed is a key factor in survival, the treatment needs to be started before the arrival of the emergency ambulance and, as most cardiac arrests happen in the home or in the presence of a family member, friend or colleague, CPR skills are essential for everyone to know.
The best outcomes from cardiac or respiratory arrest are achieved when all the steps in the chain of survival (see panel) are in place.
Chain of survival
• Early call for help
• Early CPR
• Early defibrillation
• Early medical care
The first two of these steps are often in the hands of the first aider.
ABC of Resuscitation
1. Above Lay the victim on his back, tilt the head back and lift the chin to open the airway. Look at the casualty’s chest for signs of breathing.
2. Above If the person is not breathing, pinch the nose shut and keep the chin tilted. Seal your mouth over the casualty’s and give 2 breaths.
3. Above Place interlocked hands on the casualty’s breastbone, press down, then release. Alternate 15 chest compressions with 2 rescue breaths.
An early call for help
Ambulances today carry a range of equipment and treatments vital to the survival of seriously ill casualties. Calling for an ambulance early is an essential part of the chain of survival, particularly for a casualty whose heart has stopped.
Early CPR
CPR words by putting oxygen into the through breathing into the casualty’s mouth or nose and by pushing the blood around the body by pressing on the chest and compressing the heart. The aim is to keep the person alive until emergency help arrives. Sometimes CPR alone will revive somebody whose heart has stopped but more often it is used to buy time until more advanced procedures are available.
Early Defibrillation
The most effective treatment for an adult whose heart has stopped pumping blood is defibrillation. In simple terms, this is an electric shock delivered in a very specific way to encourage the heart to begin beating effectively again. Defibrillators are carried in most ambulances but are also increasingly found in public places such as shopping malls, railway stations and airports, where local workers will have been trained in their use. Their early use is an essential factor in their effectiveness, highlighting again the need for an early call for help.
Early Medical Care
Medical treatments following cardiac and respiratory arrest are improving all the time. Early access to such treatments in the ambulance and in hospital play a major role in long-term survival rates. 

The airway is made up of the nose, mouth and windpipe (trachea). These carry air, containing oxygen, to the lungs and remove the waste product carbon dioxide from the lungs. If the airway becomes blocked, the oxygen levels in the body drop and eventually the vital organs such as the brain and heart stop working. Death will follow unless action is taken.
A number of things can block the airway: blood, food and vomit are among the main culprits. In an unconscious person, however, the biggest risk is from the tongue. When a person loses consciousness the muscles relax. If the person is lying on his back the tongue will fall to the back of the mouth, blocking off the windpipe and stopping oxygen getting into the body.
Clearing the airway is the first step of the essential ABC of first aid. The method of clearing an airway blocked by the tongue is very simple. By tilting the head back and lifting the chin, the tongue is prevented from falling to the back of the throat and the windpipe remains clear.

Open the airway
• Place one hand on the forehead and gently tilt the head back.
• Remove any obvious obstructions from the casualty’s mouth, including dislodged dentures, but leave well-fitting dentures in place.
• Place the fingertips of two fingers under the point of the casualty’s chin and lift the chin. If injury to the neck is suspected, handle the head very gently and try to avoid tilting the head too much.
For a baby, use only one finger to lift the chin and take particular care not to overtilt the head.

Check for breathing
Once the airway is open, the next priority is to check whether or not the person is breathing. Keep the airway open with one hand on the forehead and one hand lifting the chin. Put your cheek to the victim’s face and look down the chest.
• Look for the movement of the chest and stomach.
• Listen for breath sounds.
• Feel for breathing on the side of your face.
If the casualty is breathing, turn into the recovery position.

If the casualty is not breathing
• Call for emergency help.
If you have not already done so, make sure that an ambulance has been called.
• Start resuscitation.

An itchy scalp, a feeling of tightness, visible white flakes-if you’ve ever had dandruff, you’ve got plenty of company. It is a persistent skin disorder of the scalp caused by a tiny yeast fungus called pityrosporum ovale, or P. ovale. This fungus lives on our bodies and scalp all the time, usually without incident. Yet stress, perspiration, hormonal fluctuations, a diet heavy in fat and sugar, or something else entirely can lead to a surge in the amount of P. ovale on your scalp. Although dandruff is associated with dryness, people with oily scalps are not immune-in fact; slick scalps are especially attractive breeding grounds for P. ovale.    
There are numerous dandruff treatments available. Different individuals respond to different types of treatments, so you may want to experiment with the following:
1. Ketoconazole The active ingredient in many dermatological formulas and in the over-the-counter products. These products are generally used one to three times a week, as long as needed.
2. Salicylic acid the beta hydroxyl acid you may have read about in the skin-care chapters. When used to fight dandruff, it loosens the flaky scales stuck to your scalp and hair, so that these flakes can easily be washed away. Some dermatologists believe that removing a large portion of these scales makes it uncomfortable for fungus to continue breeding in large amounts.
3. Selemium sulfide and zinc pyrithione two ingredients used in dandruff shampoos such as Head and Shoulders. Both ingredients decrease the number of pityrosporon cells on the scalp.
4. Tar Found in dandruff shampoos and topical scalp lotions such as T-gel. It is thought that the ingredient is an anti-inflammatory that makes the scalp inhospitable to pityrosporon growth.
5. Topical steroids Anti-inflammatary and anti-itch ingredients that are available in shampoos and lotions prescribed by your doctor.
If your scalp is pink and you notice scales that are yellower and greasier than normal dandruff scales, you may have a severe form of dandruff known as seborrheic dermatitis and you should see a doctor immediately.

Tap water can be good for your skin depending upon the skin type and hardness or softness of water. If your skin is extremely dry, washing the face with tap water will not be helpful due to the presence of salts and calcium in water, which will dry the skin.
Remember the following points:
. Use water-softeners. Bath salts or oils are softening substances and useful for bathing the body.
. Beware of using hard water on the face. Sea water is helpful for the body. It cleanses the skin, firms the muscles, stimulates the circulation and tones up the body. After having a bath or swimming in sea water, wash yourself with fresh water.
. Rub a little almond oil in the skin after having a bath in the sea. Do not forget to protect your hair with a water-tight cap when swimming in the sea.

Tobacco + Alcohol = Two poisons that feed off each other. That’s the verdict of Duke University researchers, who say that even a little alcohol can increase the pleasurable effects of nicotine. In their study, 48 smokers drank either booze or a placebo beverage and then lit up. Those who drank alcohol felt calmer and found their smokes more satisfying than those who had no hooch. Nicotine stimulates brain pleasure receptors, and “alcohol has been shown to prolong the activation of those receptors”, says Jed Rose, M.D., the study author. If you want to kick the cigs, lay off alcohol for the first few weeks, when nicotine withdrawal symptoms may be at their worst. You are more likely to suceed in giving up the habit.

Ever heard of this support group helping those that want to lose weight? They are known as Weight Watchers. For 40 years, they developed a safe and effective weight losing system that includes a dietary plan, a point system, free recipes and other guidelines that rid much of the trouble from the tedious job of dieting. They even offer weight watchers free recipes, a point guide and a point chart to complement more the assistance they provide those hopeful Weight Watchers members.

And now, what do you think is their recent offer? Weight Watchers promotion codes! Promotion codes are a variation of promotional discounts offered by different online stores. Sometimes websites only present these promotion codes as links to help customers save time and money. They are like havens of on-sale or promotional items or services offered by different establishments. They often include various promotions from a number of markets ranging from fitness, dietary plans, apparels, accessories, etc.

Weight Watchers promotion code include the choice between a Flexible Points Plan and a No Counting Plan. This is a promotion involving those two Weight Watchers Turnaround approaches. This Weight Watchers promotion code, with those two approach options, makes an easy jumpstart for those who want to lose weight. Both approaches offer weight loss while still allowing the person to eat real food so no pre-made or frozen food is required to be purchased.

Another Weight Watchers promotion code is a free personal assessment. This is where a person that is interested with weight losing is queried for the perfect Weight Watchers plan that will suit his or her needs. A Weight Watchers meeting or a forum from Weight Watchers online will further be of help in asserting which step-by-step plan will work on him or her.

Yes. When cold foods and liquids come with the roof of the mouth, they trigger a reaction in the fifth cranial nerve, a branch of which runs form the mouth’s surface to the head and is primary nerve responsible for sending headache pain. Not everyone however experiences “ice cream headache”, which something of a mystry, although studies have shown that about 90 % of ice cream headache sufferers are also prone to migraines.

To alleviate the problem, eat or drink cold foods slowly, warming them in the front of the mouth to cool gradually. Its the initial “shock” of the cold that causes the pain.

Home remedy for headache