[ReprintArticles-Paradise] What Is Good Health

2005-04-04 Thread Loring A. Windblad

Title: What Is Good Health
Author: Loring A. Windblad
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What Is Good Health
by Loring A. Windblad

There is no universally agreed definition of health. Its meaning
has changed through the ages and in different cultures. The term
derives from the Anglo-Saxon word haelth, meaning safe, sound
or whole. In medieval times haelthing meant sharing a few
drinks with one's friends, having previously meant hello and
holiness. In recent decades, health has been taken to mean the
absence of disease. The term disease generally refers to a
diagnosable physical abnormality while illness means the
personal experience of sickness, or the perceived suffering due
to a disease.

Changing views of health

Since the mid-1900s, medical practice has been dominated by a
biomedical model that focuses more on curing than preventing
illness, dividing diseases into categories -- for example,
targeting a cirrhotic liver or ischemic heart for treatment.
This method tends to separate physical from psychological or
emotional problems, which are sometimes dismissed as all in the
head, not meriting medical attention. However, views of health
are undergoing radical changes. The absence-of-disease concept is
being supplanted by an image of well being for body, spirit and
mind. The emerging bio-psychosocial model regards mind and body
as an intertwined unit and suggests that people be treated as
whole persons, taking into account economic, social and
psychological factors.

In 1948, the World Health Organization (WHO) defined health as a
state of complete physical, mental and social well being,
encompassing the ability to achieve full potential, deal with
crises and meet environmental challenges. In other words, health
-- or wellness, to use a trendy term -- is the capacity to
undertake physical effort, to live within one's own potential and
carry out tasks with vigour and alertness, leaving enough energy
for unforeseen emergencies. The more recent Ottawa Charter for
Health Promotion goes further, suggesting as fundamentals for
health: peace, shelter, education, food, income, a stable
ecosystem, sustainable resources, social justice and equity.
For example, people can't easily stay healthy if they're starving,
if the air is polluted or during wartime.

Today's key buzz words are disease prevention and health
promotion, rather than trying to treat the symptoms of
illnesses (as is practiced by most medical practitioners
nowadays) that are largely preventable. Unfortunately, despite
lip service, prevention is often a hard sell as it takes both
personal and community action. Yet studies show that even a few
words of advice from health professionals can often help to
prevent disease by motivating people to modify their lifestyle.

Many of us are the worried well

Although North Americans have an increasing life expectancy, many
worry unduly about health. As U.S. physician Dr. Arthur Barsky
writes in his book Worried Sick: Our sense of physical well
being has not kept pace with improvements in our collective
health status...there is a pervasive atmosphere of dis-ease.
Many feel constantly out of sorts -- with vague undiagnosable
ailments -- worriedly scrutinizing everyday actions for their
health effects. For example, foods may be dubbed good
(life-prolonging) or bad (health-harming) -- instead of being
regarded as enjoyable nourishment. Many are confused, even
stressed, by trying to keep up with the latest medical
pronouncements -- eat margarine instead of butter (or not); drink
red wine (one glass or two?); take antioxidants -- vitamins C
and E (or don't); shun coffee, drink decaff (or what?).

The main determinants of good health

Biology - the genetic make-up (genes inherited from mother and
father).

Lifestyle habits - such as a nutritious low-fat diet; enough
exercise; sufficient, sound sleep; avoiding misuse of tobacco,
alcohol and other drugs; motor-vehicle and traffic safety;
healthy (safer) sexual practices; and stress-reduction.

Emotional balance - good self-esteem, feeling in control and
able to forge intimate relationships.

Economic and social well being - sufficient income for food and
shelter; supportive networks (family, friends, colleagues).

A health-promoting environment - e.g., not excessively

[ReprintArticles-Paradise] Help for Diabetes, Gout and More

2005-04-03 Thread Loring A. Windblad

Title: Help for Diabetes, Gout and More
Author: Loring A. Windblad
Word count: 1,104; 65 characters per line
Contact e-mail: mailto:[EMAIL PROTECTED]
Category: Health
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Help for Diabetes, Gout and More
by Loring A. Windblad

Overview of Gout

Gout is a systemic disease caused by the buildup of uric acid in
the joints, causing inflammation, swelling, and pain. This
condition can develop for two reasons. The liver may produce more
uric acid than the body can excrete in the urine, or a diet of
rich foods (e.g., red meat, cream sauces, red wine) puts more
uric acid into the bloodstream than the kidneys can filter. In
both cases, a condition called hyperuricemia results. Over time,
the uric acid crystallizes and settles in the joint spaces, most
commonly in the first metatarsal phalangeal joint of the big toe
or in the ankle joint.

Signs and Symptoms

The most common symptoms of gout are inflammation, swelling, and
tenderness in the joint of the first toe. Touching or moving it
is intensely painful and patients often say it hurts to have as
much as a bedsheet over the toe. Gout develops quickly and
typically occurs in only one joint at a time. Symptoms may develop
in two or three joints simultaneously, but this is rare. If
widespread symptoms occur, the condition is probably not gout.

Diagnosis

The most reliable way to diagnose gout is to examine the joint
fluid for uric acid crystals. This is done by drawing fluid from
the joint with a needle and examining it under a polarized light
microscope. Although the test is invasive, the results are
definitive, and a positive result facilitates proper treatment
and quick relief.

Treatment

Treatment for gout involves decreasing the amount of uric acid in
the joint. If dietary habits are the cause, the patient's
lifestyle must be changed to avoid the condition. Gout is readily
corrected with patient cooperation, and it is usually not treated
unless it occurs frequently. Colchicine is a common medication
for treating acute gout attacks. If continuous medication is
necessary, the two most common choices are probenecid and
allopurinol.

Prevention

Alcohol and rich foods are primary contributors to excessive uric
acid levels. Although some patients have a genetic predisposition
to excessive uric acid production, most gout patients have normal
kidneys and uncontrolled dietary habits. Prevention is the best
defense against the disease.

Many patients who suffer from gout continue to indulge, and
suffer frequent attacks as a result. Although medication makes it
possible to live with gout, the continued accumulation of uric
acid in the joints eventually damages them, seriously inhibiting
movement.

Overview of Diabetes

New to diabetes? Learn the basics -- check with your local
diabetes clinic or research it on the internet.

A key to diabetes management is maintaining a regular exercise
program. Its never too late to start -- see below. Sticking to
dietary goals while eating out also can be very challenging --
see comments below.

20 million Americans and Canadians have diabetes. Nearly 7 million
don't know it. Type 2 diabetes usually develops slowly, and the
symptoms often go unnoticed. Our son developed a puffiness to his
face which we noticed right away because we saw him only a couple
of times a year. He and his wife put it down to simple weight
gain. After 2½ years they finally snapped to there being
something wrong and when he was finally checked out his diabetes
was off the charts. Fortunately, they caught it in time, but it
should have been caught over a year earlier.

Nearly 90 to 95% of all people with diabetes have type 2. Who
gets it? Just about any body. Fat, skinny, regular build, it
makes no difference; just about everyone can develop diabetes.
Most at risk are people regardless of body build who live on a
high intake of junk food. Least at risk are people who eat a
regular balanced diet.

What you may not know about diabetes -- the truth about insulin
resistance. 92% of people with type 2 diabetes have insulin
resistance. Get the facts -- go to your local diabetes agency or
research it on the internet.

Obesity is a major risk factor for diabetes. Obesity is not a
guarantee you will develop diabetes -- many obese persons never
develop it, many slender people do develop it, but persons who
are obese have the major