Make Health Good: Diabetes

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Diabetes is a chronic disease that is BEST MANAGED BY YOU, with support from your family, friends, and healthcare team.

Research tells us that patients themselves are in the best position to know what they need to manage their health. There are 8,760 hours in a year, and only a handful of hours are spent with the healthcare team. So knowing what to do, and doing it, is essential to maintaining your health. Most persons think of diabetes as a disease of high blood sugar, but for many persons it is associated with high blood pressure and high cholesterol.

Controlling all of these factors is important to reduce the risk of developing the major complications of diabetes:
blindness, foot disease, kidney failure, heart attack, and stroke. In fact, the major cause of disability and death in diabetes is heart disease and stroke. For many persons with diabetes, controlling blood pressure and cholesterol and not smoking are the most important steps that they can take.

Screening for complications is important to determine whether you already have eye, foot, or kidney disease. If you do, you may need to have more frequent follow-up visits, new, medications, or other treatments.

The following health tips summary is a guide to the essentials of diabetes care.

Each person with diabetes is unique.

Smoking: If you smoke or use tobacco, STOP! Please talk to your healthcare team about what steps you can take. Benefits start immediately. Influenza in season: Get a YEARLY vaccination. Being vaccinated last year doesn’t protect you this year. Getting a flu vaccination doesn’t give you the flu.

Pneumococcal vaccination:
Once in lifetime. However, if you were vaccinated more than 5 years ago, talk to your provider about whether you need a second one.

Nutrition and Exercise:
Following an appropriate diet and exercise are cornerstones of diabetes management. Work with your healthcare team to develop a plan that is right for you!

Partners in Health of Maine

We have all heard about the good work being done by Partners in Health, but there is another PIH, lesser known, but equally well-intentioned. It is called Partners in Health of Maine. It is a nonprofit, nondenominational organization whose mission is to provide health services, training, education and volunteer opportunities for health care providers in third world countries. Its activities have been limited to Central America, with a focus on Nicaragua and Guatemala. The organization grew around the volunteer work of Dr. Robert Bach, a general surgeon from Maine, and other health care workers who had been volunteering in Central America since 1975. The two PIHs started at about the same time, and I guess both want to keep the name!

Most of the work of PIH of Maine has centered on the Autonomous Atlantic Region (RAAN), Nicaragua’s largest province, which occupies approximately a fifth of the land area and is located on the Northeastern Caribbean coast. This area is inhabited by indigenous Miskito Indians and people of Afro-Caribe and Spanish descent.

A friend of a friend provides some of the color of the Maine organization in a recent email, written after attending a briefing in the US, complete with a story of low-cost innovation by a clever team:

I am going to Nicaragua because I was invited by old friends from Waterville. John and Mary got involved five or six years ago. The work was originally focused on providing medical care to a town on the Atlantic side of Nicaragua. John is a pathologist, and he has been instrumental in writing grants and training Nicaraguan doctors to prepare and read slides in an effort to catch some of the rampant cases of cervical cancer early enough to provide treatment.

In the States, slides are prepared with the aid of a $30,000.00 tissue processor. The machine is massive and the reagents are unavailable in Nicaragua. So the ever-resourceful John invented a way to process slides using a $69.00 microwave oven! He enlisted the aid of his brother-in-law, a retired computer chip engineer, and the two of them figured out a way to program the oven to cycle and hold the kind of temperatures required to "fix" the slides.

And, then some more!

John’s wife Mary is an artist. She was featured on one of the slides shown during the PIHOM presentation...her smiling face lit up the screen and the caption underneath read “I’m an artist...is there anything I can do to help?”

Dr. Bach admitted he groaned a bit inside when she showed up with her offer! And today she has grown into the heart and soul of the tiny grassroots group. Mary has painted colorful and uplifting murals on the online pharmacy viagra walls, she has taken over the newsletter, she writes grants, she teaches English classes. Yes, there was/is a lot she can do to help and her example was a great inspiration to the non-medical folks in the room. "Health" directly translates to "hope" in Arabic and medical care is only one leg of the stool.

This is a lovely example of people helping people. They are looking for volunteers, supplies, and cash. Go to this website for more information on how to help out.

Graduate Program in Sexual Health wins award at WAS 2009

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I have just returned from the World Association for Sexual cheap viagra Congress in Gotenberg Sweden.
The BIG news in that our program was awarded the WAS AWARD FOR EXCELLENCE & INNOVATION IN SEXUALITY EDUCATION 2009.
This is the equivalent of winning an Oscar award for sex education.

Do let me know (P.Weerakoon@usyd.edu.au) if you want to be a part of this award winning group.

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Sildenafil improves acquisition and retention of memory in mice
by
Singh N, Parle M. Pharmacology Division,
Department of Pharmaceutical Sciences,
Guru Jambheshwar University (G.J.U.)
Post Box 38, Hisar 125 001.
Indian J Physiol Pharmacol. 2003 Jul;47(3):318-24.

ABSTRACT

Sildenafil (Viagra) has been introduced recently in market to correct male impotency and has gained immense popularity for its dramatic effects all over the world. The present study was designed to investigate the effect of cialis on learning and memory in mice using elevated plus maze. A total of XV groups of animals were employed in the present study. Central cholinergic pathways play a crucial role in learning and memory processes. Physostigmine, an anticholinesterase agent (0.5 mg, 1.0 mg kg(-1), i.p) was employed for its memory enhancing property and alprazolam a benzodiazepine receptor agonist served as a memory-impairing agent. In the present study, alprazolam produced anterograde amnesia (at 0.5 mg kg(-1), i.p) and retrograde amnesia (at 0.25 mg, 0.5 mg, 0.75 mg kg(-1), i.p.) in separate groups of animals. Caffeine at 5 mg, 10 mg and 20 mg kg(-1), i.p. (an established psychostimulant) did not show any significant change in learning and memory of mice. Sildenafil (at 8 mg kg(-1), i.p.) administered 30 minutes prior to training on first day produced a marginal decrease in transfer latency time on first day; whereas, sildenafil (at 2 mg, 4 mg, 8 mg kg(-1), i.p.) administered immediately after training on first day produced a dose-dependent improvement of memory in mice. However, further studies need to be carried out to elucidate the underlying mechanism of sildenafil as a memory enhancer.

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The Responsible Parent's Guide