Wednesday, 26 November 2014

SEXUAL IMPOTENCE



 Sexual impotence is also referred to as erectile dysfunction and affects more than 10 million men in the country today. Impotence refers to the inability to produce and maintain an erection in order to perform sexually. Sexual impotence is a surprisingly common problem and most men have experienced this condition at least once in their life. While nearly eight percent of men between the ages of 20 to 39 have reported cases of erectile dysfunction, nearly sixty percent of men over 70 suffer from sexual impotence. Cases can range in severity and incidence depending on the underlying causes of the condition. Unfortunately, impotence is surrounded by social stigma and many men choose to suffer in silence rather than consult with a specialist or doctor to treat the situation.
Impotence can be classified into three different types:
  • Primary Impotence: Implying chronic erectile dysfunction from the beginning of any type of sexual activity.
  • Secondary Impotence: The most common form of sexual impotence, where incidents of impotence occur in between normal sexual activity.
  • Impotence with Age: A gradual decline in the sexual performance and the ability to maintain an erection due to age.
Symptoms of Sexual Impotence
Sexual impotence is marked by the repeated inability to achieve or maintain an erection for sexual intercourse. Other impotence symptoms include loss of interest in sex, fatigue, feelings of guilt or anger, and depression. Relationships also tend to suffer due to impotence.
Causes of Sexual Impotence
Sexual impotence or erectile dysfunction is caused by a lack of blood supply to the penis. While this is the primary biological or physical cause for impotence there are several other conditions that can cause impotence. In many cases the presence of some other condition may also cause impotence because of its interference with blood circulation. Some common causes for sexual impotence include:
  • Vascular Disease – Vascular disease is a condition that affects the veins and arteries, causing a thickening of arterial walls. This causes the blood flow to get restricted and weakened affecting the extremities and also the genitalia. This in turn leads to difficulties in maintaining an erection or even achieving one.
  • Diabetes – Studies show that there is a definite link between diabetes and sexual impotence, though the exact causes are not clearly understood. Experts believe that diabetes affects the blood flow and causes nerve damage that can lead to impotence.
  • Alcohol and Smoking – Excessive drinking and smoking can lead to erectile dysfunction by hampering blood circulation. Alcohol also interferes with the balance of hormones and the production of the male hormone testosterone that may result in impotence.
  • Diseases and Illnesses – Diseases such as Multiple Sclerosis, Parkinson’s and other conditions that affect the nervous system can make achieving and maintaining an erection difficult, by restricting and preventing the correct response signals sent from the brain to the body.
  • Inactivity – Lack of exercise and a sedentary lifestyle can affect the cardiovascular system and in turn affect sexual functioning.
  • Psychological – Stress, long work hours, depression, anxiety, guilt, and embarrassment can also cause sexual impotence. Apprehension about impotence can cause anxiety and fear of failure that may lead to a repeated inability to perform sexually.
Remedies for Sexual Impotence
The treatment for sexual impotence depends on its underlying cause. The first step towards a cure for any sexual disorder is to overcome and ignore the stigma that surrounds the condition and speak to a specialist, doctor, or even a therapist if required. A diagnosis is reached only after a number of tests are carried out to identify the underlying cause. The treatment of sexual impotence includes oral medications, penile injections, and mechanical aides such as implants and vacuum pumps. Products such as pumps work well when impotence is caused by vasculogenic factors. Prescription and non-prescription drugs are available to increase sexual libido, balance hormones and improve sexual potency. Many commercially available medications tend to have more of a psychological effect and experts believe that there is no real value in this type of placebo effect treatment. However, there are some drugs such as Viagra that have transformed the way sexual impotence is treated. While an expensive option, medications such as Viagra are very effective, but patients need to keep their health care providers informed of any other health conditions, because of the risk of side effects or interactions.
Hormone therapy for sexual impotence involves the application of skin patches or the administration of injections containing testosterone. Based on the belief that impotence is caused due to a decrease in the levels of testosterone in the body, these injections and patches improve libido and reduce instances of erectile dysfunction. Male hormone replacement therapy is used mainly in older men, but does come with its own set of complications and side effects such as the development of prostate cancer.
When sexual impotence is caused by vascular problems, surgery may be an option. Vascular surgery has a high success rate but it is an expensive option that is irreversible.
When no other medical alternatives seem to be working, penile implants may be considered. Penile implants are prosthetic devices that are surgically implanted into the penis. Penile implants come in two varieties – passive implants that consist of silicon rods inserted into the penis and active implants, which involve the use of inflatable silicon pouches implanted into the penis. These pouches can be manipulated manually to achieve and maintain an erection.
Home remedies for sexual disorders such as impotence include the following:
  • Regular massages help relieve nervous energy, relax the body and reduce anxiety. This can help considerably to lower the occurrence of erectile dysfunction during sexual intercourse.
  • Home remedies for impotence also include cold hip baths where the pelvis and genitals are immersed in a cold bath for ten minutes every morning and evening. This helps invigorate and activate the nerves in the area and reduces impotence.
  • A daily exercise routine that includes yoga has been proven to be highly beneficial in the treatment of sexual impotence. Certain yoga poses such as halasana, dhanurasana, and sarvangasana are especially effective.
  • Other home remedies for erectile dysfunction include adding seeds, nuts, fresh fruit and vegetables and grains into your daily diet to improve overall physical and mental health as well as to improve blood circulation.
Diet for Sexual Impotence
Although your diet may have no direct effect on the development or occurrence of sexual impotence, in some situations the condition may be caused by other health conditions that are aggravated by unhealthy eating habits. The main focus should therefore be to eliminate any unhealthy foods from your diet like junk foods, oily and excessively fatty foods. An accurate diagnosis of the underlying causes of impotence will also better help with the formulation of an appropriate diet plan. There are certain foods that promote certain bodily functions and if the problem is caused by any disorder that can be controlled with diet changes you will need to modify your diet accordingly.
In addition to dietary changes based on nutritional advice and your doctor’s suggestions you can also try out some specific foods that are believed to help treat the condition. Do keep in mind that most of these claims are unresearched and they have little to no scientific credibility.
  • Certain foods like honey and garlic are thought to be beneficial in the treatment of sex problems. Garlic has remarkable aphrodisiac properties that are said to be safe and natural. Garlic reduces sexual exhaustion and increases the libido. Two to three cloves of raw garlic chewed daily can help treat sexual impotence as well.
  • White onions can strengthen the reproductive system and increase the libido, whereas carrots dipped in honey can improve stamina when consumed daily for a month.
  • Experts believe that including asparagus in your diet can also treat sexual impotence. Boil the roots of asparagus in milk and drink this concoction twice daily. This also prevents premature ejaculation.
  • Dates have long since been considered a strengthening food. Mix dried dates with nuts like almonds and pistachios in equal quantities and consume a handful daily to improve sexual stamina.
  • In addition to oily and fatty foods try to cut down on your intake of processed foods that are high in sugar and white flour.
Suggestion for Sexual Impotence
Sexual impotence can cause problems with interpersonal relationships, as well as lower one’s self image and self-confidence. Very often, sexual impotence gives rise to severe depression and mental trauma, whereas in others, psychological factors may be the cause of impotence. The main thing to do is address the problem at the earliest. If this is done, in many cases, there may not even be a need for any form of medical intervention. Just remember that sexual impotence is a lot more prevalent than most of us think it to be; if afflicted with the condition you don’t have to live with it and suffer in silence. Couple counseling can also help greatly as emotional relationships that have a sexual component will suffer a severe strain when such sexual disorders develop. This calls for patience, maturity and understanding from both partners.
References
  1. W.P. De Silva, 6.27 - Sexual Problems: Dysfunction, In: Editors-in-Chief: Alan S. Bellack and Michel Hersen, Editor(s)-in-Chief, Comprehensive Clinical Psychology, Pergamon, Oxford, 1998, Pages 603-621, ISBN 9780080427072, 10.1016/B0080-4270(73)0020-5.
  2. William A. Sodeman Jr., Thomas C. Sodeman, Male Impotence: Patient and Caregiver's Guide, Instructions for Geriatric Patients (Third Edition), W.B. Saunders, Philadelphia, 2005, Pages 348-349, ISBN 9781416002031, 10.1016/B978-141600203-1.50143-8.

Wednesday, 19 November 2014

WORLD TOILET DAY




Background on World Toilet Day

TODAY is World Toilet Day and although it may sound like a comical issue, it brings to light a serious global problem and a luxury many of us take for granted.
Around one billion people in the world face the everyday indignity of defecating in open spaces and the associated diarrhea diseases kill more children every year than AIDS, malaria and measles combined.

World Toilet Organization (WTO) was founded on 19 November 2001. To commemorate its founding day, the organization declared 19 November as World Toilet Day. On the same day, WTO held the inaugural World Toilet Summit in Singapore. At that time, the word “toilet” was considered a taboo and the sanitation crisis was largely ignored by the media. In the humanitarian sector, the subject of water and sanitation was bundled into one agenda called WatSan. This resulted in sanitation being overshadowed by the more prominent agenda of water, hence sanitation remained neglected while the area of water (which is equally important) was considered to be deserving of more attention and action.

Why Toilets?

A world body on toilets — are you kidding me? Your toilet is more important than you think. Let’s take a look at some quick facts about the sanitation crisis. A clean and safe toilet ensures health, dignity and well-being — yet 40% of the world’s population does not have access to toilets.

Ten Things You Can Do for UN World Toilet Day
If you’re reading this and you have a toilet, you are luckier than the 2.5 billion people on this planet who lack access to improved sanitation. More than 1 billion people still face the indignity of defecating in the open, and women and girls are being assaulted while going to the toilet. 
Every year on 19 November, World Toilet Day is a chance to get involved in the global movement for toilets and sanitation for all, and raise awareness of the need for action to end the sanitation crisis. In 2013, 19 November was designated as UN World Toilet Day. The theme for this year’s World Toilet Day is dignity and equality, inspiring action to end open defecation and putting a spotlight on how access to improved sanitation leads to a reduction in assault and violence on women. 
Sustainable sanitation is a matter of dignity, equality, and safety, and is crucial to improving the health and wellbeing of one-third of humanity. What can you do to help make ‘sanitation for all’ a reality this World Toilet Day?
1. Run in The ‘Urgent Run’
Participate in The Urgent Run or host your own event for this year’s UN World Toilet Day. The Urgent Run (www.urgentrun.com) is a global mobilisation event to draw attention to the urgent calls for action to end the sanitation crisis. Sixteen events have been registered in 12 countries including Singapore, India, the Philippines, Indonesia, Ghana, Italy, Senegal, and Mozambique. If you can’t wait to see health, dignity and wellbeing for all through sustainable sanitation, join The Urgent Run, or hold an event. 
2. Do a ‘Big Squat’ 
Hold a big squat and raise awareness of the more than 1 billion people who face the indignity of open defecation, which spreads diseases including cholera, typhoid, hepatitis and diarrhoea. Stop, drop, squat and share! Get friends, colleagues, classmates or family together, invite people in the local community and squat in a public place. Take photos or video, and share them on YouTube, Vimeo, Vine, Instagram, Flickr, Facebook or Twitter. Use the hashtags #bigsquat, #worldtoiletday and #opendefecation. 
3. Share
Access to sanitation would make life safer and healthier for 1.25 billion women. Join the global movement for toilets and sanitation for all, and raise awareness by posting on Facebook, Instagram, Google+, posting a Vine or Tweeting this World Toilet Day. Show that you give a crap about toilets and sanitation, and raise your voice to call for action. Use the hashtags #wecantwait #worldtoiletday #opendefecation #sanitation and #igiveashit.  
4. Become a toilet advocate 
Clean and safe toilets are fundamental for health, dignity, privacy, equality and education. Contact your local representative, community leader or member of parliament and let them know you care about public toilets in your area. Does your town need new public toilets? Are the toilets safe and accessible, clean and well-maintained? Is there an appropriate ratio of toilets for men and women, or ‘potty parity’? Talk toilets with your local representative today. 
5. Watch  
Watch a World Toilet Day playlist and share videos on Facebook or Twitter to join the call for toilets and sanitation for all. Here’s one to start with – meet Mr Toilet. Jack Sim is a man on a mission to end the sanitation crisis, and he started by tackling the toilet taboo. Meet the man behind the World Toilet Organization who is proud to be called ‘Mr. Toilet’. 
6. Talk crap!
1,000 children died per day from diarrhoeal diseases due to poor sanitation in 2013. These deaths are preventable, but what we don’t discuss, we can’t improve. Help break the ‘toilet taboo’ by talking crap with friends and family, colleagues, classmates or neighbours: have a conversation, send an email, send a text, post to Facebook, and raise awareness of the importance of action on sanitation. 
7. Toilet Selfie 
Did you know that more people own a mobile phone than have access to a toilet? Next time you go to the bathroom, think about how lucky you are, and snap a #toiletselfie and post it to Instagram, Facebook or Twitter for World Toilet Day – and keep it clean! Let your friends know they’re lucky if they have access to a toilet and encourage them to join the sanitation movement. 
8. Invest in toilets and sanitation for all
One third of the world’s population still lacks access to adequate sanitation. Donate to support the work of the World Toilet Organization at worldtoilet.org and your donation will go towards advocacy and awareness, and to support capacity building and social enterprise sanitation projects in Cambodia, India, and Mozambique.
9. Learn 
Did you know that toilets and sanitation are considered a human right? In 2010, the UN General Assembly recognised sanitation and water as a human right, essential to the full enjoyment of life and all other human rights. Visit World Toilet Organization’s website worldtoilet.org and the UN World Toilet Day website unwater.org/worldtoiletday to learn about the sanitation crisis and how you can get involved. 
10. Tell us what you’re doing 
How will you commemorate UN World Toilet Day on 19 November? Join the call for action to end the sanitation crisis on UN World Toilet Day, and share what you’re doing. Reply to @worldtoilet and @UN_Water on Twitter or email online@worldtoilet.org. Some of the best activities will be featured on the World Toilet Day website and in World Toilet Organization’s social media.

Monday, 17 November 2014

THE ABC OF TYPE 2 DIABETES Part 1

If it was an infectious disease, passed from one person  to another, public health officials would say we're in the midst of an epidemic. This difficult disease is striking an ever-growing number of adults. Even more alarming, It's now beginning to show up in children.

Glucose (aka blood sugar) is the fuel that provides energy to the 10 Trillion cells that made up a human being. When we eat, carbohydrates are converted into glucose, the glucose then move through the bloodstream to feed the cells. It's important to have the right amount of glucose in the blood, so your body has some fairly complex 'machinery' to get the job done. Anytime your glucose levels rise, your brain tells pancreas to produce insulin. Insulin is a chemical messenger that rings the 'dinner bell' for your cells. When the 'dinner bell' rings,your cells come running to get their glucose.

It is important to understanding that carbohydrates come in two forms natural (complex) and man-made (simple). The man-made carbs are found in processed foods such as white table sugar, candy, sodas, high fructose corn syrup, and white bread. Eating man-made carbs causes sudden and sustained spikes in your glucose levels. The brain interprets this enormous rush of sugar as trauma and signals the pancreas to produce insulin.

This constant over-stimulation of the pancreas, year after year after year, causes your 'machinery' to wear out. In some cases, the pancreas gets tired and can't produce enough insulin. In other cases, the 'dinner bell' ring so often that the cell get tired of hearing it, and stop running to get their glucose. Either way, when this happens, the health care industry declares that you have type 2 diabetes.

Natural sugars, like the sugars found in fruits and others whole foods, are known as complex carbs. Our body was designed to ingest them. They are much larger molecules and cross the blood brain barrier very slowly. They do not cause those sudden and sustained spikes glucose levels, so your 'machinery' can last a lifetime. It is really that simple.

According to the Harvard School of Public Health, making a few changes can dramatically lower your chances of developing type 2 diabetes. The same changes can also lower the chances of developing heart disease and some cancers.

(i) Control your weight. Excess weight is the single most important cause of type 2 diabetes. Being overweight increases the chances of developing type 2 diabetes seven-fold. Being obese makes you 20 to 40 times more likely to develop diabetes than someone with a healthy weight.

(ii) Get moving. Inactivity promotes type 2 diabetes. Every two hours you spend watching TV instead of pursuing something more active increases the chances of developing type 2 diabetes by 14%. Working your muscles more often and making them work harder  improves their ability to use insulin and absorb glucose. This puts less stress on your insulin-making machinery.

(iii) Tune-up your diet. Two dietary changes can have a big impact on the risk of developing type 2 diabetes.

   (a) Choose whole grains and whole-grain products over highly processes carbohydrates. In other words, choose whole foods instead of processed foods.

    (b) Choose good fats instead of bad fats. The types of fats in your diet can also affect the development of diabetes. Good fats such as the polyunsaturated fats found in tuna, salmon, liquid vegetable oils, and many nuts, can help ward off types 2 diabetes. Trans fat do the opposite. These bad fats are found in many margarines, packaged baked goods, fried foods in most fast-food restaurant and any products that listed 'partially hydrogenated vegetable oil' on the label. If you already have diabetes, eating fish can help protect you against a heart attack or dying from heart attack disease. 

In part two I will provide the comprehensive list of natural carbohydrates that, they do not cause those sudden and sustained spikes glucose levels, so your 'machinery' can last a lifetime.



Happy reading.

 


Glucose (a.k.a blood sugar) is the fuel that provides energy to the 10 Trillion cells that make up a human being. When we eat, carbohydrates are converted into glucose, the glucose then moves through the bloodstream to feed the cells.  It's important to have the right amount of glucose in the blood, so your body has some fairly complex "machinery" to get the job done. Anytime your glucose levels rise, your brain tells your pancreas to produce insulin. Insulin is a chemical messenger that rings the "dinner bell" for your cells.  When the "dinner bell" rings,
Glucose (a.k.a blood sugar) is the fuel that provides energy to the 10 Trillion cells that make up a human being. When we eat, carbohydrates are converted into glucose, the glucose then moves through the bloodstream to feed the cells.  It's important to have the right amount of glucose in the blood, so your body has some fairly complex "machinery" to get the job done. Anytime your glucose levels rise, your brain tells your pancreas to produce insulin. Insulin is a chemical messenger that rings the "dinner bell" for your cells.  When the "dinner bell" rings, your cells come running to get their glucose.
cells come running to get their glucose. Glucose (a.k.a blood sugar) is the fuel that provides energy to the 10 Trillion cells that make up a human being.
Glucose (a.k.a blood sugar) is the fuel that provides energy to the 10 Trillion cells that make up a human being. When we eat, carbohydrates are converted into glucose, the glucose then moves through the bloodstream to feed the cells.  It's important to have the right amount of glucose in the blood, so your body has some fairly complex "machinery" to get the job done. Anytime your glucose levels rise, your brain tells your pancreas to produce insulin. Insulin is a chemical messenger that rings the "dinner bell" for your cells.  When the "dinner bell" rings, your cells come running to get their glucose.
When we eat, carbohydrates are converted into glucose, the glucose then moves through the bloodstream to feed the cells.  It's important to have the right amount of glucose in the blood, so your body has some fairly complex "machinery" to get the job done. Anytime your glucose levels rise, your brain tells your pancreas to produce insulin. Insulin is a chemical messenger that rings the "dinner bell" for your cells.  When the "dinner bell" rings, your cells come running to get their glucose.





Glucose (a.k.a blood sugar) is the fuel that provides energy to the 10 Trillion cells that make up a human being. When we eat, carbohydrates are converted into glucose, the glucose then moves through the bloodstream to feed the cells.  It's important to have the right amount of glucose in the blood, so your body has some fairly complex "machinery" to get the job done. Anytime your glucose levels rise, your brain tells your pancreas to produce insulin. Insulin is a chemical messenger that rings the "dinner bell" for your cells.  When the "dinner bell" rings, your cells come running to get their glucose.