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Archive for June, 2009

Acomplia (Rimonabant) Zimulti

Wednesday, June 10th, 2009


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DIETS FOR OBESITY: THE LOW-CALORIE DIET
Women usually lose satisfactorily on diets restricted to 1000 to 1500 kcal, whereas men lose satisfactorily on diets furnishing 1200 to 1800 kcal. Bed Patients, such as those with heart disease, are often placed on diets restricted to 800 to 1000 kcal, and sometimes less.
The daily food allowances for the 1000-, 1200-, and 1500-kcal diets are somewhat higher in protein. This is desirable, because it provides most people with a feeling of satisfaction. Also, it helps to correct the greater losses of muscle tissue that occur during reducing. No matter how carefully they are planned, diets that provide less than 2000 kcal daily may not meet the recommended allowances for iron, zinc, magnesium, and for vitamin E and folacin. This does not mean that nutritional deficiency will necessarily occur in the individual. It is not a problem except where a diet is to be used for several months. Then a multivitamin-mineral supplement may be prescribed.
The exchange lists are used for planning the daily food choices for low-calorie diets. Usually the food allowances are divided into three approximately equal meals. Skipping breakfast is not a good idea. Some people prefer to have a mid-afternoon or bedtime snack, and these may be included by saving some milk or fruit from the meal. Of course, tea or coffee without cream or sugar, and bouillon may also be used.
Meals on a low-calorie diet should be attractive and palatable. Herbs and spices may be used to lend variety to vegetables and meat preparation. Meats, fish, and poultry should be lean, and prepared by broiling, roasting, or stewing. Fresh fruits or canned unsweetened fruits are used. Vegetables may be used in salads for variety in texture and flavor, and add bulk to the diet. Low-calorie salad dressings are available commercially or may be prepared at home. Labels must be read to determine the fat and caloric equivalent. Mineral oil should never be used in salad dressings or other food preparation since the oil will reduce the absorption of fat-soluble vitamins.
Low-calorie diets do not include sweetened carbonated beverages, cakes, cookies, candy, fried foods, sweetened fruits, pastries, pies, potato chips, pretzels, puddings, and so on. Occasionally the physician may permit an alcoholic beverage in limited amounts in place of a bread exchange. Persons on low-calorie diets need to be especially conscious of the little extras often added to the diet, such as a teaspoon of butter, a tablespoon of cream, or a little gravy. Of course, even occasionally eating a piece of pie or cake will wreck the efforts that may have been made toward dieting all day!
*11/234/5*

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Other names: Vanadom
QUESTIONS ABOUT BACK PAIN: SECOND OPINION AND INSURANCE PLANS
Should I request a second opinion, if my back injury does not respond to my doctor’s treatment after a reasonable time?
Yes. After a period of six to eight weeks, you should discuss your failure to progress with your treating doctor and explore alternatives to the current treatment program. It is very important to communicate to your doctor your failure to progress, and not just assume that your doctor has noted it. Most doctors welcome a second opinion in difficult cases and will suggest the names of other doctors who might be able to help. Be clear on your insurance company’s policy regarding second opinions. (Some companies require them in certain circumstances.) This information is very important if your bills are being paid under workers’ compensation laws or if you are a member of a restrictive type of group health/HMO system.
What should I do if my insurance company refuses to pay for either extended physical therapy or the purchase of therapy equipment that I can use to exercise at home?
Insurance plans are intended to be general rather than specific. Your treatment plan may be outside the norm, resulting in a denial of benefits. If this happens, consult your plan booklet and find out how to appeal a denial of benefits. Be sure to follow all the procedural steps in a timely manner. You should ask your doctor to state in a letter to the person or committee handling your appeal why the therapy or equipment is needed. If you are required to attend a hearing, present all the reasons for continued treatment or for the purchase of equipment. If your appeal is denied, you may want to seek the advice of an attorney.
*96/135/5*

Ultram (Tramadol Hydrochloride)

Wednesday, June 10th, 2009


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CHRONIC BACK PAIN

Chronic back pain is a pain that continues for a period of weeks or months with no relief. Fewer people suffer with chronic pain than with acute pain. Those who experience chronic back pain are in constant pain that is often severe. The pain might be less sharp than is acute back pain, but it becomes regular and nagging, and can be extremely limiting.
If you have chronic back pain, working may be difficult or impossible for you, even in jobs that do not require physical labor. Ordinary activities-driving a car, sitting, standing, and walking-may be accomplished in great discomfort, if they can be done at all. The pain is often much more bothersome at night and can cause you to lose sleep. One patient told us that she had not slept for days because the pain seemed to increase every night.
Chronic back pain can be a deep, aching, dull or burning pain. You might feel it in only one area, such as the lower (or middle or upper) back, or it may travel down one or both legs.
You may experience numbness, tingling, burning, or a “pins-and-needles” feeling in the legs. Ralph, a retired commercial fisherman, came to see us after having untreated back pain for over a year. Along with his severe pain, he felt a constant numbness in his right leg every day. Afraid that this numbness was a sign of a far more serious disease, Ralph be-] came depressed and lethargic. He limited all activity in an effort to find a solution for his pain. Finally, when he could take the pain no more, he came to us for help in finding the cause of his pain. He is now well on the road to recovery and relief; he is now managing his pain.
When people with chronic back pain walk or stand for more than a few minutes, the pain usually worsens. Sitting may also increase the pain. Because many of their usual daily activities may be curtailed by pain, some people become virtual invalids. The pain can become a 24-hour presence with no break or interruption.
“I got to the point where I didn’t want to wake up anymore, because I knew I had to face up to my pain,” Miranda, a 29-year-old legal secretary said. “No matter what I did or how I slept, I had pain every morning, noon, and night.”
Chronic back pain usually has an effect on overall attitude and disposition. Loss of sleep and loss of activity along with constant pain can make anyone more irritable and difficult to be around. Sarah, a middle-aged woman and mother of three children, told of how her chronic back pain almost ended her 20-year marriage.
“Before I started treatment, I was so irritable that no one could stand to be around me,” she said during a visit. “My husband stayed at work late each evening, and the children would go to their rooms. I know I seemed cranky and mean, but I felt so awful-all the time. The pain began to control my life.”

*11/135/5*

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SPORTS INJURIES AND MEN’S HEALTH: TYPES OF SPORTS INJURIES
The factors responsible for sports injuries determine in part the types of injuries that occur. In addition to the dangers of the sport itself, the level of fitness of competitors, his or her flexibility and agility, the hardness of the playing and training surfaces (whether on any particular occasion a playing field is wet or a track or ring slippery) all make a difference to the types of injuries athletes suffer. The quality of protective gear and whether it is worn properly can influence both the type of injury incurred and its severity. It is well worth noting that competent coaching and refereeing may also contribute significantly to the number of sporting injuries sustained by competitors.
Appreciation of these factors makes it easy to understand why sporting injuries are traditionally classified into three categories:
Direct injuries;
Indirect injuries; and
Overuse injuries.
DIRECT INJURY
Direct injury refers to those injuries which result from external forces, such as contact with an opponent or some piece of equipment peculiar to the game (e.g. a cricket ball or bat, etc.). Fractures or bone breaks represent the most dramatic kind of direct injury, varying in severity and in kind from simple to compound and those in which the skin is broken to those in which it remains intact.
The familiar example of a common direct injury is the ‘corked thigh’, often referred to medically as intramuscular haematoma, a condition of bruising which results when a competitor is directly struck in the thigh by, say, the knee of an opponent. In such cases, the severity of the injury will be determined by the force or energy of the blow and the inherent or acquired capacity of the relevant part of the athlete’s body in withstanding its force.
The extent to which an athlete is aware of the impending blow may serve also to reduce the risk of injury by affording the athlete an opportunity to maximise the appropriate protective response of that part of the body receiving the blow.
This point is of special relevance in those cases in which an athlete collides with a stationary object such as a goalpost, railing or wall. Even momentary recognition that a collision with a stationary object is about to occur affords athletes the opportunity to prepare themselves in any way they are able to accommodate the impending blow.
INDIRECT INJURY
The second common type of sporting injury is traditionally classified under the category of indirect injury or an injury resulting from internal rather than external forces acting on joints, tendons, ligaments and muscles.
Indirect injuries are essentially soft-tissue injuries and are incurred when muscles, ligaments and tendons are overstretched, or joints sprained or dislocated. Soft-tissue injuries are the most common type of injury experienced by athletes and include tendon ruptures, torn cartilages or ligament tears, as in the case of a sprained ankle.
In the case of soft-tissue injuries, the blood vessels in the areas of damage tend to leak, thus causing swelling and bruising. Reducing the extent of the haemorrhage becomes a matter of vital importance, as the length of time the injury takes to heal will be determined partly by how much blood accumulates in the area.
OVERUSE INJURY
The third category of sports injuries are classed as overuse injuries. This type of injury results from the repetitive use of certain muscles, bones and tendons, an example of which is marathon running.
It is worth noting that those athletes who run 25 kilometres each week place a phenomenal repetitive stress on the knees, ankles and feet. Because the stress to these areas is so great, even a relatively minor injury may become grossly magnified by faulty running techniques, just as an otherwise minor aberration in the structure of the foot or ankle may be magnified under the microscope of constant repetition and transformed into the source of a major overuse injury. It has been estimated that, over the course of a year, athletes who run 25 kilometres every week will have subjected each foot to approximately 250 000 foot strikes against some surface or other, many of which are not well suited to the anatomy of the foot anyway.
Examples of overuse injury include inflammation of the Achilles tendon, swimmer’s shoulder, tennis elbow, knee problems and stress fractures to the feet or legs.
Any tendons associated with constant repetition are also especially vulnerable to injury in that their blood supply deteriorates with age and is, in any event, generally poor. Overuse injuries are particularly common when athletes have had a break in training and return to a highly repetitive activity which at the time involves a sudden and unaccustomed repetitive use of bones or connective tissue such as ligaments and tendons.
According to the ACHPER publication referred to above, Australian Rules football displays the highest number of injuries to the knee, but the highest proportion of total knee injuries is to be found in netball, where the highly repetitive stop-and-start moves, played out on a hard surface, wreak havoc with the knees.
*34/107/2*

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CHRONIC FATIGUE: MAKE YOUR BATTLE AS EASY AS POSSIBLE
Don’t label yourself. Hopkins urges that you keep yourself open to admitting that you may have something besides CFS. Many patients who thought they had CFS have recovered after being treated for everything from sleep disorders and sinus problems to hyperventilation. Depression is often mistaken for chronic fatigue syndrome, too. Dr. Manu, among others, reports that a high percentage of CFS patients respond favorably to antidepressants.
Beware the quacks. Any disease, especially one as mysterious as CFS, is bound to bring out the hustlers. “The way people treat CFS ranges from practices that make a lot of sense to practices that are a bit scary,” says Dr. Fukuda.
There’s a long list of megavitamins, minerals and natural supplements—everything from magnesium and zinc to garlic and black currant oil—that are rumored to relieve the symptoms of CFS. None of these have been proven to be of any value, according to a study conducted by the Harvard School of Public Health. The same goes for any number of specialized diets. The Harvard study analyzed the diets that five self-help books claimed would cure CFS, including several that eliminated yeast, sugar and carbohydrates. Again, no proof was found that any of these diets are effective. Worse, the study warned, such diets may actually be harmful because they’re nutritionally unbalanced.
Adopt a diet. Studies aside, many CFS patients have found special diets or vitamin regimens that seem to work for them. In fact, Pat Hopkins says, diets that eliminate sugars and caffeine are especially popular because people with fatigue have a tendency to overindulge in those substances, only to come crashing down again when the rush wears off.
Dr. Manu feels that, if nothing else, such diets can have therapeutic value. “There is no scientific evidence that these things work,” he says, “but there is a lot of anecdotal evidence. If there’s nothing harmful in the diet, I say go ahead. Patients need to feel they have some sense of control, that there’s something they can do.”
*144/257/8*

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Wednesday, June 10th, 2009


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TESTICULAR PROBLEMS: EASING THE PAIN OF YOUR PRIVATES
You can’t do much when it comes to treating testicular pain yourself, so leave treatment to the experts. Nevertheless, here are some tips on preventing and alleviating the agony.
Give it a lift. Elevate a swollen scrotum by lying down with a pillow under your butt. If you have an infection, like epididymitis, this will ease the pain. Also try wearing a jockstrap or briefs-style underwear for added support—it gives the same effect. Be warned that if torsion is marauding your manhood, the pain will probably worsen when you give yourself a lift.
Ice is nice. Try an ice compress on swollen testicles to alleviate pain and reduce swelling. But be warned that ice also might increase the pain of torsion.
“If you put an ice compress on your testicles and suddenly the pain gets worse, it’s a pretty gross indicator that you have torsion,” Dr. Neal says. “Of course, you don’t want to rule out torsion if the pain doesn’t worsen with ice.”
Try sticking ice cubes in a plastic bag and wrapping the bag in a hand towel, since applying ice directly to delicate scrotal skin can be damaging.
Try the hot stuff. If ice isn’t doing the trick, then try heat to ease the pain and swelling. Place a heating pad wrapped in a towel or a warm compress on your painful privates.
“Heat sometimes helps, like ice, but remember neither is going to cure the problem. You might feel a little better, but you still heed help,” Dr. Cohen warns.
Fight the inflammation. Stop swelling and pain by taking an adult dosage of any over-the-counter anti-inflammatory, like aspirin or ibuprofen.
Bag it. Since sexually transmitted diseases are common causes of testicular pain, use common sense and wear a condom during sex, especially if you’re having sex with multiple partners or are unsure of your partner’s sexual history. Putting your manhood under wraps might be the easiest thing you can do to prevent testicular pain—and an unwanted sexual souvenir.
*649\2578\*