What To Do If Your Child Has a Fever

There is some medical disagreement concerning the medical need for Temperature control. Some doctors recommend paracetamol to lower temperature others do not. Usually children and adults feel better and function better it their temperature is reduced to near normal


Remember paracetamol is very dangerous in overdoseIf your child's temperature is above 37.5⁰C, give Paracetamol ("Panadol" is a common brand) in a dose according to your child's age - follow the dose instructions on the label and repeat the dose every four hours if necessary.
Do NOT give more frequently.

Remember:
Place body temperature is 37⁰C. If you take the temperature by placing the thermometer under the arm then add IC to obtain the Internal Temperature.  For example: If the underarm Temperature is 36.8⁰C then add 1⁰C to obtain the internal temperature of 37.8⁰C which is the temperature you act on. If your child's temperature is above 38.5⁰C, give Paracetamol and then a tepid sponge bath: Fill the bath with tepid water (not cold water).

Place the child in the bath and wet the child's head with a face cloth. Continue to run the water over the head and body until your child's temperature comes down to 37.5⁰C or less. This may take 20 minutes or more. Do not leave the child unattended in the bath. Take the child's temperature every 10 minutes while in the bath. If the child is shivering then remove the child from the bath immediately.

Shivering increases internal body temperature. Pat the child dry - rubbing dry also increases body heat. Alternatively, you can just let the water evaporate without drying your child.


If your child has a fit because of the high fever, immediately lie the child on its side - this will protect the airway and the child will not swallow its tongue. Do not place objects such as spoons or fingers in the child's mouth. It is very frightening to see a fit but try to stay calm and keep reassuring yourself it is unlikely your child will have any lasting effects from that fit. It is unlikely epilepsy will follow. However subsequent fits with high fevers are more likely.


If the child's fit lasts longer than 5 minutes, call a doctor or take the child to the Hospital Accident & Emergency or call an ambulance.

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HOW TO LOSE WEIGHT

Weight gain is common during a Jakarta posting: “A 10kg posting”.

Sadly the additional weight appears on the bottom first and then works its way up. Weight loss goes in the opposite direction.

You cannot exercise a specific area to lose weight. Exercise just tones the muscles in that area which helps hide the fat.

HOW TO LOSE WEIGHT:

1. Avoid anything sweet.

2. Avoid anything fatty.

3. Eat less of everything else.

4. Take regular mild to moderate exercise at least 3 times per week.

5. Aim to lose a maximum of 0.25 kg per week (or 13 kg per year).

Remember:

• "Dieting makes you fat."

• If you follow any diet especially a crash diet you will almost certainly finish up heavier than when you started the diet.

• Try to establish a long term habit of more appropriate eating and exercise rather than multiple diets.

• Authorities recommend the popular Low Carbohydrate High Protein diet not be followed for more than 12 months

TRY HERBAL TO LOSS YOUR WEIGHT AND TO MAINTAIN YOUR WEIGHT From the ION KLINIK
Take 1 tablet before 7 am
And
Take 1 Tablet before 1 pm
For 45-90 days
After you get your ideal take 1 tablet to maintain the weight for 45 days

A Price: Rp.250.000 for Herbal (loss weight)
           Rp.150.000 for Maintain Herbal
For delivery Post:International Rp.50.000/box
                        Overseas Rp.25.000/box
                        Around Jakarta Rp.10.000

You can order to Erna
email address:sagalaerna@yahoo.com
Ph:081317057129
BCA Account No.5240093431 (Erna Tambunan)

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Cause of Malaria

Malaria is caused by a microscopic sized parasite called Plasmodium.

This process involves a very complex mosquito - human being life cycle:

A female Anopheles mosquito itself infested with a Plasmodium parasite bites a human being. This parasite which has multiplied in the mosquito salivary glands is then injected into that person's bloodstream.

The Plasmodium parasite then moves to the human liver where it multiplies again. It is later released into the human blood stream which causes the symptoms of Malaria. The infected human being is subsequently bitten by another mosquito which in turn bites and transmits Malaria to another human being.

The commonest forms of Malaria are Plasmodium vivax which is rarely fatal and Plasmodium falciparum which can be fatal. The other forms, P.ovale and P malariae are not so important.

Incidence:
• Malaria is one of the 10 most prevalent and fatal diseases worldwide. Approximately 1.5 -2.7 million people die from Malaria each year with 300-500 million people infected at any given time.
• About 90% of cases are in sub Sahara Africa with most fatalities in young children in remote rural areas.
• About another 6-7% of Malaria cases are from India, Brazil, Sri Lanka, Vietnam, Colombia and the Solomon Islands.
• Indonesia has a relatively low incidence of Malaria especially large cities and major tourist areas e.g. Jakarta and Bali. Risks are greater in remote areas.

Prevention of Malaria
1. Be aware of the local incidence of Malaria:
• Not always easy to get this information.
• Overall risk in Indonesia is about 1:50,000 but varies greatly with location eg risk much higher in Irian Jaya than Bali.
• Likelihood of contracting Malaria increases with time spent in the area.

2. Reduce exposure to Mosquitoes:
• Obsessive prevention of mosquito bites reduces the risk of contracting Malaria about ten -fold.
• Use mosquito nets preferably treated with permethrin unless in reasonable standard accommodation in a low risk area.
• Spray an aerosol insecticide in your room before retiring.
• Use mosquito coils or vapourising mats containing pyrethoid.
• Cover arms and legs from dusk to dawn – the time when the female Malaria mosquito bites.
• Avoid dark areas or garden areas from dusk to dawn.
• Use mosquito repellents preferably those containing DEET eg “RID”, “Tropical Strength AeroGard”, “Autan” (a local brand).
• Wear light coloured clothing.
• Scent attracts mosquitoes –avoid perfumes and after shaves.

3.Preventive Medication:
• The objective of preventive medication is to prevent death caused by Plasmodium falciparum Malaria.
• No drug is 100% effective in preventing Malaria.
• Drugs do not prevent initial infection. Mosquitoes still bite and parasites will be transferred to your blood stream.
• It is reasonable not to take Malaria preventive drugs if you are only visiting a Malaria area for up to 3 days: Obsessive mosquito protection should be sufficient.
• The choice whether or not to take preventive medication is yours.
• Malaria may be up to 10 times more common in those who do not take any drug prevention in known Malaria areas.
• About 50% of people do not take the preventive medication as directed.
• All preventive drugs have side effects, usually but not always mild.
• Resistance to preventive drugs is a major problem. Assume all of Indonesia has Chloroquin resistance.
• Which preventive drugs to take depends on many factors. This should be discussed with your doctor.

Early Diagnosis and Treatment:
• Malaria has no specific symptoms eg it can mimic Flu, Pneumonia, Gastroenteritis etc. Shivering, headache & high fevers are common.
• Malaria symptoms usually occur more than 7 days after infection but symptoms may occur weeks or months later.
• ANY fever on return from or while travelling in Indonesia may be Malaria and MUST be investigated within 48 hours of onset. Young children and pregnant women are particularly at risk from Malaria. See a doctor and insist on a Malaria screen.
• If appropriate treatment is started by the fourth day of illness(not infection) then the adult Malaria patient is not likely to die.
• If you are travelling in an area more than 24 hours from medical help consider taking an Emergency Self Treatment Pack for Malaria. Further treatment on return home will still be necessary. Discuss with your doctor.
• Pregnant women and young children should think seriously about travel in known Malaria areas. Our advice is not to travel unless necessary.

Preventive Malaria Drugs:
Discuss preventive treatment with your doctor well before you leave. Your past medical history, any drug allergies, other medication you are taking, whether you are pregnant and the age of children traveling will influence drug choice.

The most commonly used Malaria preventive drugs are:
1. Doxycycline

• Dose is 100mg per day starting 2 days before travel and continuing for 4 weeks on return.
• Not suitable for pregnant women and children under 8 years.
• Common side effects: Nausea, indigestion, increased sensitivity to sunburn, thrush in females.

2.Malarone
• Dose is 1 tablet per day starting 1-2 days before travel, continuing 1 tablet a day and 7 days on return.
• Suitable for children(Malarone Junior)

3.Mefloquine ("Lariam"):
• Dose is one tablet per week taken on the same day each week starting one week before travel and continuing for 4 weeks after return.
• Suitable for pregnant women in the second and third trimesters and can be given to children over 3 months of age but discuss first.
• Common side effects: Nausea, vomiting, dizziness, headaches -usually transient. Occasionally confusion, anxiety, agitation, depression, sleep disorders. Incidence of all side effects is low but discuss with your doctor.

4.Other Drugs:
Fansidar, Chloroquin, Proguanil plus Chloroquin combination are also used but not usually recommended by your doctor.

Read More....

Healthy Diet Food

1. Berries
All berries are low in sugar and high in fiber. Blueberries have been shown to increase memory in lab studies, and raspberries and strawberries are loaded with ellagic acid, a powerful antioxidant that seems to have some anti-cancer properties, according to the American Cancer Society.

2. Beans
Beans are extremely high in fiber, which helps to control weight, prevent or manage diabetes and blood sugar, and may help prevent colon cancer and protect against heart disease. The National Institute of Medicine recommends 25-38 grams of fiber a day. The average American gets only 4-11 grams. One cup of beans provides 11-17 grams.

3. Nuts
Some of the largest and most important long-term studies of diet and health have
shown that eating nuts several times a week is consistent with a risk of heart attack and heart disease that is 30%-50% lower than the general population. Just one ounce of nuts-almonds, macadamia, Brazil , walnuts, pecans-eaten three to five times a week seems to be the magic number.

4. Wild Salmon
Fish is the ultimate anti-aging food. Cold-water fatty fish like wild salmon, sardines, mackerel and herring contain omega-3 fats that protect the brain and the heart, improve mood, and lower blood pressure and triglycerides.

5. Raw Milk
Raw, organic milk nearly always comes from grass-fed cows and contains high levels of cancer-fighting CLA (conjugated linolenic acid) as well as a rich assortment of vitamins, minerals and beneficial bacteria (like Lactobacillus acidophilus)

6. Grass-Fed
Meat Meat from grass-fed cows has a much different fat profile than ordinary supermarket meat: high in omega-3s, lower in potentially harmful omega-6s and loaded with CLA, a kind of fat known for its anti-cancer activity. A superb source of protein and vitamin B12, it's also missing the antibiotics, steroids and hormones found in the meat that comes from feedlot farms.

7. Eggs
Considered by many to be nature's most perfect food, the egg is high in protein and relatively low in calories. The yolk contains choline, one of the most important nutrients for the brain, as well as lutein and xeazanthin, two critical nutrients for eye health. Brassica Vegetables Cabbage, Brussels sprouts, broccoli and kale all contain plant compounds called indoles that help reduce the risk of cancer. In addition to a stunning range of vitamins and minerals, they also contain sulforaphane, an important plant chemical that helps the body detoxify health-damaging chemicals.

8. Apples
Not only do they keep the doctor away, they also appear to do the same for lung cancer, diabetes and asthma. An apple contains five grams of fiber and a rich blend of nutrients including the bone-building vitamin K and the anti-inflammatory nutrient quercetin. And there's no better way to control your appetite than an apple eaten about half an hour before a big meal.

9. Onions and Garlic
In an impressive number of published studies, the consumption of onions and garlic has demonstrated protective effects against stomach, prostate and esophageal cancer. Along with broccoli, tea and apples, onions and garlic are among a select group of foods found to reduce mortality from heart disease by 20%.

10. Pomegranate Juice
Called "a natural Viagra" by researchers at Tel Aviv University , pomegranate juice is loaded with antioxidants. Studies show it can reduce blood pressure and plaque in the arteries. New research indicates it also slows the progression of tumors.. Four to eight ounces a day is highly recommended.

11. Green Tea
Though all teas are great for you, green tea has a unique profile of plant chemicals that have anti-cancer activity. It's now fairly established that green tea may help prevent the following types of cancers in humans: bladder, colon, esophagus, pancreas, rectum and stomach. If that's not enough, it also appears to help with weight control.

Read More....

Go to Sleep Early And Wake Up Early

Evening at 9 - 11pm:
Is the time for eliminating unnecessary/toxic chemicals (detoxification) from the antibody system (lymph nodes). This time duration should be spent by relaxing or listening to music. If during this time a housewife is still in an unrelaxed state such as washing the dishes or monitoring children doing their homework, this will have a negative impact on health.

Evening at 11pm - 1am:
Detoxification process in the liver, and ideally should be done in a deep sleep state.

Early morning 1 - 3am:
Detoxification process in the gall, also ideally done in a deep sleep state.

Early morning 3 - 5am:
Detoxification in the lungs. Therefore there will sometimes be a severe cough for cough sufferers during this time. Since the detoxification process had reached the respiratory tract, there is no need to take cough medicine so as not to interfere with toxin removal process.

Morning 5 - 7am:
Detoxification in the colon, you should empty your bowel.

Morning 7 - 9am:
Absorption of nutrients in the small intestine, you should be having breakfast at this time. Breakfast should be earlier, before 6:30am, for those who are sick.

Breakfast before 7:30am
Is very beneficial to those wanting to stay fit . Those who always skip breakfast, they should change their habits, and it is still better to eat breakfast late until 9 - 10am rather than no meal at all.

Sleeping so late and waking up too late will disrupt the process of removing unnecessary chemicals. Aside from that, midnight to 4:00 am is the time when the bone marrow produces blood. Therefore, have a good sleep and don't sleep late.

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The Main Causes Of Liver Damage Are

1. Sleeping too late and waking up too late are main cause.

2. Not urinating in the morning.

3. Too much eating.

4. Skipping breakfast.

5. Consuming too much medication.

6. Consuming too much preservatives, additives, food coloring, and artificial sweetener.

7. Consuming unhealthy cooking oil.
As much as possible reduce cooking oil use when frying, which includes even the best cooking oils like olive oil. Do not consume fried foods when you are tired, except if the body is very fit.

8. Consuming raw (overly done) foods also add to the burden of liver.
Veggies should be eaten raw or cooked 3-5 parts. Fried veggies should be finished in one sitting, do not store.

We should prevent this without necessarily spending more. We just have to adopt a good daily lifestyle and eating habits. Maintaining good eating habits and time condition are very important for our bodies to absorb and get rid of unnecessary chemicals according to 'schedule.'

Read More....

Headache Will Be Gone

Our noses have left and right nostrils. Are these nostrils having the
same function for inhaling (breathe in) and exhaling (breathe out)?

Actually it's not the same and we can feel the difference.
Accordingly, the right side represents the sun and the left side
represents the moon.

When having headache, try to close your right nostril and use your
left nostril to do breathing for about 5 min. The headache will be
gone.

If you feel too tired, do it the opposite way. Close your left nostril
and breathe through your right nostril. After a while, you will feel
refresh again.

Because the right side belongs to heat, so it gets hot easily. The
left side gets cold easily.

Women breathe mainly with their left nostril, so they get calm down easily.

Men breathe mostly with their right nostril, so they get angry easily.

When we wake up, do we notice which nostril breathes faster? Is it the
left side or the right side?

If the left nostril breathes faster, you will feel very tired. Close
your left nostril and use your right nostril for breathing and you
will get refresh quickly.

You can teach your kids about it. The effect of breathing therapy is
much better for adults.

I used to have painful headache. When consulted a doctor, he told me
jokingly," You will be all right if you get married!" The doctor did
not bullshit me as he had his theory and supported with testimony.

During that time, I used to have headache every night and I was not
able to study. I took medicine but I was not cured.

One night as I sat down to meditate, I closed my right nostril and
breathed with my left nostril. In less than a week, it seemed that my
headache problem had left me! I continued doing it for about a month
and since then there was no recurrence of headache in me.

This is my own experience. I used to tell others who also suffer
headache to try this method as it was effective for me. It also works
for those who have tried as well. This is a natural therapy, unlike
taking medicines for a long time may have side effect. So, why don't
you try it out?

Practice the correct ways of breathing (breathe in and breathe out)
and your body will be in a very relaxing condition.

Read More....

Vitamin

Americans love to take their vitamins. More than 150 million Americans take dietary supplements according to the Council for Responsible Nutrition, a supplement industry trade group.
But what should you do? Walk through the vitamin aisle of any grocery store, and you're hit by a staggering array of options. From vitamin A to glucosamine to milk thistle (what is that, anyway?) to whey protein, it's hard to decide what to take.
That's why this week the Empowered Patient asked four experts -- all medical doctors -- what supplements they take every day.

Their lists may surprise you -- they all take at least two supplements -- some take three or four or more.Choosing a daily vitamin regimen is especially daunting in light of two new studies out this week. In the largest and longest study of its kind, researchers at Brigham and Women's Hospital in Boston, Massachusetts, found that vitamins C and E do nothing to protect against heart disease in men.

The study, published in The Journal of the American Medical Association, also found that vitamin E even appeared to raise the risk of bleeding strokes, which, while rare, are often the most deadly. Other research on women and vitamins is also discouraging.

A study in the Journal of the National Cancer Institute this week found that a daily regimen of vitamin D and calcium did not offer any protection against invasive breast cancer. With those studies in mind, here's what our panel of experts takes every day. For more advice about vitamins Dr. Andrew Weil; Age: 66; director, Arizona Center for Integrative Medicine; Drweil.com

What he takes:
1. A daily multivitamin/multimineral

2. Vitamin D. Vitamin D deficiency has been linked to breast cancer, colon cancer, prostate cancer, heart disease, and multiple sclerosis, as well as other conditions. Studies show many of us are vitamin D deficient. Weil says look on the label to make sure you're getting vitamin D3, not vitamin D2.

. Magnesium. Lack of magnesium may lead to irritablity, muscle weakness, and irregular heartbeat.

4. Juvenon (or "Omega"), a compound believed to enhance cellular health and function. This supplement contains two nutrients, acetyl-L-carnitine and alpha lipoic acid. The company that makes Juvenon says benefits include "more energy," a "sharper mind", and "more restful sleep." Don't MissIn Depth: Empowered Patient

5. Co-Q-10, a supplement that boosts coenzyme Q10, which is produced by the human body and is necessary for the basic functioning of cells. Animal studies have found that coenzyme Q10 helps the immune system work better and makes the body better able to resist certain infections and types of cancer.
Weil, author of 10 books including, "Eight Weeks to Optimum Health," says it is important to take studies, like the one in JAMA, with a grain of salt. "I believe vitamins E and C are important as part of our antioxidant defenses, even if we have not yet documented specific preventive effects," says Weil.

What not to take
Weil says men shouldn't take iron unless they've been diagnosed by a physician as having iron deficiency anemia. He also advises against men taking calcium supplements; he's concerned they could increase the risk of prostate cancer.
Dr. Christiane Northrup; Age: "50 something;" author, "The Secret Pleasures of Menopause;" Drnorthrup.com

What she takes:
1. Antioxidant supplement
2. Fish oil. Some studies have found fish oil, which contains omega 3 fatty acids, can help lower triglyceride levels, lower blood pressure, and help depression, among other uses.
3. Calcium, which can help prevent osteoporosis -- a problem in particular for older women
4. Magnesium
5. Coenzyme Q10
6. Vitamin D

Northrup, an authority on women's health and wellness and author of the new book "The Secret Pleasures of Menopause," says it is important to remember that vitamins are not drugs. They don't work the same way in the body.
"Vitamins are best taken in the correct proportions to each other," says Northrup. For example, she says if you are taking folic acid, which is a B vitamin, you'll do better when you also take the other Bs that make up the B complex. Says Northrup, "That's how nutrients occur naturally and how the body best utilizes them."

What not to take
Northrup says postmenopausal women almost never need iron, and taking too much might pose a risk for heart health.
Dr. Walter Willett; Age: 63; chairman, Department of Nutrition, Harvard School of Public Health What he takes:
1. Multivitamin
2. Vitamin D

Willett thinks the jury is still out on vitamin E and C and heart health. "I don't think we have the final answer," says Willett, the chair of the Department of Nutrition at the Harvard School of Public Health. He points out that in the Women's Health Study, women receiving vitamin E experienced a statistically significant 24 percent reduction in total cardiovascular disease mortality.
What not to take
He agrees with Dr. Weil: men don't need extra calcium, and high intake might increase the risk of prostate cancer.
Dr. Melina Jampolis; Age: 38; Drmelina.com
What she takes:
1. Multivitamin
2. Calcium
3. Vitamin D
4. Omega 3

Jampolis, who practices in San Francisco, California, and specializes exclusively in nutrition for weight loss and disease prevention and treatment, says everyone should take a basic multivitamin. "I like to call it an insurance policy," she says.
What not to take
What not to take: "I'm not convinced that the 'beautiful skin' vitamins really help much -- it's much better to get the nutrients from your diet, drink water, and wear sunscreen," Jampolis says.

The bottom line
Our experts agree you shouldn't make decisions about what vitamins to take based on a single study. For example, the JAMA study findings didn't make our experts lose faith in these two vitamins.
"I believe vitamins E and C are important for optimum health as part of our antioxidant defenses, even if we have not yet documented specific preventive effects," Weil says.
The experts also agree that taking vitamins is only part of the larger puzzle. You also need to watch your diet and exercise. And, do your homework. New studies come out all the time.

Read More....

Headache Will Be Gone!

Our noses have left and right nostrils. Are these nostrils having the
same function for inhaling (breathe in) and exhaling (breathe out)?

Actually it's not the same and we can feel the difference.
Accordingly, the right side represents the sun and the left side
represents the moon.

When having headache, try to close your right nostril and use your
left nostril to do breathing for about 5 min. The headache will be
gone.

If you feel too tired, do it the opposite way. Close your left nostril
and breathe through your right nostril. After a while, you will feel
refresh again.
Because the right side belongs to heat, so it gets hot easily. The
left side gets cold easily.

Women breathe mainly with their left nostril, so they get calm down easily.

Men breathe mostly with their right nostril, so they get angry easily.
When we wake up, do we notice which nostril breathes faster? Is it the
left side or the right side?

If the left nostril breathes faster, you will feel very tired. Close
your left nostril and use your right nostril for breathing and you
will get refresh quickly.

You can teach your kids about it. The effect of breathing therapy is
much better for adults.

I used to have painful headache. When consulted a doctor, he told me
jokingly," You will be all right if you get married!" The doctor did
not bullshit me as he had his theory and supported with testimony.

During that time, I used to have headache every night and I was not
able to study. I took medicine but I was not cured.

One night as I sat down to medidate, I closed my right nostril and
breathed with my left nostril. In less than a week, it seemed that my
headache problem had left me! I continued doing it for about a month
and since then there was no recurrence of headache in me.

This is my own experience. I used to tell others who also suffer
headache to try this method as it was effective for me. It also works
for those who have tried as well. This is a natural therapy, unlike
taking medicines for a long time may have side effect. So, why don't
you try it out?

Practice the correct ways of breathing (breathe in and breathe out)
and your body will be in a very relaxing condition.

Read More....

Preventive Medication For Malaria

• The objective of preventive medication is to prevent death caused by Plasmodium falciparum Malaria.
• No drug is 100% effective in preventing Malaria.
• Drugs do not prevent initial infection. Mosquitoes still bite and parasites will be transferred to your blood stream.
• It is reasonable not to take Malaria preventive drugs if you are only visiting a Malaria area for up to 3 days: Obsessive mosquito protection should be sufficient.
• The choice whether or not to take preventive medication is yours.
• Malaria may be up to 10 times more common in those who do not take any drug prevention in known Malaria areas.
• About 50% of people do not take the preventive medication as directed.
• Resistance to preventive drugs is a major problem. Assume all of Indonesia has Chloroquin resistance.
• Which preventive drugs to take depends on many factors. This should be discussed with your doctor.

Early Diagnosis and Treatment:
• Malaria has no specific symptoms eg it can mimic Flu, Pneumonia, Gastroenteritis etc. Shivering, headache & high fevers are common.
• Malaria symptoms usually occur more than 7 days after infection but symptoms may occur weeks or months later.
• ANY fever on return from or while travelling in Indonesia may be Malaria and MUST be investigated within 48 hours of onset. Young children and pregnant women are particularly at risk from Malaria.
See a doctor and insist on a Malaria screen.
• If appropriate treatment is started by the fourth day of illness(not infection) then the adult Malaria patient is not likely to die.
• If you are travelling in an area more than 24 hours from medical help consider taking an Emergency Self Treatment Pack for Malaria. Further treatment on return home will still be necessary. Discuss with your doctor.
• Pregnant women and young children should think seriously about travel in known Malaria areas. Our advice is not to travel unless necessary.

Preventive Malaria Drugs:
Discuss preventive treatment with your doctor well before you leave. Your past medical history, any drug allergies, other medication you are taking, whether you are pregnant and the age of children traveling will influence drug choice.

The most commonly used Malaria preventive drugs are:
1. Doxycycline.
• Dose is 100mg per day starting 2 days before travel and continuing for 4 weeks on return.
• Not suitable for pregnant women and children under 8 years.
• Common side effects: Nausea, indigestion, increased sensitivity to sunburn, thrush in females.

2.Mefloquine("Lariam"):
• Dose is one tablet per week taken on the same day each week starting one week before travel and continuing for 4 weeks after return.
• Suitable for pregnant women in the second and third trimesters and can be given to children over 3 months of age but discuss first.
• Common side effects: Nausea, vomiting, dizziness, headaches -usually transient. Occasionally confusion, anxiety, agitation, depression, sleep disorders. Incidence of all side effects is low but discuss with your doctor.

3.Other Drugs:
Fansidar, Chloroquin, Proguanil plus Chloroquin combination are also used but not usually recommended by this clinic. Discuss with your doctor.

Read More....

Natural Food To Keep Your Artery Clean

Your arteries are blood vessels that transport oxygen and nutrients from your heart to the rest of your body. In order for this important process to occur, your arteries should be flexible, strong, elastic and clear of any deposits.
All fruits and vegetables are said to help prevent heart disease, but certain varieties (like apples) pack a particularly powerful punch.

However, over time deposits of fatty substances, cholesterol, cellular waste products, calcium and other substances can build up in your arteries. These plaques can severely restrict blood flow and, even more seriously, they can cause your arteries to rupture, leading to blood clots.
Blood clots can then block your blood flow entirely, leading to heart attack and stroke.

In fact, a build-up of plaques in your arteries, known as atherosclerosis, is the main underlying cause of heart disease.So keeping your arteries clean is not only a key part of your heart health, it's a key to your health overall.

While exercising on most days of the week is an excellent way to keep your arteries healthy, your diet also plays a major role. Here we've identified 10 foods that are especially adept at helping to keep your arteries clean.
1. Grapefruit:
It contains a type of fiber called pectin, which has been shown in animal studies to slow down the progression of atherosclerosis.

2. Green Tea:
This healthy beverage contains procyanidins, which have been found to help prevent blood clots and promote healthy endothelium (the tissues that lines blood vessels and your heart).

3. Apples:
Apples (particularly Red Delicious and Granny Smith) are also rich in procyanidins.

4. Garbanzo beans:
Garbanzo beans contain both soluble and insoluble dietary fiber, which help to remove cholesterol- containing bile from your body. They are also known to help prevent heart disease.

5. Olive oil:
Using olive oil as your exclusive source of oil may cut your risk of coronary heart disease almost in half, according to the CARDIO2000 case-control study, published in Clinical Cardiology. Meanwhile, studies show that particles of LDL (bad) cholesterol that contain monounsaturated fats (found in olive oil) are less likely to become oxidized. This is important because only oxidized cholesterol is able to stick to your artery walls and form plaques.

6. Spinach:
This leafy green contains both vitamin C and vitamin A, which team up to prevent cholesterol from becoming oxidized (and thereby helping to prevent plaques from forming in your arteries).

7. Salmon:
Salmon is rich in omega-3 fats, which make blood less likely to clot inside arteries and prevent cholesterol from becoming damaged or oxidized. Choose wild-caught salmon (instead of farm-raised) for the most benefits.

8. Tomatoes:
Tomatoes are rich in lycopene, an antioxidant that may make LDL cholesterol much less susceptible to becoming oxidized -- again, this is the first step in the formation of plaque formation and is a major risk factor for heart disease.

9. Swiss Chard:
Swiss chard is an excellent source of the antioxidant vitamin E, which helps prevent free radicals from oxidizing cholesterol. Eating a diet rich in vitamin E has been shown to significantly reduce the risk of developing atherosclerosis.

10. Garlic:
Garlic helps your heart and arteries in numerous ways, including:
- Stimulating the production of nitric oxide in the lining of blood vessels, which may help them to relax
- Inhibiting coronary artery calcification, which serves as a marker for plaque formation
- Preventing the oxidation of cholesterol
- Reducing the formation of nanoplaque (the first building blocks of plaque) by up to 40% and reducing the size of the nanoplaque that has already formed by up to 20%, according to a study by German scientist Professor Güautnter Siegel, M.D., from the University of Medicine in Berlin

Read More....

Vitamins

ATLANTA, Georgia (CNN)
Americans love to take their vitamins. More than 150 million Americans take dietary supplements according to the Council for Responsible Nutrition, a supplement industry trade group.

But what should you do? Walk through the vitamin aisle of any grocery store, and you're hit by a staggering array of options. From vitamin A to glucosamine to milk thistle (what is that, anyway?) to whey protein, it's hard to decide what to take.
That's why this week the Empowered Patient asked four experts -- all medical doctors -- what supplements they take every day.

Their lists may surprise you -- they all take at least two supplements -- some take three or four or more.
Choosing a daily vitamin regimen is especially daunting in light of two new studies out this week. In the largest and longest study of its kind, researchers at Brigham and Women's Hospital in Boston, Massachusetts, found that vitamins C and E do nothing to protect against heart disease in men.

The study, published in The Journal of the American Medical Association, also found that vitamin E even appeared to raise the risk of bleeding strokes, which, while rare, are often the most deadly. Other research on women and vitamins is also discouraging.

A study in the Journal of the National Cancer Institute this week found that a daily regimen of vitamin D and calcium did not offer any protection against invasive breast cancer.
With those studies in mind, here's what our panel of experts takes every day. For more advice about vitamins Dr. Andrew Weil; Age: 66; director, Arizona Center for Integrative Medicine; Drweil.com

What he takes:
1. A daily multivitamin/multimineral

2. Vitamin D. Vitamin D deficiency has been linked to breast cancer, colon cancer, prostate cancer, heart disease, and multiple sclerosis, as well as other conditions. Studies show many of us are vitamin D deficient. Weil says look on the label to make sure you're getting vitamin D3, not vitamin D2.

3. Magnesium. Lack of magnesium may lead to irritablity, muscle weakness, and irregular heartbeat.

4. Juvenon (or "Omega"), a compound believed to enhance cellular health and function. This supplement contains two nutrients, acetyl-L-carnitine and alpha lipoic acid. The company that makes Juvenon says benefits include "more energy," a "sharper mind", and "more restful sleep."

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In Depth: Empowered Patient

5. Co-Q-10, a supplement that boosts coenzyme Q10, which is produced by the human body and is necessary for the basic functioning of cells. Animal studies have found that coenzyme Q10 helps the immune system work better and makes the body better able to resist certain infections and types of cancer.
Weil, author of 10 books including, "Eight Weeks to Optimum Health," says it is important to take studies, like the one in JAMA, with a grain of salt. "I believe vitamins E and C are important as part of our antioxidant defenses, even if we have not yet documented specific preventive effects," says Weil.
What not to take
Weil says men shouldn't take iron unless they've been diagnosed by a physician as having iron deficiency anemia. He also advises against men taking calcium supplements; he's concerned they could increase the risk of prostate cancer.
Dr. Christiane Northrup; Age: "50 something;" author, "The Secret Pleasures of Menopause;" Drnorthrup.com

What she takes:
1. Antioxidant supplement
2. Fish oil. Some studies have found fish oil, which contains omega 3 fatty acids, can help lower triglyceride levels, lower blood pressure, and help depression, among other uses.
3. Calcium, which can help prevent osteoporosis -- a problem in particular for older women
4. Magnesium
5. Coenzyme Q10
6. Vitamin D
Northrup, an authority on women's health and wellness and author of the new book "The Secret Pleasures of Menopause," says it is important to remember that vitamins are not drugs. They don't work the same way in the body.
"Vitamins are best taken in the correct proportions to each other," says Northrup. For example, she says if you are taking folic acid, which is a B vitamin, you'll do better when you also take the other Bs that make up the B complex. Says Northrup, "That's how nutrients occur naturally and how the body best utilizes them."

What not to take
Northrup says postmenopausal women almost never need iron, and taking too much might pose a risk for heart health.
Dr. Walter Willett; Age: 63; chairman, Department of Nutrition, Harvard School of Public Health
What he takes:
1. Multivitamin
2. Vitamin D
Willett thinks the jury is still out on vitamin E and C and heart health. "I don't think we have the final answer," says Willett, the chair of the Department of Nutrition at the Harvard School of Public Health. He points out that in the Women's Health Study, women receiving vitamin E experienced a statistically significant 24 percent reduction in total cardiovascular disease mortality.
What not to take>
He agrees with Dr. Weil: men don't need extra calcium, and high intake might increase the risk of prostate cancer.
Dr. Melina Jampolis; Age: 38; Drmelina.com

What she takes:
1. Multivitamin
2. Calcium
3. Vitamin D
4. Omega 3

Jampolis, who practices in San Francisco, California, and specializes exclusively in nutrition for weight loss and disease prevention and treatment, says everyone should take a basic multivitamin. "I like to call it an insurance policy," she says.
What not to take
What not to take: "I'm not convinced that the 'beautiful skin' vitamins really help much -- it's much better to get the nutrients from your diet, drink water, and wear sunscreen," Jampolis says.

The bottom line
Our experts agree you shouldn't make decisions about what vitamins to take based on a single study. For example, the JAMA study findings didn't make our experts lose faith in these two vitamins.

"I believe vitamins E and C are important for optimum health as part of our antioxidant defenses, even if we have not yet documented specific preventive effects," Weil says.
The experts also agree that taking vitamins is only part of the larger puzzle. You also need to watch your diet and exercise. And, do your homework. New studies come out all the time.

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To Much Cola Cause A Problem

WEDNESDAY, May 27 (Health Day News)

Drinking too much cola can increase the risk of a muscle problem called hypokalemia, experts warn.In people with hypokalemia, a drop in blood potassium levels results in problems with vital muscle functions.
Symptoms can range from mild weakness to serious paralysis,
say Greek researchers who conducted a review of people who drank between
two to nine liters of cola a day.
Two of the patients were pregnant women who were admitted to hospital with low potassium levels.

One was a 21-year-old woman who drank up to three liters of cola a day and complained of fatigue, appetite loss and persistent vomiting.
An electrocardiogram revealed she had a heart blockage, and blood tests showed she had low potassium levels, the researchers explained in a news release.

The second pregnant patient, who'd consumed up to seven liters of cola a day for 10 months, had low potassium levels and was suffering from increasing muscular weakness, the researchers noted. Both patients made a rapid and full recovery after they stopped drinking cola and took oral or intravenous potassium.
The case studies are described in the June issue of the International Journal
of Clinical Practice. "We are consuming more soft drinks than ever before,
and a number of health issues have already been identified including tooth problems, bone demineralization and the development of metabolic syndrome
and diabetes," and there's increasing evidence that excessive cola consumption leads to hypokalemia, Dr. Moses Elisaf, of the University of Ioannina, said in the news release. Elisaf said the three most common ingredients in cola -- glucose, fructose and caffeine -- can contribute to hypokalemia.

"The individual role of each of these ingredients in the pathophysiology of cola-induced hypokalemia has not been determined and may vary in different patients," Elisaf said. "However, in most of the cases we looked at for our review, caffeine intoxication was thought to play the most important role.

This has been borne out by case studies that focus on other products that contain high levels of caffeine but no glucose or fructose."However, "caffeine-free cola products can also cause hypokalemia because the fructose they contain can cause diarrhea," Elisaf said.
More informationThe MedlinePlus Medical Encyclopedia has more about hypokalemia

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Chicken Wings - It's Dangerous

Avoid eating chicken wings frequently - ladies, especially; a true story...!

A friend of mine recently had a growth in her womb and she underwent an operation to remove them.

The cyst removed was filled with a dark colored blood. She thought that she would be recovered after the surgery but! she was terribly wrong.

A relapse occurred just a few months later. Distressed , she rushed down to her gynecologist for a consultation.

During her consultation, her doctor asked her a question that puzzled her.

He ask if she was a frequent consumer of chicken wings and she replied yes wondering as to how, he knew of her eating habits.

You see, the truth is in this modern day and age; chickens are injected with steroids to accelerate their growth so that the needs of this society can be met.

This need is none other than the need for food.

Chickens that are injected with steroids are usually given the shot at the neck or the wings.

Therefore, it is in these places that the highest concentration of steroids exists.
These steroids have terrifying effects on the body as it accelerates growth...
It has an even more dangerous effect in the presence of female hormones, this leads to women being more prone to the growth of a cyst in the womb. Therefore, I advise the people out there to watch their diets and to lower their frequency of consuming chicken wings!

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Cold Water

Heart Attacks And Drinking Warm Water This is a very good article. Not only about the warm water after your meal, but about Heart Attacks.

The Chinese and Japanese drink hot tea with their meals, not cold water, maybe it is time we adopt their drinking habit while eating. Who like to drink cold water, this article is applicable to you.

It is nice to have a cup of cold drink after a meal. However, the cold water will solidify the oily stuff that you have just consumed. It will slow down the digestion.

Once this 'sludge' reacts with the acid, it will break down and be absorbed by the intestine faster than the solid food. It will line the intestine. Very soon, this will turn into fats and lead to cancer. It is best to drink hot soup or warm water after a meal.
Common Symptoms Of Heart Attack...
A serious note about heart attacks
- You should know that not every heart attack symptom is going to be the left arm hurting .
Be aware of intense pain in the jaw line .

You may never have the first chest pain during the course of a heart attack.
Nausea and intense sweating are also common symptoms.
60%of people who have a heart attack while they are asleep do not wake up.
Pain in the jaw can wake you from a sound sleep.

Let's be careful and be aware.
The more we know, the better chance we could survive.
A cardiologist says if everyone who reads this message sends it to 10 people, you can be sure that we'll save at least one life.
It could save a life. So, please be a true friend and send this article to all your friends you care about.

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Natural Teeth Whiteners

Natural Teeth Whiteners- Here are 2 solutions, try them both and see which one you like best. Most people have heard that baking soda and peroxide work, well it does. Here is the recipe for :

Solution#1:Mix on teaspoon of baking soda on a plate and add a few drops of hydrogen peroxide to make a paste, now scoop it off the plate with your toothbrush and use on your teeth.
Rinse thoroughly and do not swallow!

Solution#2: Mash 1 ripe strawberry into a pulp and mix with ½ teaspoon of baking POWDER, not soda. Using your toothbrush you can brush with this for 1 minute and let sit on your teeth for 5 minutes. The malic acid in the strawberries acts as an astringent which causes stains to loosen and be removed. The baking powder breaks into small particles to reach deeper stains on teeth. You can use either of these once per week.

Another tip for whiter teeth is to avoid cola's like coke, pepsi, dark-colored juices especially those with artificial coloring as well as tobacco products and coffee/tea. In addition do brush 4 times per day, bring a toothbrush to work if you have to.

Deep-Clean Oily Skin- A natural antiseptic and antibacterial ingredient, honey can be just the trick for your oily or blemished skin. Twice a day you'll want to use 1-2 tablespoons of honey and warm it either by rubbing in your own hands or by placing in the microwave for 10 seconds to soften it. Massage it onto clean, damp skin using a pressing and releasing technique. Rinse well with warm water and pat your face dry.

Relieve Itchy Skin- Add 2-3 cups of quick cooking oats to your bathtub of hot water. Let is settle and stew in the water for a bit. When you are bathing, pick up handfuls of the oats and cover the itchy areas. You'll need to shower with clean water when you are done, but do not use soap. This little recipe is great for adults as well as a child with chicken pox or poison ivy.

Moisturizing dry hands & cuticles
Create a mix for your hands of one tablespoon of olive oil and 1 teaspoon sea salt (sugar if you don't have salt)
. Once the mix is created wet your hands and quickly pat dry so still damp. Now pour the mix on the palms and tops of your hands to be sure to cover the cuticles and nails also
. Keep rubbing this mixture for 1 minute. Now sit for 10 minutes and let the olive oil soak in. Now rinse your hands with lukewarm water and a gritty soap if you have it to cut the grease
. You might have to wash a couple times with soap to remove. Once clean, pat dry and coat your hands and nails in some of your best rich hand cream. This replaces the need for such an exfoliating scrub like Sally Hansen.
The oil moisturizes while the sea salt scrubs away dead skin to reveal new healthy skin. Do the same with your feet.
I always do this before I begin painting my nails for an at-home manicure or pedicure.

Want to lighten your hair?
- When spring and summer hit most people head to the salon and get themselves some highlights for that sun-kissed look.
Highlights are great but the chemicals over time can cause hair to become dry and can be quite expensive.

I know that most people that try sun-in spray from the drugstore usually go orange, especially if you are blond to begin with. If you aren't looking for a major contrast in color but just a simple lightening, try lemon juice. Use a spray bottle with ¾ lemon juice (freshly squeezed is best, but the store-bought will do) and ¼ water and coat your hair by spraying all over the top.

The sun has to process this to work, so you'll have to sit outside in the sun.
If you don't like to tan, cover yourself up and hold a towel over your face.
After about an hour you can wash it all out with shampoo. You'll notice lighter, shinier hair. This won't be a dramatic difference but will do the trick.

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Special For Woman

Finding hard to land a date? Well, Sydney writer Sam de Brito's new book, 'Building a Better Bloke' might just help. Brito has admitted that he has had his share of dud dates - partly because his past approach to dating involved getting drunk.

But now, he has made a few adjustments when it comes to luring the opposite sex. And he has urged other Aussie men to do the same in his new book.
"I'm not trying to teach men how to be a pick-up artist or a stud, I want to show men how to build self-esteem, build a life for themselves - which in turn will attract women," the Courier Mail quoted Brito, as saying.
According to the 39-year-old, his generation has lost the art of communicating with women.
"Aussie guys have fallen through the cracks. We like to think of Australian men as bold and confident and a lot of them aren't," he said.
He said that for some, the biggest fear in life is approaching and striking up a conversation with a woman.

In this case, he has suggested practice and a sense of humour is the key.
The catchphrase of his book is: "Find a life and you'll find love".
"The biggest thing is not to look cool, but to have a life with lots of interests. Become involved in your life, look after yourself, and you're primed to meet someone," he said.

He said that good manners and keeping clean are also important.
"Be a gentleman. Respect yourself. Even if you're funny and charming, you're not going to get far with a woman if you smell," he said.
Besides clean sheets and clean fingernails, 'Building a Better Bloke' also reminds men of the simple things, like holding a door open for women.

De Brito's 10 tips for lure woman:

1- Stay healthy

2- Don't abuse alcohol or drugs

3- Have a job that means something to you

4- Be busy with your own activities

5- Be well groomed and clean

6- Have a sense of humour

7- Talk to women as individuals, not as a gender

8- Be a gentleman

9- Don't mix with loser friends

10- Have a clean bedroom, clean sheets - and a lamp to create romantic lighting.

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Uncommon Diseases in Jakarta

UNCOMMON DISEASES
Rabies:
Rabies is a viral illness contracted from the bite, scratch or saliva of many warm blooded animals. Monkeys, dogs and cats are the common sources in Indonesia.

• Avoid touching or being licked by any furry stray animal in the street, markets or gardens.
• If bitten by a monkey or stray animal seek medical treatment immediately.
• Vaccination is available in Indonesia, and is recommended if you are living or travelling in rural areas.

Japanese B Encephalitis:
• This is a rare, viral illness spread by mosquitoes especially during the wet season.
• It usually occurs in epidemics in rural areas where there is surface water, pigs, horses and water birds.
• A vaccine is not available.

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