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Men’s HealthOne of the most important keys to kicking the smoking habit is to cut back on your coffee intake and all other products which contain caffeine, including teas, colas and chocolate. Caffeine seems to trigger the desire to smoke, partly because the physiological effects which it has on the central nervous system are similar to the effects of nicotine. Smoking is also part of a constellation of deeply seated social rituals, of which coffee drinking is one. The idea is to break those unconscious connections associated with lifestyle habits which trigger the smoking response.
Try scrambling lots of different habits, so that you bring more of your unconscious behaviour to the level of conscious reflection. If you can give up your morning cup of coffee, it will be much easier to give up the morning cigarette that you associate with it. As your will becomes more determinate, try doing the same thing throughout the day.
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ACNE: ENDING BREAKOUTS ISNЂ™T HARD TO DO – ZIT DEFENSE 101
While nothing will remove acne from your life once and for all, there are plenty of things you can do to minimize the damage.
Men’s HealthWash gently. Because oil is at the heart of acne, it helps to keep the skin cleanЂ” but don’t overdo it. “People still think acne is a disease of dirt, and so they tend to wash too often and too vigorously,” says Alan R. Shalita, M.D., chairman of the Department of Dermatology at the State University of New York Health Science Center in Brooklyn. “That tends to exacerbate the condition by irritating the follicles.”
Michael Ramsey, M.D., an associate in the Department of Dermatology at Geisinger Medical Center in Danville, Pennsylvania, recommends washing twice a day with lukewarm water and a mild cleanser, using your fingertips, not a washcloth. Look for labels that have the words “sensitive skin cleanser” or “foaming facial cleanser” on them. Avoid soaps that have astringents, fragrances or moisturizing creams.
*22/257/8*

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DONЂ™T LET YOUR HEALTH GO UP IN SMOKE: THE EFFECT OF NICOTINE ON INSULIN LEVELS
Men’s HealthNicotine’s insulin-suppressing effect may reveal why one of the favourite times to smoke is after a meal. This being so, try taking a walk or a shower directly after a meal Ђ” do anything that scrambles your normal pattern of post-mealtime behaviour. By muting the normal release of insulin, smokers may be maintaining an artificially high blood sugar level. Suppressing insulin definitely suppresses hunger, since high blood sugar reduces appetite.
It is insulin which is responsible for transporting fatty acids into fat cells, so it is reasonable to conclude that high insulin levels register as a tendency to store fat. Conversely, low insulin, which occurs with nicotine use, means a diminished tendency to store fat. So long as you monitor your dietary intake of food and make sure you are doing adequate weight-resistance and aerobic exercise, say, 30 minutes a day (even two 15-minute workouts a day), four or five times a week, gaining weight should not be a problem. Initially, until your body adjusts to a lack of nicotine, try to maintain a stricter diet than you would ordinarily. After a couple of months, when your body becomes better adjusted, it will be easier for you to vary your diet in a way that keeps your weight in control, without compromising your health.
*23/107/2*

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WAYS TO PROTECT YOURSELF FROM GETTING AIDS
Kiss carefully. Theoretically, there’s no risk in a smooch on the cheek. But, in theory, deep, wet French kissing may pose a very low risk. If there were HIV-infected blood in the mouth of one kisser, the virus could potentially be absorbed directly through the mucous membranes in the mouth of the other kisser.
It is also possibleЂ”but highly unlikelyЂ”to get infected simply through oral sex. For that reason, it’s best to use a condom or a dental dam (a latex covering over the vagina) when you have oral sex. It’s best, though, to avoid this type of sex unless you’re sure your partner is HIV-free.
Men’s HealthKnow your blood supply. Sterilization and testing for HIV have virtually eliminated the risk of contracting AIDS through a blood transfusion in this country. But that’s not true in many parts of the world. Of course, it’s unlikely that you’ll need a blood transfusion while traveling, but if you do, it’s important to know if the blood supply is safe before you consent to receive one. If it isn’t and you feel even remotely well enough to travel, you might consider returning to the United States for treatment, Dr. Scutchfield suggests.
Don’t share syringes. Because AIDS is transmitted through the blood, you can easily contract the disease by injecting yourself with a needle previously used by another person.
*29/257/8*

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Other names: Dutagen

DONЂ™T LET YOUR HEALTH GO UP IN SMOKE: HOW TO SAY GOODBYE TO AN OLD FLAME
Only you have the power to make yourself quit smoking. Other people can encourage and support you, but ultimately only you can decide your own fate Ђ” and fate it most certainly is.
The link between heart disease and cigarette smoking is now incontestable, as is the association between smoking and lung cancer. Heart disease still ranks as the most frequent cause of death from disease in Western countries, and the growing incidence of lung cancer is not far behind. Perhaps the most important single step smokers could take to improve their health and prolong their lives is simply to quit smoking.
In a well-known study on longshoremen in San Francisco, for example, the death rate from coronary artery disease was significantly correlated with smoking. Among longshoremen of 45 to 54 years of age, the death rate was 3,3 times higher in the smoking population. Smokers in the 55 to 64 years of age group showed death rates 4.8 times higher than for non-smokers of the same age.
Men’s HealthIn another major study undertaken in Sweden, it has been demonstrated that of all those admitted to hospital during a specified period with acute cardiovascular disease, smokers were on average at least twenty years younger than the non-smoking group.
There are many reasons why smoking is hazardous to health, not the least of which is that nicotine and carbon monoxide are both lethal agents associated with smoking. Nicotine, in particular, is destructive of the cardiovascular system in a number of ways. Its incidental stimulation of the suprarenal glands responsible for the production of adrenalin, for example, prompts the release of noradrenaline, a substance which serves to constrict the multifarious small blood vessels throughout the body, thus increasing the burden placed upon the heart muscle. One side effect of this constriction is a skin surface temperature drop of 2 to 4 degrees Celsius, accompanied by rises in blood pressure and pulse rate, both of which increase the risk of heart attack.
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THE RETURN OF INFECTIOUS DISEASE: WHY IS THERE A REVIVAL IN INFECTIOUS DISEASE?
While medical science is traditionally applauded for having brought about the elimination of infectious disease, the role played by medical measures in the improvement of health is less clear than it once seemed. Although it is true that infectious disease had been virtually eliminated in Western countries by the middle of the twentieth century, we are presently faced, with the revival of tuberculosis, whooping cough and other infectious maladies, the explanation of which in conventional terms is decidedly inadequate.
The basic assumption has been that immunisation and medical therapy have led to the extirpation and continued control of infectious disease. If immunisation and therapy are the key factors to infections disease control, why then are these diseases reoccurring despite systematic programs of immunisation?
The answer lies in the recognition that the decline of infectious disease in the late nineteenth century and the first half of the twentieth century was due neither to immunisation programs nor medical therapies. Indeed, by the time the origins of infectious disease were sufficiently well understood in order to enable vaccines to be developed and administered properly, many infectious diseases had already been robbed of their virility.
In his apparently much ignored or neglected presidential address in 1971 to the British Association for the Advancement of Science, Dr R. R. Porter reported that between I860 and 1965, almost 90 per cent of the total decline in infant mortality among children up to fifteen suffering from infectious diseases, including diphtheria and whooping cough, had occurred prior to the introduction of either the immunisation programs or antibiotics relevant to the eradication and control of these diseases. It was in 1938 that sulphonamides became available for the treatment of whooping cough, by which time the incidence of the disease had already dropped markedly. Equally interesting is the fact that although the sulphonamides and antibiotics were hailed by many doctors as vital for the prevention and control of this disease, the effect of treatment by these drugs on the course of the disease in statistical terms is highly questionable.
The virulence of tuberculosis had also markedly declined prior to the introduction of antibiotics. Non-respiratory tuberculosis, a significant cause of death in the nineteenth century, is a case in point. Although Streptomycin was regarded as the first effective measure against the disease, it is clear that the level of incidence of this form of tuberculosis was already low when the drug made its way onto the market in 1947. The same pattern of reduced virulence prior to the introduction of relevant antibiotics and immunisation can be observed for the majority of other infectious diseases, including typhoid, whooping cough, measles, scarlet fever and diphtheria.
Once we appreciate that medical measures such as immunisation programs and the administration of antibiotics have not necessarily been the key factors in the prevention and control of infectious diseases, it is easier to see why they are reoccurring and that the way to control them is not to reinstitute measures whose effectiveness hindsight has now shown to be questionable. Although it is unlikely that any single factor can be identified which explains the decline in infectious disease by the beginning of this century, and its revival as we approach the end of it, there is considerable evidence to show that the rise and fall in the incidence of infectious diseases has more to do with environmental and social factors, including adequate nutrition, than anything else.
The major conditions which provide the context for the spread of infectious disease are poor hygiene, overcrowding, insufficient or inadequate food supplies, and poor sanitation, conditions which only a few decades ago were better in many ways for many people in Western countries than they are today. The once crystal-clear waters of our Australian beaches, especially those located near large cities, all too often carry the stench of the wastes they contain. When we swim or bathe in polluted seas, lakes or rivers, we expose ourselves to the very conditions and worse which led to a degradation of health for our ancestors a century or so ago.
Men’s HealthIn the United States, cities have witnessed the deterioration of the superb living standards which once characterised them. Overpopulation has led to overcrowding; overcrowding has led to intolerable sanitary conditions and unemployment has led to an army of homeless persons, predominantly male, who experience these conditions in the extreme. Those of the homeless who are infected with tuberculosis spread the disease as they move from place to place. They often seek shelter in places unfit for human life and optimally suited to the spread of infectious disease. Some well-intentioned makeshift hostels for the homeless provide hundreds of beds for them, all under the same roof and in the same room or hall. Is it any wonder that the disease is spreading at an exponential rate?
The rising incidence of AIDS only complicates the problem. Given the weakened immune systems of AIDS sufferers, they readily become carriers of the tuberculosis virus. Since many AIDS sufferers come from upper socioeconomic backgrounds and mix with people from those same backgrounds, the tuberculosis epidemic will not be confined to the poor. From possible exposure in the crowded streets in our cities, to our airports, trains, subways and buses, from our crowded cafes, restaurants, entertainment centres, arenas, gyms and sporting grounds, to our schools, universities, clubs and churches, we become vulnerable Ђ” whatever our social status Ђ” to the highly infectious tuberculosis virus.
*30/107/2*

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DONЂ™T LET YOUR HEALTH GO UP IN SMOKE: DO PEOPLE GAIN WEIGHT WHEN THEY STOP SMOKING?
Men’s HealthThe human body produces an important enzyme called lipoprotein lipase, whose job it is to store the fat circulating through the blood by increasing fat cell deposits. When fat cells become depleted, it is the function of lipoprotein lipase to replenish them. We now know that smoking inhibits the function of lipoprotein lipase which, in turn, means that less fat is stored in cells. The enzyme is still in the blood at the same levels, but it is no longer as efficient in storing fat. Smokers tend to be slightly thinner than non-smokers because their smoking has disrupted the delicate process whereby fat is efficiently stored. In addition, smoking also decreases the body’s ability to utilise certain vitamins and minerals, including vitamin C and calcium.
Studies have now been conducted to determine the effect on lipoprotein lipase levels when smokers ‘kick the habit’. It was discovered that smokers who exhibited high lipoprotein lipase levels prior to having stopped smoking gained the most weight once they quit. The explanation is that when the subjects quit smoking, the lipoprotein lipase function returned to normal, thus rendering a higher efficiency in the storage of fat. Although the subjects ingested no more kilojoules after they quit smoking than they had before quitting, substantial weight gains were made by a large number of participants.
*22/107/2*

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DONЂ™T LET YOUR HEALTH GO UP IN SMOKE: KICKING THE HABIT
Hopefully, some of these facts will help you in your decision to quit. Unfortunately, it will not be easy, and, if you ever pick up a cigarette again, you could well become addicted straight away. What many people fail to realise is that smoking is not simply a nasty ‘habit’, but is in fact an addiction. It is so strong that many people persist in what is clearly one of the most damaging things they can do to their health.
Still, no matter how difficult it may be, take hope! It is possible, with strong willpower, to quit. The best way to do this is to focus on a strategy for quitting, as the fight actually begins before you quit. Start one month before you are going to quit Ђ” set a quitting date, preferably a day with some significance, such as your birthday or Christmas day. The following tips may also help you kick the habit and keep it that way.
When you are tempted to smoke, try squeezing an object such as a rubber ball really hard, as this will promote a temporary increase in both your blood pressure and your pulse, mimicking the increase in these processes which smoking promotes, the absence of which is thought to trigger the urge to smoke. The rise in pulse rate accompanied by smoking, however, is unique in that, unlike more intensive exercise, it stimulates muscle relaxation rather than muscular tension.
Try to strengthen your abdominals or stomach muscles.
This may be the single most important step to take before
actually quitting. If you can contract your abdominal muscles very intensely it will help destroy the craving you experience to draw something into your lungs.
If you experience a craving for a cigarette, why not try to take a drag of clean, fresh air, and hold it in your lungs the way you would do if you were smoking. Have a few trial runs. Pretend that you are going cold turkey, but do so knowing you can resume smoking in 24 hours. Of course, if you can maintain your smoking ban for longer, do so! These dry runs will allow your body to become accustomed to not having smoke continuously inhaled into the lungs.
Men’s Health
CancerAnother useful restriction on your smoking at this stage would be to take only three puffs of a cigarette consecutively. This will slow down your habit without really trying hard. The typical smoker takes about eleven puffs per cigarette, so, even if you need to take more than three puffs in a row, just try to count it down to less than usual. Eventually, you may only need to take one puff per cigarette!
Switch to a low-nicotine brand. Some experts will argue about this, claiming that when a smoker uses a low-nicotine brand, the change simply causes the smoker to inhale more deeply. The idea here is that the tobacco is no different in low-nicotine brands; since the change is in the filter, which is stronger, the smoker will try to compensate by breathing more deeply. Even if this is correct, it should still follow that if you consciously inhale to the same depth as usual, the nicotine content breathed in will be less.
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ALCOHOLISM: A THINKING GUIDE IN DRINKING:
You knew your dad finally considered you a man the day he tossed you a cold beer. You knew you’d be accepted into your fraternity after you outdrank everyone at the freshman kegger. You knew your career was taking off when you had your first three-martini lunch with your boss.
From toasting a birth to mourning a death, alcohol is an integral part of the rites of passage in virtually every man’s life. But one passage no man wants to make is the slippery slide from a casual drinker to a man who has serious alcohol problems.
If you think an alcohol problem couldn’t ever corral you, think again. Alcoholism is an insidious diseaseЂ”it often takes years to developЂ”and no one is immune from its devastating effects, says Donald Damstra, M.D., an addiction medicine specialist and substance abuse consultant in Phoenix.
Men’s HealthIn fact, there is no typical man who abuses alcohol. It could be your boss, your minister, your son’s Boy Scout leader or even you.
If you are among the 12 million American men who have serious drinking problems, you should know that the dark side of alcohol is far bleaker than passing out with your head slumped over the toilet. Alcohol abuse can lead to cirrhosis of the liver, heart disease, stroke, cancer, high blood pressure, pneumonia, diabetes, gout, insomnia, impotence, brain damage, ulcers, malnutrition and premature aging of the skin and bones. It can spark depression, increase stress, destroy friendships, ruin your marriage and derail your career. Alcohol abuse also is linked to nearly half of all traffic, boating and drowning fatalities and one in five deaths caused by disease, accidents and murders.
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DONЂ™T LET YOUR HEALTH GO UP IN SMOKE: BEATING THE DRAG OF THE FIRST MONTH
The steps which you have taken in the month prior to giving up smoking will have done something very important for you Ђ” they will have helped prepare you mentally and physically for the big quit! When the quitting day arrives, smoking will no longer be an unconscious response. So what happens next?
The first thing you must now do is to put away all ashtrays and lighters in your home, and anything else you can think of which triggers a desire in you to smoke.
Try to go to non-smoking places, such as non-smoking restaurants, so the only choice you have is not to smoke. Remember that the gym can be a great place for you to be Ђ” you won’t smoke and you will feel better by exercising, especially if you begin to feel withdrawal symptoms.
Smoking diminishes muscle tension and many people understandably miss this aspect of the habit. One alternative is to achieve the same result by taking a long, hot, scented bath, followed by a massage, if possible.
Most importantly, since smoking has been destroying your heart and cardiovascular system, a regular program of exercise can help to improve your circulation and improve lung efficiency, thus decreasing the risk of heart attack and stroke. While you are developing your fitness, make certain that you do not take on too much exercise too soon. If you are inactive and unaccustomed to exercise, begin by taking a brisk walk at least once a day to stimulate your circulatory system. As soon as you can meet the physical demands of a brisk half-hour walk, you may wish to increase the degree of exercise intensity. Activities such as dancing in any of its varied forms, or a sport commensurate with your level of fitness, also provide options which can be fun and beneficial to health, especially to the health of your heart and lungs.
In addition to, or independently of, of improving cardiovascular fitness, you may wish to take up a program of weight-resistance exercise. My introductory book 12 Weeks to a Better Body for Men (Allen & Unwin, 1994) offers, I believe, a highly effective and well-structured system of weight-resistance exercise, designed to be undertaken in the privacy of your own home, with minimum need for equipment. The benefits of exercise in encouraging a healthy lifestyle and in helping to restore your heart and lungs to good health should not be underestimated.
Some people find it easier to overcome the desire to smoke by substituting a glass of fresh water for a cigarette when the urge to smoke seems overwhelming. Plenty of fresh water will in any case assist in cleansing the body by flushing impurities and toxins that may have accumulated after years of smoking.
Another way to overcome the urge to smoke is to eat a piece of fresh fruit, especially an orange or an apple. In order to keep your weight from increasing dramatically, however, it is important to be selective about what foods you substitute for a cigarette. Fresh fruit, even when eaten in large quantities, will do little to cause weight gain. What you need to avoid fastidiously is substituting treats such as chocolate or sweets for a cigarette.
Keep a diary of the times when you are most tempted to smoke so that you can determine patterns of behaviour which
Men’s HealthIf you are really serious about quitting the habit, you may also need to make some new friends who do not smoke. The more you surround yourself with smokers, the more difficult you may find it to kick the habit.
Above all, be reassured. No matter how many times you may have failed in the past, it is possible to quit smoking and the effort will, in terms of your health, be worth it.
*27/107/2*

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AIDS: SLASHING YOUR RISK
Fortunately, as we mentioned before, there are plenty of ways to protect yourself from getting AIDS. Here’s how.
Be faithful. Abstinence or maintaining a mutually monogamous relationship with a person who has tested HIV-negative are the only absolutely certain ways to avoid sexually acquiring an HIV infection, according to Michael Saag, M.D., director of the outpatient AIDS clinic at the University of Alabama School of Medicine, Birmingham.
Keep a condom handy. The next time you even think about having unprotected sex with someone new in your life, remember HIVЂ”as in “Hey, I’m vulnerable”Ђ” then reach for a condom.
Lubricated latex condoms are best because the lubrication protects against rips and the latex is an effective barrier against HIV. As an added precaution you can buy latex condoms that are coated with nonoxynol-9, a spermicide that has been shown to kill HIV on contact.
If you use a lubricant, be sure it’s a water-based product, such as K-Y Jelly, or spermicidal cream. Oil-based products like baby oil, cold cream or petroleum jelly can disintegrate latex condoms.
Men’s Health
Hair LossTry to keep dry. Because HIV can be transmitted through body fluids such as blood, semen and vaginal secretions, some experts advocate having sex without exchanging any body fluids at all.
Sometimes called manual sex or mutual masturbation, it is a concept that few people could have imagined before the age of AIDS. But there are a lot of things we’re all having to get used to, says F. Douglas Scutchfield, M.D., director of the Graduate School of Public Health at San Diego State University.
*28/257/8*

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AIDS: A BRUTAL RISE
Men account for eight of every ten cases of AIDS in the United States. In 1992 it was the leading cause of death among men ages 25 to 44, surpassing accidents, heart disease, cancer, suicide and murder.
Men’s HealthIntravenous drug use, homosexual sexual practices and a combination of these
States in 1994. But AIDS isn’t a “gay” or “junkie” disease. In fact, a growing number of young heterosexual men and women are getting the disease in the United States. Worldwide, the vast majority of AIDS infections have been contracted through heterosexual intercourse.
*26/257/8*

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ACNE: ENDING BREAKOUTS ISNЂ™T HARD TO DO
So you woke up this morning with a zit in the middle of your forehead. What do you do now?
Well, you could bravely venture forth, looking upon this as an exercise in humility, a chance to prove that you can transcend the merely physical. Or you could cancel all your appointments, pull the blinds and pray that this epidermal abomination disappears as quickly as it arrived.
Whichever course you choose, you’re likely to wonder why your acne didn’t disappear with your youth the way it was supposed to. The answer is fairly simple.
Men’s Health
CancerYour complexion goes bonkers during puberty because male hormones stimulate the production of the skin’s lubricating oil. As you get older, your hormones settle down, but they don’t disappear entirely, and neither may your acne. But fortunately, for most men acne is just a faded memory. Only between 5 and 10 percent of men over 25 still do regular battle with acne.
Despite the myth that chocolate or greasy foods are the cause of adult acne, doctors now believe heredity overwhelmingly dictates whether or not your pores have a tendency to clog.
*21/257/8*

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AIDS: PREVENTION IS YOUR BEST HOPE
By now, too many of us know at least one guy who has died from AIDS. As you helplessly watch the disease sap the life out of brothers, fathers, drinking buddies or mere acquaintances, you have to wonder: Could I be next?
That’s largely for you to answer.
Unlike many life-threatening heredity diseases that are beyond your control, you can take easy steps to prevent AIDSЂ”and prevention is the only certain defense against this prolific killer.
Unfortunately, a lot of men still needlessly risk losing their lives to acquired immune deficiency syndrome, because they’re either confused, misinformed or just plain foolish.
“I think guys underestimate their risk,” says David Herrell, director of the National AIDS Hotline, a toll-free information and referral service. “They make the assumption that the people they’re having sex with aren’t likely to be infected. Even when they realize there is a risk, once they get into the heat of passion, they forget about it.”
How common: By 1994 the Centers for Disease Control and Prevention (CDC) in Atlanta estimated a million Americans were infected with HIV, and 401,749 cases of AIDS had been diagnosed. Of those, 347,767 were men. By 2000 up to 110 million people worldwide will be infected.
Men’s HealthAge group affected: All ages, but it is the leadingtiller of men ages 25 to 44.
Gender gap: In most countries in Africa and some in the Caribbean and South America most HIV infections occur through heterosexual contactЂ”so men and women are almost equally likely to be infected. But in the United . States HIV still affects far more men than women. As of 1994, according to the CDC, men were infected six times more than women.
*25/257/8*

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RECOVERY FROM HEART DISEASE: KEEPING A BALANCE
We highlighted the importance of seeking a new balance in your life. This includes your physical health, your emotional well-being and your social support system. Life is an interacting dynamic, and you need to ensure that you don’t go off balance, and, if you do, that you don’t remain there. You will want to ensure that your marriage and your family are not in states of persistent unhappiness or conflict, and you are not emotionally distanced from your loved ones. You will want to avoid job strain, heavy financial pressure and estrangement from your family, friends and activities.
How do you do this? On the positive side, your happiness will be linked to a sense of harmony and balance, within yourself and in relation to others. On the cardiac side, by now you “know” what you have to do. Risk-factor modification is an ongoing lifestyle issue and will be much easier to maintain if your emotional life is in balance.
Ten steps to equanimity
One dictionary definition of “equanimity” is “evenness of mind or temper; composure.” This represents an attitude of balance between reacting to, or denial of, what has happened up to now, and the unrealistic expectation that heart disease will have no impact on your future well-being or future prospects. Equanimity emphasizes a balance that includes attention paid to your physical, social, emotional and spiritual self. Much as exercise programs continue indefinitely, this process of increasing self-awareness should continue indefinitely. Better understanding of how and why you react to your illness, your loved ones and the stresses and strains in your life will help you be better able to deal with these and continue with the gains that you have made during your rehabilitation.
Listen to your body. If during an activity you feel physically distressed, it is probably unwise for you to be doing it. This does not mean that a small amount of fatigue, or even shortness of breath, is dangerous and can’t, in fact, be energizing. Learn to take the “temperature” of your physical sensations; working somewhat harder at physical activity and being slightly tired is not dangerous and can be a sign that you are getting physical training. Learn also to distinguish true physical hunger from feeling like eating something that you may not need nutritionally. Try to distinguish “I want” from “I need,” and “I can’t” from “I won’t.”
Listen to your loved ones. Most of us are fortunate to have significant others, family members or trusted friends who have our welfare at heart and are able to be more objective about our condition than we ourselves can be. Listening carefully to their advice, even if we don’t always heed it precisely, can help us feel that we are part of a team rather than “going it alone.”
Seek professional advice. This includes from your doctors, staff at a cardiac rehabilitation clinic, a nutritionist, physiotherapist, spiritual adviser, and anyone you may have access to who can help you with specific aspects of your rehabilitation. Remember, they have your best interests in mind.
Be contemplative. Think carefully about the journey you are on, where you have come from and where you are heading, and what you need to do to stay on the right road. This includes appropriate use of hesitation. If you are about to turn the TV on, thinking, “Oh, I’m too tired to take a walk tonight,” consider whether this is what you really would like to do. Which activity will make you feel better about yourself, and ultimately give you more life satisfaction? Before you reach for that second piece of chocolate cake, hesitate; think of the positive benefits of taking control over your eating habits, which will make it easier for you to hesitate the next time.
Understand and follow your medical regimen. Fortunately, there are many effective and life-prolonging medications available to heart patients today. You may need to take many of these. Although you may think that they are a nuisance to take, have annoying side effects and represent a financial commitment, they also have undoubted long-term benefits. Understanding the nature of and the purpose for each of your medications will make it much easier for you to follow the regimen you are prescribed.
Be patient. Successful rehabilitation and recovery is a slow and ongoing process, and you should not expect to be able to change all of your habits overnight.
Be optimistic. This may not be an easy frame of mind to adopt, especially when you have been ill. Remember that most patients can achieve remarkable gains in their well-being and capacity for activity if they take it slowly, expect only small changes from day to day, and have faith in the ability of their bodies to improve. Remember, this improvement can take place even if the heart muscle does not itself get stronger, and despite the presence of fairly serious heart disease.
Cardio & Blood
Men’s HealthYou’re stronger than you think. Most of us have reserves of untapped energy that we never use, and our bodies are more resilient than we imagine. For example, the ejection fraction is the percentage of blood in the heart that is pumped with each beat. Normally this is over 50 percent, or even over 60 percent. Many patients with ejection fractions of 20 or 30 percent, formerly thought to be incapable of any level of exertion, can over time learn to perform almost all the activities of daily life, including the moderately strenuous ones. Over time, patients can completely change their eating habits, and even their outlook on life. Although difficult, change is possible.
The journey is never over. Remember, you are never truly “cured” of heart disease, but you can learn to live in stable equilibrium with your heart, and if you treat it with respect, it will be less likely to treat you rudely in the future.
*47/214/2*

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THE RETURN OF INFECTIOUS DISEASE: POOR NUTRITION AND THE RISK OF INFECTION
Similarly, we are rapidly coming full circle in regard to the provision of food. It is clear that the reaction to an infectious disease is in large part determined by an individual’s overall state of health. The nutritional condition of a person at the time of exposure to an infectious disease is a key factor in his or her resistance to it.
According to the World Health Organisation, one-half to three-quarters of all statistically recorded deaths of infants and young children are attributed to a combination of malnutrition and infection. Don’t our children have enough to eat, you may ask? One can understand why the poor and hungry of other countries can succumb to infectious disease, but surely not American and Australian children?
Men’s Health
Women’s HealthTo preserve foods for the shelves of our supermarkets, we usually add something to them (i.e. chemical preservatives); or we take something out of them which is likely to spoil (i.e. wheatgerm oil in the processing of flour); or we precook or freeze them, thereby also diminishing their nutritional value. There are also more and more foods on the supermarket shelves which are less and less worth eating in the sense that they have little, if any, nutritional value. Randomly pick up a packet from the shelves to read the ingredients and you are almost certain to find that the number of artificial (i.e. chemical) additives outnumber the wholefood constituents of the product. The worse our diet, the more susceptible to disease we become.
Obviously, the destitute and homeless males of our society are far worse off in this regard than we are, so they are more likely to become more vulnerable to infectious disease. Make no mistake, however. Their problems are our problems. In the end, infectious diseases, and especially tuberculosis, will have no respect for class barriers, therefore we need to have respect for the health of people of every class.
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