Endocrine disruptive chemicals include Bisphenols, phthalates, parabens, persistent organic pollutants, pesticides, herbicides, insecticides and heavy metals
EDC chemicals abound in the environment. They are both naturally occurring and artificially occurring in everyday items.
They have been associated with negative effects on male and female reproduction. They include bisphenols found in tin can liners, phthalates used as softener plasticizers in clothing and personal care products, parabens used as a preservative in food and personal care products, persisting organic pollutants used as industrial lubricants in manufacturing and as flame retardants contaminating products.
Simple steps to reduce exposure wash fruit and vegetables before use. Purchase known local produce. Minimize use of preprocessed or packaged foods Limit intake of fatty meats and oily fishes as the chemicals concentrate in the fats. Minimize handling of receipts as the thermal coating contains Bisphenols (BPA) as doe the lining of tin cans.
Drink water from hard plastic or glass bottles to reduce exposure to plasticizers. Do not heat food in soft plastic containers or with cling wrap – plastics may release dioxin. Avoid perfumed air fresheners volatile glues and solvents cleaners Air your environment frequently to reduce the concentration of inhalable particles, Read the labels of foodstuffs and personal care items with direct skin contact and purchase those low in parabens and other EDC including their packaging
Diverticular disease occurs in about 10% of people over 45 YO and 65% for those older than 70. Only 15-20% of patients have symptoms but a quarter of these will develop inflammatory diverticulitis which may be associated with significant infection abscess formation or haemorrhage. Consideration should be given to colonoscopy or ct colonography follow up following severe episodes of diverticulitis unless recently performed prior to the episode.
Antibiotics and resting the bowel during acute diverticulitis is commonplace during bouts of diverticulitis but a high fibre diet when the bowel is asymptomatic is the main stay of treating diverticular disease and avoiding diverticulitis inflammation.
Osteoporosis can be treated with medication , adequate Vit D and Calcium in the diet . Exercise can delay the onset of osteoporosis
Appropriate vigorous exercise includes :-
Basketball, netball, impact aerobics, dancing, gymnastics , tennis and skipping Moderate benefit can be derived from
Running, jogging , brisk walking , walking hills, resistance training and stair climbing
Destinations above 2500 metres may expose the traveler to possible altitude sickness by reducing the amount of inspired oxygen. Presenting symptoms may include headache, faintness or giddiness, breathlessness, nausea, vomiting or reduced exercise tolerance. Symptoms often present within 36 hours but may appear at a few days.
Previous altitude sickness increase the risk of recurrence.
Ascents greater than 500 metres / day above 3000 metres increase the likelihood of altitude sickness. A rest day every 3-4 days is recommended to assist acclimatization. Spending 2 nights at high altitudes in the 30 days preceding, before ascending further is beneficial.
Ibuprofen, Diamox and Dexamethasone have been found to be useful in treating altitude sickness. Nifedipine may also be useful
Contraindications to high altitude travel are severe COAD, severe or unstable ischaemic heart disease, heart failure, pulmonary hypertension, pregnancy, cerebrovascular disease or DVT.
Most ankle injuries are soft tissue damage diagnosed at clinical examination.
X-Ray / Ultrasound/MRI are only required if a fracture joint disruption or arthritis is suspected.
Initial treatment – usually for the first 8 hours
I ce – icepacks (wrap in cloth) 20 minutes 2 hourly during waking hours
C ompression firmly bandage the injured part
E legate the injured part
Avoid the following HARM in the first few days after injury
No Heat, No Alcohol, No Running No Massage