Breast feed for 6 months if possible up to 12 months if possible Baby benefits from nutrition and antibodies. Commercial infant formula is an appropriate alternative if breast feeding is not possible or supplementation is required . Breast feeding is associated with reduced risk of breast cancer , ovarian cancer and type 2 diabetes.
Baby nutrition – introducing solids
After 4 months and closer to 6 months start with iron rich foods whilst still breast feeding . All infants should be introduced to potentially allergen – including peanut butter, fully cooked egg, dairy and wheat products in their first year. Regular cow’s milk goats ‘s milk and soy milk , nut and cereal drinks are not recommended before 1 year old.
Hearing Impairment affects 40% of people over 55 years of age.
All acute hearing loss should be medically reviewed especially if associated with pain .
Insidious progressive hearing loss may be related to environment noise damage , medication side effects, chemical exposure -solvents , dyes or poisons ; or inherited characteristics.
Discussion with your GP, simple clinical tests and subsequent pure tone audiometry are the initial steps in evaluating hearing loss and determining treatment.
Hearing aids for sensorineuronal presbycusis (age related hearing loss) and occupational hearing loss are a common solution and for some consideration of cochlear implant .
Cumulative hearing loss commonly occurs after prolonged exposure to sound levels greater than 85 decibels. The acceptable save exposure time decrease by half for every 3 db increase in sound intensity eg 88db + 4 hours 91 db = 2 hrs. Ear muffs or plugs reduce sound intensity by 15-25 db
A cord electric drill is about 91 db , a cordless drill about 78 db and a petrol chainsaw about 120 db. Noise is compounded by use of tools indoors and reduced when used outdoors . Rule of thumb if you have to raise your voice above conversational to be heard at arms length away you probably need hearing protection. Occupational hearing loss is cumulative.
The USA NIH -AARP Diet & Health study of 100,000 women aged 50-71 conducted over 15 years revealed negligible increase in cancer for user of the OC with no differences in the obese , smokers or those with both risk factors. This study supports the same finding in other studies conducted over the past 30 years .
HCM is a relatively common inherited cardiac disease with a prevalence of around 1 in 500 commonly presenting in adolescents. It is generally associated with restricted out flow from the ventricles commonly the left. It is often asymptomatic but may present as severe breathlessness at exercise or unexplained fainting, a heart murmur or ECG abnormality. Annual mortality is around 1%. Investigation includes ECG , echocardiogram, cardiac MRI. Treatment involves lifestyle change, avoiding high intensity exercise and using medications like verapamil or beta blockers for rate control.
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