Sláinte TRITION
HEALTH FITNESS NU
Breast cancer be aware
Four golden rules for a healthy relationship €2.95 Meningitis: SPOT THE SIGNS PUT AN END TO YO-YO DIETING
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VOLUME 17 NO. 2
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5 great tips for a
flat stomach
Recipes: Eat ‘clean and lean’
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Parkinson’s Disease Signs & Symptoms Tremors - This happens when hands or legs are at rest. Slowness of Movement - Difficulty in completing daily tasks e.g. dressing. Rigidity (Stiffness) - When muscles are unable to relax. Depression - There may be low mood, low self esteem or feelings of hopelessness. Constipation - Feeling of discomfort in stomach or abdomen.
For further information, ask your GP or visit the websites below
Standfirst: It’s the holy grail for most women – so why does it seem like your quest for a flat stomach is always grinding to a halt? But don’t give up hope – follow these top tips and be on your way to a flatter belly fast. www.parkinsons.ie Reference: www.parkinsons.ie/aboutparkinsons_signsandsymptoms - accessed May 2013
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Foreword Welcome to another issue of Sláinte, Ireland’s ONLY dedicated health and wellbeing magazine! So if you’re maybe feeling a bit down with all the economic doom’n’gloom in the papers and on TV, here’s a chance to enjoy some positive news. We’ve got the sort of expert advice that will help you lose weight and keep it off (pages 10-11), eat more healthily with some “Clean and Lean” recipes from James Duigan (p14-17), hone your parenting skills (p34-36), and even improve your relationships (p37-39). In other articles, we flag up what to look out for to recognise the development of diseases from breast cancer (p20-21) to meningitis (p30-32), explain how to maximise your chances of getting pregnant (p22-23), and introduce the brand new Irish Skin Foundation (p4041). And if you’re doing your best to keep fit but just can’t quite achieve that flatter stomach you’ve always wanted, go to pages 8 and 9 and check out our five great tips on what to do. Our horticultural guru Fiann O Nualláin gives us another expert insight into all the health benefits you’ll receive by being active in your garden (p48-50), while on pages 44 and 45 we find out just what “Creative Therapists” do and who they help. Add in an investigation about immune boosters (p12-13), our Recommended Product reviews (24-26) and your health questions answered on pages 46 to 47, and we hope we’ve not only given you plenty to read, but even more to think about!
Sláinte TRITION
HEALTH FITNESS NU
Team Sláinte Editor Maria McHale Head of Features Dominic Snowdon Design by John McAleer Contributors Dan Philips Anne O’Connor Fiann O Nualláin Published by CKN Publishing Contact FreePhone 1800 812 800 Website www.slaintemagazine.ie While every care is taken in compiling the contents of this magazine, the publisher assumes no responsibility for the effects arising thereof. The views expressed herein are not necessarily those of the publisher. All material contained in Sláinte is copyright. Reproduction of any part of this magazine is forbidden, except when prior written permission of the publisher is given. Advertisements contained within editorials are not endorsed by the authors of those editorials. Always consult your GP if you have any doubts or worries about your health.
Maria McHale
Come and say hello on Facebook and Twitter where you’ll find health tips, news and advice to keep you in tip-top shape. We’re on Pinterest too!
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Want a flatter stomach? Try these five great tips
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8
Don’t give up hope, that flat tummy can be achieved!
Meningitis… keep watching!
30
Do immune system boosters really do what they claim?
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Probiotics? Echinacea? Top experts from the N&HF look at the evidence
Parenting… what to do if your child won’t go to school
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37
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A new resource has practical tools and great advice for families
The creative cure – can art, dance or music boost health?
Boost your chances of getting pregnant Two simple ways to chart the best time to try and conceive
‘Love Lab’ relationship guru Dr Gottman gives his top tips
Alzheimer’s: from family stress to peace of mind
Breast cancer – be aware and act fast The Marie Keating Foundation want women to be breast aware
School refusal – how to recognise the problem and what you can do
Learn the four golden rules for a healthy relationship
Recipes: Eat ‘clean and lean’ with James Duigan Five delicious, super-healthy meals from James’ new diet cookbook
Recognise the symptoms It can kill in hours, so it’s crucial to know what to check for
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200 Creative Arts Therapists work in Ireland, but what exactly do they do? 10/10/2013 10:11
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Contents Health News 6
n’t
Top tips to achieve a flat stomach
8
How to stop Yo-Yo dieting
10
Do immune boosters really work?
12
Five delicious ‘clean and lean’ recipes
14
Food intolerance and weight loss
18
Why it’s vital to be breast aware
20
Boost your chances of getting pregnant
22
Healthy Options – what’s good to buy
24
Stay safe in and near the water
28
Meningitis – keep watching!
30
ce
Kids who refuse to go to school
34
s
Expert advice for good relationships
37
r
Skin disease 40
hat
r
ship ives
Alzheimer’s Disease 42
t, ic
Creative arts therapy explained
44
What’s up, Doc – health Q&As
46
Why gardening is SO good for you!
48
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Mater Private opens new clinic in Co.Meath One of Europe’s top private hospitals, Dublin’s Mater Private Hospital, has opened another “satellite” clinic – this time in Navan, Co. Meath. Following the opening of a clinic in Drogheda in 2012, and a new, full-service hospital in Mahon, Cork this January, the new clinic in Navan will provide patients in Co. Meath and surrounding counties local access to specialist consultants, initially in the areas of cardiac care, respiratory, general and breast surgery, and sleep
disorders. Consultants will also carry out routine appointments and diagnostic tests in the clinic. “This new clinic offers a more convenient service to patients in the Meath area,” explained consultant cardiologist Dr. Kate McGarry. “They’ll no longer have to travel to Dublin for initial consultation and testing.” Consultant cardiologist Prof. Declan Sugrue added: “We offer the most advanced services in Ireland in a number of
specialisms, and can now provide access to this level of service to patients in Co. Meath on their own doorstep. This will bring huge benefits and have a positive impact on patient outcomes.”
Located at Convent Road, Athlumney, Navan, the clinic is open between 9am and 5pm, from Monday to Friday. Attendance is by GP or consultant referral and appointment.
New sinus treatment offers simple allergy relief dust, viruses and mucus. It can also shrink swollen membranes and improve the efficiency of the nose.”
A new nasal irrigation product called Nasopure® is now available in pharmacies and health food stores in Ireland. Developed in the U.S. by leading paediatrician Dr. Hana R. Solomon as an alternative to nasal sprays, antibiotics and steroids, Nasopure uses a buffered saline solution to loosen up blockages in the sinus cavities and reduce the inflammation that often accompanies allergies like hayfever and asthma. Nasal washing, used by eastern cultures for centuries, has been proved to reduce nasal, sinus and
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ear problems caused by colds, allergies, infection, and exposure to pollutants. Nasopure’s patented design draws out sinus contents to clean nasal passages effectively. Dr. Solomon said: “I’ve
seen how the regular use of a buffered hypertonic saline wash can soothe and moisturise sinus cavities, keeping them clear and healthy. Used properly, Nasopure helps provide a refreshed, open nasal passage, washing away pollen, mould, bacteria,
Available in 8oz and 4oz bottle sizes, the smaller one designed for use with children from 2 years’ old, Nasopure is also recommended for sufferers of sore throats, coughs, post nasal drip, decreased sense of smell or taste, and snoring. An introductory kit (one month supply) is priced at RRP 14.99. For further information, call 044 9334602 or email nasopure@pharmed.ie.
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Temple Street wants us to‘Kiss them Better’ Temple Street Children’s Hospital in Dublin has launched a campaign to raise crucial funds for emergency equipment.
Today FM’s Ray D’Arcy Show, has urged Irish mums to support the campaign by buying Medicare plasters.
The hospital’s Emergency Department treats around 130 children a day (nearly 50,000 a year) who have suffered injuries, making it one of the busiest A&E departments in Europe. The most common injuries are muscle sprains, head injuries and fractures.
For every pack bought from pharmacies, Limerick-based company Medicare will make a donation to the Temple Street Hospital emergency equipment fund.
On a visit to the hospital, Jenny Kelly (pictured, right), co-presenter on
“Thankfully, most children who come to us can go home with a bandage or a cast and, crucially, a magic kiss: the inspiration for our appeal to raise
lifesaving funds,” said the hospital’s Anne Cooney. Medicare Plasters, with the special ‘Kiss Them Better’ logo, are available in most pharmacies throughout the country.
The Medicare donation from the purchase price of the plasters will go directly towards buying lifesaving equipment for the Emergency Department, such as patient monitors and ventilators.
Portion control helps woman lose 6 stone A young woman in England is celebrating a life-changing achievement after using a radical portion control tool called “The Diet Plate” to shed an amazing six stone. “I decided my biggest problem was not what I was eating (I’ve always loved vegetables and salads), but the quantities in which I ate it,” explained Louise Pope. “I needed help with portion control. So I decided to order a plate and bowl from www.thedietplate.com, started using it May, and I’ve not looked back.”
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“Using the Diet Plate is really easy. There’s no weighing or measuring – I just fit the foods between the lines, the instructions are in the booklet. If I can do it anyone can, and I’ll always use it, even to maintain my new figure.”
The Diet Plate’s Kay Illingworth explained: “With Diet Plate, all you need is the desire to lose weight and a good pair of eyes – the plate counts the calories so you don’t have to.”
The Diet Plate is offering all readers of Sláinte magazine a special 30% discount on all its products – just go to www.thedietplate.com and use the promotional code SLAINTE.
“I’m now over six stone lighter and have not felt this good in a long time,” added Louise. “And I’m still getting used to all the compliments I keep receiving, having been fat for so long!”
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great tips to a flat stomach It’s the holy grail for most women – so why does it seem like your quest for a flat stomach is always grinding to a halt? But don’t give up hope – follow these top tips and be on your way to a flatter belly fast.
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Most women say the body part they’re most selfconscious about is their belly. So if you’ve always wanted a flatter tum, but whatever diet or exercise you’ve tried in the past just can’t seem to make it happen, don’t give in to frustration, there’s plenty you can do.
Beat the bloat A lot of people report feeling bloated after a meal. Unfortunately, there is no magic food that beats the belly fat, but you can ease a bloated stomach by switching your food choices. Some studies have suggested that foods such as peppermint tea, ginger, pineapple, parsley and pro-biotic yogurts may help to reduce bloating. Remember to avoid processed foods where possible as these are usually high in salt and low in fibre.
Supercharge your metabolism Start interval training. Sprinting is great for tightening and toning your legs, glutes, and core. How to do it: • Warm up for 15 minutes, adding a few 20-second bursts at the end to prepare for the workout. • Run, bike, or row for 30 seconds at a nearly all-out effort. Take three minutes active recovery, then repeat the 30on / 3-off pattern five or six more times • Finish with a 10-minute cooldown. (Bonus benefit: because of its very high intensity, this workout is very short!)
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Do strength training If you build more muscle, more muscle will increase your metabolism, so you’ll burn calories faster over time. Crunches work the upper abdomen, leg raises work the lower abdomen, and side bends work the obliques (also known as love handles). Between 15 and 25 reps each day should be enough. If you can do more than that, try adding weights to your routine. Note that doing crunches will only build muscle underneath your existing belly fat, but will not burn that fat directly.
Get a grip on your stress Stress and anxiety can cause the overproduction of a hormone called cortisol. Studies have found that high cortisol levels can cause sleep problems, a depressed immune response, blood sugar abnormalities, and abdominal weight gain. Although you can’t eliminate stress from your life, you can keep it from damaging your health. Yoga, meditation, breathing techniques, and regular physical activity all help dissipate stress and keep the body from producing undesirable levels of cortisol.
Get enough sleep If you are sleep deprived, then it’s making you fat. Just four days of poor sleeping inhibits your body’s ability to properly use insulin (the master storage hormone) and becomes completely disrupted. Previous studies have linked poor sleep to greater appetites, particularly for sweet and salty foods – two excellent reasons to ditch your bad habits and get some early nights!
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Yo-Yo! Say No to
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Yo-yo dieting, or ‘weight cycling’ as the experts call it, seems to be a national pastime – so many of us are convinced that a diet is something to go on and then get off again as quickly as possible. Yo-yo dieters often feel helpless, stressed, and frustrated. It’s a lot of mental anguish. Dan Philips has 8 great tips on how to stop the cycle. 1. No crash diets
First, make sure your diet is one you can stick with – which means NO crash diets or fads that are impossible to maintain. In fact, reconsider the whole notion of dieting as a temporary fix. Think of what you’re doing as a permanent lifestyle shift. Say to yourself: “This is how I eat now”.
2. Make that first change today
Start with one little change that will get you on the road to being healthier. Ditch the morning biscuits, pastries or sugary drink. It’s a small price to pay if you know you will start feeling better very soon.
3. Change your eating habits
Since you have to eat to survive, get ready to change. Start planning your own meals – if you are struggling, see a nutritionist.
4. Commit to fitness
Get started with exercise, no matter how small. But don’t do it on your own – it’s harder to back out if you have friends waiting on you and it makes the effort more fun!
5. Stop using food as a reward.
Take note of your mood changes and hunger levels, so you can learn to distinguish when you’re eating for emotional reasons.
6. Don’t skip meals.
Eating every 3-4 hours keeps your metabolism and energy humming during the day. Starving yourself or severely cutting your calories only slows down your metabolism and can cause you to store fat.
7. More sleep – less stress
Get enough sleep and try to stay away from long-term stress. I know these are easier said than done, but these two in particular will wreck your metabolism and health!
8. It’s for the long-term
Don’t make any change you can’t keep up into the future. Cutting out an entire food group is a good example. If it’s so much of a problem for you that you can only see yourself doing it for a little while, it’s a sure-fire sign that you’re going to be regaining that weight!
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Do immune system ‘boosters’ really work? With bugs and viruses trying to lay us low, can we really boost our immune systems with extra vitamins or supplements? Dr. Muireann Cullen and Katy Watson from the Nutrition and Health Foundation look at the evidence. Echinacea
High doses of Vitamin C
Echinacea is a herbal remedy claiming to prevent colds, or at least reduce the symptoms. Many studies have investigated its effects on the common cold, with varying results – some showed that people who contracted a cold while taking Echinacea recovered up to 30% more quickly than those who weren’t, while others showed that it had no effect at all. If you decide to try it, chat to your GP about whether it might react with any medication you’re taking (and Echinacea is not recommended for under-12s).
According to a 2007 review of clinical trials, the answer is no. A high intake of vitamin C doesn’t make you any less likely to catch a cold/flu, but it can provide some relief. Having plenty of vitamin C in your diet can reduce the duration and symptoms of a cold, but only if you’re taking it before becoming ill. So ensure vitamin C-rich foods are part of your everyday diet (try oranges, cranberries, blackcurrants, and kiwis).
‘The immune system is not a single entity – it’s made up of many different components’ Probiotic drinks Each probiotic drink contains different strains of bacteria, so they each offer a different level of protection. Studies provide limited answers, with some indicating that certain bacterial strains can help to strengthen your immune system, while others maintain that most helpful bacteria in probiotic drinks can’t have an effect because they’re killed off before they reach the intestines. This means we still don’t know for sure.
The Nutrition and Health Foundation brings together industry, government, state agencies, internationally recognised scientists, health professionals and other relevant stakeholders to address the health challenges of our nation. Its mission is to communicate evidence based information on nutrition, health and physical activity to encourage an improved and healthier society in Ireland. www.nutritionandhealth.ie
As well as diet, there are other lifestyle factors that can have a damaging effect on your immune system, including smoking and drinking alcohol and caffeine. If you’ve let your hair down over Christmas or a holiday, that’s fine. Just don’t let it become a habit. It’s also important to make sure you get enough sleep, because a tired body will be unable to function properly, leaving you vulnerable to infection.
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So what is the best way to protect yourself? The immune system consists of many different components, so giving it a ‘boost’ is not as straightforward as taking one supplement or remedy. It’s important to keep yourself healthy in all aspects of your lifestyle, so your immune system stays in tip-top shape. In particular, there’s no magic food to stop you getting a cold or the flu, so following a healthy, balanced diet is vital for keeping your immune system healthy. Fruit and vegetables are especially important, as they provide a variety of vitamins and minerals, two of which are thought to be important for immune function:
Vitamin A Helps prevent infection by keeping the surfaces inside your mouth and nasal passages strong and healthy, preventing viruses from entering the body.
Zinc Supports the cells responsible for fighting off infection. But be careful, too much zinc can actually impair your immune system, and pregnant women need to avoid vitamin A-rich foods (such as liver and liver products).
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Recipes
Time to get clean and lean!
Supermodels and film stars keep themselves in tip-top shape with the recipes in James Duigan’s “Clean and Lean Diet Cookbook”, and so can you! Here are a few of his simple, healthy and delicious meals for you to try...
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Toasted Pecan and Oat Blueberry Crunch 15
Toasted Pecan and Oat Blueberry Crunch (Serves 4)
Ingredients
200g pecans, chopped 100g walnuts, halved 100g desiccated coconut 200g rolled oats 1 teaspoon ground cinnamon 150g blueberries Organic natural yogurt, to serve
Method
1. Preheat the oven to 180ËšC/350ËšF/gas mark 4. 2. In large bowl, mix together the nuts, coconut, rolled oats and cinnamon. Spread on to a baking sheet and toast in the preheated oven for roughly 10 minutes, or until golden, turning halfway through cooking. 3. Leave to cool, then toss with the blueberries and serve with the yogurt.
Mackerel Kedgeree (Serves 4)
Ingredients
1 tablespoon olive oil 1 onion, finely chopped 1 teaspoon ground coriander 1 teaspoon curry powder 275g brown rice, cooked and drained 100g peas 4 naturally smoked mackerel fillets, flesh flaked off the bone Sea salt and freshly ground black pepper 2 hard-boiled organic eggs, peeled and quartered, to garnish Method 1. In a large frying pan, heat the oil and gently fry the onion, until soft and translucent. 2. Add the ground coriander and curry powder and continue frying for a further 2-3 minutes. Stir in the rice, the peas and the fish. Cook over a low heat, stirring continuously. 3. Serve garnished with the eggs.
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Lentils, Pecan and Roast Beetroot Salad with Goat’s Cheese
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(Serves 4)
Ingredients
4 large raw beetroots, scrubbed and peeled if skin is thick 4 garlic cloves 200g puy lentils 1 red onion, finely sliced 1 tablespoon flaxseed oil 1 teaspoon Dijon mustard 1 teaspoon red wine vinegar Sea salt and freshly ground black pepper Small bunch of parsley 100g pecans, toasted and roughly chopped 100g goat’s cheese
Method
Lentils, Pecan and Roast Beetroot Salad with Goat’s Cheese
Lemongrass and Coconut Prawns with Glass Noodles (Serves 4)
1. Preheat the oven to 200˚C/400˚F/gas mark 6. 2. Wrap the beetroot together with a garlic clove in foil and roast in the oven for around 45 minutes or until tender. Let cool and then peel and cut into small wedges. 3. Meanwhile, place the lentils in a pan and cover with cold water. Bring to the boil and simmer for approximately 15-20 minutes until cooked, but with bite. Drain and toss with the red onions and beetroots. 4. Whisk together the oil, mustard, vinegar and salt and pepper. Pour over the lentils and mix in the parsley. Add the pecans and serve topped with the goat’s cheese.
Lemongrass and Coconut Prawns with Glass Noodles
Ingredients
20 tiger prawns, raw and unpeeled 2 tablespoons sesame oil 2 garlic cloves, crushed 2 lemongrass sticks, very finely chopped 5cm piece of fresh ginger, peeled and grated 1 green chilli, finely sliced 50g creamed coconut 2 kaffir lime leaves, shredded 2 tablespoons tamari soy sauce 1 tablespoon fish sauce 250g glass rice noodles 1 bunch of coriander, to garnish 1 lime, quartered, to garnish
Method
1. Rinse the tiger prawns under cold water. 2. In a wok, heat the oil and gently fry the garlic, lemongrass, ginger and chilli until well softened. Add the creamed coconut, 120ml boiling water and the kaffir lime leaves. The sauce should be of a thick consistency. Simmer for approximately 5 minutes; do not allow to boil. 3. Add the prawns and continue to cook until they have turned pink. 4. Add the soy sauce and fish sauce and taste. Add more of both if needed to adjust the flavour. 5. Meanwhile, cook the noodles according to the packet instructions. 6. Serve the prawns over the noodles, sprinkled with coriander and a wedge of lime on the side.
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Coconut Pancakes, Agave Syrup and Grapefruit (Serves 4)
Ingredients
250g coconut milk 20g grapefruit juice Large pinch of grapefruit zest 20ml agave syrup, plus extra for drizzling 2 organic egg whites, beaten 125g wholemeal flour 2 tablespoons desiccated coconut 1 grapefruit, peeled and cut into segments 120g young coconut flesh, in strips 1 tablespoon coconut oil Sprig of mint, leaves removed
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Method
1. Mix the coconut milk with the grapefruit juice and zest, salt and the 20ml agave syrup. 2. Beat the egg whites, then fold them into the grapefruit mixture. Slowly add the flour and the coconut. 3. Heat a frying pan over a medium heat and add the oil. Wipe the pan for excess oil with a piece of kitchen towel and pour in 1 small ladleful of batter, 2 if there’s room, and cook for 3-4 minutes on each side until the batter turns golden. Between pancakes, wipe the pan with the oiled kitchen towel. 4. Top each pancake with the grapefruit segments and the remaining dried coconut. Serve with the agave syrup drizzled over the top and decorate with mint leaves.
Coconut Pancakes, Agave Syrup and Grapefruit
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Sponsored editorial
If you’ve been trying to get into shape, cutting calories and exercising regularly, but just can’t shift those “last few pounds”, one cause might be that your body is aggravated by eating certain foods. Dr. Gill Hart of YorkTest Laboratories explains. Recent research into obesity and weight loss has suggested a direct relationship between food intolerance and weight gain. This means that by simply cutting out particular “trigger” foods from your diet, your days of being overweight could be over. The research asked 120 overweight people to follow an elimination diet for 90 days, based on their IgG food intolerance test results. It found that those who eliminated the trigger foods identified by the test not only reduced their weight, body mass index, waist and hip measurements, but also improved all the measured “quality of life” indicators – such as physical and emotional wellbeing, social life, pain levels and vitality. Food intolerance is a serious issue and often misdiagnosed. Many tests claim to measure IgG antibodies, but the quality of some is questionable and many “over-read”, meaning people cut out foods when they don’t really need to. The food-specific IgG test from YorkTest has the most published clinical trials of any IgG test on the market.
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For many years, YorkTest have seen that when people achieve relief from the symptoms of food intolerance by changing their diet in response to their food-specific IgG test, they also manage to normalise their weight and shape. Along with balancing food input and energy output, dealing with food intolerances contributes to achieving weight loss. And because it is usually a combination of food types that cause the problems (on average, people with food intolerances show reactivity to SIX different foods), it is virtually impossible to identify exactly which types of intolerances are important without a test. The digestive system processes and delivers nutrients to the whole body. If it is stressed, trying to cope with food intolerances, it’s less able to process energy and nutrients. More than 70% of the body’s immune system is in the gut, and once the immune response is triggered, the body feels that it is “under siege” and starts hoarding supplies, storing fluid and increasing weight.
With 90% of the serotonin you produce found in the gut (serotonin regulates appetite, mood, sleep, and relaxation), low levels can cause a cycle of cravings which are satisfied by foods such as carbohydrates, which destabilise insulin and blood sugar and can cause weight gain. It’s a vicious circle, but taking a test to identify and then eliminate any food intolerances can be the first important step to breaking it.
Sidoine’s story At the age of just 26, Sidoine Price was a size 18 and weighed 14 stone. But even after she began to eat healthily and exercise regularly, she couldn’t shift the pounds. One doctor blamed this on IBS, but when another recommended she took the food intolerance test from YorkTest, the results showed that Sidoine was reacting to cow’s milk, yeast and carrots. After the test, with the help of nutritional support from YorkTest, Sidoine managed to change her eating habits. She started using almond and soya milk instead of cow’s milk, avoided carrots, steered clear of dressings and sauces that might contain yeast and, together with continued regular exercise, achieved a weight loss of more than four stone! Sidoine is now a healthy size 12 and weighs just 9st 7lbs!
Visit www.yorktest.ie or call 01 20 22 701 for more information.
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Breast cancer: be aware and act fast One of the most important things that you can do for your health is to get to know your breasts. Almost 3,000 women are diagnosed with breast cancer every year in Ireland, so it is important to become breast aware. We asked the Marie Keating Foundation to explain. Being breast aware means getting to know how your breasts look and feel, so you know what is normal for you. You can then feel more confident about noticing any unusual changes. Women themselves find most lumps. Remember, most breast lumps are not due to cancer, but you won’t know if you don’t ask! And early detection provides the best possible chance of surviving the disease. What does ‘breast aware’ mean? Breast awareness means becoming familiar with your
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breasts, how they look and feel at different times of the month. Try to get used to looking at and feeling your breasts regularly. As you become familiar with your breasts, you’ll be more able to notice any changes that aren’t usual for you. Use times like having a bath or shower to notice how your breasts look and feel. Running a soapy hand over your breasts and armpit helps you to feel the texture of your breast more easily. You may notice that your breasts change in size or shape, or in how they feel at different times of the month – they might become lumpier or more tender around the time of your menstrual period, for example.
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What changes should I look for? • Any lumps, thickening or bumpy areas in the breast or armpit that seem different from other breast tissue – this is very important if it is new. • Any changes in the size or shape of the breast (it may be normal for you to have one breast larger than the other). • Change to the nipple, such as crusting, ulceration, bleeding, discharge, redness (such as a rash), or a change in the direction or shape of the nipple (such as inversion). • Veins that are standing out more than usual for you. • Any puckering, dimpling or redness of the skin of the breast.
When should I see the doctor? If you do notice a change, visit your doctor as soon as possible. There are many types of benign breast changes, and nine out of 10 are not due to cancer – but it is very important to make sure.
Can I reduce the risk? The exact cause of breast cancer isn’t known, but being female and getting older are the main risk factors. So you might help to reduce your risk and look after your health generally by: • Eating a well balanced diet with plenty of fruit and vegetables. • Maintaining a healthy weight. • Doing regular exercise. • Not drinking too much alcohol. For more information, or to receive a free Breast Awareness pack, email The Marie Keating Foundation at info@mariekeating.ie or call them on 01 628 3726.
Look after your girls “Look after your girls – talk to your friends” is a new campaign launched by the Marie Keating Foundation that aims to remind women that their friends can be an amazing source of support and comfort. So if you or your friends find a change in your breast, make sure you talk to each other as well as seeing a doctor without delay – because early detection is vital to surviving breast cancer. Visit www.mariekeating.ie or call 01 628 3726 for more information.
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Charting your fertility
It’s not as easy to get pregnant as you might think. In fact, one in seven couples can take longer than a year to conceive! Maria McHale explains how to boost those odds.
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Even healthy young couples only have a 20% chance of getting pregnant during each monthly cycle. But did you know that by just checking your cervical mucus you can tell whether you are more likely to conceive?
After that, you’ll start to have cloudycoloured mucus that’s roughly the consistency of sticky rice. You’re not very likely to conceive on any of these days.
For couples who go the family planning route to conception (compared to relying on a “happy accident”), tracking your menstrual cycle can be a very useful way to work out when to get pregnant.
However, as you approach ovulation (typically a few days beforehand), the mucus will become clear and slippery, very much like raw egg white, and you’ll have more of it. (You can remember that this type of mucus means it’s baby-making time if you think of how its clear, slippery quality makes it easier for the sperm to travel to the egg.)
And you can conceive only around the time of ovulation – a small window of opportunity each month (usually about 12 to 24 hours) during which the egg is viable and ready to be fertilised. So how can you tell? Well, tracking your fertility is not foolproof but there are two well-used methods used: tracking your temperature and observing your cervical mucus. These techniques can give you a pretty clear picture of when you’re ovulating, making it easier to get pregnant.
Basal body temperature
Your basal body temperature changes throughout the month according to where you are in your cycle. Before ovulation, your temperature is usually about 96 F to 98 F. During ovulation, your body releases the hormone progesterone. This raises your BBT by 0.4 to 0.8 degrees a day or two after ovulation (you can get a special thermometer to measure this from most large pharmacies).
The last day you see this egg-white consistency is the day that you’re most fertile – usually the day before or the day of ovulation. Finally, you need to have sex regularly – at least two or three times a week, every week, will boost your chances of having that longed-for baby.
You’re most fertile two to three days before ovulation, and 12 to 24 hours after ovulating. With sperm living up to six days in your body, your best chance for conception is to have sex a few days before you ovulate.
Cervical mucus
For most of your cycle, cervical mucus acts as a barrier to sperm. It protects the cervix chemically, with white blood cells fighting foreign bodies, and mechanically, by acting as a plug and closing the cervical canal. So what can you expect throughout your cycle? Beginning with your period, you’ll of course have menstrual blood. When your period is over, you’ll most likely be dry for several days.
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ealthyOOptions ptions HHealthy
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Some products are just plain healthier for you and your family, but do you know which ones? From supplements to food products, pharmaceuticals to home medical equipment, here’s a selection of what to look out for in the shops and pharmacies...
Blistex Moisture Max
Medicare First Aid Kits
If you want to give your lips a revitalising treat, lip-care experts Blistex have created a new lip balm that will do just that – Moisture Max.
Limerick-based medical company Medicare has launched a comprehensive new range of five handy First Aid kits designed to clean, treat and protect wounds and injuries both at home and while travelling.
And as with the whole Blistex lip balm range, Moisture Max is also rated SPF 15 to help protect your lips against the sun’s harmful UVB rays.
Containing soft, melting moisture beads, Moisture Max is a refreshing and super-hydrating lip balm that is suitable for use as an everyday lip pick-me-up.
Smart and compact, all five kits – for Home, Travel, Office and Motor,
plus a ‘Home Responder’ kit – are Health and Safety Authority compliant and feature an easy-access “pocket system”. Priced between €22.95 for the Travel Kit and €39.95 for the Office Kit, these Medicare First Aid kits come in their own handy, soft-sided storage case.
Each visible bead in Moisture Max contains Shea Butter and Aloe Vera for intensive, long lasting, super-hydration from the very first application.
Viviscal Maximum Strength
BEE Prepared Immune Support
Viviscal Maximum Strength from Lifes2good is a natural food supplement specifically designed to promote existing hair growth when women are suffering from temporary thinning hair.
If you’d like to boost your immune system to defend yourself more effectively against the effects of colds, flu or hayfever, the concentrated formula of multi award-winning BEE Prepared immune support, with ingredients including the highest quality bee propolis, elderberry, and olive leaf, could help keep you fighting fit.
The exclusive AminoMar C™ Marine Complex in Viviscal Maximum Strength is a rich protein compound of marine extracts, fortified with vitamin C. Amino acids are the basic structural building units of proteins and are essential in the formation of the hair structure, and Viviscal provides those essential nutrients to nourish your hair naturally from within.
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Priced at €49.95 for a month’s supply, Viviscal Maximum Strength is available from leading pharmacies and health stores, at www.viviscal. ie or by calling 1890 601801.
Approved by the Vegetarian Society, and using only natural ingredients, BEE Prepared immune support is safe for the whole family. Recently described by the Daily Mail as the ‘It-Vit’, this natural supplement is available in Holland and Barrett and independent health stores nationwide.
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Gluten-free bread is the holy grail of gluten-free baking because it’s just so hard to get right.
Multigrain Farmhouse contains less that half the fat of many grain-based breads – and up to three times the fibre! PureBred’s range includes a White or Multigrain Farmhouse Loaf and White or Seeded Wholegrain Sandwich Rolls.
Just two slices of their
If you suffer from asthma, sinusitis, rhinitis (hayfever), bronchitis, cystic fibrosis, allergies, COPD, snoring or sleep apnoea, you could markedly improve your symptoms by using a new, natural, salt-based therapy called Salin Plus. Available within the home for the first time, there are no masks, tubes or any other invasive equipment. Simply turn on the machine, leave it in the bedroom to work while you enjoy the best nights’ sleep you’ve had in years, and wake up the next morning feeling
Dermatonics Once Dermatonics ONCE Heel Balm is a once-a-day treatment for rough, dry and hard skin on the heels and soles of the feet, for people aged 12+. Containing 25% urea in a rich emollient base, free of any parabens or sensitising perfume, and also suitable for Diabetics, Dermatonics ONCE is ideal for the treatment and prevention of anhydrosis, or rough dry feet. It
is also a very effective means of maintaining the condition of the skin on your feet. Applied once a day after washing your feet, it’s not greasy and it smells great!
refreshed, energised and with less mucus blocking your airways. Salin Plus is available from community pharmacists or www.salin.ie.
Healthy Options
The folk at PureBred have taken a holistic and nutritionally balanced approached to baking delicious, fresh, glutenfree and wheat-free bread that not only tastes and toasts like traditional bread, but is also very low in fat and very high in fibre.
Salin Plus
Healthy Options
PureBred
Dermatonics ONCE is available in a 60ml tube from all leading pharmacies and costs just €9.00.
Zerochol The plant sterols in a new, convenient supplement called Zerochol could help lower your levels of cholesterol. Studies show that plant sterols can help to reduce cholesterol. As plant sterols are structurally similar to human cholesterol, they help to limit cholesterol absorption in the gut. The more plant sterols present in your diet, the less cholesterol you absorb, so your blood cholesterol levels reduce.
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Two capsules daily of Zerochol provides 1.6g of pure plant sterols – without the calories and fat that you get with plant sterol-enriched dairy products! Zerochol is available from all health food stores and selected pharmacies nationwide, RRP €24.95. Call 01 626 2315 for stockist information.
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ealthyOOptions ptions HHealthy
Naloc
Connacht Gold
Naloc Fungal Nail Treatment is an easy way to reduce nail discolouration and restore a healthy nail appearance.
Each pack of Naloc Fungal Nail Treatment contains three months’ supply for up to three affected nails.
Effective in most cases after only two weeks’ application, Naloc Fungal Nail Treatment is the ideal way to treat nails that are deformed and discoloured by nail fungus infection and psoriasis.
Naloc is available in pharmacies.
Connacht Gold Low Fat Butter is already an award-winning butter, and now it’s winning more places at the table every day as families across Ireland realise they can enjoy real butter, but with half the fat. Connacht Gold Low Fat butter contains no vegetable oils or
chemically treated fats. And with only 19 calories per serving, families can enjoy all the natural taste of butter with all the health benefits of half the fat. Enjoy real butter, with half the fat. Visit facebook. com/ConnachtGold.
When applied once a day, Naloc works without having to file the nails, increasing hydration and gently smoothing the outer layers of the nail plate.
Revive Active If you’re looking for something that boosts your energy and your immune system, increases cardiovascular performance, and can even offer antiageing properties, this revolutionary product from Galway Natural Health Co might fit the bill. Its 26 active ingredients are delivering remarkable results across a range of health issues – for young and old alike, and from
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Eye Q the chronically ill to superfit sportspeople who can benefit from enhanced recovery times and greater endurance. Two of the key ingredients in Revive Active, L-Arginine and Co enzyme Q10, have been identified and validated by Nobel prizewinning research. Visit www. ReviveActive.com for more information.
Eye Q’s unique combination ‘study pack’ contains a full month’s supply of omega 3 & 6 and a month’s supply of Red Kooga Natural Energy Release. Eye Q Omega 3&6 can help nourish the brain and support growth and development, while Potter’s Red Kooga Natural Energy Release
(containing ginseng and guarana) helps provide the mind and body with a bit more oomph, just the thing to get someone through a study session. The new eye q study pack can be purchased through McCauley Pharmacies for just €25 – a saving of almost €15 on the RRP of €39.99.
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Advertorial - Sláinte Magazine
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Do you need an allergy test? If you’d like to talk to som eone at AllergyC ounts about an allergy test, call 01 418 8482, visit www.allergycounts.com or em ail o ce@allergycounts.com (Medic al C ard rates available). O r write to AllergyC ounts, C harlem ont C linic, C harlem ont Mall, Dublin 2.
Whether it’s asthma, IBS, hives or hayfever, or a reaction to something you've eaten or that’s touched your skin, you can’t deal with an allergy unless you know you have one – and what type it is. The AllergyCounts Clinic has the right test for you. Allergies are abnormal immune responses to common substances found in food and the environment. The most common diseases in which allergy plays a role are hayfever, asthma, allergies affecting the skin (eczema), and food allergy. AllergyCounts is a quality service provided in a clinical setting by accredited professionals with physician cover during all procedures. AllergyCounts provides five main types of service: allergy skin prick tests; allergy patch tests for disorders, such as Dermatitis, Eczema or Occupational Dermatitis; York Tests on blood; Pulmonary function tests (PFTs), designed for individuals with chronic cough, breathlessness, wheezing and exercise-induced symptoms; Asthma and allergy training for adults, children and their parents. These allergies can be tested: • Hayfever • Asthma • Allergic rhinitis • Food allergies (peanut, shellfish) • Hives • Eosinophilic oesophagitis • Irritable bowel syndrome • Occupational dermatitis. Food allergies “In young children, the most common allergies presenting are foods such as cow’s milk, nuts and eggs,” explains Rita Lynch, Head Respiratory Technician at AllergyCounts. “Some of these resolve, but some can persist throughout life. Most people's symptoms can be well-controlled using a combination of allergen avoidance and drug treatment.” Why skin tests? Skin tests have been scientifically proven to benefit the diagnosis of allergy. Skin prick tests have been shown to detect more allergy than the blood test (RAST test) and can provide results almost immediately. What are the standard allergens? Foods: milk, egg-white, soy, rice, wheat, rye, potato, oats, sesame, grape, pear, strawberry, raspberry, banana, kiwi, melon, celery, paprika, tomato, beef, chicken, pork, lamb, tuna, cod, carp, herring, shrimp, mussels, peanut, hazelnut, brazil nut, almond, pistachio, pecan, and cashew. Inhalants: dust-mite, grass pollens, tree pollens, birch, cat, dog, rabbit, horse, guinea-pig, aspergillus fumigatus, alternaria, cladosporium, candida albicans.
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Be safe in the water
this Summer
Did you know around 150 people drown in Ireland each year? And that most of these preventable deaths happen inland – in rivers and lakes, on farms, and in and around homes. Slåinte asked Irish Water Safety for their top tips to staying safe in, on and near the water.
This information is supported by IPB Mutual Insurances Ltd, working with IWS to promote water safety
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14 steps to safe and enjoyable swimming 1. Do not swim alone.
8. Swim close to, and parallel to, the shore.
2. Don’t swim just after eating.
9. Do what the lifeguard tells you.
3. Do not swim when you’re hot or tired.
10. Never use air mattresses.
4. Don’t swim in strange places.
11. Pay attention to signs on the beach.
5. Do not swim out after anything drifting away.
12. Don’t be a bully to other swimmers.
6. Don’t stay in the water too long.
13. Learn to use your equipment properly.
7. Don’t swim out to sea.
14. Learn basic life support.
Learn more about water safety Visit Irish Water Safety’s excellent website at www.iws.ie for all sorts of information about how you and your family can stay safe in, on and near the water.
10 steps to safety at home 1. Always supervise children at bath time. 2. Empty baths after use. When full, see that no chairs are nearby in case of younger children climbing into the bath. 3. Keep bath plugs out of reach of smaller children 4. Keep away from washing machines and other large containers of water 5. An adult should always supervise playtime in paddling pools. 6. Empty paddling pools straight after use. 7. Cover holes or drains left exposed after building work with mesh. 8. Cover rain barrels, water tanks, wells and fish ponds with wire mesh. 9. Private swimming pools should be fenced off and have covers that can be firmly secured. 10. Fence off any rivers, streams or drains running near the home.
14 steps to safe boating 1. Check the condition of the boat and equipment, hull, engine, fuel, tools and torch.
8. Carry a marine radio or other means to communicate with shore.
2. Check the weather forecast for your area.
9. Don’t overload the boat.
3. Check locally about dangerous currents, strong tides etc.
10. Don’t set out without an experienced person.
4. Don’t drink alcohol before setting out or during your trip.
11. Leave details of your planned trip with someone on
5. Carry an alternative means of propulsion.
shore.
6. Carry a first aid kit on board and distress signals.
12. ALWAYS wear a lifejacket.
7. Carry a fire extinguisher, a hand bailer or bucket with
13. Watch the weather – seek shelter in good time.
lanyard, and an anchor attached to a rope.
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14. Come home safely!
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Meningitis:
Keep watching! Meningitis can kill in hours – and vaccination doesn’t yet protect against all types of the disease. So the sooner you act if you’re worried someone might be suffering from meningitis, the sooner you might save their life. Dominic Snowdon explains how to recognise the symptoms. Meningitis kills more children under five than any other infectious disease. Every year, six out of every 100,000 people in Ireland will get the disease, with one in five survivors suffering long-term disabilities such as brain damage, amputations and hearing loss. The disease, which causes swelling of the lining around the brain and spinal cord, can often have symptoms that resemble the flu, making it hard to diagnose in its early stages.
Pneumococcal or Haemophilus infuenzae b (known as “Hib”).
The disease is usually bacterial or viral. Viral meningitis can be very unpleasant, but is almost never life-threatening. Bacterial meningitis is more serious. Most cases in the Ireland are caused by meningococcal bacteria (MenB), for which there is currently no vaccine available through the National Immunisation Programme, while other forms of bacterial meningitis are
The problem is, meningitis can be hard to recognise at first. Symptoms can appear in any order, and not everyone gets all of them, but the first symptoms are usually fever, vomiting, headache and feeling unwell, just like many mild illnesses – which is why it can often be mistaken as flu at first.
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A new campaign called “Meningitis: Keep Watching Ireland” has been launched by the Meningitis Research Foundation Ireland, with support from Novartis Vaccines and Diagnostics Limited, to help spread the word about the need to be aware of these symptoms and to get medical help immediately if you suspect anything wrong.
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So here’s what to watch out for:
Fever and / or vomiting
Severe headache
Very sleepy, difficult to wake
Confused or delirious
Stiff neck
Dislike of bright lights
(less common in young children)
(less common in young children)
Rash
Seizures (fits)
(anywhere on the body)
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Want more information? “Meningitis: Keep Watching Ireland” is a new campaign launched by Meningitis Research Foundation Ireland, with support from Novartis Vaccines and Diagnostics Limited, encouraging parents to remain vigilant for the signs and symptoms of the disease. For more information, visit www.meningitis.org/symptoms or ‘like’ the MKW Campaign on Facebook: www.meningitiskeepwatching.ie
Novartis Vaccines and Diagnostics Limited are providing financial support for the production of this magazine, but no editorial input
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Sponsored editorial
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Diarrhoea:
a new approach
Diarrhoea is the passing of three or more loose or liquid stools per day, or more frequently than is normal for you. It affects almost everyone from time to time and is usually nothing to worry about. Diarrhoea occurs when there’s an imbalance between the absorption and secretion of water and electrolytes in your intestines – usually, when fluid can’t be absorbed from your bowel contents, or when extra fluid is secreted into the bowel, causing watery faeces. What causes it? Diarrhoea is usually a symptom of gastroenteritis, an infection of the bowel, which might be caused by a virus , bacteria, parasites, or contaminated food or water. Other short-term causes include drinking too much alcohol or coffee, a food allergy, or as a side-effect of some medicines.
Do’s and don’ts
• DO drink plenty of fluids – diarrhoea and vomiting may cause dehydration. Rehydration drinks are recommended for people who are frail, severely dehydrated or over the age of 60, or who have underlying health problems. Ask your doctor or pharmacist whether you need a rehydration solution. • DO eat as normally as possible. You might not feel like eating, but try small, light meals if you can. However, listen to your appetite, if you really don’t feel like eating, most adults can do without food for a few days. BUT DO NOT STOP DRINKING! Plain foods such as wholemeal bread and rice are ideal. • DON’T choose drinks that contain a lot of sugar, such as cola or pop. They can sometimes make diarrhoea worse. • DON’T eat fatty, spicy or heavy foods, they will make your symptoms worse.
Tasectan Available from pharmacies nationwide, Tasectan® has been formulated to control and reduce the symptoms associated with diarrhoea. Usually effective within 12 hours and safe to use in adults, children and infants, Tasectan targets the source of diarrhoea, using its combination of tannic acid and gelatine to get to the source of the problem and restore the physiological functions of the gut wall. Available in capsules for adults and sachets for children and infants, which can be added to milk, water or juice.
Tasectan has three actions:
• PROTECTS – forms a film which protects the intestinal wall. • NEUTRALISES – limits the contact with the harmful substances. • ELIMINATES – promotes their elimination in the faeces. Visit www.diarrhoea.ie for more information.
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School Refusal Most kids enjoy going to school. But for a small number, the thought of school can arouse great fear and anxiety – to the point they simply refuse to go and are absent for long periods. Child Clinical Psychologist Anne O’Connor explains the options for worried parents. School refusal poses a serious challenge for some children and their families. Parents usually try a range of approaches to encourage their child into school – ranging from gentle persuasion right up to physically dragging them in – but if none of them work, what should you try to do then? Parents can often find themselves at a loss. It can be all the more confusing because many children who develop school refusal are generally quiet and otherwise very compliant. Staff at school can also be puzzled by this condition and find that no matter how
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they approach the problem, the child remains anxious and continues to refuse to attend. School refusal is an ongoing chronic problem. A pattern may develop where the child regularly complains of being sick, or constantly asks to stay at home with minor physical complaints. They might be fine all weekend, but on Monday morning complain of tummy aches – even getting physically sick on the way to school. Visits to the doctor will not reveal any underlying physical causes.
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While not wanting to go to school may occur at any time (and will occur with most children at some time), school refusal is most common between the ages of five and seven and 11 and 14. These ages coincide with the time that they are coping with the most major changes, namely the new challenges of primary and secondary school.
Possible causes The causes of school refusal vary and are individual to the child, but the most common circumstances are: • following a prolonged spell at home when the child may have become used to the security of home and the sense of being very close to their parent. • after a child has suffered a trauma or stressful event, such as a bereavement, being involved in an accident, and so on. • following a major change such as a house-move or moving to a new school. • as a way of staying close to a parent who is ill or experiencing stress in their life – the child may be anxious about the parent when they are away from them, and feel they need to stay and “mind” them. • as an expression of an anxiety disorder.
How do I recognise it? One typical scenario could be: the child complains of a headache, sore throat, or stomach ache shortly before it’s time to leave for school. They say they feel better once they are allowed to stay at home, but next morning the same thing happens. Some children just simply refuse to go to school and seem paralysed by anxiety and fear at the prospect of going to school.
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School Refusal
What to look out for and what you can do The child might: • Be unable to talk about it at all and, when the subject is broached, simply clam up. • Talk about feeling unsafe or scared. • Be very clingy to one or both parents. • Describe unreasonable fears about their parents or themselves. • Suffer from sleep problems – be unable to get to sleep or have nightmares. • Have severe tantrums if parents try to force them to go to school. School refusal may start off innocently and, in a lot of cases, does not reach the point of being very difficult to cope with if there has been a sensitive intervention by both parents and teachers. However, it is important to seek professional help if the child’s fears do reach the level of school refusal, in order to help both the child and family deal with the problem.
The long-term effects can be serious for the child who is suffering from an anxiety disorder if they do not receive professional help early. They may go on to develop educational or social problems if their fears and anxiety keep them away from school and friends for an extended period of time. When fears persist, it is advisable for parents to consult with a qualified mental health professional who will work with them to develop a plan to help their child return to school and other activities. They will also look at the underlying causes of the school refusal and aim to help the child and parents manage and understand these. The first step to getting this help could be either through asking your GP for a referral to the local child mental health team, or a discussion with your school principal who may also be able to organise a referral to the school psychology service.
For more information, visit www.RollerCoaster.ie Ireland’s No. 1 website for pregnancy and parenting information and advice.
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The secrets of a good relationship 37
After studying more than 3,000 couples in his specially equipped ‘Love Lab’, U.S. relationship guru Dr John Gottman claims he can predict with 90% accuracy which ones will split up. Maria McHale discovers his top tips for a healthy relationship.
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How couples react to conflict is a key pointer to the success of their future relationship, Dr Gottman explains. In fact, he claims he can usually identify which relationships are destined to fail after observing just five minutes of an argument.
And over the years, they will tend to repeat the same arguments about the same issues. In fact, Gottman says 69% of couples’ issues turn out to be perpetual problems that never get solved, and this is true even for the Master couples!
It’s always the difference between the “Masters” and “Disasters” in relationships, he says. The Masters build a culture of appreciation and respect in their marriage, stay together and are relatively happy. The Disasters are couples who either divorce or stay together for the sake of the children or some other reason, but are not happy.
What distinguishes Master couples from the unsuccessful couples is not how much they fight, but HOW they fight. “For example, how do they handle those conflicts that can’t be resolved – the ones that involve basic differences in values or personality? Does the disagreement feel more like a dialogue, or is it more of a gridlock?”
“Every relationship experiences conflict and alienation,” continues Gottman. “Repairing is a key factor with Masters (‘I’m sorry. I blew it. Can we talk about it?’). The quality of friendship and response of recipient is important as well, along with a sense of shared meaning and purpose.” It’s not about the fights One of the most interesting findings is that the amount that couples fight is not what counts. Some successful relationships can even be characterised by lots of fighting, while some unsuccessful relationships appear to be calm and peaceful, at least on the surface. “Even in the most successful couples, people will respond when provoked – if one person gets angry, the other is likely to get angry back,” he says.
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Communication problems are not a major cause of marital conflict, explains Gottman: “Actually, distressed people communicate quite clearly what they feel and mean. You can’t really teach people to never disagree or argue, as all couples disagree and argue at some time. Rather, what’s important is what they do about it, how they reach some kind of agreement afterward, and how they handle the emotions stirred by conflict.”
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Here are Dr Gottman’s
39
four golden rules
for a more successful relationship:
1
Repair and exit the argument Happy couples know how to repair the situation before an argument gets completely out of control. Successful repair attempts include: • • • • • •
changing the topic to something completely unrelated; using humour; stroking your partner with a caring remark (“I understand that this is hard for you”); making it clear you’re on common ground (“This is our problem”); backing down (you sometimes have to yield to win); generally offering signs of appreciation for your partner and their feelings along the way (“I really appreciate and want to thank you for…”).
If an argument gets too heated, take a 20-minute break, and agree to approach the topic again when you are both calm.
2 3
Seek help early The average couple waits SIX YEARS before seeking help for marital problems once a problem is recognised (keep in mind, half of all marriages that end do so in the first seven years). And only 1% of couples seek help.
Edit yourself Couples who avoid saying every single angry thought when discussing touchy topics are consistently the happiest. Gottman believes that there are two major times when marriages fail and couples divorce: • in the first seven years because of the presence of what he calls the “Four Horsemen of the Apocalypse” – criticism, defensiveness, contempt, and stonewalling (that is, disengaging and withdrawing); • between 16 and 20 years because of the general absence of positive loving emotions.
4
Focus on the bright side In a happy marriage, while discussing problems, couples make at least five times as many positive statements to and about each other and their relationship as negative ones. For example, “We laugh a lot”, as opposed to “We never have any fun”. Gottman believes that a good marriage must have a rich climate of positivity. So he concludes with his final piece of advice: “Make regular deposits to your emotional bank accounts!”
You can find out about couples counselling and relationship support services at www.relationshipsireland.com or by calling 1890 380 380. And visit www.gottman.com for more information on the work of Dr John Gottman and his wife Dr Julie Schwartz Gottman
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The skin you’re in Whether it’s eczema, psoriasis, acne or skin cancer, Ireland has a new champion for everyone who suffers from skin conditions – The Irish Skin Foundation. We asked them for an overview of their latest knowledge about skin diseases.
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ECZEMA
Eczema is the most common inflammatory skin disease and affects millions of adults and children worldwide. A recurring but non-infectious disease, eczema can cause skin to become red, dry, itchy or scaly. It may even weep, bleed or crust over, and can become infected. What causes it? It is now widely accepted that there is often a family history of “atopic” conditions such as asthma, eczema and hayfever. If both parents have eczema, there is an 80 per cent chance that their children will too. It is also accepted that some environmental factors, “triggers”, may play a part in the onset of atopic eczema: • Irritants such as tobacco smoke, chemicals, extreme weather, air-conditioning and overheated environments. • Itchy materials such as wool or mohair.
PSORIASIS
Psoriasis is a chronic inflammatory skin disease that affects over 100,000 men and women in Ireland. It has no known cause, although the tendency toward developing psoriasis is inherited in genes. Psoriasis affects the life cycle of skin cells. It causes cells to build up rapidly on the surface of the skin, forming thick silvery scales and itchy, dry, red patches that are sometimes painful. Commonly affecting the skin of the elbows, knees, and scalp, psoriasis can appear in several different ways – as small flattened bumps, large thick plaques of raised skin, pink or red patches, or big flakes of dry skin that flake off. The disease is not contagious and is controllable – but not curable – with medication. There are many promising therapies, including newer drugs, and treatments can be divided into three main types: topical treatments, light therapy, and systemic medications (prescription drugs that work throughout the body).
• Common allergens such as house-dust mites, moulds, grasses, plant pollens, foods, pets and clothing, soaps, shampoos, washing powders, cosmetics and toiletries.
SKIN CANCER
• Foods such as cow’s milk, eggs, chicken, nuts, and tartrazine (and similar colourings). But don’t assume a particular food is causing eczema flare-ups and exclude it from a child’s diet without a full medical consultation.
The most obvious warning sign of skin cancer is a change in the appearance of the skin, such as a new growth or a sore that will not heal.
• Emotional stress. Treatment While eczema can’t be cured, it can be managed. Very dry skin needs to be constantly moisturised to protect the skin barrier and prevent further dryness. There are a variety of moisturisers/emollients on the market. It is very likely that your GP or dermatologist will at some stage prescribe a steroid for eczema treatment. If used correctly, steroids are very effective.
Skin cancer is the most common cancer in Ireland, with some 8,000 new cases diagnosed every year.
The term “skin cancer” refers to three different conditions – basal cell carcinoma, squamous cell carcinoma (the first stage of which is called actinic keratosis), and melanoma. Surgery is the most common treatment for skin cancer. Other treatments include radiotherapy, laser therapy, chemotherapy, biological therapy, and topical treatments.
For FREE information on eczema and psoriasis, visit the St. Stephen’s Green Centre, Top Floor, on 2nd November (Skin Awareness Day) between 10 and 4.30pm.
Other options include wet wraps (wrapping wet bandages around the affected skin), antibiotics and topical immunomodulators (drugs that modulate or alter the immune system).
Irish Skin Foundation – your new champion The Irish Skin Foundation, formed from the Irish Eczema Society, Psoriasis Association and Melanoma & Skin Cancer Society, now represents everyone who suffers from skin conditions. And you can help support their work by donating and becoming a Friend. The vital funds donated by the Friends are the lifeblood of the ISF and help provide information and support to anyone with a skin condition in Ireland, support developments, and promote research.
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As a Friend of the Irish Skin Foundation you can also have a voice and become part of a movement to lobby for change; receive quarterly updates on the latest global skincare developments, get advance notice of lectures, seminars and events, and have opportunities to engage with physicians and researchers. To become a Friend, or simply donate, send a cheque or bank draft (made payable to Irish Skin Foundation) to 63 York Road, Dun Laoghaire, Co Dublin or visit www. irishskinfoundation.ie.
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The family strain of
Alzheimer’s
Nearly 30,000 people in Ireland are living with Alzheimer’s disease… and so are the people who care for them. Now a new online resource is offering the sort of support that might just make their lives easier – with practical tools and expert advice about symptoms and future planning. Dominic Snowdon takes a look. Of the 44,000 people in Ireland living with some form of dementia, two-thirds have Alzheimer’s disease, a progressive degenerative brain disease that interferes with their memory, judgment, and their ability to care for themselves or live independently.
loved one receives an Alzheimer’s disease diagnosis, but this can have very significant implications in the longer term,” warns personal finance expert Jill Kerby. “Visit www. mypeaceofmind.ie to find out more about legal and financial planning.”
What’s more, recent research has found that 75% of the people who care for them believe the burden of care has created additional strain between them and other family members, while 67% have found they can’t get others to commit to share that care.
Alzheimer’s is a progressive disease, so the level of care required increases over time, which can take both a physical and an emotional toll on the carer, with a third admitting to feeling physically drained, and 21% experiencing stress, nervousness or panic attacks.
A new website (www.mypeaceofmind.ie), sponsored by Lundbeck Ireland, offers a range of practical tools and guidance from Irish experts about issues such as knowledge and understanding of the symptoms of Alzheimer’s disease (more than half of all diagnoses occur at the moderate stage of the disease), and the emotional and financial impact the disease can have on carers. As for the financial impact of the disease, 57% of carers surveyed said their loved one’s illness had impacted on their family’s financial stability, while a startling 75% said their loved one did not create an enduring power of attorney that would clearly set out their wishes as the disease progresses. “It’s understandable that financial and legal planning is put on the back burner when a
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“If you care for somebody with Alzheimer’s disease, it is critical that you put your own physical health first and manage your emotional wellbeing – educating yourself on the condition and being realistic about what you can expect in terms of the disease progression and the levels of care you can provide,” explains Dr Nina Byrnes. “It can be incredibly sad to see a loved one affected by this disease, so maintaining a positive outlook and focusing on the small glimpses of the person you love can be helpful.” For further information on Alzheimer’s disease, visit www.mypeaceofmind.ie. If you think you or a loved one is experiencing symptoms of Alzheimer’s disease visit your GP for further advice.
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www.mypeaceofmind.ie
If you care for a love one living with Alzheimer’s disease, you’ll find a range of practical tools to help at www.mypeaceofmind.ie. All three sections feature an expert video, an interactive tool, and a real-life testimonial from other carers.
Identifying Alzheimer’s disease
• Expert video: Consultant Geriatrician Prof. William Molloy on “ Recognising early symptoms. • Real-life testimonial: The Rimmer Family, Dublin, on “Caring for Mum”. • Interactive tool: Alzheimer’s Symptom Checklist.
Helping Hand for Carers
• Expert Video: Dr Nina Byrnes, GP, on “Care for the carer”. • Real-life testimonial: The Mahon Family, Wexford, on “Caring for mum”. • Interactive tools: Helping hands calendar; plus Top 10 ways to reduce stress.
Preparing for the future
• Expert video: Personal finance expert Jill Kerby on “Planning for the future”. • Real-life testimonial: The McKeown Family, Dublin, on “Caring for dad”. • Interactive tool: Top 10 ways to start financial planning.
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The
creative cure
Could connecting with your creative side, though art, drama, dance-movement or music, actually improve your health? Music therapist Bill Ahessy certainly thinks so. He explains why he believes more of us could benefit from Creative Arts Therapy. Creative Arts Therapies (C.A.T.) are practiced in more than 40 countries around the world. They include art, drama, dance-movement and music therapy, using the planned and creative use of the arts to help people of all ages address their physical, cognitive, emotional and psycho-social needs. C.A.T. can improve the quality of life for people who are well, and also help people with
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disabilities or illness. Therapists use creative, arts-based processes to encourage selfexpression, communication, self-awareness and personal development. Anyone can use the arts to maintain or restore health, regardless of disability or illness, previous experience or artistic skill.
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Creative Arts Therapy interventions can: • • • •
Improve wellbeing and quality of life Manage stress and anxiety Alleviate pain Promote emotional self-expression and coping
• • • •
Enhance memory and cognition Improve communication Promote physical rehabilitation Encourage social skills, confidence and self esteem
Who benefits from C.A.T.? There are over 200 Creative Arts Therapists in Ireland, working in a range of settings, including schools and special education units, hospitals, older persons care, mental health, social care, hospices and private practice. The therapies are highly adaptable and can address a wide range of needs. Arts therapists work with people of all ages with mental health problems such as dementia, and eating disorders; and people with developmental and learning difficulties, including sensory problems, autism and ADHD. In medical settings, therapists work with people with cancer, strokes, chronic pain, acquired brain injuries, terminal illnesses and in natal care. Many therapists also work with people with stress, low self-esteem and emotional, behavioural or social challenges.
such as people on the autistic spectrum, those who have experienced a stroke or acquired brain injury, and people with mental health difficulties who find it difficult to put their experiences and feelings into words. With C.A.T. people can communicate and work through their emotions using the art form as a vehicle for emotional self-expression, interaction and change.
Bill Ahessy, MMT, is an IACAT registered music therapist. For more information about C.A.T., to find a qualified therapist, visit www.iacat.ie or www.facebook.com/iacatireland.
Central to C.A.T. is the therapeutic bond that develops between the therapist and client. Experiences can include making images or sculptures, dance and movement, voice work, dramatic play, mime, role-play, singing, improvisation on instruments, listening to music, and songwriting. Creative Arts Therapies are particularly effective for people who find it difficult to communicate verbally,
Why use a registered therapist? The Irish Association of Creative Arts Therapies (IACAT) is the professional body for qualified therapists in Ireland. All 250-plus members have attained Master’s-level qualification in their specific therapy, and adhere to a code of ethics, ensuring safe practice. Therapists in Ireland work in a range of settings with a variety of people, and many of their clients are society’s most vulnerable. Although government
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bodies commend C.A.T. when considering service provision, there is no state recognition, so IACAT is campaigning for therapists to receive official, statutory registration in this country, to ensure that these client groups are protected and safe, and that employers are secure, knowing that they are contracting a qualified therapist with the required training in their specific therapy.
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What’s
up, Doc?
Got a problem you want to share? Sláinte answers your questions about health...
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My mother and sister have both developed osteoporosis and I’m worried that I’ll get it too. What causes it?
During my period, the blood flow is so heavy that even super-absorbent tampons aren’t enough. What can I do?
Osteoporosis is a condition that weakens your bones, making them fragile and more likely to break. Our bones are made up of a thick outer shell and a strong inner mesh that looks like honeycomb. Osteoporosis occurs when the holes in this honeycomb become bigger, making it fragile and liable to break easily.
The correct medical definition of heavy periods is the passage of more than 80ml of blood each period. So while it’s not very practical to actually measure the blood loss, if you need to change your tampon or pad more than every one-to-two hours, or if your period lasts longer than seven days, talk to your doctor about being tested for a bleeding disorder.
Age is the major risk factor, although the disease can affect younger people, and yes, genes play a huge role – around 80% of our bone health is inherited from our parents. Lifestyle changes can be key. Establishing a healthy diet that includes calcium-rich foods is essential, for example. Calcium-rich foods include milk (a pint provides roughly your daily requirement), green leafy vegetables such as watercress and curly kale, dried fruit such as currants and tinned fish containing bones such as sardines.
“Lifestyle changes can be key. Establishing a healthy diet that includes calcium-rich foods is essential” Exercise is also crucial. It must be weight-bearing exercise, such as walking briskly, running or playing tennis. This helps strengthen muscles, ligaments and joints, which improves bone and balance. Summer sunlight is important to generate the vitamin D that our bones need, or consider vitamin D supplements in the winter. If you’re worried, please visit your doctor.
I had a heart attack a month ago and I’m scared to have sex again. What’s the safest approach? It’s important to speak to your doctor and make sure you have been given a clean bill of health. After going through the experience of a life-threatening heart attack, many patients are justifiably scared of having another, and think it’s a bad idea to stress their bodies with sexual activity. But fewer than 1% of heart attacks come from having sex. In fact, it makes sense to think of sex as a form of exercise! Consult your GP if you get chest pain (angina) during sex. Similar to any type of exercise, if you begin to feel symptoms such as chest pain, abnormal shortness of breath, fatigue, dizziness, or palpitations, it definitely makes sense to slow down what you’re doing. Sometimes, people find counseling useful to deal with their fears.
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Remember, heavy bleeding does not necessarily mean there is anything seriously wrong, but it can affect a woman physically, emotionally and socially, and can cause disruption to everyday life. There are a number of conditions that can cause heavy bleeding, including fibroids, endometriosis, pelvic inflammatory disease, and polyps of the lining of the womb. The most common cause is a condition called dysfunctional uterine bleeding (DUB). This refers to heavy bleeding with no apparent explanation. Your GP should be able to diagnose heavy periods from your symptoms alone. But it might need further investigation, usually involving a pelvic examination and a blood test. You might also have an ultrasound scan. If treatment is necessary, medication is most commonly used first. If medication doesn’t work, surgery might also be an option.
I’m worried that I am drinking too much It can be hard for someone to tell exactly how much they normally drink. Accustomed drinkers are less aware of feeling drunk, so it can be a good idea to keep a diary over a period of time of exactly how much alcohol you consume.
I think I may have an eating disorder. I can’t stop eating. I eat huge amounts of food and then vomit it all back up again. Is this is an eating disorder and what I should do? You certainly do have some form of eating disorder. You are ill and it is essential that you see your doctor immediately. They should refer you to a specialist. Many bulimic sufferers – and that is undoubtedly what you are – wait for years without getting help. The longer you wait, the more damage you’ll do to yourself, like having your teeth rot because of the acid that washes over them every time you’re sick. Please see a doctor straight away.
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Take the cancer battle outdoors In his latest article for Sláinte, award-winning horticulturist Fiann Ó Nualláin explains why he believes that getting busy in your garden can not only help ward off a serious illness such as cancer, but can greatly aid recovery. We might not get the greatest summers here in Ireland, but there’s plenty to enjoy when the sun does break through the clouds. OK, exposure to the sun has its dangers, but this does not mean we should shun the beach, the picnic… or the garden! Even if there’s no more hot weather to come, the right sort of hat and clothing will allow you to use your garden as a weapon in your battle to prevent – or even recover from – cancer.
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Many scientific studies have explored the correlation between gardening and cancer prevention. They’ve looked at its immune-boosting and de-stressing attributes, the toning exercise provided by its physical tasks, even the benefits of receiving extra vitamin D from being outdoors. But we should not underestimate the power of gardening for recovery.
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The garden as a tool Even lightly pottering about the garden delivers a mild workout that builds strength, endurance and the feeling of fitness. But beyond that, the garden is a tool, a support system, and an agent of proactivity that is extremely beneficial for people in treatment or recovery from cancer.
of green, the beauty of the open flowers, and the vibrant promise of the buds. You will come to recognise that life is a force, all around and within you, willing its own existence, burgeoning with energy and the joy of now. Stress melts away, calm and positivity surrounds you. The portal to healing and the sense of wellbeing is opened.
How?
Now if you are the sort that needs to take charge or must be doing something more than smelling a rose, then go for it. Putting your energy into the task of building and maintaining a garden is both a creative endeavour and a statement of hope and expectation.
For starters, it helps address so many healthcare needs such as nutrition, stress-reduction, and achieving a sense of accomplishment and personal empowerment. It also keeps you actively engaged with your environment, living life, and not letting cancer management stop you in your tracks. In terms of a personal affirmation, go plant some bulbs before your chemotherapy course and live to see them bloom. Make a wish or a prayer on each bulb for the loved ones in your life, and live to see them smiling around the table at the meal you hold to celebrate your remission.
A sense of wellbeing Whether you are in remission or getting there, the garden will recharge your batteries. You don’t even have to pick up a spade, just sit and listen to the birdsong or the hum of the bees, feel the weather on your skin (cold or hot, it makes no difference). It will bring you into the present, where you will see the growing foliage, the rich shades
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The future may seem uncertain when faced with cancer, but the tree you plant today will be there tomorrow. Hope is a nice cup of tea, but expectation (the demand to receive, the determination to succeed) is the most nourishing meal. The action of planting seeds, weeding, watering and nurturing plants until they grow to support themselves is not just life-affirming, but sets you up with regular routines that connect you with the cycles of life and bring self-empowerment and accomplishment. Tasks which also provide the chance to be of ‘no mind’, to be absent from cancer, to be engrossed in the spiritual wonders of gardening or simply engaged in a mundane task can sometimes be the most beautiful gift. Getting on with it, getting over it, moving away from it and into life, whether those moments are dull or thrilling, it’s LIFE.
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So what should I grow? Why not grow what the body needs for both recovery and optimum health? We’ve addressed what the soul and mind can harvest from gardening, now let’s look at what growing some easy fruit and veg can harvest in health rewards. You won’t need acres, a simple raised bed or even crops in containers is a great way to begin. Cruciferous vegetables are a must – broccoli, cauliflower, kale, Brussels sprouts, and cabbage. The latter two contain the potent antioxidants lutein and zeaxanthin, which can help decrease prostate cancers. The others contain indole, a phytochemical that transforms and moderates aggressive oestrogen action and so fights breast, brain and colorectal cancers. Crucifers also contain sulforaphane, which induces the production of enzymes that can deactivate both free radicals and carcinogens, while their fibre content will eliminate toxins. And don’t forget the humble carrot. The beta carotene in carrots and other brightly coloured vegetables is remedial to lung, mouth, throat, stomach, intestine, bladder, prostate and breast cancers.
anti-cancer agent, while garlic, leeks and chives have active ingredients such as selenium, tryptophan and dialyl sultides that actively attack cancer cells and boost the activity of immune cells that fight cancer. Consuming green and yellow leafy vegetables has been associated with lower levels of stomach cancer; the lycopene in tomatoes can reduce the risk of breast, prostate, pancreas and colorectal cancer; pulses (such as peas and runner beans) contain fibres such that can help neutralise free-radicals in the gut and bloodstream; and the anthocyanins in raspberries, cherries and aubergines can protect against cancer and boost recovery times with their powerful antioxidant activity. So, whether the garden becomes your medicine cabinet or your happy place, go to it often for fuller health… and a better quality of life!
Onions contain quercitin known to be a strong
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4114 LUN
51
BIPOLAR DISORDER AFFECTS 1 IN EVERY 100 PEOPLE IN IRELAND
99&ME is a campaign to raise awareness of bipolar disorder – a condition which affects 1 in 100 Irish people. Bipolar disorder is a lifelong condition, but with the right treatment and support, most people can gain control of their symptoms. Supporting the 1 in 100 with bipolar
FOR MORE INFORMATION VISIT WWW.99ANDME.IE SUPPORTED BY
LU1/2/13
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This incredible pair of glasses can also boost your hearing An advanced pair of glasses can now help the hard-of-hearing.
The amazing pair of spectacles not only improve your eyesight but also help improve your hearing thanks to tiny digital hearing aids built into the sides of the frames. The unlikely invention comes from the innovative manufacturer that benefits from over 50 years of experience within the hearing aid industry, and the good news is that these spectacles are available here in Ireland. If you have a hearing problem but don’t want to wear a conventional hearing aid visible behind-the-ear, or have discomfort with an in-the-ear hearing aid, then the spectacle aid is a dream come true. Hundreds of thousands will benefit as it’s suitable for patients with conductive or moderate to severe hearing loss. Best of all, the aid can even be fitted to your existing frames. And if you don’t wear glasses already but need a hearing aid, you can choose from a fashionable range of frames for ladies and gentlemen. They can help boost hearing in people who have an appropriate hearing loss and for whom wearing a conventional hearing aid is not something they want to do, even though they may benefit from one. The latest range of Spectacle Aids feature many attractive frames for men and women containing hearing aids that are almost completely hidden, and of course the spectacles can be removed at any time. They are perfect for work, travel and leisure.
So if you want to have clear vision and hearing in one, apply now for details by sending the freepost coupon below or by calling our freephone on 1800 37 00 00 For a detailed brochure on Spectacle Aids
Freephone 1800 370 000 Please quote ref. SADA9044
www.hiddenhearing.ie SEND ME A FREE INFORMATION PACK Please post me free and without obligation details of digital Spectacle Hearing Aids: Mr/Mrs/Miss First name___________________________ Surname ________________________________________ Address ________________________________________ ________________________________________________ ________________________________________________ Telephone ______________________________________ D.O.B. _________________________________________ Email __________________________________________
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Phone or send coupon today (no stamp required) to: Hidden Hearing Ltd., 3030 Lake Drive, Citywest Business Campus, FREEPOST F1570, Dublin 24.
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