A&H March 2017

BITTER SWEET on gestational diabetes

FEBRUARY/MARCH . ISSUE 72

M A LTA ’ S B E S T A N D B R I G H T E S T H E A LT H A N D W E L L B E I N G M A G A Z I N E

PLUS

REAL LIVES, THE LATEST BOOKS, PRODUCT NEWS, CONTACTS AND MORE

ARE YOU A DRAMA QUEEN?

Why can’t I eat what I want?

Life after diagnosis

SINGULAR ADVANTAGE? The alternative to coupling up

INSPIRING FAMILY SUPPORT WHAT A PAIN

Hair today, gone tomorrow

Mum’s the word

New life, new relationships

SAYS...

p

hysical health and well being are symbio c. When one is under strain, it will affect the other.

Feeling healthy is as much a product of mind as of a good diet, exercise, and proper self care. Feeling under the weather can trigger unhealthy habits like overea ng and laziness, both geared to making us feel worse. Finding support when we need it is a major factor in how we cope. There are mes and circumstances when our needs and expecta ons cannot be met by those around us. Whether we’re trying to break bad habits, find our feet in new circumstances, come to terms with an unexpected change, or work out why we do not feel right when there is nothing obviously wrong with our life, external support can make a difference. Some mes, all it takes is for you to reach out beyond your usual circle. In A&H we occasionally feature sources of support. You will find some in this issue, along with a collec on of features, reports, and quick reads. Enjoy this issue. We’ll be back at the end of April.

EDITORIAL CONSULTANT Corinne Vella ASSISTANT EDITOR Anna Maria Ga DESIGNER Conrad Bondin – Standard Publica ons Ltd. CONTRIBUTORS Charlene Borg, Mariella Camilleri, Ma hew Camilleri, Anna Maria Ga , Amanda Mallia, Corinne Vella PHOTOGRAPHY Standard Publica ons Ltd., AP & others.

PRINTER Print-it DISTRIBUTION Bi-monthly with The Malta Independent on Sunday, and in clinics, hair and beauty salons and pharmacies.

ADVERTISING Chris ne Bu gieg – Standard Publica ons Ltd. T 2134 5888 ext 136. cbu gieg@independent.com.mt SALES CO ORDINATOR/ARTWORK COLLECTION Chris ne Bu gieg – Standard Publica ons Ltd. T 2134 5888 ext 136 PUBLISHERS P&D Communica ons Ltd. Standard Publica ons Ltd., Standard House, Birkirkara Hill, St Julian’s STJ1149, Malta.

T (356) 2134 5888 F (356) 2134 6062, 2134 3460 The informa on in this magazine should not be used as a subs tute for the care and advice of a health professional. Appropriate treatment varies according to an individual’s par cular condi on and circumstances. Self-diagnosis is risky, especially in the case of serious condi ons.

All rights reserved. Reproduc on of this magazine in whole or in part is strictly prohibited without the wri en consent of Standard Publica ons Ltd. A&H’s publishers cannot be held responsible for any ac on taken without the advice of a medical specialist. The opinions expressed in this publica on are not necessarily those of the publishers or the editor. While every a empt has been made to ensure accuracy, the publisher and the editor cannot be held responsible for any errors or omissions from ar cles, adver sing, photographs or illustra ons, for unsolicited manuscripts, photographs or other material, or for submissions of any kind, whether delivered electronically or by conven onal mail, which are lost or damaged in transit.

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IN THIS ISSUE

FEATURES

12

34

FAMILY SUPPORT

by Inspire

08

MUM’S THE WORD New life, new relationships

BITTER SWEET Gestational diabetes

FAMILY LIFE 08

MUM’S THE WORD New life, new relationships

12

BITTER SWEET Gestational diabetes

14

WHY CAN’T I EAT WHAT I WANT? Life after diagnosis

34

FAMILY SUPPORT BY INSPIRE

30

06 18

ARE YOU A DRAMA QUEEN?

22 26 30

WHAT A PAIN

38 43

WEIGHT OF LIFE

PAINFUL BITE Can you drink tea or eat ice cream without wincing?

HAIR TODAY, GONE TOMORROW SINGULAR ADVANTAGE? The alternative to coupling up OVERCOMING BARRIERS IN ORAL HEALTH IN LATER LIFE

06 NOT JUST A WOMEN’S DISEASE

SINGULAR ADVANTAGE? The alternative to coupling up

REGULAR 41 44-47 47-48

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March 2017

WHY CAN’T I EAT WHAT I WANT? Life after diagnosis

BOOKS PRODUCT NEWS A&H DIRECTORY

38

WEIGHT OF LIFE

Ask your pharmacists why Pantogar is the most recommended product in Malta for woman suffering from hair loss and weak hair.

For more information please visitwww.pantogar.com

QUIZ

ARE YOU A

DRAMA QUEEN?

SOME PEOPLE NEED TO BE THE CENTRE OF ATTENTION. OTHERS ARE HAPPY TO LET THINGS GO BY. WHERE DO YOU FIT IN?

1

You are at a restaurant and you ordered steak with sauce on the side.

The waiter brings you steak with sauce spread all over it. You: a. complain and ask to see the manager b. ask whether there was a mistake and then swap the plate your partner’s c. just don’t bother and eat it just the same.

2

You are at a wedding and you notice that another guest is wearing a dress just like yours. You: a. go back home to change while steaming with rage towards the owner of the shop where you bought the dress b. remain at the wedding but avoid the other guest c. joke about it and end up taking a selfie together.

3

Your colleagues at work asked another friend to join you for your daily lunchtime walk. You: a. say something unpleasant about her so that your friends change their minds b. interrupt her all the time so that you avoid her becoming centre of attraction c. gladly look forward to her presence – the more the merrier.

4

Your mother comments that you seem to be putting on weight. You:

a. panic and immediately decide to go on a strict diet b. admit you were eating a lot but confirm that it is only because of exam stress c. laugh about it and say you are happy with how you look.

5

Your ex has started dating someone else. You:

6

You are late for work due to a traffic jam. You phone your boss and:

a. burst out crying while promising him/her that you will stay on later in the afternoon b. explain the situation to him/her and promise her that tomorrow you will leave home earlier c. tell him/her that you are late and so it’s no use trying to reach the office at this late hour.

7

You applied for a new job but you failed. You:

a. feel humiliated and blame yourself for being incompetent b. phone the company and ask for an explanation c. start looking for a new post with another company.

a. bombard him with messages asking for a second chance b. look up this new partner and compare yourself to her c. are glad that he managed to rebuild a life in the same way you did.

YOUR ANSWERS MOSTLY a’s: You really deserve the title ‘Drama Queen’. You always want to be the centre of attraction. Your see your life as a soap-opera with you always talking about yourself, your experience, your strengths and weaknesses in the most melodramatic way. At times it seems that you do your best to make the lives of those around you miserable by gossiping, stirring things up and telling stories that don’t interest people around you. Having an audience is the perfect set-up for you.

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MOSTLY b’s: You weight the pros and the cons of each situation. You know when you must keep a low profile and when you can ask for more attention or an explanation. Your attitude might still affect your relationships with friends and colleagues because you tend to switch mood and so they don’t know what to expect.

People might describe you as a wise person while others might see you as someone who wears a different hat for each different situation.

MOSTLY c’s: Life is too short to worry about every single thing that might not go as you wished. Your mind is set on your daily routine and you focus on what affects you and your loved ones. It is useless to stress over every single thing while losing out on the most important things in life. Your motto is “do not worry about things that you cannot change” and this makes you a positive person who appreciates all that is around you without negatively affecting the lives of others.

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MATERNITY

Mum’s

THE WORD

THE ARRIVAL OF A NEW BABY CAN TRIGGER TENSIONS BETWEEN A NEW MOTHER AND HER MOTHER IN LAW. BE REALISTIC ABOUT WHAT YOU CAN EXPECT AND ACCEPT THAT, SOMETIMES, MANAGING THE TENSION IS THE BEST YOU CAN HOPE FOR. YOU MIGHT NEVER FALL IN LOVE WITH YOUR IN LAW, BUT YOU MIGHT SOMEHOW GET ALONG.

IF YOU’RE A DAUGHTER IN LAW A mother-in-law who rubs you the wrong way or hurts you emotionally can drive a wedge between you and your husband. Here’s how you can protect yourself and preserve your household.

Be detached If your mother-in-law is wonderful, you’re onto a good start. If she’s not, deal with reality as it is. That’s easier said than done, especially if you start out believing you’d get along well if only you tried hard enough. Don’t expect a warm, loving, friendly relationship if that’s not the sort of person your mum-inlaw is. Remind yourself that she is not your mother, or a surrogate mother, so you can’t be her daughter or a surrogate daughter. Respect the fact that she’s your husband’s mother – there’s no 8

March 2017

point in drawing unnecessary battle lines – but relate to her on equal terms.

Understand where she’s coming from She raised your husband from babyhood and now she feels she’s losing him. No one likes to feel less important in anyone else’s life. You don’t have to put up with possessive or unreasonable behaviour, but understanding where she’s coming from will help you to keep things in perspective and make things easier to deal with.

Give her space even when it feels like she’s invading yours A difficult mum-in-law’s real interest is in preserving her sense of family and feeling that she’s still important to her son. Give her the space to

enjoy that feeling sometimes by, say, not always accompanying your husband when he visits her. There’s no point in trying to cut her out completely. It’ll only drive a wedge between you and your husband.

Don’t try to change her A mum-in-law who repeatedly rubbishes you to her son (your husband) and other members of his family, undermines what you say and do, and openly criticises you regardless of who’s around is a lost cause. That sort of behaviour is a public statement about her relationship with you. Admit to yourself that she’ll never be a positive influence in your life and you’re not going to change that. Keep a safe distance, even when she

appears to be nice to you.

You’ll have to look elsewhere for warmth and support.

Identify the triggers and avoid them Work out what it is about her that makes your blood boil and avoid those triggers. You’ll find that, however the friction shows up, the root cause is the same e.g. you might be feeling that she thinks you’re not good enough for her son so avoid being in a situation where you ‘prove’ that to her.

Set and enforce boundaries Start as you mean to go on.

Setting the right boundaries will help preserve everyone’s sanity and can even be reassuring to a mum-in-law who prefers to know how far she can go. If your mum-inlaw constantly crosses

boundaries she might a) not realise what she’s doing or b) be doing it deliberately. In the former case, you could tactfully show her what’s going wrong or ask your husband to intervene. In the latter case, you’ll need to be firm and assert yourself clearly without being confrontational. If you don’t want her feeding sweets to your children, say, or calling round when you’re about to put them to bed, let her know gently but firmly. If she won’t get the message or repeatedly defies you, then the conflict is not about sweets or visits, but about who rules the roost in your home. It’s best to lay down the law as a mature adult. It might not be pleasant but if you let things fester for fear of upsetting her or antagonizing your spouse, it’ll only get worse.

»

Mum, welcome to your new life.

Mum

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MATERNITY

IF YOU’RE A MOTHER IN LAW Remember who your son is He might be your son, but he’s also his own person and another woman’s husband. No matter how awful you think she is, keep your opinion to yourself. You won’t do your son any good by criticising his spouse to him, no matter how right you are.

son and grandchildren unhappy. Respect who she is to them, no matter how much you dislike her. Your feelings and expectations do matter, but so do everyone else’s. If your daughter-in-law wants to enjoy family time with her husband and children, give

Be polite and civil Mums-in-law have a difficult time. They’re the butt of cruel jokes, whatever they do, so even when you’re right, you’re wrong. Your daughter-in-law might be a selfish, manipulative control freak who you think is making your son’s life hell. Even so, bite your tongue.

You won’t help him by getting into a head-on confrontation with her. The bitterest in-law battles are fought over the man who brings the two women together and, if you love your son, don’t make his life more difficult. Accept the fact that you might be wrong and that your daughter-in-law is actually a reasonably nice person but just not one with whom you can get along. Be polite to her, just as you would to an acquaintance. Keeping calm and civil is the best you can do for your son.

Your feelings and expectations do matter, but so do everyone else’s

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No matter how mad you feel at the way she raises your grandchildren, keeps house (or doesn’t), or relates to your son, remind yourself that you can control your feelings better than another person’s behaviour. Don’t criticize her parenting or let fly because you think your son’s overworked so he shouldn’t have to do anything around the house.

Your daughter-in-law is your grandchildren’s mother and your son’s wife and their home is theirs not yours. You might not like the way they do things but even if your son agrees with your way of doing things, it’s not your place to tell your daughter-in-law what to do and how to do it. It’s not too big a deal if your son irons his own shirts and learns how to cook. And there’s nothing wrong in him looking after the children for a whole weekend. That’s not being ‘babysitting’. That’s being a father.

Accept the situation as it is

Remind yourself of who she is Your daughter-in-law is not some random woman who stole your son away from you. She’s the woman he married, and with whom he lives unless things go wrong. She’s also likely to be or become the mother of your grandchildren. You can’t wipe her out of your existence, or exclude her from your son’s and his children’s lives. If you try doing that, you’ll make your

Deal with your feelings rather than criticising your daughter-inlaw

her the space to do so. Don’t think of it as her taking your son and grandchildren away from you. Think of it as her preserving family and home life for them.

Don’t expect them to come round every Sunday, for instance. It’s the one day of the week when they can all be at home together so give them the time and space to enjoy it.

Offer help and support, but don’t impose yourself and don’t try to get between your son and his wife.

Come to terms with the fact that he’s grown up and become another woman’s husband and, while his wife may not be what you’ve always dreamed of, she’s the woman he married and the daughter-inlaw that you have. If you want to keep the peace, accept the situation as it is rather than as you’d like it to be.

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MATERNITY

BITTER SWEET g

TREATMENT FOR GESTATIONAL DIABETES CAN REDUCE RISKS TO MOTHER AND CHILD

Gestational diabetes is more likely to occur if the mother is obese, has high blood pressure, or another related medical condition 12

March 2017

estational diabetes affects a small percentage of pregnant women.

Diabetes in pregnancy is diagnosed as gestational when the mother does not ordinarily suffer from diabetes but develops high glucose (blood sugar) levels during pregnancy.

The condition occurs because the mother’s body does not produce or use insulin properly. This may be due to insulin resistance caused by placental hormones. A low level of insulin means that glucose cannot be converted into energy.

This means that glucose levels build up, causing hyperglycaemia.

Gestational diabetes is more likely to occur if the mother is obese, has high blood pressure, or another related medical condition.

The risk is higher for mothers who have already had a stillborn child or who have had a baby whose birth weight is higher than normal.

If you have a family history of diabetes and you have had gestational diabetes in earlier pregnancies, the probability is that you will develop gestational diabetes when pregnant again. In other words, if it’s happened before, it is more likely to happen again.

Age is another aggravating factor – if you are over thirty and pregnant, you have a greater possibility of developing the condition than you did when you were younger.

Around half of the women who develop the condition will not suffer adverse consequences themselves. However, if it is not treated, gestational diabetes can cause serious complications for the baby. One such risk is the baby growing too large, possibly causing birth complications including injury to the baby during childbirth, or increasing the need for delivery by caesarean section.

Babies of mothers with gestational diabetes could also be at risk of developing jaundice or breathing problems. However, as the condition usually develops in the late stages of pregnancy when the baby is more or less fully formed, at that stage the risk of physical birth defects is relatively low.

Babies born to mothers who had gestational diabetes do not run a higher risk of developing type 1 diabetes during childhood but they do have a higher risk of being overweight and of developing type 2 diabetes later on in life. As for the mother herself, she can expect her blood sugar levels to return to normal following delivery, yet she still has a high risk of developing diabetes within 10 to 20 years.

Detecting and treating gestational diabetes is essential for the health of both mother and child. That’s just one more reason to stick to regular appointments with your doctor throughout your pregnancy, and to follow professional advice. In suspected cases, your doctor may recommend an oral glucose tolerance test. This usually involves drinking a glucose solution and having your blood or urine tested for glucose over the course of a few hours.

To help keep gestational diabetes under control, ensure you have a healthy diet and keep physically active regularly. In some cases, treatment may include daily blood glucose testing, together with insulin injections where necessary.

If in doubt, always seek your doctor’s advice even if you think your concerns are trivial. Keeping your gestational diabetes in check will keep you healthier, and will help avoid future health problems for your unborn child. What greater incentive can there be than that?

›‹

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CHILDREN

BEYOND DIAGNOSIS LIFE CHANGING ILLNESS NEEDS A HOLISTIC APPROACH. DANIELA ALLEN REPORTS

a

friend’s 5-year-old daughter was recently diagnosed with coeliac disease. What was meant to be a precautionary blood test turned out to be a life-changing event. The news triggered memories of my own daughter’s diagnosis, reminding me of how lost I felt trying to adapt our life to a gluten-free diet, at a time when there was little awareness of coeliac disease.

When my daughter was diagnosed, I struggled to help her understand why some new foods had to be included in her diet and others had to be left out. As my anxiety and fear of being misunderstood grew, I wondered why children and parents are not offered any psychological support when diagnosed.

In physical illness, we tend to focus on healing the body and often forget about healing the mind. I asked Steffi Savona Ventura about the psychological effects that diagnosis of coeliac disease and other similar conditions can have on children.

Steffi Savona Ventura is a health psychologist. She works with adults and children who either suffer from a medical condition and need further help in coping or whose anxiety or stress is manifested in

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physical symptoms. She explains that where there is a need for life-long restricted diet, there are many psychological implications for the child and family and addressing them is crucial to the child’s well being.

Although awareness of the more common conditions is increasing, proper support is still necessary. Some conditions are still not well known and there is little understanding of the needs of the sufferer. In children, the psychological impact can be distressing because it can make the child a target for bullying and labelling, a common occurrence in many schools. Steffi says this happens mainly because people don’t know enough until such conditions affect their own family.

As long as food limitations remain a reality in some social situations, children especially will continue to find it even harder to adapt because of the lack of available options. In such cases Steffi recommends consulting a professional, such as a psychologist, on how to handle the situation and help support your child.

“Communication is the key to understanding how the child and the parents feel about the diagnosis,”

Rebellion may be expressed in other areas of their lives and not solely in their eating habits

she says. “This is even more relevant for a parent who needs to manage their own emotions and not project them onto their child.”

»

CHILDREN

PSYCHOLOGICAL EFFECTS OF DIAGNOSIS Health psychologist Steffi Savona Ventura lists the psychological effects children usually experience and how parents can help.

their eating habits, e.g. by resistance towards school, disobeying certain orders, and so on.

Social impact Mixed feelings Being diagnosed with coeliac disease or any other food intolerance may generate mixed emotions. For some children who experience numerous medical evaluations and misdiagnoses, a confirmed diagnosis of coeliac disease or other food intolerance may provide a sense of relief and an explanation. For those who experience the subtler symptoms of the disease, diagnosis may be unexpected and confusing.

Health implications and fear of the future Realising that you have a chronic illness that requires a life-long restricted diet can be a challenge. This is particularly true in terms of the health implications of not keeping to that diet. This realisation may trigger fear and anxiety about the future, particularly when the child and parents do not understand it or how to handle it.

Allergies or food intolerances have a significant social impact. As many social activities involve food and eating, these situations can be a source of stress for children and their parents. It’s common for children to feel socially isolated or different from peers due to their diet.

Low self-esteem Children may experience low self- steem as they perceive themselves to be different from others. This feeling is exacerbated when children have siblings that do not suffer from the same condition, or when they participate in school activities and events.

Shame and guilt Very young children may not understand what’s happening and may then feel that they are being punished for something wrong. This could make them feel ashamed or guilty without knowing or understanding why.

Lack of control Once the diagnosis has been established, children and their families must constantly monitor their food intake. For some, this may cause anxiety, fear and resentment.

Ultimately, we cannot control everything and managing a condition or allergy can exacerbate feelings of being out of control, and therefore increase anxiety.

Rebellion Children may try to rebel against this forced restriction to regain control over their environment. Rebellion may be expressed in other areas of their lives and not solely in

Separation anxiety Diagnosis may create separation anxiety in children who feel highly dependent on their caregiver for protection, and who may sense that something is not quite right. Like with all chronic illnesses, adherence to treatment can be difficult for children. For some, keeping to specific diets can involve anxiety about accidental consumption of the allergen, future health concerns, fatigue from maintenance over time, and negative emotions such as frustration, disappointment, and sadness. Their emotional reaction may make them more dependent on their parents or caregivers.

Family issues Another social impact of coeliac disease and other gluten-related conditions is in the family. Decisions about whether to integrate a gluten-free diet for individuals or the entire household, the effect on siblings when parents have to give more attention and time to one child, or parents’ guilt about late diagnosis or misdiagnosis for their child are examples of some of the concerns that may arise.

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HOW CAN WE HELP CHILDREN COPE BETTER? A common cold or the flu will go away if you get proper bed rest and keep yourself well hydrated and nourished. See a doctor if your symptoms worsen, or if you notice any unusual symptoms, including the following: • Acknowledging, and normalising feelings is a good first step to helping children cope more adaptively and begin to find ways to take control of their disease and health.

• Explaining to the child as simply as possible what is wrong and what the condition means helps them make sense of the situation. This means they will be less likely to think that they have done something wrong to deserve this “punishment”, helping to eliminate feelings of guilt and shame.

• Psychological effects are highly dependent on the coping skills of the parents and family members in terms of their illness perception.

Parents who take the condition in their stride, contain their own anxiety, and are problem-solving and empowered, help the child develop similar qualities. On the other hand, parents who are evidently anxious and fearful may instil in the child high levels of anxiety and stress.

• Regardless of age, it’s helpful to include children in decisions about sharing information with others (who will be told, what will be disclosed) to help them maintain a sense of control.

• Role-playing can be a concrete way for children to practice how to speak to others, for example, about having a gluten-free diet or how they feel about having a gluten-related disorder • There may be a tendency for parents to try to shield food-allergic children from adversity and risk. However, although a food allergy may restrict a child’s social interactions, aim to provide as normal a childhood experience as possible. Excessive or long standing restrictions such as isolation at meal times or limiting the child’s participation in celebrations, could result in increased social isolation and associated feelings of depression or social anxiety. It is important to provide as inclusive an environment as possible for the food-allergic child to foster these developmental stages. All children must be given the opportunity to make new friends, develop more autonomy, expand their social skills, and improve their problem-solving skills in social situations.

• Children’s needs may vary according to their age and developmental functioning. For instance, younger children may need help to practice what to say and how to respond to questions. Adolescents may benefit from help in being assertive with others about maintaining their diet.

• For younger children, expressing feelings may be better achieved through play, drawing or acting. Children may also express themselves through engaging in enjoyable activities to help them vent their frustrations.

• For families, communication is important and parents set an example for encouraging expression of feelings and ways to do so.

• Physical activity that the child enjoys help to instil the value of good health and fitness, and may generate good feelings and a sense of achievement and self- worth.

• On more practical terms, planning and preparing foods in advance, having appealing food alternatives available, and engaging in a whole family lifestyle change also help better adjustment.

ORAL HEALTH

Sensitive teeth are a common problem, affecting as many as 40% of the population.

PAINFUL BITE CAN YOU DRINK TEA OR EAT ICE CREAM WITHOUT WINCING? IF NOT, YOU MAY HAVE SENSITIVE TEETH.

s

ensitive teeth are a common problem, affecting as many as 40% of the population. If you wince when you sip a hot drink or when you eat a cold food like ice cream, then you probably have sensitive teeth. The pain can be sharp, sudden, and shoot deep into the nerve endings of your teeth.

The most common cause of sensitive teeth is dentine hypersensitivity, where the exposed dentine responds to a stimulus like heat, cold, or touch. The most

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common cause is cold stimulus when eating or drinking. Other causes include chipped or cracked teeth, and tooth rot (caries), among other things.

Tooth enamel is the strongest material in your body. Normally, it protects the parts of your teeth that are not embedded in your gums.

Underneath your gums your teeth contain an inner layer called dentine.

This is porous, containing thousands of microscopic tubules that lead to your teeth’s nerve centre.

When the dentine is exposed, hot and cold food and drink can flow

through those microscopic tubules, stimulating those nerves. This causes the pain we associate with sensitive teeth. Acidic or sticky foods can have a similar effect. If you have sensitive teeth, even chewing or breathing through your mouth can cause pain.

Sensitivity is common in Malta in people of all ages because soft drinks, fruit juices and wine which cause acid erosion, especially if you brush your teeth soon after drinking. Your tooth enamel starts to dissolve when exposed to a pH value of 5.5. Once the dentine is exposed, even lower acidity can cause erosion.

You can prevent the damage that causes sensitivity by practicing good oral hygiene.

Use a soft toothbrush, hold it at a 45 degree angle to your teeth, don’t press hard when brushing, and don’t brush your teeth immediately after eating or drinking. Tooth sensitivity is not always caused by poor oral hygiene. Grinding your teeth – a common problem at night – can also cause erosion and sensitivity.

Periodontal disease, where gums recede and create space where bacteria can grow, can also cause erosion and sensitivity problems.

»

ORAL HEALTH

CAUSES OF TOOTH SENSITIVITY Age – sensitivity is highest between the ages of 25 and 30.

Brushing wrongly – brushing your teeth regularly helps keep them healthy but brushing incorrectly or using a brush that is too hard can wear down your enamel and cause your gums to recede, exposing the sensitive underlayers of your teeth.

Cracked teeth – if your teeth are chipped or broken, bacteria may collect in the crevices forming plaque that can cause inflammation.

Acidic food – regularly eating food with a high acid content can cause enamel erosion. Such foods include tomatoes, tea, pickles and citrus fruit.

Tooth whitening products – these can increase sensitivity as they affect the thickness of your tooth enamel. Tooth whitening products include toothpaste that contains baking soda or peroxide.

Plaque – plaque is mainly removed through regular brushing and flossing. However, if the teeth are damaged, plaque can accumulate in hard-to-reach crevices, causing sensitivity.

Gum disease (gingivitis) – if your gums are inflamed and sore, the supporting ligaments may weaken exposing the roots of your teeth.

Mouthwash – not all mouthwashes are equal.

Some contain acid that can make tooth sensitivity worse.

Using an acidic mouthwash when you have sensitive teeth can make the problem worse as the acid can damage the dentine layer of your teeth. If you need to use a mouthwash, ask your dentist to recommend a suitable one.

Grinding teeth – the habit of clenching your jaw or grinding your teeth is often unconscious but it effectively wears down the enamel, exposing the sensitive layers of your teeth.

Gum recession – gums may recede for various reasons, include incorrect brushing, gum disease or periodontal disease. Receding gums expose the sensitive parts of your teeth. In some cases your dentist may recommend grafting gum tissue to cover the exposed part of your tooth, or may recommend root canal treatment to eliminate the pain permanently.

Dental procedures – sometimes sensitivity results from healthy and necessary dental procedures, including cleaning, crown insertion, or root planing.

This type of sensitivity is normally temporary and disappears within a few weeks.

HOW TO REDUCE TOOTH SENSITIVITY Practise good oral hygiene

roots before going to bed. The specialised toothpastes work by depositing compounds that help block the pathway from the tooth surface to its nerve centre. Normally, several applications are necessary before you will notice a marked reduction in sensitivity.

Clean all parts of your teeth and mouth properly and regularly. Brushing immediately after a meal is not a good idea as the enamel is particularly soft at that time. It is best to wait for 20-30 minutes after eating or drinking before you brush your teeth.

See your dentist regularly

Use a soft toothbrush A hard toothbrush is abrasive, wearing down your tooth enamel and irritating your gums. Using a soft toothbrush minimises damage, particularly if you brush gently around the gum line.

Use a toothpaste made for sensitive teeth Specially made toothpaste can help desensitise your teeth if you use it 20

March 2017

regularly. Not all brands have the same effect on everyone so you may need to try more than one brand to find one that works well for you. Apart from brushing regularly using your specialised toothpaste, you could spread a thin layer on exposed tooth

Ideally, you should visit your dentist every six months or so to have your teeth checked and any problems seen to. Having your teeth cleaned professionally will help reduce problems between dental visits. Your dentist can also advise or remedies for exposed areas of your teeth. These include white fillings, fluoride varnishes and dentine sealers applied

to exposed root surfaces. Alternatively, your dentist may recommend additional fillings, a crown or bonding to correct a problem that may lead to sensitivity.

Use fluoridated dental products Use a fluoridated toothpaste for regular brushing and if you need to use a mouthwash, use one that contains fluoride and is not acidic.

Eat right Regularly eating acidic foods can damage tooth enamel and can aggravate existing sensitivity.

Use a mouth guard If you grind your teeth during sleep, use a mouth guard.

›‹

AWARNESS

NO PAIN, NO GAIN? THE PERSISTENT PAIN CYCLE

WHETHER IT’S A LONG STANDING SPORTS INJURY THAT HAS PERSISTED BEYOND EXPECTED HEALING TIMES, A BACK OR NECK ACHE THAT SIMPLY WON’T GO AWAY, IF YOU’VE SIMPLY FORGOTTEN WHAT A PAIN FREE LIFE IS LIKE, THERE MIGHT BE MUCH MORE GOING ON THAN MEETS THE EYE. MATTHEW CAMILLERI EXPLAINS WHY.

w

hen talking about persistent pain, we need to start by clarifying a few things. Take the nomenclature, for instance. You probably think of long-standing pain as chronic pain.

Health care practitioners have shifted away from using the term. “Chronic” has negative connotations and makes patients believe that their pain is cannot be managed or cured.

Persistent pain needs to be defined. Feeling acute pain, which is short-lasting pain that signals some form of threat to the bodily tissues, is a normal part of being alive. Acute pain and the learnings that come from it are essential to our survival. Conditions such as congenital insensitivity to pain (where an individual cannot feel pain) are often lifethreatening as the individual lacks the early warning system that acute pain provides.

Persistent pain and acute pain are different and distinct. Persistent pain provides no biological or evolutionary advantage to the individual. It does not help us heal or keep us alive. It is rarely a sign of ongoing tissue damage but rather a sign of threat – alarm bells ringing when they shouldn’t be.

Finally, persistent pain is a lot more complex than the current medical model would have us believe. In order to better understand pain we must shift our mindset away from the biomedical and towards the bio-psychosocial.

Matthew Camilleri is a physiotherapist with a special interest in musculoskeletal physiotherapy and persistent pain management.

»

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March 2017

AWARNESS

An Anecdotal Pain Story This highlights the power of our mind on the experience of pain "A builder aged 29 came to the accident and emergency department, having jumped down onto a 15 cm nail. As the smallest movement of the nail was painful, he was sedated with fentanyl and midazolam. The nail was then pulled out from below. When his boot was removed a miraculous cure appeared to have taken place. Despite entering proximal to the steel toecap, the nail had penetrated between the toes: the foot was entirely uninjured.”

So what can we learn from our friend the builder? Pain is not a cumulative sum of the amount of damage in the body, rather it is a sum of how much damage the brain perceives is in the body. This may sound complicated but it’s really quite simple.

If the body feels highly stressed, at threat and needing to defend itself, then pain will be one of its responses. If the brain believes that there is a threat, the individual is going to feel pain. In certain situations, this can benefit us, even keep up alive. In persistent pain though, this is not the case.

Biopsycho- what?

The bio-psychosocial model was proposed in 1977

by George L. Engel in an article in the journal ‘Science’. It offered an alternative to the overly medical views of the time. Many prominent clinicians felt that prescribing increasing dosages of pain killers (opioids especially) was having minimal, short-lasting effect on pain patients; masking symptoms rather than treating them.

They realised that there must be something else going on, outside of the biology which we had been working so hard to treat.

The model conveys the fact that to understand a person’s holistic (overall) health, we must consider their biology (medical input), psychology (emotions, beliefs, etc.) and sociology (family structure, employment, financials, etc.) equally.

Each is equally important when trying to figure out why a person is experiences persistent pain.

The implications are that to cure pain, we must consider all three levels and ensure that an individual is healthy throughout, rather than simply being biologically well. Although evergrowing amounts of research point towards this being the case, as far as pain is concerned, the biomedical model still dominates in many aspects of medicine. I believe that the reason for this is that as health care practitioners we are trained to deal with “red flag” (life-threatening) conditions or relatively easy to solve routine issues. Everything in between scares us tremendously. This results in patients jumping from clinic to clinic, looking for a cure.

A Few Wise Words….

What happens once our nerves detect a potentially harmful stimulus? Dr. Lorrimer Moseley, one of the world leaders in pain research explains this perfectly.

Once a danger message arrives at the brain, it has to answer a very important question: “How dangerous is this really?” In order to respond, the brain draws on every piece of credible information – previous exposure, cultural 24

March 2017

influences, knowledge, other sensory cues – the list is endless.

Pain really is in the mind, but not in the way you think.

Lorrimer Moseley (TheConversation.com) This helps us begin to understand the complexity of pain. The brain uses all of its resources, past beliefs and experiences to decide if the body should be in pain, or not.

›‹

“Persistent Pain Has Become Part of my life” The first, essential thing to realise is that you are not alone. Socio-economically, persistent pain causes a huge burden on society. Let’s put this into perspective. Persistent pain costs global economies more than cancer and diabetes put together. More than 20% of Europeans are living with chronic pain.

If you are looking to manage your condition, finding the correct team is essential. I must emphasise the word team. Persistent pain is rarely something that can be managed singlehandedly by one practitioner. I suggest avoiding miracle cures which promise to cure your ailments. Rather, inter-disciplinary (multiple practitioners working together) pain clinics are the way to go.

Search for holistic pain management, a process including education, management techniques, review of medicinals, psychotherapy (when necessary) and physiotherapy to promote a gradual return to movement.

At the end of the day, it is quite simple. Pain is less painful when we feel that we are safe.

Education, changing beliefs and a return to previous activities (including movement and exercise) are essential.

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BEAUTY

Smoother & SMOOTHER

BEFORE THE SUN GETS HOTTER AND SKIRTS GET SHORTER, GIVE YOUR SKIN THE SMOOTHNESS IT DESERVES − BUT DO YOUR HOMEWORK FIRST, SAYS MARIELLA CAMILLERI

u

nwanted body hair is an issue that sends women running to beauty salons, keeping therapists busy for hours on end. In an aesthetically driven world, visible body hair – common on arms, upper lip,

26

March 2017

chin, cheeks, back, legs, fingers, feet, and toes – can be a source of embarrassment particularly for women. However, men too opt for hair-free chests and backs.

Ideally hair would only grow on our heads, eyebrows and eyelashes. This is far from the reality, though. Come

puberty, hair begins to darken and so begins the quest to remove the fuzz as soon as it becomes visible and the dilemma on hair removal methods becomes one hot topic that circulates among women of all ages. Hair growth and thickness depends on genetic and health factors. Medications like

steroids can actually result in excessive body hair while conditions like polycystic ovarian syndrome in women could also trigger the same effect.

So what’s the best way to eliminate unwanted hair? Which products and methods provide satisfactory and long lasting results? The approach we

»

BEAUTY

Shaving and depilating creams This method works by slicing the hair off the skin’s surface. This is a method used by many teenage girls as it’s both economical and effective. Emma, 14, says shaving is practical because it can be done at home.

“I shave when I’m in the shower. It’s easy and quick.

I’m always careful to avoid nicks. No one wants scabs on their smoothly shaved legs.” Depilation creams are also an option. These take effect within a few minutes after which time the hair is rinsed away.

These creams may irritate the skin and regrowth occurs within a few days.

37, says the first few attempts using this device were painful; however, over the time the procedure becomes bearable. “The upside is being able to use the epilator whenever the need arises, whether it’s on my legs, my underarms or my bikini area.” Just like waxing, this method of hair removal may cause hair to become trapped under the skin and scarring might occur.

Waxing

choose should reflect our age and lifestyle. For instance waxing is not ideal for women who suffer from varicose veins, or those affected by folliculitis, a condition where the hair remains trapped under the skin causing inflammation and scarring. Laser removal, on the other hand, is only effective on dark hair since the rays fail to eliminate white or fair hairs.

No matter which option one chooses for hair removal, it is always best to check which method suits your skin type. People with sensitive skin might find certain methods too harsh and it is always best to ask a trained professional for advice.

The ever popular waxing works by plucking out the hair directly from its root. This process can be slightly painful for beginners, but the effect lasts between three and six weeks. “Waxing is a very practical method,” says Sarah, who has her arms and legs waxed once a month. “Afterwards, my skin feels just like a baby’s. The worst thing about waxing is having to wait four weeks for regrowth. That means no skirts or dresses until a salon visit.” Since waxing involves plucking out the hair from its root, women are advised not to shave in between salon visits as this will interfere with the rate of new hair growth.

Hot waxing is a procedure done in salons while cold wax strips can be applied in the comfort of one’s home.

Epilation An epilator is a device that pulls multiple hairs from the roots in the same manner as waxing. However, no dead cells are removed from the epidermis.

Epilators come in cordless-form, battery-operated designs and may be used on wet or dry skin. Gayle*,

Electrolysis Electrolysis, is used on areas where hair grows sparsely. This is a procedure, done in salons by trained therapists, which zaps hair growth at its centre through chemical or heat energy. Areas such as eyebrows, abdomen and breasts can be treated through a fine probe inserted directly into the hair follicle. Joanne, 40, says that this method eliminates stray hairs on the face/chin, a problem which typically occurs in older women. “Electrolysis can be painful but is very effective. No one wants to walk around with dark hairs sprouting out of their face. Until I had the procedure done, I often felt conscious and would sometimes pluck the hairs off, but they kept recurring. Now the problem has lessened, but I still visit the salon every few months or so.” This method leaves no scarring, though a slight reddening of the skin may occur right after treatment.

Laser Hair Removal The most effective and long lasting of all hair removal treatments is the laser hair removal system in which concentrated shots of light are applied to areas where hair grows in dark patches. Pigments in the follicle absorb the light, destroying the hair.

Maria, 32, says laser treatment can be painful but it does target dark coarse hair and leaves the skin smooth. “With areas like the upper lip or underarm, the treatment takes up to a minute or so. With arms or legs it could last up to an hour.” Permanent hair loss occurs after five to seven sessions. This procedure should be done by a doctor or a trained technician. Always check credentials before booking a treatment. Waxing and electrolysis should be avoided six weeks prior to laser treatment. Aftercare includes time away from sunlight.

›‹

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March 2017

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RELATIONSHIPS

SINGULAR ADVANTAGE? IS LIFE BETTER OR WORSE ALONE? A&H ASKED AROUND TO FIND OUT. eing single frightens some.

Others embrace singlehood gladly. Some people badly want to be in a relationship because they are afraid of loneliness. Others say being single was the most productive period of their life. We asked three people what they think. Here’s what they said.

b

Walter, 37 years old, never married “Relationships and I are miles apart. I tried hard to fit into the stereotyped role expected by the good, normal male, but I never managed to keep up a relationship for more than a year. My idea of living is all related to exploring, discovering new things, meeting new people. Being in a relationship restricts all this because all you want to discover you have to share with your other half. I have been 30

March 2017

I will let time take its own course. Whatever will be, will be

an independent soul since I was a child. Some might describe me as strange, but I consider myself more of an introvert.

“Whether I miss having a female companion or not, I might say that really I am not bothered. I have many friends, with whom I meet up or travel. Having sex is not that difficult, either. Nowadays it is easy to find a woman willing to do it without any strings attached. So why bother engaging in a relationship where she expects you to message, call and post statuses continuously, every hour of the day?

Whenever I meet a girl whom I like, I immediately put my cards on the table. This helps avoid disappointments and expectations. Some might call me selfish, but that’s me. I’m single and happy.”

Annalise, 28 years old, separated, “If you ask me whether I prefer being single or in a relationship, I am unable to give you an answer right now. My husband and I have been separated for six months, and I am currently enjoying being single again.

»

RELATIONSHIPS

A&H says...

I was in a six-year long relationship with my ex and, at first, it was not easy to adapt to being single again.

When I started going out again, I realised that many people my age are still single and so it was not difficult to enlarge my group of friends.

“But when I return home from work at five in the afternoon and I plan to start cooking, I immediately realise that I am lonely. Evenings are never ending and at times I seriously think of going back to my mother’s house. Weekends are a bit better because I go out to meet my friends.

Evenings are never ending and at times I seriously think of going back to my mother’s house

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March 2017

“At the moment I am trying to find my feet, and so I am not looking to engage in a relationship.

However, I don’t exclude that in the coming future.

If I happen to meet a person with whom I could build something new, I would try to give love a second chance. Some of my friends don’t agree with me. They say I should be careful and never trust anyone again, but I believe in love and in the stability of being a couple.”

Marthese, 47 years old, widowed, single “I am not single because I chose to be. My husband died two years ago and left me alone with my daughter. I had to assume a dual role, that of a mother and a father at the same time. I have always worked full-time so I definitely have no time to engage in a steady relationship. A few months after my husband died, I started dating a man who was four years younger than I am. At first it worked, but then he got tired of trying to juggle his own life and mine too. I could not go out every single day and I had no intention of making him move in with me. It was too soon.

“My daughter encourages me to join groups for singles. She will soon turn sixteen and she knows that eventually she will leave and start leading her own life. I miss not having a man in my life but I know that whoever tries to build something with me has to take me on as a whole package. People nowadays are not that ready for commitment. I consider myself old school, and I am not ready to play around. So I will let time take its own course.

Whatever will be, will be.”

Single, married, complicated – that is the spectrum of relationship statuses posted on social media.

Being over thirty and still single was once considered embarrassing. Now it’s cool and exciting. Being free – to enjoy life, to explore the world, to do whatever you want whenever you like – appeals to some. Walter represents a new generation of adults who are single by choice. This trend is increasing. Some psychologists say that more and more people remain single to get to know themselves – whenever we are in a relationship, we tend to hide some of our demons, because we are afraid that our partner will judge us and might abandon us.

Annalise still treasures relationships even though she has just experienced a failed one. This might be put down to a person’s character affecting how one views relationships. People like Annalise want to feel loved, cared for and appreciate the presence of someone else with whom to share their life. Studies confirm that people who are single by choice tend to be more confident in the way they speak, take decisions and stand up for themselves.

Being in a failed relationship affects a person’s mental state. It is useless to keep on trying to fix something broken if the effort is only one-sided. It is normal to feel lost and hurt in the first few months, but your emotional state and overall health will eventually improve. Research shows that bad relationships are directly proportional to an increase in weight. Ending a bad relationship could help you become healthier in more ways than one.

Detoxifying your life can help you detoxify your body and your inner self. Single people who are confident and who care about themselves tend to eat more healthily and to engage in more physical activity. In turn, a healthy lifestyle boosts one’s confidence and self-esteem. It’s a smart move all round. Feeling good makes you more likely to make better choices, including whom to trust and share your life with.

If you are a person who wants to make your own rules, avoid getting involved in other people’s lives, especially someone who wants to share everything with you and who wants to be part and parcel of your whole life. Build friendships, maintain contact, but be clear and honest about your expectations. It will make things better for everyone.

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FAMILY LIFE

Growing

TOGETHER FAMILY SUPPORT IS PIVOTAL IN ENHANCING CHILD DEVELOPMENT. CHARLENE BORG EXPLAINS WHY.

“...Stories are the mortar that holds thoughts together, the grist of all our explanations, rationales and values...”

GERGEN & GERGEN 1987

r

ecently, I was on a plane looking forward to a holiday.

Not for the first time I listened to the safety instructions.

This time, the bit about adults first securing their own breathing masks and then their children’s got me thinking. Why should things be any different for one’s emotional health and stability?

If we adults do not take care of our own emotional healing and wellbeing, how can we support and guide our children? Having a good sense of self, being able to acknowledge and attend to one’s emotional needs and having the capacity to reach out for help are central to a happy life.

Every day for the past 18 years, I have met with families who eat breakfast with uncertainty, not knowing and sometimes unable to imagine how the future of their children, grandchildren and/or siblings.

Drawing on personal experience of working with families who

»

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March 2017

FAMILY LIFE struggle with disability, I can say this traumatises relationships not just for the disabled person but also for the other members of the immediate and extended family and extended.

I use the phrase ‘relational trauma’ because of its effects on the members of the wider system who also show signs of physical stress, isolation and helplessness. As this article shows, families who suffer from relational trauma can be helped by starting up conversations with them. Hope and hopelessness both have a role during one’s journey and the value of emotional support for the family is pivotal. It helps to overcome trauma

and, more importantly, provides our young ones with a healthy sense of self and emotional development.

Thanks to the work of social scientists in researching narratives or stories, we can understand that personal, social, and cultural experiences are constructed through sharing stories. The narrative voice within the self is a significant resource for human healing. This means that being able to express what happens to us, our thoughts, fears and reasoning, helps us deal with hardship and uncertainty.

Narratives capture the personal and human dimensions of experience

If we take good care of our emotional health, we will allow our children to grow up believing that they are worth loving

over time. This is why our stories change each time we tell them, making space for new learning.

Narratives take into account the relationship between the individual’s experience and the context in which it took place. They help a person to mentally organise information about interpreting events; the values, beliefs and experiences that guide those interpretations; and their hopes, intentions and plans.

A crucial aspect of our narratives is that they need to be coherent to ourselves and to others. They need to have continuity and be able to predict, even if only to some extent, certainty about the future. The difficulty with disability is that the future has been wounded. Creating a conversational space that accommodates both the hope and hopelessness of the family’s experience, helps the family to heal and to support their child’s development.

This is why at Inspire we offer – free of charge – regular support groups and parent empowerment programmes for families whose children are on our educational programmes. These

regular meetings reassure families that there are others, including professionals, who are ready to listen and be with them in a way that helps them grow.

Our multidisciplinary team works with the parent support department work to assist individuals with a disability and also their families.

Research shows that individuals who are optimistic are better at solving problems, managing difficult situations and coping with illness and disability.

That hope comes from experience. It is influence by social context and circumstance, and it is anchored in the family’s history.

Hope is relational. A person’s role in the family unit or extended family, determines that person’s position towards hope and hopelessness.

• Some people hold onto hopefulness.

• Others bear hopelessness.

• Some take hopeful actions rather than feel, think or speak about hope.

• Others sustain beliefs of hope, but are not good at acting hopefully.

Contrary to popular belief, hope and hopelessness are not opposing forces.

They co-exist. Carmel Flaskas put this beautifully: “Hope is the other side of despair. Being closer to one side, reminds us the need of the other.”

As Flaskas says, when we open healing conversations with wounded families, when we witness their hope and hopelessness, we do so in a way that nurtures hope and emotionally holds both hope and hopelessness. As professionals our aim is not to fix the despair but to embrace both for what they are: co-existing human emotions. At Inspire we do our very best to foster this belief with our families.

Parents and other adults are the main role models for children. If we embody our teachings and learnings, children will follow our example. If we take good care of our emotional health, we will allow our children to grow up believing that they are worth loving not only for the beautiful attributes and immense potential they have, but for who they are.

›‹

Charlene Borg, BPhil Inclusion and Special Educational Needs, PG Dip. Systemic Family Therapy, is Parent Relations Manager at Inspire – The Foundation for Inclusion 36

March 2017

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SPORT

TAKING ALL THE

WEIGHT r odmar started weightlifting at the age of 9. “My uncle and aunt introduced me to this sport. They used to train and compete in this discipline themselves. When I started, I didn’t take it seriously. I just trained once a week with my aunt. We used to focus mostly on developing my technique and fitness capacities. The training sessions involved a lot of Snatches and Clean & Jerks with a broom stick.

Then I stopped when I was 11 and began again training with my present

coach when I was 14.”

Rodmar admits that initially weightlifting training was tedious.

“Most of the time I ended up doing lots of technical movements with just a wooden stick. In this discipline technique can be a huge determinant in an athlete’s potential success.

However, training became more interesting when we started doing box jumps, sprints and other functional exercises.”

Our conversation shifts to when Rodmar took part in his first weightlifting competition, way back

THE IMAGE MANY PEOPLE HAVE OF WEIGHTLIFTERS IS OF POWERFUL MEN WITH A GRUFF VOICE, READY TO SNAP AT YOU IF YOU EVEN THINK OF CONTRADICTING THEM. MEETING RODMAR PULIS FOR THE FIRST TIME CHANGED MY OUTLOOK. HIS CONSTANT SMILE, HIS PASSION FOR SPORT AND ITS TEACHING AND HIS POSITIVE ATTITUDE TOWARDS LIFE, ARE AS FAR REMOVED FROM THE STEREOTYPE AS CAN BE. INTERVIEW BY ANNA MARIA GATT

when he was 9 years old. “At the time I managed to do around 12kg in Snatch and 17kg in the Clean & Jerk. I remember I was terrified of going on the platform and, at the same time, I was really excited to start lifting.

During the competition I had my relatives on each side of the platform to help me feel more comfortable and that really motivated me to give my best. On the whole, the competition was a great experience that has contributed towards continuing this sport. The satisfaction I felt after each lift was

indescribable.”

Rodmar is currently a top name in Malta’s weightlifting scene. He takes part in all top level competitions and his training is planned accordingly.

“When I’m preparing for major competitions I train nine times a week with double sessions on Mondays, Wednesdays and Fridays.

Thursdays are usually dedicated to some accessory exercises, stretching and active rest. Sundays are the only ‘off’ days when we get the time to prepare ourselves physically and mentally for the next week.

»

Just as in real life, in weightlifting we’re constantly trying to overcome harder challenges and set the bar higher and higher 38

March 2017

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20/02/2017 17:23

SPORT

“The intensity and volume of training during the week varies as well. Sometimes we begin with high intensities at the start of the week, drop a little at the middle and end up again with high intensity. It all depends on the time of the year. I can say that our national coach Jesmond Caruana has turned periodisation into an art.”

Training for nine sessions a week is a huge commitment, especially keeping in mind that Rodmar is a newly qualified Physical Education teacher who has just finished his University year. His ability is summed up in two words: time management. His toughest period was when he got injured while preparing for the Rio 2016 Olympic Games.

“Before I got injured, when I was preparing for the Olympic Games, training for such long hours and keeping up with my studies was a little bit challenging. However, I had a lot of support from my lecturers at the Institute of PE and Sport at the University of Malta. In fact, during my last year I was part of a pilot project for student-athletes where I was assigned two tutors who supported me in everything I needed. I must say that juggling training, exams and my dissertation wasn’t easy but with the support I received I managed to extend my studies by one year so that I could do well in both. I really do hope that this idea of studentathletes catches on in our post-secondary educational institutions as it can really help us athletes to excel in both sport and 40

March 2017

academic work.”

Training is what makes an athlete improve but it is during competitions that all the hard work can be fulfilled and appreciated. Rodmar describes his emotions when he is ready to go up the platform and compete. “Once, my coach told me that excitement is like water flavouring. If you put in too much you’ll ruin the water. If you put in too little,e the water will taste bad just the same. One has to learn to put in the right amount of flavouring to make the water taste great. I live by this lesson in every competition in which I participate.

“Before each competition I always create a playlist with music that can hype me up and help me concentrate.

I prepare all the things I need for the competition and get a good night’s sleep. On competition day I put on my lucky briefs, sit down and start talking to myself and start imagining the lifts.

Then, when it’s my time to shine I turn that excitement, training and hard work into energy to be successful.”

The relationship which develops between coaches and athletes is deep and based on mutual trust. Rodmar describes his coach as his second father, his mentor and his life trainer.

“I’ve trained with him for these past 7 years. Together, we’ve been through thick and thin. He was the one who always pushed me beyond my limits and helped me realise that I had what it takes to be successful. We had our fights and arguments, yes, because we’re both a little stubborn. But he was an influential figure in my life and

has greatly contributed towards the man I have become today.”

Apart from the coach, other athletes also are an important and integral part of the individual athlete’s life.

“When I injured my shoulder and couldn’t train I still felt the urge to go to the gym just to see the other athletes. I can say that they are my second family as we practically live together as we’re at the gym most of the time. Luckily I think that we have a great bond. During training and competitions we always support each other, even when we’re rivals in the same competition.”

But what is so special about weightlifting? “Weightlifting is an allegory of life. Just as in real life, in weightlifting we’re constantly trying to overcome harder challenges and set the bar higher and higher. We’re

These are the times where we need to get back up and try again until we succeed

always trying to become the best we can be by breaking through the limits.

However, just as in real life we need to put work into our goal.

“At times we do not succeed immediately and fail or, even worse, we injure ourselves in the process.

These are the times where we need to get back up and try again until we succeed. Finally, the feeling I personally get when I have successfully completed a lift on the competition platform cannot be compared to any other feeling in life.

For those few seconds I feel that I’m invincible.”

Rodmar’s success is also thanks to his family who have supported him constantly. “My family has been with me throughout my whole career and has supported me in every way they can, from preparing my daily meals to offering me moral and psychological support during the hard times, especially after the injury I experienced during the past year when I had torn my shoulder and needed surgery. These are the people who made me feel valued and appreciated even when I felt unworthy of anything.”

Maltese weightlifting is on the right track but more still needs to be done.

“If we want to be competitive, we need a lot more. We need funds invested in the education of our coaches and in help for athletes to compete more often in international competitions. Having sponsors who could supply us with our daily needs would be of great benefit as well.

Finally, I believe that if we’re pushing our athletes towards the international limelight, we need to provide them with better financial and psychological support.”

Apart from weightlifting, Rodmar has clear plans for the coming months. “My main goals for this year are to successfully complete my dissertation so that I can graduate and I want to recover completely from my shoulder injury so that I can return to the sport as soon as possible.” We at A&H wish Rodmar the very best and will be following his career towards his greatest ambition: participating in the 2020 Tokyo Olympic Games. We are sure that the huge impact his sport has had on him so far will be reflected in his coming performances and successes.

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BOOKS

Great READS AGENDA BOOKSHOP’S PICK OF THE LATEST HEALTH AND WELLBEING BOOKS

RUN FOR YOUR LIFE: MINDFUL RUNNING FOR A HAPPY LIFE — William Pullen (9780241262825) Anyone who has ever gone for a run, jog or even a walk knows that uplifting, happy feeling they get at the end of their journey. Some call it the ’runner’s high’, others put it down to endorphins, here William Pullen teaches us focus that incredible energy to experience our emotions in motion.

In Run for Your Life, Pullen argues that we need a radical new approach to mindfulness – an approach which originates in the body itself. DRT offers just that. Whether the you are looking for strategies to cope with anxiety, anger, change, or decision-making, Run for Your Life offers carefully-tailored

thought exercises (and talking therapies for pairs or groups) inspired by mindfulness and Cognitive Behavioural Therapy, specifically designed to be implemented whilst on a run or walk. The book is designed to offer space for you to reflect on your practice and see your progress as you run through life’s ups and downs.

Offering practical steps to combine mental and physical wellbeing, Run for Your Life introduces DRT as a truly holistic approach to living, bringing the mind in perfect harmony with the body and combining the power of both in order to show how we might achieve our fullest potential.

I QUIT SUGAR SLOW COOKER COOKBOOK — Sarah Wilson (9781509843725) The latest offering from I Quit Sugar includes 85+ sugar-free, electric slow-cooker recipes.

The Slow-Cooker Cookbook caters to all ages, lifestyles and budgets, with chapters including Cakes ’n’ Puds, Soups, Stews and Curries, Pot Roasts, Hearty Breakfasts and many more. The

book is jam packed with cheap meals for under $3 per serve and personal tips and tricks from Sarah Wilson on how to keep your cooking affordable, sustainable and sugar-free.

FEED YOUR FITNESS — Rowena Visagie, Karlien Duvenage and Shelly Meltzer (9780241229767) This sports nutrition cook book advises you on what to eat during training, as well as before and after competitive events. Why fill your body with processed energy bars and gels when you can make your own fresh sources of carbs and protein fast? Feed Your Fitness gives you easy-to-cook meals that taste great.

With over 80 easy-to-prepare recipes, such as Strawberry and Yoghurt Ice Lollies, Teriyaki Salmon and Lean Steak and Brown Rice Stir-Fry, you will get the nutrition you need, along with time saving tips and strategies to make sure you get the most out of your training time. Feed Your Fitness also offers tips on shopping and gives nutritional information for every meal to ensure that you are always prepared.

SIMPLISSIME LIGHT THE EASIEST COOKBOOK IN THE WORLD — Jean-François Mallet (9780600634768) The 200 recipes in this book are simple, clear and precise, use no more than five ingredients and can be whipped up in a flash. More importantly, they will be kind to your body. From gluten-free and dairy-free dishes to low-calorie options, there is a recipe here for every dietary need. The unique visual approach makes it incredibly simple to follow the instructions. Create

mouth-watering Salmon Parcels with Vegetables, indulge in Quiche with Peas, Goats’ Cheese and Spinach or impress your friends with Gratin of Nectarines with Pine Nuts. With nutritional information, clear photography and easy-to-follow steps, each of these recipes proves that healthy cooking has never been so easy.

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HEALTH

“OVERCOMING BARRIERS IN ORAL HEALTH IN LATER LIFE” INTERNATIONAL DENTAL CONFERENCE IN MALTA, 27 28 APRIL 2017. BY DR ALEXANDER SCHEMBRI n most populations, people now live much longer healthy lives. For the next few decades, we can expect to see a growing number of elderly people who retain an increasing number of their own teeth.

This is a result of advances in dentistry and preventive and restorative oral care. The resulting longer survival of people’s teeth means a greater need for complex dental treatment or just the maintenance of good oral health. Unfortunately, old age may be accompanied by declining health, and by social and environmental impairments which can act as barriers to oral health services.

By identifying such barriers, one can manage to overcome them or at least make it possible for the elderly person to override them. The barriers to oral health can be grouped under access to dental services especially for those who are bedridden or in a residential home. The latter may depend on domiciliary dental services, availability of dental services, the knowledge of what dentistry offers today (so the elderly person can make the right choices of dental care), and the affordability of dental services.

As the cost of dental care delivery and maintenance continue to increase, this can have a negative impact on some low income elderly persons. In addition, we need to consider acceptability by the elderly themselves for what the dental team can offer to improve their oral health and their quality of life through dental services.

The European College of Gerodontology, in collaboration with the Faculty of Dental Surgery at the University of Malta, will be holding its 27th annual conference in Malta, on the 27th and 28th April 2017 at the University Campus Valletta, to address such potential barriers to oral health in later life. Besides the local dental community, other participants will be coming from Australia, Belgium, the Netherlands, Greece, Germany, Finland, Italy, Poland, Romania, the UK, the USA, and Japan.

The aim of this conference is to make sure that no elderly age group is left behind, as an acceptable level of oral health has a direct effect on a person’s general health and quality of life. The Faculty of Dental Surgery is a leader in the clinical training and

I

education of Geriatric Dentistry (Gerodontology) for all the dental courses provided at the University of Malta, namely courses for dental assistant, dental technologist, dental hygienist and dental surgeons.

EUROPEAN COLLEGE OF GERODONTOLOGY (ECG) The European College of Gerodontology was founded in 1990 to provide a European forum for contact between all those sharing an interest in Gerodontology and to establish a European body to which questions concerning Gerodontology can be referred. Subsequent meetings have led the Society to different countries all over Europe and to Israel.

The most striking development of demographic data on the age structure of the population indicates a further increase in the number of elderly patients particularly over the age of 75 years. Dental treatment therefore has to meet the requirements of an aged oro-facial system.

All meetings of the European College of Gerodontology have not only covered the so-called

hard core science, but also presented a wide range of clinical aspects concerning the dental treatment of the older adult. Besides demographic data, ideas and projects on how to improve dental service for the homebound and institutionalised population were introduced. The friendly atmosphere of the meetings has provided a good ground for fruitful discussions and a forum to create an interpersonal network between interested colleagues.

In 1999, the European College of Gerontology held its Annual Meeting for the first time in conjunction with the American Society for Gerodontology (ASGD) in Montreal and thus broadened the European perspective in the field.

With a growing interest in the field of Gerodontology, membership now extends far beyond Europe’s borders.

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Anyone with an interest in this dental speciality can attend and contribute to the discussions.

Please email us on info@alexanderschembri.com for more information.

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PRODUCT NEWS

SCHNITZER SENSIBLE EATING

VALSOIA VEGAN LASAGNA

Schnitzer offer healthy organic foods for customers who wish to keep a balanced diet. They also guarantee the highest possible organic quality.

The products are not only for the health conscious but also for anyone who enjoys high quality food. All Schnitzer products offer extra benefits since they are free from gluten, lactose, soya, nuts, egg and yeast. The range consists of bread, muffins, bars, cookies, cakes, pasta, pizza bases and more.

The Valsoia vegan lasagna is a valid alternative to meat, appetising and nourishing due to its high protein and fibre content. Stored in a microwave oven-ready pack, they are flavourful and quick to prepare.

For more information, contact Francis Busuttil & Sons (Marketing) Ltd. via e-mail on info@fbsmarketing.com or call 2148 4492

Imported by J. Calleja Import & Export Ltd Web: www.jcallejaltd.com Email: storelocator@jcallejaltd.com

NESTLÉ MATERNA NUTRITION DURING BREASTFEEDING A healthy, well-balanced diet is important during breastfeeding. Although a supplement does not replace a wellbalanced diet, it can provide some extra insurance on those days when taking care of your new baby keeps you from eating as well as you like. It is important to choose a multivitamin that is especially formulated for use during pregnancy and breastfeeding that supports your nutritional requirements adequately as a nursing mother. Nestlé Materna helps provide the vitamins and minerals you need during all stages of your pregnancy.

After pregnancy, Nestlé Materna provides both calcium and vitamin D to help meet the nutritional needs while breastfeeding.

BFREE When you consume our products, you consume nutritionally outstanding products. Everything is low in fat and high in fibre compared to the standard alternatives. Our Multigrain Wraps are only 99 calories per wrap. Also, not only are all of our products gluten-free, but they are also free of wheat, dairy, eggs, nuts and soya, making them free from all major allergens and suitable for vegans. The range consists of different types of wraps as well as pitta bread.

Imported by J. Calleja Import & Export Ltd Web: www.jcallejaltd.com Email: storelocator@jcallejaltd.com

Available in Pharmacies

THE NO.1 SCAR GEL* Contractubex® is the world’s most popular scar treatment

THE NEW RENAULT SCENIC REINVENTED Renault created the first MPV and the record-breaking sales of the Scenic worldwide were proof that they got it right. Now the New Renault Scenic just got even better. It offers a distinctive body shape which is even more modern, functional and spacious. The Scenic boasts a steeply-raked panoramic windscreen that offers enhanced vision to the sides, an optional panoramic glass roof, specific lighting signature with C-shaped front lights and 3D effect taillights incorporating Edge Light technology.

Visit Kind’s showroom for a test drive or visit www.renault.com.mt for more information

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Contractubex® has been treating scars successfully for over 50 years. It is the bestselling scar treatment in over 60 countries, and is regularly recommended by doctors all around the world. The efficacy of Contractubex® has been proven in numerous clinical studies. Its unique combination of three active ingredients works its way deep into the scar, reducing scarring from within. The result: a nearly invisible scar. Contractubex®’s effectiveness is also reflected in high patient satisfaction. The positive experiences of thousands of patients show that using Contractubex® scal gel and now Contracttubex overnight patch really makes a difference, and scars can be treated successfully.

Contractubex® is available in all pharmacies.

Follow us on Facebook at GF Ltd or call us on T. 2143 7415 to find out more about Contractubex® www.contractubex.com

PRODUCT NEWS

GOOD EARTH

DIADORA BLUSHIELD

At Good Earth, our passion is to provide our consumers with the highest quality food products which are naturally sourced from around the globe. Our vast range of products includes rice and grains, beans and lentils, nuts, dried fruit, oats, flours and flakes, herbs and spices, and seeds. Our purchasing team goes to great lengths to get to know our suppliers to deliver genuine produce to your table and to ensure that sustainability and ethical practices are respected and maintained.

The Diadora Blushield has the revolutionary capability to combine cushioning and reactivity. Blushield fuses its components mirroring the natural foot anatomy and moving the cushioning frontier to the next level. Blushield provides full contact and foot stimulation through its active cones to reestablish its muscular connection.

Blushield minimises the asymmetrical behaviour of the feet turning every irregular step into a balanced run. The exclusive active cones and S.B.S. compound ensure a timeless performance of the technology and its benefits.

Good Earth Distributors Limited, Hard Rocks Industrial Park, Burmarrad Road, Naxxar, NXR6345 T. 2143 1309

Diadora Blushield can be found exclusively from Teamsport, Birkirkara bypass, Iklin.

PURE ACTIVE CONCENTRATE IN GLASS AMPOULES

NIUMEE CONCEPT ESTHETIQUE

The PROFESSIONAL COLLECTION series of Ampoules by DR. GRANDEL Kosmetik offers active care in concentrated form that fulfils the most sophisticated requirements. It provides maximum flexibility, individuality and effect, depending on the needs of the skin at the time, and the wishes and wants of customers for whom a rapidly visible result is paramount.

The secret of the active ingredient ampoules from DR. GRANDEL lies in their effectiveness.

The fresh and smooth concentrated formulations are literally soaked up by the skin with visible improvements from the first application.

Niumee concept esthetique, has brought together within its medaesthetics area, a team formed by some of the most experienced aesthetic physicians and doctors on the Maltese Islands. We have also invested in the latest generation of hair removal lasers that promote faster treatments while experiencing reduced discomfort. Free consultations and test patches on laser hair removal and free consultations and discounts on other medaesthetic services during Niumee’s Open Night and Day being held on the 3rd and 4th March 2017.

FOR MORE BEAUTIFUL LOOKING SKIN

DR. GRANDEL...In love with perfection Available in Beauty Salons & Spas Trade Enquiries: CAREWELL by Reactilab E: sales@reactilab.com T: 9982 8498 or 9945 7245

STEM CELL THERAPY FOR HAIR RESTORATION The association of a full head of hair with youth and vitality has left many people searching for a solution that truly works and does not simply provide false or exaggerated promises. Stem cell hair growth is a new, safe, and effective method of hair restoration. Many patients are excited to learn that stem cell therapy can be used as a stand-alone treatment or in conjunction with other restoration treatments to maximise results. This minimally-invasive hair restoration technique can produce exceptional outcomes for suitable candidates. In Malta, these cutting edge treatments are exclusively performed at Persona Med-Aesthetic Centre by an experienced medical specialist.

Call 21 340 366 to schedule your FREE consultation.

Call 2032 0100 for more information and bookings.

FRIO FRIO is an insulin cooling case that never needs icepacks or refrigeration. It is reusable and you can take it anywhere with you. To activate FRIO, simply soak it in cold water for 5-15 minutes, depending on the size.

The crystals contained in the wallet panels will expand into a gel which remains cool for up to two days even in high temperatures.

Whenever you need to re-activate FRIO, simply soak it in water again.

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PRODUCT NEWS

BIOBALANCE® SHAMPOOS & CONDITIONER……

100% ORGANIC Why risk damaging your hair with harsh chemicals present in some products available on the market, which in the long run may cause more harm than benefits?

Dermatologically tested, the BioBalance® 100% Organic Shampoo range and Conditioner provide the right formulas containing exclusively the purest, essential ingredients to cleanse and protect the scalp.

ORGANIC LAVENDER SHAMPOO – All Hair Types ORGANIC POMEGRANATE SHAMPOO – Weakened, Damaged and Coloured Hair ORGANIC CITRUS SHAMPOO – Greasy Hair ORGANIC ALOE VERA SHAMPOO – Dry and Brittle Hair ORGANIC ARGAN OIL CONDITIONER – Repairs Damaged, Dry and Brittle Hair Wash your hair with the BioBalance® Shampoo and Conditioner for the best regenerating results…….strength and volume with a shiny finish.

BioBalance®, NEW, Back to Nature Available in pharmacies and leading retail outlets.

Trade Enquiries: REACTILAB LIMITED E sales@reactilab.com T. 2141 2673 / 9982 8498

BEAUTY X PRESS BY DR. GRANDEL Perfect care for all skin types for fast and visible results The BEAUTY X PRESS series by DR. GRANDEL is a cosmetic line that accompanies the busy lifestyle of the modern women. It is the skin care formula for all women who don't have so much time for their daily beauty routine but won't make any concessions when it comes to cosmetic effects. The compact product line responds quickly and simply to the individual care habits of every woman and guarantees a perfectly styled appearance in a very short time. The active ingredients are chosen as individually and specifically as the skin care requirements they need to fulfil. What unites them, however, is their quick and visible effectiveness. The BEAUTY X PRESS skin care line combines innovative active ingredients that act fast, are convincing and essentially effective, by using the care formula: Energy x Freshness x Glow DR. GRANDEL... in love with perfection Available in Beauty Salons and Spas. Trade Enquiries: CAREWELL by Reactilab E sales@reactilab.com M. 9982 8498 or 9945 7245

BIOBALANCE ARGAN OIL HAND & NAIL BALM

BEAUTYGEN ACTIVATES THE SKIN’S ‘BEAUTY GEN’ BEAUTYGEN renews and rejuvenates the skin, slows the aging process, conceals wrinkles and irregularities and leaves the skin shining in new splendour. Beautygen Snow Algae Extract, a highly regenerative active ingredient from 'Snow Algae', activates the skin‘s ‘beauty gen’, protects collagenous fibers and provides for better elasticity. Beautygen Snow Algae Extract is exclusively found in the new anti-aging skin care BEAUTYGEN series by DR. GRANDEL Kosmetik.

DR. GRANDEL...In love with perfection Available in Beauty Salons & SPAs. Trade Enquiries: CAREWELL by Reactilab E sales@reactilab.com T. 9982 8498 / 9945 7245

Biobalance Argan Oil Hand & Nail Balm is specially formulated to heal and soothe very dry and chapped hands, whilst providing intensive moisturisation for soft and supple skin. This unique formula helps to reduce hangnails, promotes nail growth and keeps cuticles soft and pliant. Unlike ordinary creams, the unique BioBalance formula combines the properties of Argan Oil, Centella Asiatica and Rosemary Leaf extracts, long known for their healing and soothing properties. Panthenol, Shea Butter and Vitamins A and E provide a long-lasting moisturising effect and relief from dry skin. Liquorice extract, known for its whitening properties, reduces the visibility of age spots, freckles and brown spots. Regular use is recommended to experience the full potential of the purest and essential ingredients specifically chosen in the formulation Biobalance Argan Oil Hand & Nail Balm.

BioBalance®, NEW, Back to Nature Available in pharmacies and leading retail outlets.

Trade Enquiries: REACTILAB LIMITED E sales@reactilab.com T. 2141 2673

PRP SKIN REJUVENATION THERAPY

SAVINA DENTAL Are you having trouble sorting out dental problems? No bone for your implants, chronic headaches, snoring, bad breath? Are you worried about gum disease, mouth cancer, dentures not fitting properly? Did you know you can harvest your children’s stem cells from their baby teeth or that you can test yourself for susceptibility to gum disease and the presence of heavy metals in your body?

We can help you.

Call 21657323 (Malta), 2155 7323 (Gozo), or email reception@savinadental.com

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Platelet Rich Plasma [PRP] Skin Rejuvenation Therapy uses the potential of your own body to improve the overall texture and tone of your skin, naturally. It reduces wrinkles and blemishes such as acne scars and may be used as part of your health and beauty regime to improve the overall condition of your skin, improving tone and texture.

Platelet Rich Plasma Skin Rejuvenation Therapy is a natural approach to improving the condition of your skin. We use your own unique tissue growth factors and healing properties to revitalise your skin by improving blood supply and stimulating collagen formation, the results of which improve and increase over time. Evidence suggests that the results of PRP Skin Rejuvenation Therapy last longer than chemical treatments. PRP Skin Rejuvenation Therapy is specifically designed for you, by you.

Call us on 2134 0503 or email on info@estetika.com.mt for an appointment with our expert.

NEW CID COSMETICS...FINALLY, A MAKE UP RANGE THAT LISTENS TO WHAT WOMEN WANT...

In this day and age when women are spoilt for choice, many still feel make-up shopping overwhelming.

Making the right pick may be tricky and confusing.

New CID Cosmetics, hit upon this idea, by cleverly offering simple-to-use and easy-tounderstand multi-tasking products, and opting for colour shades which are most wearable, easy to apply and which match all skin tones and types. i-smoulder – Two easy steps to sultry eyes! i-open – A one-stop-shop to wide awake eyes! i-glow in Sirocco – An all-rounder for glow on the go! i-gloss & i-pout – An must have 3 in 1.. housed with built in light and mirror!

New CID Cosmetics – providing the tools to ensure your make-up is all about your identity!

Keep a close watch... soon available on-line and in a selection of beauty salons!

NEW DERCOS ULTRA SOOTHING SULFATE FREE SHAMPOO DERCOS ULTRA SOOTHING shampoo goes beyond soothing, aiding the scalp in resisting stress factors for long-lasting comfort, thanks to Sensirine, a soothing agent that can reduce feelings of discomfort by taking direct action on itching, tingling, and burning sensations, and Panthenol, well known for its ability to strengthen the hair fibre. This shampoo works instantly to soothe the scalp for up to 48 hours. Wash after wash, it cares for coloured hair, irritations are minimised, and after 19 days of use, scalp discomfort is reduced by 60%. DERCOS ULTRA SOOTHING shampoo comes in a fresh and smooth creamy texture for dry scalps, and in a fresh clear gel for normal/oily scalps.

Exclusively in pharmacies. For more info email: vichy@prohealth.com.mt

PROTECT IT SOCKS FOR DIABETICS • Perfect fit • Fixed high heel for increased protection • Antibacterial and antiodour • Hand-linked toe without pressure points • Absorbs shocks to help protect the foot • Soft cuff without binding elastic • Can be worn by people who suffer from arthritis

d�ect�y ATTARD / BALZAN / IKLIN / LIJA M4 PHARMACY, OLD RAILWAY ROAD ATTARD 21436531 MISRAH KOLA PHARMACY, PITKALI ROAD ATTARD 21434137 ST. CATHERINE PHARMACY, TRIQ ID-DIELJA K/M TRIQ SANTA KATERINA ATTARD 21413442 ST. MARY PHARMACY, 2 ANTONIO SCHEMBRI STREET ATTARD 21436348 BALZAN PHARMACY, 70 ST FRANCIS STREET BALZAN 21444035 MEDICA PHARMACY, NAXXAR ROAD BALZAN 21445741 MILIA’S PHARMACY, 73 COTTONERA STREET, BIRGU 27600126 IKLIN PHARMACY, GERONIMO ABOS STREET IKLIN 21415499 IL-MEHRIEZ PHARMACY, 31 GIOVANNI CURMI STREET IKLIN 21435567 ST. JOSEPH PHARMACY, 164 ANNIBALE PRECA STREET LIJA 21418846 ST. MICHAEL PHARMACY, TRANSFIGURATION AVENUE LIJA 21435875 BAHRIJA BAHRIJA PHARMACY, RADDET IR-ROTI STREET C/W SCHOOL STREET BAHRIJA 21450743 BORMLA / SENGLEA / VITTORIOSA VITTORIOSA PHARMACY, 9 TRIQ IL-MINA IL-KBIRA, BIRGU 21807529 VERDALA PHARMACY, 57 TRIQ IL-GENDUS BORMLA 21824720 WHITE CROSS PHARMACY, SHOP A BLOCK 1 SAN PAWL BORMLA 21821671 SAN FILIPPU PHARMACY, 155 VICTORY STREET SENGLEA 21800681 VICTORY PHARMACY, 32 VICTORY STREET SENGLEA 21801698 BIRZEBBUGIA / MARSASCALA / MARSAXLOKK BLOSSOMS PHARMACY, TRIQ IL-GURGIER BIRZEBBUGIA 21652226 BRITANNIA PHARMACY, 5 PRETTY BAY STREET BIRZEBBUGIA 21658622 MARTIN’S PHARMACY, 182 MAIN STREET BIRZEBBUGIA 21651031 BELLAVISTA PHARMACY, 88 TRIQ IL-ĦORTAN MARSASCALA 21633788 SAN GWAKKIN PHARMACY, 1 ST ANNE STREET MARSASCALA 21637994 SAN TUMAS PHARMACY, LAMPUKA STREET MARSASCALA 27023322 ST. ANNE PHARMACY, TRIQ IL-QALIET MARSASCALA 21637615 POMPEI PHARMACY, 28 XATT IS-SAJJIEDA MARSAXLOKK 21651278 BUGIBBA / QAWRA / ST PAUL’S BAY PROMENADE PHARMACY, PIONEER ROAD BUGIBBA 21571530 ST. SIMON PHARMACY, 8 ISLETS PROMENADE BUGIBBA 21571649 EL MEDINA CHEMIST, TRIQ IL-MASKLI QAWRA 21576308 EURO CHEMIST, TRIQ IL-KURAZZA QAWRA 21581876 QAWRA PHARMACY, EARL’S COURT/1 TRIQ L-IMĦAR QAWRA 21585633 PARKES PHARMACY, 582 ST PAUL STREET ST. PAUL’S BAY 21571764 ST. PAUL’S BAY PHARMACY, 504 MAIN STREET ST. PAUL’S BAY 21573406

The magazine is also available for free at the following pharmacies and clinics FGURA / PAOLA / TARXIEN ALPHA PHARMACY, ‘MARIA IMMACULATA’ COTTONER STREET FGURA 21673811 CILIA’S PHARMACY, 303 ZABBAR STREET FGURA 21801962 FGURA PHARMACY, TRIQ IL-KOPPLA FGURA 21675250 BROWN’S PAOLA SQUARE PHARMACY, 64/65 ANTOINE DE PAULE SQUARE PAOLA 21821646 BROWN’S PHARMACY, 45 PAOLA HILL PAOLA 21694818 DE PAOLA PHARMACY, 36 PJAZZA ANTOINE DE PAULE PAOLA 21826408 DISTINCTION PHARMACY, 32 PJAZZA ANTOINE DE PAULE PAOLA 21693412 FLEMING PHARMACY, 61 ZABBAR STREET PAOLA 21696893 ST. MONICA PHARMACY, 157 ST MONICA STREET PAOLA 21667146 SONREN PHARMACY, ZEJTUN STREET TARXIEN 21672757 TARXIEN PHARMACY, 59 TARXIEN STREET TARXIEN 21802986 THERESA JO PHARMACY, 3A TRIQ XINTILL TARXIEN 21672703 FLEUR DE LYS / BIRKIRKARA HERBA PHARMACY, 183 MAIN STREET BIRKIRKARA 21443406 HOLY CROSS PHARMACY, 37 MAIN STREET BIRKIRKARA 21448454 MARRIT PHARMACY, 1ST MAY STREET FLEUR-DE-LYS 21488613 PHARMAPLUS GANU STREET BIRKIRKARA 21492958 RATIONAL PHARMACY, 74/75 VALLEY ROAD BIRKIRKARA 21441513 ST. ANNE PHARMACY, 24 ST HELEN SQUARE BIRKIRKARA 27441913 ST. HELEN PHARMACY, TUMAS FENECH STREET BIRKIRKARA 21441589 ST. JUDE PHARMACY, 213 VALLEY ROAD BIRKIRKARA 21492151 ST. PAUL’S PHARMACY, BRARED STREET BIRKIRKARA 21442135 THE LOCAL DISPENSARY, CAN. K. PIROTTA STREET BIRKIARA 21493549 FLEUR-DE-LYS PHARMACY 32 FLEUR-DE-LYS 21488884 MACKIE’S PHARMACY, L. CASOLANI STREET BIRKIRKARA 21496089 FLORIANA / VALLETTA CHEMIMART LTD., 14 ST ANNE STREET FLORIANA 21239310 ST. PUBLIUS PHARMACY, 48 TRIQ IL-MIRATUR FLORIANA 21225444 VILHENA PHARMACY, 3 ST ANNE STREET FLORIANA 21244114 WATERFRONT DISPENSARY, FORNI 2I PINTO WHARF FLORIANA 21233034 MEDICINE CHEST PHARMACY, DEMITRIJU FARRUGIA ROAD GHARGHUR 21422204 ST. ALBERT PHARMACY, ORATORY STREET GHARGHUR 21413402 CHEMIMART PHARMACY REPUBLIC STREET, 20/21, REPUBLIC STREET, VALLETTA 21246051 CHEMIMART CITY GATE PHARMACY, 24, CITY GATE, VALLETTA, 21238355 COLLIS WILLIAMS PHARMACY, 15 REPUBLIC STREET VALLETTA 21226281 EMPIRE PHARMACY, 77 OLD THEATRE STREET VALLETTA 21225785 EMPIRE PHARMACY BRANCH, 46 MELITA STREET VALLETTA 21225785 NEW BRITISH DISPENSARY, 109/110 ST JOHN STREET VALLETTA 21244813 REGENT PHARMACY, 70 MERCHANTS STREET VALLETTA 21245135 ROYAL PHARMACY, 271 REPUBLIC STREET VALLETTA 21252396

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d�ect�y GHAXAQ / QRENDI / MQABBA BETA PHARMACY, 50/52 SANTA MARIA STREET GHAXAQ 21663311 CHRYSANTHEMUM PHARMACY, ST NICHOLAS STREET QRENDI 21680828 QRENDI PHARMACY, 6 MAIN STREET QRENDI 21683781 ST. PHILIP PHARMACY, TRIQ IĊ-ĊEPPUN GHAXAQ 21808723 GUDJA / LUQA / MARSA GUDJA PHARMACY, 9 TRIQ SAN ĊIRU GUDJA 21696422 MEDICAID PHARMACY, 62 VJAL IT-TORRI GUDJA 21676294 AIRPORT PHARMACY, GROUND FLOOR ARRIVAL LOUNGE MALTA INTERNATIONAL AIRPORT TERMINAL, LUQA 23696349 CENTRAL PHARMACY, 6 ST JOSEPH STREET LUQA 21692546 ST. ANDREW’S PHARMACY, 51 ST GEORGE STREET LUQA 21820795 SAN RAFFAEL PHARMACY, 247 QORMI ROAD MARSA 21221188 TRINITY PHARMACY, 32 MARSA ROAD MARSA 21235595 VIVIEN PHARMACY, TRIQ PATRI MAGRI MARSA 21221701 HAMRUN / SANTA VENERA BROWN’S PHARMACY, 706 MAIN STREET HAMRUN 21238623 CHEMIMART INTERNATIONAL PHARMACY, 650 MAIN STREET HAMRUN 21236 477 COSMED PHARMACY, SOCCORS VILLAMBROSA STREET HAMRUN 21225991 DARWIN PHARMACY, 152 MAIN STREET HAMRUN 21221512 FRA DIEGO DISPENSARY, 94 VILLAMBROSA STREET HAMRUN 21224898 LISTER PHARMACY, 678 MAIN STREET HAMRUN 21245627 NATIONAL PHARMACY, 17 SANTA MARIA STREET HAMRUN 21225539 ST. GAETAN PHARMACY, KAPPILLAN MIFSUD STREET HAMRUN 21234570 THE CROSS PHARMACY, 859 MAIN STREET HAMRUN 21227682 THOMAS’ PHARMACY, 796 MAIN STREET HAMRUN 21238018 FATIMA PHARMACY, TRIQ IŻ-ŻONQOR SANTA VENERA 21482856 LANTERN PHARMACY, MISRAĦ IL-KEBBIES SANTA VENERA 21444648 ST. BARTHOLOMEW PHARMACY, 230 FLEUR-DE-LYS SANTA VENERA 21492271 ST. VENERA PHARMACY, 532 MAIN STREET SANTA VENERA 21238625 KALKARA KALKARA PHARMACY, NO. 8 MISRAĦ L-ARĊISQOF GONZI KALKARA 21807740 KIRKOP KIRKOP PHARMACY, 9 PARISH STREET KIRKOP 21682028 PRESTIGE PHARMACY, 16 ST JOSEPH STREET KIRKOP 21641328 MELLIEHA BROWN’S PHARMACY, SHOP A GEORGE BORG OLIVIER STREET MELLIEHA 21523554 MELLIEHA PHARMACY, 111 GEORGE BORG OLIVIER STREET MELLIEHA 21523462 BROWN’S VILLAGE PHARMACY, MAIN STREET MELLIEHA 21523536 MĠARR PHARMACY, MAIN STREET C/W VITALE STREET MGARR 21577784 ST. MARY PHARMACY, 71 SIR HARRY LUKE STREET MGARR 21580711 MOSTA / NAXXAR GROGNET PHARMACY, 41 CONSTITUTION STREET MOSTA 21432038 ROTUNDA PHARMACY, 7 EUCHARISTIC CONGRESS ROAD MOSTA 21411197 SANTA MARGHERITA PHARMACY, VJAL IL-QALBIENA MOSTIN SANTA MARGHERITA ESTATE MOSTA 21416426 SGHAJTAR PHARMACY, SGĦAJTAR STREET MOSTA 21415198 ST. JOSEPH PHARMACY, 1 TRIQ IŻ-ŻAKKAK MOSTA 21417593 ST. LOUIS PHARMACY, CALI’ STREET MOSTA 21432802 ST. MARY PHARMACY, 14 PJAZZA ROTUNDA MOSTA 21433833 TAT-TARGA PHARMACY, PLOT NO. 2 CONSTITUTION STREET MOSTA 21433141 BROWN’S CHEMISTS, ST PAUL STREET NAXXAR 21417652 NAXXAR PHARMACY, VJAL IL-21 TA’ SETTEMBRU NAXXAR 21411438 PILLBOX PHARMACY, 63 TRIQ IL-BJAD NAXXAR 21417406 VICTORY PHARMACY, 16 VICTORY SQUARE NAXXAR 21412454 MQABBA KRISTIANNE PHARMACY, TRIQ IC-CAVI MQABBA 21683048 MQABBA CENTRAL PHARMACY, ST CATHERINE STREET MQABBA 21641133 MSIDA / PIETÀ /GZIRA/ TA’ XBIEX DEBY’S PHARMACY, 1 QUARRIES STREET MSIDA 21227920 MAYER PHARMACY, 33 TA’ XBIEX SEAFRONT MSIDA 21331732

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The magazine is also available for free at the following pharmacies and clinics

REGAL PHARMACY, 39B ANTONIO BOSIO STREET MSIDA 21313115 REGIONAL PHARMACY, E.H. FURSE STREET MSIDA 21312449 BROWN’S PHARMACY, SHOP 10 YACHT MARINA APARTMENTS TRIQ IL-MARINA PIETÀ 21244366 CHARING PHARMACY, MIMOSA STREET PIETÀ 21232954 ST. ANTHONY PHARMACY, 56 ST JOSEPH STREET PIETÀ 21237327 ST. LUKE PHARMACY, ST LUKE STREET PIETÀ 21241293 D’ARGENS PHARMACY, 330 RUE D’ARGENS GZIRA 21330817 O’HEA PHARMACY, 128 MANOEL STREET GZIRA 21330268 ST. MATTHEW’S PHARMACY, 213 THE STRAND GZIRA 21311797 TONY’S PHARMACY, 100 SIR PATRICK STUART STREET GZIRA 21332080 PHARMALAND DISPENSERS, 5 TAGLIAFERRO MANSIONS PRINCESS MARGARET STREET TA’ XBIEX 21346547 PERSONA MED-AESTHETIC CENTRE, 42, MARINA COURT, SIR UGO MIFSUD STREET, TA’ XBIEX 21340366 REMEDIES CHEMISTS, MARINA COURT 49A ABATE RIGORD STREET TA’ XBIEX 21341649 PACEVILLE / SAN GWANN / ST JULIANS POTTER CHEMISTS LTD., WILGA STREET PACEVILLE 21363244 LOURDES PHARMACY, NAXXAR ROAD SAN GWANN 21387479 MARC PHARMACY, 92 MENSIJA STREET SAN GWANN 21373275 MEDICAL PLAZA DISPENSING CHEMISTS, CASS-I-MALL BUILDINGS VJAL IR-RIHAN SAN GWANN 21372195 SAN GWANN PHARMACY, 11 FELIĊ BORG STREET SAN GWANN 21386974 SPIŻERIJA KAPPARA, ŻBIBU LANE SAN GWANN 21381776 BALLUTA PHARMACY, 30 MAIN STREET ST JULIANS 21317888 MELITA PHARMACY, 127 ST GEORGE STREET ST JULIANS 21378657 SPIŻERIJA MERĦBA, SHOP 2 LAPSI STREET TA’ GIORNI ST JULIANS 21333886 ST. JULIANS PHARMACY, 24 GEORGE BORG OLIVIER STREET ST JULIANS 21369426 PEMBROKE / SWIEQI / ST ANDREWS J.V.’S PHARMACY, SWIEQI VALLEY SWIEQI 21371062 KRYPTON CHEMISTS, IBRAGG STREET SWIEQI 21370141 ST ANDREWS PHARMACY, 87 GIUSEPPE MALFEGGIANI STREET ST ANDREWS 21372784 PENNY LANE PHARMACY, SEJJIEĦ STREET SWIEQI 21375373 SAN GIORGIO PHARMACY, MANWEL BUHAGIAR STREET PREMBROKE 21378485 ST. ANDREW’S PHARMACY, TRIQ IL-QASAM ST ANDREWS 21355205 QORMI ANICI PHARMACY, ANICI STREET QORMI 21487162 BROWN’S PHARMACY, 278 VICTORY STREET QORMI 21499697 DRUGSHOP DISPENSARY, VJAL DE LA CRUZ QORMI 21443221 EVANS PHARMACY, 96/98 ST SEBASTIAN STREET QORMI 21487020 PINTO PHARMACY, 43 ST SEBASTIAN STREET QORMI 21487311 ST. GEORGE’S PHARMACY, 21 MAIN STREET QORMI 21443045 TAL-HLAS PHARMACY, TRIQ IL-ĦELSIEN QORMI 21487739 DINGLI / MTARFA / RABAT SANTA MARIJA PHARMACY, FRENĊ ABELA SQUARE DINGLI 21452447 SPIŻERIJA CARMEN, 1 TRIQ MISRAĦ SUFFARA DINGLI 21457128 IMTARFA PHARMACY, 207 ST. DAVID ROAD MTARFA 21451261 MAKE OVER PHARMACY, BLK A TOWN CENTRE HOS MTARFA 21452833 CENTRAL PHARMACY, TRIQ GĦAJN KAJJET RABAT 21455959 IDEAL PHARMACY, 63 MAIN STREET RABAT 21455479 NIGRET PHARMACY, TRIQ IŻ-ŻAHAR RABAT 21450602 NOVA PHARMACY, 142 COLLEGE STREET RABAT 21454247 ST. ANTHONY PHARMACY, 18 MAIN STREET RABAT 21454187 SAFI PASTEUR PHARMACY, TRIQ IT-TELLERIT SAFI 21689944 SAFI PHARMACY, ST. JOHN STREET C/W BIEB IL-GARRA STREET SAFI 21649552 SANTA LUCIA MADDALENA PHARMACY, SHOP 2 TAL-FAQQANI BUILDING TOWER AVENUE SANTA LUCIA 21677037 STA. LUCIA PHARMACY, 1 MISRAĦ DORELL SANTA LUCIA 21890111

SIGGIEWI MENELO PHARMACY, DR NIKOL ZAMMIT STREET SIGGIEWI 21462957 ST. NICHOLAS PHARMACY, 1 PARISH STREET SIGGIEWI 21460828 THE BYPASS PHARMACY, MONS MIKIEL AZZOPARDI STREET SIGGIEWI 21461681 SLIEMA BROWN’S PHARMACY, UNIT 22 TIGNÈ STREET SLIEMA 21313233 CHEMIMART PHARMACY, 4 5 6 IL-PIAZZETTA TOWER ROAD SLIEMA 21338369 DRUG STORE, 382 MANWEL DIMECH STREET SLIEMA 21334627 EDWARD’S PHARMACY, 115 MANWEL DIMECH STREET SLIEMA 21334102 HARLEY PHARMACY, 1 NATHALIE POUTIATINE TABONE STREET SLIEMA 21334635 MRABAT PHARMACY, MRABAT STREET SLIEMA 21313535 NORMAN’S PHARMACY, 133 HIGH STREET SLIEMA 21332243 RUDOLPH PHARMACY, 133 RUDOLPHE STREET SLIEMA 21344722 STELLA MARIS PHARMACY, 34 MILNER STREET SLIEMA 21335217 THE ECONOMICAL DISPENSARY, 86/87 SIR ADRIAN DINGLI STREET SLIEMA 21330376 VICTOR’S PHARMACY, 9 TOWER ROAD SLIEMA 21330352 WALES PHARMACY, 183 MANWEL DIMECH STREET SLIEMA 21335492 ZABBAR ST. ELIAS PHARMACY, TRIQ SAN ELIJA XAGHJRA 21660300 FELICE DISPENSARY, 95 SANCTUARY STREET ZABBAR 21827939 MAY DAY PHARMACY, VICTORY STREET ZABBAR 21826529 MEDIATRIX PLUS PHARMACY, 7 SANCTUARY STREET ZABBAR 27826685 POLYMER PHARMACY, TRIQ IX-XGĦAJRA ZABBAR 21676263 ST. JAMES PHARMACY, 1 MISRAĦ SAN ĠAKBU ZABBAR 21666194 ST. PETER PHARMACY, TRIQ IS-SEBBELLIKA ZABBAR 21663750 ZEBBUG DE ROHAN PHARMACY, 24 ST ANTHONY STREET ZEBBUG 21464128 PLAZA PHARMACY, 86 MAIN STREET ZEBBUG 21467459 SANTA MARIJA PHARMACY, 40 GĦASFURA STREET ZEBBUG 21465346 SPIŻERIJA ĦAL-MULA, DUN SALV CIAPPARA STREET ZEBBUG 21461693 TAL-GRAZZJA PHARMACY, FRANĠISK FARRUGIA STREET ZEBBUG 21462068 BROWN’S PHARMACY, 47 VJAL IL-ĦELSIEN ZEBBUG 21465411 ZEJTUN GERADA PHARMACY, 46 MATER BONI CONSIGLI STREET ZEJTUN 21806009 GREEN CROSS PHARMACY, 31 GREGORIO BONNICI SQUARE ZEJTUN 21693723 HEALTH JUNCTION PHARMACY, ALFRED CACHIA ZAMMIT STREET ZEJTUN 21661644 ST. CATHERINE PHARMACY, PLOT 3 TRIQ IL-QADI ZEJTUN 21678039 ZURRIEQ KRISTIANNE PHARMACY, PIETRU PAWL SAYDON STREET ZURRIEQ 21647391 SALUS PHARMACY, 21 REPUBLIC SQUARE ZURRIEQ 21680761 ZURRIEQ DISPENSARY, 68 MAIN STREET ZURRIEQ 21689971 BRONJA PHARMACY, SONATA BRONJA STREET ŻURRIEQ 21682251 GOZO FONTANA PHARMACY, TRIQ IL-GĦAJN FONTANA 21566979 GĦAJNSIELEM PHARMACY, INDEPENDENCE SQUARE GHAJNSIELEM 27203615 LAURETANA PHARMACY, 36 MGARR STREET GHAJNSIELEM 21563017 SOKKORS PHARMACY, ST GREGORY STREET KERCEM 21553018 TONY’S PHARMACY, “EGRET COURT”VALLEY STREET MARSALFORN 21563617 NADUR PHARMACY, PJAZZA IT-28 TA’ APRIL 1688 NADUR 21563589 VELLA PHARMACY, 15 13TH DECEMBER STREET NADUR 21566431 ST. JOSEPH PHARMACY, 28 ST JOSEPH SQUARE QALA 21555348 ABELA’S PHARMACY, 42 G.P.F. AGIUS DE SOLDANIS STREET RABAT 21556170 AZZOPARDI PHARMACY, CAPUCHIN STREET RABAT 21563233 BATU PHARMACY, 38 PALM STREET RABAT 21551841 CASTLE PHARMACY, 2 INDEPENDENCE SQUARE RABAT 21556970 PALM PHARMACY, 2 PALM STREET RABAT 21566170 TAĊ-ĊAWLA PHARMACY, 7 JUNE 1919 STREET RABAT 21557819 PISANI PHARMACY, NEW BUILDING SANNAT STREET SANNAT 21564447 JOYCE’S PHARMACY, VJAL IT-8 TA’ SETTEMBRU XAGHRA 21561486 XAGĦRA PHARMACY 55 CHURCH STREET XAGHRA 27551140 GOZO CHEMISTS, MGARR ROAD XEWKIJA 21557278 ST. JOHN’S PHARMACY, 85 INDEPENDENCE STREET XEWKIJA 21563052

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