Article 1 FIX YOUR WORST HEALTH HABITS—FAST
Eating everything in sight? Smoking again? Here, speedy ways to clean up your act—and lower your cancer risk.
Almost everyone has at least one not-so-stellar health habit: pounds over a four-week period (as opposed to the controlMaybe you’ve smoked like a chimney since high school, gotten
group, which gained three). “Your body monitors how many
one too many sunburns in your mid-20s, or sworn off milk since
nutrients it needs and will dampen your taste buds once you’ve
the seventh grade. Now you’re ready to clean up your act but
had enough,” says study author John Poothullil, M.D., of the
don’t want to slave away at it. We’ve got good news for you:
Brazosport Memorial Hospital in Lake Jackson, Texas.
Believe it or not, you can undo much of the damage caused by
Step #3: Skip the starch. For a week or two, avoid simple carbs
the most common health slip-ups in just two weeks—and with
(e.g., pasta, white bread, and sugary cereals) and instead focus
minimal effort. Follow our doable fast-fix plan, and you’ll be
on fruits, veggies, whole grains, and lean sources of protein,
well on your way to reclaiming your health and warding off the
such as fish, chicken, and low-fat dairy. “Starch and processed
sugar increase your body’s insulin levels, which in turn stimu-lates your appetite,” explains Pamela Peeke, M.D., author ofFight Fat After Forty. Simple carbs also cause your body to re-
HEALTH SLIP-UP #1:
tain water, so when you stop eating them, you may drop up to
Splurging Fix-it time: Two to four weeks You’ve returned from a ten- Step #4: Don’t be fats-phobic. It sounds counterintuitive, but
day vacation sporting some extra pounds. Don’t let the weight
eating some fat at every meal may help you stick to a healthy-
sit; you may up your risk for developing breast cancer, among
eating plan. In a study of 101 people at Brigham and Women’s
other diseases. (Fat triggers an increase in the production of a
Hospital, researchers found that after a year, those on a low-fat
form of estrogen that promotes rapid cell division.) The good
diet (20 percent of daily calories from fat) actually gained six
news: You can burn off those pounds quickly. “If you gain three
pounds, while those on a moderate-fat diet (35 percent, mostly
to five pounds during a ten-day vacation, you’ll need about a
heart-healthy fat) lost ten pounds. “People on extremely low-
month to take it off,” says Kathy McManus, R.D., director of
fat diets tend to not feel full, so they end up consuming more
the department of nutrition at Brigham and Women’s Hospital
calories,” says McManus, who was lead researcher on the study.
A few good ideas: Drizzle olive oil on steamed veggies, snack
Step #1: Don’t diet! You’re much more likely to stick to a sen-
on a handful of walnuts, and eat a fatty fish, like salmon or tuna,
sible eating plan if you focus on the idea of eating healthy,
rather than dieting. In a study at the University of Toronto, re-
Step #5: Get your moo juice. When women consumed low-fat
searchers found that people who were told they’d start a diet the
dairy (such as skim milk, nonfat yogurt, and low-fat cheese)
next week actually consumed more food than non-dieters. “Just
three to four times a day, they reduced their body fat by up to 70
the thought of deprivation can make you fall off the healthy-
percent, shows a study at the University of Tennessee in Knox-
ville. “Calcium serves as a switch that tells your body to burn
Step #2: Avoid eating on the run. Set aside at least 20 minutes
excess fat faster,” explains study author Michael Zemel, Ph.D.,
for each meal, so you can sit down and savor each bite. When
director of the university’s Nutrition Institute. And no, you
researchers asked women to chew thoroughly and to stop eating
won’t get the same results if you drink calcium-fortified bever-
once their food no longer tasted as good as the first bite, they
ages such as orange juice: Research shows that you get the best
found that their subjects lost an average of eight and a half
Article 1. FIX YOUR WORST HEALTH HABITS—FAST HEALTH SLIP-UP #2:
this: Two weeks after that last cigarette, the hairs in your trachea
Becoming a couch potato
responsible for keeping out viruses and bacteria, which had been
Fix-it time: Visible results within two weeks Inactivity is
killed off by smoking, start to regenerate; within one month your
linked to heart disease and certain kinds of cancer, but it doesn’t
ability to smell and taste is enhanced; and within two weeks your
take much to whip your body into shape. “If you make weight-
lung function increases by up to 10 percent. After a year your risk
training part of your regimen, you’ll see results within two
of heart attack is cut to half that of a smoker. After 10 years, your
weeks of starting an exercise program,” says Wayne Westcott,
risk of dying of lung cancer is half that of a smoker. Inspired?
Ph.D., fitness director of the South Shore YMCA in Quincy,
Here’s how to wean yourself off nicotine.
Massachusetts. After two weeks, you’ll gain strength; after six
Step #1: Set an official “quit day.” Mark your calendar to give
weeks, you’ll reap cardiovascular benefits.
yourself time to formulate a plan, says Edwin Fisher, Ph.D., aprofessor of psychology at Washington University in St. Louis
and coauthor of How to Quit Smoking Without Gaining Weight. Reschedule your quit day if it falls right before your period. Re-
search suggests that it’s easier to stop smoking after your pe-riod, possibly because symptoms of nicotine withdrawal—
depression, irritability, fatigue—mimic those of PMS. Step #2: See your doc. Make an appointment a couple of weeks Step #1: Pick a consistent time to work out, preferably early in
before your quit day to discuss smoking-cessation methods.
the day. A study at the Mollen Clinic in Phoenix found that 75
Your doctor may suggest nicotine gum or prescribe Zyban.
percent of morning exercisers stayed faithful to their workout
Studies show that some nicotine-replacement therapies double
routines, compared with only 25 percent of evening exercisers.
your chances of quitting; Zyban may even increase it threefold.
If you’re not an early bird, don’t worry: It’s more important to
Step #3: Start exercising. Researchers at Brown University
find a time that you can stick to, even if it’s in the p.m. Can’t
found that quitters who worked out were twice as likely to stay
manage working out for a whole half hour? Schedule two
cigarette-free for at least one year after quitting as those who
smaller sessions (for example, a 15-minute weight-lifting ses-
didn’t exercise. The suspected reason? Spiked endorphin levels
sion in the morning, and a 15-minute walk during your lunch
help counteract the symptoms of nicotine withdrawal, says Bess
hour). Breaking up your sweat sessions allows your metabolism
Marcus, Ph.D., a professor of psychiatry at Brown University
to kick into overdrive all day, burning additional calories for up
School of Medicine. It may also help limit weight gain: On av-
erage, quitters who don’t exercise pack on about 12 pounds,
Step #2: Hit the weights. When starting a workout program,
says Marcus, probably because their metabolism slows slightly
your first instinct may be to lace up your sneakers and head out
for a jog. Better idea: Combine cardio with weight-training. In
Step #4: Be prepared. The first few days are the worst because
a study at Ohio State University, researchers found that muscles
symptoms are more acute. Nicotine-replacement therapy or
respond to weight-training in as little as two weeks. A study at
Zyban will help curb cravings, but keep a “survival kit” (with
the University of Athens in Greece found that people who com-
sugarless gum, a squeeze ball, and rubber bands) around to keep
bined strength-training and cardio were twice as aerobically fit
your hands and mouth busy. And enlist a buddy. In a study at
as those who concentrated only on cardio.
St. George’s Hospital Medical School, University of London,
Step #3: Shake up your routine. If you let your old workout
researchers found that quitters who seek social support can have
slide because you were bored with it, find new activities that
more than twice the success rate of those who try to stop
will keep you interested. One option: Reenergize your routine
smoking solo. Log on to QuitNet (quitnet.com) to sign up for a
with interval-training, in which you add bursts of high-intensity
moves into your workout, suggests Westcott. For example, ifyou usually jog a ten-minute mile, add a 30-second sprint or a
HEALTH SLIP-UP #4:
one-minute incline every five minutes. Sun-fried skin Step #4: Don’t overdo it. When you haven’t hit the gym in six Fix-it time: Three to six months Is there anything you can do
months, it’s tempting to push yourself—but don’t. “Since you
to reverse all those sunburns? Yes. “Since most of the damage
haven’t exercised in a while, your muscles are more susceptible
occurs on the superficial layers of the skin,” notes Bruce Katz,
to injury,” says Richard Cotton, spokesperson for the American
M.D., director of the JUVA Skin & Laser Center in New York
Council on Exercise. In the first week, aim for 20 to 30 minutes
City and associate clinical professor of dermatology at Co-
of moderate-intensity cardio. Then increase your exercise time
lumbia Presbyterian Medical Center, “you can reverse up to 90
percent of all sun-damaged cells.” Start following the advicebelow now, and you’ll see results by the summer—and lower
HEALTH SLIP-UP #3: Step #1: Slap on sunscreen. Opt for the broad-spectrum kind Fix-it time: Recovery begins two weeks after you stop If you
that contains titanium or zinc oxide (such as Ultra Rich Neutro-
think it’s too late to undo the damage from smoking, consider
gena UVA/UVB Sunblock Lotion SPF 30 or Olay Complete
ANNUAL EDITIONS
Plus Moisture Lotion UVA/UVB Protection). Not only will it
HEALTH SLIP-UP #5:
prevent further damage, it may help reverse minor damage, says
Missing out on calcium
Debra Jaliman, M.D., a New York City dermatologist. Step #2: Use retinoids. These antiaging forms of vitamin A help Fix-it time: Immediately You’ve dissed dairy since the sev-
your skin renew itself by increasing collagen production, re-
enth grade, and now you’re convinced that you haven’t done
versing the effects of sun damage. If you’ve got only a few
enough to protect your bones. No need to panic. There’s still
brown spots, try an over-the-counter retinol product (like Neu-
plenty that you can do to maintain your bone density, says
trogena Healthy Skin Anti-Wrinkle Cream). If the damage is
Bess Dawson-Hughes, M.D., a professor of medicine at Tufts
more advanced (hint: skin feels rough and sandpapery, plus
you’ve got fine lines and discoloration), go for a prescription re-
Step #1: Get at least 1,000 milligrams of calcium daily. Three
tinoid, such as Retin-A, Retin-A Micro, or Renova for drier
servings a day of calcium-rich foods (like nonfat cheese and
skim milk) and calcium-enriched juices and cereals will do the
Step #3: Consider chemical peels. If you see signs of sun
trick. Or try a supplement. For the best absorption, break the pill
damage (rough patches and discoloration), ask your dermatolo-
in half (for two 500 mg. doses) and take one half in the morning
gist about a chemical peel. A peel usually contains 20 to 40 per-
and the other at night—and make sure the supplement contains
cent glycolic acid, so you’ll have some dryness or peeling
afterward. But if you’ve had several bad burns or grew up in a
Step #2: Get five servings a day of fruits and veggies. They’re
sunny climate, ask your dermatologist about a medium-depth
rich in potassium and magnesium, which help maintain bone-
peel that penetrates beyond the skin’s superficial layers, stimu-
mineral density. Get your protein, too. Research by Dawson-
lating your skin to create new collagen. One option: A peel that
Hughes found that bone-mineral density increased in people
combines alpha hydroxy acids and 5-FU, a chemotherapy agent
whose diets included high levels of protein as well as calcium.
normally used to treat premalignant skin cancer. Katz’s re-search has found that a series of six to eight peels can result in
Step #3: Work out regularly. Aim for at least a half hour each
as high as a 90 percent reduction in precancers, since “you’re
of aerobics and strength-training three times a week, recom-
essentially taking away all the sun-damaged cells that can lead
mends Miriam Nelson, Ph.D., director of the John Hancock
to skin cancer and premature aging,” explains Katz. Cost: $150
Center for Physical Activity and Nutrition at Tufts. For optimal
to $225 per treatment. The procedure takes about an hour.
results, concentrate on high-impact activities, such as jogging,
Step #4: Consider laser therapy. If you’re in your late 30s, you
which put the most pressure on bones, making them stronger.
may want to look into lasers instead of chemical peels, since la-
Step #4: Detox. Why avoid cigarettes and too much alcohol
sers can get rid of more signs of sun damage and aging. Try one
(more than one or two drinks a day)? They cause you to lose cal-
of the newer nonablative lasers: These are gentler than older la-
cium through your urine. Another tip: Find a stress-buster.
sers because they don’t break the skin. “Essentially, the laser
When you’re stressed, your body pumps out stress hormones
stimulates your skin to create collagen,” says Jaliman. You can
(such as cortisol), which stimulate osteoclasts, the cells that
anticipate about a 20 to 30 percent improvement. Your skin will
break down bone, explains Lisa Callahan, M.D., medical di-
look more even and smoother and lines will be less visible.
rector of the Women’s Sports Medicine Center at the Hospital
Cost: $350 to $500 a session (most people require three to four
for Special Surgery in New York City. So for your bones’ sake,
sessions, which take about an hour).
kick back and relax on a regular basis.
From Redbook, March 2004, pp. 56-58, 61. Copyright 2004 by Hallie Levine. Reprinted by permission of the author.
Notes sur les technologies de la santé en émergence Le tiotropium : un substitut potentiel à l’ipratropium dans le traitement de la BPCO numéro 35 juillet 2002 Boehringer Ingelheim, Burlington (Ontario), le30 avril 2002) et à la Food and Drug Administration auxÉtats-Unis4, en quête de l’approbation de l’utilisation du9 Dans le traitement de la bronchopneumopathie médicam
International Journal of Pharmaceutical and Clinical Research 2013; 5(4): 141-144Antiseptics and Antibiotics Used in Regenerative Endodontics Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India Available online: 17th September, 2013 ABSTRACT Contemporary endodontics and the future of endodontics are based on regenerative strategies. Success of these regene