An often overlooked component of good health and fitness is proper posture. Posture is the balance struck between the unrelenting force of gravity pulling down on you and the valiant effort of your body structure to hold you up. The path of least resistance between these forces is what we call posture. Good posture causes no pain or problems and helps you use your muscles, tendons, and bones optimally. “Bad” posture actually uses more energy, though it is often thought of as laziness. That’s a mistake, because poor posture may indicate an underlying structural problem that is not your fault at all. And if you try to correct a structural problem without knowing exactly what it is, you will probably exacerbate the situation.Say you have one leg that is significantly shorter than the other. To compensate, in an attempt to keep your eyes level (a real priority for your brain), you’ll probably hold your shoulders unevenly, creating a scoliosis in your spine. Your mother’s advice to “straighten up” will be useless—you literally can’t. A doctor without appropriate training might advise you to do some back-strengthening exercises to even out your shoulders, but getting stronger while you are still uneven will just exaggerate the tilt. If you made an appointment with me, your checkup would reveal the different lengths of your legs as the cause of your problem, and I’d prescribe a gradually adjusting series of heel lifts and several sessions of osteopathic manipulation to fix the cause of your problem. Now you have a physical support to help keep you level, and your muscles and bones will no longer have to contort themselves. Of course, this is a very simplistic explanation and an exaggerated example, but I think you get the idea: address the cause of the problem, not the result.Your posture is your posture, and you can’t will it to be different. If your shoulders are rounded, no amount of throwing them back or thrusting your chest out is going to “fix” them. You can make your posture work as well as possible for you, but you can’t make it into something it is not. So make sure your posture is maximally efficient, and get any permanent “bad” posture evaluated to discover if there is a correctable underlying problem. You’ll need an appropriate therapy program to make any changes necessary for optimal body positioning.Simply maintaining good posture no matter what you are doing in the course of your day is an excellent defense against kyphosis, the spinal curve commonly called “dowager’s hump” or “hunchback” that is a hallmark of osteoporosis. Keeping the head, shoulders, spine, and hips in alignment protects the spine, so you need to be conscious of how you walk, stand, sit, lie, climb stairs, sleep, drive, type, and everything in between. Stick with the natural curves of your back. If you stand against a wall, your heels, buttocks, upper back and shoulders, and back of your head should touch the wall. With a side view, you should be able to draw a straight line from your ear to your shoulder to the middle of the curve of your lower back to your hip, knee, and ankle. From the front, it should be clear that your eyes, shoulders, chest, and hips are all level and parallel to the floor.That is the alignment you should strive for at all times. If this is not your normal or comfortable posture, you may have a structural problem that should be evaluated by a professional. I recommend an osteopathic structural evaluation, as most nonspecialists tend to recommend strengthening exercises that may be good for posture in general but will actually exacerbate a structural problem. But for most people, conscious effort and increased strength will be able to help posture, barring a medical issue.A major pitfall to good posture is working at a desk. Proper alignment is crucial when typing or working at a computer in order to avoid carpal tunnel syndrome or other repetitive motion injuries to nerves and joints—and just to eliminate the achiness you feel at the end of a long day at your desk. When you’re at your desk, not using your computer, prop your work on a stand at an angle in front of you, so you don’t have to hang your head forward over flat papers to read them. Use a footrest, especially if you need one in order to keep your thighs parallel to the floor when your chair is otherwise adjusted to the proper height. Your chair should support the curve of your lower back, and if it doesn’t, use a pillow or rolled-up towel to do the job. When you are driving (which puts you in much the same position as sitting at your desk), use the headrest.Lifting anything without injury also requires proper posture: bend at the knees and hinge at the hips, not the waist, so your legs, not your back, are taking the heavy load.Sleep on your back or side, as sleeping on your stomach places a strain on your lower back.The first key is to be aware of your body position no matter what you are doing. It may require conscious attention at first, but eventually you’ll develop good habits and will align yourself properly automatically. The second key is to build your flexibility, balance, and strength (particularly of the front of the thighs, buttocks, and stomach), all of which are important to support good posture.*121\228\2*

Ageing causes changes in the facial contour, especially hollowness of the cheeks caused by fat loss and accentuated by fat accumulation in the jowls. In addition, movement creates creases, especially between the nose and mouth. The lips shrink over time, producing lines about the mouth and loss of lip ‘pout’. Facial implants can be surgically inserted or injected to remedy many of these problems.
Collagen injectionsCollagen injections have become increasingly popular over the last few years. Collagen, which is derived from calf skin, is injected into wrinkle lines, scars and lips.Two types of collagen are used, called Zyderm and Zyplast. Zyderm is a very fine collagen and is useful for fine lines around the eyes and mouth. Zyplast, on the other hand, is a coarse, dense collagen which is more suitable for deep furrows and acne scars. It is especially useful for lip augmentation.Although collagen is a safe and effective filling substance, it only lasts for four to six months. Allergic reactions are possible so collagen must be tested twice before being injected into the face. Because collagen implantation is very simply performed, many people request collagen rather than a more appropriate procedure such as face-lifting or chemical peeling. Collagen is certainly not a substitute for some of the other cosmetic operations.To try and overcome the cost and allergic potential of calf collagen, several techniques are now available to remove a person’s own collagen and then inject it into his or her own wrinkle lines. This technique is still very new, so the long-term results are not yet known.
Silicone implantsAlthough silicone rubber is still the major material used in cheek and chin implants, liquid silicone has largely been abandoned as a filling material for facial wrinkles and contour correction. Although pure grade medical silicone was excellent and safe for facial augmentation, the recent media publicity concerning breast implants has created such adverse reaction among health officials that its use is becoming increasingly prohibited. If silicone is used, it is important that only microscopic amounts of silicone are used. If too much silicone is injected, beading can occur, and if impure silicone is used, severe reactions such as lumpiness of the skin are possible. The main advantages of silicone are that it is inexpensive and permanent.

Whatever the cause of the stimulus, sudden pain has three effects. Firstly, it triggers an avoidance response by reflexes which are controlled in the spinal cord, e.g. we take our hand out of the fire before we even feel the pain; secondly, the impulse travels to the brain, where it causes activation of a particular area in the brain which localizes and clarifies the pain; and thirdly, the whole brain is activated and thrown into a state of readiness.Long-standing (chronic) pain differs from acute pain in that the avoidance response does not occur; the specific response with appreciation of pain still takes place but the activation of the brain is variable, possibly because the persistent stress of chronic pain produces chemical changes in the body.
The pain thresholdIn pain appreciation, another important factor is attention. It is common experience that a toothache is worse at night on going to bed; as soon as the mind is occupied and engrossed, the pain subsides into the background. Experiments show that this applies to other sensory inputs, e.g. a cat will cease to show its usual electrical response to sound when it is shown a mouse. (This point is taken to extremes by certain forms of meditation and by hypnosis, where the conscious mind can be distracted or ‘shut out’ entirely.) This aspect is important, as the appreciation of chronic pain varies not only in the same person, but from person to person, depending on the state of mind. The person who is depressed, either because of the debilitating effects of chronic recurrent pain or for other reasons, is less likely to put up resistance to the continuous attack on his sensorium.People have different responses to pain, not only in their conscious reaction, but also in the amount of pain required to impinge on consciousness. This pain threshold can easily be tested by, for instance, asking the patient when a certain temperature applied to the skin becomes painful. One such experiment was done as follows: a 100 watt lamp was focused on to the blackened forehead of a subject. The intensity of the lamp could be varied and the forehead was illuminated for three seconds by a shutter. The lowest level of illumination producing a minimal pain (prickling sensation on the forehead) was taken as the pain threshold. There was a remarkable similarity in this value as long as the subjects concentrated on the task in hand. Distraction, suggestion, and hypnosis could raise this threshold by 35 per cent as could pain-killing (analgesic) drugs. The pain thresholds vary greatly and become unpredictable in subjects who are tired or anxious. Scientific, objective methods of measurement and analysis are very necessary in the study of what is, in the final analysis, a subjective complaint.People tend to suppress the memory of unpleasant events and, for this reason; it is often difficult to give an accurate account of a previous pain. The suppression is partly due to unconscious forgetting, but partly because the chemicals produced by the pain dulls memory.Response to pain is also to some extent dependent on sociological factors. People in social classes I and II are more likely to complain of headache, a tendency that has given the false impression that they are more prone to get headaches.Brain substance itself is insensitive to pain; neurosurgeons can operate on it without general anesthesia. The structures within the head that feel pain are the blood vessels and the coverings of the brain (the meninges). The pain felt in migranous headaches is due to pressure of swollen blood vessels against the sensitive membranes that sheath the skull.

It appears that almost everybody in America—regardless of race, ethnic background, class, or income—wants to be slim. When this desire becomes an overriding obsession with achieving bone thinness, it can translate into the distorted eating patterns of anorexia or bulimia. Estimates of the scope of these disorders necessarily involve guesswork, but some say that more than 35 percent of American women and over 75 percent of American teenage girls have at least flirted with either bulimia or anorexia. The incidence among males has not been adequately studied, but it appears to be rising.Anorexia nervosa is a condition of self-induced starvation tied in to a fear of becoming fat, poor body image, mental stress, and biochemical imbalances. A person loses a minimum of 20 percent of her or his body weight and still perceives her- or himself as fat. Every pound lost is seen as a victory and gives the person a feeling of greater control over his or her life.The effects of anorexia go far beyond a person’s looking emaciated. Starvation, whether involuntary or self-inflicted, affects mental function, so what the person can no longer think clearly. This does not help the person deal with or comprehend the seriousness of the physical problems that develop. These include fatigue, loss of menstruation, constipation, and hormonal changes, including increased levels of cortisol, the stress hormone. One of the many problems of this progressive condition is that when the person’s electrolyte balance, particularly in relation to sodium and potassium, becomes disturbed, it can lead to life-threatening complications, including kidney failure, heart rhythm abnormalities, and cardiac arrest.Bulimia nervosa, which describes a binge-purge cycle, is not as obvious a disorder as anorexia. Here a person eats uncontrollably and then purges the food in one of several ways. She or he may vomit; take laxatives, purgatives, diuretics, or enemas; sit in a sauna; or even cover her-or himself in plastic wrap. Whatever the method, the goal is the same: to avoid the consequence of eating too many calories. After a person takes several laxatives a day—and in rare instances as many as 100—over a period of time, the body loses its ability to eliminate on its own. Other serious medical consequences of bulimia include loss of tooth enamel and tooth decay, rupturing of the esophagus and stomach, throat muscle enlargement, dehydration, low blood sugar, and personality changes. As with anorexia, bulimia can result in severe chemical imbalances, leading to abnormal heart rhythms and even death.*60\233\8*

In more than thirty years of practice I have never come across as many cases of Lichen planus as recently. Although it is by no means a common problem, I am concerned at the increased incidence of this particular skin disorder. Lichen planus is an inflammatory dermatosis which manifests itself in multiple, small, flat-topped patches, with a reddish colour and a horny appearance. This skin disorder affects both sexes, and it is quite likely that its greater incidence is due to increased stress, anxiety and nervous disorders. If not the actual causes of this disease, they are more than likely to be serious contributory factors. Although this condition can be short-lived, I have also seen chronic cases, which are very difficult to overcome once they have been allowed to establish themselves. There is a general belief that improper nutrition and insomnia are also possible factors that aggravate this condition.
Initially I would choose to treat the nervous system and, for this purpose, I would suggest breathing exercises, which exert a relaxing influence. The ‘Hara Breathing Exercise’, explained in detail in my book Stress and Nervous Disorders, is of great help, as are a number of exercises that encourage relaxation. Treatments that produce good perspiration are also helpful. For this reason Turkish baths and saunas are suggested, since they are relaxing, at the same time as encouraging perspiration. When taking a sauna, the temperature of the entire skin increases to between 40 and 43 degrees Celsius. This increase in temperature intensifies the circulation while the increase in perspiration stimulates cell renewal and can eliminate some 20 to 30 grammes of fluid per minute from the body. Showering with cold water and warm foot baths causes the pores to open and the blood vessels to widen, which gives these bathing methods therapeutic value.
It is also a good idea to do some breathing exercises while taking a sauna, as the circulation through the lungs and air passages is excellent at high temperatures. At any time, go out into the fresh air and inhale deeply to fill the lungs with oxygen, thus stimulating the sympathetic nervous system. Due to increased hormone production, stress will be reduced when taking a regular sauna. Centuries ago in Finland, when the sauna was no more than a hole in the ground with some heated stones, saunas were recognised for their therapeutic value. Even though a sauna is taken under more luxurious conditions nowadays, that therapeutic value has not diminished, but take care not to stay in a sauna for too long. It is better to increase the frequency of saunas, with a good rest period in between, than to take occasional saunas for a long time, which may be unwise. I often advise that a first sauna should not be longer than eight to twelve minutes, with a cooling-off period of about the same length of time. During this time apply some Kneipp methods and use a good body spray. Have a warm foot bath and, if accompanied, joining in a conversation will aid relaxation. If possible, try some sunray treatment, but better still if it is possible, go outside to enjoy the sun: any ultra-violet treatment after a sauna course will be of great help for a lichen planus condition.
Infra-red treatment on the affected areas is also beneficial, but mostly I prefer ultra-violet treatment, because under the influence of ultra-violet rays, substances such as ergosterin are converted into vitamin D which is of great benefit to the overall condition of the skin.
From time to time a skin brushing session is helpful. Use a natural brush and allow twenty to thirty minutes to brush every part of the body that is not affected by lichen planus, remembering always to brush towards the heart. It is best to start with the soles of the feet and a dry body. Brush the skin surface with regular movements, avoiding any affected areas, the face, and genital areas. Use clean, upward-sweeping strokes remembering that below the heart all brushing movement should be upwards, while over the heart downward strokes only. Use light and gentle pressure and perhaps a herbal ointment or a herbal oil afterwards, e.g. Symphosan, lemon or orange oil from the Bioforce range. Another remedy from the same source, Petasan, should be taken three times a day, ten drops after meals, and to encourage quick healing, use evening primrose oil and Violaforce. This is the best possible advice to get a lichen planus condition under control.
Because of the influence of stress on this skin condition, I sometimes recommend a juice diet, or even a fasting regime allowing fruit and vegetable juices only. However, I would advise excluding citrus fruit juices in such a regime. A period of fasting will be beneficial to most of the body’s systems and functions, such as digestion, blood circulation, elimination from the bowels and kidneys, nerve vitality, respiration and oxygenation. I recommend fasting courses for diverse purposes, but especially for lichen planus as so many bodily functions and systems are affected by it.
On the first day of a fast there might be some slight discomfort, but a few days of fasting will be extremely beneficial. Better still, if after an initial period of fasting, one selects a specific day of the week on which to fast on a regular basis. Fasting allows the body to rid itself of some of the many toxins that are present, and you will soon recognise the feeling of well-being that takes over after one or more days. Don’t worry if you experience a slight dull headache, because this often occurs when the tissues eliminate toxins, which are disposed of into the bloodstream and work their way to the head.
Many patients report a feeling of cleanliness (inside as well as out) after fasting and most repeat the experience. Simply replace meals with a drink of vegetable or fruit juice. The age-old naturopathic principle that an occasional period of fasting is beneficial, has never held more truth and wisdom than at present.

For several years after seroconversion, people with HIV infection feel good. Because they have no symptoms of the infection, this period is called the asymptomatic (meaning “no symptoms”) period. During this period the person will be unaware of the HIV infection unless a blood test shows antibodies to HIV. About 70-80 percent of the people who presently have HIV infection are in this asymptomatic period.
The length of time people remain in the asymptomatic period is highly variable. The average is five to eight years until the symptoms of HIV infection appear, and eight to ten years until AIDS is diagnosed. The shortest time, two years or less from infection until the development of AIDS, is highly unusual. Most people stay asymptomatic for five years or more. Based on four different studies (done before any effective treatment was available), the time lapse between transmission of HIV and AIDS is as follows: After 1 year, 0 percent of the people with HIV infection were diagnosed with AIDS; after 2 years, 0 percent; after 3 years, 3 percent; after 4 years, 6 percent; after 5 years, 12 percent; after 6 years, 20 percent; after 7 years, 27 percent; after 8 years, 36 percent; after 9 years, 45 percent; after 10 years, 53 percent.
The reasons for this great variation are unknown. We know that treatment makes a decisive difference in the rate of the infection’s progression. We would like to think that “wellness”—a psychological sense of well-being, good nutrition, exercise programs, and other general health measures—increases the length of the asymptomatic period, although we don’t know that.
Other factors may contribute to the length of the asymptomatic period but are beyond the control of the person with HIV infection. One of these factors is the inoculum size, or number of viruses when infection took place: the lower the inoculum size, the slower the infection
progresses. Another factor is the specific strain of the virus: some strains of HIV seem to cause the infection to progress faster. A third factor is the age of the person infected: the infection progresses much faster in children and somewhat faster in older people. The final factor is the genetic makeup of the person infected: some people seem to have genes that make them prone to faster progression of the infection.
The presumed reason for the long delay before symptoms appear is the body’s enormous number of CD4 cells (the white blood cells that help the immune system and that the virus infects). At first, the virus infects only a relatively small number of CD4s, then more and more of them, but the process is slow. Several years go by before the body loses so many
CD4s that the immune system cannot defend itself against other infections. Most people lose about 80 to 90 percent of their CD4s before AIDS develops.

The following persons are at high risk to develop diabetes :
Individuals with positive family history of diabetes
Overweight individuals
Persons with
Hyperlipidaemia (Increase in cholesterol, triglyceride premature coronary artery disease etc.)
Those with previous bad obestetrical history
Recurrent abortion
Congenital malformation
Big Baby etc.
Diabetes is a state of chronic hyperglycaemia (rise in blood glucose levels). Correct and definitive diagnosis is mandatory by the proper glycaemic (blood glucose) criteria for the management of diabetes patients.
Glycaemic Criteria for non-pregnant adults and pregnant women are different and glucose load for OGTT in children is different than the adults.
Urine Glucose testing is not adequate for diagnosis of diabetes and positive results must be confirmed by the blood glucose estimation. Glycated Haemoglobin (HbAIC) and Fructosamine tests are highly specific but less sensitive, hence one could miss mild diabetes (these tests are supplementary tests and tests for monitoring diabetes should not be taken as a method of diagnosing diabetes).

ASPEN’ 4 times a day for 2 weeks brought her round to normalcy, besides improving her general health. For clear conception of FEAR REMEDIES, remember:
1. ASPEN : for unspecified fears for which there is no cause.
2. MIMULUS: for fear of some thing which can be named.
3. ROCK ROSE : for terror of some calamity, some impending danger, extreme fear of something, usually with an element of suddenness in it, panic.
4. MUSTARD : for sudden and causeless depression which descends upon the unsuspecting patient like a cloud. In its suddenness and causeless origin, it resembles Aspen. Also it resembles ASPEN in leaving the patient by itself after sometime.
5. CHERRY PLUM : for fear of loss of control over one’s own emotions – fear of the mind losing control over actions.
6. RED CHEST NUT – for fear and anxiety for other’s safety.

To ease communication between us, I will continue to use terms belonging to other paradigms such as ‘conscious’ and ‘unconscious’ (depth psychology), ‘sickness’ and ‘health’ (medicine), ‘sanity’ and ‘insanity’ (legal terms), ‘mental disorder,’ ‘schizophrenia,’ ‘sociopathy’ (psychiatry), etc. I attempt to define these words in terms of process concepts and show how they may be limiting cases of the more neutral paradigm. The reader interested in a brief explanation of the interrelationship between psychiatric and process terms may turn to the Glossary at the end of this book for reference.
The terminology I develop is based upon my interest in dealing with strongly altered and unusual states of consciousness and upon my phenomenological approach to these states. Older terms such as ‘withdrawn’ and ‘related’ are not useful in actually understanding the structure of processes, especially when these are very foreign to everyday life. Hence, psychiatry needs a new language, one which deals with events as they occur, in contrast to a language which is strongly biased to consensus reality thinking. Thus, I will have to speak of ‘primary and secondary processes,’ ‘channels,’ ‘double signals’ and other terms which are not common in psychology today. I hope the reader will understand and bear with me.
Let us call primary processes those expressions with which the individual identifies himself either explicitly or implicitly. Someone who implies or says, ‘I am the Virgin Mary,’ or ‘I am a rock star or a business woman,’ indicates that her primary process is an identity experience of the Virgin, a rock star or business person. Primary processes can be identified even in strongly altered states of consciousness.

Just as we see in literature a pattern of a hero or heroine opposed by an antagonist, we find in our own lives the existence of the True Hero and His antagonist. God’s role is to give us truth, while Satan’s role is to keep our minds confused and unfocused on God’s ways. One way that Satan accomplishes this feat is through lies.
People who are especially vulnerable to these deceitful lies could be people who have not died to their own wills. When we do not die to our own will, we usually do not diagnose ourselves properly. We start blaming anything and everything around us as the sources of our unhappiness, or we become very depressed and even more deeply engrossed in self and filled with self-pity. This leads to more earthly comforts, such as overeating to soothe ourselves. People call this “just a cycle.” I call it a “downward spiral,” and we cannot even feel or see it.
Satan can lie to us, and if he stays around long enough, he can become our master without our even knowing it. He is very discreet. He does not want us to know that he is our lord. Look at this curious dialogue between Jesus and the preacher-teachers of the day in the Gospel of John. Jesus starts by telling them that neither God nor Abraham was their father. The Bible records their reply:
“We are not illegitimate children,” they protested. “The only Father we have is God himself.” Jesus said to them, “If God were your Father, you would love me, for I came from God and now am here. I have not come on my own; but he sent me. Why is my language not clear to you? Because you are unable to hear what I say. You belong to your father, the devil, and you want to carry out your father’s desire. He was a murderer from the beginning, not holding to the truth, for there is no truth in him. When he lies, he speaks his native language, for he is a liar and the father of lies. Yet because I tell the truth, you do not believe me! Can any of you prove me guilty of sin? If I am telling the truth, why don’t you believe me? He who belongs to God hears what God says. The reason you do not hear is that you do not belong to God.” (John 8:41b-47)
The Pharisees (the preachers of Jesus’ day) knew Scripture. They went to the temple constantly. However, their wills had not submitted to the will of the Heavenly Father. They were quickly adopted by the father of the dark world. If your will is to love God with all of your heart, your soul, and your mind, then you can hear His voice. But, if your will is to halfway serve Him when it is convenient, you will not hear His voice. You cannot hear His voice. Once again, you cannot have two masters.
We are all recovering Pharisees, or we have all known people who are like the Pharisees. Pharisees are uncomfortable in the presence
of someone who has submitted his will. They avoid spiritual conversations, and the lifestyle and behavior of spiritual people often seem stupid to them. Pharisees might be the type who, when they go to worship, criticize the        sermon, the song leaders, the people in the choir, the elders, the ministries, and the number of contributions. They have forgotten that  the whole idea behind the Sunday morning gathering is self-examination. As I spend more and more time examining myself, I feel better and happier. My job description is not to help God fix other people, but to work on myself with the help of God.
All of us have our times when we resist having things go God’s way. Even the beloved Apostle Peter, in Matthew 16:22-23, voiced the ways of Satan and not God when he said:
“Never, Lord!” he said. “This shall never happen to you!” Jesus turned and said to Peter, “Get behind me, Satan! You are a stumbling block to me; you do not have in mind the things of God, but the things of men.” At all times, we must keep the right mental attitude to win victory in the battles we face. If we have a heart for it, it will be easy.
Satan is the ruler of this world, we are told. That is why he was able to offer to Jesus the kingdoms of the world and their splendor, if Jesus would, as Satan put it, “bow down and worship me.” Notice the way Jesus fought the spiritual battle and won victory over temptation and the way He eventually got rid of the tempter for a time. He did it by quoting God’s truths or telling the truth. You can read this in the fourth chapter of Matthew.