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	<title>Health and Fitness Site</title>
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	<link>http://www.brunberg.net</link>
	<description>Your gateway to healthier life!</description>
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		<title>Declarations, declarations</title>
		<link>http://www.brunberg.net/diabetes/declarations-declarations/</link>
		<comments>http://www.brunberg.net/diabetes/declarations-declarations/#comments</comments>
		<pubDate>Fri, 17 Jul 2009 00:58:07 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/diabetes/declarations-declarations/</guid>
		<description><![CDATA[2009 sees the 20th anniversary of the St Vincent Declaration. To commemorate this, a conference entitled “Defeating Diabetes in the 21st Century—Celebrating the 20th Anniversary of the St Vincent Declaration” will be held in Glasgow on 21st to 23rd November. The event is being organised by IDF Europe, EASD EURADIA, FEND, ISPAD, PCDE and Diabetes [...]]]></description>
			<content:encoded><![CDATA[<p>2009 sees the 20th anniversary of the St Vincent Declaration. To commemorate this, a conference entitled “Defeating Diabetes in the 21st Century—Celebrating the 20th Anniversary of the St Vincent Declaration” will be held in Glasgow on 21st to 23rd November. The event is being organised by IDF Europe, EASD EURADIA, FEND, ISPAD, PCDE and Diabetes UK with the support of WHO Geneva. Further details are available on the IDF Europe website (http://www.idf.org/idf-european-region).</p>
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		<title>Compliance with the quality standards of National Diabetic Retinopathy Screening Committee</title>
		<link>http://www.brunberg.net/diabetes/compliance-with-the-quality-standards-of-national-diabetic-retinopathy-screening-committee/</link>
		<comments>http://www.brunberg.net/diabetes/compliance-with-the-quality-standards-of-national-diabetic-retinopathy-screening-committee/#comments</comments>
		<pubDate>Fri, 17 Jul 2009 00:58:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/diabetes/compliance-with-the-quality-standards-of-national-diabetic-retinopathy-screening-committee/</guid>
		<description><![CDATA[Abstract: Aims: The National Diabetic Retinopathy Screening Committee has recommended 19 standards for quality assurance of screening programmes in the United Kingdom. Five of the standards apply to the care provided by ophthalmology departments. This study assesses the quality assurance of the eye care provided by the Wakefield and North Kirklees Screening programme.Methods: A retrospective [...]]]></description>
			<content:encoded><![CDATA[<p>Abstract: Aims: The National Diabetic Retinopathy Screening Committee has recommended 19 standards for quality assurance of screening programmes in the United Kingdom. Five of the standards apply to the care provided by ophthalmology departments. This study assesses the quality assurance of the eye care provided by the Wakefield and North Kirklees Screening programme.Methods: A retrospective audit of case notes of patients for 12 consecutive months in 2007. The outcomes were compared with the five quality standards.Results: Out of a total number of 15,080 patients screened for diabetic retinopathy (DR), 479 (3.17%) required referral to ophthalmology department (screen-positive). Of these, 352 (2.33% of total screened) were referred for diabetic retinopathy. Forty-three patients (13%) were referred for proliferative retinopathy (R3), 279 (79%) for maculopathy (M1), 24 (7%) for non-proliferative retinopathy (R2), and 4 (1%) for a history of previous photo-coagulation (P1). Fifty-eight patients (16%) failed to attend. A timely consultation was achieved in 33% of R3 and 77% of M1 patients. Only 31% of R3 and 8% of M1 at screening were listed at their first visit to ophthalmology clinic and received laser treatment in stipulated time.Conclusion: Significant progress is required for timely consultation and management of screen-positive patients. In order to achieve these targets efficiently, it may be appropriate to re-define M1 so that a significant proportion of patients with M1 may be referred to and better managed by primary care physicians or diabetologists.</p>
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		<item>
		<title>Editorial Board</title>
		<link>http://www.brunberg.net/diabetes/editorial-board/</link>
		<comments>http://www.brunberg.net/diabetes/editorial-board/#comments</comments>
		<pubDate>Sat, 30 May 2009 13:34:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

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		<description><![CDATA[]]></description>
			<content:encoded><![CDATA[]]></content:encoded>
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		<title>Contents</title>
		<link>http://www.brunberg.net/diabetes/contents/</link>
		<comments>http://www.brunberg.net/diabetes/contents/#comments</comments>
		<pubDate>Sat, 30 May 2009 13:34:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

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		<description><![CDATA[]]></description>
			<content:encoded><![CDATA[]]></content:encoded>
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		<title>Two challenges (amongst the many)</title>
		<link>http://www.brunberg.net/diabetes/two-challenges-amongst-the-many/</link>
		<comments>http://www.brunberg.net/diabetes/two-challenges-amongst-the-many/#comments</comments>
		<pubDate>Sat, 30 May 2009 13:34:50 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/diabetes/two-challenges-amongst-the-many/</guid>
		<description><![CDATA[How many of our children with type 1 diabetes are diagnosed in their first hospital admission for diabetic keto-acidosis (DKA)? The frequency with which this happens should be a cause for considerable concern. I recently learnt, from one of my paediatric colleagues, that perhaps 20% of new cases of childhood type 1 diabetes in Wales [...]]]></description>
			<content:encoded><![CDATA[<p>How many of our children with type 1 diabetes are diagnosed in their first hospital admission for diabetic keto-acidosis (DKA)? The frequency with which this happens should be a cause for considerable concern. I recently learnt, from one of my paediatric colleagues, that perhaps 20% of new cases of childhood type 1 diabetes in Wales are diagnosed in this way. We seem not to be unusual in this respect since Australian colleagues confirm that this is also true in Sydney and in Newcastle, New South Wales. More formally, a recent publication from Manchester, UK  found that 27% of newly diagnosed children identified in a 6-year retrospective audit presented in keto-acidosis. And this is not a new phenomenon. Pinkney et al.  reporting data from the Bart&#8217;s-Oxford Study, in 1993, found that 16% of 219 cases first presented in “severe keto-acidosis” (pH 7.10–7.35 or plasma bicarbonate 10–21mmol/l). One of these children died during that episode.</p>
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		<title>Diabetes—A global problem needing global solutions</title>
		<link>http://www.brunberg.net/diabetes/diabetes%e2%80%94a-global-problem-needing-global-solutions/</link>
		<comments>http://www.brunberg.net/diabetes/diabetes%e2%80%94a-global-problem-needing-global-solutions/#comments</comments>
		<pubDate>Sat, 30 May 2009 13:34:49 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Diabetes]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/diabetes/diabetes%e2%80%94a-global-problem-needing-global-solutions/</guid>
		<description><![CDATA[Diabetes Mellitus, specifically, type 2 diabetes is at the cross-roads of 21st century globalization and health. Currently, 246 million people are estimated to have diabetes, and this number is projected to increase to over 380 million worldwide in the next 20 years . An additional 200 million people are likely to have impaired glucose tolerance, [...]]]></description>
			<content:encoded><![CDATA[<p>Diabetes Mellitus, specifically, type 2 diabetes is at the cross-roads of 21st century globalization and health. Currently, 246 million people are estimated to have diabetes, and this number is projected to increase to over 380 million worldwide in the next 20 years . An additional 200 million people are likely to have impaired glucose tolerance, a precursor for type 2 diabetes, and this is expected to rise to 420 million by 2025 . Diabetes causes an estimated 12–14 years of life lost to premature death . Type 2 diabetes is projected to have its heaviest impact on developing countries, and the epidemic is no longer confined to affluent urban residents. In developing countries, the disease disproportionately strikes people of economically active ages, resulting in loss of human capital and productivity, perpetuating poverty faced by many, and potentially stifling development.</p>
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		</item>
		<item>
		<title>Allergic Reactions</title>
		<link>http://www.brunberg.net/allergies/allergic-reactions/</link>
		<comments>http://www.brunberg.net/allergies/allergic-reactions/#comments</comments>
		<pubDate>Fri, 20 Feb 2009 10:38:42 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Allergies]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/?p=242</guid>
		<description><![CDATA[Allergic reactions can be very serious or even fatal and it can occur almost instantly leaving little reaction time. Allergic reactions occur when a persons who are sensitive to an allergen experience uncomfortable symptoms. Common allergens that trigger symptoms are dogs, cats, bee stings, dust, dust mites, trees, weeds, molds, and foods, such as nuts, [...]]]></description>
			<content:encoded><![CDATA[<p>Allergic reactions can be very serious or even fatal and it can occur almost instantly leaving little reaction time. Allergic reactions occur when a persons who are sensitive to an allergen experience uncomfortable symptoms. Common allergens that trigger symptoms are dogs, cats, bee stings, dust, dust mites, trees, weeds, molds, and foods, such as nuts, strawberries, and shellfish, which usually start to occur within seconds of exposure and can cause mild to moderate reactions such as, skin rashes, hives, itching, sneezing, or watery eyes. More moderate to severe allergic reactions include difficulty breathing, swelling of tongue, wheezing, nausea/vomiting, abdominal pain, chest pain or tightness, and unconsciousness. Acute anaphylactic allergic reactions happen suddenly and progress rapidly; treatment must be administered within fifteen minutes or death could occur from anaphylactic shock.  </p>
<p>Most allergic reactions occur quickly but some may take up to a few hours, and do not usually occur after twenty-four hours from exposure. Allergic reactions tend to be more severe when exposure to allergen is repeated on different occasions, and each time it requires smaller and smaller amounts of the allergen to cause symptoms. In most cases of environmental and pet allergies, simply taking an antihistamine such as Benadryl, and/or a decongestant will relieve symptoms, and some people also may also require immunotherapy and asthma treatment in addition to other medications as well. Substances like shellfish, poison ivy, peanuts, and bee stings should be avoided whenever possible, because more severe reactions usually result when exposure occurs. Some adults and children who have experienced severe allergic reactions in the past, must carry an Epi-Pen in case of accidental exposure. The Epi-Pen contains epinephrine and comes in a pre-filled syringe ready for emergency administration. Simply pull off the needle guard and inject into a large muscle, such as the thigh. The Epi-Pen can be administered right through clothing so there is no need to waste valuable time trying to remove clothing.</p>
<p>After an allergic reaction has begun it is very important to monitor the person. If symptoms do not subside within five minutes and they continue to worsen even after administration of an Epi-Pen, emergency treatment should be sought immediately. Visit the National Library of Health and National Institutes of Health at www.nlm.nih.gov for more information on allergic reactions and answers to other health related questions. Allergic reactions are quite common and it is important that people know what to do in the event one occurs to themselves or someone else – it could be a matter of life or death.</p>
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		<title>Aromatherapy: Simply Amazing!</title>
		<link>http://www.brunberg.net/therapy/aromatherapy/aromatherapy-simply-amazing/</link>
		<comments>http://www.brunberg.net/therapy/aromatherapy/aromatherapy-simply-amazing/#comments</comments>
		<pubDate>Mon, 09 Feb 2009 14:44:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Aromatherapy]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/?p=240</guid>
		<description><![CDATA[Aromatherapy involves the use of oils distilled from plants for therapeutic purposes. It has a long history of use in ancient Egypt, China, and India. The distillation method used to extract essential oils was invented by an Arab physician in the 10th century A.D. Modern aromatherapy in the West began with a French chemist, Rene [...]]]></description>
			<content:encoded><![CDATA[<p>Aromatherapy involves the use of oils distilled from plants for therapeutic purposes. It has a long history of use in ancient Egypt, China, and India. The distillation method used to extract essential oils was invented by an Arab physician in the 10th century A.D. Modern aromatherapy in the West began with a French chemist, Rene Gattefosse who burned his hand while working in a perfume laboratory.  He immersed his hand with some readily available lavender oil. The burn healed quickly and left no scar, perking his interest in the possible curative effects of plant oils. He began to study them, coining the term aromatherapy in 1937 to describe this new field.</p>
<p>Aromatherapy is the use of essential oils, which are natural, high-quality, pure oils derived from the distillation of plants. The oils are named for the plant from which they are derived, such as bergamot, rose, ginger. They are highly concentrated: between fifty and several thousand pounds of plant material is required to make one pound of essential oil, depending on the plant. At least forty essential oils are used in aromatherapy. Each is categorized according to its effects on the body, mind, and diseases it is said to treat. Oils from various plants maybe used individually or in combinations.</p>
<p>Aromatherapy is delivered to patients in several ways. Oils can be applied directly to the skin through massage. For skin application, the oils are combined with a carrier medium, usually a vegetable oil, because the amount of essential oil required is so small. The oils also may be inhaled with steaming water containing a few drops of an essence, or by using diffusers to spread steam containing an oil throughout a room. Because they are highly concentrated and therefore potentially toxic, the oils should not be taken internally. </p>
<p>Aromatherapy is said to reduce stress, which is achieved  through the personal use of aromatic oils or by combining aromatherapy with other stress reduction activities, such as soaking in a hot bath treated with scented oil or receiving a massage accompanied by aromatherapy.</p>
<p>Aromatherapy can balance and increase the well-being of both body and mind, thus decreasing the likelihood of developing disease. Aromatherapy is also used to treat physical and mental ailments. For instance, lavender is used to treat anxiety, mild depression, and insomnia. Below are other popular Aromatherapies and results claimed for them:</p>
<ul>
<li>Lemon is believed to detoxify; stimulate immune system and liver.</li>
<li>Rosemary is believed to relieve pain; relaxes muscles.</li>
<li>Peppermint is believed to provide pain and digestive relief; decreases inflammation.</li>
<li>Chamomile is believed to serve as sedative, relaxant, and antiallergen.</li>
<li>Eucalyptus is believed to eliminate infection.</li>
<li>Rose is believed to regulate female hormones.</li>
</ul>
<p>Conditions that practitioners believe to be aided by aromatherapy include acne, anxiety, cold and flu, skin disorders, headaches, indigestion, premenstrual syndrome, muscle tension, and pain. Some aromatherapy advocates use body applications to treat physical problems, and inhalation methods to treat emotional problems.</p>
<p>Aromatherapy is based on the sense of smell, which is extremely acute in humans and other animals. The sense of smell has been studied extensively for its role in communication and memory. </p>
<p>There is an unproven belief that essential oils used in aromatherapy can affect the body&#8217;s health. Substantial research evidence exists about the olfactory system (the sense of smell). For example, a single waft of an odor can trigger memories from decades back. In addition, scientists have found substances called pheromones in almost all organisms. These chemicals are emitted by the body and sensed by the olfactory system. In mammals, pheromones play a role in sexual attraction and mating. In other organisms, they facilitate not only mating, but also the attraction of prey and forms of communication. Pheromones are responsible for a phenomenon called menstrual synchrony, where the menstrual cycles of women who live in close proximity often become similar, or synchronize with one another.</p>
<p>Some studies implicate the sense of smell in illness and relaxation. One researcher found that certain odors could trigger migraines in some individuals and, alternatively, that the fragrance of green apples may heighten feelings of relaxation. However, although smell and the olfactory system have multiple functions, there is no scientific evidence indicating that aromatherapy can aid in preventing or alleviating disease. The medical literature contains no research on the effects of aromatherapy as a medical treatment.</p>
<p>Aromatherapy may reduce stress, enhance pleasure, and improve quality of life. However, no evidence in the medical literature that supports claims that aromatherapy can help prevent or heal disease. Evidence is lacking even in the case of those minor and self-limiting conditions, such as headaches and colds, that advocates say can be alleviated by aromatherapy.</p>
<p>Used as a strictly complementary technique, however, aromatherapy is a pleasant addition to baths and massages. Scented candles or aroma sprays, for those who enjoy the fragrance, contribute to a sense of relaxation and help create a calming atmosphere.</p>
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		<item>
		<title>Learning to Relax with Anxiety</title>
		<link>http://www.brunberg.net/anxiety/learning-to-relax-with-anxiety/</link>
		<comments>http://www.brunberg.net/anxiety/learning-to-relax-with-anxiety/#comments</comments>
		<pubDate>Mon, 09 Feb 2009 14:35:53 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Anxiety]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/?p=238</guid>
		<description><![CDATA[Many anxiety sufferers are learning the proper cognitive tools to overcome their anxiety.  It isn’t easy. It takes commitment. Learning to relax with anxiety takes daily practice and commitment. Here are some relaxation tips to get you started:   
Acceptance &#8211; Whatever we resist will persist. Try not to see yourself as fighting [...]]]></description>
			<content:encoded><![CDATA[<p>Many anxiety sufferers are learning the proper cognitive tools to overcome their anxiety.  It isn’t easy. It takes commitment. Learning to relax with anxiety takes daily practice and commitment. Here are some relaxation tips to get you started:   </p>
<p>Acceptance &#8211; Whatever we resist will persist. Try not to see yourself as fighting your anxiety. Instead, see yourself as moving toward your goal of relaxation. </p>
<p>Talk to someone &#8211; Many anxiety sufferers feel better almost immediately when they have a supportive person to talk with. </p>
<p>Knowledge &#8211; The more you know about your condition, the better equipped you’ll be. Things work better when we understand why we are doing them.  </p>
<p>Breathing Techniques &#8211; Practice belly breathing. Breathe in to the count of 3 and out to the count of 4.  </p>
<p>Meditation &#8211; Listen to guided meditation tapes or CDs. </p>
<p>Journal &#8211; Keep a notebook handy during the day, and when you recognize a “what if this happens?” thought forming, write it down. Review it later, when you are more relaxed. Ask the trigger question again, as if it were true. What would you do? Keeping a journal helps you discover possible hidden issues. </p>
<p>Take a nightly news vacation &#8211; Before bed, listen to relaxing music or read a book. If your habit is to watch the nightly news, try watching it first thing in the morning instead. Learning to relax with anxiety will command your daily dedication. Be sure and celebrate even minor improvements. They are likely to be permanent ones! </p>
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		<title>Meditation For Anxiety</title>
		<link>http://www.brunberg.net/anxiety/meditation-for-anxiety/</link>
		<comments>http://www.brunberg.net/anxiety/meditation-for-anxiety/#comments</comments>
		<pubDate>Mon, 09 Feb 2009 14:30:11 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Anxiety]]></category>

		<guid isPermaLink="false">http://www.brunberg.net/?p=236</guid>
		<description><![CDATA[Many people, when feeling overwhelmed by feelings of anxiety, turn to doctor-prescribed medicines or herbal remedies for relief. 
Although these things can be helpful, people should not discount other, less conventional methods of reducing anxiety, such as meditation.  Meditation is a foreign concept to a lot of people, and many believe that it is [...]]]></description>
			<content:encoded><![CDATA[<p>Many people, when feeling overwhelmed by feelings of anxiety, turn to doctor-prescribed medicines or herbal remedies for relief. </p>
<p>Although these things can be helpful, people should not discount other, less conventional methods of reducing anxiety, such as meditation.  Meditation is a foreign concept to a lot of people, and many believe that it is something that must be learned and studied for a long period of time before it can be beneficial.  The fact is, meditation is simply calming the body and mind and practicing focused relaxation techniques.  This can be done by anyone, and the benefits of meditation can have an effect on anxiety in a very short time.</p>
<p>Meditation requires a peaceful and undisturbed setting, and a comfortable place to lie or sit.  It can be accompanied by music or soothing sounds, such as a recording of ocean waves, or you can meditate in complete quiet.  A key to effective meditation is finding<br />
what works best for you. </p>
<p>Once you have established your preference as far as the right atmosphere for meditation, try to set aside time each day to practice. Close your eyes and take several deep, slow breaths.  Allow your body and mind to relax. One way to do this is to imagine yourself in a pleasant, peaceful place, such as by the ocean or in a meadow.  Picture yourself in this place using as much detail as possible.  This type of focusing can help your mind stop racing &#8211; stressful thoughts can be replaced with relaxing images.  Let your thoughts wander,</p>
<p>but try to always picture yourself in your peaceful setting.  The longer you practice this, the more accomplished you will become at reducing your anxiety.  Anxiety becomes a bad habit that we must break, and to break this habit we have to replace it with a better one. When you learn the habit of relaxation through meditation, it will help you feel less anxious in any situation.  </p>
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