Blog about medicines and adverse drug reactions.
December 27th, 2010 admin
Many factors indicating an excessively strict moral or religious up-brining are commonly reported in the histories of dysfunctional clients and their sexual impairements are often alleged to have originated in these early experiences. In restrictive homes there seems to be either no discussion of sexual matters together with prohibition of television, English films reading material or children are repeatedly told about singleness, immorality or dirtiness or sex. Boys are warned that impure thoughts, masturbation, nocturnal emissions and petting are unacceptable. In childhood many manifestations of sexual interest or exploration are viewed as disgusting or immoral and discovery entails humiliation, disapproval and punishment.
What is the drawback of restrictive upbringing?
Such children become grossly lacking in proper sexual knowledge and are deeply imbibed with negative sexual attitudes. The long association of fear, guilt, and disgust with sexuality may not be easily reversible on marriage as a result enjoyable and socially valued sexual relationship is impaired by some form of dysfunction.
What are moral and religious contraventions in sex life?
Any form of sexual activity that contravenes a personal moral or religious standard may be stressful. This feeling may continue even after marriage. Man may be unable to have a satisfactory sexual relationship with his wife because he thinks her too pure and sacred.
What do you understand by inadequate sexual interest?
Norms of sexual interests are purely subjective. Persons may feel periods of disinterest in sex when they are ill, fatigued or are preoccupied with other more pressing matters. If one partner does not like the other, then they cannot have satisfactory sex. Person who anticipates that sexual activity will prove unpleasant, harmful or unsuccessful may well avoid these threats by losing interest in sex.
*113\301\2*
HOW RESTRICTIVE UPBRINGING AFFECTS SEXUAL LIFE?Many factors indicating an excessively strict moral or religious up-brining are commonly reported in the histories of dysfunctional clients and their sexual impairements are often alleged to have originated in these early experiences. In restrictive homes there seems to be either no discussion of sexual matters together with prohibition of television, English films reading material or children are repeatedly told about singleness, immorality or dirtiness or sex. Boys are warned that impure thoughts, masturbation, nocturnal emissions and petting are unacceptable. In childhood many manifestations of sexual interest or exploration are viewed as disgusting or immoral and discovery entails humiliation, disapproval and punishment.
What is the drawback of restrictive upbringing?
Such children become grossly lacking in proper sexual knowledge and are deeply imbibed with negative sexual attitudes. The long association of fear, guilt, and disgust with sexuality may not be easily reversible on marriage as a result enjoyable and socially valued sexual relationship is impaired by some form of dysfunction.
What are moral and religious contraventions in sex life?
Any form of sexual activity that contravenes a personal moral or religious standard may be stressful. This feeling may continue even after marriage. Man may be unable to have a satisfactory sexual relationship with his wife because he thinks her too pure and sacred.What do you understand by inadequate sexual interest?
Norms of sexual interests are purely subjective. Persons may feel periods of disinterest in sex when they are ill, fatigued or are preoccupied with other more pressing matters. If one partner does not like the other, then they cannot have satisfactory sex. Person who anticipates that sexual activity will prove unpleasant, harmful or unsuccessful may well avoid these threats by losing interest in sex.*113\301\2*
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December 20th, 2010 admin
Your relationship is the setting in which your needs and expectations are fulfilled or thwarted. A confusing, chaotic, or strained relationship that makes you feel like your needs or expectations have been pushed aside will not make you want to be physically close to your partner. No couple we have ever; treated has illustrated this point more dramatically than the one we are about to describe.
Frank, a local TV news anchorman, and Liz, who owns and; runs a successful art gallery, have been married for less than two years, and although he is forty-five and she is forty-one, this is the first marriage for both of them. Frank and Liz look like the perfect couple. Attractive, articulate, extremely successful in professions that keep them in the public eye, they are apt to be seen in all the right places rubbing elbows with all the right people and playing the parts of adoring husband and wife. However, what looks like the ultimate intimate relationship from the outside is a disaster behind closed doors—including the closed door of our office.
“Everything is me, me, me,” Liz sneers, shooting a venomous look at Frank, who is, as usual, the source of her wrath. She begins to imitate him. “How do I look? Look what I did. I really impressed so and so, didn’t I? Aren’t you going to thank me for the flowers? Don’t you think it was nice of me to take you to the opera?” She shudders with disgust and wraps up her latest tirade. “He’s like a drooling puppy dog, always begging to be patted on the head.”
“Really, Liz, you must be talking about yourself.” Frank shoots back a poison dart of his own. “But then that’s all you can talk about.”
“Oh, please.” Liz laughs derisively. “I can’t get a word in edgewise. If you aren’t tooting your own horn, you’re sulking or whining about something. When I was considering having a child, I didn’t mean marrying one!”
“A child of yours would die from lack of attention,” Frank retorts. “There isn’t a maternal bone in your body. You’re about as loving as a Sherman tank. But then you don’t have a heart. You got rid of it to make room for your ego.” He turns to us, hoping to drag us onto the battlefield. “Tell me the truth, now. Have you ever met anyone more self-centered than my wife?”
“They’ve met you, haven’t they?” Liz hisses and they are off and running again. Things really heat up when the topic of discussion is sex.
“Frank has this fantasy that every woman over the age of twelve wants to have sex with him.” Liz pauses to light a cigarette, then continues her attack. “I say, ‘Go ahead, because you aren’t going to get sex from me.’ “
“Fine. I’m tired of trying to turn you on. You’re just a frigid bitch,” Frank snaps. “You aren’t exactly a sex goddess, you know. Ninety percent of the time you don’t want to have sex, and when you do, you just lie there expecting me to do all the work.”
“Wake me up the day you do any of the work,” she snarls. “You’re so into yourself during sex, you don’t even know I’m there. I’m surprised you don’t call out your own name.”
Actually, both Frank and Liz are “takers” in bed. They both want to have a thoroughly satisfying sexual experience and become quite absorbed in getting pleasure for themselves! To make matters worse, when Liz “instructs” Frank on how she likes to be touched, even if she is not being critical, he becomes enraged. He perceives a neutral request like “Touch me more softly” as meaning “You don’t know what you’re doing, you clumsy jerk.”
Unfortunately, Liz reacts in a similar manner when Frank attempts to provide her with sexual information. The principle of getting, not giving, applies to their relationship outside the bedroom as well. Even when they talk about more neutral subjects, one partner often ends up feeling injured by what is truly an innocuous comment.
Liz and Frank both want to be number one in each other’s lives, but that position is already occupied—by themselves. Their life together is an endless—and futile—struggle to get what they need from someone who has too little to give. As a result, they have what psychologists call a hostile marriage—-one in which both partners feel extreme anger toward each other. This anger may not always be expressed in words, but it invariably gets acted out in every area of the relationship. This constant conflict has left Liz and Frank too furious with each other to have sex. Indeed, they feel no sexual desire for each other, and ended up in our office with each demanding that we teach the other how to be a decent lover.
*112\261\8*
ISD AND RELATIONSHIPS: RELATIONSHIP CONFLICTS AS A SOURCE OF ISDYour relationship is the setting in which your needs and expectations are fulfilled or thwarted. A confusing, chaotic, or strained relationship that makes you feel like your needs or expectations have been pushed aside will not make you want to be physically close to your partner. No couple we have ever; treated has illustrated this point more dramatically than the one we are about to describe.Frank, a local TV news anchorman, and Liz, who owns and; runs a successful art gallery, have been married for less than two years, and although he is forty-five and she is forty-one, this is the first marriage for both of them. Frank and Liz look like the perfect couple. Attractive, articulate, extremely successful in professions that keep them in the public eye, they are apt to be seen in all the right places rubbing elbows with all the right people and playing the parts of adoring husband and wife. However, what looks like the ultimate intimate relationship from the outside is a disaster behind closed doors—including the closed door of our office.”Everything is me, me, me,” Liz sneers, shooting a venomous look at Frank, who is, as usual, the source of her wrath. She begins to imitate him. “How do I look? Look what I did. I really impressed so and so, didn’t I? Aren’t you going to thank me for the flowers? Don’t you think it was nice of me to take you to the opera?” She shudders with disgust and wraps up her latest tirade. “He’s like a drooling puppy dog, always begging to be patted on the head.”"Really, Liz, you must be talking about yourself.” Frank shoots back a poison dart of his own. “But then that’s all you can talk about.”"Oh, please.” Liz laughs derisively. “I can’t get a word in edgewise. If you aren’t tooting your own horn, you’re sulking or whining about something. When I was considering having a child, I didn’t mean marrying one!”"A child of yours would die from lack of attention,” Frank retorts. “There isn’t a maternal bone in your body. You’re about as loving as a Sherman tank. But then you don’t have a heart. You got rid of it to make room for your ego.” He turns to us, hoping to drag us onto the battlefield. “Tell me the truth, now. Have you ever met anyone more self-centered than my wife?”"They’ve met you, haven’t they?” Liz hisses and they are off and running again. Things really heat up when the topic of discussion is sex.”Frank has this fantasy that every woman over the age of twelve wants to have sex with him.” Liz pauses to light a cigarette, then continues her attack. “I say, ‘Go ahead, because you aren’t going to get sex from me.’ “”Fine. I’m tired of trying to turn you on. You’re just a frigid bitch,” Frank snaps. “You aren’t exactly a sex goddess, you know. Ninety percent of the time you don’t want to have sex, and when you do, you just lie there expecting me to do all the work.”"Wake me up the day you do any of the work,” she snarls. “You’re so into yourself during sex, you don’t even know I’m there. I’m surprised you don’t call out your own name.”Actually, both Frank and Liz are “takers” in bed. They both want to have a thoroughly satisfying sexual experience and become quite absorbed in getting pleasure for themselves! To make matters worse, when Liz “instructs” Frank on how she likes to be touched, even if she is not being critical, he becomes enraged. He perceives a neutral request like “Touch me more softly” as meaning “You don’t know what you’re doing, you clumsy jerk.”Unfortunately, Liz reacts in a similar manner when Frank attempts to provide her with sexual information. The principle of getting, not giving, applies to their relationship outside the bedroom as well. Even when they talk about more neutral subjects, one partner often ends up feeling injured by what is truly an innocuous comment.Liz and Frank both want to be number one in each other’s lives, but that position is already occupied—by themselves. Their life together is an endless—and futile—struggle to get what they need from someone who has too little to give. As a result, they have what psychologists call a hostile marriage—-one in which both partners feel extreme anger toward each other. This anger may not always be expressed in words, but it invariably gets acted out in every area of the relationship. This constant conflict has left Liz and Frank too furious with each other to have sex. Indeed, they feel no sexual desire for each other, and ended up in our office with each demanding that we teach the other how to be a decent lover.*112\261\8*
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December 11th, 2010 admin
Many people find dealing with the practical aspects of having HIV infection almost as troublesome as the infection itself. People worry about money; about confidentiality; about dealing with the legal, medical, and social service systems; about writing wills; about removing burdens from those they love; about the possibility of becoming incompetent. Such questions about practical matters are generally best answered by two categories of professionals.
One category is composed of social workers. Social workers are found in most community agencies that deal with HIV infection: mental health centers, state and local social service agencies, AIDS-advocacy organizations, some churches, and virtually all hospitals. Hospital social workers also understand the medical system and can help you navigate it. Their job is usually to help you make plans for the short term, especially plans for leaving the hospital and returning home.
The other category is composed of lawyers. To find a lawyer, check with people you know who have lawyers they trust, with your state’s bar association, or with local AIDS-advocacy agencies. A related group of professionals (these are often lawyers, too) handles complaints about discrimination. They can be found in your state’s human relations or civil rights commission. Check in the telephone book’s yellow or blue pages under the name of your state, or under social service organizations.
*196\191\2*
HIV: PRACTICAL MATTERS-MAKING LEGAL, FINANCIAL, AND MEDICAL DECISIONSMany people find dealing with the practical aspects of having HIV infection almost as troublesome as the infection itself. People worry about money; about confidentiality; about dealing with the legal, medical, and social service systems; about writing wills; about removing burdens from those they love; about the possibility of becoming incompetent. Such questions about practical matters are generally best answered by two categories of professionals. One category is composed of social workers. Social workers are found in most community agencies that deal with HIV infection: mental health centers, state and local social service agencies, AIDS-advocacy organizations, some churches, and virtually all hospitals. Hospital social workers also understand the medical system and can help you navigate it. Their job is usually to help you make plans for the short term, especially plans for leaving the hospital and returning home. The other category is composed of lawyers. To find a lawyer, check with people you know who have lawyers they trust, with your state’s bar association, or with local AIDS-advocacy agencies. A related group of professionals (these are often lawyers, too) handles complaints about discrimination. They can be found in your state’s human relations or civil rights commission. Check in the telephone book’s yellow or blue pages under the name of your state, or under social service organizations.*196\191\2*
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October 5th, 2010 admin
Experience being a good teacher, no doubt many of our parents’ methods in caring for their children were very good. Some of their ways, however, were quite wrong, since they were based on old customs that do not meet the demands of modern hygiene. Just think of the almost superstitious fear of water which led them to believe that bathing, especially if frequent, was bad for the health. There are still some older people who have never sat in a bath tub and, what is more, who actually boast about it! When you read that in days gone by children were carefully protected from exposure to light, air, sun and water, so that they would not catch cold, you may smile for knowing better, thinking it was a story from the ancient past. But not so; it was the custom in our parents’ or grandparents’ time. Again, it was also feared that children would develop crooked limbs unless they were so tightly wrapped that they were rendered practically immobile. Even today in some parts of Italy we find evidence of babies so bandaged up that they look like mummies. It is, therefore, not surprising that infant mortality was once much greater than it is today.
*57/28/1*
FDA Approved Prescription Drugs
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October 5th, 2010 admin
In this context it is appropriate to take a closer look at the opposite method, the curbing of normal hormone production in the female body. Gynaecologists have observed that the inhibitory effect lasts only as long as the agent, for example the contraceptive pill, is taken. If a woman stops taking the ‘pill’, her body may react in such a drastic way that the end result will be multiple births. When they consider the risks of having triplets or quintuplets, some women may begin to realise the drawbacks of hormonal contraception and have second thoughts about taking the ‘pill’.
Furthermore, some doctors have found that the taking of hormone preparations like contraceptive pills can increase the risk of developing cancer. This underlines the warning to women not to commit gross offences against nature, because of the unpleasant repercussions and detrimental side effects that may result.
*56/28/1*
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June 3rd, 2010 admin
There is nothing more remarkable, I believe, than the power of living organisms to grow, to renew themselves, and to heal. In the human body our innumerable devices for this do a good job, sometimes beyond all expectations founded upon experience. Certainly, our body is affected by wear and tear always and by disease frequently. There is, of course, a foundation of pessimism here which we may never forget, it being solemnly and dolorously dinned into us. We acknowledge the inevitableness of these agents, so adverse to the individual and their ultimate triumph over us; but, with rare exceptions, we seek the aid of medicine to help us as we go, and to postpone the finish.
Not only do you, our patients, expect this aid, but you usually ask for a preview – what we technically call a prognosis. From the point of view of earthly life, we know that the outcome is certain, but rates of progress and the elapse of time in relation to disease cannot be charted accurately. Optimism is not only helpful to the patient but it is a worth-while attitude for the physician. Charles Sedgwick Minot, professor at the Harvard Medical School some years ago, was quoted as making a remark somewhat as follows, “Never tell an old woman she is about to die as she may live to dance upon your grave.”
Never underestimate the power of nature. Some years ago a child was brought to our clinic with what was evidently empyema. That is, one side of the chest was filled with pus, a condition which not infrequently follows pneumonia. (Or did before the advent of the wonder drugs.) A needle was introduced between the ribs and about a teaspoonful of pus was withdrawn, thus confirming the diagnosis. The family was told that the child must go into the hospital for operation and when they refused they were then told that the child would die were this not done. Unconvinced, the parents took the child away. A few months later the district nurse pointed out to the doctor a tough little urchin, knocking all the other youngsters about the lot. “That,” she said, “is the child whose death you promised if he was not operated on.” Now this family won a 1000 to 1 bet. The physician must however remember this off-chance.
One of the liveliest of Harvard alumni at the age of four was paralyzed from his toes to his neck, needing artificial respiration to keep him alive. Although his legs never recovered, he has led an unusually vigorous, valuable life.
The students of the heart are now among the most optimistic. In the past, children with heart murmurs were trained to live as chronic invalids. Now even when there is other and more definite proof that they have lesions of the heart valves they are allowed to lead normal lives, and many are known to have lived to old age. Doctors are now urged to take an optimistic attitude towards these heart cases.
In the old days we were told that college oarsmen were short lived because of the strain on their hearts. Today it is known that they are long lived. The famous Harvard crew on which Senator Leverett Saltonstall and Dr. Charles Lund rowed at Henley came back to their twenty-fifth reunion several years ago and every one of them climbed into the shell and rowed.
The hut boys at the Appalachian Mountain Club in the White Mountains carry up to the tops of mountains all supplies on their backs and it has been a matter of pride with them to take enormous loads. Well-meaning and officious people made an effort to stop this custom, claiming that the future health of the boys would be injured. The club made a careful investigation of the lives of former hut boys and interviewed many able doctors. They got no evidence that heavy use of a normal young heart causes future disease. Most doctors now agree that they are astonished at how well a majority of patients do, who have survived a coronary occlusion. It seems wise never to give a final opinion from the standpoint of their giving up work.
*103/276/5*
GENERAL HEALTH
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June 3rd, 2010 admin
We all know that praise works better than punishment in helping a child learn or behave. Or do we? Scientific observations reveal that parents and teachers alike tend to scold, mock, deprive, and strike children more often than they offer a few kind words.
Walk into any classroom. Count the number of times the teacher praises his or her pupils; also count the condemnations, insults, and threats. Negative words, as scientific research shows, outnumber helpful words by three to one (or more) in most classrooms. Ironically, punishment works only to control the worst behavior – fighting, lying, cheating, and stealing.
The National Institute of Education estimates that school vandalism costs this country almost 500 million dollars a year. In one California school system, a praise-and-reward program paid off by cutting school vandalism by 78.5 percent, and one school saved 25,000 dollars over the previous year. Other schools have reduced absenteeism from 33 percent to a scant 2 percent with free pizza and other rewards for perfect attendance.
The Los Angeles County Office of Education developed a “constructive discipline” program for students. Its chief architects were G. Roy Mayer, a professor of education at California State University at Los Angeles, and Thomas W. Butterworth, now a retired consultant. The program cut vandalism and absenteeism in Los Angeles schools. Parents easily can adapt it at home. The technique has three parts:
1. Reward good behavior with praise, recognition, prizes, and privileges.
2. Ignore minor infractions or work out deals to reward children for reducing minor misbehavior.
3. Punish only major misbehavior – vandalism, truancy, disruption, fighting, resisting authority, drug use. (The punishments in schools range from a conference called with student and parents to suspension, expulsion, and even a call to the police.) Constant punishment actually induces students to escape through being tardy, skipping class, or dropping out of school. Children punished for every little thing also become more violent and destructive. It was found that vandalism was highest in schools where teachers abused their students the most. After a special teachers’ training program on how to be more positive, the incidence of vandalism in those schools plummeted.
Corporal punishment – spanking, paddling, whipping – actually may teach children to be physically aggressive toward those less able to defend themselves. (Physically abused children often grow up to be abusive parents.)
The absenteeism program at San Gabriel High School in California uses constructive discipline this way: Marisela Adams, the attendance counselor, sets up clear rules for unexcused tardiness or absences. The first incident results in a talk with a teacher; the second causes a postcard to be sent to the youngster’s home. At the ninth incident, the student comes in for a 4-hour Saturday work/study program. The 12th truancy or tardiness results in suspension.
On the positive side, students with perfect attendance are eligible for free pizzas, hamburgers, football game tickets, and buttons saying, “I am perfect.”
Dr. Beth Sulzer-Azaroff, a professor of psychology at the University of Massachusetts at Amherst, says, “With positive techniques, children learn better and retain their lessons longer. What’s more, the positive approach to learning is fun.”
She cautions to be careful with praise, however, and gives these hints: Praise the deed, not the child. You might say, for example, “That’s a well-drawn picture, Lilly.” Not, “You’re a good artist, Lilly.” And your facial expression must say, “I mean it.”
*103/266/5*
GENERAL HEALTH
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May 21st, 2009 admin
Sometimes children have bald patches on the scalp due to hair loss. Many babies are bald from birth, or lose their hair shortly afterwards, which is a normal pattern before permanent hair growth occurs. Often babies have a bald patch at the back or side of the scalp due to friction caused by lying on the mattress of their cot or in baby seats. This is also normal and as soon as the baby is able to spend more time sitting up, hair starts to grow back in these bald patches.
Cause
The commonest cause of abnormal hair loss is ringworm. In rare cases, older children may pull out their hair (trichotillomania) and this usually signifies some emotional disturbance. If there is no identifiable cause for hair loss, your child may be suffering from alopecia areata, which is hair loss that runs in families. In this case hair may be lost from any part of the body.
Clinical features
If your child has ringworm or impetigo, he may complain of an itchy scalp. Otherwise the only sign of alopecia is a bald patch.
Treatment
Treating the underlying cause, such as ringworm, will usually solve the problem of hair loss.
Prevention
It is important to remember not to overdo it with brisk hairbrushing and very tight pigtails or ponytails, as this can sometimes cause minor hair loss.
When to see your doctor
• if your child has significant hair loss for no apparent reason;
• if your child has an itchy scalp;
• if in addition to hair loss your child is generally unwell.
*310\90\8*
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May 19th, 2009 admin
A child with a chronic medical condition may need to see a number of different professionals, not just doctors but also allied health professionals. This care may take place largely in hospital clinics, and his contact with doctors and other health professionals may not only be frequent, but also confusing or even overwhelming. It is very important for you as parents to feel in control of this process, and for you to understand the illness, its treatment, any tests and so on.
It is always useful to have one of your child’s doctors act as a central reference point, not only to co-ordinate the child’s care, but also to make sure that you (as well as the child) understand fully what is going on. Your child’s general practitioner is ideally placed to do this, and sometimes a paediatrician will also be helpful in this role. The co-ordinating doctor will normally have copies of all the medical reports and other relevant information about the child, and will be able to support the child and the family in coping with the chronic illness and its possible consequences.
*14\90\8*
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May 18th, 2009 admin
At those times in your life when you are behaving in a defeated, passive manner and feeling inadequate, helpless, and hopeless, you may experience some of the same problems in sexuality as the husbands and wives below.
DIMINISHED PRE-EJACULATORY FLUID: I used to feel real full, like my penis was ready to explode. My underpants would be wet even before I came. Now I just don’t notice that feeling. I just don’t see much of the fluid.
HUSBAND
While the aging process accounts for some diminishing of pre-ejaculatory fluid, emotional and interactional factors can also inhibit its emission. Sixty-three men reported experiencing this problem.
DIMINISHED LUBRICATION: I used to be too wet sometimes; now I just feel dry. It hurts when he enters. I feel turned on, but I’m dry.
WIFE
Aging, hormonal changes, some disease processes, other factors affect lubrication of the vagina, but emotional factors are also influential. While amount of lubrication does not indicate amount of arousal, a noted change in amount of lubrication can signal emotional states incompatible with this response. Five hundred sixty-five women reported problems with lubrication at least occasionally.
Prior work in the field of sexuality has equated male erection problems with female failure to lubricate. Female clitoral erective problems were essentially ignored. As you read above, male and female erective difficulty is related to hot-running times, to hyperarousal. Inhibition of secretion of lubricatory fluids in men and women is related to the cold-running times, those times when there is a lack of life energy, eagerness to be close, to merge. We don’t need to lubricate if there is little likelihood of the joyful friction of joining and staying together.
*173\97\8*
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