Bodylanguage issue 04 summer 2013

A better health care experience altogether

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Issue 04

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2013 / 2014

Unravelling the maze of training and diet myths

Is your pet the cause of your illness?

No laughing matter: Depression pre- and post-birth

Healthy gifts for everyone & the dog to enjoy

DIABETES &

HEARING LOSS FREE

Y

COP

Oppas!

Geniet ‘n veilige vakansie

CENTRE FOR LIFESTYLE MANAGEMENT

the Centre that foCuses on the

Prevention anD ManageMent of ChroniC Diseases • Diabetes CliniC • CDe Centre • ChroniC Disease ManageMent PrograMs • grouP anD inDiviDual eDuCation • Multi-DisCiPlinary teaM • 24-hour helPline for registereD Patients for aPPointMents anD inforMation Please ContaCt

ClM@interCare.Co.za www.interCare.Co.za

#BetterHealthCareAltogether

Issue 04 | 2013/14

1

contents

08

from the experts 12 Om te weet – voorsorgmaatreëls vir ‘n veilige vakansie 16 Health advice – when baby blues gets serious 23 All about – the link between

up close and personal

diabetes and hearing loss

02 Boodskap van die

26 Your pets can affect your

Uitvoerende Hoof

health – diseases caused by pets

08 Health bites – short bits of info to digest while on the go

interact

your health 20 Health matters – sex after

12

menopause

03 Contributors

24 Know the facts – exercise and

04 Must haves –

eating plans explained

great products and give-aways

29 First aid – what to include in your

we want you to know about

summer holiday kit

06 A day in the life of ...

32 Recipe – decorate the Christmas

10 things to know about

tree with your kids’ home-made

Dr Heinrich Weber

30

07 Intercare branch news –

cookies

events over the last few months at Intercare branches 10 Eyecare awareness – the gift of sight

24

your body 28 Long-haul flights – advice for jetsetters on safe travel 30 Colour check – hair dye can trigger scalp and skin reactions

Prioritise your health!

2

BOODSKAP VAN DIE UITVOERENDE HOOF Geagte pasiënt, Intercare strewe daarna om ‘n koste-effektiewe diens wat op waarde gegrond is aan ons pasiënte te lewer.

O

ns mediese en tandheelkundige sentrums bied ‘n verskeidenheid van dienste onder een dak aan, onder andere dokters, tandartse, x-strale, bloedtoetse, fisioterapeute en vele meer. Bowendien handhaaf ons verlengde ure en is ook oor naweke (insluitende Sondae) en openbare vakansiedae oop. Ons fokus op roetine- en chroniese sorg asook dringende sorg. Laasgenoemde diens bied onbeplande, instap-afsprake met verlengde diensure. Dit vul die leemte tussen die twee tradisionele keuses, naamlik jou algemene praktisyn of die trauma-afdeling van die hospitaal.

Ons mediese en tandheelkudige sentrums is sentraal geleë, meestal ook binne winkelsentrums, sodat ‘n mediese afspraak ook met ander sake

Editorial Publishing editors Christa Grobler christa@health-bytes.co.za Marilize Eygenberger marilize@health-bytes.co.za

of inkopies gekombineeer kan word.

Deel van die gerieflikheidsfaktor is die beskikbaarheid van apteke wat binne loopafstand vanaf die mediese sentrums geleë is.

Buiten fasiliteite wat primêre mediese sorg bied, beskik Intercare ook oor wêreldklas daghospitale en subakuut- en rehabilitasiehospitale.

Die daghospitale bied ‘n gerieflike en koste-effektiewe alternatief vir akuuthospitale en beskik oor kindervriendelike sale wat daarop gemik is om die ervaring vir ouers en ons jong pasiënte so positief as moontlik te maak. ‘n Verskeidenheid van prosedures kan hier gedoen word, onder andere mangeloperasies, ortopediese en urologiese prosedures asook mond-en-kaak en kosmetiese operasies.

Editorial enquiries Unit 11, Bellfour Office Park, Corner of Rodger & Edmar Street, Bellville, Cape Town, 7530 Tel: 021 917 8804 Fax: 021 917 8801 info@health-bytes.co.za

Die subakuuthospitale volg ‘n geïntegreerde benadering en fokus op drie areas: herstellende sorg na operasies, rehabilitasie van gekompliseerde gevalle soos beroerte en amputasies, en ons nuutste area van gespesialiseerde sorg is om pasiënte wat op ventilasiemasjiene is van diens te wees.

Intercare nooi u uit om van ons gerieflike en doeltreffende mediese fasiliteite gebruik te maak vir ‘n algeheel beter mediese ervaring wat op waarde gegrond is.

Dr Hendrik Hanekom Uitvoerende Hoof Intercare Groep

Design Blinc Design, Bronwen Moys Proofing Marietjie Yelverton Business managers & publishers Christa Grobler & Marilize Eygenberger Printing CTP Print

Indemnity: The information contained in Body Language is intended for general informational and educational purposes only, and not to replace professional medical advice. Persons requiring any medical advice or treatment should consult their relevant qualified health-care professional. The publisher cannot accept any responsibility for any act, omission, loss, damage, or the consequences thereof caused

Advertising: Body Language is published quarterly. FREE copies are distributed at Intercare Medical and Dental Centres. To advertise, please contact our advertising department at: Tel: 021 917 8804, Fax: 021 917 8801, info@health-bytes.co.za

by reliance by any person upon the information contained in the publication. The information included in Body Language is subject to copyright and all rights are reserved. The information may not be sold, resold, transmitted or otherwise made available or disseminated in any manner via any media to third parties unless the prior written consent of the publisher has been obtained.

Issue 04 | 2013/14

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contributors

Joey Koffman is a personal trainer with a passion for health and fitness.

He is a competitive SA bodybuilding champion for 13 years.

Marelie Gous completed her studies as an audiologist & speech therapist at the University of Pretoria in 2002.

She has experience working as an audiologist in England (UK), previously trained fellow audiologists on hearing aids and was part-owner of an audiology practice. She joined Impact Hearing in 2012 to manage their Kind2Hearing branch at Silver Lakes Intercare, Pretoria.

Dr Konrad Bekker is a general medical practitioner at Intercare Parow with a special interest in travel, aesthetic and preventive medicine.

Dr Elsa du Toit is a psychiatrist with a special interest in perinatal psychiatry.

She works at the Sophia Maternal Mental Health Centre (a subdivision of Panorama Psychiatry Clinic) and at Stikland Hospital's maternal Mental Health Clinic. She is also involved in much needed research concerning mental illness and pregnancy.

We want to hear from you ...

We would like to invite all patients and customers to air their views and provide us with input regarding this magazine. In doing so, we can remain relevant and actual. We will then be able to make a difference and to “create the better health care experience altogether� on a daily basis.

Please email us at: info@intercare.co.za with any suggestions, ideas and things you would like to see on these pages.

Cristal Gouws's love for hair was nurtured from a very young age by her late father, Kelly Manson, owner of HairBy-Kelly. She never thought she would follow in his footsteps. She has 20 years experience, and has him to thank. Hair is and always will be her journey of passion.

Health Bytes Publishers, Christa Grobler (MSc Biochemistry, MBA) and Marilize Eygenberger (BPharm, MBA), have extensive experience in the pharmaceutical industry with regard to patient education, sales, marketing research, scientific knowledge (disease and products) and pharmacy management.

1st Dec: World Aids Day

Must haves

4

Healthy gifts for everyone and the dog!

Must haves From workout gear to kitchen gadgets, we've scoured stores to bring you healthy gift ideas that are guaranteed to make the people on your list feel good, inside and out – after all, aren't health and happiness the best gifts of all?

For the yoga girl who has everything Consider a custom option for your Zen friend: a monogrammed yoga mat that matches her personality.

Do you like to keep your hands free when you walk your dog? Then the HIP HUGGER SYSTEM (R520) is just the leash for you! The HIP HUGGER also has a fitted treat bag so that you don't have to delve into your pockets for treats when you need them!

Mix up a single serving of your favourite smoothie in the Oster My Blend Blender (R1255).

For your FFF (Fat Free Friend)

Prices correct at time of going to press.

Competitions close: 10 February 2014.

For the fit animal lover

For the smooth(ie) operator

Skip the oily fried eggs and opt for healthier poached eggs with the Fusionbrands PoachPod, set of 2 (R110).

We’re giving away some fabulous goodies!

To stand a chance to qualify, SMS the product code (e.g. OS) and your name and surname to 34298 (R2 per SMS).

For everyone who wants to stay stylishly fit The Fitbit Flex (R1299) tracks your steps, distance, calories burnt, and even monitors your sleeping. All your info can get synched with an app on your iOS or Android phone or on your desktop.

Oregon scientific air sanitizer

GIVEAWAY

The i-fresh NCCO Air Sanitizing System from Oregon Scientific utilises advanced NCCO technology to effectively sanitize and remove harmful odours, airborne bacteria, dust and mold spores that cause allergies and stress on human bodies. Monitor indoor air quality at home at any time by either looking at the precise air quality level displayed on top of the tower or simply glancing at the LED color display at the bottom. Or adjust airflow by setting the fan speed to maintain/accelerate the air sanitizing process.

This high quality Air Sanitizing System is engineered to be energy-saving, durable and easy to maintain. Each filter will last up to three years and is easy to replace. With its sleek design, the WS907 NCCO Air Sanitizing System blends nicely into any home or office.

For more information contact Oregon Scientific visit www.oregonscientific.co.za or call 011 805 1996 / (021) 508 4700 / 0861 123 555 Oregon is giving away one scientific air sanitizer.

Product code for give-away is OS.

Voelgoed armband

Bodytec

Die Blydskap Armband is die perfekte geskenk vir jouself – of vir enige vrou in jou lewe wat nodig het om elke dag 'n stukkie dankbaarheid te voel.

Die Blydskap Armband kos R200 (R25 posgeld en verpakking ingesluit) en is eksklusief by www.voelgoedwinkel.co.za beskikbaar.

The BODYTEC concept is based on personal fitness training with electro muscle stimulation (EMS) and is the first EMS studio in South Africa. It quickly produces effective, visible results and fat content and weight are reduced.

Go to www.bodytec.co.za

To see your products on these pages please email us at: info@health-bytes.co.za

5

For your jogging partner

For the 'connected' kids The Ultimate Ears Loud Enough Volume-Limiting Earphones for Children (R320) protects hearing.

Most MP3 players have a limit on how loud they can go, with a typical max decibel level of 100. If your kid is blasting the tunes, they could be damaging their hearing. To let them listen without worrying about the volume, stuff their stockings with these ear buds. They come in fun colours and don't look any different than regular ear buds, so there won't be any complaints.

Yuppiechef gift voucher

The Grid Revolutionary Foam Roller from Trigger Point Performance (from R600), is designed to be rolled along your back and legs – and any place else that's stiff and sore. When combined with your body weight, the uneven foam surface acts like a massage to loosen muscles and work out knots.

Not quite sure how you want to spoil someone special this Christmas? Give a gift voucher and let your friends or family choose for themselves. Either send instantly by email or choose to print at home.

Yuppiechef stocks a wide variety of funky and functional kitchen and homeware. Go to www.yuppiechef.com.

For the healthconscious gardener Trying to cut back on salt and butter, but not taste?

The compact Microplane Herb Mill (R430) minces those herbs with a flick of your wrist.

For yourself – ice ice baby

Honey jar for your honey

With the Zoku Quick Pop Maker or Slushie Maker (from R299) you can make sweet treats at home and keep fat and sugar to a minimum, while experimenting with your favourite flavours and ingredients.

Sweeten her cup of tea with this adorable honey pot and wood-andsilicone honey stick

by Le Creuset (R200).

Vondi’s pet shop

GIVEAWAY

Don’t forget about your furry and feathered friends this Christmas! Vondi's Holistic Pet Nutrition, Natural Pet Remedies and Natural Pet Treats are one of the fastest growing brands in South Africa. Vondi’s pet shop in Seapoint, Cape Town, stocks everything they can possibly need, including healthy and freshly cooked meals, toys, baskets etc.

Visit www.vondis.co.za.

Vondi's is giving away two hampers to the value of R250 each, including a Vondi's food voucher worth R100, Khakibos flea spray, Rooibos for itchy skin and Rooibos health biscuits.

Product code for give-away is VO.

For the sun lovers Christmas cookie cutter set Get your kids involved in the Christmas spirit and have some fun in the kitchen! A set of twelve Christmas-themed plastic cookie cutters packed in a handy storage tub.

This set contains: a star, bell, Christmas tree, angel, snowman, holly leaf, reindeer, girl, boy, Santa with sack, twinkling star and a bear.

Available from www.yuppiechef. com for R110.

Emthunzini Hats (from R320) with UPFs of 50+ were designed to give you serious sun protection while making you look great. All hats have the CANSA Seal of Recognition.

CONGRATULATIONS!

Congratulations to the following winners from our previous Body Language issue 03: Little luxury water filter: Suzanne Kearns; Ey Spa: Charmaine van der Walt; Greenlove: Puleng Letsie. We trust they will enjoy their prizes.

Give-away terms and conditions: The winners will be the first correct entries drawn after the closing date. In the event of the judges not being able to get hold of winners on details supplied, alternative winners will be selected. The judges’ decision is final and no correspondence will be entered into.

Winners must be prepared to be photographed for publicity purposes. The prize is not transferable and may not be converted into cash. Please note: Give-away prizes/hampers may differ from the images depicted here and they are at the discretion of the sponsor/suppliers who are responsible for delivering the prizes and not Health Bytes Publishers or Intercare.

A day in the life of ...

6

10 THINGS

TO KNOW ABOUT ...

Dr Heinrich Weber, one of our dedicated staff members, who is a dentist at Intercare Glenfair.

1.

Where were you born?

I was born in the Jacaranda City, Pretoria, 1984.

2.

What would people be surprised to know about you?

I am a keen amateur wildlife photographer.

3.

4.

5.

6.

What scares you?

The cookie monster ...

7.

Favourite food?

Traditional South African cuisine.

8.

Success to you means ...

Being content with oneself.

What sport do you enjoy and support?  Rugby  Cricket  Hunting

Perfect happiness is ...

Knowing and loving my Creator.

9.

What would you still like to do?

Travel the world.

 Slow drivers

What music are you listening to?

Johny Clegg and Hillsong.

10.

Who do you share your house with?

My amazingly beautiful wife.

otto ... ow m e f i L morr o t r e t t e be b at you than wh ay! were tod

Why did you choose dentistry as a career?

To help serve my community.

fun facts

Dislikes

My best places  Sabi Sand Game

Reserve  Okavango Delta

Issue 04 | 2013/14

7

Intercare branch news: events over the last few months

Why visit the dentist?

tist when they

27% of adults only visit their den  have a problem.

pain.

 9% of adults visit their dentist with check-ups.  90% of visits to the dentist are for nd most important  Teeth/Smiles are rated the seco most lity, and the attraction feature, after persona d (including body eye important body feature surv s). eye and face , shape, height, hair

Top diabetes educator

W

e are proud to announce that Deirdre Coetzee, National Manager of the Intercare Centre for Lifestyle Management, received the Top Diabetes Educator award for 2013 at a gala dinner hosted by the Centre for Diabetes and Endocrinology (CDE). The award comprises a floating trophy and full sponsorship to attend the Foundation of European Nurses in Diabetes (FEND) Conference 2014 in Austria.

The CDE was established in 1994 with the aim to introduce higher levels of care for persons with diabetes mellitus in South Africa. Affiliated health care professionals are audited on an annual basis and outstanding individuals such as Deirdre are recognised for their contributions.

The Intercare Centre for Lifestyle Management currently consists of nine Diabetes Centres – all of which received “Service of Excellence” status by the CDE post-audit 2013.

Visit to Intercare Walmer

P

rimary school scholars recently visited the dental department of Intercare Walmer. An animated video clip was shown on oral health care followed by a talk by the oral hygienist and a visit to the dentists. Afterwards the children agreed that a visit to the dentist is not so scary anymore.

Beast of the East cycle race

O

n 19 October 2013 more than 800 cyclists participated in the Hazeldean Beast of the East mountain bike race that started and ended in front of the Intercare Silver Lakes branch. Cyclists had the choice of a 65km, 45km or 20km route. Intercare was one of the sponsors and apart from offering medical assistance, each cyclist received an Intercare-branded waterbottle.

Health bites

8

health bites Short snippets of info to read and digest while on the go ... take heed of the following ...

Young children recognise cigarette brands Nearly two-thirds of young children in low- and middle-income countries can identify cigarette brand logos, according to new research.

Published in the journal Pediatrics, the research was conducted among about 2,400 five- and six year-old children from Brazil, China, India, Nigeria, Pakistan and Russia. As part of the research, children were asked to match logos with pictures of products, including eight cigarette brand logos. About 70% of the children in the survey could identify at least one cigarette logo.

While smoking is stabilising or decreasing in wealthy countries, people in lowand middle-income countries are taking up the habit at alarming rates.

“It should be of great concern that the majority of very young children in our study were familiar with at least one cigarette brand,” said Dr Dina Borzekowski, lead author of the study and research professor at the University of Maryland School of Public Health.

She added that previous studies have shown that children and adolescents who are highly exposed to pro-smoking messages are more likely to smoke.

Gesondheidswenk Tien tamaties vir jou, meneer!

Studies het bewys dat mans wat meer as 10 tamaties per week eet se kanse 45% minder is om prostaatkanker te kry as die ou wat dit nie eet nie. Die likopeen in die tamaties word vrygestel as dit in ‘n bietjie olyfolie verhit word.

Sny die tamaties in die helfte, verf olyfolie oor, sit knoffel en basiliekruid bo-op en rooster in ‘n warm oond.

It’s Movember 2013 – choose your weapon!

Never a truer word was spoken when a wise man said, 'the moustache maketh the man'. Take a look at the great men who have walked, and continue to walk, the hallowed halls of fame, proudly sporting a moustache – all of whom recognise and understand the power of the moustache. These men are today known not solely for their actions and deeds but more commonly for their commitment to their facial hair, worn with distinction and pride throughout their lives.

Men are encouraged to grow a moustache in lieu of wearing a ribbon and to raise awareness regarding prostate and testicular cancer. In this way it is hoped that men will start to take better care of themselves and decrease their cancer risk.

How to grow a Mo:  Ask yourself the question, who do you want to be? For every style of moustache there is a different personality. You will become that man, you will be treated as that man and you will act like that man. It's important you like who he is.  Be brave. The first few days, even weeks, can be uncomfortable and a little awkward as your facial goodness grows and your Mo takes shape.  I gnore the itching. Remind yourself that other men have endured worse in the past; surely you can stand a little face tickle from your Mo.  Start to shape your moustache using proper grooming techniques. A great Mo comes down to grooming.  Look after your Mo. Fertilise it, keep it clean and keep it neat.

Issue 04 | 2013/14

9 Vier gesondheidswenke vir die langpad Moenie van jou gesonde leefstylgewoontes vergeet as jy die langpad aanpak nie.

Get to know childhood cancer warning signs If detected early, most childhood cancers can be treated successfully.

These cancers share general symptoms with other illnesses, but if one or more of the following persist, seek medical help urgently as children with cancer need to receive the right treatment preferably in a paediatric oncology unit:  C ontinued, unexplained weight loss  H eadaches, often with vomiting, early night/early morning  I ncreased swelling or pain in bones, joints, back, legs  L ump/Mass in abdomen, neck, chest, pelvis, armpits  D evelopment of excessive bruising, bleeding, rash  Constant infections  A whitish colour behind the pupil  N ausea that persists or vomiting without nausea  Constant tiredness or noticeable paleness  E ye or vision changes that occur suddenly and persists  Recurrent fevers of unknown origin

Parents in need of support are invited to join one of the many active TLC support groups or help CANSA establish one in your area.

For more info, call 0800 22 66 22 (toll-free) or email: tlc@cansa.org.

Ongesonde voedselkeuses sal jou uitgeput, moeg en opgeblaas laat voel nog voordat jy die ontbyttafel bygekom het. Hier is vier gesondheidswenke vir die langpad wat jou jeans losser sal laat sit sonder dat dit jou sak ruk: Stop by die plekke met gesonde peuselhappies As jy nét by kitskosrestaurante stop, gaan jy nét kitskos aangebied word.

Stop eerder by ‘n padstalletjie wat gewoonlik vrugte, droëvrugte, neute en biltong aanbied.

Vrugte is ‘n uitstekende vitamienbom en het ‘n hoë waterinhoud, ideaal voor ‘n pretbelaaide vakansie waar jy gesond en gehidreerd wil voel.

Droëvrugte is ook lekker en vitamienryk, maar het meer kilojoules, ‘n laer waterinhoud en baie vesel wat jou gereeld hou. Dis daarom wys om nie te veel op een

slag te eet nie. Alhoewel neute se hoë proteïninhoud jou meer versadig sal laat voel, is dit goed om ook net ‘n handjievol daarvan per dag te geniet. Neute is hoog in kilojoules. Biltong is ‘n uitstekende peuselhappie wat nes neute ook hoog in proteïene is, maar baie minder kilojoules bevat. Onthou net om ‘n waterbottel byderhand te hou, want biltong is hoog in sout (wat jou bietjie droog kan laat voel).

Stop gereeld en strek ‘n bietjie As jou lyf op knoppe begin trek, moes jy alreeds gestrek het. Stop elke uur by ‘n veilige area, klim uit en doen ‘n paar strekoefeninge.

Dit hoef nie ‘n gedoente te word of soos joga te lyk nie. Rek jou arms bo, voor en dan agter jou lyf uit. Haal ‘n paar keer diep asem sodat jy die vars lug (en die positiewe energie wat daarmee saamgaan) joune kan maak. Na twee minute behoort jy weer gereed te voel vir die volgende uur.

Pak lekker padkos in Maak mikrogolf-springmielies en gooi ‘n sakkie versoeter of bietjie sout daaroor. Verpak dit in klein sakkies sodat elke vakansieganger sy eie pakkie kan kry. Springmielies is hoog in vesel en het ‘n lae GI (wat beteken dat jy vir lank daarna nog versadig sal voel). ‘n Klein pakkie springmielies bevat minder as 540 kilojoules (of 200 kalorieë). As jy nie van springmielies hou nie, is sakkies met wortelen komkommerstokkies, ryskoekie-toebroodjies met grondboontjiebotter of vars vrugte ook wenners!

Drink baie water Hierdie wenk geld nie net vir die vakansie nie.

Water is goed vir elke deel van jou liggaam.

Dit reinig jou liggaam deur gifstowwe af te spoel. Dit help ook met reissiekte, simptome van oormatige blootstelling aan die son en knaende kitkos-hunkerings. Water is ‘n wonderdoepa waarvan jy daagliks ten minste ses glase moet drink.

www.lekkeslaap.co.za/lekkeslaap-blog

Komaan, pak hierdie vakansie van die begin af gesond aan!

Advertorial

10

The gift

of sight

Many of us know what it feels like to be able to appreciate our beautiful surroundings through the gift of sight.

V

ision in itself is the ability to pick up sensory stimuli in the form of light waves that enter the eye, and then transforming those light waves into some form of meaningful information that enable us to ‘see’ something clearly. In order for this process to take place, the light must enter the eye without obstruction and in a very specific way, and then reach the visual centre in the brain, after which it is processed to give some kind of idea as to what exactly is being ‘seen’.

Many factors can prevent light from entering the eye for example cataracts, refractive errors and corneal opacities. Other conditions can prevent the light that enters the eye from being transmitted clearly to the visual centre and may include diabetic retinopathy, glaucoma and age-related macular degeneration. Most of these conditions, if detected early, can be treated and even prevented with appropriate follow up and monitoring.

During October 2013, as part of Eye Care Awareness Month, Dr Marcel C Niemandt, an ophthalmologist who has recently opened his ophthalmology practice at the Hazeldean Square, Silver Lakes, removed cataracts free of charge for more than 20 underprivileged patients. Surgery was done at the Intercare Day Hospital Hazeldean and Intercare covered the costs for the use of the theatre (equipment and medical personnel) as well as the costs for the ward and administrative services. Other partners were Qestmed, Genop and Alcon who all sponsored consumables and lenses. As a team the partners were able to offer these patients “the gift of sight”.

Interesting eye facts  Eyes are composed of more than two million working parts.  The eye can process 36,000 bits of information every hour.  The eye muscles are the most active muscles in the whole body.  In a normal lifespan, you would have viewed almost 24 million images of the world around you. The average person blinks their eyes about 11,500 times per day and about 4.2 million times per year. Each blink lasts only about one tenth of a second.

gda Becker in theatre

Dr Niemandt and Ma

Om te weet: By Health Bytes

12

VAKANSIEVEILIGHEID

Verseker dat niks jou feesgees demp nie

Hoe nader die tyd na Desember toe aanstap, hoe groter is die gevoel van opgewondenheid wat heers.

I

n Suid-Arika is Desember ‘n belangrike maand, want dit kondig die einde van die skooljaar aan; dis gewoonlik die maand waarin werksbonusse of dertiende tjeks uitbetaal word; die somerseisoen word tydens die langste skoolvakansie van die jaar ten volle geniet; en natuurlik word Desember gekenmerk deur die feestelikhede wat Kersfees en Oujaarsaand meebring voordat ons weer vir die volgende jaar moet moed skep.

Om te verseker dat almal in ‘n

goeie luim bly, is dit nodig om ‘n paar veiligheidsmaatreëls te tref en bietjie te beplan. ‘n Ongeluk kan so vinning, so maklik en so onverhoeds gebeur, maar met ‘n bietjie beplanning en bewustheid van moontlike slaggate kan jy wel tot ‘n groot mate verseker dat jou gesin se vakansieseisoen gelukkig, gesond en sonder opmerklike gevare is.

Vakansies naby water Wat is dan nou lekkerder as

somervakansies by die see, langs ‘n dam of rivier of sommer net langs ‘n swembad?

Kinders en grootmense wat buite in die son baljaar of sommer net luilekker in die son sit of lê moet gereeld sonskerm aansit en verkieslik sonhoedens dra. Veral babas en kleuters kan baie seer brand en die son kan selfs brandwonde veroorsaak wat mediese behandeling kan vereis.

Waterveiligheid is noodsaaklik. Swembaddens behoort omhein te wees.

Swembadhekkies wat kinders buite die

Issue 04 | 2013/14

13 onmiddellike omgewing van die swembad hou se knippe moet stewig en hoog genoeg wees sodat slegs volwassenes dit kan oopmaak. Kinders moet nooit alleen naby swembaddens sonder toesig toegelaat word nie.

Seevakansiegangers behoort op aanmanings van lewensredders ag te slaan en slegs binne die perke wat deur die vlaggies op die strand aangedui word, te baai.

Plesierritte op bote is gewild en ongeag of jy in ‘n river, dam of op

see aanboord is, bly die dra van lewensreddersbaadjies ‘n vereiste. Lawwe toertjies op water veskaf wel genot, maar onverantwoordelike optrede kan nie geduld word nie.

Kersinkopies Voor jy met jou Kersaankope wegspring, berei jouself voor vir dit wat jy tydens so ‘n uitstappie te wagte kan wees.

Ongelukkig is daar altyd opportunistiese kwaaddoeners wat net so opgewonde oor die Kersseisoen is, want dis sogenaamde

oestyd vir hulle. Hulle is op die uitkyk vir niksvermoedende winkelgangers en slaan toe wanneer dit die minste verwag word.

Skenk aandag aan waarskuwingstekens terwyl jy jou Kersaankope doen. Volg jou instink en as jy ‘n ongemaklike gevoel oor iemand op straat of in ‘n winkel het, probeer om afstand tussen jou en daardie persoon te skep. ‘n Inkopielys, veral met goeie idees vir geskenke vir jou geliefdes, help dat jy met ‘n doelgerigte houding inkopies aanpak en jou selfvertroue terwyl jy tussen die

"Kind ers moet nooit allee n swem naby badd e sond er toe ns s ig toege laat word nie."

Om te weet

Kersversierings

14

winkelrakke beweeg, sal potensiële kwaaddoeners afskrik. Hulle is geneig om doellose, niksvermoedende slagoffers uit te soek.

Hou jou kinders veilig en naby jou as julle die winkels invaar. Leer jou kinders dat hulle net kan rondbeweeg waar hulle jou kan sien. Ouers sê baie keer vir hul kroos dat hulle die kinders te alle tye wil sien, maar wanneer ‘n ouer se aandag deur ‘n produk of assistent in die winkel afgelei word, kan die ouer nie altyd ‘n oog oor die kleinspan hou nie. Daarom dat kinders wat om jou rondspeel, jou ook altyd moet dophou.

Sê vir jou kinders om ‘n sekuriteitswag of winkelassistent te nader as hulle jou nie dadelik kan sien nie. Julle kan ‘n speletjie daarvan maak om gedurende inkopies aan mekaar persone uit te wys na wie hulle sou kon gaan as julle mekaar in die winkels verloor, en ook na wie hulle nie behoort te gaan nie.

Wanneer jy met al jou pakkies en sakkies motor toe aanstryk, is jy beslis ‘n teiken vir kriminele. Maak dit moeilik vir kriminele deur doelgerig en met vaste tred motor toe te loop en hou jou oë wawyd oop vir persone wat naby jou motor rondslenter. Hou jou sleutels gereed en naby sodat jy vinning jou aankope in die motorbak kan wegsit en in jou voertuig kan klim, jou motor kan sluit en weg kan ry. As jy by ander

Kerspartytjies Om te verhoed dat daar bakterieë in kos voorkom, was rou vrugte en groente goed en verseker dat vleis goed gekook is. Hou rou en gekookte kos afsonderlik en onthou om aparte spane en lepes te gebruik terwyl die kos voorberei word.

As produkte in die

openbare parkeerplekke of in die straat moet stop, is dit raadsaam om sakke en ander items in jou motorbak toe te sluit sodat dit buite sig van moontlike diewe kan wees.

Kersgeskenke vir kinders Dis altyd raadsaam om eers gebruiksaanwysings van speelgoed te lees om te verseker dat dit vir kinders geskik is. Ouderdomsaanwysings op pakkies behoort gevolg te word.

Kinders onder drie sit nog graag enigiets wat voorkom in hulle monde en daarom moet speelgoed met kleiner onderdele vermy word. So ook moet stukkende ballonne van kinders weg gehou word, want hulle kan maklik daarin verstik of daarvan versmoor.

yskas geberg moet word, moet dit nie buite teen kamertemperatuur vir langer as twee ure gelos word nie.

Na die jolyt van ‘n heerlike kuier saam, is dit beter om dadelik daarna op te ruim. ‘n Kleuter wat vroeg reeds wakker word, kan maklik verstik aan oorskietkos wat nog rondstaan of in kontak met alkohol of sigarette kom.

Al kuier almal heerlik,

Vakansies behoort opwindende en spesiale tye vir kinders te wees, maar jaarliks veroorsaak klein ongelukke, soos valle, snye en elektrisiteitskokke dat hospitale en klinieke se ongevalle-afdelings oorloop van vakansiegangers. En ‘n groot persentasie van hierdie pasiënte is ongelukkig kinders.

Om te verseker dat veilige Kersversierings, -bome en -liggies uitgesoek word, hou die volgende in gedagte:

 Indien ‘n nagemaakte boom verkies word, maak seker dat die boom vuurweerstandig is. Dit beteken nie noodwendig dat die boom nooit aan die brand sal kan slaan nie, maar ten minste sal dit vinnig geblus kan word.

 Indien ‘n regte lewendige boom verkies word, is dit beter om ‘n vars groen boom te soek met naalde wat nie maklik van die boom afgetrek kan word nie.

 Koop versierings en stringe klatergoud wat van plastiek of loodvrye metaal gemaak is.

 Moenie kerse naby bome aansteek nie en hou kerse buite bereik van kinders.

 Hou alle versierings wat klein is of skerp punte het buite bereik van kleiner kinders.

 Indien liggies buite gehang word, moet dit stewig aan bome of mure vaseheg word en gesertifiseer wees as geskik om buite gebruik te kan word.

 Skakel alle ligte af wanneer julle gaan slaap of uitgaan, want die liggies kan ‘n kortsluiting veroorsaak wat ‘n brand kan laat ontstaan.

behoort jonger kinders by hulle gewone roetine gehou te word. Dis dalk nie maklik om streng daarby te hou nie, maar as kinders se slaapskedules nie te veel geskommel word nie, kan dit baie bydra tot die kinders se genot van die vakansie sonder dat hulle moegheid en issigrimmigheid spanning hoef te veroorsaak.

Gaan hierdie feesseisoen

tegemoet met goeie beplanning en geniet ‘n veiliger ruskansie saam met jou gesin. Deur bewus te wees van klein hindernissies wat ‘n lang-beplande vakansie in die wiele kan ry en daar rondom te beplan, kan jy verseker dat jy en jou geliefdes met gemoedsrus hierdie somer kan uitspan.

NET#WORK BBDO 8015661/E

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Health advice: By Dr Elsa du Toit, psychiatrist

16

Depression

during pregnancy Once thought to be a time of emotional wellbeing for women, studies now show that during pregnancy women are not necessarily protected from mood disorders.

Who is at risk of developing depression?

Those who are more at risk of developing depression are women who have:  Previously been diagnosed with depression  A family history of depression  Poor social support  Unplanned or unwanted pregnancies  Attended fertility clinics  Stopped their antidepressant medication abruptly

W

orldwide 10-20% of women will experience depression during pregnancy. Although some women are more susceptible to develop depression it is important to ask all reproductive females that wish to conceive as well as expectant mothers early in pregnancy about their mood state.

Essentially, the symptoms of anteand postpartum depression are the same as those seen in non-pregnant women. Together with a depressed mood insomnia, low energy levels and guilt feelings are all common symptoms.

Furthermore expectant and new mothers experience the inability to enjoy certain activities, food and drinks due to their condition. More often than not prominent anxiety symptoms increase the distress of these women.

The sequelae (that is, the consequences of a condition or event) of depression during pregnancy need some consideration since it has been associated with poor prenatal care and an increase in obstetric complications. Women that suffer with depression during pregnancy are also far more likely to develop postnatal depression. Depressed women are less likely to take care of their own health than women without depression.

This may have several negative consequences such as poor attendance to their obstetric appointments, poor nutrition and an increase in alcohol consumption and smoking. Several

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17

If you are diagnosed with depression and are on antidepressants, do not stop your medication abruptly!

TOP TIPS Take home message: 1 Review your lifestyle when planning to fall pregnant. Regular exercise and good nutrition, including supplements such as folate, are beneficial to both physical and mental health.

Alcohol and cigarette smoking should be avoided completely from the time the decision to conceive is made.

2 If you are diagnosed with depression and are on antidepressants, do not stop your medication abruptly! Almost 75% of women who stop medication will experience a relapse while pregnant.

3 A risk benefit analysis about the risks of your

obstetric complications such as high blood pressure, premature labour and an increase in operative deliveries (eg vacuum-assist delivery, forceps delivery and cesarean section) are associated with depression.

Depression during pregnancy is a very strong predictor for the development of depression after birth. There is a wealth of literature on the importance of a healthy bond between a mother and her baby, especially during the first months of the baby’s life. If this first relationship is secure, it provides a stable, healthy base for the baby to explore and face the world. Depression may alter this bonding experience, making the baby more vulnerable to emotional difficulties later in its life.

It is thus very important to treat depression during the perinatal period (during pregnancy and the first year after birth). Clinicians that treat pregnant women with depression must carefully weigh the risks and benefits of continuing, changing or discontinuing medication.

As a rule of thumb clinicians should always initiate the most conservative but effective treatment modality. Different psychotherapeutic models such as

illness versus the risk of your medication will help to make an informed decision regarding the management of your depression during pregnancy.

4 Psychotherapeutic modalities such as CBT should always be considered.

5 If medication is indicated, the lowest, effective dose should be used.

6 Aim for remission of symptoms.

7 Always exclude possible physical causes (such as depleted iron stores, underactive thyroid gland) that may mimic the symptoms of depression.

8 Be cautious if risk factors associated with bipolar disorder (eg family history, poor response on antidepressant monotherapy or history of unconfirmed hypomania) exist.

Health advice

18

Care should be taken that baby blues symptoms don’t develop into postpartum depression, in other words a major depressive disorder.

CBT (cognitive behavioural therapy) and IPT (interpersonal therapy) are very effective for a substantial number of patients. However, for some women the severity of their untreated illness will outweigh the risk of antidepressant use during pregnancy. Ideally, these pregnant women, their partners and health care providers should discuss the risks and benefits of medication versus untreated (or inadequately treated) illness. This will aid her to make an informed decision regarding illness management during pregnancy that will benefit her, her family and her unborn baby.

Contraception is important. Since 50% of pregnancies are unplanned it is important that all reproductive females are treated as potentially pregnant. Doctors should try and avoid medication that’s not compatible with pregnancy. If not possible, women should be informed about the risks and contraception should be prescribed.

Depression post birth Certain conditions such as maternity blues are so common (about 70% of women will experience blues) that it is deemed a ‘normal’ experience. Typically, the symptoms commence around the fourth day after birth. Psychological support is generally speaking the only treatment for maternity or baby blues. Care should however be taken that the symptoms don’t develop into postpartum depression, in other words a major depressive disorder.

Signs and symptoms of depression after childbirth vary, depending on the type of depression: Baby blues These signs and symptoms last only for a few days to a week or two.  Mood swings  Anxiety or angst  Touchiness  Sleeplessness  Unhappiness or melancholy  Crying and weeping  Decreased concentration Postpartum depression The signs and symptoms associated with postpartum depression may initially seem to be the baby blues but they are more intense and last longer and can eventually hinder your ability to care for your baby and go about your everyday activities and responsibilities. Symptoms may include:  Insomnia  Intense irritability and anger  Overwhelming weariness and tiredness  Difficulty bonding with your baby  Severe mood swings  Loss of libido (sex drive)  Inability to enjoy life  Loss of appetite  A sense of humiliation, remorse or inadequacy  Isolation or withdrawal from family and friends  Thoughts of harming yourself or your baby If postpartum depression is left untreated,

these symptoms can continue for several months or longer.

Postpartum psychosis Postpartum psychosis is a rare condition that typically develops within the first two weeks after delivery. The signs and symptoms of this condition are severe and may include:  Paranoia  Hallucinations and delusions  Confusion and disorientation  Attempts to harm yourself or your baby.

When to visit your doctor After the birth of your baby, depressed feelings may make you hesitant or ashamed to admit how you are feeling. You should however call your doctor if the symptoms as mentioned above are still present after two weeks or if they become more intense. If you feel that it is difficult to care for your baby or to attend to your daily responsibilities or if you have thoughts of harming yourself or your baby it is paramount that you visit your doctor.

Key points to remember You need to seek medical attention immediately if you think that you may be developing postpartum psychosis. It will not help to wait and see whether the condition improves. Should family members or friends notice that a new mother acts strangely or out of character, they should accompany her to the doctor without delay. When a person is psychotic, their realm of thought becomes their reality and they don't realise that they are acting strangely. Postpartum psychosis can result into considerations or actions that can ultimately be life-threatening.

Credits: www.mayoclinic.com

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Health matters: By Dr Leon Venter

20

Sex after

menopause

Many women find their sexual desire decreases after menopause, but this need not be the case.

M

rs Smith looks at me with shock and horror. “What do you mean, I must stop my hormones? That would be the end of my sex life!”

At the age of 65, this lady is still experiencing a healthy sexual relationship with her life partner.

She goes on to tell me that when she was a young girl in the typing pool she realised that sex was a “chore” to many of her colleagues, even young people and they often jokingly remarked that it was their “on” or “off” weekend. She and her partner then decided at a very young age that sex should never become an obligation and they did a lot of research and experimenting together so that, at the age of 65, they are able to enjoy a fulfilling sex life.

What’s more, they are great friends and still very much in love.

Unfortunately, Mrs Smith’s happy and healthy sex life is not the norm as far as sexual function in the menopausal years goes.

What’s happening to my body?

Sexual function decreases with age in both sexes, and low desire is particularly common in women over the age of

Medical Dictionary Subcutaneous tissue: Tissue found just below the skin.

Vascularisation: The development of new blood vessels in a body part.

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21

Other strategies Once you’ve been for a full gynaecological check-up and you’re following treatment, there are a number of other things you can do to enhance your sex life.

50. There are a number of causes for this, but declining ovarian hormones can cause atrophy (wasting away) of the vaginal lining as well as decreased vascularisation* of the subcutaneous tissue*.

This, in turn, causes loss of sensation. This all causes a delay or absence of orgasm and even pain and discomfort during sex. In some women, declining levels of testosterone also play a role in reduced sexual desire.

The most common type of sexual dysfunction is known as hypoactive sexual desire disorder (HSDD), in which there is a total lack of desire to become sexually active.

During the menopausal period there are other factors that can play a role in

that the onset of menopause and dwindling sexual desire is more a relief than anything else, and it is very difficult for these women to enhance their sex life.

Why change things, and how?

So why, you might ask, is it worthwhile to maintain or rekindle your sexual activity and what can be done to improve your sex life?

It is definitely worthwhile for a couple to endeavour to improve their sex life for various reasons: It gives an added dimension to any relationship and encourages a sense of intimacy and camaraderie. It boosts selfconfidence and improves mood, thus adding to the

 Change the scenery.

After many years of sex in your own bed and at the same times, a weekend get-away to a romantic destination will set the mood and reduce inhibitions. Remember to be more forgiving towards yourself and your partner.

You are not 18 anymore!  Allow more time for foreplay. Using essential, bath or massage oils will do wonders as will the use of vaginal lubricants in the form of water-based gels or vitamin E oil. Try to avoid scented oils for this purpose as it may cause urinary tract infections and vaginal irritation.  Don’t be afraid to experiment with erotic materials and vibrators. These

elements are useful to induce arousal in women with a low libido.  Experiment with new

sexual positions, especially those other than the normal missionary position.  Improved communication regarding sexual matters between the woman and her partner will also lead to a more satisfying experience.  Remember, sexuality does not come in bottles or in pill-form, but is a mindset. If you can overcome all taboos and inhibitions and be a little proactive, you’ll surprise yourself and your partner while discovering a new dimension to your life together.

Rekindling your sex life will give an added dimension to your relationship, encouraging a sense of intimacy and camaraderie. diminished sexual function and these include mostly health concerns (especially depression) where certain types of medication used to treat these conditions can cause a decreased libido.

Stress and relationship issues are also prevalent, and the partner’s inability to achieve erection can also play a role.

Women who have experienced a negative attitude towards sex and a low sex drive in the premenopausal years will find

quality of life in the latter years.  A visit to your gynae is the first step to improving your sex life. He or she may recommend an oestrogen-replacement cream or patch to deal with problems such as the vaginal atrophy discussed above.  Problems of prolapse or incontinence can be dealt with fairly easily and more appropriate substitutes for medications which cause

a loss of sexual desire can be prescribed.  If applicable, a visit to the urologist or GP may also be beneficial in helping with erectile dysfunction.  A lack of testosterone is sometimes a major cause of sexual dysfunction and it is well worth a try to add testosterone to your current hormone therapy.

This must be done by an expert and carefully monitored, as it can have adverse side-effects in

the form of deepening of the voice and clitoral enlargement. The only practical application currently available in South Africa is in the form of an implant. A transdermal patch will be made available in the future.  Oestrogen therapy is beneficial in some aspects but does not enhance libido directly. Your gynaecologist will advise what is best for you.

Other?? (half page)

Kind2Hearing (half page)

Feature: Marelie Gous, audiologist, B Communication Pathology.

Is there a connection

between diabetes &

hearing loss?

Did you know that uncontrolled diabetes can damage the small blood vessels of the body over time and can be linked to hearing loss ...

Here are some facts you should know: High blood glucose levels from uncontrolled diabetes can damage the small blood vessels of the body over time. This is what causes the eye, kidney, and nerve diseases that are common complications of diabetes. Hearing also depends on small blood vessels and nerves in the inner ear, and some researchers are of the opinion that diabetes may cause such damage to the ear that would ultimately result in hearing loss.

1

2 What are signs of hearing loss?

The signs of hearing loss can be subtle and emerge slowly.

 Think that other people mumble.  Have difficulty hearing in noisy

areas such as restaurants.  Keep the TV or radio volume

turned up high.  Answer or respond inappropriately

in conversations.  Have ringing in their ears (tinnitus).  Feel stressed from straining to hear

what others are saying.  Feel embarrassed after misunderstanding what others are saying.  Withdraw from social situations that they once enjoyed.

3

Individuals with hearing loss may:  Have difficulty following conversations involving more than two people.

negatively on your overall wellbeing.

People who don't treat their hearing loss can become depressed and try to avoid their friends. On the other hand, studies show that people who wear aids often have a better quality of life.

Should I consider a hearing test if I have diabetes?

It is advisable to consider a hearing test to rule out the possibility of hearing loss as untreated hearing loss can impact

A few extra tips Have regular tests People with diabetes should have regular hearing tests. A hearing test can be invaluable in identifying diabetic patients with potential hearing loss, giving them an opportunity to receive the treatment they need and live a more social lifestyle.

Hearing aids If your hearing test shows a degree of hearing loss, the damage is most likely a type of hearing loss called 'sensorineural' loss, which is the kind usually associated with diabetes. It cannot be cured, but hearing aids may help you hear better. Hearing aids are designed to make what you want to hear clear, with special features to enhance sound. They have automatic volume control and can reduce background noise.

Advances in technology mean hearing aids are now very small and it is unlikely anyone will notice when you are wearing them. The reality is people are more likely to notice your hearing loss.

23

All about: BY Joey Koffman, South African bodybuilding champion and springbok bodybuilder

24

Dispelling training &

With summer fast approaching and everyone gearing up to get their bodies ready for our beautiful beaches many aspiring lean body enthusiasts will be disappointed in not achieving their much desired beach-ready bodies.

dietary myths T his, in many cases, is not because of a lack of commitment to the cause but because there are so many myths out there about how to exercise and diet in order to get an average looking body looking hot and sexy for the beach.

With my experience as fitness professional I hope to give you some insight and guidance to help you get your body healthy and ready for the beach this summer.

So, let’s dispel some of the most common training and dietary myths.

1 Myth no 1: More training is better and more effective to get into shape fast.

Truth:

Our bodies are very complex and sensitive, all at the same time.

Understanding the importance of rest and recovery after exercise is very important.

The harder and more regular we train, the longer it takes our bodies to recover. Slow down the process of achieving your health and fitness goals. A maximum average of three to five training days is recommended; three if you are a beginner starting out and five if you are at an intermediate to advanced exercise level.

2 Myth no 2: Doing plenty of cardiovascular training will metabolise (burn) more body fat.

Truth:

Health centres are filled with cardiovascular fitness exercise machines leading the public

Issue 04 | 2013/14

25

to believe that hours upon hours of cardiovascular training is the best way to get into shape.

However, scientific research has proven the opposite. For optimal fat metabolism your body burns more calories (energy) during a resistance-based exercise routine versus a cardiovascular-based workout. Combining a resistance-based workout with a cardiovascular workout gives optimal results.

3 Myth no 3: Weight training will make you grow big muscles.

Truth:

Weight training will only cause you to grow big muscles if that is your main goal (unless you count under a very small percentage of the population whose bodies naturally grow muscle easily, that is the mesomorphic body type).

Building muscle mass is a very complex and complicated process.

You have to follow a very specific weight training routine, performing progressively heavier sets of various muscle building exercises.

In addition, you should be consuming sufficient amounts of muscle building nutrients from a number of meals throughout the day, combined with adequate rest time for recovery and growth.

4 Myth 4: When exercising for a toned and lean body higher repetitions of 20 and above work best.

Truth:

When you train your body with higher repetitions, what you are mainly improving is the muscles’ endurance ability under stress.

The key factors in getting a toned, lean beach body are firstly to follow a strict but sensible nutrition plan to encourage the body to metabolise body fat. Secondly, you should follow an effective resistance training routine combined with an average amount of cardiovascular training of 30 to 40 minute sessions three to four times per week.

Dietary myth 1: 1 To lose body fat I must eat less food or as little as possible.

Understanding the importance of rest and recovery after exercise is very important.

Truth:  Reducing your body’s total calorie intake to the extreme slows down your basal metabolic rate (rate at which your body burns calories at rest). This in turn makes it harder to lose body fat.

 A sound nutrition plan is one that encourages four to six small meals a day with an average of two to three hours’ break between each meal, keeping your metabolic rate working consistently throughout the day.

Dietary myth 2: To lose body fat I must eat zero carbohydrates.

2

Truth:  Carbs are not your enemy. Carbs are your body’s preferred source of energy. Carbohydrates have a protein-sparing effect, which is important for repairing broken tissue.

 Your carbs should be slow burning, complex carbohydrates, eg sweet potato, brown rice, oatmeal, wholewheat low GI bread and green leafy vegetables.

3 Dietary myth 3: I can eat anything I like. As long as I exercise everyday, I will lose body fat.

Truth: Truth: One of the most common reasons why most people who exercise to lose body fat see little or no improvement in their body composition (that is, reduction in body fat and increase in lean muscle mass) is because of the misconception that overtraining will compensate for poor dietary habits.

Your improvement and reduction in your body fat will ultimately depend on how disciplined you are with your eating.

4 Dietary myth 4: When following a nutrition plan for fat loss, I must cut out all fats from my diet.

Truth:

Our bodies need the good healthy fats for effective hormone balance, which plays a key role in burning body fat.

Healthy fats found in nuts and omega 3, 6 and 9 oils help the body with metabolising (burning) stored fat as energy in the body.

Following these basic, yet very important training and dietary guidelines should assist you in achieving your healthy and fit beach-ready body this summer.

For more information and advice contact Joey Koffman on 079 644 0689.

In the know: By Dr Reena Cotton, veterinarian in private practice

26

Diseases we can get from pets Most of us don’t regard our pets as mere companions or service providers – they are often seen as members of our family. We live in close physical contact with our cats, dogs and birds, with an estimated 50% to 60% of pets sharing their owners’ bedrooms, or even their beds.

This close contact, though mutually beneficial, can also contribute to the spread of disease from animal to human and vice versa.

T

he most dangerous of all infectious diseases that we humans can get from our pets is undoubtedly rabies. This is caused by a virus that contaminates the nervous system of the infected animal, causing it to behave strangely, eventually leading to seizures and death. The virus may be found in the saliva of the infected animal, and a bite from such an animal may result in infection of a person or another animal.

Less commonly, the infected saliva may spread the disease by entering through scratches, abrasions or open wounds, or even into the eyes, nose or mouth of the victim. Luckily, highly effective vaccines are available and according to South African law, all dogs and cats must be vaccinated against rabies. This must be done twice in the animal’s first year and then every one to three years thereafter.

Beware during pregnancy Toxoplasmosis is a condition that can cause serious abnormalities to a developing foetus if the mother is exposed to the organism during pregnancy. The organism is found in cat faeces, and contamination is by ingestion of the infective oocysts (egg-like structures). Unfortunately, because of the seriousness of this disease to the unborn child, many women will be advised to get rid of their cats without understanding the actual life cycle of the organism.

The cat is the intermediate hose of the organism, and if it is infected, it will shed

these little egg-like oocysts in its faeces for the next two weeks. These oocysts must be left for at least 24 hours before they become infective to humans. Then, if a pregnant woman handles the poo, contaminating her hands, and then ingests the infected oocysts, she will get the disease toxoplasmosis; that is if she hasn’t already got antibodies to the disease, which more than half of our population do have. Actually, because of the short period of shedding infective oocysts, and the fact that once a cat is infected it will not shed ever again, the chances of getting toxoplasmosis are very small.

Pregnant women should not handle cat litter, and they should wear gloves when gardening and wash their hands carefully before eating.

Contamination Less fearsome, but way more common, are the various tummy bugs that we can catch from our pets. Usually the way these infections are spread is by contamination of our hands when touching food bowls, being licked or by handling an infected dog or cat or their body fluids. Prevention is therefore straightforward – wash hands after contact with animals and especially before handling food or eating. Because bacteria are sensitive to high temperatures, they will be destroyed by cooking. Therefore pet food should be well cooked.

Although fairly uncommon, there are other infections we can get from our

Issue 04 | 2013/14

Pregnant women should not handle cat litter, and they should wear gloves when gardening and wash their hands carefully before eating.

pets if we are scratched, bitten or even licked by them. Cats, in particular those with fleas, can carry bacteria under their nails that can cause cat scratch fever if they scratch us. This presents as a flu-like episode that usually resolves within a few days. All animals have a lot of bacteria in their mouths, so licking and biting can cause infection, especially where the human skin is broken. Abscesses, cellulitis and even septisaemia are all possible following a dog or cat bite or, less frequently, after being licked.

Some skin infestations are easily passed from animal to human and ringworm, more common in cats, is easily spread to other pets or people with whom they have contact. Cats may be carriers of ringworm. Even though they have the fungus and are shedding spores into the environment, they may have no visible lesions. Diagnosis and treatment of the pet are not difficult, but must be thorough, otherwise recurrence of the infection is likely. It is important to remember that ringworm is not actually a worm and deworming will not help in treating the ringworm lesions.

Another skin infection, which humans can catch, is scabies, a condition where tiny microscopic mites burrow into the

27

dog’s skin, causing severe itching and hair loss at the site. Although canine scabies is self-limiting in humans (meaning that whether we treat it or not, it will go away by itself), the itching is severe and very uncomfortable, and scratching can cause a secondary infection. The more common demodectic mange that we see in dogs, is not catchy to humans or to other animals.

Plague of parastites Any external parasites like ticks, fleas or lice can pass from dogs and cats to humans, and will cause varying degrees of discomfort and disease. Ticks brought in by our pets can carry tick-borne diseases.

Fortunately, we don’t get Lyme’s disease in South Africa, but we can get the typical tick-bite fever that comes with generalised joint pain, severe headaches, fever and rash.

Fleas and lice will at the very least result in discomfort and itching but in severe cases infection of the flea bites as a result of scratching could occur.

Worms can also pass from dogs and cats to humans. They have adapted and evolved in order to efficiently pass from host to host. Worms can infect humans through the skin or the mouth. Having entered the body, the worms may travel

to the liver, brain or even the eyes, resulting in associated symptoms such as swollen liver, meningitis and blindness.

Once again, good hand washing practices can prevent oral spread, and avoiding contaminated sandy areas or not walking barefoot in such areas will prevent cutaneous spread. Regular deworming of pets is essential, and flea control must be attained, as fleas are part of the life cycle of a common tapeworm found in dogs and cats.

Be responsible Although there are various diseases that we can catch from our pets, we mustn’t forget that we can similarly infect them. We can pass our lice, worms, fungi, bacteria and viruses to them. Good hygienic practices, in particular hand washing, should be emphasised and taught to our children from an early age.

We should also never lose sight of the enormous benefits we get from keeping these animals, which far outweigh the relatively rare risks they may pose to us.

28

Travel health: Dr Konrad Bekker – Intercare Parow

SAFE

long distance travel The holiday season is upon us and for some it may mean travelling long distances. The prospect of a long distance flight often raises health concerns, especially for passengers who are older or have certain medical conditions.

O

ne of the key health issues related to long distance flights is deep-vein thrombosis (DVT) – a blood clot, predominantly in the leg. Prolonged immobility, especially when seated, can lead to the pooling of blood in the legs, which may cause the formation of a blood clot. The body’s own clot busters kick in for most people, but for those with certain health risk factors the clots can get big enough to block a vein. Risk factors include cancer, heart disease, infection, pregnancy, obesity and recent injury or surgery. Other factors that also raise the risk are birth control pills and postmenopausal hormones.

The biggest danger that a DVT can pose is when a clot breaks free and gets transported to the lungs. The condition is called pulmonary embolism and it is life threatening. To reduce the risk of DVT passengers should take the following precautions:  Move around often.  Wear comfortable clothing and shoes

The biggest danger that a DVT can pose is when a clot breaks free and gets transported to the lungs.

Credits: Harvard medical website. Steffen, Manual of Travel Medicine 2007, www. mayoclinic.com, www. asma.org

Issue 04 | 2013/14

29

FACT FILE

Quick facts on DVT:  Deep-vein thrombosis and pulmonary embolism (DVT/PE) are often underdiagnosed and serious, but preventable medical conditions.

 10% to 30% of people affected by

SUMMER HOLIDAYS

DVT/PE will die within one month of diagnosis.

 DVT kills more people annually than AIDS and breast cancer combined.

 More people suffer from DVT annually than from heart attacks or strokes.

– nothing too tight.  Stretch often and avoid crossing your

legs while seated.  Keep the space beneath your feet

empty. Place hand luggage in the overhead compartment so that there is enough space to move freely and stretch.  Drink enough water.

Another common problem during flights is ear pain. During takeoff and landing cabin air pressure changes rapidly. This disturbs the balance of pressure between the outer ear and the middle ear. The Eustachian tube, which connects the middle ear to the back of the nose and throat, helps to equalise the pressure on the eardrum (and causes the welcome pop you feel when the balance is restored). This process can be helped by swallowing, chewing gum, yawning or opening your mouth wide. The Valsalva manoeuvre may also work: close your nose with your thumb and index finger and exhale gently against a closed mouth.

Note: Persons with chronic medical problems should always consult their doctor before long distance travelling.

Intercare has a number of travel clinics where expert medical advice and travel vaccinations can be obtained. www.intercare.co.za.

What to put in your first-aid kit?

Summer in South Africa, for many, will mean sunshine, beaches and camping. The holidays should not become 'horror-days' as long as you're packed and prepared to prevent or remedy the odd case of sunburn, mosquito bite or allergy.

K

nowing what to do and keeping a basic first-aid kit can help make sure your holidays are healthy and fun. The first kit that should be the basis of all the others is the 'Basic Travel Kit'.

The centre of the kit is the person's chronic medications. Remember

to pack enough medication for the length of the trip, and spare for those unexpected layovers, cancellations, storms, or for when you find that perfect spot and wish to stay an extra week. It is also a good idea to pack a spare set of spectacles and copies of all home medication prescriptions.

BASIC TRAVEL KIT:  Paracetamol (pain and fever reducer)  Ibuprofen (pain and fever reducer, antiinflammatory)  Antihistamine (allergies, sleep aid)  Pseudoephedrine (nasal decongestant, helps with 'ear pop' from planes)  Loperamide (antidiarrhoeal)  Multi-tool (MacGyver always had his)  Safety pins (quick fix for clothing, making an arm

sling, emergency cloth)

 Sunscreen (SPF 30 minimum, small bottle)  Bandanna (sling for arm, dust mask  Antiseptic towelettes (cleaning hands/wounds)  Electrolyte packets (for dehydration due to vomiting or diarrhoea)  Matches (light source, fires)  Tweezers (removing ticks, thorns, cactus, sea urchins, etc.)  Blister plasters (blisters on the feet)

 Plasters (minor cuts and scrapes)

 Gauze roll (minor cuts and scrapes)

 Antibiotic ointment (minor cuts and scrapes)

 Portable flashlight (looking into mouths, dark rooms)

 Thermometer (for checking fever)

 Latex gloves (protect yourself first)

 4 x 4 gauze pads (minor cuts and scrapes)

 Hand sanitiser (dirty hands mean infected cuts)

Diagnosis: By Cristal Gouws

30

ARE YOU:

ALLERGIC TO HAIR COLOUR? E

Reactions to hair colour are increasing rapidly. Skin reactions can occur on a person's first exposure or after a long period of time. very time colour is applied the immune system may become sensitised, increasing the risk of future allergic reaction. It is also possible to suddenly become allergic as a result of stress, change of lifestyle, diet, medication or a change in the product formulation. If you've experienced something different on your scalp, it is vitally important to mention this condition to either your stylist or doctor.

Symptoms Symptoms of an allergic reaction to hair colour aren't necessarily immediately noticeable. It can occur up to seven days after exposure. Symptoms may last a few days or even weeks depending on the degree of the allergy.

Dermatisis The most common symptom is a mild reaction, limited to a small area. Redness of the skin and/or itching on the hairline, face, eyelids, ears or neck can be experienced.

Treatment: Cortisone or topical corticosteroid creams.

Urticaria This is a more serious reaction resulting in red patches over the entire body, bronchial asthma with wheezing, sneezing and difficulty swallowing.

Treatment: Antihistamine tablets or an injection.

Anaphylactic shock This is an extremely rare but life-threatening reaction. Should you experience any swelling involving the face and neck or gasping for air, seek immediate medical attention or hospitalisation.

"Sym p of an toms a llerg react ion to ic ha colou r are ir n 't nece s imme sarily d notic iately eable ."

Remember: when in doubt, seek medical advice.

AstraZeneca advert or other??

Recipe: www.kidspot.com.au

32

Christmas

cookies for the kids

Following this easy-to-make Christmas cookie recipe is a great fun activity for the whole family. These cookies also make yummy decorations for the Christmas tree to share later!

Ingredients  225g butter  1 cup caster sugar  1½ teaspoons vanilla extract  3 cups plain flour  1 teaspoon bicarb soda  2 teaspoons cream of tartar  2 free range eggs (59g)

Method 1 Preheat oven to 180˚C and line baking trays with non-stick baking paper.

2 Using a stand mixer, cream the butter and sugar until light and fluffy.

3

Add the eggs and sift in the flour, bicarb soda and cream of tartar. Mix

until a smooth dough has formed. You may have to scrape the beater down halfway through mixing.

8 Call the wandering children back and let them be creative with writing icings, smarties and/or lollies!

4 Knead the dough lightly on a floured surface, wrap in plastic wrap and put in the fridge for 30 minutes.

Notes

5

Now for the fun part, summon the children! Roll the dough between two sheets of baking paper until 5mm thick.

Cut out biscuits using Christmas shaped cutters and place on prepared baking trays.

6

7

Bake for 10 minutes or until golden. Transfer to wire racks to cool.

It is best to work quickly once the pastry is out of the fridge. This may be difficult when you have small helpers but giving each child some pastry to work with may do the trick.

If you only have scone cutters or egg rings in the cupboard, these will do nicely to make various size circles that you can decorate like Christmas tree balls, if you don’t have Christmas cutters. Add some bling with silver balls and decorate icing.

Christmas tree idea: carefully make a hole in the biscuits before baking by using the blunt end of a wooden skewer.

After decorations have set, thread some string, cotton or tinsel through the holes and hang on the tree.

First, the product applies for endorsement.

Next, it is thoroughly tested by an independent, accredited lab.

The laboratory results are then examined by a team of dietitians.

Levels of fats, cholesterol, fibre, sodium and sugar are checked to see if nutritional criteria are met.

Other AD??

Now the product is ready to receive our stamp of approval.

But not before its packaging is assessed for nutritional accuracy according to our strict requirements.

It may seem excessive, but it means that every Heart Mark approved product is nutritionally sound.

Look out for the healthy choice you can trust.

TJDR (CT) 39013/E

THIS IS WHAT IT TAKES TO GET A HEART MARK

Living Life, Without Compromise.

New advert to follow AstraZeneca Pharmaceuticals (Pty) Limited. Reg. No. 1992/005854/07.

Building 2, Northdowns Office Park, 17 Georgian Crescent West, Bryanston, 2191. Private Bag X23, Bryanston, 2021.

Tel: 011 797-6000. Fax: 011 797-6001. www.astrazeneca.co. za.

Expiry date: May 2015. Log no: COR 05/13/018.