Tuesday, November 18, 2008, Zi'qad 19, 1429 A.H

 
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The mouth-body connection

Electrolysis vs laser

Millions markWorld Diabetes Day

Health update

 


The mouth-body connection

Opening your mouth is somewhat like cracking open the hood of your car. An expert taking a quick look can get a good sense of what's working, what's not, and what should be tuned up regularly to keep your body's systems up and running at their best.

Your teeth and gums, it seems, speak volumes about your well-being. For starters, cavities and gum disease may point to diabetes or heart disease, and loose teeth could be a sign of osteoporosis.

When there's an underlying condition at play, more than 90 percent of systemic conditions such as heart disease are linked to symptoms in the mouth, your dentist can draw an important connection between your oral health and your overall health, and you can start getting everything from your teeth down to your toes back on track. So sit back, relax, and open wide. Here's what you need to know about the mouth-body connection.

Diabetes

Bleeding gums, dry mouth, fungal infections and cavities, these signs might clue your dentist into a serious health issue; diabetes. And these symptoms also might suggest other serious conditions, such as HIV and leukaemia.

"Diabetes is the one disease that we know can have a direct impact on infections in the bones and gums around the teeth," says Sally Cram, DDS, Adviser, American Dental Association.

Diabetes and your mouth have blood sugar in common. If blood sugar levels are out of control in your body because you don't know you have diabetes, they're out of control in your mouth. With sugar to feed on, bacteria find a happy home in which to grow and thrive. The bacteria then attack the protective enamel layer on your teeth, and over time as the enamel breaks down, cavities develop, one of the dental signs of diabetes.

A person with diabetes has more mouth woes to worry about; uncontrolled diabetes reduces the body's first line of defense against infection - white blood cells -which can then put a person's health at risk. With bacteria teeming around the gums from high blood sugar levels, periodontal or gum disease is an easy next step.

Unfortunately, because diabetes lowers a person's resistance to infection, managing periodontal disease isn't easy. "If you have diabetes, and periodontal disease, you have to get your blood sugar levels under control, for both the sake of your body and your mouth," says Cram. Frequent professional cleanings are important in helping prevent or control periodontal disease, and home care requires flossing and brushing after every meal.

Heart Disease

If on your last visit to the dentist you were told you had gingivitis or gum inflammation, cavities, missing teeth, molar infections, and/or decay so severe it's left only the roots of a tooth; and one must know that mouth isn't the only thing being attacked.

According to a research from the American Heart Association, it is said that these mouth factors can increase one chances of developing heart disease - more than the usual suspects of cholesterol and triglyceride levels.

Unfortunately, none understands how your mouth is connected to your heart. So while you wait for more research related to the impact on heart health, your dentist might recommend you do two things; brush and floss.

"The few minutes you need to spend a day brushing and flossing is a small price to pay not to have a bypass surgery when you are older if there turn out to be a connection," research tells.

Osteoporosis

"Bones are bones, and that includes the jaw," says Kellerman. "As the anchor point for the teeth, if your jaw becomes less dense and weakens, losing teeth becomes more and more likely."

Osteoporosis that weakens the jaw may lower a person's defense against bacteria that affect the gums, which can lead to periodontal disease.

"You want to be very conscientious about brushing and flossing if you have osteoporosis, because if you get periodontal disease, and you are already losing bone mass, you're at a higher risk of losing teeth," says Cram.

The risk of tooth loss is three times greater for women with osteoporosis than for women who do not have the disease. "Women in particular should take calcium and vitamin D, exercise, eat right, and do all of the things necessary to help prevent osteoporosis, which down the road could help prevent losing teeth," Kellerman tells. "Every time you lose a tooth it's like losing a pearl."

Women: The female factor

"Women need to be aware that they are at a higher risk for periodontal disease and gum disease during puberty, pregnancy, their menstrual cycle each month and then menopause, as we know there is a correlation between high hormone levels in the body and inflammation in the gums surrounding the teeth," a recent British study suggests.

When hormone levels are very high, women can be more sensitive to a small amount of plaque or bacteria. "For example, if you weren't pregnant, and you forgot to floss for a couple of days, it probably wouldn't be an issue," says Cram. "But if you are pregnant and forget to floss and plaque collects, you can get these swollen, painful growths in your gums that you otherwise probably wouldn't have."

Being pregnant and having periodontal disease may also put your baby at risk. Studies show that pregnant women with periodontal disease have higher risk of premature labour and it could be due to the inflammation and bacteria in the mouth that makes its way into the bloodstream.

Smoking

If you smoke, your dentist knows it. Along with tinted-yellow teeth, smokers are at greater risk for a long list of unpleasant health issues, with tooth loss leading the pack. A smile-killing 41 percent of daily smokers over age 65 are toothless. If that's not enough to make one snuff out the habit, smoking can also raise one's chances of calculus, plaque that hardens on the teeth and can only be removed during a professional cleaning; deep pockets between the teeth and gums; loss of the bone and tissue that support your teeth; mouth sores; and cancer.

Bottom line is that the risk of not caring for your teeth far outweighs, the effort required to keep your mouth clean - so get brushing!

--www.webmd.com

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Electrolysis vs laser

Electrolysis and laser are the only two techniques by which body hair can be removed permanently or for a longer period. Everyone who wants to get a permanent hair removal has to make a decision between laser hair removal and electrolysis. Accurate knowledge and information about these two procedures is a pre-requisite for making a wise decision regarding a hair removal technique which best suits your needs.

Both procedures are beneficial, it simply depends on what you're looking for. Ask yourself a few questions first to evaluate which may be better for you.

1. How much money are you willing to spend?

2. Are you looking for pain free alternatives only?

3. How many visits do you consider to be too many?

4. Are you looking for absolute permanent hair removal only?

These are not all of the questions you may have but those are just to give you an idea of where to start from.

Electrolysis cannot only be time consuming, because this procedure concentrates usually on only one hair follicle at a time but it can also come with some degree of pain and often even the quickest treatment using electrolysis is still considered to be about ten months duration. The reason electrolysis is painful is because a tiny, metal probe is inserted into the hair follicle, the tiny probe releases an electronic charge or current which destroys the hair at the root source.

Laser hair removal however is much less invasive, the laser uses light that absorbs through the skin, into the hair follicle and the absorbed light change into heat, thus affecting the hair follicle. It doesn't require years to complete the treatment which is the best thing about it. Laser hair removal simultaneously concentrates on removing hundreds of hair follicles.

People with dark hair tend to have a pigment called melanin which attracts the laser light. Patients with light or red hair and even those on a high beta carotene diet, the results just weren't comparable. Even patients with naturally dark or suntanned skin see less dramatic results because the pigment melanin is present in the skin as well as in the hair and can absorb most of the light from the laser.

Electrolysis is quite different, considering it may take longer for treatment, opinions vary. Laser hair removal is a great alternative to all of the usual methods for example shaving, waxing, tweezing, threading and depilatory creams. While these methods (apart from electrolysis) are all temporary and need to be repeated frequently over a lifetime, laser hair removal uses focused light to target dark hairs and requires up to eight treatments for full removal. A few people need touch ups afterwards, but in general, the procedure is permanent.

Lasers target the dark hair, so those with blonde hair will find it ineffective. However, for anyone with brown or black body hairs, it can be a good way to eliminate the unwanted hairs. Thanks to the ability to work quickly, laser hair removal is ideal for larger areas, not just eyebrows and chin. The light beam is actually fairly large, making it easier and faster to work with than other options such as electrolysis, which focuses on one hair at a time. There are many varieties of lasers available in the market for the purpose of hair removal. The result usually depends upon the condition of the patient, means if any underline condition is involved in having excessive hairs on his/her body. It also depends upon the skill of the person operating lasers or electrolysis, if these machines go in the hands of unskilful people it can bring havoc so it should be assured from the patient's side that the person operating machine is skilful and knows well his/her job.

Laser treatment is effective, painless and permanent, making it a more popular method of hair removal for those who aren't interested in slaving over their bodies with hot wax and razors.

 

--The author is a Consultant at National Medical Centre, Karachi

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Millions mark
World Diabetes Day

November 14 is the most important day of the year for the over 250 million people with diabetes worldwide. World Diabetes Day draws attention to the global diabetes epidemic and the need for action to improve care, prevent the disease in those at risk and find a cure.

To mark the World Diabetes Day Baqai Institute of Diabetology and Endocrinology organised a Diabetes Awareness Walk on Sunday, the 16th of November, 2008 at Boat Basin, Clifton, Karachi.

More than 2000 people of all ages and from all walks of life, including leading physicians, doctors, people with diabetes, their families, representatives from media and press, and general public, participated in the event.

The purpose of the walk was to create awareness in the people at large, regarding diabetes, its prevention and management and to stress the importance and need of regular physical activity and exercise.

The walk was inaugurated by Prof F U Baqai, Chancellor, Baqai Medical University and Prof Abdul Samad Shera, Honorary President, International Diabetes Federation and Secretary General Pakistan Diabetes Association.

Speaking on the occasion, Prof. Abdul Basit, Director, Baqai Institute of Dialectology and Endocrinology told the participants that the institute is strongly determined to improve diabetes care in Pakistan and it is working vigorously for the prevention of diabetes in the country. In this regard "National Diabetes and Diabetic Foot Programme" has been launched with the collaboration of World Diabetes Foundation.

Prof Abdul Samad Shera, addressing the gathering expressed his concern about the rising incidence of diabetes and said that it has created an alarming situation worldwide. Pakistan is one of the countries having the highest number of diabetics and facing an epidemic of diabetes. According to World Health Organisation (WHO) estimates, there are presently more than seven million diabetics in Pakistan and this number will increase to 16 million by 2025. Another six million or more are suffering from Impaired Glucose Tolerance which means they are at high risk of developing diabetes. This ranks country eighth in the world as far as the number of the diabetics is concerned and according to WHO estimation, Pakistan will be placed fourth in this regard, by the year 2025. These figures make diabetes an epidemic and call for an immediate action.

Prof F U Baqai, advised the people that change in the life style from sedentary to more active with regular physical exercise and taking a balanced diet rather than the

high calorie fatty and sugary diet, can prevent diabetes in a large proportion of people.

A number of stalls were installed at the starting point of the walk where literature and verbal information about diabetes, its prevention and management was provided. Moreover, free blood-sugar tests were performed, for the participants.

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Saturated fats, intestinal cancer linked

If you eat a lot of saturated fat, you may be more at risk for cancer of the small intestine, according to a new study. Saturated fat, considered one of the unhealthy fats, typically comes from animal foods, such as meat and dairy. Cheese, sausage, and butter are all high in saturated fat. The study looked at data from the NIH-AARP Diet and Health Study. Researchers analysed data on 294,707 men and 199,293 women. Participants were first evaluated in 1995 through a questionnaire. They were asked about their diet. The study followed them through 2003 or until they were diagnosed with cancer or died. During the median follow-up time of 7.5 years, 165 small intestine cancers were diagnosed. The study found a link between high intakes of saturated fats and carcinoid tumors of the small intestine.

 

HPV vaccine gardasil may help men

Gardasil, a vaccine against four strains of human papillomavirus (HPV), may help prevent genital warts in boys and men. That's according to a new study presented this week in Nice, France, at the annual meeting of the European Research Organisation on Genital Infection and Neoplasia (EUROGIN). Gardasil targets four HPV strains that can lead to cervical cancer. The CDC recommends Gardasil for all girls aged 11-12, and the vaccine is approved for girls and women aged 9-26. But HPV isn't just a problem for women. In men, HPV can lead to genital warts, anal cancer, and penile cancer. The new study included 4,065 men aged 16-26. They got three shots of Gardasil or a placebo over six months. Participants who got the Gardasil shots were 90 percent less likely to develop genital warts related to the four HPV strains that Gardasil targets. 

 

Obesity 'programmed before birth'

Eating a high-fat diet in pregnancy may cause changes in the foetal brain that lead to over-eating and obesity early in life, research suggests. Tests on rats showed those born to mothers fed a high-fat diet had many more brain cells specialised to produce appetite-stimulating proteins. The Rockefeller University team say the finding may help explain why obesity rates have soared in recent years. The study appears in the Journal of Neuroscience. Previous research on adult animals had shown that when fats known as triglycerides circulate in the blood they stimulate the production of proteins in the brain known as orexigenic peptides, which in turn stimulate the appetite. The latest study suggests exposure to triglycerides from the mother's diet has the same effect on the developing foetal brain - and that the effect then lasts throughout the offspring's life. 

 

Joyful music helps the heart

Joyful music helps your heart, researchers find. The study comes from Michael Miller, MD, director of preventive cardiology at the University of Maryland. Miller reported the findings at this week's annual meeting of the American Heart Association in New Orleans. Ten volunteers identified specific music that made them feel a sense of joy. While the music played, Miller ad colleagues used an ultrasound device to measure how well each person's blood vessels responded to a sudden increase in blood flow (caused by release of a blood pressure cuff). When they heard joyful music, the volunteers' blood vessels dilated by 26 percent, which is a very healthy response. It's similar in magnitude to the response seen after aerobic exercise.