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Sleeping position There is now very strong evidence that babies put to sleep on their stomach are at increased risk for SIDS. Babies should be put to sleep on their back or side, with the lower arm well forward so that they do not roll over onto their tummy.

Don’t let the baby get too hot Babies get too hot if they are covered with too many blankets. If the baby has a cold or a fever, then even fewer blankets are needed. Do not wrap the baby too tightly — let the head and arms move freely. Bonnets for the baby will increase body temperature and are not recommended for sleeping. Do not use ‘bumpers’ in the cot — they restrict the flow of fresh air around the baby’s head, and may increase the temperature; the same applies to soft pillows. Make sure the room is not overheated.

Smoke-free environment Smoking is associated with an increased risk of SIDS. Parents should not smoke during pregnancy (it causes other problems for the unborn baby as well) or in the same room as the baby. Ask others not to smoke near the baby. Keep the baby in a smoke-free environment.

Breastfeed baby if possible Breastfeeding may reduce the risk of SIDS, although the evidence is not conclusive. Breastmilk is the best food for babies, and helps protect against infection.

Remember that the vast majority of babies do not succumb to unexpected death in infancy: 499 out of every 500 infants do not die of SIDS.

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If you have any pre-existing condition such as diabetes or epilepsy, it is wise to consult with your doctor before you become pregnant. It is vital that your condition is as stable as possible and you will require careful monitoring throughout your pregnancy to ensure your own safety as well as your baby’s. If you are taking medication, discuss its effects on your pregnancy, if any, with your doctor.

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All disease relates to disorders of time. We are too rushed or too bored. We hurry or we feel trapped. When our blood rushes to keep up with the demands we place on it, our blood pressure goes up. When we eat too fast, our stomach gets sore. When we control time, we control illness.

Another point the couples raised regarding “time for sex” was the issue of priorities. When we divide our life ihto segments, few of which are related to what we really want to do, we find ourselves watching the clock for “permission” to finally “do our own thing.” If we are clear on our priorities, and most of what we do relates to what we want to be doing, time ceases to be the single controlling factor.

I have presented papers at conferences on substance abuse and the relationship between my work with sexuality and drug use. I report that my interviews indicate that much, if not most, of the substanace abuse I have heard about from my respondents relates to their attempts to “buy time,” to stretch out and intensify life experience. Even if they seek a “rush,” it seems to be in the attempt to get more out of every moment. Perhaps if we all learned to listen for the ticks of our internal clocks, we could take time into our own hands. We could be the hands of time.

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An electrocardiogram of the heart can reveal if the raised pressure is causing a strain on the pumping chambers of the heart.

Sometimes more sophisticated tests are necessary to diagnose such rare tumors as a pheochro-mocytoma, which occurs in the inner part of the adrenal gland, the medulla, where the hormone adrenalin is produced.

The doctor using an instrument known as the ophthalmoscope can look into the eye and see the blood vessels running over the retina, the layer of sensitive nerve endings which are stimulated by light.

This is the only area of the body where blood vessels can be directly seen and changes occurring in these reflect what is happening to other arteries in the body. Changes in these vessels indicate what damage is done by high blood pressure.

Blood pressure is recorded by an instrument known as a sphygmomanometer. A cuff is wound around the upper arm and air is pumped into it. The pressure is raised above that of the blood in the arteries and this obstructs its flow.

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We are still not sure why but it is certainly not due to lack of willpower. The alcoholic drinks the way he (or she) drinks because he can’t drink any other way. He knows the consequences, yet he still drinks and, when he drinks, he and his family suffer. Alcohol seems to affect him differently from others. Perhaps he has an “allergy” to alcohol.

There is now some evidence that there is a definite inherited tendency to develop alcoholism, at least in men. The same pattern cannot be detected in women.

It has been well known that men whose fathers were alcoholic had a greater tendency than the average to become alcoholics. This was thought to be due to the behavioral effect and example of the parent. But it appears this is not so.

Adopted boys with a non-alcoholic father who grow up in a home with an adopted alcoholic father do not show an increase in alcoholism, but boys whose natural father is alcoholic and who grow up in a home with a non-alcoholic father do have a greater incidence of the problem.

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Aphthous ulcers usually develop when you are rundown or stressed. Some women are prone to them just before a period. Traumatic ulcers are, as the name implies, the result of injury to the inside of the mouth. Mouth ulcers usually heal on their own within a couple of weeks, but they can be healed more rapidly and prevented by careful attention to diet. Fruit juices, fruit, vegetables and grains are all helpful. Junk food, chocolate and refined sugars should be avoided. Antioxidants and Vitamin C should be taken to boost the immune system.

Stomach ulcers are caused by a loss of tissue lining the lower oesophagus, the stomach or the duodenum. Stomach ulcers are also called gastrointestinal or peptic ulcers. They are the result of erosion of membranes by pepsin and acid found in the digestive juices. It is not known what causes the changes that make membranes unable to resist pepsin and gastric acid when ulcers occur. Genetic, environmental, psychological, viral and chemical causes have all been put forward. Relatives of those suffering from gastric ulcers, for example, have three times the likelihood of developing them than the rest of the population. Stomach ulcers are more likely to occur in people who are poorly nourished. Stress is also given as a cause of ulcers, and chemicals like asprin and alcohol can induce them in some circumstances.

Herbs useful in the treatment of stomach ulcers include slippery elm, liquorice, marshmallow root, arrowroot and chamomile. These should be taken before meals, but individual tolerance to each herb should be tested by taking them separately at first. Dietary recommendations include large amounts of grains and vegetables and a reduction in red meat, spicy foods, coffee, alcohol and cigarettes. Cigarette smokers have a higher incidence of ulcers than non-smokers and require a longer healing period. Vitamin A and the tissue salt ferr phos are also helpful. Relaxation, massage and meditation are beneficial for stress-related ulcers.

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Investigation of these people with blood tests revealed the presence in their tissues of the Epstein-Barr (EB) virus, which, among other things, is responsible for mononucleosis. The illness from which they were suffering is known as the chronic mononucleosis syndrome (CMS).

Mononucleosis of such gradual onset and persistence is not usual. Why, in such cases, the body cannot rid itself of the EB virus is not understood. To date, there is no treatment for CMS, but extra rest seems to help us cope better with its symptoms. After several months to a year, most of the patients begin to feel better, but in a few cases, the illness lasts even longer.

The behavior of children with vague fatigue, and who seem to have lost all interest in school, has often been attributed to some emotional difficulty. Now, Pediatric Notes (9:24) suggests, one of the first things to think about is testing them for CMS.

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Gonorrhea of the genitals in boys causes burning during urination and a discharge from the penis. In girls, gonorrhea may cause vaginal discharge and abdominal pain, but frequently there are no symptoms at all. In cases with no symptoms, diagnosis can be made only by alertness and awareness of the possibility of the disease.

Home care

There is no home treatment. Gonorrhea must be diagnosed and treated by a doctor. Diagnosis requires special culture techniques with microscopic examination of discharges from the vagina or penis.

Precautions

• Be aware that the disease still exists and that it exists in children of all ages.

• Provide sex education for your children.

• Many physicians advocate the practice of taking periodic vaginal cultures at the time of routine school and annual examinations of sexually active girls.

Medical treatment

Your doctor will diagnose gonorrhea by smear and special culture techniques. If gonorrhea is diagnosed, antibiotics will be prescribed. Although some gonococci germs are now resistant to penicillin (that is, not destroyed by it), other new antibiotics are reliably effective. By law, cases of gonorrhea must be reported to health departments. Most cases are diagnosed by tracing the sexual contacts of the individuals with known cases of gonorrhea. In New South Wales treatment of minors between 14 and 16 is confidential, at the doctor’s discretion; parental consent is not necessarily required. However, there could be variations from State to State.

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