Privacy during the sexual act is basic requirement for full achievement of the love world. The importance of privacy in the sexual environment is not a matter of courtesy or inhibition. Privacy carries with it a sense of security. If there is a fear of interruption full involvement into love will be difficult.

How natural surroundings help in love making?

To make love in natural surroundings always had strong romantic appeal. Muscular strain on the legs, arms, back can be totally ignored during intercourse but environmental discomfort is detrimental. Extreme heat or cold, loud noises or flashing lights act as an irritant in love making. Hurriedly man may get orgasm but it is difficult for female to adjust.

Which weather suits more, too hot or too cold?

In India cold weather suits to many as close body to body contact and exciting embraces produce pleasant warmth. Too much heat upto the extent of perspiration does not suit to many people.

How clothings affect?

Clothed infants are less active than unclothed. Clothing apparently reduces the ability for skin stimulation and therefore inhibits activity in general. Clothings deprive the couple of the use of one of the major organs of sexual gratification.

How wife should communicate?

She should let her husband know how important he is in her life and continue to woo him.

Too many women think that this is the man’s role and expect the love of their husband as their right and due. They never thank their husbands for love. Actually speaking in life man deserves praise for his sexual performance or for the sensual pleasure he is giving and bearing. Man likes to know that his wife appreciates that cares for her orgasm and makes a sincere effort to please and give her pleasure. Husband also does not want to be taken for granted.

Can husband get bored with his most beautiful wife?

Yes, after some time of marriage when physical charm starts fading and man starts maturing, man begins to feel bored with same sex, same woman and same position with same routine. There is no need to change a partner but within the sex relationship it is feasible for one woman to play many roles of housewife, girl friend and a well wisher.

Changes of position enhance, for both man and woman, the physical sensation of coitus.

Whose responsibility is to take lead in sex?

Tradition allots this role specially just after marriage to the male partner but after some time man wants that wife should also make first move on occasions. It proves man’s attractiveness and boosts his ego. Many women are unware of the importance of giving reassurance of this kind as well as receiving it.

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Occasionally substitute other high-protein foods, such as eggs and dried beans, for meat.

Two modest changes—reducing the amount of meat you eat and switching from high-fat choices such as regular ground beef to lower-fat choices such as well-trimmed round steak, baked fish, or skinless chicken—can make a significant difference in the total amount of fat you eat. This is a much more effective and realistic strategy than totally giving up red meat or other foods you enjoy.

Meat servings should be about 3 ounces or less per person. A 3-ounce serving of cooked beef, pork, or lamb is about the size of a deck of cards. The meat from one chicken leg and thigh or from half of a whole breast is approximately 3 ounces.

Shift your meal planning from one of making meat the centerpiece to making meat the accompaniment. Prepare more casseroles or mixtures with meat as one of the ingredients, and limit high-fat ingredients such as sour cream or cheese. If you are increasing the amount of fruits, vegetables, and grains that you eat, reducing meat will become easier. The benefit is that you will reduce the amount of fat and cholesterol you eat, which are the most important dietary factors in reducing your blood cholesterol. It is also the most straightforward way to cut calories.

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The many methods available to control fertility give you choices that did not exist when your parents – and even you – were born. The loosening of social restrictions in the areas of marriage and parenting also affords single men and women the opportunity to become parents. Regardless of whether you are married or single, preparing to become a parent involves similar considerations and decisions. If you are in the process of deciding whether to have children, you need to take the time to evaluate your emotions, finances, and health.

Emotional Health

First and foremost, you need to evaluate why you want to have a child: to fulfill an inner need to carry on the family? to escape loneliness? Are there any other reasons? Can you care for this new human being in a loving and nurturing manner? Are you ready to make all the sacrifices necessary to bear and raise a child?

If you feel, based on your self-evaluation, that you are ready to be a parent, the next step is preparation. You can prepare yourself for this change in your life in several ways. Reading about parenthood, taking classes, talking to parents of children of all ages, and joining a support group are all helpful. If you choose to adopt, you will find many support groups available to you as well. You should also consider issues of health and finances.

Maternal Health

Before becoming pregnant, a woman should have a thorough medical examination. Preconception care should include assessment of potential pregnancy complications. Medical problems such as diabetes and high blood pressure should be discussed as should any genetic disorders that run in the family. A woman should consider additional suggestions for maintaining a healthy pregnancy:

• If you smoke and drink, stop. Reduce or eliminate caffeine intake.

Avoid x-rays and environmental chemicals, such as lawn and garden chemicals.

• Maintain a normal weight; lose weight if necessary. Prior to becoming pregnant, get any dental x-rays that will be needed for a checkup.

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Feeling of inadequacy and exhaustion felt in mind before starting a job; procrastination due to above feeling; wants tonics to augment his strength; boasts of his strength and capacity for work before others to camouflage his innate desire for more strength. HORNBEAM is connected with the soul potential of inner vitality and freshness of mind.

In the positive HORNBEAM state one has cool confidence that he will be able to do the job, even if it looks formidable.

But in the negative state the reverse is the case. The person is afraid of the work to be done. He feels weariness and a feeling of inadequacy in his mind before starting the job. He procrastinates. He doubts if he would be able to accomplish the work. “How can I do that work? “It is not one man’s job” “Even if I start the job I will not be able to accomplish it”. Such are thoughts that assail him, and because of which he procrastinates starting to work.

But all this weakness lies in his mind. His physical side is alright. Once the mind orders the physical body to start the work, the work is accomplished without difficulty. This in essence is the true negative state of Horn Beam—the patient feels tired and inadequate before starting the job, but once he starts it, he completes it without difficulty.

Not that negative Horn Beam State is a permanent feature in some characters and it does not assail an ordinary person.

When an office-goer wakes in the morning and thinks of the dull routine that lies ahead, the ‘MOST URGENT’ marked files lying on his office table, the appointment with his dentist, he feels himself unequal to the task and becomes sad. This may be a temporary phase, because after some time when he puts himself in the routine of life, he does the work himself without any difficulty.

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Physicians are taught that a seizure lasting more than thirty minutes can do permanent damage to the brain. The medical literature says that as many as half of the patients with status epilepticus die or are left with

permanent brain damage. But sometimes the things we think we know are not true!

Recent evidence suggests that it is not the seizures but the cause of the seizures that does the brain damage. Status epilepticus can be a consequence of infection of the brain, such as meningitis or encephalitis. It can be a consequence of head trauma, brain tumors, or other serious causes. When status epilepticus is “symptomatic”—due to something serious—usually it is the “something serious” that does damage to the brain and causes the status epilepticus. It is this symptomatic status that may result in death or permanent brain damage. Whether the seizures themselves cause further damage is much less clear.

Status epilepticus may occur as the first seizure a child experiences and in that case is often the only seizure he ever has. Whether the patient’s first seizure is status or a brief, generalized, tonic-clonic seizure, most children (70 percent) never have another episode. Although there are many different causes of status epilepticus, in most children the cause remains unknown. When status epilepticus is of unknown cause or is part of a seizure disorder, it rarely causes permanent brain damage.

There are many causes of status epilepticus; whatever the cause, it is important to stop the prolonged seizures as promptly as possible. It is also crucial to evaluate each child and each episode of status to identify any underlying cause that may require specific treatment.

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What is the “right” diet for someone with diabetes? That is a question that has been debated for thousands of years. The diet now recommended for people with diabetes is basically the same as the healthy diet recommended for everyone. It contains about 50 percent carbohydrates (including foods with plenty of natural fiber, such as fruits and whole-grain cereals), about 20 percent proteins, and 30 percent or less fats. People with diabetes should try to avoid refined sugars, such as table sugar, which pass quickly into the blood.

The amount of food that a person with diabetes eats is particularly important, both for those taking insulin and for those being treated with diet alone. There should be enough food to provide nourishment without causing weight gain (except in actively growing children). Obese people need a diet that will help them lose weight, because in Type II diabetes lowering the weight to normal will often decrease or even eliminate the need for any other therapy.

Many people with diabetes go to a dietitian or a nutritionist to help them develop a dietary program. A dietitian may be recommended by a physician or local diabetes group such as the American Diabetes Association.

Helpful diet plans for treating diabetes have been drawn up. These plans operate on the basis of “exchanges,” portions of foods that are equivalent in type and amount of nourishment. Substitutions may be made within exchange groups. For example, a person might eat a portion of cereal or spaghetti instead of bread. An ounce of lean beef could be exchanged for an ounce of fish. Some of the equivalents are not so obvious—starchy vegetables like peas, for example, are more similar in nutrient value to breads and cereals than to vegetables like green beans. The diet may allow larger amounts of leafy green vegetables, which are very low in calories and carbohydrates, and high in fiber.

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Think of your heart, arteries and arterioles as a system of garden hoses that end in little nozzles (the arterioles). If you decrease the volume of spray from the nozzle, the hose becomes firm under increased pressure. It is under tension. Less water is flowing through, but it shoots out to a greater distance. Closing down the nozzle regulates the rate and pressure at which the water flows.

Something similar happens in hypertension. The arterioles tighten down; the heart has to work harder to pump blood through the tissues at a nearly normal rate. This maintains the pressure in the arteries and artioles.

Arterial hypertension, or high blood pressure, is a dangerous ailment because of its effect on the walls of the arteries. It accelerates the ailment of atherosclerosis. Many people without high blood pressure have atherosclerosis; but those with high blood pressure have much more severe cases of the illness.

As we have said, the inside of a normal artery is quite smooth and flexible. There is plenty of room for the blood to flow through. However, in the later years of life, there is a tendency for the blood vessels to harden and the muscles to become less flexible.

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Sexually Transmitted Diseases

The incidence of cancer of the uterine cervix has increased in recent years, particularly among younger women. This has coincided with changing social patterns of greater sexual freedom and the use of oral contraceptives. This suggests that sexually transmissible diseases may cause this type of cancer. It is also observed that some cancers usually follow sexually transmitted diseases like syphilis and gonorrhea.

Viruses

Some viruses can also cause cancer. Several cases of cancers in animals and birds have been attributed to viruses. Latest scientific studies have established that Leukemia and Hodgkin’s disease

Chronic Depression in the Elderly

Chronic depression in the elderly can also lead to the development of cancer. According to a recent study conducted by Dr. Richard J.Havlik, of the National Institute of Aging in Bethesda, Maryland, and his associates, elderly persons who are chronically depressed for at least six years have 88 per cent higher risk of cancer than those who are not depressed. The authors of this study have noted that the previous researches found links between depression and cancer, mainly in smokers. But in this study, the “excess risk of cancer associated with chronic depression was consistent for most types of cancer and was not especially related to cigarette smokers”.

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Tinea versicolor is a misnomer because it is not actually a tinea or dermatophyte. The name pityriasis is more appropriate for this infection, which is caused by Malassezia furfur. Versicolor presents as hypopigmented macules (sometimes hyperpigmented) scattered on the shoulders, upper back, and chest. The macules may be pink, red, light-brown, or white and have a slight scale, which may only be seen after scratching.

The hypopigmentation may only be noted after sun exposure. The macules are sometimes mistaken for vitiligo, but vitiligo is characterized by a complete loss of pigment. Versicolor will fluoresce a gold or orange-brown color under a Wood lamp. KOH preparation of scales reveals non-branching hyphae and clusters of round spores, described as the “spaghetti-and-meatballs” pattern.

Pityriasis versicolor responds well to topical therapy with dandruff shampoos containing selenium sulfide (Selsun) or pyrithione zinc (Head & Shoulders). A lather should be applied to the affected skin and left to sit for 10 minutes daily for 1 week. Ketoconazole shampoo is another option that can be used twice weekly for 4 weeks. Topical antifungal agents are also recommended by some practitioners.

Widespread or persistent cases can be treated with oral ketoconazole. Ketoconazole can be given as 200 mg daily for 7 to 10 days. Another option is 400 mg ketoconazole once, and some practitioners consider this the treatment of choice. This should be followed by exercise to induce sweating, and the patient should wait 1 day before showering. This should be repeated in 1 week. Other oral regimens include fluconazole 300 to 400 mg once or itraconazole 400 g daily for 3 to 7 days.

The discoloration of pityriasis versicolor does not resolve immediately following treatment. Normal pigmentation will not return until the skin is exposed to sunlight. Response to treatment is presumed when the scales disappear.

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Respiratory ailments such as sleep apnea are notorious for their role in disturbing sleep. There are two primary types of sleep apnea: obstructive, in which the airways become blocked for one of a number of reasons, and central, in which the physiological mechanisms controlling breathing are disrupted. Sometimes the apnea is a result of both types, and is thus known as mixed apnea. At this point I will briefly discuss those breathing disorders that are specifically associated with DIMS; for the most part these fall into the central sleep apnea category (CSA). However, I want to point out that obstructive sleep apnea (OSA) is a more common problem. Like CSA, OSA can occasionally result in the disorders of maintaining sleep that are the focus of this chapter; more often, however, OSA is manifested as a disorder of excessive sleepiness (DOES).

Relatively little is known about central sleep apnea. In CSA something—perhaps disruptions in circadian cycles, perhaps some facet of the sleep process itself—causes perturbations in the basic system that drives your breathing cycle. As a result you may cease to breathe temporarily, or your breathing may become too infrequent or too shallow to provide adequate oxygenation of the blood and tissues. As described earlier, your brain will then alert you to awaken in order to overcome the problem. Normally we awaken several times a night anyway, usually at the end of a REM period. With central apnea, however, the arousals are frequent and prevent you from enjoying a good night’s sleep.

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