General Practitioner

General Practitioner

Your neighborhood doctor is known as s general Practitioner. He has been well trained and is skillful in handling a wide variety of medical conditions. Because he is in touch with family and likely to see various problems in their earliest stages, it is wise to depend upon his judgment before calling for the 

service of some specialist. He knows the family’s problems. He is acquainted with each member, and the condition under which he lives and works. The general practitioner is usually a good family counselor, and he knows where he can find further help should it ever be needed.  

CAUSES OF HEART ATTACK

The following factors are associated with increased risk of a heart attack:

• Age (Umri): Heart attacks are more likely when a man is over 45, and when a woman is over 55.
• (Umri):Magonjwa ya moyo mara nyingi huwakumba wanaume kuanzia miaka 45 na wanawake miake 55.
• Angina: This causes chest pain due to lack of oxygen or blood supply to the heart.
• (Angina):Haya ni maumivu ambayo huyapata kifuani na misuli ya moyo kukosa kiasi cha damu yenye oxygen.
• High cholesterol levels (Kuzidi kwa kiasi cha Cholestelo mwilini): These can increase the chance of blood clots in the arteries.
• (Kuzidi kwa kiasi cha Cholestelo mwilini): Hii uongeza uwezekano wa damu kugandia ndani ya vishipa vya damu.
  
• Diabetes (Kisukari): This can increase heart attack risk.
• (Kisukari):Ugonjwa wa kisukari uongeza uwezekano wa kuumwa ugonjwa wa moyo.
• Diet (Mlo/Ulaji): For example, consuming large quantities of saturated fats can increase the likelihood of a heart attack.
• (Mlo/Ulaji): Mfano utumiaji zaidi wa vyakula vilivyolowekwa kwa muda mrefu/vilivyokobolewa huweza kusababisha magonjwa ya moyo
• Genetics (Vinasaba): A person can inherit a higher risk of heart attack.
• Heart surgery (Upasuaji wa moyo): This can lead to a heart attack later on.
• (Upasuaji wa moyo):Huwa na kawaida ya kusababisha matatizo ya moyo kwa siku za baadae.
• Hypertension (Shinikizo la juu la damu): High blood pressure can put unnecessary strain on the heart.
• (Shinikizo la juu la damu):Husababisha moyo kufanya kazi zaidi ya uwezo wake wa kawaida.
• Obesity (Uzito Uliopindukia): Being significantly overweight can put pressure on the heart.
• (Uzito Uliopindukia): Huongeza shinikizo katika Moyo.
• Previous heart attack. (Historia ya kuwahi kuumwa ugonjwa wa moyo)
• Smoking (Uvutaji Sigara): Smokers are at much higher risk than non-smokers.
• (Uvutaji Sigara):Wavutaji sigara wanauwezekano mkubwa wa kuumwa ugonjwa wa moyo kulikoni wasiovuta sigara.
• HIV (Ukimwi): People who are HIV-positive have a 50 percent higher risk.
• Work stress (Msongo Kazini): Those who are shift workers or have stressful jobs can face a higher heart attack risk.
• (Msongo Kazini): Watu wanaofanya kazi zenye msongo mkubwa huwa wanauwezekana mkubwa wa kupata ugonjwa wa moyo.

Physical inactivity is a factor in heart attack risk, and the more active people are, the lower their risk of having a heart attack.

Kukaa kaa pasipo kuutumikisha mwili nako husababisha uwezekano mkubwa wa kupata magonjwa ya moyo.

ATTITUDES FAIL US TO KNOW GOOD HEALTH

Mainly in our societies many people classify the good health in wrong ways or right ways but the really truth of good health still being unknown to most of us so that some people are still dreaming to have large volume of their bodies (especially belly) believing that the belly size is direct proportional to financial position / prosperity.

Try to check this diagram below and try to make your own evaluation about the good health from this diagram.

Now from that above diagram between those two people whom do you think has got A GOOD HEALTH?
1. Person A
2. Person B
3. Both A and B
4. None of them.

Now from your answer try to connect it with your reason why you have selected that answer. 

IS THERE ANYTHING BETTER THAN GOOD HEALTH?

How? Remember yourself when you are very ill and you're feelling really bad, do you need something in your condition more than beeing OK again? Everyone knows that feeling! You want so much to start feeling normal again and nothing in the world can make you happy rather than good heath.

Good health is very important to everyone of us likewise a streams of river which never dry  through out the year being surrounded with very beautiful greenish vegetation. This implies also to us if we have good health  we are almost in a position of doing everything in the best ways and reach to the peak of happiness and success.

 
Importantly! pay attention to little details of your health like drinking water at day time, regular body exercises, free yourself from stress, normally eat well and also sleep well. It will be great gift to our health and the key moment to the stage of the beginning of thinking about the crucial thing in our life! only after that you will find for yourself some necessary repeated actions which will influence your health.

UNDERSTAND WHAT IS HEALTH?

Health is not a “state of complete physical, mental, and social well-being”. And nor is it “merely the absence of disease or infirmity”. The first part of this formulation is enshrined in WHO's famous founding constitution, adopted in 1946. It was supposed to provide a transformative vision of “health for all”, one that went beyond the prevailing negative conception of health based on an “absence” of pathology. But neither definition will do in an era marked by new understandings of disease at molecular, individual, and societal levels. Given that we now know the important influence of the genome in disease, even the most optimistic health advocate surely has to accept the impossibility of risk-free wellbeing.

That said, the conjunction of the physical, psychological, and social remains powerfully relevant to this day. Indeed, this framework should be extended in two further dimensions. First, human health cannot be separated from the health of our total planetary biodiversity. Human beings do not exist in a biological vacuum. We live in an interdependent existence with the totality of the living world. The second dimension is in the realm of the inanimate. The living world depends upon a healthy interaction with the inanimate world. Thanks to the science of climate change, we now understand only too well how contingent our human wellbeing is on the “health” of the Earth's systems of energy exchange.

Science has contributed to our understanding of wellbeing through an ingenious apparatus of techniques that reveal not only the causal pathways of ill health but also evidence for their amelioration. But the language of science can be inhibitory. For example, the notion of suffering is no longer fashionable. It is not a scientific word; it seems vague and old-fashioned, harking back to a time of clinical impotence, when patients had to endure and tolerate pain without respite or relief. Science aims to deliver the means to eliminate much of what once passed for human suffering.

But as the opening article in our Series on health in the occupied Palestinian territory shows, dimensions of suffering, especially at the community level, are measurable and often severe. Science has not eradicated suffering, despite its enormous power to deliver technologies to improve health. Being more humble about the experience of individuals, rather than simply drawing up reductive report cards of their health status, opens up the possibility for a more realistic understanding of what it means to be healthy. The fact is that one cannot be healthy in an unhealthy society.

Health certainly has to encompass these complex determinants of illness. But to say this can induce a feeling of fatigue, even defeat. The obstacles to a minimum quantity of health seem so huge and so complex that it is almost impossible for a single doctor to have any influence on their effects. But if we take a more modest view of what health means, perhaps we may be able to transcend the complexities of disease and offer a very practical mission for modern medicine.

That mission was set out most clearly by a French physician, Georges Canguilhem, in his 1943 book, The Normal and the Pathological. Canguilhem rejected the idea that there were normal or abnormal states of health. He saw health not as something defined statistically or mechanistically. Rather, he saw health as the ability to adapt to one's environment. Health is not a fixed entity. It varies for every individual, depending on their circumstances. Health is defined not by the doctor, but by the person, according to his or her functional needs. The role of the doctor is to help the individual adapt to their unique prevailing conditions. This should be the meaning of “personalised medicine”.

The beauty of Canguilhem's definition of health—of normality—is that it includes the animate and inanimate environment, as well as the physical, mental, and social dimensions of human life. It puts the individual patient, not the doctor, in a position of self-determining authority to define his or her health needs. The doctor becomes a partner in delivering those needs.

For a scientific journal too, Canguilhem's definition is liberating. By using adaptability as the test of health, a journal can evolve to address the changing circumstances of disease. Adaptability frees us to be agile in the face of shifting forces that shape the wellbeing of individuals and populations. Canguilhem's definition also allows us to respond to disease globally, taking account of the context of conditions in a particular place, as well as time.

Health is an elusive as well as a motivating idea. By replacing perfection with adaptation, we get closer to a more compassionate, comforting, and creative programme for medicine—one to which we can all contribute.

BUILDING A HAPPY HOME

HAPPY HOME

Home:

Is there a more beautiful word in any language? Is any place so dear to the human heart?

Wherever we go, Our thoughts ever turn to the one spot we can always call our own. No matter how humble, our fondest dreams are centered there. It need not mansion or lavishly furnished with latest appliances. Although these may be desirable, they are not essential to true happiness. As the poet has said.

“Be, it ever so humble there’s no place like home.”

There's no place like home.” I .This kind of home is a shelter from the storms of life. It is the one place where the family can enjoy an atmosphere of peace and rest. Such a home will give depth and meaning to all we do,say, or think. If that home is blessed with children

who grow into mature and happy young people.there is no lovelier sight in the world.Building a happy home is never an easy task.If the home is to be a success, it will take a great deal of wise planning in which each member of the family is included. There is no question that

many fine houses are being built today, but some of them will know little of genuine happiness. The fault is not in the house. Indeed, it might have the finest floors and walls and the most beautiful windows and doors. but these will never assure a happy home. The people who live there are of greater importance than the fixtures and furnishings, for one may live in the finest house in the community and yet be utterly miserable. On the other hand, the humblest cottage may prove to be the happiest spot on the earth.

Everything depends on the attitudes of those who live in the home. If each member of the

family has a happy outlook of the life. there will be an atmosphere of sunshine

in every room. If some are sour and discontented, bitterness will be reflected in almost all they say and do. True happiness does not spring from the abundance of worldly

possessions but from  a happy and contented mind. Some people are never  happy, no matter

how much they possess. Others enjoy life to the fullest with little material wealth.

Money Is Not the Answer

The story is told of a certain king in ancient times who was very rich, yet in spite of all his

wealth he was utterly miserable. Many physicians were called to treat his sour stomach and to alleviate  his chronic headaches, but no one could help him. At last someone came up with a rather strange plan. lt was suggested that if the king could sleep only one night in the nightshirt of the happiest man in the kingdom, he too would be happy. lt seemed rather odd, but the courtiers in their desperation were willing to try anything.Messengers were sent to all parts of the realm searching for the happiest man. Finally they found such a fellow -a beggar.

his face wreathed in smiles—and they brought him to the palace. The monarch had never seen

such a happy fellow before. His face seemed to radiate sunshine and good will. Surely this was the answer to his troubles, but when hen  asked if he could borrow the beggar’s nightshirt, the king was astonished to learn that the poor man had never owned one. He owned little, yet he was the happiest man in the kingdom.

  A happy home does not depend on the size of one’s bank account, nor does not have to be filled with lavish furnishings. In fact the more we posses, the fussier and more intolerable we may become. It is so easy for most of us to loose our sense of true values and consider a few material benefits more highly than the love and companionship of a contented family. There is no question that a few well-placed ornaments make a home more attractive; however, true happiness springs from the heart, not from an array of glittering show pieces that are here today and gone tomorrow. Among the greatest satisfactions in life are those enduring memories arising from happy relationships within a well-balanced home. When we create a happy environment for our children, we are building for the future. The influence of such a home reaches out beyond its own small circle. It molds not only our own children, but countless others who will associate with them in later years. Early home training is

the most important thing in the life of every child, for there he learns the true significance of life. The sooner he acquires this the better, not only for himself, but for those with whom he comes in contact in later life. Many parents hold to the foolish idea that money is the important thing in life. As a result they  neglect their children and fail to spend sufficient time in their training. This is a serious mistake. Money is always useful, but material

wealth alone will never guarantee a happy home. In fact. it might have the opposite effect.

 Although a good bank account might be a fine asset to any well-trained young person, it

could be a menace to one who has never had adequate training. When such a person inherits a

large fortune he may quickly lose it on useless investments. Or as it sometimes happens, he may try to dominate those around him by giving or withholding money. In the end no one is happy.

BUILDING A HAPPY HOME

Again, there is the danger that some children may believe money is the only object of any value in life. It then may become their only goal and reason for existence. They may make money even to accumulating large fortunes and yet find themselves a long way from genuine happiness and contentment. They have placed their faith in a fluctuating stock market rather than in the enduring values of life. This never leads to true happiness. The finest asset any child can have is a happy home. Such an environment will enable him to develop strength and stability of character, thereby teaching him to face the future without fear or undue anxiety. It also will give him something worthwhile to live for. If he exhibits good judgment in later years, much of the credit must go to those who trained him. If he fails, it may have

been due to troubles in his home, his school, or unsympathetic and hostile relatives. A great percentage of juvenile problems can be traced to faulty home education and unwholesome influences in early childhood. Undoubtedly there would be fewer juvenile delinquents if there were more homes where children learned to love and respect their fellow men.

Avoiding Nervous Breakdowns:

Most of the nervous problems so common today arise from insecurity in childhood. Divorce

takes its toll. It is easy to obtain, and in parts of the world it is taken for granted. This is tragic,

especially when young children are involved. It is not the parents who suffer most from a broken home, but rather the children. If more people realized this, they would think seriously before their own misunderstandings reached the point of no return.

What is a happy home?

 It is a place where each member of the  family can feel that he is each member of the

Family can feel that he is loved and wanted. Such a home is a place where a child can always be assured of acceptance by his loved ones. It will build within him a strong sense of security and affection. In such a favorable environment he has a chance to learn the true values of life. Here the storms and misunderstandings of the outside world can be forgotten, allowing the child a better chance of adjusting himself to the stresses and strains of the competitive world. That child of yours needs parents he can love and trust. He needs to feel that regardless of what problems arise, his parents will always love and trust him, though not always agreeing with his viewpoint. It is important for him to feel that his home is a pleasant place in which to live. When his earliest years are spent in an atmosphere that is free from bitterness and unfair criticism, his sense of loyalty will broaden and deepen as he grows older. At the same time affection for his loved ones will likewise increase.

A child who is privileged to grow up under such favorable conditions will meet storms that

swirl around him without being unduly shaken. He will feel assured of peace within. Nervous

problems that afflict so many others are unlikely to affect him. Why? Because a strong sense of security has been built into his personality during the important early years of life. His future may be uncertain, but he will not be afraid, for his mind has been molded by parents who are in tune with each other and with God.

Remember this: Happy parents create happy homes. Happy homes produce happy children.

Happy children create happy communities. Happy communities make a happier world.