Epilepsy - Myths and Facts

Myth: People with epilepsy are "epileptics."
Fact:
The word "epileptic" should not be used to descrbe someone who has epilepsy, as it defines a person by one trait or problem. A label is powerful and can create a limiting and negative stereotype. It is better to refer to someone as "a person with epilepsy" or to a group of people as "people with epilepsy."

Myth: People with epilepsy are seldom brain-damaged.
Fact:
Epilepsy is a disorder of brain and nerve-cell function that may or may not be associated with damage to brain structures. Brain function can be temporarily disturbed by many things, such as extreme fatigue; the use of sleeping pills, sedatives, or general anesthesia; or high fever or serious illness. "Brain damage" implies that something is permanently wrong with the brain's structure. This kind of damage may occur with severe head injury, cerebral palsy, Cerebral palsyA condition with various combinations of impaired muscle tone and strength, coordination, and intelligence.Close or stroke, or it may occur long before birth, with malformation or infection. Injuries to the brain are the cause of seizures in some people with epilepsy, but by no means all of them.

Brain injuries range from undetectable to disabling. Although brain cells usually do not regenerate, most people can make substantial recoveries. Brain damage, like epilepsy, carries a stigma, and some people may unjustly consider brain-injured patients "incompetent."

Myth: A seizure disorder is epilepsy.
Fact:
Because some people fear the word "epilepsy," they use the term "seizure disorder" in an attempt to separate themselves from any association with it. However the term seizure disorder means the same thing as epilepsy. A person has epilepsy or a seizure disorder if he or she has had two or more seizures that "come out of the blue" and are not provoked—even if the problem first develops in adulthood or is known to be caused by something like a severe head injury or a tumor.

Myth: Seizures cause brain damage.
Fact:
Single tonic-clonic seizures lasting less than 5-10 minutes are not known to cause brain damage or injury. However, there is evidence that more frequent and more prolonged tonic-clonic seizures may in some patients injure the brain. Prolonged or repetitive complex partial seizures (a type of seizure that occurs in clusters without an intervening return of consciousness) also can potentially cause long-lasting impairment of brain function.

Some people have difficulty with memory and other intellectual functions after a seizure. These problems may be caused by the aftereffects of the seizure on the brain, by the effects of seizure medicines, or both. Usually, however, these problems do not mean that the brain has been damaged by the seizure. There may be a cumulative, negative effect of many tonic-clonic or complex partial seizures on brain function, but this effect appears to be rare.

Myth: People with epilepsy are usually cognitively challenged.
Fact:
People with epilepsy usually are not intellectually challenged. Many people mistakenly believe that people with epilepsy are also intellectually or developmentally challenged. In the large majority of situations, this is not true. Like any other group of people, people with epilepsy have different intellectual abilities. Some are brilliant and some score below average on intelligence tests, but most are somewhere in the middle. They have normal intelligence and lead productive lives. Some people, however, may have epilepsy associated with brain injuries that may cause other neurological difficulties that affects their thinking, remembering, or other cognitive CognitivePertaining to the mental processes of perceiving, thinking, and remembering; used loosely to refer to intellectual functions as opposed to physical functions.Closeabilities. The cognitive problems may be the only problem in most people. Less frequently, some people have other developmental problems that can affect the way they function and live.

Myth: People with epilepsy are violent or crazy.
Fact:
The belief that people with epilepsy are violent is an unfortunate image that is both wrong and destructive. People with epilepsy have no greater tendency toward severe irritability and aggressive behaviors than do other people.

Many features of seizures and their immediate aftereffects can be easily misunderstood as "crazy" or "violent" behavior. Unfortunately, police officers and even medical personnel may confuse seizure-related behaviors with other problems. However, these behaviors merely represent semiconscious or confused actions resulting from the seizure. During seizures, some people may not respond to questions, may speak gibberish, undress, repeat a word or phrase, crumple important papers, or may appear frightened and scream. Some are confused immediately after a seizure, and if they are restrained or prevented from moving about, they can become agitated and combative. Some people are able to respond to questions and carry on a conversation fairly well, but several hours later they cannot remember the conversation at all.

Myth: People with epilepsy are mentally ill.
Fact:
Epilepsy is not the same as mental illness and in fact, the majority of people with seizures do not develop mental health problems. Yet recent research is showing that problems with mood, such as anxiety and depression, may be seen more frequently than previously thought. The causes are not always known. In some people, the cause and location of the seizures may affect certain brain areas and contribute to mood problems. In others, side effects of treatments and the challenges of living with epilepsy may affect a person's feelings and behavior. If these problems occur, a variety of treatments are available.

Myth: Epilepsy is necessarily inherited.
Fact:
Most cases of epilepsy are not inherited, although some types are genetically transmitted (that is, passed on through the family). Most of these types are easily controlled with seizure medicines.

Myth: Epilepsy is a life-long disorder.
Fact:
Generally, people with epilepsy have seizures and require medication for only a small portion of their lives. About 60 % of people who develop seizures have epilepsy that can be easily controlled and is likely to remit or go away. However, about 25 % may develop difficult to control seizures and likely will require lifelong treatment. More than half of childhood forms of epilepsy are outgrown by adulthood. With many forms of epilepsy in children and adults, when the person has been free of seizures for 1 to 3 years, medications can often be slowly withdrawn and discontinued under a doctor's supervision.

Myth: Epilepsy is a curse.
Fact:
Epilepsy has nothing to do with curses, possession, or other supernatural processes, such as punishment for past sins. Like asthma, diabetes, and high blood pressure, epilepsy is a medical problem.

Myth: Epilepsy should be a barrier to success.
Fact:
Epilepsy is perfectly compatible with a normal, happy, and full life. The person's quality of life, however, may be affected by the frequency and severity of the seizures, the effects of medications, reactions of onlookers to seizures, and other disorders that are often associated with or caused by epilepsy.

Some types of epilepsy are harder to control than others. Living successfully with epilepsy requires a positive outlook, a supportive environment, and good medical care. Coping with the reaction of other people to the disorder can be the most difficult part of living with epilepsy.

Acquiring a positive outlook may be easier said than done, especially for those who have grown up with insecurity and fear. Instilling a strong sense of self-esteem in children is important. Many children with long-term, ongoingic illnesses—not only epilepsy but also disorders such as asthma or diabetes—have low self-esteem. This may be caused in part by the reactions of others and in part by parental concern that fosters dependence and insecurity. Children develop strong self-esteem and independence through praise for their accomplishments and emphasis on their potential abilities.

Famous people with epilepsy include Julius Caesar, Socrates, Alexander the Great, Tchaikovsky, Van Gogh, Dostoyevski, Dickens, Dante, da Vinci, Mozart and Alfred Nobel.

Source: epilepsy.com

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Autism - Myths and Facts

"If you've heard the stories about autism..."

Myth: "Autism or ASD is the result of bad parenting."
Fact: Although autism is a recognized mental disorder it is still badly understood by the majority of people. Despite the fact that the causes of autism aren't fully understood, it is clear that a strong genetic basis may be involved. The condition on the increase and occurs all over the world. Autism occurs in one in 250 babies and four out of five children with autism or ASD are boys. Autistic spectrum disorder affects more children than cancer, cystic fibrosis and multiple sclerosis combined.

Myth: "All children with autism have learning problems"
Fact: Autism manifests in different ways in different people. The disorder's symptoms can vary significantly and although some children have severe learning problems, others are very intelligent and can cope extremely well with difficult learning materials and often do well in subjects such as maths. Children with Asperger's syndrome for instance, often do well at school and develop into independent adults.

Myth: "Autism is the result of childhood vaccination."
Fact: Between 2000 and 2001, three expert reviews unanimously concluded that the data that were available at the time of these claims did not support this association. A large-scale study in 2002 also reported no association. Expert review panels also reached similar conclusions with regard to thimerosal exposure or the mercury-containing preservative used in childhood vaccines, although fewer data are available.

Myth:"Children with autism need special foods."
Fact: It is true that many children with autism suffer from intolerance to certain foods such as dairy products or foods containing gluten. Other foods, such as sweets or foods containing lots of sugar or acids, may affect the child's behaviour. It is important to discuss nutrition with healthcare professionals, as altering your child's diet may improve your child's wellbeing and behaviour.

Myth: "Children with autism can't go to school as they behave badly."
Fact: Provided suitable programmes are developed for a child with autism, it is often possible for a child with autism to function in a classroom as their behaviour can be improved. In some cases children can even cope in conventional schools. On the whole children with autism will benefit tremendously from being integrated in classroom life. Only the severest cases won't be able to cope in a classroom setting or their behaviour may be harmful to other children.

Myth: "It's simple; once a child with autism is prescribed medication, it will be cured."
Fact: To date there is no treatment that cures autism and medication is only prescribed to treat a number of the associated symptoms of autism. Medication will also be prescribed if the child suffers from other mental disorders. However, the best outcome will be achieved when a developmental programme is developed that focuses on the child's strengths and weaknesses and that is complemented by medication where symptoms can't be treated with psychotherapy and developmental programmes alone. To date not much scientific research is available to demonstrate the benefits of medication in children with autism. Parents and caregivers should be closely involved in the decision to use medication.

Myth: "It's just a phase, he'll grow out of it."
Fact: Children with autism will never be cured. However, many children with milder forms of autism such as Asperger syndrome will be able to end up living independent lives provided they have been given appropriate support and education. Other children with more severe forms of autism will always require help and support and won't be able to live fully independent lives. This causes considerable worry to parents, especially when they realize that they might not be around to support their child throughout adult life. It is important that you discuss this with your local support teams as an appropriate solution will need to be found for your child if s/he won't be able to live an independent life in adulthood."

Myth: "Autism never occurs more than once in a family."
Fact: Although no exact cause is known for autism, there are clear indicators that genetic factors play a role. Studies have revealed that autism is likely to affect both identical twins or that siblings of a child with autism are at an increased risk of having autism.

Myth: "My child has autism. I can cope by myself and don't need any help."
Fact: Dealing with an autistic child poses a very heavy burden on parents and the rest of the family. Left untreated, your child's condition is likely to worsen and it is important to seek a diagnosis as early as possible. This will improve your child's outcome as the right programme can be developed for your child. Your child's wellbeing will improve and you will get the support you need to deal with your child at home as well as get quality time with the rest of the family and the other children. Trying to deal with your child on your own will not only deteriorate your child's wellbeing, but your life and that of the rest of the family will become increasingly stressful and get out of control. Seeking help and having your child diagnosed will improve the wellbeing of the whole family and ensure that the necessary support is available when required.


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Tea - Best Teas Come from Asia

Tea is produced in over thirty countries around the world, though the finest comes from just five: India, Sri Lanka, China, Taiwan and Japan. Home to most of the world's tea drinkers, these countries continue to pay much attention to how tea is grown and processed. In many, tea continues to be produced by hand in accordance with age-old traditions.

China
is the birthplace of tea and continues to produce more intricate varieties than any other country. Prior to WWII, nearly half the world's output originated here, but now it accounts for less than ten percent, and has fallen into second place, behind India. Green teas account for almost two-third of Chinese crop. The relatively short tea season is divided into three pickings: 'first spring' in April when the delicate leaf buds appear, 'second spring' in early June when the bushes are full, and the less interesting 'third spring' in July. The most famous Chinese teas are Keemun, (black), Dragonwell (green) and Ti Kuan Yin (oolong).

India
is the world's largest tea producer, accounting for about a third of the world's total. However, the size of its population, and the latter's large appetite for tea, means that only about half of it is available for export. Famous growing regions include Darjeeling, Assam and Nilgiri, and they produce nearly all black tea. Tea continues to be cultivated on small family plots, which number close to forty thousand.

Sri Lanka
often called Ceylon - its old colonial name, is the third largest producer of tea in the world. It is a relative newcomer, growing tea for little over one hundred years. The three famous growing regions are Dimbula, Uva and Nuwara Eliya. Most of the Ceylon tea gardens are situated at elevations between 3,000 and 8,000 feet, where the hot and steamy weather makes the tea bushes flush every seven to eight days. The teas are generally classified by altitude; higher-grown generally regarded as superior.

Japan
is a sizeable producer of almost exclusively green tea. However, because it is a nation of many (and voracious) tea drinkers, only about 2 percent of Japan's crop is available for export. The most famous of teas to escape are Sencha, Genmai Cha and Gyokuro. Japan's role in the world of tea, however, is disproportionate to the size of its crop. Tea plays a very import role in this country's art, philosophy, history and daily life. World famous is its spiritual dedication to the esthetics of tea, known as the Japanese Tea Ceremony.

Taiwan
is often called Formosa, a name given it by Portuguese traders, meaning "beautiful island." The bulk of the tea produced here is oolong, a cross between black and green. In the early years of its economic growth, much of Taiwan's tea was exported. However, recent economic prosperity had produced a local population with a taste for what many consider to be the world's finest oolongs. Presently, only about two percent of the island's famous teas are exported. These fall into three categories: dark oolongs, jade oolongs, and the almost-green pouchong tea.

Source: adagio.com

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Caffeine and Pregnancy

Now that you are pregnant, it is important to ensure that both you and your baby stay strong and healthy. Though it may be difficult, this is the time to give up all those bad habits, like smoking and alcohol consumption. It is also a good idea to give up food or beverages that contain caffeine. Though you may be hesitant to give up your morning cup of coffee, caffeine has been associated with a number of prenatal risks. When consumed in high doses, caffeine has even been linked with increased rates of miscarriage.

What is Caffeine?
Though many of us don�t realize it, caffeine is actually a drug, much like nicotine and alcohol. It is also addictive, which is why so many people crave their coffee and cola! Caffeine, also known as guareine and mateine, is a naturally-occurring substance found in a number of plants, beans, and seeds. It acts as a stimulant on our central nervous system, and is absorbed into our bloodstream just 15 minutes after intake. When absorbed in large quantities, caffeine can cause a number of adverse physical reactions.

Where is Caffeine Found?
Though most of us associate caffeine with tea and coffee, it is also found in a number of other foods and beverages, including:
* colas
* hot chocolate
* chocolate
* various nuts

Caffeine is also found in certain medications, particularly those for migraine headaches, and in some dietary supplements.

What are the Effects of Caffeine?
If you notice yourself feeling jittery after you have has a lot of coffee or tea, there�s a good reason for it. Caffeine can cause a number of physical side effects, including:
* increased heart rate
* increased blood pressure
* increased sweat production

Caffeine also acts as a diuretic. This means that it causes you to lose fluid from your body, which can leave you dehydrated and fatigued. If your body absorbs too much caffeine, it is possible to go into "caffeine overdose," which causes symptoms of nausea and lightheadedness, as well as respiratory problems.

Effects of Caffeine on Your Baby
Caffeine is thought to pose certain risks during pregnancy. Though researchers debate how much caffeine is acceptable during pregnancy, there is evidence to suggest than any amount will cause some physical effects on your little one. This is because caffeine passes through your placenta and is absorbed by your baby. Adults are able to break down caffeine fairly quickly, thanks to chemicals inside of our body. However, your developing baby can�t do this as efficiently. This means that caffeine will be stored inside of his blood for longer periods of time, and could reach dangerously high levels.

Caffeine also affects other aspects of your baby�s health. It is known to increase your baby�s heart rate and may affect how much he moves in utero. Because caffeine is a diuretic, it can also affect the nutrition your baby receives from you. Caffeine intake may cause you to absorb less iron and calcium from foods, a possible detriment to your baby�s overall fetal development.

Coffee and Miscarriage
Recent studies have focused on the effects of coffee intake during pregnancy. A large-scale Danish study polled more than 80,000 pregnant women regarding their coffee intake. This study found that women who drank large amounts of coffee during pregnancy were more likely to experience a miscarriage. Women who drank more than 2 cups of coffee a day had a slightly increased risk of miscarriage, while those that drank 8 or more cups experienced a 59% increase. This is why it is so important to watch your caffeine intake during pregnancy.

Interestingly, this Danish study found that this considerably greater risk of miscarriage was specific to coffee. Other caffeinated beverages and foods did not present the same significant increase, leading researchers to believe that other chemicals contained in coffee could possibly play a role in causing miscarriage.

How Much Caffeine is Too Much?
Most health care providers suggest eliminating all caffeinated foods and beverages from your pregnancy diet. Yet, some pregnant women find this especially difficult, particularly because so many food items contain small amounts of caffeine. If you are finding it hard to eliminate all caffeine from your diet, one caffeinated beverage or food item once in awhile probably won�t make much difference to your baby�s health. However, it is important to realize that caffeine does pose a risk to your little one, especially in large amounts, so work to reduce that caffeine intake.

Tips on Reducing Caffeine Intake
Just as quitting smoking and drinking can be difficult, it can also be hard to eliminate caffeine from your daily diet. After all, caffeine is an addictive drug. Here are some tips on how to reduce your caffeine intake and ensure that you and your baby stay healthy throughout your pregnancy.

* Cut back on your caffeine intake slowly. Going cold turkey can cause you to experience withdrawal symptoms, like headaches and nausea.
* Try replacing your caffeinated beverages with non-caffeinated ones, like decaf coffee.
* Exercise regularly to help combat any withdrawal symptoms and to stay energized.
* Stay hydrated. Drinking lots of water will help you manage cravings and fatigue.


Source: epigee.org

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Caffeine

People throughout Asia have enjoyed foods and beverages containing caffeine for thousands of years. Whether green, black or oolong, tea has been savoured in Asia for almost 5,000 years. Coffee, a relative newcomer discovered some 1,000 years ago, continues to bring people together in the coffee houses and cybercafes springing up across the region. Over the last hundred years, cola drinks, ready-to-drink tea and coffee beverages and a new crop of "energy drinks" have steadily gained in popularity.

All these beverages have a common ingredient - caffeine. Although products containing caffeine have been enjoyed all over the world for centuries, there are still many misperceptions about this common food component. Food Facts Asia looks at some of the more common myths regarding caffeine.

MYTH: Caffeine's effects are addictive.
FACT: People often say they are "addicted" to caffeine in much the same way they say they are "addicted" to shopping, working or television. The term "addiction" actually refers to a strong dependence on a drug characterised by severe withdrawal symptoms, tolerance to a given dose and the loss of control or the need to consume more and more of the substance at any cost. Addicts tend to exhibit anti-social behaviour or even commit crimes to perpetuate the abuse. Consumers of caffeine-containing beverages do not fall into this category. The Diagnostic and Statistical Manual for Mental Disorders (1994), a document that characterises various addictions, does not list caffeine as a substance that causes addiction. According to the World Health Organization, "There is no evidence whatsoever that caffeine use has even remotely comparable physical and social consequences which are associated with serious drugs of abuse."

MYTH: Pregnant women should avoid caffeine.
FACT: Just as with nearly everything else they do, pregnant women can take caffeine in moderation. Many women find they experience taste changes during pregnancy and cannot drink tea or coffee. For those who continue to enjoy their tea and coffee, most physicians and researchers agree that moderate amounts of coffee daily will have no adverse effects on the outcome of the pregnancy or the infant's health.

MYTH: Caffeine is a risk factor for osteoporosis.
FACT: The established risk factors for osteoporosis are insufficient dietary calcium and vitamin D, high protein diets, smoking, the onset of menopause, low oestrogen levels, low body weight and a lack of physical activity. Several well-controlled studies have concluded that consuming moderate amounts of caffeine does not increase the risk of developing osteoporosis. A 1994 National Institute of Health Consensus Statement on optimal bone health does not list caffeine amongst the risk factors which modify calcium balance and influence bone mass. A study by Penn State Medical School found that lifetime consumption of caffeine (up to 800 mg daily or the equivalent of 6-7 cups of coffee a day) had no effect on bone density in 188 post-menopausal women.

Nevertheless, caffeine does cause a small amount of calcium to be lost in the urine about the amount in one to two tablespoons of milk per cup of tea or coffee. For this reason, nutritionists recommend that women take their coffee with added milk, drink one extra glass of milk daily or take a calcium supplement if they are heavy coffee drinkers (over 5 cups of coffee daily).

MYTH: Caffeine increases the risk of heart disease.
FACT: Despite previous controversy on the subject, scientists now agree that regular caffeine use has little or no effect on blood pressure, cholesterol levels or risk of heart disease.

Studies show that while first-time caffeine use can cause a slight increase in blood pressure (similar to that experienced when walking up stairs), the changes are minimal and disappear with regular use.

It has also been found that only boiled, unfiltered coffee, such as that taken in some Scandinavian countries, elevates cholesterol. It seems the oils in the coffee that are not filtered out are responsible for this effect, not the coffee or caffeine. Consumption of caffeine-containing beverages does not typically affect cholesterol levels.

MYTH: Caffeine causes cancer.
FACT: Substantial scientific evidence demonstrates that caffeine is not a risk factor for cancer. A number of human epidemiological studies have examined the risk of developing cancer at different locations in the body. Two studies of large numbers of people in Norway and Hawaii found no relationship between regular coffee consumption and cancer risk. Two projects conducted on caffeine - one in Japan and the other in Germany - demonstrated no link between caffeine consumption and the incidence of tumours in test animals. This confirms the position of the American Cancer Society, that states, "Available information does not suggest a recommendation against the moderate use of coffee. There is no indication that caffeine, a natural component of both coffee and tea, is a risk factor in human cancer."

MYTH: Caffeine adversely affects the health of children.
FACT: Children generally consume much less caffeine than adults do, since soft drinks and tea are their primary sources of caffeine. Children generally have the same ability to process caffeine as adults. Studies have shown that foods and drinks containing caffeine, when taken in moderate amounts, have no detectable effects on activity levels or attention spans in children.

MYTH: Caffeine has no health benefits.
FACT: Recent research has found some surprising health benefits associated with caffeine consumption. Many caffeine-containing beverages, most notably tea and more recently coffee, have been found to contain antioxidants. Antioxidants may have health benefits in terms of heart health and cancer prevention.

Caffeine is well recognised as increasing both alertness levels and attention spans. A cup of coffee or tea is often recommended to counter sleepiness, especially for those driving long distances and many people resort to an afternoon "cuppa" to get back on top of their workload.

Recent reports suggest that caffeine may be useful in treating allergic reactions due to its ability to reduce the concentration of histamines, the typical body response to an allergy-causing substance. More research is needed in this area before conclusions can be drawn. Caffeine has long been known to help many people suffering from asthma.

There is also evidence to suggest that caffeine may reduce the risk of kidney stones.

source: afic.org

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