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Archive for July, 2011

HIV: PRACTICAL MATTERS-PUTTING YOUR AFFAIRS IN ORDER: DURABLE FINANCIAL POWER OF ATTORNEY

Posted under HIV

Much of what applies to the durable power of attorney for health care also applies to a durable financial power of attorney. One difference between the two is in the responsibilities held by the person with the durable power of attorney.     The person with durable financial power of attorney for you can pursue anything to do with business or banking, including signing checks, opening bank accounts, signing promissory notes, selling property, transferring property, signing proxies, or pursuing lawsuits. The durable financial power of attorney can be limited to any one of these jobs or can include all of them.     As with the durable power of attorney for health care, the durable financial power of attorney is in effect only if two physicians declare you incompetent—that is, incapable of understanding and communicating. It continues in effect only so long as you remain incompetent.*216\191\2*

REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: EATING FOR BETTER HEALTH – PRINCIPLES OF WEIGHT CONTROL

Posted under Cardio & Blood-Cholesterol

Perhaps it seems odd to think that the problem of being overweight is having too much energy, but that is a fact. Stored body fat (adipose tissue) is potential energy. The only way your body will use this stared energy is if you “burn” more energy than you take in.  By limiting calorie intake and increasing energy use through activity, your body will have to draw from some of its stored body fat meet your energy needs.If you need to lose weight, a slow and steady approach is safest and more likely to be permanent. One rule of thumb for losing about a pound a week is to reduce 500 calories a day. A combination of cutting back on your calorie intake and increasing the number of calories you “burn” through exercise is an ideal way to achieve a 500 calorie deficit. It is not a good idea to consume fewer than 1,400 calories without your doctor’s advice, because it is d to get the nutrition you need with limited quantities of food. Also, weight loss may be too rapid in some people eating fewer than 1,400 calories Once you are satisfied with weight, your goal will be to ma it by having your calorie intake evenly balance the calories you “burn.’By concentrating more on calorie balance than on pounds preparing yourself at the outset for one aspect of weight loss which is distressing to a lot of people. It is discouraging when you step on the scale after making an honest effort at restricting r calories and increasing activity level, only to find that there has been negligible loss of weight. In reality, this may  be a sign that you are doing it right! Indeed, what is occurring is that depots are being used up, but because of exercise you are adding muscle. Weight loss will occur if the negative calorie balance is sustained, but key word will be “consistency.”The need for a sustained, consistent program of negative calorie balance followed by lifelong even-calorie balance means that the program has to mesh with the realities of your daily life. There is little to be gained by a  heroic 6-week diet and exercise regimen (even if it is a nutritionally sound one, as opposed to a “crash diet”) if  it is so inconvenient that afterward you must eliminate it simply to get on with your life. Rather, apply the same philosophy that works for controlling your cholesterol: incorporate calorie consciousness into your daily life without letting it dominate your life. This approach will give you a head start in ensuring that the dietary principles you learn will become second nature to you.*286\252\8*

REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: DOES REDUCING CHOLESTEROL REDUCE RISK?

Posted under Cardio & Blood-Cholesterol

It is one thing to observe that people with relatively low cholesterol levels have less chance of getting coronary artery disease, but it is another to conclude that if you lower your cholesterol level you will also lower your risk. What if having a high cholesterol level was just a signal that you are at risk of coronary disease but the cholesterol was not actually the cause of that risk that case, there would be very little point in doing anything to lower your cholesterol level. As a matter of fact, it has taken a great deal of effort and expense to perform studies that address that very point, but the answer now is convincing that there is a role for reducing your cholesterol level. ——Several studies have shown a reduction in the occurrence of coronary disease by one-third to one-half in people who lower their cholesterol levels by diet or medications. In generally if your cholesterol level is high or moderately high and you lower it by 10 percent, you will lower your risk of coronary artery disease by abour~2T) percent. Most of these studies have also indicated that higher levels of HDL cholesterol also confer a lower risk of coronary disease. Additional research trials also indicate that a reduction of coronary disease by lowering cholesterol translates into an actual decline in deaths due to heart disease—a very important bottom line!*245\252\8*