Tag: Body

  • Health Anxiety and Solutions

    Health Anxiety and Solutions

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    It's always important to take care of oneself using all the principles of good health. Regular check-ups, proper nutrition and healthful living all enable one to keep on top of their health in a careful yet reasonable way. Often one becomes overly concerned with health issues and caught up in a cycle of health worries. One health issue is reconciled when another immediately pops up to take its place. These worries become all encompassing and exhausting after a while.

    Eventually, the individual realizes that this cycle of health anxieties has intruded upon the quality of their life. A dark cloud, always hovering over daily living, this intrusive form of anxiety has to be addressed. One begins by determining why this is occurring, what purpose does it serve and how to interrupt this behavior.

    Reason for Health Anxiety

    Health worries actually serve a purpose and this purpose is not difficult to detect if one looks deep enough into this pattern of behavior. Often this pattern involves the brain distracting from specific emotions which the individual finds difficult to address.

    Many emotions are so overwhelming, such as anger, grief or fear, that the brain looks for ways to distract. Health worries fit the bill because when one worries intensely about their health, there is little room to address an upsetting emotion.

    Health worries blanket every other thought and this WORKS. This is the perfect distraction from unsettling emotions. When one worry is reconciled, another takes it place to veil the unaddressed emotion. Each health worry has a strong purpose, as it masks the true upsetting emotion, which is much more difficult to face in the long run.

    Solution

    – Recognition and acknowledgment of the Health Anxiety habit, one worry quickly following another in a noticeable loop that never ends. Awareness of this cycle is always the first step to reconciliation of the issue.

    – Determining if this health worry is a true physical problem by visiting one's primary physician and ruling out a definite physical cause for the difficulty. Always rule out a physical cause before assuming it is merely health anxiety.

    – Noticing that these health worries settle down when you become intensely interested in another topic or swept into a new relationship, job or cause.

    – Identify your patterns. Do you experience twinges of symptoms that often jump from one area of ​​the body to another? Do you find yourself overestimating physical intrusions and instantly jump to the conclusion that they signify danger or warrant the attention of an alert?

    – Find interests that involve your entire being. Lose yourself in things that allow you little time for inward thinking. True illness does not surface through boredom as do these behaviors. True health problems do not generally follow the same time table as health anxieties do. Health worries are stronger during times of boredom and when one lacks interests. An intelligent mind requires challenges and goals.

    – Activity is an important therapeutic tool against health worries. Exercise and movement invigorate and stimulate the mind and body in a positive way. Endorphins are released and Serotonin levels are boosted naturally when activity is a part of a daily routine. Moderate walking, jogging, tennis, swimming and dancing are all helpful activities that bring forth positive results.

    – Nutrition is also essential to good health which in itself helps eliminate the strong habit of negative thinking, often concerning health worries. When eating properly, Serotonin levels are naturally boosted and blood sugar levels remain stable. This helps settle down an over-reactive mind, leading to a lessening in health anxieties.

    – Talk back to the brain by firmly telling it to stop when health worries enter the mind. Shift into a more positive mode of thinking because you always have a choice in what you think about.

    The mind will respond by quieting down as negative thoughts subside. The brain, caught red handed in this behavior is instantly embarrassed causing it to suspend this cycle of negative thought. This is comparative to a child being caught with his hand in the cookie jar. Embarrassment at being caught, stops this intrusive behavior.

    – Be aware of "what if" thinking. If the majority of sentences you think begin with "what if" then this is proof of a strong health anxiety habit. Change "what if" thinking to "so what" and watch the cycle break.

    Most of all, understand that worry solves nothing. Health worries, in particular will only serve to exhaust and deplete both mind and body. Consciously make a concerted effort to change the way you think and you will succeed in changing your life. You will go from self victimization to freedom from the intrusive habit of fearful worry.

    You always have a choice. Life can be wonderful and fulfilling when you learn to alter your perspective and chose a more positive point of view. You always have a choice. Never define yourself by your habit of worried thinking. Do not be victimized by health anxiety and fear. With a few simple corrections, especially in thinking, you will find your life changes from being difficult and upsetting to becoming easier and much more fulfilling on a daily basis.

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    Source by Dr.

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  • Can Emotional Pain Build-Up If Someone Doesn’t Have A Strong Connection With Their Body?

    Can Emotional Pain Build-Up If Someone Doesn’t Have A Strong Connection With Their Body?

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    After someone has experienced loss, they could end up experiencing emotional pain. When it comes to how severe this pain is, it can all depend on who has passed on.

    So, if a family member has passed on, the amount of pain that they are in could be unbearable. Through being in so much pain, one could reach out for the support of family and friends.

    Additional Help

    This might not be enough, though, and one might end up reaching out for professional assistance. Perhaps their friends and their family are unable to be there for them on a regular basis.

    It could be said that this is just part of life as these people are going to have their own responsibilities to deal with. There is also the chance that these people are also in a lot of pain and haven’t always got the energy to be there for them.

    The Sensible Approach

    The main thing here is that one will be embracing how they feel, and this will allow them to gradually embrace life once again. This doesn’t mean that they will ever ‘get over’ what took place; what it means is that they won’t stay stuck in this emotional place forever.

    Additionally, one may also allow themselves to cry when they need to or during certain times. What this will illustrate is that one has a healthy relationship with the emotional part of their being.

    Just One Example

    If this is the case, it is going to be normal for them to embrace how they feel. Therefore, regardless of whether someone passes on, a relationship comes to an end, or something else takes place that has an impact on them, they will go with how they feel.

    It is not going to be an issue for them to cry or to get angry, for instance, which may generally stop too much emotional pain from building-up inside their body. This is going to allow them to operate as whole human being.

    Two Sides

    Of course, there will be times when facing how they feel will be hard, even overwhelming, but it will be worth it. The reason for this is that having a good connection with their feelings will benefit their life in a myriad of ways.

    For one thing, it will give them the ability to form deeper connections with others, and this wouldn’t be possible if they were emotionally disconnected. Also, their feelings will give them the guidance that they need to live a fulfilling.

    A Different Experience

    For someone else, it could be normal for them to deny how they feel after they have experienced loss. It is then not going to matter what kind of loss takes place as they will respond in the same way.

    Through taking this approach, they may believe that the emotional pain they were in has simply disappeared. Yet, although it may seem as though is the case, this couldn’t be further from the truth.

    Disconnected

    In reality, their mind will have lost touch with their body and this part of them will still be carrying their feelings. However, as their point of awareness is generally in their head, this is unlikely to occur to them.

    To maintain the illusion that they have created, it will be vital for them to do what they can to stay out of their body. If this doesn’t take place and they were to get back in there, they would end up being overwhelmed by emotional pain.

    Twp Parts

    Living on the surface of themselves may allow them to be successful when it comes to their career, for instance, but it unlikely that they will be able to experience intimacy or to live a life that is deeply fulfilling. It could also be a real challenge for them to relax and to just be; if they were to settle down, all the pain that is inside them could start to rise up.

    Being on the go just about all of the time, acting like a ‘human doing’ as opposed to a ‘human being’, will be a way for them to avoid themselves. Nonetheless, this kind of behaviour is often seen as a sign that someone is ‘driven’ or has ‘high self-esteem’, so very few people are likely to realise that something isn’t right.

    What’s going on?

    If someone has the tendency to avoid how they feel as an adult and to live in their head, this could be something that has taken place for as long as they can remember. Perhaps, their early years were a time when they didn’t receive the attunement that they needed to develop in the right way.

    As a result of this, leaving their body and getting into their head would have been the only way for them to stop themselves from being overwhelmed. The years will then have passed, but staying out of their body will still be a way for them to stop themselves from being taken out by how they feel.

    A Build-Up

    Their body can then carry the emotional pain that they avoided as a child and it can carry all of the pain that they have avoided as an adult. The longer they avoid themselves in this way, the more pain there will be.

    With this is mind, the sooner that they face this pain the better it will be. Facing this pain is what will allow them to not just look whole on the outside, but to feel whole on the inside.

    ​

    Awareness

    If one can relate to this, and they want to change their life, they will most likely need to reach out for external support. This can be provided by the assistance of a therapist or a healer.

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    Source by Oliver JR Cooper

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  • The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale

    The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale

    Lawyers
    Lawyers

    “Those who make peaceful revolution impossible will make violent revolution inevitable.”
                                                   – President John F. Kennedy (1962)

    This week may be one of the worst weeks for Nigerian judiciary and they might have made the much vaunted Sowore’s revolution inevitable. The first salvo was the list of judges released by the National Judicial Council replete with the names of their sons and daughters as well as hangers on. Second is the farcical decision in EFCC vs Kalu where the Supreme Court “suo motu” created a new section to the constitution of Nigeria by vacating a conviction duly given under an extant law. The strange rationale by the Supreme Court is that the presiding judge, now elevated to the Court of Appeal should not have pronounced the sentence. The Court conveniently ignored the fact that the accused counsel had invited the judge to come back and continue the hearing by a formal letter!

    Gone are the days when Nigerian judiciary is famously celebrated as the last bastion of defense for the common man. The days of Kayode Esho, Chukwudifu Oputa, Muhammed Uwais is long gone. Our judiciary is no more like Caesar’s wife, above board. The problem however is not necessarily down to the hydra headed monster of corruption alone but a more sinister evil called, nepotism. It is my humble opinion that an opaque process for selection of judges led us to where we found ourselves this week. And the problem did not start with the current chief justice. The dysfunction and bastardization have been long in coming, and as we will find out in this piece, the cancer has eaten deep into the fabric of this nation. The revolution is inevitable. 

    The Sorry State Of Nigeria’s Judiciary Among Others Makes The Battle Cry For A Revolution Inevitable By Francis Adewale 1Lawyers


    What precipitate this write up is a social media post by a good friend of mine and I obtained his permission to repost his comment with my personal edits:
    “It took Orji Kalu only 4 months including Covid lockdown challenge to move from the High Court to Supreme Court to get his so called sound judgment from Supreme Court while it took ten years to get his case completed at the High Court level. Ten good years! And we are told justice in Nigeria is not cash and carry? The Supreme Court is preparing the ground for a revolution and very soon something extraordinary will take place. The same Supreme Court that will give 2021 and 2022 court date for poor defendants, sat and summarily decide a case within 4 months while cases of those facing a life sentence languish in the labyrinth of jungle justice!”

    My first response to the post, is to retort that the problem did not start with judiciary, but they seem to have led the “nunc dimitis” for the internment of democracy in Nigeria. The judiciary may have pushed us to the praecipe but they were not the only one. We all recalled the impunity days of PDP rule and how they ride roughshod on people’s right, celebrating acquisition of jets obtained from corrupt practices while hordes of masses suffer the indignity of scrapping for foods from the gutter. Towards the end of that era, we all thought, if we can just get a man of integrity into Aso Rock, someone who will brook no atom of corruption, we will change the country. The election of 2015 seems to have lulled Nigerians into thinking that all we need is someone or a duo with integrity, so we elect Buhari and Osinbajo, a puritan and a pastor and went home satiated. What we were not prepared for or more appositely choose to ignore is the fact that the vehicle that brought them into governance is none other than the decrepit system that PDP used to feather their nest. In the first 4 years, we were told that the problem is with the National Assembly where the legistlooters shifted their control of the vortex of power in Abuja, opposing every anti-corruption moves of the executives. Then come the last election where the ruling party now controls the executive and legislative arm, but corruption runs through the gamut of the judiciary and Aso Rock looks the other way while nepotism festers in its rank.

    It is as if the cancer has completely swallowed up the entire fabric of the nation. Cases involving the poor dragged on for years while those who can afford senior advocate can get quick justice. Many warned that this will sound the death knell of democracy in Nigeria. Every attempt to even build on free and fair election has been truncated by the judiciary. What with the recent confounding judgment from Imo and Bayelsa. Our two gargantuan political parties now owned our judiciary lock, stock and barrel. They sit in smoke filled rooms to determine who will be governors, legislators and judges, and those who will play ball are readily appointed as pawns in the chest board of the Nigerian ruling class, wives, nephews, cousins, sons and daughters are made judges and senior advocates overnight without recourse to any modicum of meritocracy. A friend of mine recently quipped that the problem of nepotism is not just that it defeats meritocracy and breeds mediocrity but that it infects the entire body politics and renders it comatose. Corruption can be traced, and ill-gotten wealth recovered but nepotism is more sinister. Those who obtain position of power and authority through nepotism hold fealty only to their masters who appointed them. Such appointee will readily twist the constitution, made up section that does not exist all at the behest of their “godfather”. It is insidious and evil.

    I graduated from Nigerian Law School 30 years ago, after an excellent stint at Great Ife. My class at Ife, drawn from the north, east, west middle belt and south-south has in its rank some of the best legal minds any country will be proud of. We graduated with high hopes to take on the world and change the land. Few of us found ourselves abroad on scholarship where we flourish and excel. Those in legal practice in Nigeria, either at the federal or state ministry of justice or private practice are the ones my heart bleeds for, especially those without access to members of the National Judicial Council. I have had the privilege to advance my career abroad as an attorney and public defender. I frequently sit on panels that recommend colleagues for appointment as judges in a fair, open and transparent process; something my colleagues in Nigeria could only dream of.

    When I look at the state of Nigerian legal practice my heart bleeds. The career growth of colleagues in the legal profession in Nigeria is stunted not for lack of excellence but influence in the right place. Influence peddling is an art form in Nigeria and politicians used to have the exclusive preserve of selling it to the highest bidder, but our Judicial Council seems to have mastered the art. The problem will not be this pronounced if the sons and daughters they are foisting on Nigerian judiciary are steeped in the Nigerian experience or have a modicum of merit. As many of my colleagues are apt to complain, majority of the recent appointees hardly spend few years in Nigeria. They all went to schools abroad. Totally devoid of the Nigerian experience, and constantly removed from the everyday life Nigerians suffers under. Majority of them lives in the gilded mansions of their forbears in Abuja and other state capitals, where they are rarely touched by the “better angels of our nature” to use the phrase coined by Abraham Lincoln. It is therefore no surprise that they care only for what their “godfather” demand.

    Let me however warns that the biggest mistake we could make is to think that the rot is only in the heart of our judiciary. Think again. Nepotism is next door, next street, next town and everywhere in Nigeria. It rampages through the land, be it North, East or West. Just look at our churches and mosques, who do you see minister or lead the prayers when the founder/visioner is not around? You guess right,  if you say their sons and daughters. Gone are the days when Pa Fadayomi push to have a meritorious doctor of aerodynamics succeed him. Gone are the days when the leader of the faithful in Nigeria is selected by their aptitude in the knowledge of the Quaran. Nowadays, the exit of the leader is the beginning of the reign of the progeny. It has infected our colleges and universities, scholarship and opportunities that used to be available on merit are now exclusive preserve of the vice chancelor’s children and family members. Woe betide the school senate members that dare ask questions. Advertisement for jobs that has already been reserved for the children of the privileged are means to extort money in the form of application fees a la Abba Moro immigration recruitment scheme. A recent recruitment without advertisement at our apex bank reported by Sahara Reporters shows that successful applicants names were picked out of the rolodex of the governor. Commercial Banks staff are not an exemption, they are either recruited based on sex appeal or influential ministers/senators’ “recommendation” which doesn’t come easy for the educated but less privileged applicants.

    A friend concluded an animated discussion on social media on this issue with a distinctively Nigerian resignation: “It is clear that those who do not want things to work properly in Nigeria are more powerful than those who are working towards finding solutions to our problems.” Again, my response is what do we have to lose if we embrace Omoyele Sowore’s revolution, even with its youthful disdain for experience? Especially when our current experienced leadership seems to treat the Nigerian masses with contempt. Look at it this way: They do not need our votes to win election, as they could procure midnight judgment in Abuja a la Bayelsa and Imo. They do not need to legislate to fill any lacunae in our constitutional experience as the Supreme Court proved in Kalu’s case. In fact, as long as oil flows and they have the means to fill their Cayman Island bank accounts, we may as well not exist. Greed and avarice have become the directive principle of Nigerian ruling class. To rescue ourselves from their vice grip, we need revolution now!

    Francis Adewale
    Tioluwanimi@gmail.com

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  • Climate change has already made parts of the world too hot for humans

    Climate change has already made parts of the world too hot for humans

    Global warming has already made parts of the world – including cities in Pakistan and the United Arab Emirates – hotter than the human body can withstand
    Climate change has already made parts of the world too hot for humans
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  • NRD opens all ID-related transactions by appointment during CMCO

    NRD opens all ID-related transactions by appointment during CMCO

    NRD opens all ID-related transactions by appointment during CMCO 2

    PUTRAJAYA: The National Registration Department (NRD) has opened its offices nationwide to assist the public with pending identification document (ID) transaction on an appointment basis.

    In a statement today, the NRD said most of its offices have been operating by appointment since the implementation of the Conditional Movement Control Order (CMCO) on May 4, except the offices located at urban transformation centres (UTC) and in the CMCO areas.

    “This is in line with the government’s announcement. All transactions with the NRD can be done by appointment between 8.30 am and 4 pm. Customers can set their appointments by contacting any of the NRD Customer Service offices nationwide.

    “This appointment-based service is being offered to ensure compliance of the Covid-19 preventive measures, especially in terms of social distancing,” the statement said.

    The statement also said that the NRD will also follow the strict standard operating procedure (SOP) during the CMCO, including taking necessary details of customers and their body temperature, using hand sanitizer and sanitising the counters from time to time.

    It said customers who have secured an appointment are not allowed to bring other people to keep them company during the appointment so as to ensure social distancing and minimise the number of people in the office at any one time.

    For Mykad application involving 12-year-old applicants or a wedding ceremony which requires the attendance of more than one person, they will be advised to come in a minimal number.

    “The public are advised not to walk in to the NRF office without an appointment as service can only be rendered if an appointment slot was vacated. If the transaction is not urgent and can be postponed, they are also advised to come after the MCO is lifted,” it said.

    The government’s announcement that birth registration could be made within 90 days after the end of MCO period without any penalty is still in force, hence no need for the public to rush to register births.

    Further information on the NRD services during the CMCO can be obtained at its website at www.jpn.gov.my or its official social media sites. –Bernama

    NRD opens all ID-related transactions by appointment during CMCO
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  • Labourer found drowned in Lipis river

    Labourer found drowned in Lipis river

    Labourer found drowned in Lipis river 3

    KUANTAN: The body of a labourer suspected to have slipped and fallen into Sungai Jelai in Lipis was found by rescuers today.

    Lipis district police chief Supt Azli Mohd Noor said the body of Asri Sallih, 47, was found at 8.45 am at a spot about eight kilometres from where he had fallen into the river.

    “The incident is believed to have happened when he was at the jetty in Kampung Tanjung Jati at 12.30 pm on Thursday to drain water from his boat,” he said in a statement today.

    His family reported to the police when they failed to locate him at the jetty two hours later.

    Following that, a 39-man party from the Fire and Rescue Department, police and Civil Defence Force launched an operation to search for Asri, he added. –Bernama

    Labourer found drowned in Lipis river
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  • Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem

    Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem

    Indonesia recently completed the last of its annual large-scale treatment for lymphatic filariasis (also known as elephantiasis or Penyakit Kaki Gajah) in Malaka District located in its southernmost province, East Nusa Tenggara. Unprecedented
    progress by the National Lymphatic Filariasis Elimination Programme has strongly placed the country on the path to achieving the elimination of lymphatic filariasis as a public health problem.

    “We reached an estimated number of 40.7 million people living in the 118 high-risk districts during this month-long treatment campaign in October 2019” said Dr Anung Sugihantono, who recently retired as Director General of Diseases
    Prevention and Control, Ministry of Health Indonesia. “
    Single doses of diethylcarbamazine citrate and albendazole facilitated by WHO were delivered to all eligible populations.”

    In 2010, an estimated 125 million Indonesians were still at risk of the disease and required treatment.

    But things changed considerably in 2015 when Indonesia mounted an annual national campaign to resolutely address transmission of the disease and to tackle the morbidity and disability associated with it. The results were apparent as early as 2017, with
    remarkable progress.

    In Indonesia, LF is considered a significant public health concern. In 2009, risk mapping identified a population of 124.5 million people needing treatment for LF. The country initiated a national level LF elimination campaign in 2015, addressing both
    disease prevention and management. 

    “In 2017 and in just two years we managed to achieve 100% geographical coverage of all people requiring treatment” said Dr Sugihantono. “It meant achieving more than 78% epidemiological coverage – much higher than the generally recommended 65% to stop transmission.”

    Transmission of lymphatic filariasis can be stopped through large-scale treatment (or mass drug administration – MDA) of entire at- risk communities with recommended medicines once a year. These medicines kill the microfilariae in an infected patient’s
    blood preventing mosquitoes to transmit1 the disease to others. Through mass treatment, the aim is to reduce the reservoir of microfilariae in the blood to a level insufficient to maintain transmission by the mosquito vector.

    This strategy to interrupt transmission is the corner-stone of the World Health Organization’s (WHO) Global Program to Eliminate Lymphatic Filariasis (GPELF). Indonesia has been using the GPELF’s strategy since 2002 using a district or city
    as its implementation unit.

    In 2005, it listed the elimination of LF as a national priority for controlling infectious diseases and the medicines it has been using in large-scale treatment programmes are diethylcarbamazine citrate (DEC) and albendazole2 which are
    largely distributed by volunteer community health workers3.

    “Community health volunteers are themselves members of the community and know how to reach people effectively to improve compliance” said Dr. Stefanus Bria Seran, the Regent of Malaka District, one of LF endemic district in Indonesia. “Besides ensuring every single person ingests the medicine given to them, these community workers help in disseminating information well before a large-scale treatment campaign and also assist in reporting activities related to each treatment campaign”. 

    Indonesia’s efforts to eliminate lymphatic filariasis began in the 1970s but faced numerous challenges including programme coordination in the many inhabited islands, conducting information, education and awareness programmes, lack of capacity and
    insufficient medicines.

    Furthermore, the situation in Indonesia is unusual than in many other countries endemic for lymphatic filariasis as the country is endemic for all three species of thread-like filarial worms – Brugia malayi, Brugia timori, and Wuchereria bancrofti –
    that cause the disease. Most of the infections in Indonesia, however, are caused by B. malayi.

    In the past, some of the factors that prevented access to the medicines (DEC and albendazole) were social stigmatization linked to the disease, the vast geography of the territory and challenges in reaching remote populations.

    With an estimated population of 242 million, Indonesia is the world’s largest island nation and consists of approximately 17,000 islands, of which 5,000–6,000 are inhabited. It is the fourth most populated nation behind China, India, and the United
    States.

    Indonesia is endemic for many other neglected tropical diseases and an estimated 110 million Indonesians are believed to suffer from at least one neglected tropical disease (NTD), including lymphatic filariasis and soil-transmitted helminth infections.
    Leptospirosis (not classified as NTD) is also widespread.

    Indonesia is the only country of WHO’s South East Asia Region with endemic schistosomiasis. Like many other countries of the Region, it also faces recurrent threats of dengue outbreaks.

    Global progress

    The world has made significant progress towards the elimination of lymphatic filariasis as a public health problem.

    Sixteen countries4 and one territory are now acknowledged by WHO to have achieved elimination of lymphatic filariasis as a public health problem.  

    Seven additional countries have successfully implemented recommended strategies, stopped large-scale treatment and are under surveillance to demonstrate that elimination has been achieved.

    The disease

    Lymphatic filariasis is caused by infection with parasitic worms living in the lymphatic system. The larval stages of the parasite (microfilaria) circulate in the blood and are transmitted from person to person by mosquitoes.

    Infection involves asymptomatic, acute, and chronic conditions. Most infections are asymptomatic, showing no external signs while contributing to transmission of the parasite. Although asymptomatic, these infections still cause damage to the lymphatic
    system and the kidneys and alter the body’s immune system.

    When lymphatic filariasis develops into chronic conditions it leads to lymphoedema (tissue swelling) or elephantiasis (skin/tissue thickening) of limbs and hydrocele (scrotal swelling). Involvement of breasts and genital organs are common.

    Manifestation of the disease after infection takes time and can result in an altered lymphatic system, causing abnormal enlargement of body parts, and leading to severe disability and social stigmatization of those affected.

     


    1Lymphatic filariasis is transmitted by different types of mosquitoes – e.g the Culex mosquito which widespread across urban and semi-urban areas; Anopheles, mainly found in rural areas; and, Aedes, mainly
    in endemic islands in the Pacific.

    2In 2017, WHO recommended an alternative three drug treatment to accelerate the global elimination of lymphatic filariasis. The treatment, known as IDA, involves a combination of ivermectin, diethylcarbamazine citrate and albendazole.
    It is recommended annually in settings where its use is expected to have the greatest impact.

    3Community health workers, also called ‘cadres’, are volunteers who form part of the communities they serve and work with local
    communities to educate families. Their contribution in promoting health has been significant in the country.

    4Cambodia, The Cook Islands, Egypt, Kiribati, Maldives, Marshall Islands, Niue, Palau, Sri Lanka, Thailand, Togo, Tonga, Vanuatu, Viet Nam, Wallis and Futuna, and Yemen

    Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem
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  • Maternal infections in health facilities

    Maternal infections in health facilities

    A clearer picture of the global impact 

    New research from the Global Maternal Sepsis Study (GLOSS), a major WHO/HRP initiative, shows that infection has a much larger impact on global maternal mortality and morbidity than previously thought.

    Logo of the Lancet Global HealthThe
    results from GLOSS, published in The Lancet Global Health, are the first to provide data on frequency of maternal infections and
    sepsis across the pregnancy and post-pregnancy period, in a large number of health facilities around the world. 

    Around 11 women per 1000 live births had an infection which resulted in or contributed to what is known as a severe maternal outcome – either they died or nearly died – during their hospitalization. 

    Urgent improvement is needed to manage this life-threatening risk faced by all pregnant and recently pregnant women, wherever they are in the world. 

    What is maternal sepsis and how does it lead to maternal death?

    Maternal sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs during pregnancy, child-birth, post-abortion or the postpartum period.

    The latest global estimates place sepsis due to obstetric infections as the third most common cause of maternal mortality. However, this only includes infections as a direct result of pregnancy, such as endometritis or post-caesarean wound infections.

    Few
    previous studies include post-abortion infections. Neither do they address indirect infections such as respiratory and meningitis, which are aggravated by pregnancy but not directly caused by it.

    A better understanding of maternal infection

    GLOSS was a massive facility-based data collection effort led by WHO, accompanied by a ‘STOP SEPSIS!’ campaign to increase awareness among healthcare providers.

    The study gathered data on women who were admitted with suspected or confirmed infection during pregnancy or post-pregnancy over a one-week period in 2017. More than 2800 women participated in the study in 52 countries.

    GLOSS included healthcare facilities that care for women during pregnancy, childbirth or at the end of pregnancy, as well as facilities without maternity service but where women could be hospitalized during or after pregnancy, and data on infections
    which are not usually recorded as maternal sepsis, including post-abortion and indirect infections. 

    The result is a more complete understanding of the frequency and impact of maternal infections in health facilities. 

    GLOSS calls attention not only to the wider range of risks faced by pregnant women but also to the long period of time during which they are at risk. 

    Putting global numbers on maternal infection and sepsis

    Overall, around 70 pregnant or recently-pregnant women per 1000 live births were found to have a maternal infection needing hospital management. 

    Across the study, 11 women with either direct or indirect infection per 1000 live births developed a severe maternal outcome, but in low- and middle-income countries up to 15 women per 1000 births were affected.

    Infections were the underlying cause of most of the deaths recorded during the study, primarily post-abortion infection and indirect infections. Infections were also present in about a third of deaths attributed to other causes, such as postpartum
    haemorrhage.

    This suggests that the contribution of infection to global maternal mortality and morbidity may be larger than current reports of maternal sepsis mortality suggest.

    Preventing, identifying and treating maternal infection and sepsis

    Some of the most common maternal infections found in the study, such as urinary tract infections, post-caesarean and post-abortion infections, are largely preventable and treatable.

    GLOSS results suggest that current levels of monitoring and clinical care across health facilities are not enough to prevent, identify and treat levels of maternal infection effectively. 

    For instance, a complete set of vital signs was not reported for a third of the women in the study, on the day their infection was suspected or diagnosed. Delays in antimicrobial therapy were frequent.

    GLOSS also shows marked differences across countries, with the highest burden in low- and middle-income countries, compared with high-income countries.

    This may reflect the impact of broader health determinants in different country contexts. Challenges of overcrowding, limited access to water and sanitation and constraints to safe births by skilled birth attendants can reduce the ability of healthcare
    providers to manage the frequency and outcome of maternal infections.

    An opportunity to implement evidence-based practice

    GLOSS gives healthcare providers, policy-makers, and the public at large an opportunity: to mobilise around these data improve evidence-based practice, and save lives. 

    WHO has produced a number of resources which can support timely action to prevent, diagnose and treat maternal infection, as well as activities such as the upcoming SAVE LIVES: Clean Your Hands campaign
    on 5 May which celebrates the central role played by nurses and midwives in clean health care. 

    In addition, WHO will publish a global sepsis epidemiology report around the 73rd World Health Assembly (WHA) in May, as requested in the
    2017
    WHA Resolution on Improving the prevention, diagnosis and clinical managementof sepsis.

    Understanding why and how infection affects women is essential for equipping healthcare providers with life-saving knowledge and enabling health care systems to bring down global maternal mortality and morbidity.

    Related publications

    WHO recommendations for prevention and treatment of maternal peripartum infections

    WHO Clinical practice handbook for safe abortion

    Global guidelines on the prevention of surgical site infection

    WHO statement on maternal sepsis

    World Health Assembly resolution on Improving the prevention, diagnosis and clinical management of sepsis

    Health Topics

    Antimicrobial resistance

    Infection Prevention and Control

    Water Sanitation Hygiene

    Other links

    Global Maternal Sepsis Study

    SAVE LIVES: Clean Your Hands 5 May 2020

     

     

    Maternal infections in health facilities
    Read More
    https://www.who.int/news-room/detail/27-04-2020-maternal-infections-in-health-facilities

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  • THE FOURTH STORY—BABY ANIMALS AND MAN

    As the days and months glided by, our little girls were greeted one autumn morning by the advent of a little baby brother. Wife had given consent, years gone by, for me to tell the foregoing stories of life; but, only a few months before the above event, she had requested the privilege of telling this last story, as the girls would naturally ask of her how the little fellow came. This she told them, in a way no doubt, better than I could have done.

    In lecturing to multiplied thousands of boys and many hundreds of girls, I have told the stories of life much as I did to my little girls, with this story added.

    Baby animals.—We will now study God’s plan of increase in the higher animals and man. We shall find many striking resemblances and interesting variations between the lower forms of life that we have studied and the higher forms that we shall now study. All along the ascending scale of life we have found male and female organs of sex, possessing male and female natures. We have found that the male organs of sex produce a fertilizing substance called pollen in plants and semen in animals; that the female organs of sex produce seeds in plants and eggs in animals. We have found that every new plant, fish, insect, and bird comes from the union of the pollen with the seed, or the semen with the eggs. This last fact is true of the higher animals and man. We found that the seed of the plants are fertilized in the ovaries of the mother organs; that eggs of fish are fertilized outside of the body of the mother; that the eggs of insects and birds are fertilized inside of the mother’s body. This last plan is also true of the higher animals and man. We found that the seed of plants were sown or planted in the soil; that the eggs of fish were deposited in water; that the eggs of insects and birds were laid in some specially arranged place for them, usually called nests. In the higher animals and man the young starts from a tiny fertilized egg and grows in an organ in the mother’s body, called the womb, until it is strong and old enough to be born.

    The earliest stage of plant life in the little seed is called an embryo. When the seed has been planted and the little embryo appears above ground, it is then a little baby plant. The earliest stage of animal life in the egg of the fish, insect or bird, is an embryo. The mother part of the plant stores up food in the seed and the growing embryo feeds upon this food, until its little roots have grown down into the soil where they can take up food from the soil and the blades or leaves are large enough to receive light and heat from the sun and food from the atmosphere. The mother fish, insect and bird store up food in their eggs for the little embryos to live upon until they are hatched. Among the higher animals and man, the embryo begins with the tiny fertilized egg in the mother’s womb and receives nourishment and life from the mother’s blood through a duct, called the placenta, which is connected with the mother’s womb at one end while the other end connects with the body of the embryo at a point called the navel. In this way the mother furnishes the young with all the air, food, water and life that it gets until it is born. Among the higher animals and man the young when born are very tender and helpless. For several weeks or months they are fed on milk from their mother’s breasts. In higher forms of life the birth of young is attended by greater sacrifice and suffering than in lower forms of life. For months, and in the case of man, for years, the parents must labor and sacrifice to feed, protect and educate them. Birth in the human family is attended by greater suffering and the little baby is more helpless and tender, and for this reason requires more tender care than the young of any other animal. You have observed that in the lower forms of life where the parents do not have to suffer to bring their young into{ the world or labor to provide for them food or shelter that they do not love their young. As we ascend the scale of life in our study, we find that love exists between the parents and young just in proportion as the parents suffer and labor for their young.

    One of the most impressive and effective ways of telling the story of life in man was told by a wise and queenly mother in the following true story. This mother introduces the story by telling how solicitous she became about her little boy when he was about seven or eight years old. He was in the public school where he was likely any day to hear the story of life from some wicked boy. She was anxious that her boy should hear this story first from his mother’s lips.

    How a mother told the story of life to her boy.—In telling the story, the mother said:

    One morning, the opportunity that I had been praying and watching for, came. I observed my little boy playing rather roughly, not cruelly, with the pet cat. Speaking kindly to him, I said, “Son, don’t be rough with the old cat; handle her gently.” “Why, mamma?” he replied. “Son, mamma cannot make the reason clear to you now, but you obey mamma and in about ten days, mamma will tell you a very beautiful story, and, then you will understand.” As those days glided by, with pride I observed the unusual attention and kindness he showed the old cat. One morning, about ten days later, he came running into my presence, perfectly delighted, wonderfully elated, and overflowing with joy, he invited me out the back way to see what he had found. I anticipated his discovery, but I wanted him to have all the pleasure. So, I offered him my hand while he proudly led the way. As we stepped from the back porch, turning he pointed his finger under the floor; I looked, and there was the old mother cat and by her side were four as beautiful little kittens, basking in the sunlight, as the human eye ever saw. He bragged about having found them; called my attention to their color and markings; and claimed two of them as his own.

    We sat down on a rustic seat where we could still see them. We admired their plumpness, color, eyes and playfulness and chatted together about them. At length I said, “Son, do you remember about ten days ago when you were playing rather roughly and I asked you to handle the old cat tenderly?” Promptly he replied; “Yes, mamma, and you promised me that in about ten days you would tell me a beautiful story that would explain why I should handle the old cat kindly. Can you tell me that story this morning?” “Yes, son, mamma is ready to tell you the sweetest and purest story that a mother can tell her son. When mamma asked you to be kind to the old cat, those fourlittle kittens were then in her body. That was why the old cat was larger than she is now. The little kittens were then much smaller and very tender, and, had you been rough with the old cat, you might have injured them; and, then, they might have been born crippled, deformed or dead. When they were born three or four days ago their little eyes were so tender that the full light of the sun would have put out their sight, so they were born with their eyelids closed and glued together. The old cat knew how tender their eyes would be, so three or four days ago she went away back under the dark floor and gave them birth. As they have grown older and their eyes have become stronger, every few hours the old cat has brought them a few feet nearer the light. Meanwhile, their eyelids have gradually opened until they can now look up at the sun as well as you can. If they had been born out in the open, the full light of the sun would have made their tender little eyes very sore or put them out.”

    By this time I saw that my boy was very anxious to ask me a question. I was just as eager for him to ask it. I believed that he was going to ask the very question that my mother heart longed for him to ask; the very question that I believed God wanted my little boy to ask. I paused and looked into his little upturned face. As his deep, true blue eyes met mine, spontaneously, naturally, seriously he enquired, “Mamma, was I once in your body, too?” “Yes, son, you were formed in mamma’s body, in a little nest or home underneath mamma’s heart. You started as a little cell. For two hundred and eighty long days, nine full months, nearly a whole year, you were growing in mamma’s body. Mamma knew that you were there and loved and prayed for you long before you were born. Mamma had to be careful not to meet with an accident lest you might be born crippled, deformed or dead. Mamma had to be cautious about the food she ate, the air she breathed, the water she drank, the exercise she took, all she thought and did; because you were united to mamma by a little cord filled with blood vessels, through which mamma was supplying you from her blood with all the materials necessary for your forming body, mind and soul. In this way you were being influenced by mamma. Mamma was anxious that you might have a healthy and perfect body and grow up to be a smart, good and great man. If mamma had been angry, untruthful or dishonest during these months that you were a part of her, you might have been born with an ugly disposition, tendency to steal or be untruthful. Mamma was very careful about all she thought, said and did during the months you were a part of her body.

    “Mamma knew about the day that you would leave your little home and come into this world. For hours mamma suffered great pain. The faithful doctor was present and did all he could to lessen mamma’s suffering. Papa stood at my side, held my hands in his, often stooped over and kissed my lips, cheeks and brow. As soon as you were born, the air rushed into your lungs and you cried, just as all little babies do when they are born alive. Mamma heard your baby cry and it thrilled her with joy known only to a mother, when she knows that her little baby is alive. But, son, when you were born and for many weeks and months, you were tiny, tender and helpless. No one in this world, and, God could not have found an angel in all of heaven who could have cared for you as well as mamma could. Mamma fed you at her breast, held you in her lap, fondled you in her arms and sung lullabies to you. When you were only a few weeks old you would have the colic. All night long your little body would be racked with pain and mamma would walk the floor with you, rub your little body and sing to you.” By this time my little boy was standing up close by my side, had both arms thrown around my neck, his little lips were kissing my cheek, and tears were rolling down his on to mine. Then he said, “Mamma, I am glad you have told me that story. I love you better now. I did not know that you loved and prayed for me before you ever saw me; that you were so careful that I might be well born; that you had to suffer so much when I was born; and that you cared for me so good when I was so small and when I was sick. This story will help me love you better and I will try never to disobey or tell you a falsehood.”

     

    Do you not see how much better it was for this boy to hear the story of his life from the pure lips of his loving mother, than to hear it first from the lips of some ignorant and wicked boy or man? Well this is the story of your life. You cannot understand now how much your mamma suffered in bringing you into this world. Then, both your father and mother have made many sacrifices for you and are deeply interested in your future. If you should make a shipwreck of life, I am sure that their old days would be spent in grief. How can you repay your parents for all their sacrifices? If you will keep your thoughts, words and actions pure, every time your parents see or think of you, they will be thrilled with joy and appreciation. Will you not now promise yourself and promise God that by His forgiveness of the past, grace and help now and in the future, that you will keep yourself pure? When you have done this will you not go and kiss mamma, and tell her that you love her better than ever before and that you are determined to live up to her prayers and wishes?

    Extract from EBook of Self Knowledge and Guide to Sex Instruction, by T. W. Shannon

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  • PRE-NATAL INFLUENCES

    PRE-NATAL INFLUENCES

    The term “Pre-Natal” of course means “before birth,” and Pre-Natal Influences are those influences exerted upon the child before its birth into the world. The students of Eugenics are vitally interested in the subject of Pre-Natal Influences, as they recognize that therein is to be found the secret of much which will work along the line of “better offspring,” and general race-betterment.

    Pre-Natal Influences (as the term is used in the present consideration of the subject) may be considered as manifesting in three phases, as follows:

    (1) The influence of the physical, mental, and moral “family characteristics” of the parents, transmitted to the child along the lines of heredity.

    (2) The influence of the acquired personal characteristics of the parents (particularly the acquired characteristics which are especially active at and just previous to the time of actual conception), transmitted to the child along the lines of heredity.

    (3) The influence of “maternal impressions” (after conception, and during the period of gestation or pregnancy) transmitted to the child physiologically and psychologically.

    I shall now ask you to proceed with me to a consideration of the various phases of Pre-Natal Influences coming under the above name three general classes, and the principal factors involved therein.

    Heredity in General.

    By “heredity” is meant “the tendency which there is in each animal or plant, in all essential characters, to resemble its parents”; or “the hereditary transmission of physical or psychical characteristics of parents to their offspring.”

    There is a great disagreement among the authorities as to how far the principle of heredity really extends, and the real causes of heredity are in dispute. In the present consideration we shall, of course, pass over the technical phases of the subject, and shall touch only upon the general features and principles involved.

    Shute, in his work entitled “Organic Evolution,” says: “That an offspring always inherits from its parents many of their characteristics is well known; that it always varies, more or less, from them, is also equally well known. Heredity and variation are twin forces that play upon every creature, holding it rigidly true to the parental type or compelling more or less divergence therefrom, according to the strength of the one or other power; so that every creature is the resultant of the activities of these two great parallel forces. Variation is co-extensive with heredity, and every living creature gives evidence of the existence of variations.

    “Mental heredity can be illustrated by studying the genealogies of such persons as Aristotle, Goethe, Darwin, Coleridge, Milton, etc. Probably the Bach family, of Germany, supply one of the best illustrations of the inheritance of intellectual character that we know of. The record of this family begins in 1550, lasting through eight generations to 1800. For about two centuries it gave to the world musicians and singers of high rank. The founder was Weit Bach, a baker of Presburg, who sought recreation from his routine work in song and music. For nearly two hundred years his descendants, who were very numerous in Franconia, Thuringia, and Saxony, retained a musical talent, being all church singers and organists. When the members of the family had become very numerous and widely separated from one another, they decided to meet at a stated place once a year. Often more than a hundred persons—men, women, and children—bearing the name of Bach were thus brought together. This family reunion continued until nearly the middle of the eighteenth century. In this family of musicians, twenty-nine became eminent.

    “Inheritance of moral character is well known. Heredity, in its relation to crime and pauperism, has been thoroughly investigated by Mr. Dugdale in his most instructive little work entitled “The Jukes.” In this work the descendants of one vicious and neglected girl are traced through a large number of generations. It reveals that a large proportion of the descendants of this woman became licentious, for, in the course of six generations, fifty-two percent of the children were illegitimate. It shows also that there were seven times more paupers among the women than among the average women of the state, and nine times more paupers among the male descendants than among the average men of the state. The inheritance of physical peculiarities is so obvious as to need no illustration. Among the ancients the Romans stereotyped its truth by the use of such expressions as ‘the labiones’ or thick-lipped; ‘the nasones,’ or big-nosed; ‘the capitones,’ or big-headed, and ‘the buccones,’ or swollen-cheeked, etc. In more recent times we read of the Austrian lip and the Bourbon nose.”

    But in all considerations of the subject of heredity, one must always remember that the inheritance of physical, mental, and moral characteristics is not alone from the immediate parents, but rather from many ancestors further removed in order and time. Back of each person there is a long line of paternal and maternal ancestors, extending back to the beginning of the race. And in that line there are influences for good and evil, awaiting favorable environment for awakening into new life unless restrained by the will of the individual.

    As Shute says: “There will come a time when the fertilized ovum will have a highly complex nucleus composed of many different ancestral groups of hereditary units. One often hears the expression that a child is a chip of the old block; but this is only a very partial truth, for the child is pre-eminently a composite chip of many old blocks.” And Luther Burbank has well said: “Heredity means much; but what is heredity? Not some hideous ancestral spectre, forever crossing the path of a human being. Heredity is simply the sum of all the environments of all past generations on the responsive ever-moving life-forces.”

    Transmission of Acquired Characteristics.

    One of the great disputes of biology is that concerning the question of whether or not parents may transmit to their offspring their personal “acquired characteristics” as well as those inherited from their line of ancestors. One side of the controversy points to the observed cases of children and grandchildren resembling each other, physically, mentally, and morally, in acquired characteristics; but the other side explains these facts as due to environment rather than to heredity.

    The best authorities seem to favor a middle-view, holding that acquired characteristics may be and are transmitted as “tendencies” in the offspring. Thus as each succeeding generation manifests the acquired tendency, it adds a cumulative force to the family heredity. At the same time they hold that “environment” is needed to “draw out” the inherited “tendency.” For instance, a child born with evil tendencies, and placed in an evil environment, will most likely manifest evil conduct. The same child, if placed in a good environment, will not have the evil tendencies “drawn out” by the environment, and will probably not manifest evil conduct. The same rule applies to the child drawn with good “tendencies.” In short, it is held that heredity and environment tend to balance each other—the “something within” is called out (or not called out) by the “something without.” The life of the individual is held to be a continuous action and reaction between heredity and environment, and both of these elements must be taken into consideration when we think of the subject.

    Shute says: “As influencing a man’s life and character, which is the strongest factor, heredity or environment?” In our opinion, as the result of long study and reading, where we have an average man of a sound mind in a sound body, there environment will be the strongest factor whether for good or evil—that is, in men in general, who have no organic defect, such as insanity or idiocy, and allied affections, the stronger force is environment; but in those having such defect, heredity is the controlling power, and we may add, the destroying power.

    The Eugenic Rule Regarding Heredity.

    It is one of the cardinal principles of Eugenics that those with a bad family history should not become parents. By this it is not meant that the manifestation of undesirable tendencies, physical, mental, and moral, on the part of certain individuals of a family necessarily constitutes a “bad family history.” On the contrary, many of the best families have, from time to time, individuals who manifest undesirable tendencies, and who are in general out of harmony with the general family standard. It is an old axiom that “there is a black sheep in every flock”; and the flock must be measured by its general standard, and not by its exceptional black sheep.

    A “bad family history” is one in which the family has clearly manifested certain undesirable physical, mental, and moral traits in a marked degree, and in a sufficientnumber of instances to establish a standard. Some families have a “bad family history” for inebriety; others for epilepsy; others for licentiousness; others for dishonesty—the history extending over several generations, and including a marked number of individuals in each generation. Individuals of such a family should refrain from bearing children; and if children be born to such the greatest care should be exercised by the parents in the matter of surrounding the child with the environment least calculated to “draw out” the undesirable characteristic. The child has a right to be well born, and to be protected from being brought into the world subjected to the handicap of a “bad family history.” If individuals cannot endow their children with a good family history, they should refrain from bearing children—such is the Eugenic advice on the subject.

    The same rule applies to the question of “acquired characteristics” of the parents—especially those acquired characteristics which are especially active at or just before the time of the contemplated conception. Though the family history of both husband and wife be ever so good, it is held that if one or both of the parents have acquired undesirable and transmissible characteristics, physical, mental, or moral, then the question of bringing children into the world should be carefully considered, and conscientiously decided, after competent authorities have been consulted concerning the case. The prospective child should always be given the benefit of the doubt in such cases. To bring children into the world merely to gratify personal pleasure or pride, regardless of the welfare of the child, is something utterly unworthy of an intelligent and moral human being.

    Fitness for Parenthood.

    In determining the “fitness” for parenthood, on the part of husband and wife, the mental, physical, and moral qualities should all be taken into consideration. Weak or abnormal mentality; chronic immorality or perverted moral sense; or diseased or abnormal physical conditions—these should always be regarded as bars to parenthood. To violate this principle is to deliberately violate the fundamental laws of Nature, as well as those principles which are accepted as representing the best thought and customs of the race. A mental, moral, or physical “pervert” or “defective” is manifestly an “unfit,” considered as a prospective parent. Parenthood on the part of such individuals is not only a crime against society, but always a base injustice perpetrated upon the offspring.

    A very interesting phase of the general subject now before us for consideration is that which touches upon the effect of those particular acquired characteristics which are especially active at the time, or just before the time of conception. The best authorities hold that the influences manifest and active in the prospective father and mother during the period immediately preceding conception will have a marked effect upon the character of the child. The following quotations from authorities on the subject will serve to illustrate this idea.

    Riddell says: “The transient physical, mental and moral conditions of the parents, prior to the initial of life, at the time of inception, do affect offspring.” Dr. Cowan says: “Through the rightly directed wills of the mother and father, preceding and during ante-natal life, the child’s form of body, character of mind, and purity of soul are formed and established. That in its plastic shape, during ante-natal life, like clay in the hand of the potter, it can be molded into absolutely any form of body and soul the parents may knowingly desire.” Newton says: “Numerous facts indicate that offspring may be affected and their tendencies shaped by a great variety of influences, among which moods and influences more or less permanent may be included.”

    Riddell says: “The influence of environmental conditions and pre-natal training are ever evident. Colts from dams that have been under regular training are faster than those from the same mother foaled before she had been trained. The puppies of the trained shepherd dog learn much more rapidly than do those from the untrained animal. No sportsman would think of paying a high price for a puppy, the mother of which was stupid and untrained. The same law applies, only with greater effect, to the human family.” Greer says: “No married couple will desire, design and love a babe into existence without the first requisite—good physical health.” Grant Allen says: “To prepare ourselves for the duties of maternity and paternity by making ourselves as vigorous and healthful as we can be, is a duty we owe to children unborn.” Holbrook says: “It is essential, therefore, that if children are to be well-born, the parents should be careful that at the moment of procreation they are fitted for the performance of so serious an act.” Another authority says: “Generation should be preceded by regeneration.”

    Cowan says: “In the conception of a new life, the mass of mankind observes no law unless it be the law of chance. Out of the licentious or incontinent actions of a husband’s nature, conception after a time is discovered to take place. No preparation of body, mind, or soul is made by either parent. Not more than one child in perhaps ten thousand is brought into the world with the consent and loving desire of its parents. The other nine thousand, nine hundred, and ninety nine children are endowed with the accumulated sins of the parents. Is it any wonder that there is so much sin, sickness, drunkenness, suffering, licentiousness, murder, suicide, and prematuredeath, and so little of purity, chastity, success, goodness, happiness and long life in the world?”

    Preparation for Parenthood.

    The ancient Greeks attached great importance to the mental, moral and physical condition of the parents at the moment of conception, and for a period preceding the same. The Investigations of modern scientists have tended to corroborate the facts upon which the ancient theories were based. Modern science teaches that the life-cells of each parent are impressed with the condition of the respective parents, and retain this impression until they meet and finally coalesce and combine, the combined cell then receiving the result of the original impressions.

    The best authorities on the subject claim that a reasonable time of self-restraint and continence should be observed by the prospective parents before the conception of the child. This contention is borne out by the experience of the breeders of fine horses and cattle, who have discovered that the best offspring are produced when the animals have been restrained from sexual intercourse for a reasonable time; this precaution being particularly observed in the case of the male parent animal. Writers on the subject cite a number of instances to prove that this law maintains in human as well is in animal life. It is claimed that Sir Isaac Newton was conceived after a period of over a year of total sexual abstinence on the part of his parents. Many other celebrated men are said to have been conceived after an absence from home on the part of the father, or a temporary absence from home on the part of the mother. Many physicians are able to cite many similar cases observed in the course of their own experience.

    The prospective parents should endeavor to bring themselves up to a high degree of physical health and well-being. The blood of the mother should be enriched byproper nutrition, and the organs of the body should be brought to a state of normal functioning along the lines of digestion, assimilation, and elimination.

    The minds of both parents should be exercised by reading the right kind of books, and by paying attention to natural objects of interest. A little change of scene will tend to awaken the powers of observation and attention. Riddell says: “If the prospective parents will habitually exercise the reasoning faculties and inventive powers, usually the offspring will have a fair degree of inventive talent and originality, even where these qualities are originally deficient in the parents. When there is a considerable natural talent or where there are latent inventive powers, constant training on the part of the parents will usually give the offspring exceptional powers in this direction.”

    The prospective parents should also develop and exercise their moral faculties in the period preceding conception. This course will tend to reproduce the same quality in the child. The reverse of this, alas, is also true. A case is cited of a man who procreated a child while plotting a nefarious crime; and the child in after life manifested a tendency toward theft, roguery and rascality, even at a very early age. The lack of moral fibre so often noticed in the sons of rich men who have attained their success through questionable methods is perhaps as much attributable to these pre-conceptual influences as to the “spoiling” environment of the child after birth.

    In the period of physical, mental, and moral preparation for parenthood the leading thought of both parents should be: “Do we wish our child to be like this?” This thought, if carried as an ideal, will act both in the direction of self-restraint and self-development.

    The actual time of the conception of the new life should be carefully chosen, so that it may occur under the best circumstances and conditions. The suggestions embodied in the preceding paragraphs should have been carefully observed; and the time chosen should be one in which a peaceful and happy state of mind is possessed by both parents. The ovum of the woman is believed to have its greatest vitality about the time of the close of each menstrual period, and many good authorities hold that this is not only the natural period for sexual intercourse, but is also the exact period in which the life-forces in the ovum are strongest; and that, consequently, the child conceived at this period is likely to be stronger and more vigorous than the one conceived at a later time between the menstrual periods.

    Dr. Stall says: “Medical authorities attach great importance to the mental condition at the moment of conjunction and conception. It is quite universally believed that this is a moment of unparalleled importance to the welfare of the future being. It is an awful crime to beget life carelessly, and when in improper and unworthy mental states. Some people seem to think that the matter of begetting a child, like the matter of selecting a wife, should be left wholly to blind chance. Neither of these two important events can be too much safeguarded by wise and thoughtful consideration. If conception is permitted to take place when either one or both of the parents are in bad health; if the wife is an unwilling mother, and the embryo is developed by her while her whole nature rebels against the admission into the family of a child who is not wanted, the children begotten and born under such circumstances can never be other than sickly, nervous and fretful during their entire childhood, and cross and uncompanionable throughout their whole lives.

    “Much of the differences which exist between children of the same parents may be easily attributed to the different bodily and mental conditions of the parents at theperiod of conjunction, the changed physical, intellectual and emotional states of the parents at the different periods of conception producing the corresponding differences in their offspring. The results of purposed and prepared parenthood are so great and so desirable that a husband and wife should consider these matters carefully, making preparations, and approach the period when they would beget offspring and bring immortal beings into the world with the greatest thoughtfulness, consideration, and also with prayer.”

    Dr. Hufeland says: “In my opinion, it is of the utmost importance that the moment of conception should be confined to a period when the sensation of collected powers, ardent passion, and a mind cheerful and free from care, invite to it on both sides.” Riddell says: “The law of initial impressions is well established. It has been understood and applied by stock-raisers for centuries. Experiments prove that the qualities most highly excited in animals prior to their union are most fully transmitted. The speed of horses and the acquired characters of the dog have been improved by the applications of the law. History and classic literature contain many references that recognize its importance, like Shakespeare’s ‘Come on, ye cowards; ye were got in fear.’ Ancient laws forbade union while parents were intoxicated, because such unions resulted in the production of drunkards and monstrosities. The asylums for the feeble-minded contain hundreds of unfortunate ones that are the product of such unions. The law of initial impressions, like the other laws of heredity, is traced most easily where morbid conditions are transmitted; but fortunately it is quite as potential in the production of desirable qualities. Unusual excitement to the social, intellectual or religious powers on the parents just prior to the inception of the new life frequently produce in the child corresponding tendencies.”

    Dr. Stockham says: “Many a drunkard owes his lifelong appetite for alcohol to the fact that the inception of his life could be traced to a night of dissipation on the part of his father.” Fleming says: “Not only do drunkards transmit to their descendants tendency toward insanity and crime, but even habitually sober parents who at the moment of conception are in a temporary state of drunkenness beget children who are epileptic or paralytic, idiotic or insane, very often microcephalic, or with remarkable weakness of mind, which is transformed at the first favorable occasion into insanity.”

    The time of conception should undoubtedly be chosen to correspond to a time in which the sex-powers of both parents are at their maximum. This is arrived at by a reasonable period of previous continence and abstinence from sexual relations between the married couple, and by an observance of the natural law which renders the woman most strong sexually at the close of the menstrual period. The husband, as well as the wife, is most strong sexually at this period, as under normal conditions his sex-power is most actively called forth by that of the woman at this period. At this period the wave of sex-power is at its height, and this is the best time for the beginning of the new life. As Riddell says: “Strong, vigorous, chaste sexuality at the time of conception is of supreme importance; it is indispensable to good results. No number of other conditions or factors can be so favorable as to justify the creation of a new life when the vitality of either parent is low. Parents transmit their physical constitution, intellect and morals only to the extent of the sex-power at the time of inception.”

    It is needless to say that there should exist between the prospective parents a strong bond of affection and attraction. By an irony of civilized life, the term “love child” is applied only to the offspring of unmarried lovers—men and women whose affection or passion have run away with their judgment, and who have “loved not wisely, but too well.” Some of the world’s greatest men and women have been “love children” of this kind; and in such cases it is probably true that their physical and mental strength has been the result of the ardent feeling animating the parents at the moment of conception. Such children seldom result from the “tired bed” or worn-out passion, love killed by sexual excesses, indifference on the part of one of the participants of the union, “duty” intercourse without affection or passion, or forced sexual relations. Every child should be a “love child” in the true sense of the term. The term should be one of respect, not of reproach. There should be no children but “love children.” The fruit of the perfect mating and marriage should be the perfect “love child”—and it would always be so if husbands and wives would but observe the laws of the normal, natural, sex-life.

    And, last of all—and perhaps more important than all—is the fact that at the moment of conception the minds and hearts of both of the prospective parents should be united in a strong love and desire for the hoped-for child. At that moment their best natures should blend into each other, and their love for each other fuse into a new love—the love of the child of the union. Under such circumstances, in such act the Cosmic Forces flow unhindered through the beings of the parents, and the new life is begun under the approving smile of Nature.

    Maternal Impressions.

    One of the oldest and most firmly-rooted beliefs of the race is that which holds that the pregnant mother may, and often does, consciously or unconsciously, impress upon her unborn child certain mental, moral, or physical traits. The majority of persons accept this idea as self-evident, and are able to cite cases within their own personal experience which go to prove the correctness of the popular belief. But certain modern authorities have sought to tear down this belief, and to discredit the general idea. Let us briefly consider both sides of this question.

    On the side of the generally accepted belief, Riddell says: “The more I study the influence of maternal impressions upon the life, mentality and character of men, the more I am led to believe that the education and moral training that a child receives before it sees the light of day are the most influential, and, therefore, the most important part of its education.” Newton says: “A mother may, during the period of gestation, exercise some influence, by her own voluntary mental and physical action, either unwittingly or purposely, in determining the traits and tendencies of her offspring. This is now a common belief among intelligent people. Every observant teacher could doubtless bear witness to the same general facts, and it would be easy to fill a volume with testimonials from various sources illustrative and confirmatory of the law under discussion. Such facts establish beyond question the conviction that the mother has it largely in her power to confer on her child such a tendency of mind and conformation of brain as shall not only facilitate the acquisition of knowledge in any specific direction, but make it certain that such knowledge will be sought and acquired.”

    Dr. Fordyce Baker says: “The weight of authority must be conceded to be in favor of the idea that maternal impressions may effect the growth, form and character of a forming child.” Dr. Rokitansky says: “The question whether mental emotions do influence the development of the child must be answered ‘Yes!’” Dr. Brittain says: “The singular effects produced on the unborn child by the sudden mental emotions of the mother are remarkable examples of a kind of electrotyping on the sensitive surface of living forms. It is doubtless true that the mind’s action in such cases may increase or diminish the molecular deposits in the several portions of the system. The precise place which each separate particle assumes may be determined by the influence of thought or feeling. If, for example, there exists in the mother any unusual tendency of the vital forces to the brain at the critical period, there will be a similar cerebral development and activity in the offspring.”

    Newton says: “The human embryo is formed and developed in all its parts, even to the minutest detail, by and through the action of the vital, mental, and spiritual forces of the mother, which forces act in and through the corresponding portions of her own organism. And while this process may go on unconsciously, or without the mother’s voluntary participation or direction, yet she may consciously and purposely so direct her activities as, with a good degree of certainty, to accomplish specifically desired ends in determining the traits and qualities of her offspring.” Professor Bayer says: “The influence of the mind of a prospective mother upon her child, before its birth, is of tremendous importance to its active existence as a member of society, from the fact that it lies in the mother’s power to shape its mentality, that it may be a power for good or for evil.”

    The views of that school of thought which is opposed to this old and generally accepted idea of material impressions, are ably presented by Dr. Saleeby, as follows: “Consider the case. The baby is at this time already a baby, though rather small and uncanny, floating in a fluid of its own manufacture. Its sole connection with the mother is by means of its umbilical cord—that is to say, blood-vessels, arterial and venous. There is no nervous connection whatever; absolutely nothing but the blood-stream, carried along a system of tubes. This blood is the child’s blood, which it sends forth from itself along the umbillical cord to a special organ, the placenta or afterbirth, half made by itself and half made by the mother, in which the child’s blood travels in thin vessels so close to the mother’s blood that their contents can be interchanged. Yet the two streams never mix. The child’s blood, having disposed of its carbonic acid and waste products to the mother’s blood, and having received therefrom oxygen and food, returns so laden to the child. Pray how is the mother’s reading of history to make the child a historian? We see now how the learning of geometry on the part of the mother before its birth will not set her baby upon that royal road to geometry of which Euclid rightly denied the existence—any more than after its birth. Such a thing does not happen—unless we are to call in Telepathy.”

    All this argument may seem quite convincing—at first. But when we begin to consider the matter carefully, we begin to perceive the weak places in the argument as above presented. In the first place, it is known that emotions powerfully affect the condition, quality, and “life” of the blood. We know that cheerful emotions impart certain uplifting qualities to the blood, while depressing emotions correspondingly react upon it. Fear, worry, fright, jealousy, etc., are actual poisons to the blood, and have brought on diseased conditions to the persons manifesting these emotions. Moreover, it is known that impaired quality of the blood reacts upon the brain. Is it so unreasonable, then, to hold that emotional states in the mother may react upon the mental and physical condition of the unborn child, through the blood? Does not something similar occur in the case of the babe, after its birth, when it is affected by the conditions of its mother’s milk brought on by her depressing emotions, fright, etc.? This would seem to explain at least the matter of emotional reactions between mother and unborn babe.

    But the case is not closed with the presentation of the evidence of physiology, important though that may be. There is an entirely different field of science to be drawn upon before the case is closed. The orthodox physiologist makes the mistake of supposing that all mental impulses and transmission of psychic energy require the service of nerves as channels of transmission. While such channels are usually required, we have good reasons for believing that there are exceptions to the rule. There have been found tiny creatures, possessing life and energy, performing the functions of nourishment, elimination, and even of reproduction—and yet without a nervous system. In one well-known instance, that of the moneron, we find not only an absence of a nervous system but also the lack of organs of any kind—and yet the creature lives, acts, moves, eats, thinks, and reproduces itself.

    Then, again, consider the moving cells of the blood, unconnected with the brain, unattached to the nervous system, and yet rushing to the work of repairing a wound, or of repelling an intruding germ, in obedience to a mental command from the controlling subconscious mental regions of the living creature. How does the mental impulse reach these cells and others of similar nature in the system? If we were not so sure of the facts, might we not feel inclined to say with Dr. Saleeby, in the above quoted sentence: “Such a thing does not happen—unless we are to call in telepathy.”

    Moreover, examining Dr. Saleeby’s statement, we see mention made of the placenta at being “half made by the embryo, and half made by the mother.” How does this co-operation and co-ordination of effort and subconscious will arise? How does the subconscious mentality of the embryo know that the subconscious mentality of the mother is making its half of the placenta, or vice versa? Again, how is the subconscious mentality of the mother affected by the presence and development of the child—how do her mammary glands respond to the growth and development of the child? In short, how is the manifest co-operation and co-ordination between the “nature” of the mother and the “nature” of the child possible, unless there exists some psychical, as well as some physical, relation between the two beings.

    The person conscientiously considering this subject must include in his thought the discoveries of modern psychology concerning what is known as the “subconscious mind,” which controls the unconscious and instinctive functions of the physical body, and also receives impressions and suggestions from the surface consciousness of its owner. This factor being admitted to our thought on the subject, we may find it possible to accept the idea of material impressions from mother to child operating from the subconscious mind of the mother to that of the child. In other words, that there is a subconscious mental connection, as well as the physical connection, between the mother and her unborn child.

    Many careful thinkers (and observers) find it just as easy to accept the fact of this strange “sympathetic co-ordination” between a mother and her unborn child as it is to accept the very frequent “sympathetic sickness” of the husband during the pregnancy of his wife—or of the “sympathetic labor pains” so often experienced by the husband during the confinement of his wife. Both of the latter two cases occur too often to permit the phenomenon to be denied off hand by those who would set aside all facts not agreeing with their particular personal theories. There is no nervous system connecting husband and wife, and of such cases the critic like Dr. Saleeby might say: “Such a thing does not happen—unless we call in telepathy!” The fact remains that many things actually happen which according to the orthodox physiological theories “cannot happen.” But they DO happen, nevertheless, whether we call it “telepathy” or merely label it “certain facts, the exact causes of which Science in the present state of its knowledge (or ignorance) cannot definitely determine.” One irrefutable fact outweighs a ton of mere general denials of possibility.

    It is recorded that the mother of Charles Kingsley believed in maternal impressions, and during her period of pregnancy exercised her imagination and emotions in the direction of wishing, and imagining, that the coming child should have the same love of Devonshire scenery that so delighted her. The result proved her theory, for though Kingsley never saw Devonshire until he was a man of thirty years of age, every Devonshire scene had a mysterious charm for him throughout his entire life. It is said that Robert Burns was so strongly impressed parentally by the old Scotch songs and ballads that his mother sung during her pregnancy, that his whole nature longed to express itself in like measure and substance. He always believed that his poetic spirit was kindled by this tendency on the part of his mother during the period preceding his birth.

    The mother of Napoleon Bonaparte during several months of her pregnancy, accompanied her husband during his military campaigns in Corsica, and during the entire term she lived in an atmosphere of battles, military strategy, and troops. When the boy was very young he manifested an unusual interest in war and conquest, and his whole mind had the military bent, although his brothers were in no wise remarkable in this direction. The artist, Flaxman, stated that his mother had related to him how for several months prior to his birth she had spent many hours each day studying drawings and engravings, and endeavoring to visualize by memory the beautiful figures of the human body drawn by the masters. The result was that from early childhood Flaxman manifested an intense delight in drawing; and in after life his drawings were regarded as masterpieces. He, and his mother, always attributed his talent to the parental impressions above mentioned.

    “Buffalo Bill” was believed to owe his characteristics to the mental states of his mother, the family living in Missouri during the days of frontier fights and disturbances, the mother being called upon several times to exercise resourceful courage and fortitude. A well-known worker along the lines of liberal Christianity is said to have attributed his tendencies in that direction to the prayers of his mother, during her pregnancy, that the child might be true to the teachings of the Christ, and should be a laborer in the cause of human brotherhood. This man, relating the fact, said: “I may have been converted before I was born.” A well-known writer along the lines of moral philosophy is believed by friends to owe his talent to the earnest thoughts and hopes of his mother during pregnancy—she is said to have pictured the child as a son destined to become a great moral philosopher, her mind being so firmly fixed on this fact that she felt it was already an assured fact.

    The Greeks were wont to surround the pregnant women with beautiful statuary, and it is recorded that in many cases the children afterward born closely resembled these works of art and beauty. It is claimed that many Italian women closely resemble the face shown in Raphael’s “Madonna,” copies of this celebrated picture being quite common in Italian households. Frances Willard, the temperance worker, is said to have very closely resembled a young woman of whom her mother was very fond. Many family resemblances are believed to have arisen in this way, rather than by heredity. Zerah Colburn, the mathematical prodigy whose feats astounded the scientific world in the early part of the last century, is said to have derived his wonderful faculty from maternal impressions of this kind; his mother is said to have occupied much of her time during her pregnancy in studying arithmetic and working problems, the study being quite new to her and proving very interesting.

    Cases similar to those above quoted might be duplicated almost indefinitely. The story is practically the same in each and every case. The principle involved is always that the pregnant mother took a decided interest in certain subjects, studies, and work, and that the child when born manifested at an early age similar tastes and inclinations. But far more important to the average prospective parent is the fact that many authorities positively claim that any pregnant mother may consciously and deliberately influence and shape the character, physical, mental, and moral of her unborn child.

    Newton well says, on this subject: “In the cases usually given to the public bearing on this topic, the moulding power appears to have been exercised merely by accident or chance; that is, without any intelligent purpose on the part of mothers to produce the results. Can there be any doubt that similar means, if purposely and wisely adopted, and applied with the greater care and precision which enlightened intention secure, would produce under the same law even more perfect results. Is it not altogether probable that an intentional direction of the vital or mental forces to any particular portion of the brain will cause a development and activity in the corresponding portion of the brain of the offspring? There seems to be no reasonable ground on which these propositions can be denied. The brain is made up of a congeries of organs which are the organs of distinct faculties of the mind or soul. It follows, then, that if the mother during gestation maintains a special activity of any one brain organ, or group of organs, in her brain, she thereby causes more development of the corresponding organ or group in the brain of the fetus. She thus determines a tendency in the child to special activity of the faculties, of which such organs are the instruments. It is plain, furthermore, that if any one organ or faculty may thus be cultivated before birth, and its activity enhanced for life, so may any other—and so may all. It would seem, then, clearly within the bounds of possibility that a mother, by pursuing a systematic and comprehensive method, may give a well-rounded and harmoniously developed organism to her child—notwithstanding her own defects, which, under the unguided operation of hereditary law, are likely to be repeated in her offspring. Or it is within her power to impart a leading tendency in any specific direction that she may deem desirable, for a life of the highest usefulness. In this way ancestral defects and undesirable hereditary traits, of whatever nature or however strong, may be overcome, or in a good degree counterbalanced by giving greater activity to counteracting tendencies; and, in this way, too, it would appear the coveted gifts of genius may be conferred. In other words, it would seem to be within the mother’s power, by the voluntary and intelligent direction of her own forces, in orderly and systematic methods, both to mold the physical form to lines of beauty, and shape the mental, moral, and spiritual features of her child to an extent to which no limit can be assigned.”

    I think that in the pages of this particular part of the book the prospective parent may find hints and general directions toward a clearly defined ideal, which is carefully studied, and as carefully put into practice will produce results far beyond the dreams of the average man and woman. The hope is a magnificent one, and the best testimony is in favor of the possibility of its actual realization.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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