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Get Fit the Fun Way The effort and stress involved in most conventional workouts discourage people from getting fit. Here are a few activities which offer you the opportunity to lose some weight while having fun. Walking Walking can be a very fun way to reduce weight and stay fit. In fact, experts say that walking 10,000 steps daily can help keep you healthy. Some people think that walking only exercises your feet and legs. However, you should know that walking actually helps improve your cardiovascular system, building up blood vessels so you have more oxygen stored in your blood. This helps increase your endurance and helps you keep your energy up after a long day. When you take a walk, remember to enjoy the journey. Some people use treadmills, but that would actually be pretty boring and would seem like too much work to be worth it. When you take a real walk or even a jog, however, you'll get to enjoy observing what's going on around you. You might even manage to forget that you are exercising. Video Games Oh yes, there are actually video games that can help you stay fit and active. This equals to a lot of fun and a lot of calories lost. One of the most popular active video games is DDR or Dance Dance Revolution. This video game involves you stepping on a dance pad in time to instructions on the screen. Just a few minutes on DDR will get your heart pounding, your sweat pouring and your face smiling. Another option would be the ParaParaParadise dance machine. This game is actually based on a popular dancing style in Japan called "Parapara". Although the traditional modes have specific steps to follow in order to be considered a legitimate score, the game also offers a "freestyle mode" which allows you to be more creative and be more active. Offering different difficulties accompanied by energizing music, you'll never realize you are actually exercising on this machine. A version is also available for use with Sony's eye-toy. The Wii is the latest to come out with active video games. Using motion-sensor controllers, a gamer will actually have to move in order to play the games. You need to punch when playing boxing games, you need to swing the controller in order to wield your sword and slay the dragon. The active video game also helps boost morale by making you feel as if you have accomplished something. There are high scores to beat, after all. Martial Arts Forget repetitive and seemingly-senseless movements. What discourages people from doing aerobics or other types of traditional exercise is that they can be pretty boring and actually only burn a few calories per hour. Martial Arts, on the other hand, can help you burn as much as 1000 calories an hour! Now that is some exercise. In Martial Arts, your whole body will stay active -this means you will be able to tone and shape every muscle in your body. What's more, this workout is far cry from being boring. You get to learn a new skill, practice it against opponents and generally focus on something other than how much weight you're supposed to be losing. What's great about martial arts is that every move has its purpose. Whether it's knocking out an enemy or regenerating life energy, martial arts is something where all movements count. Did you know that people who begin practicing Tai-Chi during their retirement years can actually extend their active life? Dance Dancing is another activity where you can get fit without actually thinking about exercise. It allows you to let lose, get those muscles working and that blood pounding. Dancing is all about having fun and feeling good about your body and your moves. It's all about self expression and communication without words. Real exertion in dance can burn off as much calories as martial arts! Dancing allows you to learn a skill and improve your overall personality. It allows you to become more aware of what you can do as a person. Dance also helps relieve stress and produce endorphins for that natural high. Actually, various types of workouts are based on dance movements. Although these workouts pretty much focus on getting the same results as your regular exercise routine, the pacing and rhythm involved makes the exercise fun and more vigorous. Swimming Swimming is another activity that exercises the whole body. If you live near the beach or at least have a pool nearby, you should take advantage of the exercise opportunity. Of course, in order to keep fit with swimming, you'll need to actually move. Just lounging about in the pool will not help sculpt your body. What's great about this activity is all the resistance you have to contend with. The water, despite supporting your buoyant body, actually causes every movement to require extra exertion. It also cools off your body. This equals to a great intense yet comfortable workout. Why should you stress yourself when you can relax and get fit at the same time? Workout videos by master fitness instructor Tamilee Webb. Shape your body with most effective fitness training program.
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Most of the newspapers report that the specialists have warned that doctors now lack experience of syphilis and need training to deal with the disease. The stories are based on a review in which the authors carried out a comprehensive overview of the published literature on the transmission and rates of syphilis in Western Europe and the USA between 2000 and 2007. The authors discuss various explanations for changing rates of the disease and give an expert opinion on the current standards in diagnosis and treatment. The journal that this paper was published in is prestigious and the experience and knowledge and of the authors is clear; this suggests that this is a reliable review and that cases of infectious syphilis are increasing. Where did the story come from? The review was written by Dr Kevin Fenton from the National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention at the Centers for Disease Control and Prevention in Atlanta and colleagues from around the US. The study was supported by a grant from the National Institute of Health and the National Institute of Allergy and Infectious Diseases. The review was published in The Lancet Infectious Diseases, a peer-reviewed medical journal. What kind of scientific study was this? The authors of this non-systematic narrative review searched two databases for all research articles published between 2000 and 2007 on infectious syphilis. Earlier publications and books that were commonly referenced and highly regarded were also included. Syphilis is a sexually transmitted infection (STI) caused by the spiral-shaped bacterium (spirochaete): treponema pallidum. The infection has two stages, primary and secondary. During the primary stage lesions (sores and rash) appear on the skin. These are very infectious and most cases of venereal syphilis are contracted through direct sexual contact with a person who has active syphilis. About 50% of people in direct sexual contact with someone who has active infection will develop syphilis. Infected mothers can also pass on syphilis to their unborn babies through the placenta. Transmission by other means, such as non-sexual close contact with an infected person and accidental infection by blood from needles, is less common. Primary syphilis refers to the first infection, which usually shows as a lump or ulcer at the site of contact two to six weeks after infection. Secondary syphilis refers to later symptoms and signs of the disease, which usually follow the healing of the first infection by six months or more. This secondary infection results from the multiplication and spread of the bacteria throughout the body and can be expected to show different rates in the community than the primary infection, depending on how successful treatment has been. Treatment with penicillin has been available for 50 years and is effective at eliminating the bacterium. What were the results of the study? Among the facts that are reported in this review, the researchers mention that the rates of infectious syphilis fell to their lowest levels in many European Union countries by the early 1990s. By 1995, all reporting European countries (except Germany) had fewer than 300 recorded cases of infectious syphilis. However, this figure steadily rose across Europe until, around 2000, various countries began reporting increases. Belgium reported a more than three-fold increase in cases between 2000 and 2002, and cases in Austria steadily increased from a low point of 124 in 1993 to 420 in 2002. Current rates of syphilis in the UK are not given in this paper. The researchers said there have been 'alarming recent trends' in relatively wealthy parts of the globe with 'huge' increases in urban centres such as London, predominantly among populations of men who have sex with men. These increases were initially observed in cities and later in suburban and rural settings. They provided maps of the rates of primary and secondary syphilis in different US states in 2003 and the trends observed between 1963 and 2003. The researchers were particularly interested in the rise and fall of the rates of syphilis infection over time. Two explanations seemed likely for this pattern: either syphilis rates were varying as a result of interactions between the syphilis bug and a population's immunity, or alternatively, syphilis epidemics were part of a cycle determined by the infectious nature of the disease. To look at this further they produced mathematical models using data from different time periods. They found that the overall number of patients with primary and secondary syphilis showed a different pattern in the populations who remained untreated, compared to those where 30% of cases were treated. These rates also varied depending on whether the population modelled had either five or forty sexual partners per year. The results from these models suggested that current incidence rates are not part of a cycle due to the infectious nature of the disease, but are the result of changing immunity (such as occurs with HIV/AIDS). What interpretations did the researchers draw from these results? The researchers call for concerted public health action. They say that the recent increase in syphilis among men who have sex with men and some high-risk heterosexual couples "raises cause for concern, and demands renewed vigilance among, and training of, healthcare professionals". They also ask for new diagnostic tools, social network approaches and new initiatives in prevention, monitoring and evaluation treatment for this disease. What does the NHS Knowledge Service make of this study? This comprehensive overview contains sections that describe the biology, history, diagnosis, treatment and control of syphilis. It also summarises what is known about the transmission of the disease and what influences this transmission. Current rates of syphilis in the UK are not given in this paper. However, they can be expected to follow the trends in other European countries. Other sources quoted by The Independent suggest that UK rates have jumped from 307 cases in 1997 to 3,702 in 2006, an increase of 1,200 per cent. It is not clear how the references were selected for inclusion or assessed for quality, but the experience and knowledge of the authors is clear and suggests that this is a reliable review. Links to the headlines Syphilis makes a comeback but doctors may not know it.The Times, March 18 2008 Doctors 'need syphilis training'. Channel 4, March 18 2008 Rise in 'high-risk' sex sees cases of syphilis soar by 1,200 per cent. The Independent, March 18 2008 Links to the science Infectious syphilis in high-income settings in the 21st century. Fenton KA, Breban R, Vardavas R, et al. The Lancet Infectious Diseases 2008; 8: 244-253 This news comes from NHS Choices
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