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Treatment for psoriasis

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Question

I have terrible psoriasis and I’m dreading baring my skin with summer approaching. What’s the latest treatment?

W. Harris, Surry Hills, NSW.

Answer

Dermatologist Dr Jo-Ann See explains that psoriasis is a skin condition partly caused by overactive T-cells in the immune system triggering an inflammatory reaction in the skin. This causes skin cells to multiply much faster than normal, appearing as red, flaky patches.

Sufferers have a genetic predisposition to psoriasis, but it doesn’t appear until it’s triggered by something such as significant stress or an illness as simple as a cold or a bacterial sore throat. “Once you’ve unmasked it, you’ve got it – you can’t cure it, only control it,” says Dr See. “It appears on areas like elbows, knees, bottoms or scalps and most people find that it improves with warm weather. New on the treatment scene is a prescription ointment called Daivobet that’s a combination of a vitamin D cream with a steroid.

“The latest exciting development reserved for cases that don’t respond to traditional treatment options like UVB light therapy or topical creams is biologics, which are chemical compounds that fight psoriasis at an immune level, targeting the cells that make psoriasis.”

The AWW Beauty Team

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Burn off your festive excesses

What do you need this January to burn off those festive excesses? Check out our counter below to how many minutes of moderate or high intensity activity you typically need to do to burn off common Christmas fare. So what are you waiting for? It's time to get moving and get back in shape this New Year.
Photos by Getty Images

What do you need this January to burn off those festive excesses? Check out our counter below to how many minutes of moderate or high intensity activity you typically need to do to burn off common Christmas fare. So what are you waiting for? It’s time to get moving and get back in shape this New Year.

Numbers listed indicate the number of minutes of walking or aerobic activity required to burn off the kilojoules consumed.

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5 ways to create a calm office

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These five tricks help you handle crises better and tackle activities serenely.

Keep a CD in your computer

Pop on earphones and chill out, even for just a minute. Music can slow your heart rate, lower your blood pressure, and inspire, energise or relax you.

Take a break from email

Talk to colleagues, or use the phone. Unlike email, talking allows you to notice facial expressions, helping you to connect more meaningfully with others.

Inhale peace

Sit quietly: slowly inhale, then exhale, relaxing your shoulders; repeat. Next, say to yourself ‘I am’ as you inhale and ‘at peace’ as you exhale. Feel a sense of peace settle around you.

See it happen

“Whether you think you will succeed or not, you’re right,” said Henry Ford. Before heading into a tough meeting, visualise yourself achieving a successful outcome, and hold that feeling.

Find a touchstone

It could be a water cooler or a plant – something that you walk by regularly. Imagine that every time you see it, it is telling you breathe, or to smile. Touch it as you pass. Psychologists call this technique ‘anchoring’, because it helps you stay focused.

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Pros and cons of going organic

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You used to have to travel a country mile to find genuine organic fare and even then, only specialised farms had what you were looking for. But today, organic products can be found on the supermarket shelf and some of the biggest, brand food manufacturers have organic product offerings. This is in part due to consumer demand for foods that are ‘greener’ and ‘cleaner’. But do organic foods offer superior health and nutrition? Let’s explore this question further as we take a stroll down the organic garden path.

Many people choose organic produce as they worry about the health risks from pesticides and other residues in conventional foods. However, there seem to be a few urban myths circulating on this topic. Studies show that contaminant levels in conventional produce are not excessive and even organic products have some levels of residues. There are regular government food surveys that monitor all produce on the marketplace, to ensure safe limits set by the World Health Organisation are not exceeded.

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Regain your vitality

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It’s that time of year again where we feel that we have shopped till we dropped, celebrated till we could no more and let’s face it indulged in too much alcohol, too much fat and too much sugar for too long!

So how do we re-energise ourselves and regain that lost vitality and get back into shape? Here are a few tips to get you started in the new year:

1. Cool off and hit the pool

Whether it’s lap swimming, water aerobics, or just splashing about, you’ll feel refreshed and your body will start to come alive again as well as utilising some of those recently gained fat stores. The perfect antidote to overindulgence.

2. Luscious summer fruits

Be tempted by luscious summer fruit, low in kilojoules and bursting with vitamins, minerals and other phyto nutrients. Serve platters of mangoes, melons, strawberries, cherries, blueberries, raspberries and kiwi fruit. Blend with fat-free fruit yogurt for a summer sorbet treat, or add milk or soy and whiz for an icy cold drink. Chunks of fresh fruit on skewers, lightly barbecued, make a delicious dessert.

3. Keep it light and bite size

Don’t eat large meals or high fat snacks like chips. Serve bite size nibbles like smoked salmon slices rolled up with a little Greek style yogurt on top of sliced cucumber. Circles of pumpernickel rye bread topped with prawns and avocado or freshly shucked oysters with a squeeze of lemon.

4. Focus on salads at night

Dine on salads in the evenings so you’re not sleeping on an overfull stomach. Try an array of different lettuce varieties, slices of turkey breast (low in fat, but tender), lightly steamed asparagus, spring onions, avocado and mango slices or baby spinach leaves topped with cherry tomatoes, snow peas, cucumber chunks, thin slices of super lean beef, tossed with a little chilli, balsamic vinegar and olive oil.

5. Think healthy BBQ seafood meals

Spark up the barbie and cook some delicious prawn skewers. Or try salmon or blue eye cutlets (cook on Glad Bake or wrap as parcels. This results in no added fat, seafood that doesn’t stick, and individual meals can be made to suit different tastes – like no chilli for the kids. If cooked on a naked flame, wrap the paper parcel in foil.

6. In the raw

Too hot to cook? Raw vegetables are crisp and crunchy in a salad, with a fruit yogurt dip or on the side with canned tuna or salmon mixed with natural yogurt and a squeeze of lime juice with freshly ground pepper.

7. Alcohol-free days

Have a few alcohol-free days each week, or if you’ve really overindulged, make the entire week alcohol-free. Get into anti-oxidant rich lycopene charged, tomato juice with all the condiments or a cranberry spritzer (cranberry juice and sparkling mineral water) to help flush toxins through.

8. Start counting

How many different foods do you eat each day? Definitely not enough! Variety will give your body the array of vitamins and minerals and other anti-oxidants it craves. Aim to at least double your choices.

9. Go grains

Whether you start the day with a healthy wholegrain cereal, make a wholegrain wrap sandwich for lunch or serve a grain-based salad such as tabouli or brown rice and corn with dinner, grain foods help your body stay healthy, energised and ward off major diseases.

10. Do drink the water

In summer heat, you need plenty of water to help your body flush out all the waste products and keep you well hydrated. Make sure you’re drinking enough.

11. Keep food clean

Try to eat foods that have not been adulterated with too many preservatives, colourings, artificial flavours and other additives. Prepare as much as you can yourself using the freshest of ingredients.

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Sue Williams’ writing tips

Sue Williams

Here are author Sue Williams’ top four writing tips:

1. Start

The hardest thing is getting started. I’m a great believer in just picking up a pen, or firing up the computer, and making a start. Get yourself going, and write a couple of thousand words quickly to warm up. You can always go back and redraft and refine; but once you have some words under your belt, it’ll always be easier. You’ve begun, so you might as well finish!

2. Practise

Practise really does make perfect, in writing as well as in anything else. The more you write, the better you’ll become. The words and phrases will come easier, the plotlines will unfurl more naturally, and your characters will live and breathe more convincingly. So don’t worry if your first efforts are disappointing. Your next effort will be better, and the next one better still. Don’t forget how many world-famous authors there are who still have rejected first manuscripts in their bottom drawer!

3. Take note

Take a notebook with you everywhere, even to bed. You never know when a good idea might strike you – and it could disappear forever if you don’t capture it there and then. Make a habit of jotting down interesting people you meet, interesting conversations you have, or interesting things that happen to you or others. You can draw on them all later to colour your book.

4. Become a voyeur

Take a good look at passers-by and practise describing them in words. See how they dress. Watch for distinctive gestures. Listen to how they speak. Take note of how they relate to each other. But try not to let them see you’ve been spying on them. It could be embarrassing!

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Kerri-anne shares her diet secrets

A health scare prompted TV host Kerri-Anne Kennerley to improve her eating and exercise habits, with remarkable results. Now she reveals her weight-loss tips so you can follow her lead and get healthy at home.

Last summer, the usually unsinkable Kerri-Anne Kennerley had lurched to the end of an exhausting year, when she and her husband, John Kennerley, headed off to America for a skiing holiday. Nothing out of the ordinary about that – except she collapsed after arriving in Colorado.

“I passed out on the bathroom floor,” she explains. “John helped me to the sofa and I didn’t move for 24 hours. I was exhausted, plus I had a really bad cold and a temperature.”

That should have been the warning she needed, but typically, the bubbly host of the Nine Network’s Mornings with Kerri-Anne just got up and kept going, “skiing five hours a day”. No visit to the doctor? “No, I don’t do doctors well.”

So the time-bomb kept ticking and, by July 2005, Kerri-Anne admits, “I hit the wall. I was exhausted again and I was preparing for an overseas trip, and none of my good clothes fitted.” Something needed to change. She needed to get healthy and lose a little weight, but she knew she couldn’t do it alone.

Kick off 2006 with a fitter, healthier, slimmer you. In our 10-page diet special, Kerri-Anne Kennerley tells how she lost five kilos and changed her life and we review celebrity diet plans.

Only in the January 2006 issue of The Australian Women’s Weekly.

HOT TOPIC

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My adoption secret

There was an ongoing joke in my family that I had been adopted. Neither my older sister nor I looked like either of my parents, however it was my flaming red hair and pale, freckle-less skin that definitely made me an original in the family. My long-legged limbs also stood out when surrounded by short, dumpy relatives. Sometimes I even believed that I had really been adopted, despite being reassured by my mother that I was the spitting image of my deceased grandmother when she was my age.

As my sister and I were close in age (11 months difference), growing up we were the best of friends and the worst of enemies. Whenever we would have a fight she would always get the last laugh by pointing out that she was our parent’s “real” child and I was a merely a leftover. As we got older, my artistic ability led me to become an interior designer. This career was a world apart from our family of accountants and doctors and my sister’s law career, which led even my parents to joke that my talents must have originated from my “real” parents.

A few days after the death of my father, the job of sorting out his possessions in their house was left to me, as my mother was too upset. Of particular interest to me was an old trunk in the upstairs cupboard filled with old photographs and keepsakes. My father was a hoarder and had kept all sorts of bits and pieces. He had kept wedding invitations, serviettes — even old toy cars.

At the bottom of the trunk was a birth certificate for a Melissa Johns with the same birth date as my older sister. Her name was Mel. Coincidence? My mind ticking over with horror, I flicked through the bunch of photographs until I came to a bundle all tied together. Opening this, I saw a woman in various stages of pregnancy, sometimes with my parents and sometimes alone. Who was this woman? Was it possible that it was my sister who was adopted and not me?

It was a couple of months before I thought it was appropriate to begin questioning my mother. When I sat down with her and started talking, she was horrified that I had found out and was especially scared of Mel discovering the truth. She said that when she and my father were trying to conceive, they were informed by a doctor that the chances were slim at best.

At this stage, Mum’s sister had three children, all under the age of six, and she offered to carry a child for Mum. Mum said that although she herself was not carrying Mel, it was as close as it could possibly be because it was her sister. She said that she attended all of the doctor visits and loved the unborn baby as if it were her own.

A couple of months after Mel was born, Mum discovered that she was pregnant — with me. Despite the initial shock, she welcomed the addition to the family and also the chance to go through the pregnancy personally. Mel and I were raised as sisters, with Mel’s biological mum and dad as our aunt and uncle.

I made a promise to Mum that I would not tell Mel about her adoption. It is a promise that sits heavily on my conscience, especially at family get-togethers where she and my aunt appear to have a close bond. But despite this guilt, I still smile smugly whenever I think of Mel teasing me about looking different to Mum and Dad. If only she knew!

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Scared dog

Question:

My eight-month-old Labrador is frightened of the vacuum cleaner and the lawn mower. I have tried giving her treats while the noise is occurring but it has not helped. Strangely, she is fine with other loud noises such as thunder and trucks. She is a guide dog puppy and I am concerned that these fears may preclude her from making the grade.

Janette Ellis

Answer:

I think you need to just take things a little more slowly with those things that frighten her. Maybe someone can be inside with her while you start the lawn mower, giving her treats when she reacts calmly. Gradually increase the time she is exposed and then try taking her outside but far away from it, distracting her and just walking past. Get her to sit and reward her. If she gets regular treats for calm behaviour and learns that these noisy things don’t lead to anything bad, it will improve. It is important just to minimise stress and have an attitude of slowly does it. If she is deemed unsuitable as a guide dog (which she would be if noises scare her), she can still have a life as a Pets as Therapy or some other “giving” dog, so all is not lost!

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Which breed?

Question:

I am a 70-year-old lady living alone and am considering buying a female Dogue de Bordeaux for company and security. Would appreciate your comments.

Leigh Wilson

Answer:

The Dogue De Bordeaux, also known as a French Mastiff, has been used over the centuries as a guard and hunting dog, so they do indeed make good watchdogs. They are, however, a working breed and need a fair amount of exercise and to be well socialised and trained to avoid behaviour problems. They are 60-70cm in height and 35-45kg, making them a large dog — a boisterous one could easily knock you over with their size.

I would suggest that there are more suitable breeds for you as a companion — even small dogs make very good burglar alarms and would be easier to care for. Look at www.petnet.com.au/selectadog.html and answer their questionnaire for suggestions on appropriate breeds that will suit you.

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