We all know how important it is to drink 8 glasses of water a day. To those who have developed the healthy habit of drinking lots of water every day, good for you. But for some of us, it can actually be a challenge, because a) we don't feel thirsty due to our sedentary lifestyles (which is really bad because in the air-conditioned office, our skin is being dehydrated), b) we're too busy; work's the priority, c) water is too plain.
Perhaps there are many other reasons, but these are the three main ones.

Then there are those who try to counter the above 3, by chugging down a whole glass of water, maybe even two or three, just to fulfil their "quota". It's a commendable effort, but actually bad for help. If you down your water all at once, the water will flush through your system. Insufficient water gets absorbed into your body and that defeats the whole purpose of getting 8 glasses of water a day. The correct way to drink water is to take regular sips throughout the day. If you drink too much water at top speed, you may throw up the water, or get water intoxication, also known as hyponatremia, in which the other nutrients in the body become so diluted that they can’t function normally.

And that's why we have to learn to drink regularly throughout the day. In fact, it doesn't have to necessarily be eight glasses. It can be a little more or less. More importantly, you should drink throughout the day.

1. It's tempting to tell yourself "oh I'll finish up this report and then I'll refill my mug". Chances are, you will only do so after many more reports (or other work) and you'll not be drinking water. Instead of setting aside your empty mug, get up and refill it with water, and keep drinking up.

2. Do you dislike the blandness of water? Add something refreshing and with a strong taste, like fresh mint leaves, a slice of lemon or lime, or even a tablespoonful of honey which is great for the throat. At home, freeze little bits of peeled lemons, limes and oranges and use them in place of ice cubes.

3. Always keep a mug or bottle of water handy regardless of what you're doing, and use one that you're fond of. Mine has a picture of my favourite comic character on it for example. Better yet if you can find a mug, or customise one that has motivational messages like "Drink water for glowing skin!" "Drinking water helps you lose weight" and stuff to that effect.

4. Set an hourly alarm for drinking water. Personally it didn't work for me (I would just switch it off when I'm really busy or put it on silent mode at meetings) but it might work for you.

5. Use a straw. It actually helps you take bigger sips. Are your hands preoccupied with typing? That's where a long straw comes in, because you can drink without having to lift your bottle or mug!



Is frolicking in the snow or skiing down powdery slopes on your holiday itinerary this year-end? The coldest climate of the four seasons holds plenty of charm and intrigue for us tropical birds. However, the abrupt switch from tropical climate to near freezing point can take quite a toll on one’s well-being if you don’t take the necessary precautions. Aside from wrapping up well in warm clothes, here are more tips on staying sharp so you don’t fall sick during your holiday or after you return from your holiday.

Get ample rest

During winter, you are more likely to catch a cold, so it is prudent to ensure that you don’t neglect your immune system. Before your holiday, get ample rest. Stress levels tend to go up as you rush around trying to make last minute arrangements or finish up your work. Try to get these done earlier so you have more time to rest.

Get your daily supply of fruits and vegetables

On vacation, it is easy to find excuses to skip the greens. After all, you need more space to try out as much local delicacies as possible (and veggies tend not to be in the highlights). Nevertheless, they are important for a healthy diet and immune system, as well as stimulate bowel movement. Use this opportunity to explore varieties of fruits and vegetables that you don’t normally get to consume.

Have a hearty breakfast everyday

As explored previously, breakfast is essential for your health. Aside from providing energy to help you get through the next few hours in tip-top condition, there’s no better way to chase away the morning blues with a steaming hot meal. Kick the urge to sleep in and wake up early for the most important meal of the day!

Keep your baths short

It is tempting to soak or drench yourself in hot water having just come in from the cold, but hot water can cause your skin to become dry and irritated. Keep your showers brief and avoid using the tub. The longer you soak, the more moisture you lose (guess why your skin gets wrinkly when you come out from the bath?).

Use gentle body washes, and moisturize your body with a gentle body moisturizer right after your bath when you can retain moisture best.

Get a jab

As you become more vulnerable to flu or cold in extreme cold weathers, it may be wise to get a flu shot before you go for your holiday. Do consult your GP on recommended vaccinations that you can take.

Bring your health supplements

Travel-sized Pi Pa Gao is great for relieving sore and dry throat. There are also vitamin drinks that, despite being no miracle maker, help to make up for the temporary lack of vitamins and minerals in your diet, where healthy eating is probably the last thing from your mind.

Drink plenty of water

While you may feel less inclined to feel thirsty compared to the hot summer months, it is important to keep yourself well hydrated from within. Fluid is essential in transport functions, protection of internal organs amongst many functions.

Have a good holiday!

Sources:



with just this...

Japan's pelvic pillow diet has in recent years gained much fame among busy women who desire to be slim. Despite being called a "diet", it does not require the user to control one's food intake (though like all fitness and slimming programmes, one is encouraged to eat healthily and exercise regularly). The basic premise is to lie down on a long, thin pillow and do a couple of simple (but strenuous) poses for no more than 3 minutes. You don't even perspire, so it is perfect for before bedtime, and before rushing off to work. It is thought that these exercises can correct pelvic distortion which is responsible for certain health problems. Users of this method have reported significant loss of inches of weight in as short a period as 2 weeks.

How pelvic distortion can lead to weight gain / flab:

- Tummy sticks out when internal organs are pulled downwards
- Constipation and poor metabolism due to poor position/functioning of organs
- Poor blood circulation
- Bad posture makes it easy to accumulate fat and difficult to use it in muscles that are rarely used.

There are many Japanese books published on the pelvic pillow diet that you can find in Kinokuniya, and many of them come with a deflatable pillow of the recommended dimensions. If you can't read Japanese, there are Chinese versions available from Taiwanese publishing companies that translate the books. Though most of them come with full-coloured pictures, there are crucial instructions to follow, such as the limit to how long and how many times you can do the exercise, so being able to understand such instructions is essential so you don't hurt yourself.

If you do not wish to buy a pillow (no, the ones you use in bed are usually too thick and bulky), you can try to DIY your own. Here is a post on how it can be done with bath towels and string.
Regardless of whether you use an inflatable pillow or DIY towel/cloth pillow, bear in mind that the pillow must be firm but not hard. If it's so hard that pressing down on it does not produce any dent, it may hurt your back.

For beginnings and basic correction of pelvic distortion, here is a fundamental set of exercises as recommended from the book "史上最長100CM骨盤枕" (The world's longest 100cm pelvic pillow)

As with all exercises that requires one to lie down, the exercise should be done on a firm surface that will not hurt your back. A firm mattress or yoga bed are suitable.

1) Position the pillow in a horizontal position. Sit up with your pelvis (the area right above your bottom) pressing against the middle point of it.

Like this:


2) Bend your knees so that they are angled 90 degrees from the ground.

3) Slowly lower your back to lie down. The pillow should be firmly etched under your pelvis. Place your palms on the pillow (beside your pelvis) for better support.

4) Without moving your upper body, turn your legs (still in 90 degrees angle) to the side until the leg facing downwards is against the ground. Hold your position for 30 seconds, breathing normally as you do so. You may experience a slight pull along the side of your body that is facing upwards.

5) Turn your legs to the other side and do the same.

One minute should do the trick, but if you want to do more sets, cap it to 3 minutes or you may strain yourself. Do this once every day and night and you should see some positive results soon. Results would be optimum if accompanied with a healthy diet and regular physical activity.

As with most DIY routines, results vary. If you aren't seeing any quick results despite all the raving reviews, don't give up. It's always good to give your body a daily stretch, and further more, it barely takes up time. If you're following a picture guide, have someone take a look to ensure that you've got the poses right. Above all, only do exercises/poses from legitimate sources, and within the recommended limits. Doing the wrong ones may cause more harm than good.


Imagine a world that looks like this to you.

“I’m not good with remembering faces” is an excuse we casually throw around in apologies to failing to recognise someone or match a name to a face.

But do you know that not being able to identify faces is a real medical condition? Known as Prosopagnosia, or face blindness, victims of this condition can see facial parts, but are unable to put them together as a whole face. They have difficulty recognising people they have encountered many times, even those who are close to them like family members and loved ones. 

There are two main causes of Prospopagnosia. Brain damage from head trauma, stroke, and degenerative diseases leads to acquired Prosopagnosia, while developmental Prosopagnosia is usually genetic, or due to brain damage and visual problems from childhood. Especially for those with development Prosopagnosia, it may be difficult even for the patient himself to detect this problem since it impacts on very specific areas of facial recognition.

For example, if one knows he has an appointment with his friend at a specific location, and he turns up finding his friend there, he would recognise said friend because he knows the friend is there. However, if he coincidentally meets the same friend on the streets and isn't aware that this friend would be there at that time, he would not recognise him at all!

In the case of acquired Prosopagnosia, the patient may confuse the image of a person with one that he had before he was stricken by the condition. In other words, his vision virtually time travels back, and in his mind is someone who has never aged or changed throughout the years.

People with this condition tend to cope by using other distinguishing cues like hairstyle, voice or body shape. Dr. Thomas Grüter of the Institute of Human Genetics in Münster shared that many tend to mask their dysfunction by avoiding places where they could unexpectedly run into someone they know, pretending to be lost in thought while walking down the street, or acting friendly to everyone--or to no one. As it can be expected, this condition causes a lot of problems for work and social life.

Don’t be too quick in judging someone you know for being stuck up if he ignores you; he might really not be able to recognise you. Brad Pitt too has this problem – it is not medically confirmed if he does have Prosopagnosia, but he admits that his poor memory for faces has been a point of frustration for him because people assume he is deliberately ignoring them on purpose.

Should you feel that you have such a hard time remembering faces that it is affecting your life, you might want to consider getting a diagnosis. There is no known cure for this condition as yet, but being frank about it and getting the support of loved ones can help greatly with coping.

And if you don't suffer from this dysfunction, then make good use of your ability instead of taking it for granted. 

Sources:

http://content.time.com/time/magazine/article/0,9171,1211572,00.html
http://www.bbc.co.uk/news/health-24385650
http://www.faceblind.org
http://www.cnn.com.sg/2013/05/23/showbiz/celebrity-news-gossip/brad-pitt-esquire-face-blindness/index.html




Did you know that being too healthy for your own good can be a form of illness?

It sure sounds like a lame paradoxical excuse for those who preach indulgence as the way of life over abstinence, but in truth, there exists an eating disorder known as Orthorexia nervosa, whereby one is so obsessed with eating to improve one’s health that when they break abstinence over “prohibited” foods, they may suffer from similar kind of guilt pangs and depression that anorexics and bulimics do.


Orthorexia nervosa is a less-known radical example of being too healthy beyond wellness. Overall, most people are too unhealthy for their own good and could do with a bit more self-discipline. However, as the old saying goes, too much of a good thing can be bad. Here are some misconceptions that even wise, healthy people get wrong.

Obsessing over hygiene.

Clean-freaks are often joked about as eccentric, but there is good reason to be critical of them. According to the hygiene hypothesis, living in an overly sterile environment can be bad for your immune system as it makes you more vulnerable to illnesses. In addition, good bacteria can be vital to your health. Good bacteria exists in various parts of the body, such as the skin and digestive tract. You should practise good hygiene especially before eating and preparing food, and after a trip to the washroom, but don’t feel the need to sanitize your hands every time they touch something, or freak out when your child starts going on all fours.

Waking up too early.

Early to bed, early to rise is often touted as a model sleeping habit. However, most people need seven hours of sleep a night to be considered as having ample rest. Unless you’re sleeping as early as 9pm, waking up at the wee hours of the morning is not advisable. In addition, your lungs undergo repair from 3 to 5amin the morning. That is why some people with lung and respiratory issues are wakened to violent fits of coughing around this time. If possible, you should not disrupt the lung’s repair works by waking up at this time.

Restricting your diet or organic.

Organic food is produced by methods that do not involve modern synthetic inputs such as synthetic pesticides and chemical fertilizers. They are generally healthier than their non-organic counterparts, but it is not always the case, and the term “organic” can give a false sense of security. Organic eggs for example, are not much different from normal eggs, so one should not assume that it’s fine to eat more organic eggs. In addition, some cereals and fruit bars are touted as organic but in fact, contain many unhealthy elements like fats and sugars.

Consuming too many supplements.

Certain vitamins and minerals can be dangerous when taken in access. Too much calcium for example, can lead to calcium accumulations in the form of kidney stones. Excess vitamin D leads to Vitamin D toxicity and a myriad of problems including tiredness and constipation. Have a balanced diet, and only turn to vitamins to replenish what you’re short on. If you think you’re deficient in certain vitamins, you should consult a doctor instead of self-medicating.

Unnecessary checkups

The use of certain scans and medical equipment exposes one to radiation, and getting too much radiation is never a good thing. Some doctors are overly keen to encourage their patients to go for tests, and it is important to clarify your doubts, and understand the side effects before blindly adopting recommendations. You should not require regular tests for certain conditions if you’re not one of the at-risk people.

Constantly requesting for antibiotics.

Many people ask for antibiotics and anti-virals because they think it helps them get better faster. While this may be true, antibiotics not only kills off good bacteria in your body, but also develops drug resistance in the bad bacteria. Should you fall ill to the same condition again, the antibiotic may work less effectively.

Forgetting about sodium/salt
Many of us talk about watching calories and sugar levels, we tend to forget about sodium/salt when checking the nutritional contents of our food purchases. These days, many of us consume packaged and prepared foods for convenience, and most of these contain excess sodium. High sodium intake has been linked with increased risk of high blood pressure. In Singapore, the recommended maximum intake is 5g a day for adults.

Drinking too much water

It sounds surprising, but drinking too much water can be a problem. This is especially so you down a huge amount of water before running a marathon or doing something that is physically vigorous. Drinking too much water leads to water intoxication, also known as hyponatremia, in which the other nutrients in the body become so diluted that they can’t function normally. In serious cases, it can lead to coma and death. This is why sports drinks contain electrolytes in addition to fluids. The presence of these electrolytes prevents the body fluids from being too diluted so that materials and nerve messages can move into and out of cells and throughout the body.

You should still get your eight glasses of water a day, but spread it out throughout the day, and never gulp it down in one sitting.

Assuming that all healthy claims equate to healthy food

“Low fat” and “refuced fat” sound healthy enough, but this may be cancelled out by high sugar, high sodium etc… Don’t pounce on an item just because it makes such claims. Health Promotion Board has an extremely detailed guide on making sense of nutrition labels.

Skipping vaccines 

 HPV vaccinations, flu vaccinations (for elderly aged 65 years and above and people with low immunity due to certain treatments and diseases), Hepatitis B vaccination and travel-related vaccinations when you go abroad are examples of shots you should get. For further advice and support, do visit the Health Promotion Board website http://www.hpb.gov.sg/

Thinking that all you need is the internet 

While it is true that the internet is a wealth of useful information, self-diagnosis from what you read online is never a substitute for professional diagnosis in person by a doctor. Everybody’s constitution is different and what works for one may not work for another. Online resources are good for staying informed and general health information, but do seek a doctor’s advice if you have a medical concern.



Exam fever is just round the corner and the last thing you want is to get an actual fever which could affect your performance or even prevent you from turning up for the exams.

Additionally, many people tend to cram at the eleventh-hour, which leads to a myriad of stress-related problems, as well as a flare-up of existing health problems. Here are common health-related issues that occur during the exam period and tips on managing them so that you can take your exams in top form.

Eating irregularly / Gastric
Never skip meals for that extra hour of revision. Eating irregularly can lead to gastric and other related problems. In addition, regular well-balanced, healthy meals will strengthen your immune system and help you to focus and stay alert. Make sure you have breakfast, especially on the exam days, even if you have no appetite. Not eating breakfast may incur many unpleasant problems, including feeling lethargic and being unable to concentrate.

Headache / Migraine
Headaches and migraine may occur from tension. Don't stay up late at night to study; concentrate on getting ample sleep instead so you can concentrate and revise more in the day. Drink sufficient water to prevent dehydration. Take regular breaks and study in well-lit rooms. This is especially vital for students with eye problems. Coffee isn't the miracle drink for alertness; some people develop headaches from drinking more coffee and other caffeinated drinks than usual.

Junk food overload
Revising often gives rise to the need to munch something. If you must have a snack, try an apple or dried fruit snacks instead of potato chips. Unhealthy snacks can cause one to fall ill, especially when you're not washing it down with sufficient water. Additionally, some people develop guilt pangs from eating more and that can affect your mental well-being. Finally, refrain from eating and drinking after 8pm as it can cause your digestive system to overwork, which may lead to insomnia and other digestion problems.

Stomach upset
Stomach upset may happen due to constipation or anxiety. Do drink plenty of water and consume fruits and vegetables if you're having constipation.  If your stools are runny or watery, get medical help, and keep yourself well-hydrated as diarrhoea can lead to dehydration.

Mouth Ulcers
Mouth ulcers may occur due to lack of sleep, or grinding / biting from stress and anxiety. They aren't really a cause for medical concern, but they sure are painful and irritating. Here are some tips on how to soothe / get rid of them. Of course, prevention is better than cure, so try to get sufficient sleep, and take breaks if the stress is getting to you.

Asthma
In serious cases, stress can induce a relapse in asthma patients. Make sure you take your asthma medication regularly, and have an ample supply of working inhalers at all time. Don't forget to have one with you during your exam. In addition, learn relaxation exercises, such as deep breathing, progressive muscle relaxation or clearing of negative thoughts. Practise these during your breaks, and you can use them to stay at ease during your exam.

Eczema
Eczema is yet another problem that, while not caused by stress/anxiety, can be worsened by it. One may be tempted to scratch vigorously out of irritation, which worsens the condition. Apart from it being bad for your skin, it affects your concentration. Take your medication regularly and keep your skin well moisturised. Bring your moisturiser with you to the exam hall, especially if it's air-conditioned. Wear loose-fitting airy clothes that will not cause your skin to itch.

Insomnia
Tempting as it may be, avoid studying on your bed, as it may condition your mind into failing to associate sleep with your bed. Worrying can cause an inability to go to sleep. Here are some tips from a previous article on how to deal with insomnia.

Body aches

When you're seated in one position, buried in your notes for too long, this can arise, and it can get in the way of concentration during your exams. When studying, do use a chair with good back support. Sit up properly and avoid slouching. Take frequent breaks, walk around, do some light stretches, or switch your study area from time to time.

Inactivity
You may be tempted to hole up in your seat all day to devour your revision notes, but lack of activity can cause you to feel lethargic. It may also lead to the above-mentioned problem of bodily aches. In addition, you may grow weary of the task at hand and your concentration may slip away. Try to incorporate some time for exercise, which can help to release stress and . Take a walk outside and let the greenery soothe your eyes. Taking your mind away from the exams from time to time can do your body and mind lots of good.

Good luck for your exams!



If you find yourself having difficulty focusing on your work at hand or learning new concepts, you may want to incorporate more fish in your diet.

According to a recent study by Oxford University, the greater the abundance of key omega-3 fatty acids in a child’s brain, especially the long-chain omega-3 DHA, the better they are able to concentrate on their lessons and school work and consequently learn better. The study established that higher levels of Omega-3 in the blood, and DHA in particular, were associated with better reading and memory, as well as with fewer behaviour problems.

While the subjects of the research were children, the results ought to apply to adults as well, even if it's to a lower intensity. After all, Omega-3 fatty acids, notably DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid) are not only important for the brain to function efficiently, they are also relevant for growth and development of cells. Past research also indicates that they may reduce the likelihood of getting heart disease.

Fish, other sea food and some seaweed are rich in these fatty acids, with greater abundance in fatty fish like sardines, salmon, mackerel and herring. Non-seafood sources include beans (especially kidney beans), flax, canola oil, wild rice, and edamame (green soybeans).

Understandably, fish is not as popular an ingredient as other forms of meats as it can be difficult to prepare and consume. Fish bones which can be fatal if choked on by small children.

 Here is a quick and simple recipe for fish soup that can be easily used to supplement any main meal or just eaten on its own, no bone picking required!


Main ingredients -
Fish stock, which can be bought ready-made from the supermarket
Fish fillet
Silken tofu, cut into cubes
Tomatoes, cut into wedges
Japanese sea weed (wakame)
Quantities according to your preference.

For seasoning -
Light soy sauce
Sesame oil
Ginger (shredded)

Prepare the fillet by washing it and then pat dry it. Place the fillet on a plate and marinate lightly with a bit of light soy sauce and sesame oil. Add ginger shreds on top and steam for about 10 minutes.

Check that the fish is fully cooked (the meat should be white). Set it aside to cool for awhile, then flake it into smaller pieces for easier consumption.

Boil the fish stock. Once it comes to a boil, add in the tofu and tomato wedges. Let it simmer for about 3 minutes, then turn off the heat. Add the flaked fish and Japanese sea weed to the soup, followed by a pinch of salt and pepper for seasoning.


You can add spring onions or coriander leaves for garnishing.

And that's done! Everyone including your denture-wearing grandparents and toddler can enjoy it without fuss!

Sources:
http://health.howstuffworks.com/wellness/food-nutrition/healthy-eating/5-foods-high-in-omega-3.htm


It doesn't have to be this extreme

Sunday, for the majority of us, is a day to let our hair down and relax or play hard like never, until the work week descends on us again like dark clouds over bright blue skies.

Therefore, it may sound ironic, and insane, that working on a Sunday may help to relieve stress.

Have you ever returned from a vacation, feeling stressed and overwhelmed with all the piled up work rather than refreshed, something commonly referred to as post-vacation blues? It certainly is hard to shake off those wonderful memories of paradise and re-adapt to your new significantly less interesting and relaxing lifestyle. That is just about how Monday Blues work, except to a smaller intensity.

That is not to say that you should never take vacations, play hard or that you should work every single day. Vacations and relaxing weekends are definitely a must to keep your life balanced, but putting everything off and overloading yourself on weekdays, especially during a particularly busy week, can stress you out further. Feelings of guilt gels in with those hair-pulling moments of “stop flooding my inbox!” and you’re one emotional wreck by the end of the day.

Many people hate Mondays because after two days of not clearing the inbox, you often have many more emails screaming for your attention, compared to the rest of the week. To avoid this situation, schedule a little time every Sunday to look through your emails, prioritize the really important ones, possibly clear out some of the easier and quicker tasks, and you’ll go to your desk on Monday feeling productive, prepared and confident about handling the day.

However, you should still enjoy your rest and time with your loved ones, so don’t get too carried away with your work. Limit it to a couple of hours, don’t worry about particularly serious issues (you have five work days ahead to deal with it!), and enjoy the rest of your weekend! Above all, don’t do your work at night, you’ll need restful sleep to keep you energized on Monday.





There's a right time and place for everything, including eating fruits.

So much has been said of the virtues of fruits that it seems like one can hardly go wrong with them. In fact, many people regard fruits as desserts or an after-meal snack. The notion that this is the best way to consume fruits is further strengthened by the fact that many restaurants do serve fruits or fruit desserts after the main course.

Unfortunately, regarding fruits as an after-meal snack is not a great idea. The nutrients from the fruits may not be absorbed properly. Ideally, fruits should be consumed alone or with other fruits, with at least a half an hour gap between the main meal and the fruit meal. The sugars, nutrients and fibre in the fruit require time to be completely absorbed by the digestive system. When fruits are consumed alone, all these goodness is easily processed and absorbed into the body. Hence, you get the optimal benefits from the fruits you eat.

On the other hand, if you eat fruits close to a meal, especially after a huge meal, the digestive system requires more time and effort to absorb the nutrients from the fruits. When held in the stomach for too long with other foods, they will rot and ferment in the gut. This can lead to symptoms of indigestion such as heartburn, burping, feelings of nausea, diarrhea etc.

If you wish to enjoy a fruit snack after your meal, do wait at least 30 minutes before doing so. Those with diabetes and any other illnesses that are accompanied with digestive problems should wait longer.

Ideally, one should consume fruits either one hour before a meal or two hours after. A recommended schedule would be to have some fruits between breakfast and lunch, another round between lunch and dinner, and perhaps a last light fruit snack after dinner, preferably before 9pm to avoid overworking the digestive system. Heavy fruits like banana and avocado should be avoided at night, as well as watermelon, which albeit having great hydrating and detoxifying properties, would cause you to require more frequent toilet breaks.

Why not consume fruits on an empty stomach in the morning? This would work if you intend to have a fruit meal as breakfast. However, diabetic people would have to take care to avoid fruits high in fructose (fruit sugars) like apples and mangos. These can cause sugar levels to spike and failure to secrete sufficient insulin to counter this.

Can one mix fruits with non-fruits then, such as yogurt and cereals? That is generally fine as long as the meal isn’t a very large one (which could hinder the digestive system’s efficiency), and if you don’t have existing digestion problems. The rule of the thumb is not to eat fruits with other food that will be hard to digest.

Sources:






It's been often asked which is better: to jog in the day or at night? Given that for most people who are working, it is well almost impossible to jog in the daylight hours. Of course there are the run hour joggers, who would sacrifice their break to get a good run. But even then, often they may run in the city area where the air may not be fresh. In fact I recalled many years ago in the Indiana University campus in Indianapolis US, I first encountered people running during the lunch hour. Certainly at that time it wasn't the trend in Singapore to run during the midday.

I guess there are few office workers who are fortunate enough to be able to get out of the office by 5pm and be all dressed for the run by 6pm or earlier. Most people get home around 7pm or later, have dinner and - well the daylight is well gone.  So moonlight runners are what many are compelled to do if they want to keep their jobs and keep their health.

There are of course the early birds who get up at 5am and hit the tracks by 5.30am or 6am for a good one hour exercise. They take a bath and is all freshen up and ready to take on the world by the time they sit at their office desk at 8.30am. But what time do they have to sleep to get up so early? One pal told me he gets into bed by 9pm, which leaves him with little time to spend with their family and certainly not much of TV.

Some runners will swear that it all depends on your biological clock. If you're an early riser then by all means do the jog at sun rise; and if you are a late sleeper, then go for the evening run. Having done both running at dawn and in the late evening, I find it more relaxing to do so under the moonlit sky. Reason: the day is behind me and I don't have to worry about rushing home, get a bathe and hit the road to get to the office on time. Besides, it is very nice and cool to run at night. Just be a little more safety conscious and don't ask for trouble by running into the darkest corners and risk getting mugged.

At the end of the day, whichever is your choice, what's important is to hit the tracks, get at least 30 minutes of exercise, to stay healthy. Don't you think so?



Can you make it through this article in entirety without tending to your Facebook notifications from your phone, switching to another tab on your internet browser or thinking about what’s for lunch/dinner/supper later?

Virtual cookies for you if you can, but I’m betting you aren’t going to get them.

Being physically present, but mentally elsewhere, a state known as autopilot, is a common problem these days, especially given the omnipresence of social media and multimedia entertainment. While one may argue that getting a little break or harmless day dreaming can help to inspire new ideas, in truth, this is a major cause for procrastination. Spending too much time in your imaginary paradise can in the long run lead to anxiety (from not completing your work) and depression (at reality, or failure to achieve).

More importantly, if you don’t focus on things that matter, they will be just be random things that you bypass in life on a daily basis, rather than adding value to your life. Do you sometimes find that you have trouble remembering and describing things, names and faces that should matter? Maybe it’s because your mind is on a bazillion other things.

The common excuse of “I can’t focus” is in fact, just an excuse.

When performing tasks, our brain’s reflex response to our usual mode is the focus mode. If you’re in the middle of doing your work, and possibly multi-tasking with something else inessential or in Lala-land, and you heard someone yell “Fire!”, chances are, you’d drop whatever you’re doing, stick your head out of your dream world and concentrate on finding out what this fire is about. It’s unlikely that you’d start fiddling with your Facebook, unless you’ve made certain that the situation is not dangerous for you.

The fact is, many of us are capable of focusing on the things that matter. We are just not using this ability to its full potential. If we could just utilize this ability to give strict attention to the task at hand, imagine how much we could achieve, and how much more time we can enjoy for guilty pleasure.

Certainly, telling oneself to focus is easier said than done, and the common recommendation of rewarding oneself after the task is done may often lead to thinking about this reward in the middle of work instead, which becomes counter-productive.

Meditation is a tried and tested solution to help focus the mind and even alleviate stress and anxiety. Here are three simple ones that anyone can do, any time, anywhere.

Walking meditation.

This conventional meditation method is recommended by recommended by Catherine Kerr, director of translational neuroscience at Brown University's Contemplative Studies Initiative.

All you need is an empty space, the more spacious, the better, preferably with nobody and nothing to get in your way. With no shoes on, but preferably with socks, simply walk at a slow or medium pace, focusing your attention on your foot. Yes, this will be a challenge for us fast-footed Singaporeans, but you’ll soon get used to it. Instead of merely walking mindlessly or thinking of something else, concentrate on the feel of your fet interacting with the ground i.e. when your heel touches down, when your sole is flat on the ground, when your toes point back upward.

If your mind wanders, gently bring your attention back into focus mode on your feet.

Doing this helps you notice when your attention drifts our of focus, and to bring it back into focus. With more practice, you will soon become more aware and in control of your attention.

Once you become comfortable with pulling in and out of your attention-deficit mode and focus mode, you can try it outside, on your way to school, work, supermarket or just about any time.

Reflect on things that matter

Amit Sood, author of "The Mayo Clinic Guide to Stress-Free Living," and director of research and practice at the Mayo Clinic Complementary and Integrative Medicine Programme, suggests making paying tribute to the people who matter to you the first thing you do when you wake up.

With your eyes shut, think of the first person you feel grateful too. Bring that person's face in front of your eyes and focus on one part of their face that you really like.

Send them a "silent gratitude”, as Sood calls it, or "just a note of thankfulness that this person is in your life. Do this for a second, third, fourth and fifth person – perhaps someone who has died. Picture them happy; try to imagine the colour of their eyes.

If you are finding it difficult to focus or remember certain facial aspects of said person, perhaps too much is getting in the way when you’re spending time with that person. In that case, if it isn’t too late, this is a sign that you should spend more time with him or her, and give them more of your attention.

You can also extend this beyond people to things like places, travel locations that you have been to before or even TV programmes that you have watched, even your favourite idol (Just don't get too obsessive).

These “silent gratitude”s not only help to train your ability to focus, but also enables you to connect with people and things that you have not really been in touch with. Quoting Sood - “you start feeling like you're not missing out on life.”

Giving in to distractions is part of human nature, so if you find it difficult to gain focus, don’t feel distressed or try to pressurise yourself into focusing. Be compassionate and slow but steady, and you will eventually regain the ability of being in control.


 
In the past week, various milk products formulated using the whey protein concentrate called WPC80 produced by Fonterra have been recalled in several countries, and this has caused panic among many parents who bought milk products from the affected companies for their infants. The ingredient WPC80 had contained a bacteria Clostridium botulinum, which has the potential of causing Botulism.
 
What is Botulism?
 
It is a disease that paralyses the muscles, and occurs in 3 common forms.
 
Infant botulism is the most common form, and what many concerned parents fear may be resulted from the contaminated WPC80. It occurs in babies typically between ages of 2 and 6 months, when Clostridium botulinum bacterial spores grow in the intestinal tract.
 
Honey is a known source for containing spores of this bacteria. While it would not impact adults, it is for this reason that honey should not be fed to babies under 12 months old.

Foodbourne botulism results from harmful bacteria that thrive and produce toxin in conditions with little oxygen, such as canned food. Do not keep canned food past their expiry dates. Throw out the cans if the container looks damaged, bulging, spurts foam or liquid (especially for dry food items that have little moisture), or the food is discoloured, mouldy or smells bad.

Wound botulism occurs from infected cuts. When the bacteria gets into the cut, infection produces the toxin.

Botulism in any form is potentially fatal and immediate medical help should be sought if one exhibits the symptoms.

Symptoms of Botulism include:

In an infant:
- flat facial expression
- poor feeding (weak sucking)
- weak cry
- decreased movement
- trouble swallowing with excessive drooling
- muscle weakness
- breathing problems

In adults:
- Double vision
- Blurred vision
- Drooping eyelids
- Slurred speech
- Difficulty swallowing
- Dry mouth
- Muscle weakness
- Constipation
 
The authorities in Singapore have done the right thing by recalling Fonterra-related products, as with other countries, even if the company has assured that the contaminated products did not get to our shores. Regardless whether it’s an act of paranoia, it sure does well to serve as a warning to companies that put their customers’ health and safety at risk. Regardless, this is a lesson learnt that even the most reputable companies can slip up. The best way we can protect ourselves is to keep our immune systems healthy, be vigilant and keep a good watch on our health. We should not take our sanitary environment and strict AVA regulations for granted.
 
Sources:




You’re healthy. You’ve been making a point to sleep and wake up at regular hours, and to get the recommended eight hours sleep almost every day. Your work doesn’t utilize much physical energy, and you enjoy regular work hours.  Haze PSI has been at a healthy level. Why do you still feel tired and listless?

Apart from getting ample rest, many factors do play a part in your well-being. If you often feel tired despite sleeping the desired number of hours, you may be lacking something else in your lifestyle.

Unhealthy diet

Proteins are very important sources of energy. Make sure you’re getting sufficient protein in your daily meals. Examples of food that are rich in protein include fish, nuts, seeds and beans. Reduce consumption of food that are high in saturated fats, processed foods, artificial sugars and trans fats. Not only can they lead to health problems related to obesity, they also sap your energy.
Be sure to consume generous servings of fruits and vegetables per day as well. Vitamin C helps to enhance your immune system, and fibres will stimulate bowl movements, thus detoxifying your body and keeping constipation at bay.

Deficiency in certain vitamins and minerals

Examples of those that have an impact on your fatigue levels:

Selenium: For thyroid function and metabolism. The higher your metabolism, the more activity you can indulge in without feeling spent.

Iodine: Low iodine levels result in fatigue.

Omega-3: As Omega-3 is a health fatty acid, and our brain is largely made up of fatty acids, lack of Omega-3 for renewal can cause cognitive, behavorial and memory-related deficiencies. This is also why people tend to not be able to remember things well when fatigues.

In addition, Omega-3 helps to prevent or control a myriad of health problems including heart disease and certain cancers like breast, prostate and colon cancer, diabetes, hypertension and osteoporosis. They are even helpful to mental conditions like depression, schizophrenia and bipolar disorder.

Vitamin D: Low levels of Vitamin D leads to low energy levels and depression.
Magnesium: Magnesium is essential for energy production in bones and muscles.
Consider getting vitamin prescriptions from your doctor if you’re not getting enough of this in your daily diet.

Lack of exercise / inactive lifestyle

Strange but true. The less you move, the more tired you feel. Regular exercise helps to boost energy and mood and fitness levels.

Poor quality of sleep

You may be going to bed and waking up at fixed timings, but are you really sleeping well throughout? Stress, menopause and andropause in people in their 40s and 50s, poor bladder control which leads to waking up in the middle of the night are examples of causes of lack of sleep. In fact, lack of sleep may not even be apparent. Dreams are part and parcel of your sleep cycle, but if you’re remembering your dreams vividly, or even getting waken up by them, it means that you haven’t been sleeping well at all.

Check out past articles I’ve written about improving sleep quality, or go to the doctor to get insomnia treated in serious cases.

Not having breakfast

Are you skipping breakfast just so you can sleep in longer? Well, don’t. For years, experts have proven through research that not having breakfast leads to a number of health problems, including a poorer ability to remain alert and focused throughout the day.

It’s in the mind

You may claim you’re tired, but sometimes, it’s more a case of “I can’t wait to get this over and done with.” This would explain why some people look listless at work, but become very energetic when they go out after work. You’d think they’d head straight home if they were really tired! If you’re mentally tired, you may want to try adopting more optimism, doing things you enjoy to cheer you up, or perhaps consider a job switch if it is really getting you down.

Illness

Constant fatigue may be a symptom of something much more serious. Anaemia, diabetes, hypothyroidism, hepatitis C and some cancers result in fatigue. Get a full body check-up and consult your doctor if your fatigue isn’t the result of any of the above.

Sources:
http://health.yahoo.net/articles/nutrition/7-hidden-causes-fatigue
http://www.fitday.com/fitness-articles/nutrition/fats/what-omega-3-fatty-acid-does-for-you.html


Medical experts and researchers have for years incessantly reminded us, with detailed figures and complex experiments, the importance of having breakfast for good health. From maintaining a healthier weight to an improved ability to focus the mind, breakfasts are critical meals in many ways. Recently, the Harvard School of Public Health indicated that eating breakfast keeps the heart in good condition, and not doing so adds increased strain. People who skipped breakfast were 27% more likely to have heart problems than those who had breakfast. Furthermore, it is advised that one should have breakfast within an hour from time of waking up, which means breakfast at your work desk is less effective than breakfast at home if you take a long time to commute to your work place.

The study was done on men aged 45-82 however, and one might argue that the subjects are skewed. Nevertheless, while more research needs to be done to establish a direct link between breakfast and heart attacks, it has certainly been proven that breakfast does a lot of good for males and females across various age groups.

The million dollar question however, is making time for a well-balanced healthy breakfast. Easier said than done, said  a friend of mine recently with regards to finding time during the morning rush hour. He had lamented that rising at 7 in the morning left barely sufficient time for morning exercise, shower, shaving, and putting together his outfit before going off to work. He drives to work and starts work at 9pm.

Rightly, aside from outfit planning (which can be done the night before to save time), the morning before work or school is a hectic period made worst by the fervent desire that you were still lying in bed. Getting up earlier is not a solution for everyone as some people feel queasy if they were to eat early in the morning.

A good solution is an almost instantaneous breakfast that is light and healthy.

Here are some ideas that require usually less than fifteen minutes to prepare. Just make sure you have the ingredients the night before and know where you keep them so you don’t waste time scrambling around for them.

(Image from livelighter.org)


Cheesy Fruit Breakfast Bowl

You don’t even have to cook this!

You will need –
- One serving of your favourite fruit, cut up or cubed. Apples, bananas, blue berries, grapes, pears are healthy and tasty options
- ½ cup of low-fat Cottage cheese
- ½ table spoon of cinnamon sauce, or natural honey for diabetics and those who should be watching their sugar levels.
Quantities can be adjusted according to personal preference.

Place cottage cheese in a bowl. Mix in half of the cinnamon sauce / honey until the mixture is well blended.

Add your cut or cubed fruit, stir, and then top with the remaining cinnamon sauce / honey.

That’s all! You can vary the types of fruits each day for more variety.


(Image from getfityou.com)

Oatmeal with fruits

Oatmeal is one of the healthiest choices for breakfast. Steel-cut oats are the healthiest, but they also take a rather long time to cook, so if you don’t have the luxury, you can still go with instant oats. Instants do not contain much fibre, and that’s where fruits and nuts make up for it. In particular, blueberries go well with oats. Flaxseed and almonds stimulate the meal with a crunchy texture while contributing additional essential nutrients, including fibre, unsaturated fats, vitamins and minerals.

(Image from eggbeaters.com)


Egg in a mug

Most of us wouldn’t think of putting eggs in our mugs unless we’re making milo with egg, but when you’re in a rush, it sure is easier to multi-task by eating from a mug than a plate or bowl! Why else did the concept of cup noodles come about?

You will need:

A microwave oven.
½ serving of apples or pears, chopped or cubed. Other fruits will do too, but this dish will be served warm, so you would probably not want to add fruits that will taste weird when warm. Alternatively, you can also use broccoli instead of fruits.
½ an egg, raw. Keep the other half refrigerated for the next day.
¼ cup of cottage cheese. Cheddar cheese slices will do too, but they should be chopped up for easier blending.
Seasoning: salt, pepper, garlic powder (optional)

Quantities can be adjusted according to personal preference.

Add the chopped fruits in a mug, and put the mug in the microwave oven to microwave for about one minute. This serves to soften and warm the fruits.

Pour the egg in and microwave for about another 2 minutes.

Add cheese and stir, then microwave for about 1 minute.

Mix and scramble. When the egg is set, you can add some seasoning.

Enjoy!

For an additional treat, you can add other ingredients like shredded mushrooms, ham bits and even some minced meat for a more filling breakfast. Make sure meat is already cooked as you can’t count on a microwave oven to cook your raw meat in such a short time frame! Look into your fridge and see what you got. Leftovers from dinner the night before could inspire some creative new recipes!

Caution: Eggs are high in protein, so refrain from eating this every morning.


Bananas

Bananas are nutritious, tasty, filling and really easy to eat on the go. You don’t even need to add additional seasoning as they are naturally sweet. What’s not to like about them? Of course, it can be tiresome to eat them every morning. You can create variety by adding them to a bowl of cereal and milk, or having them with sour fruits. From personal experience, they taste best when consumed with cubed strawberries and blueberries.

If all else fails, head to 7-11 or your nearest bread store the night before and stock up on ready-made sandwiches! They’re still healthier than chemically processed instants.



Back in 2001 when the concept of NEWater was made known to the public, there was much skepticism about it. Cynics referred to drinking NEWater as drinking sewerage, for that was indeed the main source of NEWater, never mind that detailed descriptions have been provided about the water treatment process. Some have even reportedly complained that bottled NEWater had a strange smell, though that is more likely a psychological effect.

The news that UNICEF is distributing water generated from sweat for drinking is likely to raise some eyebrows, and perhaps some bile. But as with NEWater, the sources go through a strict treatment regimen to generate clean water that is perfectly safe to drink. According to BBC News, Engineer Andreas Hammar, who designed and built the sweat-extraction machine, a technique called membrane distillation is used, which only lets steam through, but keeps bacteria, salts and other irrelevant substances out. It works on a similar concept to what is being used on the International Space Station to treat astronaut’s urine for drinking (cue gasps, but drinking water’s got to come from somewhere!)
 
The machine is more a publicity stunt to promote awareness about the shortage of clean water than an actual solution to the problem. Perspiration is difficult to obtain, especially when the weather isn't sufficiently hot, and water purifying pills are much easier to utilize.

Nevertheless, this is a solemn reminder on how we should appreciate the clean water and advanced technology that we get ready access to. Many of us are accustomed to boiling water from the tap before drinking it, but in fact, under regular circumstances, boiling water is insufficient in getting rid of impurities that have a higher boiling point than water. Only the rigorous treatments that our reservoir waters are subjected to are capable of truly ridding the water of all undrinkable substances.

According to UNICEF, 780 million people lack access to clean drinking water. Thousands of children die everyday, killed by water-bourne diseases carried by contagious water, or due to contamination and poor sanitation.

Many of us are rightly concerned about the danger of unclean water to our health. It is therefore encouraged that when traveling, one should always do research on the safety of the water available in the country, and avoid drinking from the tap, even if you have habitually done so in Singapore. That is not to suggest that only Singapore has adequate water treatment technologies, but in some cases, travelers fall sick because the pathogens in the water, which locals have already adapted to, are foreign to their immune systems. In a personal example, a friend of mine from a developing country had insisted on drinking water from the tap in the US, proudly proclaiming that her immune system has been toughened by the sanitation conditions in her homeland, only to develop a diarrhea the very next day from drinking it. Even developed countries are not always risk-free as they have on occasion reported cases of water-bourne disease outbreaks from contaminated water.

In general, when traveling, stick with bottled water from sealed, tamper-proof containers. If you must drink from the tap, boil your water, as exposure to high temperatures can help to kill parasites. Tea, coffee, juice, wine and other beverages that have been processed are generally safe. Watch out for the ice as well, as freezing water does not kill bacteria. Make your own ice by boiling water before freezing it.

Aside from drinking water, you should also consider that water that you use for other vital sanitation purposes that if done poorly, can lead to serious contamination problems. Examples include brushing teeth, washing of contact lenses, dentures, vegetables and fruits. Do use bottled, boiled or purified water for these, especially if you are traveling in a country with poor reputation for water hygiene. It may be troublesome and more expensive, but it certainly beats spending your holiday at the doctor's. Water purification pills can be a real life-saver.


For the record, vegetables and fruits are low in calories and should be consumed more often.

Here is yet another reason to stay fit and slim.

In May this year, the UK Health Forum presented their research at the European Congress on Obesity in Liverpool, indicating that the risk of contracting dementia almost doubles with midlife obesity.

While no direct reason can be pinpointed for this link between obesity and dementia, it has been established by the French medical institute Inserm that obesity has a negative impact on memory and reasoning. Another theory suggests that proteins released by the fatty issue go into the bloodstream, and this affects cells in the brain.

Regardless, it is absolute that obesity takes a toll on health especially in old age. A healthy body means a healthy mind, and that is critical in the prevention of dementia. As Dr James Pickett, head of research at the Alzheimer's Society says, "The best way to reduce your risk of developing dementia is to eat a balanced diet, exercise regularly and maintain a healthy weight."

Losing weight and staying active get increasingly difficult as one gets older, but that should not deter senior citizens. It is never too late to start getting fit and healthy, and it doesn’t have to take a lot of perspiration and strain!

Manage Emotions

One tends to get sentimental and easily emotional when you get older. And often times, negative emotions may cause one to turn to comfort food. Binging is a common problem for people who are stressed and unhappy.

Make sure you get sufficient sleep, as one is more vulnerable to stress and unhappy emotions when tired. Even if it is difficult to fall asleep immediately, go to bed at an early hour (preferably by 11pm). Try relaxation techniques to help you eliminate your mind from worries and fall asleep, such as deep breathing, listening to soft music, or putting calming fragrances in your room. Get your eight glasses of water early in the day and refrain from drinking and eating after 8pm. This reduces the frequency that you’d need to empty your bladder at night.

Boredom breeds loneliness and depression, and eating ends up as a common past time to fill the gap. Find other healthier diversions that make you happy, such as going for a walk, reading a funny book or even taking a shower. Consider taking classes at the community centre or going on day trips organised by your Residential Committee. These are often affordably priced, and you get to make new friends while learning something new.

Always think moderation, not complete elimination, in consideration of your favourite food, and you’ll feel more positive about cutting back.

Appropriate Physical Activity

It is most effective to combine three types of exercises – aerobic exercise for strength and endurance (e.g. walking, aerobics), calisthenics (e.g. stretching, bending) for flexibility and weight training (e.g. lifting dumb bells) to boost strength.

Walking is one of the best exercises for senior citizens, as it is not too strenuous but is effective at strengthening your heart, lungs, vascular system, bones and muscles. Three days a week, walk for about 30 minutes to 1 hour each day, at a pace that is comfortable but brisk enough to make you breathe a little harder than usual and perspire.

Alternatively, 10,000 steps a day (about 8 kilometres) is quite sufficient to keep you fit.

Swimming is a great option for those who suffer from painful joints from arthritis. The water keeps you buoyant, lifting stress off your joints. Its only shortcoming is that it does not help you strengthen your bones.

Lifting weights (dumb bells or even bottles of water) builds muscles, and muscle tissue burns more calories than fat tissue does even in state of non-activity. As you get older, you lose muscle mass and the need for calories, so calorie intake for a young person will be in excess for an older person, and this means you put on weight more easily.

In addition, lifting weights help to build strength in muscles, allowing you to perform more strenuous tasks on your own. Nevertheless, weight lifting is tricky if you have not been doing it regularly. The key is to start off slow, at a lower frequency and low weight. Be sure to consult a professional trainer for guidance, especially if you have existing ailments.

As with any age group, have a balanced diet and vice-free lifestyle. Consult the doctor before attempting any weight loss medication or diet plan. Stay active and keep your mind and body well-occupied with meaningful activities. Dementia is never part and parcel of the ageing process even if age is indeed a risk factor. Don’t let it deprive you of the joy you deserve in your golden years.


Sources:
http://health.howstuffworks.com/wellness/aging/senior-health-lifestyle/lose-weight-senior1.htm
http://www.guardian.co.uk/society/2013/may/12/obesity-dementia-alzheimers-disease
http://www.bbc.co.uk/news/health-23159127



It’s time to hit the tracks again as haze levels remain at healthy levels! While some are being deterred by the continuously long queues at the clinics, if you do not feel any discomfort, you can carry out activities outdoor as usual.

As stated on the PSI indicator chart on NEA http://www.nea.gov.sg/psi/ it is generally safe for healthy people to be outdoors when the PSI value is below 100. As there are still hot spots in Indonesia, it is important during this period to continue monitoring psi levels before you go out to exercise. However, those with respiratory or heart disease should refrain from exercising outdoors, if PSI levels are moderate at 50 to 100.

Strenuous activity including exercise is often discouraged in the face of hazey weather because we tend to breathe harder to increase oxygen intake, and in the process, we would be hailing in more harmful and toxic particles. Some of these particles may trigger asthma or heart attack in those with such conditions.

Some have wondered about wearing the N95 respiratory mask to exercise outdoors. Unfortunately, while this mask will limit the amount of toxic particles entering your respiratory system, it also limits air flow. Users of such masks have to exert more effort to breathe normally, and this is also why these masks are not suitable for those with respiratory problems, pregnant women, elderly and children.


Having been through the worst haze in the history of Singapore, many of us have undoubtedly come to appreciate the importance of fresh, haze-free air. In a small, dense city island, it is impossible to enjoy fresh mountain air, but we can still bask in reasonably good quality air when engaging in outdoor activities. There are numerous green spots and parks in Singapore. Instead of jogging along the pavements of roads, brisk walk a little further to your nearest neighbourhood park. Exposing yourself to exhaust fumes from the vehicles on the roads is just as bad as haze exposure! Trees and plants emit oxygen and negative ions in the day that help to cleanse the air. This is one of the most important reasons to why it is advisable to exercise in the day rather than at night.



With the haze PSI levels yoyo-ing between dangerous and hazardous levels this week, the atmosphere feels almost like dooms day is coming. The sky is dusty and obscured, something that many of us who have not set foot in an even more polluted city before might only see in an action or sci-fi Hollywood movie. There is talk of stopping work and school (which serves little consolation to the kids, many who are supposed to be enjoying the June holidays), and masks of all types are out of stock everywhere.

Yes, the hazy situation is undeniably a pain in more areas than one, literally. Even as I’m typing this up, my eyes are hurting. Nevertheless, panicking, getting frustrated and complaining does little to alleviate the health hazard except drive up your blood pressure and sense of helplessness.

If you do not have an N95 mask, it's not the end of the world. Here are things you can do to limit exposure to the haze and stay safe.

Monitor the PSI levels closely, and plan your activities in accordance to PSI levels, your age and physical condition. If you have a smartphone, download NEA’s myENV so that you can receive the latest updates for PSI levels.

When the air quality is at unhealthy to hazardous levels (PSI 150 and above), stay indoors as much as possible, and reduce physical exertion and outdoor activities. The key is to reduce exposure to the haze. When you exercise outdoors, you are inhaling deeply, and consequently breathe in more toxic particles. However, you can and should continue exercising in an indoor environment. Keeping fit helps to strengthen your immune system.

When indoors, keep the haze out by shutting all your windows and doors, then switch on the fans and / or air-conditioner. Yes, the air will be stale, but… do you seriously think the air out there is fresh? Fans should be sufficient to stimulate ventilation, but for better measure, get an air purifier if you want to improve the air quality indoors.

If you use the air-conditioner, make sure the filters are clean; otherwise, it will pollute the air indoors, and it will also have to work harder and utilise more power and energy.

Air your clothes indoors instead of outdoors; the polluted air will dirty your clean clothes otherwise. If you have a clothes dryer, now is the best time to make use of it.


Respiratory masks like N95 masks are strongly encouraged for when PSI levels exceed 150. This is especially so for those with heart and respiratory problems, or are simply more affected by the haze. However, if you do not have access to these, you can try wearing a normal surgical mask, but place a piece of wet tissue over it when you're outdoors. Some people have also shared that they wear multiple layers of surgical masks, though this may be too stifling while having limited effect. If you're wearing a surgical mask, make sure you at least wear it correctly, with the metal strip at the top tapered to your nose bridge and the bottom part of the mask pulled down over your chin: http://www.youtube.com/watch?v=D8v3-lQambM

Additionally, those with respiratory problems should consult the doctor before using respirator masks like the N95 masks. These masks help to keep out fine particles in the air, but on the other hand, may cause some restriction in breathing. Changing masks throughout the day is also necessary if you are spending a long time outdoors because air particles would stay on it.

If you experience discomfort in your throat and nose, or first signs of the cold, get over-the-counter medication for sore throats. Try consuming natural throat soothing products like Pi Pa Gao and Honey to keep throat irritation at bay. Drink plenty of fluids to keep your throat and mouth well-moisturised, as well as protect your immune system.

Should you suffer from shortness of breath or persistent coughing, see your doctor.

Sufferers of asthma must keep your inhalers at hand in case your condition is triggered by the haze particles.

Dry, irritated eyes are common side effects of haze. They are more particularly severe in those who already suffer from dry eyes, like the elderly, contact lens users and people who have undergone laser treatments in their eyes. Use eye-drops to moisturise your eyes and clean out toxic particles.

Feel hot, bothered and possibly dirty from the air? Cold showers and frequently splashing your face with water helps alleviate dryness and heat, keeps you refreshed.

Last but not least, turn in early and get ample rest so that your body gets more time to repair and rejuvenate at night.


Sausage toes may look cute on children, but they are often the result of swollen joints, a common symptom of junior arthritis.

The next time you bemoan how troublesome it is to get out of the house and would rather hole up at home with your gadgets, consider the predicaments of little children who yearn to be their normal energetic selves but can’t due to junior arthritis, which causes so much pain that some can hardly walk, and perhaps you might treasure your mobility.

Arthritis, once thought to be a problem associated only with ageing, affects some 300,000 children in the USA. Its full name is Juvenile Idiopathic Arthritis (JIA). Arthritis occurs when the body's immune system attacks its own cells and tissues. It is not yet known what are the exact causes of JIA and how to prevent it, though it is thought that heredity, gene mutations and environment factors that affect the immune system may be contributing factors.

JIA usually appears in children between 6 months and 16 years old, and any child can be affected by it. As with arthritis in old people, inflammation, pain and stiffness of joints can affect difficulty or loss of overall mobility. Early detection and management from a young age will help to ease the problems brought about by JIA.

Early symptoms include joint pain, swelling of joints, reddened joints and / or warm joints. The child may also experience stiffness in joints, which leads to limping and clumsy and slow movement. Sudden appearance and disappearance of rashes, as well as high fevers that spike in the evenings and suddenly disappear are common symptoms as well. The rashes and fevers are usually caused by swollen lymph nodes.

JIA can even affect the eye, causing inflammation called uveitis. As a result, children with JIA may be required to go for regular eye checks by an ophthalmologist.

If you suspect that your child may have JIA, don’t hesitate to take him/her to the doctor. The Singapore General Hospital’s Autoimmunity & Rheumatology Centre provides consultancy and treatment for JIA.

As with arthritis, there is no cure for JIA, but medication and the correct forms of exercise as prescribed by the doctor can keep the condition under control and allow the patient to lead a normal life.

In the meantime, it is vital for parents and caregivers to remain positive. Undoubtedly, it is a heart-wrenching experience for parents to see their children feeling helpless and visibly suffering from pain. Bear in mind that a parent's emotions can affect the child, so keep your spirits up and help your child to deal with his/her illness bravely. Most importantly, work closely with the doctors and therapists and ensure that your child gets the required treatment.

Treat your child normally; do not treat him/her like an invalid but allow him/her to move as much on his own as much as possible, thus giving him more self-confidence. Do also discuss with teachers and other people that he may be spending significant time with and let them know of the condition and what they should do to avoid aggravating his condition, physically and mentally.

Parents of a 19-month-old JIA victim have just the right mindset when dealing with their daughter who is plagued with joints that often ache.

"We keep her moving, we keep her active and we take one day at a time," the mother said. "When she is not feeling well, we respect that, but it's important not to make that a crutch or an excuse."

 Sources: