Showing posts with label Health Tips. Show all posts
Showing posts with label Health Tips. Show all posts

Wednesday, December 21, 2011

‎15 GREAT THOUGHTS BY CHANAKYA

1) "Learn from the mistakes of others... you can't live long enough to make them all yourselves!!"


2)"A person should not be too honest. Straight trees are cut first and Honest people are screwed first."


3)"Even if a snake is not poisonous, it should pretend to be venomous."


4)"There is some self-interest behind every friendship. There is no friendship without self-interests. This is a bitter truth."


5)" Before you start some work, always ask yourself three questions - Why am I doing it, What the results might be and Will I be successful. Only when you think deeply and find satisfactory answers to these questions, go ahead."


6)"As soon as the fear approaches near, attack and destroy it."


7)"The world's biggest power is the youth and beauty of a woman."


8)"Once you start a working on something, don't be afraid of failure and don't abandon it. People who work sincerely are the happiest."


9)"The fragrance of flowers spreads only in the direction of the wind. But the goodness of a person spreads in all direction."


10)"God is not present in idols. Your feelings are your god. The soul is your temple."


11) "A man is great by deeds, not by birth."


12) "Never make friends with people who are above or below you in status. Such friendships will never give you any happiness."


13) "Treat your kid like a darling for the first five years. For the next five years, scold them. By the time they turn sixteen, treat them like a friend. Your grown up children are your best friends."


14) "Books are as useful to a stupid person as a mirror is useful to a blind person."


15) "Education is the Best Friend. An Educated Person is Respected Everywhere. Education beats the Beauty and the Youth."

Monday, December 19, 2011

ESI Centres in India

There are 790 ESI Centres in the country including Madhya Pradesh. 

The availability of medical equipments and medicines in ESI Hospitals in the country is generally satisfactory. However, there are vacancies of doctors in ESI Hospitals. There are no separate sanctioned posts of lady doctors. 

Employees’ State Insurance Corporation (ESIC) has taken several steps for revamping and modernization of ESI Hospitals and dispensaries to provide better health services. The various steps taken are as under: 

1. Hospital Development Committees have been constituted in all ESI Hospitals and have been given adequate administrative and financial powers for taking decisions for improvement in medical care facilities. 

2. ESIC has under taken modernization & upgradation of hospitals and providing modern equipments for diagnostic and clinical services. 

3. To facilitate early sanction of equipments for hospitals, Senior State Medical Commissioners/State Medical Commissioners, ESIC at State level have been delegated powers to sanction equipments up to Rs.25 lacs per unit. 

4. For ensuring regular supply of medicines, ESIC formulates rate contracts for allopathic and Ayurvedic drugs and the same are sent to all the State Government for procurement of medicines. 

5. ESI Corporation is grading its hospitals and dispensaries by reputed organizations. Further action has been initiated for getting ISO certification in respect of hospitals and dispensaries. 

6. The expenditure on super specialty treatment is totally borne by ESI Corporation outside the ceiling since 01.08.2008 and ESIC has entered into tie up arrangement with reputed Government/private hospitals for super-specialty services and is providing cashless and hassle-free services to the ESI beneficiaries. 

7. Besides, ESI Corporation has under taken a project for starting medical colleges, nursing colleges, dental colleges and training school for other para medical staff in ESIC /ESI Hospitals. 

8. ESIC has appointed part-time specialist/super specialists directly in State ESI Hospitals to ensure that proper services are available to ESI beneficiaries. The total expenditure on this is borne by ESI Corporation. ESI Corporation is already running one 50-bedded hospital in Ujjain along with 2 dispensaries and one Branch Office. 

This information was given by the Minister of Labour and Employment Shri Mallikarjun Kharge in reply in reply to a written question in the Lok Sabha today. 



Source : PIB dtd 19/12/2011

Thursday, September 8, 2011

Herbal Care Product for Leucoderma Launched by DRDO



Lukoskin, a herbal product for Leucoderma developed by DRDO, was launched by Dr. W. Selvamurthy, Distinguished Scientist & Chief Controller Research & Development (Life Science & International Cooperation) in New Delhi, yesterday. The product will be a boon for the patients of Leucoderma and is backed by extensive R&D work by the scientists of Defence Institute of Bio-energy Research (DIBER) (formerly Defence Agricultural Research Laboratory), Haldwani. DIBER, a DRDO laboratory has carried out extensive work in the area of medicinal plant and is also engaged in R&D in generating bio-energy solutions for energy security. The product, Lukoskin, was developed under the leadership of Dr Narender Kumar, Ex Director DARL and his team. Special efforts in the development of this herbal product were made by Dr. P.S. Rawat, ex Head, Herbal Medicine Division and Dr. H.K. Pandey, Scientist presently heading Phyto-Chemistry Division at Pithoragarh. The herbal product will be available in the form of ointment and oral liquid. Dr. Zakwan Ahmed, Director – DIBER, Haldwani and Dr G Ilavazhagan, Director – Life Sciences have pursued the case to bring the product into the market and render much needed service to mankind. This herbal product would be a new hope and boon to the vitiligo affected person. Under the leadership and guidance of Dr. W. Selvamurthy, the ‘Transfer of Technology’ has been granted to the AIMIL Pharmaceuticals (India) Ltd., New Delhi to manufacture and market this research product based on their technological and marketing credentials.

Leucoderma or vitiligo is an idiopathic acquired disorder of skin. Patients with vitiligo develop white spots in the skin with varying size and location. The world wide incidence of leucoderma has been reported 1-2%. In India, its incidence is around 4-5% in some parts of Rajasthan and Gujarat it is very high more than 5-8%. This skin disorder is considered as social stigma in our country and people confuse it with leprosy. The affected individuals are always remain in constant depression with the feeling of being socially outcast. There are many existing remedies of this disorder viz., allopathic, surgical and adjunctive. None of the therapies has satisfactorily cure of this disease. Secondly, these are either costly or single component based, with very low level of efficacy and develop blister, edema, irritation in the skin with the result most of the patients discontinue the treatment. The scientists of DIBER (DRDO) have therefore focused on the causes of disease (aetiology) and researched out a comprehensive formulation for the management of leucoderma from Himalayan herbs by exhaustive scientific studies led to the establishment of the safety and efficiency of the product which extends the benefits on all fronts with very good efficiency. Clinically, the product is quite effective and helps not only in restoring the normal complexion in the affected area but also relieves the affected ones from mental stress, emotional and psychological trauma and thereby, enhancing the confidence and efficiency.
The product was launched by Dr. W Selvamurthy in the presence of Dr. Narender Kumar, Dr. Zakwan Ahmed, Dr. G Ilavazhagan, Mr. KK Sharma, Managing Director, AIMIL Pharmaceuticals and senior officials of DRDO and AIMIL Pharmaceuticals.

Sunday, September 4, 2011

What is Dengue ? . A Health Issue



What is Dengue?
Ø   Dengue is a serious viral disease transmitted by the bite of the mosquito, Aedes aegypti.
Ø   Dengue occurs in two forms: dengue fever and dengue haemorrhagic fever.
Ø   Dengue fever is a severe, flu-like illness that affects older children and adults but rarely causes death.
Ø   Dengue hemorrhagic fever (DHF) is a second more severe form, in which bleeding and occasionally shock   occur, leading to death; it is most serious in children.
Ø   Persons suspected of having dengue fever or DHF must see a doctor at once.
Ø   Dengue haemorrhagic fever is a deadly disease and early diagnosis and treatment can save lives. Unless proper treatment is given promptly, the patient may go into shock and die.

               The symptoms of dengue fever vary according to the age and general health of the patient. Infants and young children may have a fever with a measles-like rash, which is difficult to distinguish from influenza, measles, malaria, infectious hepatitis and other diseases with fever. Older children and adults may have similar symptoms or symptoms ranging from mild illness to very severe disease
 Characteristics of Dengue Fever:
Ø   Abrupt onset of high fever
Ø   Severe frontal headache
Ø   Pain behind the eyes which worsens with eye movement
Ø   Muscle and joint pains
Ø   Loss of sense of taste and appetite
Ø   Measles-like rash over chest and upper limbs
Ø   Nausea and vomiting
Characteristics of Dengue Haemorrhagic Fever & Shock :
Ø  Symptoms similar to dengue fever
Ø  Severe and continuous stomach pains
Ø  Pale, cold or clammy skin
Ø  Bleeding from the nose, mouth and gums and skin bruising
Ø  Frequent vomiting with or without blood
Ø  Sleepiness and restlessness
Ø  Constant crying
Ø  Excessive thirst (dry mouth)
Ø  Rapid weak pulse
Ø  Difficulty in breathing
Ø  Fainting
 Who is most affected?
              Children, tourists and travelers are usually at a higher risk for Dengue transmission. However, adults living in endemic areas are in danger too.
When do Dengue mosquitoes bite?
Dengue mosquitoes bite in the early morning and the late afternoon.
Where does the Dengue mosquito live?
               The mosquito rests indoors, in closets and other dark places. Outside, they rest where it is cool and shaded. The female mosquito lays her eggs in water containers in and around homes, schools and other areas in towns or villages. The larvae, known as wigglers, hatch from the mosquito eggs, and live in the water for about a week; they then change into a round pupal stage for one or two days, after which the adult mosquito emerges, ready to bite.
 Where does the Dengue mosquito breed?
               Dengue mosquitoes breed in any water-catching or storage containers in shaded or sunny places. Favored breeding places are- Barrels, drums, jars, pots, buckets, flower vases, plant saucers, tanks, cisterns, bottles, tins, tyres, pans, plant saucers and roof gutters, refrigerator drip pans, catch basins, drains, soak-away pits, cement blocks, cemetery urns, plant leaf axils, bamboo stumps, tree cavities and a lot more places where rainwater collects or is stored.
How is Dengue spread?
              Dengue is spread by the bite of an infected female, Aedes aegypti mosquitoe which has got the dengue virus by taking a blood meal on a person who is ill with dengue. The infected mosquito then transmits the disease through its bite to other people who in turn becomes ill, and the chain continues. The diagram below, illustrates this action.  There is no way to tell if a mosquito is carrying the dengue virus, therefore people must protect themselves from all mosquito bites, which will also protect against malaria and other mosquito-borne diseases.
How can Dengue be prevented?
               As there is no drug to cure dengue or vaccine to prevent it, there are two key measuresthat can be applied to prevent the spread of Dengue.
Elimination of mosquitoe breeding places
Ø   Cover water containers -Tight covers on water storage containers, will prevent the mosquitoes laying their eggs there. If the cover is loose, mosquitoes can go in and out.
Ø   Septic tanks and soak-away pits -Cover and seal these, so that dengue mosquitoes cannot breed there.
Ø   Removal of rubbish -Garbage articles and other rubbish found around houses can collect rainwater. They should be removed or smashed and buried in the ground or burned, where this is permissible.
Ø   Biological control -Mosquito wigglers can be controlled by small larva-eating fish, such as guppies. These fish can be found in streams or ponds or obtained through pet shops. Bacterial pesticides will also kill mosquito wigglers.
Ø   Chemical control -Safe and easily used larvicides such as temephos sand core granules can be placed in water containers to kill developing wigglers.


Prevent mosquito bites
People can protect themselves from mosquito bites by using any of the following means-
Ø   Mosquito coils and electric vapour mats -Slow burning mosquito coils or electric vapour mats are effective in the rainy season, just after sunrise and/or in the afternoon hours before sunset, when dengue mosquitoes bite.
Ø   Mosquito nets -Nets placed over sleeping places can protect small children and others who may rest during the day. The effectiveness of such nets can be improved by treating them with permethrin (a pyrethroid insecticide) . Curtains (cloth or bamboo) can also be treated with insecticide and hung at windows or doorways, to repel or kill mosquitoes.
Ø   Repellents -Mosquito repellents can be applied to exposed parts of the body where mosquitoes bite. Care should be taken in using repellents on small children and the elderly.
Ø   Screens -Screens on windows and doorways are effective protection against the entry of mosquitoes in homes.
Ø   Protection of people sick with dengue -Mosquitoes become infected when they bite people who are sick with dengue. Mosquito nets and mosquito coils will effectively prevent mosquitoes from biting sick people and help stop the spread of dengue.

Source of information: A fact sheet on Prevention of Dengue by Division of Control of Tropical Diseases and Division of Communicable Diseases, World Health Organization

Courtesy :managementparadise.com &    http://aipeup3bbsr.blogspot.com/

Wednesday, August 31, 2011

It's Official Chocolate Linked To Heart Disease





Madhubala was diagnosed with a heart disease.  She kept it a secret for years.

High levels of chocolate consumption might be associated with a one third reduction in the risk of developing heart disease, finds a study published on bmj as well as this site on Aug'29,2011 under the head "Take Chocolate to Reduce Heart Disease". The findings confirm results of existing studies that generally agree on a potential beneficial link between chocolate consumption and heart health. However, the authors stress that further studies are now needed to test whether chocolate actually causes this reduction or if it can be explained by some other unmeasured (confounding) factor.

The findings will be presented at the European Society of Cardiology Congress in Paris at 10:10 hrs (Paris time) / 09:10 hrs (UK time) Monday 29 August 2011.

The World Health Organisation predicts that by 2030, nearly 23.6 million people will die from heart disease. However, lifestyle and diet are key factors in preventing heart disease, says the paper.

A number of recent studies have shown that eating chocolate has a positive influence on human health due to its antioxidant and anti-inflammatory properties. This includes reducing blood pressure and improving insulin sensitivity (a stage in the development of diabetes).

However, the evidence about how eating chocolate affects your heart still remains unclear. So, Dr Oscar Franco and colleagues from the University of Cambridge carried out a large scale review of the existing evidence to evaluate the effects of eating chocolate on cardiovascular events like heart attack and stroke.

They analysed the results of seven studies, involving over 100,000 participants with and without existing heart disease. For each study, they compared the group with the highest chocolate consumption against the group with the lowest consumption. Differences in study design and quality were also taken into account to minimise bias.

Five studies reported a beneficial link between higher levels of chocolate consumption and the risk of cardiovascular events and they found that the "highest levels of chocolate consumption were associated with a 37% reduction in cardiovascular disease and a 29% reduction in stroke compared with lowest levels." No significant reduction was found in relation to heart failure.

The studies did not differentiate between dark or milk chocolate and included consumption of chocolate bars, drinks, biscuits and desserts.

The authors say the findings need to be interpreted with caution, in particular because commercially available chocolate is very calorific (around 500 calories for every 100 grams) and eating too much of it could in itself lead to weight gain, risk of diabetes and heart disease.

However, they conclude that, given the health benefits of eating chocolate, initiatives to reduce the current fat and sugar content in most chocolate products should be explored.


Sources: European Society of Cardiology (ESC) &  http://tkbsen.blogspot.com

Saturday, August 27, 2011

Guidance for Using a Laptop Computer


Laptop computers are not ideal for continuous use. They normally have an elevated and compressed keyboard, a small display screen that is at an angle and position not ergonomically sound, even if they are at an otherwise entirely suitable workstation.

Incorrect or inappropriate use of laptop computers can cause health problems. This guidance offers some practical advice on how to avoid any problems.
Occupational Health has put this leaflet together as an additional aid for anyone who uses a laptop and it should be noted that general workstation set up etc. is covered in the guidance and code of practice documents for computer use.

The significant hazards associated with laptop use may include:

Ergonomics of use – the requirements for portability often means that the ergonomic standards developed for desktop computer workstations are largely ignored when an individual uses a laptop. Often laptops are used on laboratory benches, unsuitable desks and tables at home, on trains or in hotel rooms with limited legroom, poor seating and incorrect screen positions. There are therefore foreseeable risks of developing a wide range of health problems from such poor ergonomic environments.
Vision fatigue – often laptops are used extensively in environments, which do not have suitable lighting. Additionally, laptops often have screens that are not as clear, stable or as bright as normal computer monitors. It is possible that users may be exposed to a greater risk of developing temporary vision fatigue as a consequence.
Manual handling – laptops and their accessories are typically in excess of 5 kg. Although well within the ‘accepted normal load’, they may need to be carried in addition to other items for long periods of time when travelling.
Theft – There is also a real risk of theft and steps should be taken to avoid personal injury by being cautious whilst commuting with equipment. Brand name cases should not be used if possible as this draws attention to the value of the equipment that is being carried.

The following tips should help ensure that you can work comfortably and safely with your portable computer.

Purchasing:

Tip 1: Test the keyboard before purchase to make sure it fits your fingers - miniature keyboards are fine only if you have small fingers or do little data entry/word processing. If you must have a small keyboard and still want to type comfortably, consider fewer keys (with multiple shifts) or use a separate keyboard for such work.
Tip 2: Purchase laptops that have the largest and brightest screen you can afford. It is easier to create a more ergonomic position with such screens and they minimise the potential for vision fatigue. The angle of the screen should be approximately 90o to you line of vision to view the screen clearly.
Tip 3: If possible, buy a ‘docking station’ or attach a separate monitor and/or keyboard to a portable computer for prolonged use since the screen will inevitably be below the optimum viewing angle for comfort.
Tip 4: If you intend to work whilst travelling, make sure the pointing device (trackball, button or whatever) can cope with movement and vibration. Palm or wrist rests in front of the keyboard can help provide a stable base for use on the move, or in the office environment.

Health:

Tip 5: When using a trackball or glide pad, keep your hand relaxed with your fingers moving together. Do not screw up your fingers or hold them up in the air while working.
Tip 6: You dramatically increase strain if you twist your body or try to operate your laptop within a cramped environment, such as while travelling. Ensure comfortable working. Adjust your seat to support your back and place the laptop on a flat surface at the correct distance and angle from you.
Tip 7: If travelling, check the total weight you will need to carry. Although laptops are getting lighter, most still require external mains transformers and power leads etc. Additionally most people will also have to carry other papers, their briefcase and other articles. This can result in a number of musculoskeletal disorders over a period of time. The normal solution is a shoulder bag with a padded shoulder strap. Additionally, you can reduce the weight carried by ensuring the battery is fully charged so as to avoid carrying a spare battery.
Tip 8:  You may wish to consider purchasing a lightweight laptop stand, mouse and compact keyboard.

Friday, August 26, 2011

How To Get A Good Night's Sleep


Medications aren't always the best solution for no to get a good night's sleep. Some simple lifestyle strategies may help:

  • Stay on schedule. Go to bed and get up around the same time every day. The body's natural sleep-wake patterns, called circadian rhythms, can be disrupted by abrupt schedule swings. Maintaining a regular bedtime schedule helps train the body to sleep at the desired time.

  • Make your bed a resting place, not a media center. Go to bed when you're tired, but if you find you can't sleep, get out of bed. Go into another room and watch television or read a book. When you're truly sleepy, go back to bed.

  • Say “No” to Naps. If you nap during the day, you will require less sleep at night. This can cause insomnia, and your sleep times may become too brief to include high quality deep sleep.

  • Choose the right soundtrack. Use a fan or a white-noise generator in the bedroom to create a soothing sound and help mask other noises.

  • Cut back on caffeine and alcohol. Don't drink anything caffeinated after lunchtime. Avoid alcohol late in the evening, or give it up entirely for a while. Even though alcohol acts as a sedative, it disrupts normal sleep patterns and causes awakenings later during the night.

  • See the light. Properly timed light exposure can shift the body's sleep-wake cycle. People who wake up earlier than they'd like should minimize morning light with heavy curtains or comfortable eyeshades and maximize their exposure to bright light in the evening before bedtime. People who have trouble falling asleep at bedtime and then tend to oversleep in the morning can shift their rhythms earlier with the reverse strategy.

  • Try warm milk at bedtime.This old advice does seem to help some people. The effect may be strictly psychological — but so what, if it works? There also may be a physiological explanation: The warm beverage may temporarily increase the core body temperature, and the subsequent temperature drop may hasten sleep.

  • Check your medications. Many medications can cause insomnia, so ask your doctor or pharmacist about all the drugs you take. For example, the decongestants that many people take at bedtime can have a stimulating effect.

  • Don't self-medicate. There's little evidence that supplements and other over-the-counter "sleep aids" are effective. In some cases, there are safety concerns. Antihistamine sleep aids, in particular, have a long duration of action and can cause daytime drowsiness.

Courtesy : http://tkbsen.blogspot.com/

Sunday, August 21, 2011

Please Keep Healthy Life....


Don't smoke, eat healthily, exercise regularly, and go easy on the alcohol, and you are likely not only to have fewer chronic health problems, but also to live longer, according to a new study from the US Centers for Disease Control and Prevention (CDC) that concludes neglecting to follow these four healthy behaviors is responsible for much of the illness and death linked to chronic diseases. 


Four Ways to a Healthier Life
  1. Avoid Tobacco:  Keep cigarettes/ jarda, paans in a place where you have to make a real effort to get them for example, another room of the house, places where you don't go to very often, locked in a cupboard etc. Every time you have to smoke/eat jarda/paan, you should have to make a conscious effort, get up, walk and get it.

  • Figure out your "triggers" to smoke, or consume paan/jarda and ways to cope with them. Is it the company of people who smoke/eat jarda/paan? Try in the initial period to be away from smokers/paan eaters/ jarda eaters or rather when they smoke or eat pan/jarda. Do you consume tobacco when you are tense, or when you are working late, to pep you up and to give that extra energy? For that try to put something in the mouth, like chewing gums, sweets, peppermints, lozenges etc. and practice deep breathing.

  • Whenever you have that craving, try deep breathing when either standing or sitting. Having a glass of water and exercising also helps to decrease the craving.

  • When you feel like taking tobacco, think of your children and the effect on their future if you develop any of the dangerous diseases caused by tobacco.

  • Set a stop date.

  • Find a support person.

  • Make plans for your first day without cigarettes/ paan/jarda.

  • Use the 4 Ds when the craving for smoking/tobacco hits you.

    • Do something else.

    1. Delay smoking/tobacco consumption the next cigarette.

    2. Deep breathing.



    • Drink water.

  • Use positive self-talk.

  • Reward yourself.

  • Practice relaxation techniques (yoga, walking, meditation, dancing, music etc.) every day.


2. Limit Alcohol: men should have no more than two drinks a day, women no more than one.Men should drink no more than 21 units of alcohol per week (and no more than four units in any one day).
  • Women should drink no more than 14 units of alcohol per week (and no more than three units in any one day).

  • Pregnant women. It is known that a lot of alcohol can damage a developing baby. A small amount probably does no harm. However, the exact amount that is safe is not known. Therefore, to play safe, advice from the Department of Health is that pregnant women and women trying to become pregnant should not drink at all. If you do choose to drink when you are pregnant then limit it to one or two units, once or twice a week. And never get drunk.

The more you drink above these limits, the greater the risk of developing serious problems such as: liver disease (cirrhosis or hepatitis); stomach and pancreas disorders; depression; anxiety; sexual difficulties; muscle and heart muscle disease; high blood pressure; damage to nervous tissue; serious accidents; some cancers; obesity (alcohol has many calories). See separate leaflet called 'Alcohol and Sensible Drinking' for more details.

What is a unit of alcohol?

One unit of alcohol is 10 ml (1 cl) by volume, or 8 g by weight, of pure alcohol. For example:
  • One unit of alcohol is about equal to:

    • half a pint of ordinary strength beer, lager or cider (3-4% alcohol by volume), or

    • a small pub measure (25 ml) of spirits (40% alcohol by volume), or

    • a standard pub measure (50 ml) of fortified wine such as sherry or port (20% alcohol by volume)

  • There are one and a half units of alcohol in:

    • a small glass (125 ml) of ordinary strength wine (12% alcohol by volume), or

    • a standard pub measure (35 ml) of spirits (40% alcohol by volume)

But remember, many wines and beers are stronger than the more traditional ordinary strengths. A more accurate way of calculating units is as follows: the percentage alcohol by volume (% abv) of a drink equals the number of units in one litre of that drink. For example:
  • Strong beer at 6% abv has six units in one litre. If you drink half a litre (500 ml) - just under a pint - then you have had three units.

  • Wine at 14% abv has 14 units in one litre. If you drink a quarter of a litre (250 ml) - two small glasses - then you have had three and a half units.

Some other examples

Three pints of beer, three times per week, is at least 18-20 units per week. That is nearly the upper weekly safe limit for a man. However, each drinking session of three pints is at least six units, which is more than the safe limit advised for any one day. Another example: a 750 ml bottle of 12% wine contains nine units. If you drink two bottles of 12% wine over a week, that is 18 units. This is above the upper safe limit for a woman.

Isn't alcohol good for you?

For men aged over 40 and for women past the menopause, it is thought that drinking a small amount of alcohol (1-2 units per day) helps to protect against heart disease and stroke.

3.Improve Your Diet: eat more fruits, vegetables, whole grains, switch to fat-free and low-fat dairy and seafoods. Cut down on salt and foods high in sodium, saturated fats, trans fats, cholesterol, added sugar, and refined grains.

4. Exercise: on five days a week or more do at least 150 minutes total of moderate exercise such as brisk walking, or on three days a week or more, do a total of 75 minutes of vigorous exercise such as jogging or race walking (this raises heart rate more than brisk walking).

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