The operation is usually performed through a low, horizontal ‘bikini line’ incision. A general anaesthetic in a heavily pregnant woman carries increased risks, so the operation is often performed under regional – epidural or spinal – ANAESTHESIA. This also allows the mother to see her baby as soon as it is born, and the baby is not exposed to agents used for general anaesthesia. If a general anaesthetic is needed (usually in an emergency), exposure to these agents may make the baby drowsy for some time afterwards.
Another problem with delivery by Caesarean section is, of course, that the mother must recover from the operation whilst coping with the demands of a small baby. (See PREGNANCY AND LABOUR.)... caesarean section
One example, called ISABEL, can be accessed by paediatricians to check on their diagnosis and management of many childhood disorders.... computerised decision-support systems
Gender is determined by a combination of genetic and environmental factors, in which the in?uence of family upbringing is an important factor. When physical sexual characteristics are ambiguous, the child’s gender identity can usually be established if the child is reared as being clearly male or female. Should, however, the child be confused about its sexual identity, the uncertainty may continue into adult life. Transsexuals generally experience con?icts of identity in childhood, and such problems usually occur by the age of two years. In this type of identity disorder, which occurs in one in 30,000 male births and one in 100,000 female births, the person believes that he or she is the victim of a biological accident, trapped in a body different from what is felt to be his or her true sex.
Treatment is di?cult: psychotherapy and hormone treatment may help, but some affected individuals want surgery to change their body’s sexual organs to match their innately felt sexual gender. The decision to seek a physical sex change raises major social problems for individuals, and ethical problems for their doctors. Surgery, which is not always successful in the long term, requires careful assessment, discussion and planning. It is important to preclude mental illness; results in homosexual men who have undergone surgery are not usually satisfactory. Advice and information may be obtained from Gender Identity Consultancy Services.... gender identity disorders
A feeling of insecurity may be a feature of anxiety and other neurotic mental disorders.... insecurity
1. Agrimony. Those who suffer considerable inner torture which they try to dissemble behind a facade of cheerfulness.
2. Aspen. Apprehension and foreboding. Fears of unknown origin.
3. Beech. Critical and intolerant of others. Arrogant.
4. Centaury. Weakness of will; those who let themselves be exploited or imposed upon – become subservient; difficulty in saying ‘no’. Human doormat.
5. Cerato. Those who doubt their own judgement, seeks advice of others. Often influenced and misguided.
6. Cherry Plum. Fear of mental collapse/desperation/loss of control and fear of causing harm. Vicious rages.
7. Chestnut Bud. Refusal to learn by experience; continually repeating the same mistakes.
8. Chicory. The over-possessive, demands respect or attention (selfishness), likes others to conform to their standards. makes martyr of oneself.
9. Clematis. Indifferent, inattentive, dreamy, absent-minded. Mental escapist from reality.
10. Crab Apple. Cleanser. Feels unclean or ashamed of ailments. Self disgust/hatred. House proud.
11. Elm. Temporarily overcome by inadequacy or responsibility. Normally very capable.
12. Gentian. Despondent. Easily discouraged and dejected.
13. Gorse. Extreme hopelessness – pessimist – ‘Oh, what’s the use?’.
14. Heather. People who are obsessed with their own troubles and experiences. Talkative ‘bores’ – poor listeners.
15. Holly. For those who are jealous, envious, revengeful and suspicious. For those who hate.
16. Honeysuckle. For those with nostalgia and who constantly dwell in the past. Homesickness.
17. Hornbeam. ‘Monday morning’ feeling but once started, task is usually fulfilled. Procrastination.
18. Impatiens. Impatience, irritability.
19. Larch. Despondency due to lack of self-confidence; expectation of failure, so fails to make the attempt. Feels inferior though has the ability.
20. Mimulus. Fear of known things. Shyness, timidity.
21. Mustard. Deep gloom like an overshadowing dark cloud that descends for no known reason which can lift just as suddenly. Melancholy.
22. Oak. Brave determined types. Struggles on in illness and against adversity despite setbacks. Plodders.
23. Olive. Exhaustion – drained of energy – everything an effort.
24. Pine. Feelings of guilt. Blames self for mistakes of others. Feels unworthy.
25. Red Chestnut. Excessive fear and over caring for others especially those held dear.
26. Rock Rose. Terror, extreme fear or panic.
27. Rock Water. For those who are hard on themselves – often overwork. Rigid minded, self denying. 28. Scleranthus. Uncertainty/indecision/vacillation. Fluctuating moods.
29. Star of Bethlehem. For all the effect of serious news, or fright following an accident, etc.
30. Sweet Chestnut. Anguish of those who have reached the limit of endurance – only oblivion left.
31. Vervain. Over-enthusiasm, over-effort; straining. Fanatical and highly-strung. Incensed by injustices. 32. Vine. Dominating/inflexible/ambitious/tyrannical/autocratic. Arrogant Pride. Good leaders.
33. Walnut. Protection remedy from powerful influences, and helps adjustment to any transition or change, e.g. puberty, menopause, divorce, new surroundings.
34. Water Violet. Proud, reserved, sedate types, sometimes ‘superior’. Little emotional involvement but reliable/dependable.
35. White Chestnut. Persistent unwanted thoughts. Pre-occupation with some worry or episode. Mental arguments.
36. Wild Oat. Helps determine one’s intended path in life.
37. Wild Rose. Resignation, apathy. Drifters who accept their lot, making little effort for improvement – lacks ambition.
38. Willow. Resentment and bitterness with ‘not fair’ and ‘poor me’ attitude.
39. Rescue Remedy. A combination of Cherry Plum, Clematis, Impatiens, Rock Rose, Star of Bethlehem. All purpose emergency composite for causes of trauma, anguish, bereavement, examinations, going to the dentist, etc. ... bach remedies
FAMILY: Lauraceae
SYNONYMS: Madagascar clove-nutmeg, aromatic ravensare, Ravensara anisata, Agatophyllum aromaticum.
GENERAL DESCRIPTION: The genus Ravensara includes many species of evergreen trees or shrubs native to Madagascar and the Comoro Islands. These evergreen trees can grow up to 30 metres tall in rainforests, usually on all type of soils. The best-known species of this genus is R. aromatica used for its essential oil. It grows to a height of about 20 metres with several buttress roots at the base, with reddish bark, dark green shiny leaves and small yellow-green flowers. The fruit, a fleshy berry, are an important food source for birds. All parts of the tree are aromatic.
DISTRIBUTION: R. aromatica is native to Madagascar and once thrived in the rainforests, but is now an endangered species due to de-forestation and over-exploitation. By the early part of this century, this species required protection as the production of the essential oil from the bark, used by the pharmaceutical industry, was particularly destructive as it required felling the trees. Only the leaves can now be used for oil production, to prevent cutting down the whole tree. There is now a conservation programme in place to protect these trees: it is therefore important to obtain the essential oil of the leaf from sustainable sources.
OTHER SPECIES: There are over 30 species of Ravensara that grow in Madagascar. The common name of the genus Ravensara is actually a latinization of the Malagasy term ravintsara which means ‘good leaves’, a term originally used by the natives to describe another species of tree. European botanists in the nineteenth century made several attempts to classify the various indigenous aromatic trees of Madagascar, but due to the similarity of the two names ‘ravintsara’ and ‘ravensara’ they came to be used almost interchangeably. The botanical confusion between these two species has continued to cause a great deal of uncertainty as to their precise origins. In fact, the essential oils derived from these two species are very different aromatically as well as in their chemical composition. However, most of so-called ‘ravensara’ oil from Madagascar, is actually produced from the Cinnamomum camphora species (even if it is said to derive from R. aromatica) so great care needs to be taken in identifying the correct source of each oil. See also entry for Ravintsara.
HERBAL/FOLK TRADITION: In Madagascar, this genus of trees is commonly called hazomanitra, meaning ‘tree that smells’, as the whole part of the plant is aromatic. Traditionally, the Malagasy people used the bark and stem as a tonic and as an antibacterial medicine. The leaves were also burnt in homes after a death to prevent the spread of disease while the anise-flavoured bark was used in the production of local rum. The oil from the Ravensara genus is referred to locally as ‘the oil that heals’ because it is used for so many different conditions. The essential oil from the bark, R. anisata (a synonym for R. aromatica) is known as ‘havozo’ and has a strong anise-like odour.
ACTIONS: Antiviral, antibacterial, antifungal, anti-infectious, antiseptic, antispasmodic, expectorant, immune-stimulant.
EXTRACTION: 1. Ravensara oil is steam distilled from the leaves of the plant. 2. The essential oil distilled from the bark is called havozo. 3. An essential oil is also extracted occasionally from the fleshy fruits or berries.
CHARACTERISTICS: 1. Ravensara oil (from the leaf) has a sweet, fresh, slightly lemony, licorice-like scent with an earthy undertone. 2. Havozo (from the bark) has a fresh, strong aniseed-like odour.
PRINCIPAL CONSTITUENTS: 1. The oil from the leaf contains relatively small amounts of methyl chavicol (estragole), myrcene, a-pinene and linalool with the main constituents being limonene (approx. 13–22 per cent) and sabinene (approx. 10–16 per cent) with very little 1,8-cineole (1.8–3.3 per cent). 2. Havozo (bark oil) has a high methyl chavicol content (up to 90 per cent).
SAFETY DATA: 1. Ravensara (R. aromatica) is generally considered a safe oil (non-toxic and non-irritant) although it is best avoided during pregnancy. 2. Havozo oil is not recommended for use in aromatherapy due to its high methyl chavicol content, as it is a suspected carcinogen. Research has shown, nevertheless this oil has potent anti-microbial properties, being active against E. coli.
AROMATHERAPY/HOME: USE
Skin care: Chickenpox, cold sores, herpes (all types), shingles.
Circulation muscles and joints: Aching limbs, arthritis, cramp, gout, muscle fatigue, rheumatism.
Respiratory system: Bronchitis, colds, congestion, influenza, sinusitis, throat and lung infections, whooping cough.
Immune system: Viral infections especially herpes, hepatitis, chicken pox.
Nervous system: Anxiety, insomnia, nervous tension, stress.
OTHER USES: Ravensara species have been used for a long time to produce essential oils for the pharmaceuticals industry. In perfumery usage, it is employed as a middle note.... ravensara
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