1966 - 1966 - 19741974

1966 - 1966 - 19741974

40 medical literatures 40 medical literatures

10.000 literatures

10.000 literatures

1968 - 1968 - 19941994

1968 - 1968 - 19941994

Patients perspective on Patients perspective on health, disease & medical health, disease & medical

treatmentstreatments

Patients perspective on Patients perspective on health, disease & medical health, disease & medical

treatmentstreatments

The concept of HRQOL remains ambiguous and poorly defined, and the number of different instruments that

purport to assess the various aspects of this dimension is over helming

The concept of HRQOL remains ambiguous and poorly defined, and the number of different instruments that

purport to assess the various aspects of this dimension is over helming

- To overcome these problems it is important to become precise in defining HRQOL.

- To overcome these problems it is important to become precise in defining HRQOL.

- In truth, the quality of one’s life refers to the broadest range of human experience.

- In truth, the quality of one’s life refers to the broadest range of human experience.

- In addition to the influence of health, it includes personal finance, job, housing, personal relationship, political and cultural climate, traffic, environmental considerations and much more.

- In addition to the influence of health, it includes personal finance, job, housing, personal relationship, political and cultural climate, traffic, environmental considerations and much more.

HRQOL is primarily concern with only

particular aspect of QOL. How it may be

affected by health and disease.

HRQOL is primarily concern with only

particular aspect of QOL. How it may be

affected by health and disease.

Overall HRQOLOverall HRQOL Disease specificDisease specific

HRQHRQOLOL

HRQHRQOLOL

Patients sense of how the disease in question is compromising their well-being in:

Patients sense of how the disease in question is compromising their well-being in:

Patients sense of his own health.Patients sense of his own health.

Patients sense of well being (physical psychological – social functioning)

Patients sense of well being (physical psychological – social functioning)

Health-status is a secondary concert.Health-status is a secondary concert.

Single questionare ×Single questionare ×

Function Function

Physical Physical

Psychological Psychological

SocialSocial

Intrinsic impairment

Intrinsic impairment

Attributional impairment

Attributional impairment

HRQHRQOLOL

HRQHRQOLOL

The disease is perceived as being responsible for distress - physical psychological - social functioning.

The disease is perceived as being responsible for distress - physical psychological - social functioning.

Direct burden of the disease or some of its aspects.

Direct burden of the disease or some of its aspects.

Patients perception of how diabetes affects his or her physical -psychological-social functioning

Patients perception of how diabetes affects his or her physical -psychological-social functioning

DiabetesDiabetesDiabetesDiabetes

Demand of self careDemand of self care

Impact of long term complication

Impact of long term complication

Perception of the disease & adjustment to it.

Perception of the disease & adjustment to it.

Burden someBurden some

Frustrating Frustrating

Over helming Over helming

Severe Severe

Disabling Disabling

Depressing Depressing

Anger Anger

Loneliness Loneliness

Frustration Frustration

Negative emotional response Negative emotional response DenialDenialGuilt Guilt

1- How diabetes can 1- How diabetes can compromise physical compromise physical

functioning?functioning?

1- How diabetes can 1- How diabetes can compromise physical compromise physical

functioning?functioning?

Long-term Long-term

complicationcomplication

Long-term Long-term

complicationcomplication

Significant drop to perceive quality of life

Significant drop to perceive quality of life

Vision lossVision loss

Kidney impairmentKidney impairment

Significant heart diseaseSignificant heart disease

Erection problemsErection problems

Peripheral neuropathyPeripheral neuropathy

Autonomic neuropathyAutonomic neuropathy

Less able to workLess able to workTo complete important tasksTo complete important tasks

Enjoy pleasurable activitiesEnjoy pleasurable activities

2- How diabetes can 2- How diabetes can compromise physical compromise physical

functioning?functioning?

2- How diabetes can 2- How diabetes can compromise physical compromise physical

functioning?functioning?

Short-term complicationShort-term complicationShort-term complicationShort-term complication

Elevated blood sugarElevated blood sugar

Increased fatigueIncreased fatigue

Sleep problemsSleep problems

More frequent infectionsMore frequent infections

High glycemic control unwanted wt gain-more frequent hypos

High glycemic control unwanted wt gain-more frequent hypos

3- How diabetes can 3- How diabetes can compromise physical compromise physical

functioning?functioning?

3- How diabetes can 3- How diabetes can compromise physical compromise physical

functioning?functioning?

Life-style changesLife-style changesLife-style changesLife-style changes

Dietary limitationsDietary limitations

Losing one’s license to driveLosing one’s license to driveUnpleasant side effects of medicationsUnpleasant side effects of medications

Long life adherence to dietary regimens-drugs- medical follow up

Long life adherence to dietary regimens-drugs- medical follow up

How diabetes can How diabetes can compromise physical compromise physical

functioning?functioning?

How diabetes can How diabetes can compromise physical compromise physical

functioning?functioning?

Chronically frustratedChronically frustratedChronically frustratedChronically frustrated

Feel hopelessFeel hopelessFeel hopelessFeel hopeless

Problem of perceiving diabetesProblem of perceiving diabetesProblem of perceiving diabetesProblem of perceiving diabetes

Insulin therapy initiationInsulin therapy initiationInsulin therapy initiationInsulin therapy initiation

Depressive mood for fear of Depressive mood for fear of chronic complicationchronic complication

Depressive mood for fear of Depressive mood for fear of chronic complicationchronic complication

How diabetes can How diabetes can compromise social compromise social

functioning?functioning?

How diabetes can How diabetes can compromise social compromise social

functioning?functioning?

Change of daily habits to manage diabetes Change of daily habits to manage diabetes effectivelyeffectively

Change of daily habits to manage diabetes Change of daily habits to manage diabetes effectivelyeffectively

Friends or families begin to push him for self Friends or families begin to push him for self care- changes even when the patient is care- changes even when the patient is

unwillingunwilling

Friends or families begin to push him for self Friends or families begin to push him for self care- changes even when the patient is care- changes even when the patient is

unwillingunwilling

Loved ones being acting like “diabetes police”Loved ones being acting like “diabetes police”Loved ones being acting like “diabetes police”Loved ones being acting like “diabetes police”

Feeling alone- different and unsupported .. etcFeeling alone- different and unsupported .. etcFeeling alone- different and unsupported .. etcFeeling alone- different and unsupported .. etc

The Diabetes Quality The Diabetes Quality of life Measure of life Measure

(DQOL)?(DQOL)?

The Diabetes Quality The Diabetes Quality of life Measure of life Measure

(DQOL)?(DQOL)?(DCCT)(DCCT)(DCCT)(DCCT)

46 score items (10 additional items for adolescents)

46 score items (10 additional items for adolescents)

Four major dimensionFour major dimension

Treatment satisfactionTreatment satisfaction

Treatment impactTreatment impact

Worry about long term complicationWorry about long term complication

Worry about social issuesWorry about social issues

Lower scores of the Lower scores of the DQOL have been found to DQOL have been found to

be associated with more be associated with more frequent and severe long frequent and severe long term complications and term complications and

with poor glycemic with poor glycemic controlcontrol

Lower scores of the Lower scores of the DQOL have been found to DQOL have been found to

be associated with more be associated with more frequent and severe long frequent and severe long term complications and term complications and

with poor glycemic with poor glycemic controlcontrol

The Diabetes-Specific The Diabetes-Specific Quality of life Scale Quality of life Scale

(DSQOLS)?(DSQOLS)?

The Diabetes-Specific The Diabetes-Specific Quality of life Scale Quality of life Scale

(DSQOLS)?(DSQOLS)?64 items64 items

6 dimensions6 dimensionsSocial relationsSocial relations

Leisure time restriction & flexibilityLeisure time restriction & flexibility

Physical complaintsPhysical complaints

Worries about the futureWorries about the future

10- Treatment goals10- Treatment goals

10- Treatment satisfaction10- Treatment satisfaction

44- perceived burden of diabetes44- perceived burden of diabetes

Diet restrictionDiet restriction

Dully hasslesDully hassles

The Diabetes Quality of life The Diabetes Quality of life Clinical Trial QuestionnaireClinical Trial QuestionnaireThe Diabetes Quality of life The Diabetes Quality of life Clinical Trial QuestionnaireClinical Trial Questionnaire

57 items scale57 items scale

8 dimensions:8 dimensions:

Health distressHealth distress

Mental health Satisfaction Mental health Satisfaction

Treatment satisfactionTreatment satisfaction

Physical functionPhysical functionFatigue / energyFatigue / energy

Treatment flexibilityTreatment flexibility

Frequency of symptomsFrequency of symptoms

The Appraisal of The Appraisal of Diabetes Scale Diabetes Scale

(ADS)(ADS)

The Appraisal of The Appraisal of Diabetes Scale Diabetes Scale

(ADS)(ADS)7 items scale7 items scale

To assess patients feeling and

attitude about diabetes

To assess patients feeling and

attitude about diabetes

The ATT-39The ATT-39The ATT-39The ATT-39

9 items9 items

Why is quality of life Why is quality of life important in diabetes?important in diabetes?Why is quality of life Why is quality of life

important in diabetes?important in diabetes?

WHO (health)

WHO (health)

DiabetesDiabetes Decrease self careDecrease self care

Decrease self confidenceDecrease self confidence

In turn leads to poor glycemic control

In turn leads to poor glycemic control

Increased risk of complicationIncreased risk of complication

Absence of disease & infirmityAbsence of disease & infirmity

Presence of physical mental and social well being

Presence of physical mental and social well being

Praying leads Praying leads toto

Praying leads Praying leads toto

10صـأمراص القلب النفسية د. محمد أحمد نابلسى العالج النفسى بالصالة المؤتمر األول لإلعجاز

الطبى فى القرآن والسنة

10صـأمراص القلب النفسية د. محمد أحمد نابلسى العالج النفسى بالصالة المؤتمر األول لإلعجاز

الطبى فى القرآن والسنة

Catecholamines Catecholamines

Gluconeogenesis Gluconeogenesis

Glycolysis Glycolysis

Insulin secretion and action

Insulin secretion and action

د القاـضى فى دكتور أحـم ا اـل ارب أجراـه فى تـج 9 ــدا 9 مؤك ــا 9 إيجابي ــرا ــرآن أث ــا أثبت ان للق أمريكــيرات فى ــة التــوتر ظهــر على شــكل تغي لتهدئــيرات فى ــالت وتغي ــربى فى العض ــار الكه التييرات فى ائى وتغـي د للتوـصيل الكهرـب ة الجـل قابلـيير فى ك من تـغ ا يـصحب ذـل ة وـم دورة الدموـي اـلعــدد ضــربات القلب وكميــة الــدم الجــارى فى

الجلد ودرجة حرارة الجلد.

ــدكتور أحمــد القاضــى إن كــل هــذه ويقــول الالتـغيرات ـتدل على تحـسن ملـموس فى وـظائف

(.Autonomic N.Sالجهاز العصبى التلقائى )

د القاـضى فى دكتور أحـم ا اـل ارب أجراـه فى تـج 9 ــدا 9 مؤك ــا 9 إيجابي ــرا ــرآن أث ــا أثبت ان للق أمريكــيرات فى ــة التــوتر ظهــر على شــكل تغي لتهدئــيرات فى ــالت وتغي ــربى فى العض ــار الكه التييرات فى ائى وتغـي د للتوـصيل الكهرـب ة الجـل قابلـيير فى ك من تـغ ا يـصحب ذـل ة وـم دورة الدموـي اـلعــدد ضــربات القلب وكميــة الــدم الجــارى فى

الجلد ودرجة حرارة الجلد.

ــدكتور أحمــد القاضــى إن كــل هــذه ويقــول الالتـغيرات ـتدل على تحـسن ملـموس فى وـظائف

(.Autonomic N.Sالجهاز العصبى التلقائى )د. أحمد القاضى. نشرة الطب اإلسالمى. العدد الثالث – أعمال المؤتمر العالمى الثالث عن الطب اإلسالمى

294-290صـمن

د. أحمد القاضى. نشرة الطب اإلسالمى. العدد الثالث – أعمال المؤتمر العالمى الثالث عن الطب اإلسالمى

294-290صـمن

Diabetic foot problems has been found to affect 6% of the studied groups. This is in contrast to the result of Robertoson (1979), who reported foot problem in one out of six diabetics. Levin and Neal, (1982), found that 20% to 25% of all diabetics who enter the hospital are suffering from feet problems.

Frequent washing of exposed parts and feet during ablution were analyzed in many studies. There was lesser percentage of diabetic foot problems (grade 1, 2) among those on regular 5 times ablutions/day. Refaie (1994) stated that ablution 5 times a day could decrease infections even those of unusual forms and sites in predisposed diabetics. Samad Shira (1994) & Bouton (1994) stated that diabetic foot problems are less frequent among Moslems.

Diabetic foot problems has been found to affect 6% of the studied groups. This is in contrast to the result of Robertoson (1979), who reported foot problem in one out of six diabetics. Levin and Neal, (1982), found that 20% to 25% of all diabetics who enter the hospital are suffering from feet problems.

Frequent washing of exposed parts and feet during ablution were analyzed in many studies. There was lesser percentage of diabetic foot problems (grade 1, 2) among those on regular 5 times ablutions/day. Refaie (1994) stated that ablution 5 times a day could decrease infections even those of unusual forms and sites in predisposed diabetics. Samad Shira (1994) & Bouton (1994) stated that diabetic foot problems are less frequent among Moslems.

Edmonds and Foster (1991) stated that wearing tight shoes for a long period is the most common precipitating factor for foot ulceration in predisposed feet.

Edmonds and Foster (1991) stated that wearing tight shoes for a long period is the most common precipitating factor for foot ulceration in predisposed feet.

ــزاء ــ ــف األج ــ ــوء ينظ ــ الوضالمكـشوفة من جـسم اإلنـسان وقـــد أثبت علمـــاء الجـــراثيم وجــــود أعــــداد هائلــــة من ــنتيمتر ــل س ــراثيم على ك الجمرـبع من الجـلد الـطبيعى وفى ــتراوح المنــاطق المكشــوفة ي

( مليـــــون 5-1العـــــدد بين )ــنتيمتر ــل سـ ــة فى كـ جرثومـ

مربع واحد.

ــزاء ــ ــف األج ــ ــوء ينظ ــ الوضالمكـشوفة من جـسم اإلنـسان وقـــد أثبت علمـــاء الجـــراثيم وجــــود أعــــداد هائلــــة من ــنتيمتر ــل س ــراثيم على ك الجمرـبع من الجـلد الـطبيعى وفى ــتراوح المنــاطق المكشــوفة ي

( مليـــــون 5-1العـــــدد بين )ــنتيمتر ــل سـ ــة فى كـ جرثومـ

مربع واحد.

ــراثيم ــدد الج ــوق ع ــا يف ربم

المختلـفة على الجـلد الـطبيعى

عــدد ســكان األرض قاطبــة

وقــــــد أثبت البروفيســــــور

ــته أن ــ ــدوف فى دراس ــ فاين

االسـتحمام الواحـد يزيـل عن

ائتى ثر من ـم د اإلنسـان اـك جـل

مليون جرثومة.

ــراثيم ــدد الج ــوق ع ــا يف ربم

المختلـفة على الجـلد الـطبيعى

عــدد ســكان األرض قاطبــة

وقــــــد أثبت البروفيســــــور

ــته أن ــ ــدوف فى دراس ــ فاين

االسـتحمام الواحـد يزيـل عن

ائتى ثر من ـم د اإلنسـان اـك جـل

مليون جرثومة.

يـقول رـسول الـله- ـصلى

ه وسـلم- )حـق ه علـي الـل

ه على كـل مسـلم أن لـل

يغتســل فى كــل ســبعة

ــه ــ ــل رأس ــ ــام يغس ــ أي

ــظ وجسـده(. ــيخان واللف رواه الش

لمسلم

يـقول رـسول الـله- ـصلى

ه وسـلم- )حـق ه علـي الـل

ه على كـل مسـلم أن لـل

يغتســل فى كــل ســبعة

ــه ــ ــل رأس ــ ــام يغس ــ أي

ــظ وجسـده(. ــيخان واللف رواه الش

لمسلم

• Ablution and mouth cleaning

ــواع ــداد وأن ــتقر فى الفم اع تســد على ــراثيم تزي ــيرة من الج كث

ــتراوح عــددها مــا 100) نــوع( ي( مليـــــــــون 5000-500بين )

جرثوـمة فى المليـمتر الواـحد من اللعاب.

• Ablution andmouth cleaning

ــواع ــداد وأن ــتقر فى الفم اع تســد على ــراثيم تزي ــيرة من الج كث

ــتراوح عــددها مــا 100) نــوع( ي( مليـــــــــون 5000-500بين )

جرثوـمة فى المليـمتر الواـحد من اللعاب.

• Ablution 5 times a day could decrease infections even those of unusual forms and sites e.g. malignant otitis externa gingivitis and periodontal disease and tooth decay: Rifaire, Diabetes 1994.

• Ablution 5 times a day could decrease infections even those of unusual forms and sites e.g. malignant otitis externa gingivitis and periodontal disease and tooth decay: Rifaire, Diabetes 1994.

In the same article M.R Rifaie stated that mucormycosis is extremely rare, this is may be due to repeated snuffing the nose with water or to climate or genetic predisposition or lack of alcohol intake.

In the same article M.R Rifaie stated that mucormycosis is extremely rare, this is may be due to repeated snuffing the nose with water or to climate or genetic predisposition or lack of alcohol intake.

Fournier’s gangrene of the scrotum, perineum and penis is also very uncommon. Ablution is better preceded by washing the perineum and external genitalia.

Fournier’s gangrene of the scrotum, perineum and penis is also very uncommon. Ablution is better preceded by washing the perineum and external genitalia.

أجــــرى فريــــق من أطبــــاء جامعــــة 9 عن فوائـــد الوضـــوء االســـكندرية بحثـــا

الصحية:- يكـــون بـــاطن األنـــف عنـــد غالبيـــة من ال يتوـضئون ـشاحب الـلون دـهنى الملمس وـكان ر وه القشـور وأظـه 9 تعـل ف متالصـقا شـعر األـنــيرة من ــداد كب ــود أع ــرى وج الفحص المجهالمـستعمرات الجرثومـية )العنقودـية والعقدـية وف من يرهم( فى أـن ة وـغ ورات الرئوـي والمـك

ال يصلون.

ــر ــذين يتوضــئون باســتمرار فلم تظه ــا ال أمــتعمرات من ــ ــدهم أى مسـ ــ ــزارع عنـ ــ المـ

الجراثيم.

أجــــرى فريــــق من أطبــــاء جامعــــة 9 عن فوائـــد الوضـــوء االســـكندرية بحثـــا

الصحية:- يكـــون بـــاطن األنـــف عنـــد غالبيـــة من ال يتوـضئون ـشاحب الـلون دـهنى الملمس وـكان ر وه القشـور وأظـه 9 تعـل ف متالصـقا شـعر األـنــيرة من ــداد كب ــود أع ــرى وج الفحص المجهالمـستعمرات الجرثومـية )العنقودـية والعقدـية وف من يرهم( فى أـن ة وـغ ورات الرئوـي والمـك

ال يصلون.

ــر ــذين يتوضــئون باســتمرار فلم تظه ــا ال أمــتعمرات من ــ ــدهم أى مسـ ــ ــزارع عنـ ــ المـ

الجراثيم.

The diabetic hand syndrome or limited joint mobility has been observed in 30-50% of cases of type-1 diabetes and in up to 75% of type-2 diabetes (Starkman et al., 1986).

The diabetic hand syndrome or limited joint mobility has been observed in 30-50% of cases of type-1 diabetes and in up to 75% of type-2 diabetes (Starkman et al., 1986).

Diabetic periarthritis of the shoulder known as frozen shoulder or adhesive capsulitis. It occurs in 10-33% of diabetics (Gray & Gotlieb, 1976).

The only way to prevent development of frozen shoulder is active exercise of the shoulder joint (Rene Cailliat, Shoulder Pain 1981 P. 82-87).

Diabetic periarthritis of the shoulder known as frozen shoulder or adhesive capsulitis. It occurs in 10-33% of diabetics (Gray & Gotlieb, 1976).

The only way to prevent development of frozen shoulder is active exercise of the shoulder joint (Rene Cailliat, Shoulder Pain 1981 P. 82-87).

Carpal tunnel syndrome (CTS) commonly occurs in diabetic patient up to 15% of all patients with CTS will have diabetes. (Starling G, 1997, In Rheumatology secrets P. 285).

Carpal tunnel syndrome (CTS) commonly occurs in diabetic patient up to 15% of all patients with CTS will have diabetes. (Starling G, 1997, In Rheumatology secrets P. 285).

Diffuse idiopathic skeletal hyperostosis (DISH) occurs up to 20% of type 2 diabetes. Patients present with neck and back stiffness associated with loss of motion. Treatment is usually by active exercise of the affected parts (Gray & Gotlieb, semin orthitis rheum 6(1): 19-34, 1976).4

Diffuse idiopathic skeletal hyperostosis (DISH) occurs up to 20% of type 2 diabetes. Patients present with neck and back stiffness associated with loss of motion. Treatment is usually by active exercise of the affected parts (Gray & Gotlieb, semin orthitis rheum 6(1): 19-34, 1976).4

The physical activation of praying at least 17 times a day could be of great value in diminishing limited joint mobility, adhesive capsulitis, hand shoulder syndrome (Rifaie, 1994).

The physical activation of praying at least 17 times a day could be of great value in diminishing limited joint mobility, adhesive capsulitis, hand shoulder syndrome (Rifaie, 1994).

ــؤدى إلى ــالة ت ــه أن الص ــك من ــا ال ش ومماالـسترخاء والطمأنيـنة ”أال ـبذكر الـله تطمئن

القلوب“ــة ــرت فى مجلـ ــة نشـ ــة حديثـ فى دراسـ

Archives of internal medicine أن الرـجال ســريعى التــوتر والغضــب أكــثر عرضــة من ة ة قلبـي ابة بأزـم 9 لإلـص دوءا ثر ـه رائهم األـك نـظ

بحوالى ثالث مرات.االنطالق ة ـب ذلك عالـق احثون أن ـل د الـب ويعتـقالمفــــــــرط لهرمــــــــون االدرينــــــــالين

والنورادرينالين.ــال 9 قـ ــارى فى صـــحيحه أن رجال روى البخـللـنبى ـصلى الـله علـيه وـسلم أوـصنى ـقال ”ال

9 قال ”ال تغضب“. تغضب“ فردد مرارا

ــؤدى إلى ــالة ت ــه أن الص ــك من ــا ال ش ومماالـسترخاء والطمأنيـنة ”أال ـبذكر الـله تطمئن

القلوب“ــة ــرت فى مجلـ ــة نشـ ــة حديثـ فى دراسـ

Archives of internal medicine أن الرـجال ســريعى التــوتر والغضــب أكــثر عرضــة من ة ة قلبـي ابة بأزـم 9 لإلـص دوءا ثر ـه رائهم األـك نـظ

بحوالى ثالث مرات.االنطالق ة ـب ذلك عالـق احثون أن ـل د الـب ويعتـقالمفــــــــرط لهرمــــــــون االدرينــــــــالين

والنورادرينالين.ــال 9 قـ ــارى فى صـــحيحه أن رجال روى البخـللـنبى ـصلى الـله علـيه وـسلم أوـصنى ـقال ”ال

9 قال ”ال تغضب“. تغضب“ فردد مرارا

وـقد أظـهرت دراـسة حديـثة

ة 22 فى JAMAفى مجـل

أن 2003أكتـــــــــــــوبر

فون ذين يتـص بين واـل الغاـض

ة ثر عرـض ة هم أـك بالعدوانـي

لإلصـــابة بارتفـــاع ضـــغط

الدم بنسبة الضعفين.

وـقد أظـهرت دراـسة حديـثة

ة 22 فى JAMAفى مجـل

أن 2003أكتـــــــــــــوبر

فون ذين يتـص بين واـل الغاـض

ة ثر عرـض ة هم أـك بالعدوانـي

لإلصـــابة بارتفـــاع ضـــغط

الدم بنسبة الضعفين.

ه وسـلم ”إذا ه علـي ه صـلى الـل ول رسـول اـل يـقغضـب أحـدكم وهـو قـائم فليجلس فـإن ذهب

عنه الغضب وإال فليضطجع“

ــة أن ــة الحديث ــات العلمي ــدت الدراس ــد أك وقهرمــون األدرينــالين والنورادرينــالين يتضــاعف ان فى ون االنـس دما يـك دم عـن تواهما فى اـل مـسدما ثر عـن زداد مـستواهما أـك وـضعية الوـقوف وـيال. ة الغضـب أو اإلنفـع ون اإلنسـان فى حاـل يـك

)Fight or Flight(.

وف إلى ير وضـعية اإلنسـان من الوـق د تغـي وعـنالجلــوس أو االضــطجاع يخــف مســتوى إفــراز

هذين الهرمونين وتخف حدة الغضب.

ه وسـلم ”إذا ه علـي ه صـلى الـل ول رسـول اـل يـقغضـب أحـدكم وهـو قـائم فليجلس فـإن ذهب

عنه الغضب وإال فليضطجع“

ــة أن ــة الحديث ــات العلمي ــدت الدراس ــد أك وقهرمــون األدرينــالين والنورادرينــالين يتضــاعف ان فى ون االنـس دما يـك دم عـن تواهما فى اـل مـسدما ثر عـن زداد مـستواهما أـك وـضعية الوـقوف وـيال. ة الغضـب أو اإلنفـع ون اإلنسـان فى حاـل يـك

)Fight or Flight(.

وف إلى ير وضـعية اإلنسـان من الوـق د تغـي وعـنالجلــوس أو االضــطجاع يخــف مســتوى إفــراز

هذين الهرمونين وتخف حدة الغضب.

الســـــواك وقايـــــة للفم واألسنان:

ــه وســلم ــه علي ــال صــلى الل قــتى ــ ــق على أم ــ ــوال أن أش ــ ”لألمـــرتهم بالســـواك عنـــد كـــل

رواه الشيخانصالة“

وروت عائشـة رضـى اللـه عنهـا عن الـنبى ـصلى الـله علـيه وـسلم رة للفم مرضـاة ”السـواك مطـه

رواه البخارىللرب“

الســـــواك وقايـــــة للفم واألسنان:

ــه وســلم ــه علي ــال صــلى الل قــتى ــ ــق على أم ــ ــوال أن أش ــ ”لألمـــرتهم بالســـواك عنـــد كـــل

رواه الشيخانصالة“

وروت عائشـة رضـى اللـه عنهـا عن الـنبى ـصلى الـله علـيه وـسلم رة للفم مرضـاة ”السـواك مطـه

رواه البخارىللرب“

فوائد السواك الطبية:الوقاية من تكلس األسنان. - إـصابة اللـثة ـبالجراثيم )المـكورات العقدـية -

.)وخالفهاــة من األســنان - ــوائح الجرثومي ــل الل تقلي

بصورة كبيرة.ــواد - ــود م ــة لوج اعطــاء الفم رائحــة ذكي

.Essencesعطرية زيتية ــذا - ــف وله ــوى خفي تفاعــل المســواك قل

التفاـعل ـتأثير مهم فكـثير من أـمراض الفم ــثر من ــ ــة أك ــ ــاط القلوي ــ ــدها األوس ــ تفي

الحامضية.(52-45السواك والعناية باألسنان )عبد الله السعيد صـ -رودات مـــدير معهـــد علم الجـــراثيم واألوبئـــة فى جامعـــة -

روستود بألمانيا.-Indian J Dent Res 1996

فوائد السواك الطبية:الوقاية من تكلس األسنان. - إـصابة اللـثة ـبالجراثيم )المـكورات العقدـية -

.)وخالفهاــة من األســنان - ــوائح الجرثومي ــل الل تقلي

بصورة كبيرة.ــواد - ــود م ــة لوج اعطــاء الفم رائحــة ذكي

.Essencesعطرية زيتية ــذا - ــف وله ــوى خفي تفاعــل المســواك قل

التفاـعل ـتأثير مهم فكـثير من أـمراض الفم ــثر من ــ ــة أك ــ ــاط القلوي ــ ــدها األوس ــ تفي

الحامضية.(52-45السواك والعناية باألسنان )عبد الله السعيد صـ -رودات مـــدير معهـــد علم الجـــراثيم واألوبئـــة فى جامعـــة -

روستود بألمانيا.-Indian J Dent Res 1996