“God contracts and expands.” (2:245)

The heart is a fairly small muscle that beats 100,000 times a day and produces roughly 115,000 Joules of energy, enough to boil a cup of water for some tea. Like a flowing river, deoxygenated blood travels from the right side of our body to the right side of our heart via valves and chambers until passing through our lungs, where each breath we take facilitates the oxygenation of every individual blood cell with 4 molecules of oxygen. The now oxygenated blood, continues to progress, never stopping, now through the left side of the heart, again passing through valves and chambers, eventually being pushed out to the rest of our body with the help of the left ventricle. The left ventricle is the thickest, largest, strongest, and most muscular part of the heart because it has the responsibility of pumping oxygenated blood through the aortic valve and aorta to the rest of our body. If this continual circulation is ever interrupted, it can lead to catastrophic outcomes.

There are several ways this flow can be interrupted, many of which happen before birth and require immediate surgery after delivery. Congenital heart defects (CHD) are some of the most common types of birth defects, but as medical care and treatment have advanced many of the babies that suffer from them usually end up living long and healthy lives. Treatment isn’t required while babies are in their mother’s womb, because the circulation of the heart is different before the baby takes its first breaths, and there is normally a mixing of oxygenated and deoxygenated blood. CHD can be mild, like a hole in the heart between two chambers that allows the mixing of oxygenated and deoxygenated blood. Ventricular septal defects and atrial septal defects (holes in the heart) are some of the most common forms of CHD. Sometimes these defects can be resolved on their own or may not be realized until much later in life, or they may require a “patch” repair if they are larger. VSDs and ASDs are associated with Down’s Syndrome, and maternal risk factors including diabetes, obesity, and smoking. Patent foramen ovale (a hole in the heart that fails to close) is found in up to 30% of the general population. It usually requires no treatment and isn’t discovered unless complications like a stroke occur later in life by having a blood clot form, requiring the blood to then travel through the hole, and then be shot up through the aorta into the brain. All babies are born with patent (open) ductus arteriosus – the ductus arteriosus is a fetal blood vessel that allows flow from the right heart to the aorta, necessary when the baby is in their mother’s womb, but incompatible for life after the baby is born. Within the first few days of life, this blood vessel should close and eventually transform into a ligament that helps tether the pulmonary artery and aorta to each other. If closure fails and the ductus arteriosus remains patent, a continuous machine-like murmur can be heard with a stethoscope, and treatment with indomethacin is started. Untreated, a PDA would result in cyanosis (blue/gray skin) and Eisenmenger Syndrome due to decreased oxygen delivery [1].

The heart’s responsibility is not only to provide oxygenated blood to the rest of the body but to also somehow feed itself. The heart’s muscles exhaust 11.6% of the body’s total oxygen consumption in order to maintain its own contractile activity, coming in 3rd after the liver (20.4%) and the brain (18.4%). During contraction or systole, the heart pumps at 120 mm Hg to provide blood through the aorta and arteries. During relaxation, or diastole, the heart expands and allows for blood to fill into its chambers and also flow through the coronary arteries. These coronary arteries are the arteries that will feed the heart itself. Thus, in order to feed itself the heart must relax and therefore allow its coronary arteries to expand and provide blood to itself. When the heart is contracting and providing blood to the rest of the organs it is too constricted to provide blood to itself. Since these branches are located within grooves of the heart, when the heart is systole the arteries are too constricted for blood flow due to increased tension. This is especially true regarding the arteries supplying the left ventricle since it is larger and more muscular – remember this is where the aorta will branch off, providing oxygenated blood to the rest of our body.

This balance between contraction and expansion may remind some readers of the concepts of Qabd (contraction) and Bast (expansion) in Sufism or Tzimtzum in Jewish mysticism, and how one truly feeds the other thus allowing for growth through this cycle of contraction and relaxation. Tzimtzum is used to explain the process of creation, a contraction of infinity happening to give birth to a finite universe [2]. The Sufi tradition is a personal journey described as “contraction and openness are mysterious ‘bargains’ that have been made without the will or intention of the traveler. The first one blocks his or her way; the second one gives him or her wings to fly to new heights [3].” What is perhaps most interesting is that our physical heart performs this contraction and expansion perfectly so long as we take care of it, whereas our spiritual heart can have lapses in this critical exercise. Maybe, if we understand how to take care of our physical heart, we will also find the answer to keeping our spiritual heart healthy. Prophet Muhammad, peace be upon him, emphasizes this connection as follows: “Verily, in the body is a piece of flesh which, if sound, the entire body is sound, and if corrupt, the entire body is corrupt. Truly, it is the heart.”

Some ways to take care of our physical hearts include incorporating more physical activity into our daily lives, eating less and healthy, and controlling our stress. Perhaps our spiritual health would also benefit from these and similar activities, including regular acts of worship, fasting, controlling our temper, and being kind to others. When we don’t take care of our physical heart, it begins to fail since oxygen ceases to be delivered to our heart and the electrical currents can no longer travel effectively, thus resulting in a heart attack.

Coronary artery disease is the leading cause of death worldwide, and especially in developed countries. The deadliest heart attack occurs if there is a blockage of the left anterior descending coronary artery, which is why it is tragically termed the “widow maker.” Beginning from adolescence, arteries begin to accumulate fatty streaks and progress to an atherosclerotic plaque. This plaque can lead to several disastrous complications such as follows:

• a narrowing or complete obstruction of an artery, impairing blood flow and leaving the heart thirsty for oxygen
• a stroke due to a blood clot caused by decreased movement, breaking off and flowing to the brain
• a weakening of the vessel wall leading to an aneurysm, the vessel bursting

For some patients, a heart attack becomes a wakeup call in order to make the many necessary lifestyle changes that are necessary in order to live a long and healthy life. However, 20% of patients will experience a second heart attack. As the heart gets weaker and weaker it can eventually develop cardiorenal syndrome, a complication that results from the heart being unable to pump effectively resulting in it getting backed up in the heart and the right side of the body. This increase in volume in the body is further exacerbated by the kidneys, which continue to retain fluids and thus cause the body to become overloaded. This leads to edema, or swelling, in the legs that can eventually progress to the lungs and cause congestive heart failure. As the kidneys try to ameliorate the fact that the heart is not pumping effectively, they ultimately worsen the situation leading to end-stage renal disease and stage D heart failure.

Of course, as with almost all medical conditions, these fatal results can be prevented much earlier with lifestyle changes, even before introducing medical intervention with prescription drugs or other procedures. These lifestyle modifications include moderate aerobic exercise at least 3 times a week, a diet rich in vegetables and low in fats, sugars, and carbohydrates, smoking and alcohol cessation, and weight reduction (which would come as a result of these modifications). It is also important for patients that are already dealing with hypertension, diabetes, and hyperlipidemia should keep them well-managed and controlled.

Maybe similarly, some simple lifestyle changes, such as putting aside a few minutes every day to reflect, can be the secret to keeping our spiritual heart healthy. Our heart must remain healthy to keep the rest of our body healthy. Considering the close relationship between our physical and spiritual heart, our spiritual heart must be kept healthy to keep the rest of our spiritual body healthy. Spiritually healthy individuals will further reinforce the health of our community, for Prophet Muhammad, peace be upon him, says, “The believers in their mutual kindness, compassion and sympathy are just like one body. When one of the limbs suffers, the whole body responds to it with wakefulness and fever.”

“As the whole of existence is in His grasp and at His free disposal, it is He Who directs and disposes of all things, from the heavens to the human heart… When God wills, He contracts a heart so tightly for what only He can provide that only He can satisfy it. By contrast, He expands and exhilarates it to such an extent that it needs nothing. Contraction is caused by God’s Majesty; openness is caused by His Grace. (Fethullah Gülen, Emerald Hills of the Heart).”

References

• https://www.heart.org/en/health-topics/congenital-heart-defects
• https://www.britannica.com/biography/Isaac-ben-Solomon-Luria#ref163236
• http://fgulen.com/en/fethullah-gulens-works/key-concepts-in-the-practice-of-sufism-1/qabd-and-bast-contraction-and-openness

It is uncommon that we observe the background details of a well-produced film or notice the subtle masterpieces behind a state-of-the-art play. Aside from those that are very observant, these elements usually only come into view when production experiences a horrible mishap, perhaps if an actor’s costume is ruined or they forget their lines. The same can be said for the quiet mechanisms and systems, which our lives are dependent on, on a daily basis, namely our organs and their exceptionally complex makeup that we often take for granted. This issue aims to take a deep look at some of the processes that affect us every day that we usually do not think about.

Modern medicine is perhaps one of the greatest blessings of our time, as synthetic drugs are able to cure complex diseases in previously unknown ways. These medicines undergo intense research, testing, and scrutiny before being released to the general public. We quickly rush to the doctor’s office and pop a few pills when we feel ill, yet we rarely ponder over highly exhausting and costly process of developing these drugs.

Our hearts never rest from the moment we are born to the day we die. This organ we don’t usually think about pumps onwards multiple times per minute and allows us to perform our daily functions. In her piece in this issue, Ceyda Sablak reminds us how delicate the anatomy of this organ is and why we should maintain a healthy, balanced life of physical and spiritual activity, as many spiritual masters have seen a connection between our biological heart and our spiritual well-being.

Stem cell research has been a common point of discussion, debate, and controversy in the past few decades. Researchers argue that they possess an almost endless number of possibilities while advocates argue that they are derived in an unethical manner. The science behind them is fascinating, and the potential that they possess is undoubtedly inspiring.

Lastly, it turns out that our tears are integral to keeping our eyes healthy and itch-free. A lack of tears can result in a multitude of annoying and harmful disorders that can severely affect a person’s life. Searches have been underway to find the perfect “alternative tear” for those that suffer from tear related disorders. Who would have thought that something so simple contributes so much to our normal happiness and peace?

It is widely accepted in modern culture that people should eat three meals: breakfast, lunch, and dinner. Nutritionists generally recommend adding two snacks (one in the morning and the other in the afternoon) to help control appetite.

Interestingly, the practice of eating three meals a day is a recent phenomenon. Ancient Romans had only one meal, which they usually had at about four in the afternoon, and they believed it was unhealthy to eat more than once a day. What the Romans ate in the morning and at noon was very light and fast [1]. Later, rules in monasteries affected people’s behavior around food and drink.

During the industrial revolution, breakfast gained importance; workers needed food before work. And dinner didn’t become popular – at least in its current form – until the prevalence of artificial lighting made it possible to eat before dawn and after dusk [2]. The understanding that eating three meals a day is a healthy choice stems from a combination of belief, culture, and early epidemiological studies [3].

There are studies suggesting that having a regular eating habit positively impacts health, regardless of frequency of meals. On the other hand, in a recent and comprehensive study by Kahleova et al., which studied 50,660 adult members of churches in the USA and Canada, it was found that eating one or two meals a day caused lower weight than eating three meals, and also a relatively lower body-mass index (BMI) which got even lower as overnight fasts got longer [4]. The authors state that the positive effects of such a diet are caused by a combination of timing, meal frequency, and overnight fasting, as well as having less frequent meals coupled with precise timing. These results indicate that eating one or two meals is better than eating three or more.

The Prophet’s example

The Prophet Muhammad’s, peace be upon him, recommendations and behaviors lend support to modern medical studies in the area of nutrition, as in many others. He would eat no more than two meals and ensure that one of the meals should consist of light food (such as dates). The Prophet recommended that dinner be eaten, even if it was only a small meal. “Do not leave dinner, even if it is only a handful of dates, because abandoning it makes one weak” (Sunan Ibn Majah).

He defined dinner as the second and last meal of the day, and that it should be eaten after dusk or immediately after the evening prayer.

The Prophet set so many examples about nutrition. He highlighted the dangers of obesity, stating that “What I fear most about my community are developing a belly, oversleeping and idling.” This was centuries ago; nowadays, obesity is an epidemic raging across the world, and its prevalence has almost doubled in more than 70 countries since 1980. In 2015, a total of 107.7 million children and 603.7 million adults were obese [5]. Seventy-five percent of the world’s population is overweight. Obesity, along with dyslipidemia and hypertension, is one of the major factors in cardiovascular diseases. Studies have shown that exercise, as well as meal timing and frequency, are quite effective in weight control [6].

As for table manners, the Prophet said, “The human does not fill any container that is worse than his stomach,” and, “It is sufficient for the son of Adam to eat what will support his back.” Throughout his 63-year-long life, the Prophet never left the table on a full stomach or ate before getting hungry; he recommended that food should not be swallowed without chewing, a practice he maintained. By refusing to sit at tables where there were several types of food, our Prophet was occasionally unable to find anything to eat. There is also no information that our Prophet ever had lunch.

The Prophet’s insistence on fewer meals looks very wise. Not only does eating fewer meals lead to lower incidences of obesity; if it includes a reduction in carbohydrate intake, it can also lead to decreases in total and LDL (bad) cholesterol levels [7]. Considering meal frequency and timing, it is crucial which meals are maintained. In general, breakfast-eaters tend to run a lower risk of weight gain than non-breakfast-eaters – and a significantly lower risk of heart disease [4].

Current studies indicate that food content has as much impact on blood lipids and insulin as meal frequency. Although we cannot fully explain the effects of a single factor on physical health, we are pretty much sure that meal frequencies are closely related to meal timing and which kind of foods are eaten.

The Prophet’s main requirement of food was that it should be lawful and clean, as well as beneficial for the body. His two meals consisted of breakfast and dinner, as is recommended by modern medicine. In a nutshell, the amount of intake and eating etiquette recommended by our Prophet is allocating “one third of the stomach for food, one-third for drink, and one-third for air” (Tirmidhi, Zuhd, 47) and completing meals without getting full. Increasingly, science suggests this may have been good advice!

References

1. Flandrin, J.-L.; Montanari, M. Storia dell’alimentazione; Laterza: Bari, Italy, 2003. 2.Affinita, A.; Catalani, L.; Cecchetto, G.; De Lorenzo, G.; Dilillo, D.; Donegani, G.; Fransos, L.; Lucidi, F.; Mameli, C.; Manna, E.; et al. Breakfast: A multidisciplinary approach. Ital. J. Pediatr. 2013, 39, 44.
2. Potter, C.; Griggs, R.L.; Brunstrom, J.M.; Rogers, P.J. Breaking the fast: Meal patterns and beliefs about healthy eating style are associated with adherence to intermittent fasting diets. Appetite 2018, 133, 32–39.
3. Kahleova, H.; Lloren, J.I.; Mashchak, A.; Hill, M.; Fraser, G.E. Meal frequency and timing are associated with changes in body mass index in adventist health study 2. J. Nutr. 2017, 147, 1722–1728
4. Collaborators, G.B.D.O.; Afshin, A.; Forouzanfar, M.H.; Reitsma, M.B.; Sur, P.; Estep, K.; Lee, A.; Marczak, L.; Mokdad, A.H.; Moradi-Lakeh, M.; et al. Health effects of overweight and obesity in 195 countries over 25 years. N. Engl. J. Med. 2017, 377, 13–27.
5. Paoli, A.; Moro, T.; Marcolin, G.; Neri, M.; Bianco, A.; Palma, A.; Grimaldi, K. High-intensity interval resistance training (hirt) influences resting energy expenditure and respiratory ratio in non-dieting individuals. J. Transl. Med. 2012, 10, 237.
6. McGrath, S.A.; Gibney, M.J. The effects of altered frequency of eating on plasma lipids in free-living healthy males on normal self-selected diets. Eur. J. Clin. Nutr. 1994, 48, 402–407.

When you ride a rollercoaster for the first time you feel a surge of emotions that grab, terrify, and haunt you all at once – well, at least at the start. But once you get over that first drop, that first mind bending, gut wrenching drop, you suddenly realize that your life isn’t over. And not only is your life not over, it’s also exciting anticipating what else is around the corner.  When the adrenaline takes over, the fear of the impending disaster dissipates.

That’s what pregnancy was for me. I had the initial fear seeing the digital test flash “pregnant.” That fear wasn’t because it wasn’t planned – technically, we did plan. We got married, bought the nice house in a subdivision, and had a fantastic waiting period of five years so that we could explore married life without kids. The fear was the feeling of “oh no, what have we done?!”

And I wasn’t the only one who felt it! My husband had that look on his face when I showed him the test. He didn’t jump around with joy or even smile; he just looked at me with an expression of confusion and worry that settled somewhere closer to acceptance. You would have thought we were two fifteen year olds still in high school with no life achievements. But what mattered most wasn’t our initial reaction. What mattered was the journey we were embarking on together as husband and wife. The excitement hit us quickly enough, along with the extreme nausea and vomiting that plagued me for months.

My husband always wanted a beautiful baby girl. That was his desire from the start. I don’t have to explain how happy he was when the ultrasound tech told us what we were having. We decided to have a nice small and intimate reveal party, just for the grandparents. We got the idea to get cute pink build-a-bears to give to the prospective grandmothers and we revealed our daughter’s name along with the due date. It was exciting and wonderful.

But life always has a drop waiting around the corner. It never fails: impending doom lurks, waiting for its next victim. It wouldn’t be a journey if it didn’t have obstacles. So that is what I first thought when my OB/GYN called me to come to the office exactly one week after the reveal party. But I could have never prepared myself for the words “positive for Down syndrome.” I kept thinking, how could this be? My husband and I were both still in our twenties and healthy, with no family history of anything more than diabetes. This couldn’t happen to us! I stared at my husband, and he had the look of suffocation, as if the room had been stripped of oxygen. We rushed home to do research, to ease our minds into believing that the prenatal test was inaccurate or wrong. We even grasped at the straw of someone in a lab mixing my blood with someone else’s. Our parents reassured us that it was a faulty test, it happened all the time in the eighties and early nineties. My husband held fast to thoughts of positivity, but I ventured into the realm of realism very early because I knew that life always gives you something that you perceive to be unfair and unbearable. That drop was unbearable.

The twist and turns came in the next few months with the fantastic ultrasound test that showed no signs of Down syndrome at all on our little one. But of course, me being the president of the realm of realistic notions, I couldn’t allow myself to be too relieved. But could anyone really blame me? I mean if my child was to be born with Down syndrome, wouldn’t I, as her mother, need to be there for her? If the doctor pulled her from my womb and the true visualization of her features set in, and she bore obvious signs of that extra chromosome, I would still reach for my child and hold her tighter than a mother bear.

My husband and parents could step out of the room and regain their composures, while going through the stages of grief all the way to acceptance and unconditional love. But me, being momma, I needed to go through that ahead of time, so when my baby girl was handed to me the only thing she would feel was my undying and unwavering love for her.

I did the only thing I could do: I prayed. Not to take away any disabilities or deformities. How could I? How could I be so presumptuous to ask God to make my life any easier than the next person’s? No one has it easy. No, instead I prayed for a healthy beautiful baby girl. And I spent hours telling God “thank you.” I was grateful that I could conceive, and that I had a great husband who also would love our daughter unconditionally. I was thankful for the roof over my head and the qualities that my loving parents instilled in me, because during my pregnancy there was barely a week that went by without hearing about a woman killing or abandoning the baby she didn’t want. I was thankful to have compassion and natural human affection. I spent hours crying and speaking my peace with God, knowing that no matter how different she might be, my daughter was a direct gift from Him and I knew that I only wanted what was best for my child, which is to be better than me. That is what all parents truly want.

When the delivery was over, so was that ride of loops and drops. Because when they handed me my little girl all I saw were her perfections, no flaws. And my husband thanked me for bringing our child into the world. Even now, two years later he still thanks me, and I still thank God because he answered my prayers.

This entire ordeal taught me many lessons about life and our ability to make it harder than it needs to be. Sometimes we ourselves are the disasters we try so hard to avoid. It’s our thinking and our mindset that end up getting the best of us and turning something that can be conquered into a mountain of pain. I learned that you don’t have to be a saint to put trust in a higher power to guide you. I could have allowed the fear of the unknown to destroy me, to cause me to become so paralyzed that I lost my ability to avert a disaster. We all have that ability, regardless of what life sends our way. Beauty is in the eye of the beholder, but also what we perceive as a catastrophe is ultimately left up to our own interpretations.  

Now I am on a new rollercoaster ride. New twists, turns, and drops, each one filled with thoughts of fear and despair. But this ride is called motherhood. Every day I am forced to reset my thinking and my viewpoint on things. I remind myself that it is my choice as to whether something is a mountain or a molehill. Do I choose to wallow in negative thoughts of impending doom or do I look for the way out of the tunnel, the light that is always at the end? Because when I look at my life over the past couple of years, every disaster that has come my way has made my family and me stronger and more versatile. And every blessing that has come our way is received with gratitude and graciousness.

Do I see everything through rose colored glasses now? Not in the least. I was and will always be a realist. Seeing life for what it is will constantly require an endless readjusting of our minds. The truth is, we never truly stop riding the rollercoaster. We can only hope to learn how to enjoy it as much as possible. If we don’t, we are doomed to see every event as something to cower in front of. You don’t get to know when it is coming, and you don’t get to know what it will be, but you do get to choose how it will affect your life: mountain or molehill? I choose to see the twists and turns of my pregnancy as the blessing they always have been. My daughter has no real health issues or problems, no heart defects and no developmental delays. She is healthy and beautiful, with a smile that will bring the world to its knees. All that I truly wanted was for my baby girl to be healthy and smart. She is beyond everything I could have dreamed possible. When I look into her eyes, I am aware that she may have difficult days ahead, but she will have many happy ones, and on her worst day she is still better than I am.

We eat, sleep, and go to the bathroom. Yet, we never think about how all these physical needs are processed in the systems of our body when they are functioning normally.

Yes, our bodies are created with perfect systems by which our all kinds of needs are met. The digestive system is one of them. Our intestines are key elements of this system, so much so that asking someone “How are your intestines?” would be as comprehensive as asking “How are you?”

Digestive system

Food is critical to life. A human being can bear hunger for one month at most and can only endure a few days of drought. Thus, eating and drinking is crucial.

Foods as we eat them are not convenient for use by the cells. Food must be broken down into smaller pieces. This process begins in the mouth and ends at the anus, and it is called digestion.

The main task of our stomach and intestines is digestion. The teeth, salivary glands, the tongue, and the gullet – as well as swallowing – are essential secondary elements. Additionally, if the pancreas or liver fall ill, it can paralyze the whole system. While also working with the circulatory system, kidneys have the task of reabsorbing useful substances like glucose, amino acids, and water.

Our digestive system works together with the urinary system and the digestive organs like a factory. How these parts work together is still not fully understood, but more detailed research has been performed and revealed more secrets of the digestive system. By means of every discovery, it is realized that this perfect creation has a more intricate structure than is known.

The brain in the intestine

There are more neurons in our intestines than in our spinal cord and the intestines are created in a way that can move independently from the central nervous system. They have their own nervous system, known as enteric nervous system (ENS), which is also called the “second brain. “Within those yards of tubing lies a complex web of microcircuitry driven by more neurotransmitters and neuromodulators than can be found anywhere else in the peripheral nervous system. These allow the ENS to perform many of its tasks in the absence of central nervous system (CNS) control…” [1]. Thus, “… isolated segments of intestine can independently coordinate propulsive movements and propel content without any neural connections to the brain or spinal cord [2].

The intestines take action when food comes into the stomach. This movement is known as colonic migrating motor complexes (CMMC), and it moves the substances that cannot be digested, like bone and fiber. According to neurophysiologist Nick Spencer et al, “The gut wall contains a complete network of intrinsic nerves capable of propelling contents along the bowel, without any requirement of nerves originating in the brain or spinal cord” [3].

Eat different types of food

70% of our immune system cells are in our intestines. A big part of the approximately 38 trillion bacteria in our body are in our intestines, and they are useful; they have a big role in digesting food. Different groups of bacteria feed on different types of food; so for intestinal flora it is very important to have a variety of food on our table. For the ideal day on a plate Dr. Megan Rossi recommends people should “aim for at least 30 different plant species per week.” “The reason for this is that each plant contains different types of fibres and phytochemicals (the super healthy components of plants) that feed different good bacteria. The more plant variety, the more variety of gut bacteria – which is associated with health and happiness” [4].

Pets in our body

For Dr. Megan Rossi, “microbes are like our pets, so you have to take care of them and feed them” [5].

Of course, germ flora in our body is not just limited to the ones in the intestines. Bacteria, viruses, and fungi in our body are nearly scattered throughout the whole body. These living things produce pellicle on our head skin, irritate the gaps between our toes, live on our skin, are on duty among our teeth, and have ecosystems and assigned positions convenient to them. According to the situation, they keep their living spaces healthy or unhealthy. Although they number 50 trillion, they are approximately 200 grams of our body weight.  

Useful microbes

An average size human adult houses about 10¹² bacteria on the skin, 10¹⁰ in the mouth, and 10¹⁴ in the gastrointestinal tract [6].

These microorganisms are useful microbes with duties in our body. The harmless flora of microbes is generally present on the skin, mouth, teeth, nose, throat, and bowel and genital areas. There isn’t normal flora in internal organs except the large bowel. Internal organs have no microbes. If we look closely, flora is inserted in every part of our body which is dirty and has contact with the outer environment. If it was not for the useful flora, microorganisms causing illness would settle instead. Only intestinal bacteria are permanent microbes which are useful. For example, vitamin K plays a part in a crucial event like blood clotting and is produced in the intestine.

Control your stress

Research has revealed that mental and psychological stress affects the health of the intestines. Serotonin is produced automatically in case of need, and 85% of it is produced in the digestive tract. Stress suppresses the level of serotonin produced. Psychological illnesses are associated with low levels of serotonin.

Studies have shown that relaxing practices like meditation for 15-20 minutes can be good for health and reduce stress. At this point, daily prayers are a kind of therapy. Other ways to stay healthy include: avoiding things like alcohol and caffeine, and sleeping well.

Our body has ways of telling us when it’s not healthy. For instance, we can learn the digestive tract isn’t healthy if we have to use the toilet more than three times a day and fewer than three times a week.

References

1. Gershon, Michael D. “The Enteric Nervous System: A Second Brain.” Pdfs.semanticscholar.org.
2. Spencer et al. 2018. “Identification of a Rhythmic Firing Pattern in the Enteric Nervous System That Generates Rhythmic Electrical Activity in Smooth Muscle.” http://www.jneurosci.org/content/38/24/5507
3. http://www.flinders.edu.au/neuroscience/lab_visceral.html
4. https://www.dailymail.co.uk/femail/article-5543159/Doctor-debunks-myths-surrounding-gut-health-say-surprise-you.html
5. https://navva.org/brazil/health/why-the-bowel-is-considered-our-39-2nd-brain-39-and-other-5-amazing-facts-about-the-organ-news/
6. http://www.textbookofbacteriology.net/normalflora_3.html

Sleep is a period of renewal that prepares us for the new day and enables our brain and body to perform duties that they cannot while awake.

Growing numbers of businesses are including good sleep in their wellness programs for their employees. Many of them now have sleep pods in their offices to improve productivity. In addition to diet, weight, exercise and smoking cessation, sleep wellness is now becoming part of our tools to prevent health problems; and this is a good thing.

Sleep is a period of renewal that prepares us for the new day and enables our brain and body to perform duties that they cannot while awake. Having a sufficient amount of high-quality sleep is vital for us to be healthier and to feel better during the day. Yet the number of people experiencing sleeping problems is on the rise.

The duration of healthy sleep varies from person to person. If the night’s sleep lacks quality –say, for instance because of frequent interruptions for the need to go to toilet – the total duration spend in bed extends. The craving or need for more sleep as a result becomes a sleep problem.

Sleep deprivation prevents certain brain functions that are enabled only during sleep. Sleep is necessary for learning and memory. Moreover, healthy sleep is crucial for appetite regulation, so insufficient sleep may result in weight gain.

In the general sense, sufficient and quality sleep is also essential for overcoming diseases and disorders. Therefore, many patients in the intensive care unit, especially those suffering from cerebral bleeding, edemas, or a heart attack, are put to sleep with drugs. Studies have shown that sleep is crucial for fast recovery of post-operational scars. It is essential that long hospital visits should be avoided so that the patient can have the much needed sleep.

Because metabolism slows down during sleep, all the bodily energy is redirected towards curing the brain and the body. Sleep is the time for repairing any part damaged during the day. Sufferers of sleep problems run a higher risk of developing illnesses such as Alzheimer’s and dementia. The number of neurons is important for memory as well. Their number decreases with age, weakening our memory. Age-related memory impairment stems from a breakdown of the brain’s communication network and can be prevented by healthy sleep. In addition, sleeplessness correlates with depression and cancer, too. The immune system also deteriorates in people experiencing sleep deprivation because it cannot be renewed and strengthened during sleep.

Coffee, tea, energy drinks, and other substances containing caffeine can prevent sleep for as long as six hours. That is, black coffee or strong tea you have in the afternoon may make it difficult for you to fall asleep at night. Similarly, if you have food that is high in fat and protein at a late dinner, you may experience problems drifting into sleep.

Working hours

Some people have to work at night so they can sleep during the daytime. People doing night shifts, for example doctors, nurses and police officers, frequently develop serious heart and brain problems. Our brains are created so as to stay asleep at night and awake during the day, so people who go to bed late at night experience more health problems. Sleeping during the day after a sleepless night leads to sleeplessness the following night. However, a nap (siesta) in the afternoon is extremely useful in that it virtually enables renewed morning freshness thanks to re-regulation of hormones.

Our body clocks are influenced by sunrise and sunset. Modern people are exposed to less sunlight during day and more artificial light at night, which has an impact on the time we fall asleep. Increased exposure to the morning sun and decreased exposure to artificial light (especially from phones and computers) can help our body clock readjust to a normal sleep schedule and hence help us sleep earlier.

Fixed waking hour

One of the most critical conditions for healthy sleep is to have a fixed waking hour. You should wake up at the same time no matter what time you went to bed the previous night. In fact, as a rule of thumb, you should get up from your bed at the same time in the morning whether it is weekend or weekday, work day or holiday, so that you can have a good sleep the following night.

The more tired you are when you go to bed, the harder it gets to drift into sleep. You should therefore avoid vigorous physical activity within a few hours before bedtime.

Contrary to widespread belief, reading books in bed, watching TV, or spending time on the mobile phone or computer makes it harder to fall asleep. Such activities should be done out of bed in another room, if possible, and the bed should be used for sleeping. In fact, sleeping somewhere other than your bed may also harm your healthy sleeping cycle.

Residents in big cities generally wake up very early to arrive at work or school on time and get back home quite late due to traffic. Sleeping late during the weekdays and waking up too early lead to an accumulation of sleeplessness, which needs to be made up for. Some research studies also have shown that late risers run higher health risks than early risers.

Certain regulations can be put into effect to help reduce sleep problems. For one thing, flexible working hours would enable more employees to start work later but more refreshed. Moreover, some businesses can arrange work schedules of their employees according to their body clocks. As a result, the performance and efficacy of the employees could be improved. Buildings can be made to let in more sunlight and thus dependence on blue light can be reduced.

Our need for sleep, daily and weekly, is more or less stable. This need is also related to your age. Sleep duration increases with your age: it peaks in your twenties and then your body clock tends to move back as you get on in years. As you get older, you need less sleep.

Sleep for physical formatting

Sleep used to be considered to be a time of rest until recently. Today, however, sleep is accepted as a time for restructuring and physical formatting. Snoring, sleep apnea, and frequent visits to the toilet prevent high quality sleep.

Growth hormones are produced the most during deep sleep. We should therefore be particularly careful about ensuring that children get enough and healthy (deep) sleep schedules.

Position

Sleep position is important, especially for the elderly. A position should be chosen that is least painful. For instance, the heart is believed to be more at ease when one sleeps on the right side. In this position, breathing takes place more through the left nostril rather than the right, enabling the sympathetic system to rest and the parasympathetic system to take over. When the parasympathetic system starts to work, drifting into sleep becomes easier and the duration as well as the quality of sleep increase. Sleeping on the right has been reported to be the tradition of the Prophet Muhammad, peace be upon him.

When you lie in bed, gaps remain between the bed and our neck, waist and knees. These gaps may need to be filled particularly for the elderly and those who suffer from pain in one’s back or neck. Herniated discs have become more common in employees doing desk jobs. A pillow can be folded slightly to support the neck, or special pillows that take the shape of the head and neck can be used. It may not always be necessary to fill in the gaps but if you have backache or hernia it might be necessary to support the waist. The support of a small pillow can be helpful in some cases of knee problems. In other cases, a soft pillow placed between the knees can be helpful.

Numerous studies in recent years have reported that cupping (hijama) and foot reflexology therapy can increase sleep quality. These two methods reportedly help discharge excessive static electricity and psychological stress that have accumulated in the body and thus make it easier to drift into sleep.

Oversleeping is as dangerous as sleep deprivation. It has been found that people who sleep more than eight hours a day have a higher risk of heart failure. A Norwegian study has shown that sleep that is more than eight hours or less than four hours increases the risk of heart failure. Conducted at the Norwegian University of Science and Technology, the study included 50,000 subjects aged 20-89 whose sleep patterns were monitored for 11 years. According to the results, people who slept more than eight hours or less than four hours had a 35 percent greater risk of dying from heart failure than people who sleep between six and eight hours. People who slept less than four hours were reported to have a 34 percent higher propensity for dying from heart failure.

It is important to make sure we have enough amount of sleep for both our physical and spiritual health; not more, not less. Having a siesta for 1-1.5 hours during the day can also prove useful. Oversleeping numbs the human mind, may bring gloom to the heart, and may cause us to lose our ability to make good judgments. Going to bed immediately after eating and drinking may also be a cause for various illnesses, including obesity.

References

1. Munshi, Neil. “Sleeping on the job can improve your work.” Financial Times, September 13, 2017.
2. Laugsand LE, Strand LB, Platou C, Vatten LJ, Janszky I, “Insomnia and the risk of incident heart failure: a population study”, Eur Heart J. 2014 Jun 1;35(21):1382-93. Epub 2013 Mar 5.

In the past, the area missing a tooth could be filled by bridge implants by eroding the enamel on neighboring teeth. In cases where there was a large gap or no teeth to use as connectors, removable implants were used. In other words, present healthy teeth would be treated to compensate for the missing teeth; if the number and health of the remaining teeth was not sufficient, removable implants would be produced that gave the “ready to fall out” feeling. The imperfections of this type of implant led scientists to pursue new ideas.

Scientists have tried to fill in missing teeth with artificial roots and with implants mounted over these by mimicking the existing tooth root. This way, there is no need to treat and erode the healthy enamel of neighboring teeth in the gap. These artificial roots, which are positioned into the jaw bone by a surgical operation, are called a “tooth implant.” Modern-day implants are generally composed of two main parts.

One of these is the fixture part which is secured into the jaw bone by screws; the other is the support part (abutment) which mimics the visible parts of the tooth in the mouth. Approximately 3-4 months of curing time is required for the fusion of bone and implant (osseointegration), which is screwed together by a surgical operation. Towards the end of this time, the implant is built over the abutment. The length of time necessary for the implant to integrate with the bone to replace a tooth which can be extracted so quickly is rather noteworthy despite ongoing studies to reduce the wait time and successful attempts to do so.

Employed materials

Even though the main logic for implants is the mimicry of the tooth and the root, the materials utilized are quite variable. The history of such implants goes back thousands of years. The employment of bamboo sticks in tooth restorations could be seen in some civilizations, such as ancient China. Mayans used sea shells, which were recently shown to be biologically suitable as implant material. Maggiolo produced a tooth root by using gold, in 1809. In the beginning of the 20th century, Lambotte prepared implants using materials such as aluminum, silver, brass, copper, and gold.

These newer implant methods have failed because of the insufficient strength of the majority of the materials and the failure to fit into biological tissues. The initial employment of titanium and its alloys in the 1950’s almost opened a new age in implantology and enabled the successful use of these materials up until today. However, these titanium implants, which are considered successful, have a very limited ability to mimic tooth roots:

• Once the implant is in place, for reasons such as aging and improper tooth brushing, tooth gum recession and resurfacing of the bright faces of the implants which mimic the root surface can take place. This leads to undesirable displays. Even though gum recession can also occur in natural teeth for similar reasons, this situation is not as disturbing as with implants. This is because the tooth root color is similar to that of the tooth surface.
• Under normal conditions, implants should be fused to integrate with the bone (osseointegration). Integrated implants are considered successful clinically. A similar case to this bondage, which is unwanted clinically, is the fusing of tooth and bone which can be seen generally in dead teeth and is called ankylosis. Many hardships can be encountered when the tooth that is fused with the jaw bone is required to be removed. The same thing also applies to the implant. If an implant is set to be extracted for a reason, even if just a small amount must be removed, the surrounding jaw bone must be removed as well. However, a natural tooth is not bonded so tightly to the jaw bone, as if the tooth is healthy, it is suspended over the jaw bone through small suspension-like structures. When a tooth is needed to be pulled as a result of trauma or tooth rotting, only these suspensions are detached; thus any damage to the jaw bone is averted. Present efforts to design similar mechanisms for implants have not been successful yet.
• When a disease develops in our natural teeth, we feel pain and take action before it is too late. However, diseases within implants are rarely encountered as pain; generally, when the pain is felt, the implant is already disconnected from the bone and it is lost. Toothache often felt as a strong pain is a blessing granted to us. If the implants were built with pain mechanisms, just like in our natural teeth, we could take action at the beginning of the disease and avoid the time and financial losses.
• Even a healthy tooth, which we think of as immobile, can move via microscopic ligaments for 0.1 mm around its root on a type of pad. The tooth root is created in a perfect fashion to resist the strong chewing power that can be generated from many directions in the mouth through these ligaments, which are wrapped around different sides and which come from different angles. However, these ligaments, which act as a suspension, do not exist in between the implant and jaw bone. Therefore, implants are almost immobile. Even though it may seem like a good thing for them to be immobile and tightly fixed, there may be intense power spots generated on the implant or jaw bone since these forces acting on the implants are transmitted to the jaw bone without being dispersed. Forces densely acting on small areas can lead to fractures of the material, including tiny screws or porcelain plating, and can damage the bone tissue. Investigators once understood that these tiny, suspension-like structures won’t form around the implant, so they engaged in mounting tiny Teflon or spring pieces inside the implant to generate suspension. However, these imitated suspensions failed to resist the chewing forces that can go up to 400 kg at times, and their use was aborted after a short time.
• Teeth can be examined by the method of tapping with small hand tools (percussion). These small impacts cause pain in case of an abscess at the tooth root. By taking necessary actions, the tooth can survive longer. It is impossible to do such determination and diagnosis with implants.

As it is seen, making less successful artificial implants as opposed to real teeth is quite a cumbersome, costly, painful, and time consuming job. Despite all of these imperfections, because of their numerous advantages over traditional implants, the popularity of dental implants continues to increase, and is preferred by dentists and patients. In addition, implants are seen as an inevitable treatment option when tooth loss occurs, and may ultimately provide patient relief in the long run.

Despite progress made in implants, it’s clear that our teeth were created in such a perfect way, down to the very smallest detail, that they cannot be replaced. Science is well aware of the fact that we will never fully be able to replicate tooth structure. Therefore, studies are shifting towards stem cell research. This way, instead of foreign substances, the missing tooth will be compensated as if by planting tooth seeds by using human’s own cells. Nonetheless, the opportunities that are discovered via all these efforts will never replace the natural teeth that were so perfectly created for us.

After that question, I found myself at the doctors.

“If your heart is OK, then your body is OK,” she told me with worrying eyes.

“I’ve never had pain in my chest for this long,” I told her. “It feels as if somebody is sitting on my heart. But if I put my hand on my chest, that warmth helps to alleviate the pain.”

She was concerned. We stopped and she urged me to go to the ER immediately.

“I need to pray,” I told her. “It will take ten minutes and I will be at the hospital praying room. There are always a few people there, so don’t worry.”

She nodded. “I believe in the power of the prayer and meditation,” she added. And she ensured that I see a specialist for the chest pain.

I left that building and crossed the road to go to the other building. I was holding my heart, thinking the metaphors that we think of as a mundane saying. None of the metaphorical descriptions were solely poetry or were merely linguistic elaboration. Rather, they all meant what is untold and unseen and indescribable. At that moment I realized this heart was given to me. I was doing my best for a month to satisfy her needs and to ease her tension. But she was behaving as a separate and independent unit that has her own free will. I realized this for the first time in my life. Maybe the metaphor for this case would be extending a helping a hand to my heart, or to surround her with muscles. Maybe I forced too much on her, or did not appreciate the help my individual organs, my body as a whole, have given me.

That night, a friend of mine, not knowing what I had been thinking during the day, told me that we should talk to our bodies. “You should thank your feet that carried you all those years, my friend,” she said. “You should appreciate your eyes, which never gave up on you. You should thank your arms and hands since you would be speechless without them as a writer. You should thank your brain, for she listened to her Owner all these years and served you to be a better human every day.” “You know,” I added, “you are so right. After all, the one who cannot thank people and things cannot thank their Owner, the Beautiful, the Merciful, the Wise, the Choice Maker!”

I have been reading a lot lately. But there is something we learn from life and other people that no book can cover. Thus, I believe humankind is a unique book, its own kind of scripture. Humans read the universe with one eye, and the Scriptures with the other. Thus, we are given double eyes. And humans stand at the conjunction of these two books of meaning, being ourselves the third book which is uniquely because it is not just a book to read but also a reader. The more humans read these two books, the more we become a readable book.

So what is written in me? I suppose the basis of all lines is this sentence I heard from my doctor today: Save your heart, if the heart is good then your body and mind will be healthy. I wish I knew the language of the heart that would make my body healthy and would make my mind a reader and my self a book. The heart is at the center of human life, both in the physical and metaphysical senses. The heart is at the heart of the fact that humankind is a book to be read and discovered. The heart defines what we feel and motivates us in life. The heart defines which way the mind will travel. The heart is the teacher of the mind. Do you think we can unravel the language of the heart?

Life, illness, and death are basic human conditions. But at the same time, it is a very individual decision which specific meaning you ascribe to these elements. These meanings also affect the behavior patterns of our life and its consequences. Ascriptions of meaning can – considered without any judgment – be of religious, nationalist, pluralist, and atheistic nature, or be supported from the symbiosis of several ways of thinking.

In the training of health care professionals and in public lectures, the author of this article noticed that illness has a very negative image: the color which stands for physical and mental discomfort is a deep black, while shiny white is the color of health. Consequently, modern medicine therapies have been developed that do not necessarily try to diagnose the causes of diseases, but most of all combat the declared enemy. For this purpose, high-dose drugs, radiation and other weapons are out in the field, according to the motto: attack is the best defense.

The doctors make every effort to win the battle, but there is a risk that the emotional state of the ill person falls into despair – because it is taught to him that his new physical condition is an unnatural, undesirable condition. Thus, a melancholy forms, which reduces the quality of life dramatically. The patient regards the illness as invincible.

In the following, I will present some perspectives that renowned scholar Said Nursi (d. 1960) demonstrated decades ago. They are still powerful today. In my opinion, they harbor the potential to raise the quality of life not only of the ill, but also of healthy people.

In his treatise “The Twenty-fifth Gleam: 25 Remedies for the Sick”¹ Said Nursi throws 25 views (Turkish: Deva² ) on the phenomenon of illness. His outlook could assist in transforming the negative picture of illness into a positive one.

What makes a shift in perspective so important?

Anyone who prepares himself while he or she is a healthy person, if they later catch a more serious illness, will benefit from this text. Nursi’s thoughts on the meaning of illness and potential remedies can play an important role in preparation. Those who internalize his message can help prevent the emotional fall into depression and may instead hope for a cure.

Said Nursi’s first view presents its readers with the understanding that illness should not be seen as a problem that brings bitterness into life, but that you can also draw strength out of it. There may, as said before, be different ascriptions of meaning to human life, but ultimately all people agree that life is something precious and offers a variety of opportunities. The direction of our lives depends on which use we make of these opportunities.

Those who consider illness as something negative will experience every illness as a curse. Such an attitude has a negative impact on the patient and their environment and turns them very pessimistic. They might castigate themselves, and ask questions like: “Why is it me of all people who has ​​this disease?” In extreme cases, this can lead the patient to become delusional and withdraw from society. A shift in perspective, however, can release positive energy and let sorrow and pain melt away.

Those who recognize the opportunities offered by life and appreciate the efforts and labors of everyday life as something positive will concede that even diseases have a meaningful function – for themselves and humanity as a whole.

Nursi says that ill people perceive time differently, which enables them to observe their environment from a more passive perspective. This passivity is supposed to tear modern, urbanized people from the hustle and bustle of everyday life and move them to a pause. It decelerates the lives of those affected and leads them to horizons healthy people find difficulty to access.

Nursi’s second view goes to the role of prayer which he defines in two forms: positive and negative prayers. He refers to prayers like ritual worship, fasting, supplication, and other forms of remembrance as “positive” (müspet) prayers. “Negative” (menfi) prayer on the other hand is attaining awareness and knowledge of one’s own vulnerability and mortality – which is more likely to arise in moments of illness rather than any other time – as a result of which one turns to God in praise of His ultimate power and infinity. Nursi signifies these positive and negative prayers as the second remedy.

The insight into our own transience, which is the third remedy, allows the ill person to recall their past mistakes, many of which might have been forgotten, and allows them to reconcile with themselves and their fellow humans. According to Nursi, this allows a person to realize they are not as perfect and as infallible as they thought. Illness makes people honest: honest with themselves and with others. The confession of the own fallibility is tantamount to an admission of human weakness and mortality.

Viewed from this perspective, the question arises as to whether illness itself is a cure for mankind. It conveys us new views and leads us to reconsider our previous positions. The ill person becomes an observer, and he finally has time to start thinking. As said by Nursi, he realizes that mankind may be considered the crown of creation. But man’s frailty, his aging, and also the health problems of other people make him realize that life on earth is not all there is – a realization that opens his eyes and takes him out of the darkness into the light. Becoming aware of one’s mortality takes away any thoughtlessness. It causes a person to shed laziness and reflect on their obligations.

If the patient manages to do so, they will feel gratitude and be patient, not least in dealing with physical ailments. This gratitude and patience is what Nursi refers to as the fourth remedy. For Nursi, the body is not the property of man, but rather a loan, which he may not dispose of freely. Suffering is to be endured, since it can do some good, too. Nursi characterizes it as a kind of bonus, which God the ultimate owner of our body grants to us, and we should not protest against it.

Chronic diseases or disabilities, which are seen very negatively in today’s society, can be reinterpreted positively in this way because, as Nursi asserts, they bring a gain in knowledge compared that we cannot achieve when healthy. As a result of their illness, they understand new things that healthy people cannot, just as blind, deaf, or dumb people perceive their environment differently, and sometimes more sharply, than people without physical limitations.

Each person strives for well-being, mercy, and forgiveness, and every sorrow and misfortune also harbors rays of mercy in it. From behind the veil of the illness many quite pleasant insights can emerge. A new consciousness arises, and thus many people gain the courage to take risks and reposition oneself in life.

This maturity Nursi describes as the fifth remedy and it can be observed especially in young ill people. Because of their illness, and in contrast to their peers, they have to cope with issues that seem to contradict their youth. They do not fall into the typical noise of youth and are relieved of thoughtlessness and of the pressures of everyday life.

From this point of view, health, for some people, can be even a calamity that can make their heads spin and blind, and lets them lose sight of the fact that their life does not last forever.

Conclusion

Even these first 5 of 25 views on the subject of illness show that not everything, which is interpreted as negative, is actually negative. A shift in perspective can often work wonders.

Nevertheless, such a shift in perspective appears quite disconcerting initially in our modern society in which health equals to a gift and illness to a disaster. If we have considered diseases as the enemy for so long, why should we suddenly welcome disease? A notion that a disease may also enrich the patient and their friends and family is a useful approach. Surely, the thought that positive thinking can influence the illness (coping), and even contribute to the healing process, is quite common. However, the angle shift described by Said Nursi goes much further. And in my eyes, there is no doubt that it is able to significantly improve the quality of a patient’s life and environment.

Illness allows ill persons to pull out from everyday life, at least for some time. Thereby, it gives them new insights and opens doors that probably would have remained closed if they had stayed healthy. Illness allows a refocusing of which we can benefit from as individuals and communities.

Erdogan Karakaya is pursuing a master’s degree in history in Heidelberg, Germany.

Footnotes

1. Nursi, Said. 2009. 25 Remedies for the Sick, the Twenty-fifth Gleam, NJ: Tughra Books.
2. Deva in Turkish actually means cure, resort, and solution. In this article it is also understood as view or view angle.

The newborn babies who are fed with infant formulas are becoming sick more frequently and are four times more prone to Sudden Infant Death Syndrome (SIDS) as compared to babies who are breast-fed. The statistical analyses made in the US have shown that, if fed solely by breast milk instead of infant formulas, deaths of at least 9000 infants will be prevented annually. A vitally important feature of the breast milk is that its contents are being dynamically and precisely formulated in direct proportion to the development and as per the needs of the baby, whereas baby foods and formulas do not have such a feature. The taurine amino acid, which is vital for the development of the brain and eye, are abundantly available in the breast milk.

The breast milk, which is recommended to breast-feed for up to two years, is special because of its various aspects: it has a unique chemical composition; the lightly yellow-colored alkaline milk (colostrum) generated right after giving birth is very helpful in protecting the newborns from infections and diseases; mammary (milk) glands operate on a very fine time adjustment and they have a perfect developmental coordination; its prevention against lymphoma, which is a kind of cancer, and its feature of leading cancerous cells to programmed cell death (apoptosis); adjustment of the quantities of minerals and trace elements in milk-generating cells of the mother in accordance with the needs of and in proportion to the growth of the infant; breast-feeding has positive effect on the infant’s IQ development.

Nevertheless, newly conducted researches have been yielding fresh findings and new wisdoms (truths) regarding the breast milk.

The tens of researches conducted on the breast milk till now have all indicated and proved that breast-feeding for a period of 7 to 12 months will positively add to the healthy development of infants’ bodily organs along with their IQ development. There are a number of different factors which contribute to infants’ IQ development and breast-feeding is just an important one among them. The positive contributions of breast-feeding to an infant’s IQ development may be better observed if the infant is raised within a genetically and environmentally healthy medium.

A steady brain development and its positive contribution to an infant’s IQ are related to the molecules such as Docosahexaenoic acid (DHA), Omega-3 fatty acid, Arachidonic acid (AA), Cholesterol and Taurine Amino Acid that are sufficiently found in the breast milk. The breast milk is even more useful for a healthy development of the infant’s social intelligence. According to IQ measurements, the IQs of children who have been breast-fed for periods of 7 to 9 months are found to be 6 points higher than those who have been breast-fed for less than a month.

A mother becomes like an innately secure shelter for the infant during breast-feeding as the secretion of the oxytocin hormone in the mother’s mammary glands is increased during her physical touch to the baby. Though motherly love and compassion are immaterial sentiments, a corporeal hormone is deemed a contributor to the attachment of love between mother and child. Breast milk is also rich in cholecystokinin (CCK), a hormone that acts as somniferous both in the mother and the infant. Thus, breast-fed infants more easily sink into sleep and this favorably contributes to infants’ healthy growth while enabling mothers to take rest. Mothers who are complaining that their children are not easily sinking into sleep can thus try to breast-feed them more frequently and for longer durations.

Breast milk versus allergens

Parallel to babies’ development, their foods also diversify. In order for foods other than breast milk given to the infant for the first time not to cause any sort of allergic reaction, that foodstuff should not be recognized as strange and unfamiliar, and this depends on the degree of sensitivity of that infant’s immune response mechanism. Therefore, whether breast milk has any role in the baby becoming accustomed to potentially allergenic foodstuff is being researched on experimental animals. When lactoglobulin is fed to baby rats, which are highly prone to activating allergic response, together with baby food and with breast milk respectively, the one which is fed as blended with the breast milk has not caused any allergic response while the one which is fed as blended with baby food has caused powerful allergic responses (1). In conclusion, it has been proved that, not the baby foods, but only the breast milk plays an important role in activating an immune response in babies.

It has also been found that, in order to ensure healthy intestinal development in newborn babies, only breast milk should be provided in the early stages after birth. As breast milk forms a protective shield against bacteria and viruses, it eliminates the need for response activation of the immune system during the early stages following birth. Moreover, breast milk also causes growth of Lactobacillus bifidus in the newborn’s intestines which prevent formation of pathogenic bacteria. The oligosaccharides in the breast milk are favorable stimulants for growth of Lactobacillus bifidus and also function as adhesive molecules. A resemblance of lock and key model has been observed between the oligosaccharides of the breast milk and the carbohydrates over the epithelial cells of the intestines. This implies that oligosaccharides of the breast milk function as free-floating receptors over the pathogenic microorganisms of various nature. They prevent adsorption of microbes over epithelial cells of the intestines and hence form a preventive shield against infections.

Oligosaccharides and Necrotizing Enterocolitis (NEC)

The enterecolitis which causes necrosis is a most widespread and fatal intestinal disease, being observed at a rate of 85% in premature babies. Insufficiency of oxygen in epithelial cells of the intestines due to various factors is an important reason for its happening. Insufficiency of oxygen in the intestines deforms the healthy functioning of epithelial cells bringing the medium susceptible for infections due to which the necrosis beginning on mucosa membrane of the intestines may develop down to the depth of the intestines’ innermost layer. Roughly 10-26% of all the infant deaths being observed in the newborn intensive care units of US hospitals are occurring due to Necrotizing Enterocolitis (NEC). This happens very rarely in infants who are breast-fed.

A series of controlled researches have been conducted on baby rats for the purpose of understanding the causes of Necrotizing Enterocolitis (NEC). These baby rats have been sorted out in three separate groups as the ones fed only by breast milk, the ones fed only by baby food and the ones fed by baby food blended with oligosaccharides of breast milk. Animals in all three groups have been exposed to hypoxia (deprivation of adequate oxygen supply) for three consecutive days and their intestinal tissues have been analyzed at the end of the fourth day.

It has been observed that, while symptoms of enterecolitis in intestines of those fed solely by breast milk were the least, and in intestines of the ones fed by baby food blended with oligosaccharides of breast milk were relatively low, but in intestines of those fed only by baby food were extremely high. Medical reports too indicate that Necrotizing Enterocolitis (NEC) is quite rare in breast-fed babies for the oligosaccharides of breast milk prevent formation of this disease. What is amazing is that the oligosaccharides and the complex glycans which play preventive roles against infections are abundantly available in breast milk whereas they are not found in baby foods (2). Although galacto-oligosaccharides which are similar to oligosaccharides of the breast milk are being added into most baby foods, they have not served as preventive against necrotizing enterocolitis. Molecular researches are presently being conducted as to how oligosaccharides of breast milk do function in favor of prevention (2).

It has also been verified by researches that breast-feeding of the infants is having favorable effects on their development of a sense of taste and on likes and dislikes of foods during their childhood years. In a recently conducted research, sour, sweet, mildly sour, salty, bitter and tasteless foods have been given to infants who are being breast-fed, cow milk-fed and baby food-fed and their reactions to these foods have been observed and evaluated. Those who were fed by baby food made a lesser grimace and also preferred more soury and bitter foods (12). When these babies were later offered normal foods, they replied only for the tastes of foods which were similar to the foods they were previously given. Moreover, their facial expressions were lesser and insufficient in terms of differentiation of unpleasant tastes. Basically, the contents of baby foods and nutrients affect children’s future responses to those foods and nutrients and their taste perception ranges (3).

Breast milk conduces to expression of differing genes in infant’s intestines

A reply to discussions on “whether breast milk or readymade baby foods” is given by researchers of the University of Illinois. Of the 22 healthy infants, the researchers fed 12 with breast milk and 10 with readymade baby food for a certain period of time and later analyzed the messenger RNAs (mRNA) in the intestine cells collected from their stools. These mRNAs have been exposed to a number of molecular tests, being later analyzed and compared. The results have disclosed that gene groups different from each other were being activated in intestines of the infants who were being fed by breast milk and baby foods. Genes of intestines that were expressed differently as foods of infants were diversified (4). Moreover, such a different reading, that is, revealing of the genes’ potential was not limited to only a couple of genes. Contents of baby foods and nutrients have been influential on the expression of hundreds of genes. The most striking outcome was that, while the data encoded by the gene that was assigned for revealing response of the genes being exposed to hypoxia (deprivation of adequate oxygen supply) was properly expressed and activated in infants who were fed by breast milk, the data encoded by such genes of the infants who were fed by baby foods was not being described and read. Thus, the probability of developing of enterecolitis (inflammation of the intestines) due to hypoxia (deprivation of adequate oxygen supply) was increasing. It has been understood that preference of feeding the newborns with either breast milk or baby foods plays a significant role in disclosing the data of about 140 genes which stimulate quick development of their intestinal and immune systems. In other words, the genes which are assigned for preservation of the immune system and thus for strengthening the infants against diseases are being easily expressed in the intestines of infants fed by breast milk but not of the ones fed by baby foods (4).

Finally, it is vitally important to feed the infants in hospitals’ newborn units more with breast milk in order to stop the developing of Necrotizing Enterocolitis (NEC). It has been understood that reading and suppression of the genes which are assigned for arrangement of particularly stomach-intestine functions are being arranged depending upon both development and epigenetical mechanisms as, for instance, the environmental factors that influence nutrition. This assertion shows that, while future studies will shed light on how to make ingredients of baby foods more similar to those of breast milk, it will never be substituted by any other nutrient.

Hamza Aydin is a freelance writer from Turkey with PhD degree in biology.

Notes

1. Katie L. Tooley et al. (2009). Maternal Milk, but not Formula, Regulates the Immune Response to ?-Lactoglobulin in Allergy-Prone Rat Pups. Journal of Nutrition, Vol. 139, No. 11, 2145–2151, November 2009.
2. Bode,L., Goth,K., Guner,Y. et al.(2010). Human milk oligosaccharides prevent Necrotizing Enterocolitis in neonatal rats. FASEB J. 2010 24:206.3 [Meeting Abstract]
3. Mennella, J. A. Et al. (2009). Early milk feeding influences taste acceptance and liking during infancy. Am J Clin Nutr. Vol. 90, No. 3, 780S-788S.
4. Chapkin, S.R. et al. (2010). Noninvasive stool-based detection of infant gastrointestinal development using gene expression profiles from exfoliated epithelial cells. The American Journal of Physiology, Gastrointestinal and Liver Physiology. Volume 298, Issue 5. May 2010.