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Traveling alone can be a great adventure – but even the most intrepid of travelers can sometimes find it daunting. If you’re considering a trip alone, here are some tips for safe and happy travels.

Be prepared. While thorough planning is always a good idea, it’s even more important for the single traveler. The more advance preparation you do, the more confident you’ll feel.

Research your destination on the Internet, in the library or with materials provided by your travel agent. Acquaint yourself with the customs, language and history of your region. For updated travel alerts check out google , the State Department for alerts as well as other reputable sources.

Be certain all travel arrangements are confirmed before departure, including details as to how you’ll get from the airport or train station to your hotel. Once your itinerary is complete, this can be emailed or passed along to family and friends so they can stay on top of where you’ll be during your travels.

And when booking your trip, make sure to ask your hotel or cruise line about any penalties or supplementary fees for single travelers.

Travel light. The less you pack the more independent you can be. Limit yourself to what you can easily handle, such as a roller suitcase, backpack and money belt.

And along with your toiletries, be sure to include a small first aid kit with essentials such as painkillers, antacids, hand sanitizers, germ-killers and bandages. (For information on traveling abroad with over-the-counter medication, click here.)

Be diligent. Stay safe by paying attention to everything going on around you. Walk with confidence even when you’re unsure of your surroundings. Once at the hotel, ask about any local areas to avoid.

Tip: some experts advise wedging a small rubber doorstop at the base of your door, in the event you aren’t confident about your accommodations. Such a prop makes it virtually impossible to open the door from the outside.

Try to fit in. Research the local fashion customs and styles and dress appropriately.

Make yourself accessible to new friends. Alone doesn’t have to mean lonely. If you’d like to meet fellow travelers, turn off the iPod or close your book. Often a friendly smile or brief eye contact is all that is needed to start a conversation. Hotel personnel may also offer a welcome reception or other ways to meet guests.

Some single travelers find meal times particularly uncomfortable or lonely. You may want to eat at a restaurant bar or a diner counter, which makes it easier to chat with other diners. B&BS offering meals at shared tables also provide an opportunity for conversation. If you’re planning a cruise, look for one with assigned dinner seating.

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Taking care ,goes a long way as well when you are on a vacation – or indeed or on a medically related trip – vacation or not , medical tourism is after all a trip – and perhaps even a vacation in itself. Some useful tips and practices that indeed may go a long way for guarding against negative forces and mishaps along the way. Heavy , over packed baggage can be one of the biggest contributors to shoulder , neck as well as back injuries. You should only pack what you need for your medical tourism tourist trip. After all health and maintenance of good health , as well as posture are the reasons that you are traveling in the first place. It is best practice always to avoid twisting your body. In the case of hand luggage , a back pack can be tried to distribute weight evenly over both shoulders as well as freeing up your hands. Another good tactic and practice is to push rather than pull luggage. Wheels on baggage can also save and prevent a fair amount of difficulties and problems as well. Back pain can be the result of sitting for long periods of time in improper ergonomic situations/ Stretches can be done , either preventable or on the spot. Airplane trips are the best widely known and appreciated of such situations. However long auto trips as well as train rides can do the same. Cervical pillows and lumbar belts can be useful adjuncts in this manner. Treatments and stretch exercises can be done along the journey or at the end destination. A good regime for treating an effected area is alternating ten minutes of ice and heat. Combine this as well with light stretching. In addition fatigue itself can result in such injuries . Since of course travel cam be a high stress time of sleeplessness and muscle tension. All in all . plan ahead , plan a simple route , and plan ahead.

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It is often asked what are the dominant and major players in the provision of medical and hospital services in the “medical tourism” industry to provide these services to “medical tourists”.

The major players in this market and the effective marketing of offshore medical services are Argentina , Brazil , Costa Rica , India or course , Malaysia , Mexico ( proximity to the United States and major markets , with a fair amount of seniors present – states such as Texas, Nevada , Arizona and California) , Panama , the Philippines ( especially to Asian medical consumers such as Japan and S. Korea) , South Africa , Thailand and Turkey.

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After suffering through decades of bra-cup envy, those with diminutive decolletages in their late teens and early 20s may enjoy a lower risk of developing type 2 diabetes later in life than their fuller-chested counterparts  or at least, that’s what a new study suggests.

But many doctors caution that the conclusions of this new research may have more to do with obesity  therefore bigger breasts  than they do with breast size alone.

Researchers at Harvard University and the University of Toronto surveyed 92,106 women who participated in the Nurses’ Health Study, asking each of the participants to recall her bra size at the age of 20. The average age of the women participating in the study was 38.

Results showed that, compared with women who recalled having an A cup or smaller at the age of 20, women who recalled having a D cup or larger had about three times higher risk for developing type 2 diabetes.

The results also showed that women who reported wearing B cup and C cup bras experienced a higher risk for the development of diabetes than women who wore an A cup  even after figuring in age, body mass index (BMI), waist circumference, eating habits, family history of diabetes, physical activity level and pregnancies.

The findings were published Monday in the Canadian Medical Association Journal.

Although researchers involved with the study said it’s still unclear how breast size could be tied to diabetes risk, lead study investigator Dr. Joel Ray, an assistant professor and clinician scientist in the division of endocrinology and metabolism at the University of Toronto, believes the correlation has something to do with how breasts develop during puberty.

“Breast development is a hallmark of puberty, and we know the onset of puberty occurs earlier in obese girls,” Ray explained. “But in addition to puberty and breast development beginning earlier [in obese girls], we believe the overall effect of it may be more pronounced as well, in the sense that overall net production of breast is greater.”

Supporting this idea is the fact that puberty, in addition to being a time for breast development, is also a period marked by raised insulin resistance, which corresponds with the infamous middle school growth spurt.

Ray said that just as breast development is both accelerated and more pronounced in obese girls, so may be their levels of insulin resistance a cornerstone for the development of type 2 diabetes.

However, many experts remain unconvinced of the study’s findings and question why they should be asked to abandon the tried-and-true methods of evaluating patients’ type 2 diabetes risk simply by calculating their BMIs and evaluating their lifestyles.

“In reality, obesity is a major determinant of risk for diabetes,” said Dr. Lewis Kuller, professor and chair in the department of epidemiology at the University of Pittsburgh. “Breast size, generally, is highly correlated with body size and body fatness, since what you’re storing in the breast is mainly fat tissue.”

And in light of this, Kuller said, breast size may simply tell us something we already know about diabetes risk.

“It’s not like we don’t already have a measure for how fat someone is,” he added. “You can tell just by looking in the mirror. You’re not gaining some new knowledge from evaluating your breast size 20 years ago that you couldn’t already predict just by looking in the mirror.”

Other diabetes researchers agreed. Body fat “is strongly associated with diabetes. If breast size is simply measuring fatness, this finding is not particularly interesting,” said Dr. Roberta Ness, chair of the department of epidemiology at the University of Pittsburgh.

Predictor… or Punch Line?

“My first impression is that this [study] is silly and likely to become a punch line on the Tonight Show,” said Dr. David Nathan, director of the diabetes center and general clinical research center at Massachusetts General Hospital. “However, after more serious consideration, I would note that there are likely… other factors that may explain the association [between breast size and diabetes risk].”

The first problem identified by Nathan was the fact that although researchers attempted to control for the body mass and waist size of the participants, most experts believe these risk factors are so central to predicting diabetes risk that no amount of statistical adjusting could account for their impact.

Dr. Charles Clark, director of the diabetes collaborating center for continuing health professional education at Indiana University in Indianapolis, Ill., said that in comparison to BMI and waist circumference  two of the most important risk factors for diabetes, according to the American Diabetes Association (ADA)  breast size as a factor in diabetes risk is “not very important.”

“Factors to consider that are much more predictive [of diabetes risk] can be found at the ADA web page,” said Clark.

Nathan also said that responses of study participants in recalling their bra sizes from decades ago and in estimating their body fat at the ages of five and 10 were bound to be “soft and not very reliable.”

Even Ray echoed Nathan’s concerns about how data was collected and interpreted in the study.

“Some of these risk factors, like BMI and waist circumference, we made adjustments for, but does that really mean that breast size is an independent predictor of diabetes risk? I think we can still be challenged on that even though we showed it in these models,” Ray said.

Not Ready for Practice

Because breast size is also determined by many factors unrelated to diet and metabolic rate  such as genetic and environmental factors  some doctors believe that examining bra size is a clinical waste of time.

“Breast size is determined by a number of genetic and environmental factors,” Clark said. “Because it is related to age at [first menstruation] and pre-pubertal growth rates that are also important determinates of obesity, breast size is probably a surrogate for the presence of obesity or the predilection to become obese.”

However, lead study author Karin Michels, co-director of the obstetrics and gynecology epidemiology center at Brigham and Women’s Hospital in Boston, Ma., said that because they controlled for the participants’ BMI levels as accurately as possible, their results reveal an “additional marker over and above obesity to predict risk for diabetes.”

But Michels stopped short of recommending that doctors begin to examine a young woman’s breast size as a possible indicator of future diabetes risk.

“Whether this may translate into a practical or clinical measure, I would be cautious in making that conclusion,” Michels said.

Moreover, Ray expressed concern that female patients might get unnecessarily worked up about the study’s findings.

“I’m concerned about overemphasis of this study or a physician applying it in practice,” Ray said.

“Women might get very worked up about the relation of their breast size to diabetes risk when we don’t have a substantial body of evidence to show that link.”

http://abcnews.go.com/print?id=4204203

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Since the American market is both a very large and most lucrative medical and pharmaceutical market its perceptions and focus group summaries in regards to medical tourism are a very valid area of medical tourism marketing. To a great degree this market has not been penetrated to the greatest degree and a fair amount of conservatism is still held in place.

In a recent study fourty percent of Americans would consider traveling abroad for medical treatment if the general cost perception was 45 % of that of similar American medical care. In particular surgical treatments such as hip replacements were quoted. The area of need and concern seems to be greatest in the cost containment area , not as much as in obtaining faster access to therapies. Wait times in the U.S. medical and medical procedures market do not seem to be the focus at present.

In the upcoming presidential election , the issue of healthcare and affordability of health care seems to be a major campaign issues and of focus.

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