Friday, April 8, 2011
Top 10 Healthy Food List
The Healthy Foods List for Eating Healthy
The Healthy Foods List for Eating Healthy
You don’t need to get a degree in nutrition to know the best foods for healthy eating and to make sure you get your important daily nutrients. Here's your list of healthy foods for eating healthy every day.
Healthy Vegetables: Choose most often from the vegetables list. Go mainly for the brightest colored veggies with the most vitamins, minerals and antioxidants. Focus on orange, red and dark green, like broccoli, kale, carrots, bell peppers, squash and tomatoes. Also use garlic and onions, which are great natural antibiotics that strengthen immunity and help prevent disease.
Nutritious Fresh Fruits: From the fruits list, enjoy colorful fresh, frozen and (in limited amounts) dried fruit. Choose berries, oranges, peaches, apples, plums, cantaloupe, red grapes and other fruit low on the glycemic foods index, rather than juices or canned fruit.
Wholesome Whole Grains: Select brown rice, whole grain breads and pasta, oatmeal and other whole grain high fiber foods instead of refined grains, such as white bread and white rice.
Fish, Poultry and Meats: For healthy high protein foods, choose poultry (without the skin), eggs, beans, nuts and seeds. Include omega 3 fish, like salmon, sardines and albacore tuna, at least twice a week. If you eat meat, pick lean cuts and limit portion sizes.
Eggs and Low Fat Dairy: Choose only low-fat dairy products, such as fat free or low-fat milk, cheese and acidophilus yogurt. Limit your use of butter and eat no more than one egg a day.
Beans, Nuts and Seeds: Legumes and beans, like lentils, split peas, soy and kidney beans are good sources of both protein and fiber. Add to soups, salads and other dishes. Healthy nut and seed choices of are unsalted almonds, walnuts, and sunflower seeds. Nuts are high in calories, so keep portions small.
Essential Oils and Fats: Get high quality good fat and essential fatty acids from whole grains, olive oil, raw nuts and seeds, avocados and omega 3 fish. Use olive oil for salads, stir-frying and baking. To help with weight management, eat fats sparingly.
Breast Infection Causes
Breast Infection Causes
Mastitis (inflammation of breast tissue) is a common benign cause of a breast mass. It is commonly seen in women after childbirth while breastfeeding. These masses are often quite painful. Women who are not breastfeeding can also develop mastitis. In healthy women, mastitis is rare. However, women with diabetes, chronic illness, AIDS, or an impaired immune system may be more susceptible to the development of mastitis.
Bacteria normally found in a baby's mouth or on the nipple can enter the milk ducts through small cracks in the skin of the nipple and can multiply rapidly in the breast milk. This can lead to a superficial small area of inflammation (frequently from streptococcal bacteria) or a deeper walled-off infection or abscess (frequently from staphylococcal bacteria).
Mild temperature elevations (previously termed milk fever) accompanied by some breast or nipple soreness is usually secondary to engorgement and dehydration immediately (24-72 hours) after delivery and is treated by improved breastfeeding technique. The body temperature should not be above 39°C (102.2°F), nor should the fever persist for longer than about 4-16 hours. This condition may also occur in women who are not breastfeeding and have not completely suppressed lactation yet.
About one to three percent of breastfeeding mothers develop mastitis, usually within the first few weeks after delivery. Most breast infections occur within the first or second month after delivery or at the time of weaning. Typically, the infection is only in one breast. Engorgement and incomplete breast emptying can contribute to the problem and make the symptoms worse.
Chronic mastitis occurs in women who are not breastfeeding. In postmenopausal women, breast infections may be associated with chronic inflammation of the ducts below the nipple. Hormonal changes in the body can cause the milk ducts to become clogged with dead skin cells and debris. These clogged ducts make the breast more prone to bacterial infection. This type of infection tends to come back after treatment with antibiotics.
Tests performed on tumor tissue
Tests performed on tumor tissue
If the pathologist's diagnosis is breast cancer, there are several tests that may be performed on the cancer cells. The results of these tests provide a prognosis and help the oncologist (cancer specialist) guide the patient’s treatment. The most useful of these are HER-2/neu and estrogen and progesterone receptors.
Her-2/neu is an oncogene . It codes for a receptor for a particular growth factor that causes cells to grow. Normal epithelial cells contain two copies of the Her-2/neu gene and produce low levels of the Her-2 protein on the surface of their cells. In about 20-30% of invasive breast cancers, the Her-2/neu gene is amplified and its protein is over-expressed. These tumors are susceptible to treatment that specifically binds to this over-expressed protein. The chemotherapeutic agent Herceptin (Tastuzumab) blocks the protein receptors, inhibiting continued replication and tumor growth. Patients with amplified Her-2/neu gene respond well to Herceptin and have a good prognosis.
Estrogen and progesterone receptor status are important prognostic markers in breast cancer. The higher the percentage of overall cells positive, as well as the greater the intensity, the better the prognosis. Estrogen and/or progesterone receptor positivity in breast cancer cells indicates sensitivity to hormones. The patient may be a good candidate for anti-hormone therapy.
Blood tests
Blood tests
Blood tests may be used to help determine whether or not the tumor is responding to therapy or if it has recurred. Some may be ordered on women who are at a high risk of developing breast cancer to determine whether their risk has a genetic component.
- CA15-3 (or CA 27.29) is a tumor marker that may be ordered at intervals after treatment to help monitor a patient for breast cancer recurrence. It is not used as a screen for breast cancer but can be used to follow it in some patients once it has been diagnosed.
- BRCA-1 or BRCA-2 gene mutation – Women who are at high risk because of a personal or strong family history of early onset breast cancer or ovarian cancer can find out if they have a BRCA gene mutation. A mutation in either gene indicates that the patient is at significantly higher lifetime risk (up to 80%) for developing the disease. It is important to remember, however, that only about 5% to 10% of breast cancer cases occur in women with a BRCA gene mutation. Genetic counseling should be considered both before testing takes place and after receiving positive test results.
Wednesday, January 26, 2011
medical health insurance
health VS sickness
insurance benefits Health insurance is a type of insurance that protect the availability of funds when an individual or a family member became ill. All the needs of the doctor to have to stay in the hospital with various needs such as, cost of medication in the hospital until all operations are covered by the insurance company. In general, the type of treatment or programs that are available are the benefits of ambulatory (outpatient), benefit-hospital (inpatient), labor benefits and dental benefits.
In general, the benefits of outpatient (Outpatient) incurred by the insurance company is: * GP Consultations * Providing referrals to doctors when necessary spesilis * Consult a medical specialist * The purchase of medicines in accordance with the list of drugs * Pemerikasaan diagnostic support
In the outpatient benefits have maximum limits use of funds each year. Of the total cost of expenditures for outpatient care, in general, in every insurance company requires the insured to pay 20 percent.
Benefits associated with the birth of the child labor, the cost of normal delivery, delivery with additional tools and operating S-caesacea. For there persalian benefit waiting period is usually up to 280 days. Each insurance company has a limit of the waiting period that is different.
As for the benefits of preventive dental care, basic dental care, dental care complex and the installation of dentures. For all treatments insurance companies typically limit the number of total costs that can be used per year. The dental benefits are an obligation for the insured to pay 20 percent of the cost of care (same as outpatient benefits.)
The three benefits of treatment as above, namely outpatient, maternity and dental benefits is an additional option you can take by following the basic program of hospitalization benefits. So you can not just take advantage of outpatient only, labor only, or dental treatment without following the basic program hospitalization benefits.
For the benefit of hospitalization in which the basic benefits that should be taken first, hospitalization benefits coverage in general is almost the same from various insurance companies that exist.The benefits are: * The cost of accommodation space * Fee Non-ICU accommodation * Consult your doctor * Consultation specialists * The cost of surgery, complex, major, intermediate and minor * Other expenses include hospital: drug cost, laboratory tests and diagnostic * Maintain the road 30 days before and after hospitalization * Nursing home * Local ambulance service * Maintain an emergency road accident * Treat dental emergency road accident * Compensation for death
The amount of coverage is very dependent on the program you take, the various insurance companies using the name or type of program is different. For inpatient amount of the premium to be paid annual visits from the cost of accommodation in the hospital room you choose, for example, you choose the cost of accommodation at a cost of Rp. 200 000 then the next following benefit program options specified. For these three additional programs, premium to be paid for outpatient care based on the size of the selected GP consultations, delivery based on the desired cost of natural childbirth and dental care in terms of basic care.
In general, the benefits of outpatient (Outpatient) incurred by the insurance company is: * GP Consultations * Providing referrals to doctors when necessary spesilis * Consult a medical specialist * The purchase of medicines in accordance with the list of drugs * Pemerikasaan diagnostic support
In the outpatient benefits have maximum limits use of funds each year. Of the total cost of expenditures for outpatient care, in general, in every insurance company requires the insured to pay 20 percent.
Benefits associated with the birth of the child labor, the cost of normal delivery, delivery with additional tools and operating S-caesacea. For there persalian benefit waiting period is usually up to 280 days. Each insurance company has a limit of the waiting period that is different.
As for the benefits of preventive dental care, basic dental care, dental care complex and the installation of dentures. For all treatments insurance companies typically limit the number of total costs that can be used per year. The dental benefits are an obligation for the insured to pay 20 percent of the cost of care (same as outpatient benefits.)
The three benefits of treatment as above, namely outpatient, maternity and dental benefits is an additional option you can take by following the basic program of hospitalization benefits. So you can not just take advantage of outpatient only, labor only, or dental treatment without following the basic program hospitalization benefits.
For the benefit of hospitalization in which the basic benefits that should be taken first, hospitalization benefits coverage in general is almost the same from various insurance companies that exist.The benefits are: * The cost of accommodation space * Fee Non-ICU accommodation * Consult your doctor * Consultation specialists * The cost of surgery, complex, major, intermediate and minor * Other expenses include hospital: drug cost, laboratory tests and diagnostic * Maintain the road 30 days before and after hospitalization * Nursing home * Local ambulance service * Maintain an emergency road accident * Treat dental emergency road accident * Compensation for death
The amount of coverage is very dependent on the program you take, the various insurance companies using the name or type of program is different. For inpatient amount of the premium to be paid annual visits from the cost of accommodation in the hospital room you choose, for example, you choose the cost of accommodation at a cost of Rp. 200 000 then the next following benefit program options specified. For these three additional programs, premium to be paid for outpatient care based on the size of the selected GP consultations, delivery based on the desired cost of natural childbirth and dental care in terms of basic care.
Wednesday, January 19, 2011
Acute renal failure
Acute renal failure
Acute renal failure (ARF) is a rapid loss of renal function due to damage to the kidneys, resulting in retention of nitrogenous (urea and creatinine) and non-nitrogenous waste products that are normally excreted by the kidney. Depending on the severity and duration of the renal dysfunction, this accumulation is accompanied by metabolic disturbances, such as metabolic acidosis (acidification of the blood) and hyperkalaemia (elevated potassium levels), changes in body fluid balance, and effects on many other organ systems. It can be characterised by oliguria or anuria (decrease or cessation of urine production), although nonoliguric ARF may occur. It is a serious disease and treated as a medical emergency.
Causes
Renal failure, whether chronic or acute, is usually categorised (as in the flowchart below) according to pre-renal, renal and post-renal causes
• Pre-renal (causes in the blood supply):
- hypotension (decreased blood supply), usually from shock or dehydration and fluid loss.
- hepatorenal syndrome in which renal perfusion is compromised in liver failure
- vascular problems, such as atheroembolic disease and renal vein thrombosis (which can occur as a complication of the nephrotic syndrome)
• Renal (damage to the kidney itself):
- infection usually sepsis (systemic inflammation due to infection),rarely of the kidney itself, termed pyelonephritis
- toxins or medication (e.g. some NSAIDs, aminoglycoside antibiotics, iodinated contrast, lithium)
- rhabdomyolysis (breakdown of muscle tissue) - the resultant release of myoglobin in the blood affects the kidney; it can be caused by injury (especially crush injury and extensive blunt trauma), statins, MDMA (ecstasy) and some other drugs
- hemolysis (breakdown of red blood cells) - the hemoglobin damages the tubules; it may be caused by various conditions such as sickle-cell disease, and lupus erythematosus
- multiple myeloma, either due to hypercalcemia or "cast nephropathy" (multiple myeloma can also cause chronic renal failure by a different mechanism)
- acute glomerulonephritis which may due to a variety of causes, such as anti glomerular basement membrane disease/Goodpasture's syndrome, Wegener's granulomatosis or acute lupus nephritis with systemic lupus erythematosus
• Post-renal (obstructive causes in the urinary tract) due to:
- medication interfering with normal bladder emptying.
- benign prostatic hypertrophy or prostate cancer.
- kidney stones.
- due to abdominal malignancy (e.g. ovarian cancer, colorectal cancer).
- obstructed urinary catheter.
Diagnosis
Renal failure is generally diagnosed either when creatinine or blood urea nitrogen tests are markedly elevated in an ill patient, especially when oliguria is present. Previous measurements of renal function may offer comparison, which is especially important if a patient is known to have chronic renal failure as well. If the cause is not apparent, a large amount of blood tests and examination of a urine specimen is typically performed to elucidate the cause of acute renal failure, medical ultrasonography of the renal tract is essential to rule out obstruction of the urinary tract.
Consensus criteria[1][2] for the diagnosis of ARF are:
- Risk: serum creatinine increased 1.5 times OR urine production of <0.5 ml/kg body weight for 6 hours .
- Injury: creatinine 2.0 times OR urine production <0.5 ml/kg for 12 h.
- Failure: creatinine 3.0 times OR creatinine >355 μmol/l (with a rise of >44) or urine output below 0.3 ml/kg for 24 h .
- Loss: persistent ARF or more than four weeks complete loss of kidney function .
Kidney biopsy may be performed in the setting of acute renal failure, to provide a definitive diagnosis and sometimes an idea of the prognosis, unless the cause is clear and appropriate screening investigations are reassuringly negative.
Treatment
Acute renal failure may be reversible if treated promptly and appropriately. The main interventions are monitoring fluid intake and output as closely as possible; insertion of a urinary catheter is useful for monitoring urine output as well as relieving possible bladder outlet obstruction, such as with an enlarged prostate. In the absence of fluid overload, administering intravenous fluids is typically the first step to improve renal function. Fluid administration may be monitored with the use of a central venous catheter to avoid over or under replacement of fluid. If the cause is obstruction of the urinary tract, relief of the obstruction (with a nephrostomy or urinary catheter) may be necessary. Metabolic acidosis and hyperkalemia, the two most serious biochemical manifestations of acute renal failure, may require medical treatment with sodium bicarbonate administration and antihyperkalemic measures, unless dialysis is required.
Should hypotension prove a persistent problem in the fluid replete patient, dopamine or other inotropes may be given to improve cardiac output and renal perfusion. A Swan-Ganz catheter may be used, to measure pulmonary artery occlusion pressure to provide a guide to left atrial pressure (and thus left heart function) as a target for inotropic support.
Lack of improvement with fluid resuscitation, therapy-resistant hyperkalemia, metabolic acidosis or fluid overload may necessitate artificial support in the form of dialysis or hemofiltration. Depending on the cause, a proportion of patients will never regain full renal function, thus having end stage renal failure requiring lifelong dialysis or a kidney transplant.
History
Before the advancement of modern medicine acute renal failure might be referred to as uremic poisoning. Uremia was the term used to describe the contamination of the blood with urine. Starting around 1847 this term was used to describe reduced urine output, now known as oliguria, that was thought to be caused by the urine mixing with the blood instead of being voided through the urethra.
Acute renal failure due to acute tubular necrosis (ATN) was recognised in the 1940s in the United Kingdom, where crush victims during the Battle of Britain developed patchy necrosis of renal tubules, leading to a sudden decrease in renal function.[3] During the Korean and Vietnam wars, the incidence of ARF decreased due to better acute management and intravenous infusion of fluids.[4]
References
- Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P; Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. 2004 Aug;8(4):R204-12. Epub 2004 May 24. PMID 15312219 Full Text. Criteria for ARF (Figure).
- Lameire N, Van Biesen W, Vanholder R. Acute renal failure. Lancet 2005;365:417-30. PMID 15680458.
- Bywaters EG, Beall D. Crush injuries with impairment of renal function. Br Med J 1941;1:427-32. Reprinted in J Am Soc Nephrol 1998;9:322-32. PMID 9527411.
- Schrier RW, Wang W, Polle B, Mitra A. Acute renal failure: definitions, diagnosis, pathogenesis, and therapy. J Clin Invest 2004;114:5-14. PMID 15232604. Full text
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