Monday, May 31, 2010

Incompetent Cervix

Causes and symptoms of incompetent cervix
As we have seen, incompetent cervix occurs when the entrance to the uterus begins to expand before the pregnancy has reached term, which can lead to an abortion.
Unfortunately, not always an incompetent cervix is diagnosed in time, but occasionally it is possible to act. In any case, an incompetent cervix may be due to several reasons:

    
* A weakening of the cervix of genetic cause.
    
* A hyperextension or severe lacerations of the cervix during one or more previous deliveries.
    
* A cone biopsy for cervical cancer.
    
* A woman's exposure to diethylstilbestrol (DES), a synthetic estrogen that is no longer used in pregnant women, while in the womb of his mother (before they knew the dangers of DES, it took many women in state).
    
* Major surgery or laser therapy on the cervix.
    
* Hormonal changes during pregnancy.
    
* Being a carrier of more than one fetus also can produce a incompetent cervix, although in this case is not usually repeated in subsequent pregnancies not multiple.
With regard to symptoms, often feel no sign of incompetent cervix and the cervix thins and expands slowly by itself, without any vaginal bleeding or contractions of labor.
However, there could be any of these symptoms, although none by itself is an unmistakable sign of this problem may be due to other reasons. Therefore, if we feel some of the points listed below, a specialist should be sought to evaluate our case and make the correct diagnosis:

    
* Back pain.
    
* Discomfort or pressure in the lower abdomen.
    
* Spill or warm liquid dripping from the vagina.
    
* Vaginal discharge that looks like mucus.
    
* Pain when urinating.
    
* Feeling of something bulging into the vagina.

Cardiac Tamponade

DEFINITION:

Cardiac Tamponade is a syndrome due to compression of the heart by the spill
pericardium, with a continuum in terms of severity ranking that can reach
a picture of severe low cardiac output and death.

PATHOPHYSIOLOGY:

In the cardiac tamponade as a result of increased intrapericardial pressure is
an increase and equalization of the diastolic P, with collapse of the cardiac cavities and
restriction of the flow of filling. As compensatory mechanisms will give a
hyperstimulation adrenergic system and RAAS (renin-angiotensin-aldosterone). The
clinical manifestations will occur as a result of low cardiac output and increased
peripheral vascular resistance (PVR).

ETIOLOGY (factors that predispose or precipitate tamponade)

• idiopathic or infectious pericarditis
• Sepsis
• Neoplasia (metastases: breast, lung, lymphoma, melanoma)
• Connective Tissue Diseases
• blunt trauma
• recent heart surgery
• aortic dissection
• Myocardial infarction (sd. postpericardiotomía, heart failure)
• Anticoagulant, thrombolytic
• catheters right cavities
• Renal failure
• Cyclosporine
• Hypothyroidism

DIAGNOSTIC

• Chest pain pericardíticas features may be absent, especially in
chronic.
• The clinic is determined by the low cardiac output:
• Shortness of breath and progressive effort initially to be at rest, with X-ray
no evidence of heart failure.
• Weakness, anorexia
• drowsiness, unconsciousness, syncope
• Sometimes debut with the complications: renal insufficiency (oligoanuria)
liver failure, mesenteric ischemia ...


 PHYSICAL EXAMINATION



The classic triad: hypotension, paradoxical pulse pressure + + engorgement jugular

• hypotension (sometimes shock situation.) If there is an answer
may be excessive hyperadrenergic normo / hypertension.
• Pulse paradoxus (drop in inspiratory TA> 10 mm Hg): AP> 10 mm Hg since
Korotkoff sounds are heard jerky (audible exhalation) until you hear
continuous. It also appears in other situations (tension pneumothorax, IAM DV, TEP,
asthma exacerbation ...)
• engorgement jugular venous pressure signs of elevated right IC data
• Oliguria (renal failure by low GC)
• Coldness and acral cyanosis (by the compensatory increase in PVR)
• Tachycardia (increased compensatory chronotropic low GC)
• Fever, especially if it is of infectious etiology (DD with septic shock!)
• Cardiac Auscultation: noises off, presence of pericardial rub (which may be
sometimes absent).

ECG & Investigations:

• nonspecific abnormalities: especially the chronic, although there may be alterations
ST-T of any stage of pericarditis.
• Almost pathognomonic: QRS electrical alternans
• Low voltage QRS. Tachycardia
• Electromechanical dissociation in critical situations

 IMAGING TECHNIQUES:  is important to emphasize that the patient's diagnosis
capping is clinical (evidence of low CG that engages the body) as a result
of a pericardial effusion (which is causing hemodynamic compromise) that
diagnosed by imaging techniques.

• Rx-ray: Cardiomegaly (if> 250 ml) with figure-shaped bottle. "
• transthoracic (required):
• significant pericardial effusion
• Collapse of cavities (mainly right)
• exaggerated respiratory flow variation AV (ET: 40%, Emi: 25-30%) and hepatic veins
("Breast and" abolished or reversed in expiration).
• Inferior vena cava dilated with abolition of collapse
• Transesophageal Echocardiogram: useful on occasion (loculated effusions
in the immediate postoperative period, identifying metastases, blood clots ...)
• RM-CT chest: little used.

DIFFERENTIAL DIAGNOSIS:

• Other causes of the classic triad (hypotension, jugular venous distension and pulsus paradoxus)
PTE, tension pneumothorax, myocardial infarction VD ...
• With other causes of low cardiac output or conditions of shock: septic shock,
postoperative hemorrhagic shock in recent ...

EMERGENCY therapeutic approach
Tamponade is a critical situation that requires urgent and aggressive treatment, is a
income situation always.
• pericardial drainage (ideally in a CCU / ICU): Needle pericardiocentesis
(Apical, subxiphoid), sometimes surgical drainage.
• To make the drain: leave BP with volume and inotropes, correct acidosis
metabolic O2 and avoid PEEP in intubated patients.
• If DEM: CPR and pop-up drain

What is the Alkaline Diet Zone?

The alkaline diet zone is composed of approximately 80% alkaline foods and 20% acidic foods.

Alkaline Diet Zone

The alkaline diet is a diet that is related to diet low in fat or carbohydrates, but proposes a good nutrition to lose weight, increase energy levels and help prevent health problems by means of acid / alkaline.

The atmosphere of our body has a pH (a measure of acidity or alkalinity) of about 7.0., Therefore, is an alkaline environment.

To various reactions such as stress, inflammation, or consumption of foods high in fat or acidity, the body attempts to maintain balance, adjust the pH and ensure that all mechanisms work optimally.

Then, an alkaline based diet, no doubt, beneficial to health as it seeks to eliminate processed foods, animal protein, sugar and caffeine, in exchange for adding alkaline minerals such as sodium, potassium, magnesium and calcium .

The alkaline diet is composed of approximately 80% alkaline foods and 20% acidic foods.

Alkaline Diet Tips

* Eat fresh
* Fruits and vegetables are excellent choices also highly alkaline and low in calories
* Controlling the consumption of nuts and seeds
* Dried fruits, nuts and seeds are good choices for food alkaline diet though which double the calories of fruits and vegetables
* Limit consumption of bakery products. Bakery products, including those containing whole grains are healthy foods, but the high level of calories
* Eat fresh fruit for snacks
* Instead of eating cookies or bakery products, is recommended to opt mid-morning and afternoon, by the consumption of fresh fruit
* Do not make meat the main food
* You must incorporate any type of meat diet, however, do not forget the importance of eating more vegetables
* Moderate alcohol consumption. Alcoholic beverages are carrying clear of acidity, so you should avoid excess consumption
* Consuming lemon or lime juice daily. Although they appear to foods high in acid, alkaline citrus fruits are excellent

Food and alkalinity

Cathy Wong, renowned nutritionist and naturopath health of the American College of Nutrition, food lists those high and moderately alkaline (in descending order):

1. Vegetables:
* Wheat Grass* Barley* Alfalfa* Broccoli* Cabbage* Cucumber* Parsley* Avocad* Rocket* Beetroot* Celery* Endive* Garlic* Ginger* Green Beans* Lettuce* Onion* Spinach* Tomato

2. Fruits:
* Coco* Orange* Lemon* Lima

3. Seeds and oils:
* Pumpkin seeds* Almond* Borage oil* Coconut oil* Cod liver oil* Evening primrose oil* Fish oil* Flaxsee* Olive oil* Sesame Seeds

4. Among the foods with the highest presence of hydrogen are:
* Cheese* Ice Cream* Beef* Chicken* Duck* Eggs* Pheasant* Por* Seafood* Mushrooms* Papa* Man* Pistachio* Jam* Mustard* Soy sauce* Vinegar* Sugar* Honey* Yeast

The secret of the alkaline diet zone is to reduce the consumption of acid products, increase the amount of alkaline products and seek balance in food, consciously choosing what we got to the mouth.

The Lazy Zone Diet

The zone diet follows a formula. 40% of your calories should come from carbs, 30% from protein, and 30% from fats at EVERY MEAL. The thing about the zone diet is that it really isn't that different from what dieticians have been telling us all along. Trying to limit your fat intake to 30% of calories is tough, so you could almost consider this a low-fat diet.

Also, the zone limits the amount of food you can eat by counting the number of "blocks" of carbs, proteins, and fat. This is similar to methods used at weight watchers. For this reason I don't really consider "The Zone" to be a fad diet, more like a healthy way of eating.

But let's be realistic you came to this website because you want a fad diet style plan. "Just give me a five-seven day long diet plan and I will follow it" you say. Alright, that seems reasonable. I will give you a week long menu plan if you leave me alone and support my sponsor by clicking here and shopping around a little. I wrote this plan to meet the needs of everyone. Some meals are bought at McDonalds, many use simple ingredients, and you even get to go to a real restaurant on the last night. I hope you like it.

Here is The Lazy Zone Diet:

Day 1:
Breakfast:
1 Meal replacement bar (pick your favorite, the Zone bar would seem appropriate but others (slim fast, power-bar, balance bar, Cliff Bar, Bag of M&M's (just kidding about the M&Ms))
2. Coffee, diet pop, whatever else but no sugar or creamer.

Lunch:
1. Lean Cuisine Meal
2. 1 slice of cheeze

Dinner:
1. Quarter Pounder or Grilled Chicken Sandwich - neither with mayonaise (from McDonalds)
2. Side Salad
3. Fat Free Dressing

Day Two:
Breakfast:
1. Fruit Salad
2. 1 cup unsweetened yogurt (not-non-fat)
3. 1 oz. Nuts (almonds, peanuts, cashews, macadamias, etc.)

Lunch:
1. Deli Turkey or Roast Beef Sandwich with Lettuce, tomato, cheese, and barbecue sauce on Whole Grain Bread.
2. Diet pop or bottled water.

Dinner:
1. Large Bowl of Chicken Noodle Soup (choose your brand)

Day Three:
Breakfast:
1. McDonalds Fruit and Yogurt Parfait w/Granola (yesterday was a pain in the ass).

Lunch:
1. Fast Food Salad (no fried chicken pieces allowed only grilled chicken)
2. Low-fat Dressing
3. Small hamburger (no mayo)

Dinner:
1. Lean Cuisine Dinner
2. 1 oz. nuts or one tablespoon of peanut butter

Day Four:
Breakfast:
1. Small omelet made with egg whites
2. 1 slice of wheat toast (unbuttered)

Lunch:
1. The Biggest Peanut Butter and Banana Sandwich you can possibly make on Whole Grain healthy Bread
2. Tall Glass of Milk.

Dinner:
1. Stir-fried Chicken and Vegetables
2. 1/4 of a container of White Rice
If you get this from a chinese take-out you only get 1/2 of it. The other 1/2 is tomorrow's lunch.

Day Five:
Breakfast
1. Meal replacement bar

Lunch:
1. Leftover stir-fried Chinese food from last night.
2. 1/4 of the container of white rice. Throw the remaining 1/2 container away before you start eating.

Dinner:
Healthy Choice Dinner

Day Six:
Breakfast:
1. McDonalds Fruit and Yogurt Parfait

Lunch:
2 BLT sandwiches - no Mayo.

Dinner:
1 baked chicken breast
2 cups frozen broccoli
2 pieces of toast

Day Seven:
Breakfast:
1. 1 cup Whole wheat cerel
2. 1 Spoonful of peanut butter
3. Milk

Lunch:
1. Sandwich made with leftover baked chicken, Healthy Bread, Cheeze, lettuce, tomato, bargecue sauce.
2. Small bag of pretzels, or baked chips.

Dinner (going out):
1. Grilled Shrimp salad from a restaurant.
2. Lowfat dressing
3. Unbuttered dinner roll, baked potato or rice pilaf.

Note: If you want to continue to use the lazy zone diet you can substitute any one breakfast, lunch, or dinner but you cannot eat a breakfast for lunch or something like that. Got it? Good. Thanks for visiting Fad Diet.com

article from Faddiet.com

What is the Zone Diet

The diet to be in the area was made in America by Barry Sears.
The welfare, the absence of disease, optimal health is the metabolic state in which the body and mind work at maximum efficiency (that is to be in the area) The way to enter the area consists of a balanced diet (the Zone diet), in which carbohydrates, proteins and fats are tightly controlled within each meal.

The Zone diet was born as opposed to diets rich in carbohydrates, since they fail to remove the excess body fat, that is because they cause an overproduction of insulin, and the production of bad eicosanoids. Too much insulin results in a decrease of blood sugar (glucose) levels, which is converted into fat and at the same time blocking access to our fat stores, all of which ultimately leads to disease. This is the explanation of why diets high in carbohydrates, they produce feelings of fatigue, each time makes us feel less physical energy and accumulate more and more body fat.

In the Zone Diet have easier access to stored fat reserves (instead of carbohydrates accumulated) as an energy source, which also translates into greater mental focus, not only helps to be more productive, but enhance physical performance.

The Zone diet, it is advisable to make five meals a day, two of which will be light.
Never leave to spend more than 4 or 5 hours between them, since otherwise the fee is triggered insulin and altered levels of blood sugar.

Saturday, April 24, 2010

Lose weight in a few days

Lose weight in a few days is the dream of all ... It is undeniable that the prospect of long diets and sacrifice is not attractive to anyone, and especially after the big eat the Christmas and New Year, or after a holiday wine and food, everyone would like to find ways to lose weight in a few days.

It's time to analyze this issue in detail. A person with a normal weight and healthy eating and balanced on the scale after the Christmas holidays and finds that his weight has increased by 2 or 3 kg. The panic is justified, because if we think of a sack of potatoes than 2 kg, we realize that our weight has increased considerably. But we must also consider what this increase is to understand that in fact it is not difficult to lose weight purchased within a few days ... a few days. Very often in fact the weight gain is caused by fluid retention from poor digestion (due to continuous introduction of more fatty foods, salt and sugar), a larger amount of food that have not been disposed of by our metabolism.

To lose weight in a few days then we must act now and stop immediately the big eat exceptional. Just take regular physical activity (sometimes even just walking for half an hour a day), drink plenty of water, eat fresh fruit between meals and do light meals made from natural ingredients, like pasta with light sauces with vegetables, grilled meat, baked fish, vegetable soups and vegetables and so on. We must also remember that it is better not to drink alcohol, because even the toast of festivals or holiday drinks are a source of calories and then have a good week without wine or beer helps you lose weight within days.

Then it should go on a diet as possible light and balanced (healthy and light, see recipes for losing weight) so as not to have fluctuations in weight, then here is that if you do some bad mistake at the weekend, does not clearly alter dramatic weight and a kilo more then you can easily lose it again in a few days.

Supplements for losing weight

There are many types of supplements to lose weight, most are freely bought in pharmacies or stores, or in specific departments of large retailers. To understand which supplements are suitable for losing weight must first be assumed that the integrator can not do much alone, without the desire to lose weight, a low-calorie diet and regular physical activity miracles do not happen. But as aid, psychological support as tiling a specific diet to lose weight you can take supplements, it is natural that usually do not have contraindications.

Typically, supplements contain natural ingredients that help you lose weight. There are, for example, supplements such as guarana extracts, kelp, Garcinia cambogia, green tea, ginseng, etc.. with special properties suitable for weight loss because they help reduce the absorption of fat and simultaneously induce a feeling of satiety.
Also to help achieve a greater sense of satiety are the supplements of vegetable fibers such as cellulose, inulin, glucomannan, guar gum, etc.. which are to be taken before meals with a large glass of water: these ingredients come into contact with the water being expanded to form a gelatinous mass in the stomach that reduces the sense of hunger, thus helping to lose weight.

Supplements for weight loss based on chitosan (an extract derived from the shells of crustaceans) have properties fat burner because they capture the fat gut. The only downside to this type of integration is a possible allergy to fish and shellfish.
Supplements for weight loss are still made only for certain periods and not in too long, because in the long run lose their effectiveness.