Wrinkle Cream Checklist

Anti aging products have hit an all time high in the skin care market. It seems like everyone is looking for something to turn the clock back and give themselves a little more time of a youthful complexion and smooth skin. You’ve got wrinkle creams, and age hiding serums that flood the stores every year, and it is even worse on the internet, but how do you know which is the right one for you? To answer that question I have devised a simple wrinkle cream checklist so that the anti aging products market will be a piece of cake to sort through.

1.) How is the product reviewed:

This is a big indication on how the product is doing and how it reacts to different skin types. Reading a wrinkle or anti aging product review is like talking to a million of your friends and family at once about a anti aging product that you are interested in. Most of these sites and magazine articles offer honest feedback on everything from the feeling of the wrinkle cream or product to the company making the anti aging product and their reputation with customer service and refunds. Also, a wrinkle cream or anti aging product review will offer you information on the ingredients and their effectiveness, which will lead us to our next topic…

2.) What are the ingredients in the product?

Are they of a chemical synthetic base or all they organic and all natural? To me this question right here is probably the most important question you need to ask when picking any skin care product to your skin. Chemicals and synthetic ingredients are well known for causing a ton of adverse side effects to your skin. From rashes and irritants to even the development of cancerous cells, these types of ingredients should be avoided at all cost. Try and steer yourself to the all natural organic ingredients, even if you’ve never tried them before. The ingredients not only are gentle with your skin, but they contain so many nutrients and vitamins that will only help in the anti aging process. An example of natural based ingredient could be an ingredient by the name of Matrixyl (peptide based ingredient that regenerates new wrinkle reducing cells in the skin) or maybe Stem Cells (extracted from the cores of a Swiss apple, these cells can be programmed as any cell in your body). Both of the above are all natural and help fight off signs of aging, and are found in quite a few wrinkle creams on the market. Plus, the both offer moisturizing qualities that many other wrinkle cream ingredients may not.

3.) Is it a gel base or a cream base?

I know we are talking about wrinkle creams, and of course they are a cream base, but the other anti aging products out on the market we use to fight aging and wrinkles may not be cream based. The reason I put this topic in our check list is because when dealing with aging skin, creams are more helpful than any type of gel you can use. As you age, you skin not only loses the collagen and elastic fibers used to keep your skin youthful but it also loses a ton of moisture. So by using a wrinkle cream instead of any anti aging gel, you are not only feeding your face the ingredients it needs to heal your wrinkles but you are also adding moisture which can only do good for you complexion. So in the anti aging product realm, wrinkle CREAMS are what we should be looking for.

Three simple steps and your wrinkle cream shopping concerns are over. By seeing how other perceive the wrinkle cream, knowing the difference between each ingredient and what they do, and learning that a cream is better than a gel for older age; you will be able to knock out more than half of what is offered to you on a daily basis. This will make life a lot easier and your pocket book a lot heavier with all the money you save from not trying a million different wrinkle creams and anti aging products. So before you decide on a new wrinkle cream to fight off the signs of aging, refer back to your check list and find the best wrinkle cream you can for your face.

ZetaClear Toe Nail Fungus Cure Review – Is it Right For You?

Toenail fungus is one of those things that a lot of people get and a lot of people simply have no idea how to treat. While there are tons of different treatments out there for nail fungus, you really need to make sure that you can find the one that works for you. In this article, we are going to explore a ZetaClear toe nail fungus cure review to ensure that this is the very best treatment option for you!

What a lot of people do not know is that there are tons of different treatments available for toenail fungus and you really have to do your research in order to find the right one for you. Firstly, you need to understand why this fungus may appear on and under your toenail.

In short, toenail fungus is very hard to treat and certainly hard to get rid of. One of the main reasons is because your feet are constantly living in warm, damp and dark areas all of the time, that is how the fungus starts in the first place and that is how it grows and breeds.

Although there are certain fungus treatments available, by far the best treatment for your toes is going to be any herbal cures and that is exactly what ZetaClear is. There are a few things that you need to make sure that are included whenever you are looking for a treatment for your nail fungus.

Tea tree oil is certainly one of the top ingredients and should be something that should be in any treatment that you are considering for this fungus. What you want to do with the treatment once you get it is apply it twice a day and make sure that you keep your toes and toenails very clean and clear.

Next, lemon juice and lemongrass along with vinegar, garlic, olive oil and finally oregano are just a few of the other treatments that stop the fungus from spreading and really get rid of it in the first place. As you can probably tell, stopping the fungus can be extremely difficult, so make sure that all of these things are included in any nail fungus treatment you choose!

All of these ingredients are included in ZetaClear and that is by far one of the reasons why it is surely the best treatment for your toenail fungus. Now that you can see just how many ingredients are included, you should absolutely research this treatment a little bit more!

Seeking Medical Help For Allergies – How To Know When

We must know when to seek medical help just incase we suffer from any form of allergy symptoms. We normally never know when we are going to be stricken with an allergy. Common symptoms of allergies are running nose, sneezing, watery eyes, itching and hives on the skin. Allergies can strike anyone anytime and just about anywhere if the allergens are around.

So you will never know when you are going to have that sneeze or itching. Most allergies can be treated easily using over the counter medications, homeopathic medications and even by just avoiding the triggers. But there are certain allergies which can be life threatening if not treated immediately. This can even cause death to the person if the symptoms are severe. This is the reason why we should understand the difference between allergies whose symptoms can be classified as mild, moderate and severe and when medical help should be sought.

The symptoms which can be termed mild are those which we normally experience like sneezing, watery eyes, itching and nasal congestion. Sometimes there might even be rashes on the skin or hives. Sometimes the symptoms do not spread all over the body and can be termed as very mild. If you find the rashes spreading all over your body then you are in for a more serious problem. These types of mild symptoms can be treated using nasal decongestants, eye drops, anti histamines and topical creams for the hives or rashes. These would not warrant a visit to a doctor but only when the symptoms last more than 2 weeks.

Allergy symptoms can be termed to be moderate to severe if the symptoms spread all over the body and when they become threatening to the patient?s life. Symptoms like continuous itching and difficulty in breathing can be termed as moderate while severe symptoms include swelling in different parts of the body which can even cause discomfort while swallowing food or breathing problems. Sometimes nausea, diarrhea and vomiting can also occur when it is severe. At times one can even feel dizzy with no clarity of thoughts. The moment you find yourself suffering from any of these symptoms then seeking immediate medical help is important and advisable. These are the symptoms or the life threatening condition called anaphylaxis.

Normally most allergies that occur in people are often mild and can be quite easily treated using over the counter prescriptions or home remedies. But having a knowledge about the severity of allergic symptoms will not be harmful either as it will help you to seek immediate medical help if the situation warrants one.

Regular And Moderate Wine Drinking

Although wine may be the oldest remedy and prophylactic still in use, there was an entire generation of medical professionals, especially in America, that obtained their medical education during the historical period known as Prohibition.

Medical texts for nearly twenty-five years were purged and censored of any mention of alcohol, including wine, for any application other than external. This medical generation became educators to the following one, perpetuating medical ignorance of the potential health benefits of wine.
REGULARITY & MODERATION: Moderate wine drinking was discovered to be one prime factor. Studies in England and Denmark found the occurrence of coronary disease to be much higher in heavy or binge drinkers and (surprise!) Even higher in abstainers.

Moderate consumption of red wine on a regular basis may be a preventive against coronary disease and some forms of cancer. Clinical and statistical evidence and laboratory studies have shown these to boost the immune system, block cancer formation, and possibly protect against heart disease and even prolong life.

More evidence suggests that wine dilates the small blood vessels and helps to prevent angina and clotting. Alcohol component in wine also help in the maintenance of cholesterol in a human body.
Wine might even defend cognitive function in the elderly. Several European studies have shown the prophylactic effects of regular light to moderate alcohol consumption may include the prevention or adjournment of Alzheimer's, Parkinson's and other forms of dementia. Could wine be the original brain food?

Over 400 studies worldwide, and the other awareness aspects have concluded that the peoples who drink wine regularly and moderately live longer.

The single group exception, which members should not consume any alcohol, is pre-menopausal women with a family history of breast cancer. The keys to the beneficial aspects are regularity and moderation. Overindulgence can be considered more harmful than total abstinence.

Make Yourself Great Again

Do you ever stop and think what it might take to make you great again? Let’s start with personality traits. Some say personality is inherited, but in reality these traits are developed individually through behavior exhibited over and again. It’s funny how many of us can “see the speck in someone’s eye, but fail to see the log in our own eye.” What this is saying is before you criticize another person’s behavior, understand how your actions might be stimulating this person’s reactions. It is a value to be concerned, but don’t react and berate what you observe. Develop the practice of offering others caring responses to behaviors appearing offensive. Don’t judge, focus on what you see, and express concern. Adjustment is personal; it develops your abilities to offer help to others.

A child’s dream becomes a young man’s passion. This passion creates career decisions through mid-life and into older age. The rockets are firing from the start, some misfire, but the engine never quits. The drive for a career begins a journey fraught with disappointment and elation, failure and success, hurt and satisfaction. But most importantly, at the end of the journey, accomplishment, pride, integrity, and dignity are the driver’s results. These are learned skills; if they have not been developed, start now to reorganized and make corrections to facilitate productive development.

Maintaining control and being in charge is a task requiring information, understanding, and a willingness to abide by these behavior directives. Information raises your awareness, understanding guides you to create a plan of action, and taking action is your energy, desire, and dedication for managing to the best of your ability. You are in the driver’s seat when you are actively thinking and managing yourself. With God as your co-pilot, you are on a winning team.

Learning is a process, a continuous event with no end. As you engage others, listen, observe, and absorb positive, productive information. These are basic elements of learning. Once received and acknowledged as beneficial, a level of understanding wraps the package, and prepares it for implementation. Once put in action, assessment and evaluation indicate value and cement learning experiences.

Others observe your actions and behavior. “Perception, the truth as you see something, but not as is really is,” often leads to judgment calls. Your thoughts are internal controls. They direct your actions and behavior. Positive, productive, and inoffensive thoughts direct behavior that may be well intended, supportive, and loyal. Done successfully, they produce behaviors that are efficient, maintain relationships, and effect memorable results. No better sign of loyalty exists.

If depression sets in, you are likely sensing darkest moments. Depression is like riding a roller coaster headed down from its highest peak. Putting on the brakes only gets you stuck at the bottom. Allowing the decent, the bottom is reached with momentum carrying you back up. Don’t put the brakes on when distracted by negative thoughts. Substitute positive thought of what you can do. Eventually the roller coaster comes to a platform. Your choice: get off or go for another ride. Choose wisely.

Advice or direction offered in written or spoken communication can provide legitimate tools for change or adjustment. Thoughts process information, gain understanding of its meaning, and gets you ready for action. The information and understanding helps you know where you are going and to identify purpose. Action is a personal decision based on desire for exploration, accomplishment of a specific goal, and reward for achieving a productive and desired outcome. Be selective and understand your choices.

Life’s journey is the “first wonder of the world.” Wondering what tomorrow may bring; wondering if success will result; wondering if this is the correct path! A need to be strong, wise, and in control guides you through suggestions and ideas. You may stumble and fall, but faith and belief encourages you, provides strength to get up, and moves you to continue. Determination and drive erase wonders and guides us over the finish line! Trust faith, believe in yourself, and gallop on!

What Are the Common PCOS Symptoms?

The common PCOS symptoms and signs in women are varied. This is because PCOS or Polycystic Ovary Syndrome – an endocrine problem – is a rather complex condition. Basically, it is caused by the abnormal secretion of androgens that are typically common in men. The result of this is that women display many characteristics typically found in men. It is definitely disturbing to have hair grow in the back, face, chest, abdomen, and other strange places. A lot of women with PCOS also suffer from depression.

Unfortunately, there are other equally disturbing symptoms. There could be hair loss akin to the baldness that afflicts men, obesity, snoring, ovarian cysts, acne, high blood pressure, and thickening of the skin in some places. These are the minor ones. More depressed still is infertility caused by irregular menstrual periods.

How common is Polycystic Ovary Syndrome? According to researchers, PCOS afflicts around 5% to 10% of women capable of bearing children. Not all will display the same symptoms and some will have mild manifestations while others will display more different ones. Typically, however, all undergo physical changes and health problems, including the inability to process blood sugar properly, which can lead to diabetes and heart conditions. There are available medications but these only lessen the effects of PCOS. At present, there is no known cure for the disease yet.

PCOS is not selective in terms of race and nationality. Researchers suspect that the condition involves genetic factors because some of the known victims have family members who also have the disease. However, nothing definitive about genetics has been established just yet.

Although the changes in the physical appearance and health problems of women with PCOS are medically proven to come from an imbalance in the secretion of androgens, the actual cause of the disease has yet to be definitively established. Symptoms usually begin to appear during adolescence and will continue to appear through adulthood.

Since PCOS is a hormonal problem, its effects are wide ranging and put victims in danger from a variety of related illnesses. PCOS increases the risk of endometrial cancer in women who are not having regular menstrual cycles. Doctors will most likely recommend taking medications that will regulate menstrual cycles. For the other known complications, such as diabetes, high cholesterol, obesity, metabolic syndrome, heart disease, and the like, a special diet and regular exercise will be a lot of help.

It is important for women who are diagnosed to have PCOS to find a specialist who they can be comfortable with and who can provide appropriate guidance and treatment. Most importantly, they must educate themselves regarding the common PCOS symptoms because understanding the nature of the disease will help them fight its debilitating effects.

Can Aspirin Stop a Heart Attack?

Aspirin has been around as long as most of us can remember. It was introduced over 100 years ago as a fever reducer and pain reliever and since that time, it has made its way into virtually every medicine cabinet in the country. Over the past several years, aspirin has been touted to help reduce the risks of a heart attack when taken daily. It has even been suggested that if you have symptoms of a heart attack, taking a large dose of aspirin can help relieve the symptoms and keep you alive! So is it true? Can aspirin stop a heart attack?

First, let’s define the problem. We all have small cell fragments referred to as platelets circulating within our blood. These platelets stick together to help the blood to clot and stop bleeding. In instances of cardiovascular disease, these platelets can block narrow arteries forming clots and impeding blood flow. When blood flow and oxygen are blocked from the heart for an extended period, a heart attack may result. Contributing factors to these occurrences are high blood pressure, high cholesterol, obesity and lack of exercise.

Now lets take a look at how aspirin works. Since ancient times, the bark of the willow tree has been used by the Chinese to control fever and alleviate pain. Then in the 19th century, acetylsalicylic acid, a derivative of the willow bark was isolated and so was the birth of aspirin. Aspirin can be used to block prostaglandins, which regulate certain vital functions within the body. Blocking these functions can cause a reduction in body temperature, relief from inflammation, aches and pains and interference in the formation of blood clots.

It is the clotting interference we are concerned with as it relates to reducing the risks and alleviating symptoms of a heart attack. There have been numerous studies to test the theories of aspirin benefits on heart patients. One such study showed that aspirin, when taken within the first hour of the onset of heart attack symptoms, reduced the instance of death from the attack. By inhibiting the ability of the platelets to stick together, aspirin slows the formation of clotting allowing a person precious extra minutes to receive the required medical attention.

And here is even more good news about the benefits of this particular heart disease prevention. Aspirin can drastically reduce the risk of ever having your first heart attack. Benefits from aspirin therapy, just 81mg per day, have been noted in nearly everyone who previously had a stroke, heart attack or peripheral artery disease. Also, those who’ve suffered from angina or had bypass surgery also found relief from symptoms.

There are some side effects of aspirin to be aware of. Namely, it can reek havoc on your stomach. Those with sensitivity to aspirin may experience nausea, vomiting, heartburn or even ulcers. Additionally, aspirin can increase bleeding and more specifically bleeding ulcers although these symptoms are normally noted with long durations of aspirin use or a past history of ulcers. It is important to consult your doctor before beginning an aspirin therapy to weigh the risks versus the benefits.

All in all, aspirin has proven to be very beneficial for heart attack patients and those looking to take preventative measures against a heart attack. So, to answer that burning question, “Can aspirin stop a heart attack?” I’d say the answer is a resounding, Yes! Yes! Yes!

Malaria Diagnosis and Treatment


Parasitic infection due to protozoa of genus Plasmodium transmitted by the female Anopheles mosquito. There are four plasmodia species: P. falciparum, P. vivax, P. malariae, P. ovale.

Salient features

— Malaria is an acute and chronic protozoan illness characterized by paroxysms of fever, chills, sweats, fatigue, anaemia and splenomegaly.

— Falciparum malaria (severe and complicated malaria) is associated in varying degrees with the following clinical signs:

Cerebral: mental clouding, coma, convulsions, delirium and occasionally localizing signs Hyperpyrexia (>40.5ºC) Haemolysis, oliguria, anuria, pulmonary oedema and macroscopic haemoglobinuria

— Diagnosis is made by presence of protozoa in the blood in thick and thin smear slides. Thick smear for easy detection of parasite and thin smear for identification of species. Note that blood films may be negative even in a severe attack because of sequestration of parasites in the deep capillaries

Principles of therapy

1. All fever cases without any other obvious causes should be presumed as malaria cases and antimalarial drug be given preferably after taking blood smear.

2. Chloroquine is the main antimalarial drug and it is to be used as first line of treatment for the treatment of uncomplicated malaria.

3. In high-risk areas presumptive treatment 25 mg/kg of Chloroquine base is to be given on 3 consecutive days with a single dose of Primaquine 0.75 mg/kg on the first day. High risk area is defined as follows:

i. Recorded deaths due to malaria (on clinical diagnosis or microscopic confirmation) with P. falciparum infection during the transmission period in an endemic area during any of the last 3 years.

ii. Doubling of slide positivity rate (SPR) during the last 3 years provided the SPR in second or third year reaches 4% or more or the average SPR of the last year is 5% or more.

iii. P. falciparum is 30% or more provided SPR is 3% or more during any of the last 3 years.

iv. An area having a focus of chloroquine resistant P. falciparum.

4. In the low risk areas, presumptive treatment 10 mg/kg Chloroquine single dose.

5. Resistance should be suspected if inspite of full treatment and no history of vomiting and diarrhoea, patient does not respond within 72 hours parasitologically. Such patients should be given alternative drug i.e. Sulfa-pyrimethamine (S-P) combination.

6. S-P combination is the antimalarial drug of choice in P. falciparum resistant to chloroquine. The dose is 25 mg/kg of sulfa + 1.25 mg/kg of pyrimethamine which is 3 tablets for the adult (single dose).

7. The dose of Primaquine for P. vivax cases is 0.25 mg/kg daily for 5 days to prevent relapse and for P. falciparum 0.75 mg/kg single dose for gametocidal action.

8. Mefloquine can be given to chloroquine/other antimalarial resistant uncomplicated P. falciparum cases only.

9. Resistance to Chloroquine

— There must be an evidence of falciparum positive blood slide on the first and third days of treatment. WHO classifies resistance to chloroquine into 3 types.

— R1: total disappearance followed by reappearance of the parasite.

— R2: noticeable fall without disappearance of the parasite.

— R3: parasite level almost unchanged, indeed, increased.

Before labeling resistance verify

— that treatment has in fact been taken.

— that the correct dose for weight has been prescribed.

— the patient has not vomited within 30 min of taking medication.

— that there has not been under-dosage due to confusion between the expression of the dosage as a chloroquine base and as a chloroquine salt. Equivalence between salt and base:

130 mg sulphate=150 mg phosphate or diphosphate = 100 mg base.

200 mg sulphate=250 mg phosphate or disphosphate= 150 mg base.

10. In Pregnant woman and infants, primaquine is contraindicated. As no data is available to suggest the safety of artemisinin derivatives in this group, the same is not recommended.


Patients of uncomplicated malaria can be managed at primary level but patients with severe malaria with complications should be admitted and managed in a hospital where facilities for detailed investigations and blood transfusion exists.

A. Presumptive treatment in uncomplicated malaria

Low Risk Area:

Single dose of Tab. Chloroquine phosphate 10 mg/kg, (maximum dose is 600 mg) to all suspected malaria cases.

High Risk Area

Chloroquine Day 1 base 10 mg/kg (600 mg adult)

Primaquine Day 1 0.75 mg/kg (45 mg adult)

Chloroquine Day 2 base 10 mg/kg (600 mg adult)

Chloroquine Day 3 base 5 mg/kg (300 mg adult)

B. Confirmed cases of malaria

1. Tab. Chloroquine as in presumptive treatment in “high risk area”.

(a) In P. vivax Tab. Primaquine 0.25 mg/kg/day for 5 days.

(b) In P. falciparum Primaquine 0.75 mg/kg as a stat (single dose).

In high risk areas where presumptive treatment with 500 mg Chloroquine base and 45 mg Primaquine (adult dose) has been given, Chloroquine need not be administered again, but Primaquine must be given for 5 days.

C. Chloroquine resistant P. falciparum case: In P. falciparum cases not responding to chloroquine, second line of treatment must be given as a single dose of Sulphalene/Sulphadoxine (1500 mg) + Pyrimethamine (75 mg) in dose of 25 mg/kg of Sulpha (3 tablets in adults) followed by Primaquine (45 mg).

D. In severe and complicated malaria cases

In severe and complicated P. falciparum malaria, irrespective of chloroquine resistance status of the area Inj. Quinine salt 10 mg/kg 8 hourly IV in 5% dextrose saline is preferred. Patients should be switched over to oral quinine as early as possible and oral dose 10 mg/kg 8 hourly not exceeding 2 g in a day in any case.

Minimum total duration for quinine therapy should be for 7 days including both parenteral and oral doses.

Or In nonpregnant adults and in case of G-6 PD deficiency (capsule and tablet forms of these derivatives are not recommended for use in India)

Artemisinin derivatives (any of the following)

Dosages are as follows:

Inj. Artemisinin: 10 mg/kg once a day IV for 5 days, with a double divided dose administered on the first day;

Inj. Artesunate: 1 mg/kg (two doses) IM/IV at an interval of 4-6 hours on the first day followed by 1 mg/kg once daily for 5 days.

Inj. Artemether: 1.6 mg/kg (two doses) IM at an interval of 4-6 hours on the first day followed by 1.6 mg/kg once daily for 5 days. Inj. Artether: 150 mg daily IM for 3 days.

Chemoprophylaxis in selective cases

Chemoprophylaxis is recommended for a) pregnant women in high risk areas and b) travelers including service personnel who temporarily go on duty to high malarious areas. Chemoprophylaxis is to be started a week before arriving to malarious area for visitors and for pregnant women prophylaxis, it should be initiated from second trimester.

Chloroquine sensitive area

— Start with loading dose of Tab. Chloroquine 10 mg/kg, followed by a weekly dose of 5 mg/kg. This is to continue till 1 month after delivery in case of pregnancy and in travelers till one month after return from endemic area. The terminating dose should be 10 mg/kg along with 0.25 mg/kg of Primaquine for five days.

(CAUTION: In pregnancy, Primaquine should not be given)

— Chemoprophylaxis with chloroquine is not recommended beyond 3 years because of its cumulative toxicity.

— In chloroquine resistant areas Chloroquine 5 mg/kg weekly and Proguanil 100 mg daily.

Patient education

— To take measures to stop mosquito breeding and protection from mosquitos e.g. mosquito nets, repellents, long sleeves, long trousers etc.

— Fever without any other signs and symptoms should be reported to nearest health facility.

— Chloroquine should be given with plenty of water after food and not on empty stomach. If chloroquine syrup is not available for children, the tablet should be crushed and given with honey or thick syrup.

— Watch for side effects of drugs prescribed. Chloroquine may cause nausea, vomiting and diarrhoea, mild headache and skin allergy/rash.

— If vomiting occur within 30 minutes of chloroquine intake repeat the dose of chloroquine.

— Chloroquine and sulphadoxine + pyrimethamine should not be given if patient is suffering from G-6 PD deficiency.

— Patients should be educated about symptoms of cerebral malaria, and should seek medical help immediately on occurance of these symptoms.

How To Treat Eye Floaters

What is the meaning of floaters?

Floaters are seen by the patients as floating black spots on their visual field.

Why patients see floaters

The eye consists of two segments, the anterior segment which lies infront of the lens and is filled with aqueous humor while the posterior segment is filled with vitreous humor. During childhood, the vitreous is clear and is jellylike material. Later in life, vitreous normally will undergo liquefaction and changed from jellylike material to fluid like material in a process called vitreous syneresis and this will cause the collage fibers within the vitreous to form strands. With each eye movements, those strands will also move, causing floaters.

Another normal mechanism of floaters is posterior vitreous detachments. Normally there are adhesions between the vitreous and the retina and for some reasons like old ages, myopia and trauma; these adhesions will be released causing vitreous detachments from the retina. Vitreous will collapse inside the posterior segment of the eye and with each eye movements, collapsed vitreous will move, causing floaters.
Posterior vitreous detachment is normally present in old ages and also in myopic patients. Usually it occurs without complications and only the patients will complain of floaters which usually will disappear from few weeks to month later. Sometimes, posterior vitreous detachment from the retina is incomplete, in which some parts will remain attached to the retina, causing traction on the retina. This traction will be noticed by the patient as flashes of lights and with time, this traction can lead to retinal detachment.

Note: Any patient who noticed floaters for the first time should have complete ocular examination to rule out any incomplete vitreous detachments with traction on the retina.

Other causes of floaters are deposits on the vitreous humor which can occur after uveitis in which white blood cells will deposit, after resolved vitreous haemorrhage in which red blood cells will deposit, after cataract surgery especially when there is posterior capsule rupture, after intraocular injections in which drug remnants will deposit in the vitreous.

What are the causes of deposits in the vitreous humor?

1-    Causes of uveitis like sarcoidosis, multiple sclerosis, Behçet diseases, leukemia and many other causes of intra-ocular inflammation
2-    Causes of intra-ocular infections like syphilis, toxoplasmosis, tuberculosis and CMV retinitis
3-    After cataract surgery especially with posterior capsule rupture
4-    After YAG laser capsulotomy, in which the laser will be used to create a hole in fibrosed posterior capsule.

How floaters disappear?

1-    By brain adaptation, in which your brain will ignore the presence of these floaters and you will no long see them
2-    By natural absorption process of the eye, especially of cases that occur after uveitis, vitreous hemorrhage.
3-    Treatment of the underlying conditions like with anti-inflammation and antibiotics
4-    Vitrectomy, which is the surgery to remove the vitreous. It is indicated when there are large amounts of deposits in the vitreous that did not cleared with time or medications and they affect the vision of the patient.

Highest Fiber Foods Make You Strong

The possible advantages of a high fiber diet are immune, but most of it has to do with your digestive system. Fiber does promote overall health too though, including your teeth, arteries and heart.

Many fresh fruits and vegetables that you already enjoy are high in fiber. Avocados, mangos, apples, carrots, beans, cereals, whole grain bread and most types of nuts are all excellent sources of fiber. Some of these products have nutritional labels on them and you should consult these labels so that you buy a balanced shopping trolley with foods containing the highest fiber. Foods are important for nutrition, it is important that you consider the food that you buy and not just put it in the basket because it looks yummy.

Keep A List Of The Highest Fiber Foods

Maybe you should take fiber seriously. If you do, then keep a list of all the highest fiber foods. It can help to alleviate painful conditions like constipation and diarrhea. It has been linked to a decreed risk of colon cancer and diverticulitis. It is a common prescription for people who suffer from irritable bowel syndrome. On average your system will be better as fiber assists the movement of food through your body and the excretion of waste.

Most people however do not get enough vegetables and fruits fiber. People are rusched and mostly mostly on fast foods and processed foods. These foods are often not very nutritional. On top of this, the fiber content is low too. If you want to eat quickly during the day it is vital to know which foods are the highest fiber foods. This will save you time and if you have a chart in your kitchen it will save you even more time and energy.

You should get at least 25g of fiber every day. 25g is the lower limit and the best will be around 30g, depending on your build and bodyweight. If you want to be really serious about it you should consult a dietician and learn exactly how much fiber you should eat.

Perforated Colon Cancer

The management of obstructing or perforated colon cancer presents unique considerations.When patients present with urgent evidence of obstruction without the opportunity to prepare the bowel, they must be expediently resuscitated and undergo immediate surgical exploration. If the obstruction is due to a proximal lesion near the ileocecal valve, a right hemicolectomy with primary anastomosis may be performed safely in most cases, even with an unprepared colon. More distal obstructions are problematic because the proximal colon is dilated and typically full of stool.

Once the involved segment of colon is resected, ontable lavage can be performed. This involves mobilization of the colon, attachment of large bore sterile tubing to drain the effluent, and instillation of a large volume of warm saline through a catheter placed through an appendicostomy
or the terminal ileum. The distal segment of bowel can be washed out from below. This technique can allow for a primary anastomosis in some cases provided the bowel is not dilated and appears relatively healthy.

Perforations at the tumor site can present either as locally contained abscesses or as free perforation with peritonitis. In addition, obstructing tumors can result in
colonic perforation, typically proximal to the tumor or at the cecum. In the case of contained perforations, abscesses can be drained percutaneously with subsequent investigations
and elective surgical management. Free perforation with peritonitis is a surgical emergency that necessitates rapid resuscitation and operation. In the setting of gross fecal contamination, resection of the tumor and perforation are performed when possible with a proximal colostomy or ileostomy (Hartmann’s procedure). In some cases, a primary anastomosis can be performed with a protecting proximal ostomy. An unprotected anastomosis without diversion is ill advised in these unstable patients.

Anti-Semitic Attacks in Europe Increasing

A simple equation gives the understanding of the number of anti-Semitic violence in Europe. More the Islamic penetration increases, more anti-Semitism raises as a response of any military action Israel may decide.

Blackmail to vent against the Europeans of Jewish religion as answer to the anger of Tsahal against Hamas continual provocations, is a sword of Damocles hanging on the inability of democratic governments that allow even the smallest protest march.

Police also is unable to control portion of areas within their own city.

What EU is doing to stop this? Practically nothing.

We should not forget that EU is dominated by laic principles and by an absolute inability to take string counter-measures.

The old history of making strong with the weak and weak with the strong (apparently) is repeated in a tragedy that is prepared every day and in full general political indifference. The people are living on its skin such ineptitude of their governments, and many plead the need for a strong man who takes the reins of Europe to defend a civilization under internal siege.

In a book written by an Italian mystic during 1969 (Luigi Gaspari, persecuted by the Church, because he clearly said what St. Padre Pio recommend him to diffuse) is written: “… the East is a carpet that hides many pitfalls, as there are plans by the terrible enemies of your Father. No one notices, but it is! “(Padre Pio told me – © CDOLG Bologna – Via S. Felice 91).

Instead of trying to listen and understand, Church, in his presumption, prayed him that the biggest favor he could do was to keep quiet.

Well, because they did not want to hear the voice that calls them back to restore order, they will listen to the Islamic anger ask them to keep quiet, as they deserve.

Can we assume that the existing period is a transitional one up to a couple of directions, based on the people will: dhimmitude or freedom.

Type 2 Diabetes – Stomach Bypass Surgery May Be Helpful in Diabetic Kidney Disease

Stomach bypass surgery, originally developed for weight loss in highly obese individuals, is now used for Type 2 diabetes control as well. Scientists at Heidelberg University in Heidelberg, Germany, found the procedure is also suitable for helping diabetic kidney disease.

The journal Deutsches Ärzteblatt International reported in December 2016 on twenty people taking insulin for Type 2 diabetes and who saw improvement in their kidney function after the roux-en-y gastric bypass (RYGB). These Type 2 diabetics were moderately overweight or obese, with a body mass index ranging between 25 and 35. One year later and again at two years later, blood and urine testing showed their kidneys were working more efficiently and clearing more waste from their bloodstream. The researchers concluded the RYGB stomach bypass surgery could be a treatment option for overweight or moderately obese Type 2 diabetics with diabetic nephropathy.

Signs and symptoms of diabetic nephropathy include…

  • a protein, albumin, found in the urine,
  • high levels of blood urea nitrogen,
  • elevated levels of creatinine in the blood,
  • high blood pressure readings,
  • leg swelling and cramps,
  • urinating frequently at night,
  • a lower need for antidiabetic medications,
  • nausea and vomiting in the morning,
  • weakness, pale skin, low red blood cell count (anemia), and
  • unusual itching.

Controlling blood sugar levels helps prevent kidney disease and many other complications. Maintaining a healthy weight, eating a proper diet, getting enough physical activity, and taking medications on schedule, all contribute to the prevention of complications.

When diabetic kidney disease does strike, treatment begins with medications called angiotensin-converting enzyme (ACE) inhibitors. When angiotensin II enters the bloodstream your blood vessels become narrower. ACE inhibitors allow the blood vessels to relax and lower blood pressure, putting less stress on the kidneys. The medications are also used to reduce the risk of heart disease and strokes. Some ACE inhibitors include…

  • Lotensin (benazepril),
  • Capoten (captopril),
  • Vasotec, Epaned (enalapril),
  • Monopril (fosinopril),
  • Prinivil, Zestril (lisinopril),
  • Univasc (moexipril),
  • Aceon (perindopril),
  • Accupril (quinapril),
  • Altace (ramipril),
  • Mavik (trandolapril).

When ACE inhibitors fail, dialysis or kidney transplantation are the next options…

1. Hemodialysis consists of using tubes to run the blood through a dialysis machine that contains an artificial kidney. Peritoneal dialysis filters the blood from inside the body. Both types of dialysis remove waste, salt, potassium, and water as needed.

2. A kidney may be transplanted from a donor if the donor and Type 2 diabetic have compatible blood and molecules known as HLA antigens. This compatibility helps keep the recipient’s body from rejecting the new kidney. Medications to suppress the recipient’s immune system also contribute to preventing rejection.

Detailed Information on Mycoplasmal Pneumonia

Mycoplasma pneumonia is an infection of the lungs caused by Mycoplasma pneumoniae (M. pneumoniae). Pneumonia is an inflammation of one or both lungs. Mycoplasmal pneumonia usually affects children and young adults. M. pneumoniae is a common cause of meek pneumonia that frequently affects people younger than 40. Mycoplasmal pneumonia can occur at any time of the year, but large outbreaks tend to occur in the late summer and fall. Mycoplasma pneumoniae is spread through respiratory droplet transmission. The infection caused by this bacterium is called atypical pneumonia because of its protracted course and lack of sputum production.

Chronic mycoplasma infections have been involved in the pathogenesis of rheumatoid arthritis and other rheumatological diseases. People at highest risk for mycoplasma pneumonia involve those living or working in crowded areas such as schools and homeless covers. Common symptoms of mycoplasma pneumonia include headache, fever (may be high), chills, excessive sweating, cough, chest pain and sore throat. Other frequently seen symptoms include skin lesions or rash, eye pain or soreness, muscle aches and joint stiffness, neck lump, rapid breathing and ear pain.

Mycoplasma pneumonia is transmitted from person-to-person contact through respiratory secretions during coughing and sneezing. Mycoplasma pneumonia has an incubation stage of about 1 to 4 weeks, which means it may take up to four weeks after exposure to get mycoplasma pneumonia. However, over this time period, symptoms may slowly begin to appear. All ages may be affected by mycoplasma pneumonia; however children under the age of 5 years are rarely affected. Treatment depends on the severity of symptoms and the type of organism causing the infection.

Antibiotics may be prescribed for more sedate symptoms linked to mycoplasma pneumonia. Empiric antimicrobial therapy must be inclusive and should cover all likely pathogens in the context of the clinical setting. Bacterial pneumonia is often treated with penicillin, ampicillin clavulanate and erythromycin. Home care includes rest and a high-protein diet with enough fluids. Prevention is better than cure. Infants and people in poor health, especially those with weakened immune systems due to HIV, or other conditions, should avoid contact with people with mycoplasma pneumonia.

History of Alternative Medicine

History has it that alternative medicine goes back 5000 years to Chinese traditional medicine, Indian (Ayuryedic medicine) and similar healing traditions in many cultures. The common belief was that the energy of the body had to be in harmony with the mind, body and spirit. A doctor kindly facilitated the healing by identifying and taking away obstacles that would inevitably lead to a cure. Therapy included lifestyle changes, self-care and preventative measures.

Today, what we know of as complementary and alternative medicine (CAM) has roots going back 5,000 years to Chinese (traditional Chinese medicine), Indian (Ayurvedic medicine) and similar healing traditions. For thousands of years, these diverse medical traditions held a belief in the energy of the body and the need for harmony between mind, body and spirit. Doctor's simply facilitated the healing process by identifying and removing obstacles.

Through most of the 19th century, doctors used the same skills as today's herbalists, osteopaths and dieticians; They were generous with time and empathy, and relied on a good bedside manner. Prayer was important, as was "a change of air," laxatives, bleeding and leeches. Right up until the early 20th century, sick people relied on much the same kind of therapies as their ancestors.

The decades following the Second World War brought significant changes. As GP and journalist, James Lefanu noted in his book, The Rise and Fall of Modern Medicine, written in the 50s, a series of medical breakthroughs proved beyond doubt that previous attempts at healing were nothing more than mere quackery. New medical breakthroughs including the discovery of penicillin, cortisone (a powerful anti-inflammatory medicine), streptomycin (a powerful antibiotic that is effective in treating tuberculosis), insulin (to treat diabetes) and chlorpromazine (an anti-psychotic that controls schizophrenia). Open-heart surgery, hip replacements, kidney transplants, intensive care and successful vaccination programs saved and improved the quality of countless of millions of lives.

It's no surprise that so much power to alter human destiny would lead, as Lefanu suggests, "to the resultant abandonment of homely remedies such as massage, manipulation and dietary advice, only for them to be taken up by alternative practitioners." This is exactly what happened – with a dramatic explosion in the growth of 'alternative' therapies through the second half of the 20th century. Alongside modern medicine, CAM began to develop as an entirely separate discipline – reluctuous of the achievements of mainstream medicine, while at the same time dismissed by mainstream practitioners as ineffective and fraudulent. For most people, getting the best from mainstream and alternative medicine was a delicate operation. Those who opted for both main and alternative medical care found that the best strategy was to remain quite to avoid criticism. Those who did try to use both services taught that in order to avoid criticism.