Fat. Chicks on a Diet! ![]() ![]() ![]() ![]() ![]() The best diet for losing weight is Weight Watchers, according to the experts who rated the diets below for U.S. Volumetrics and Jenny Craig tied for second. My 4 day Weight Loss Program will show you how to Lose Weight Fast in 4 Days! The best weight loss plan for Fast Weight Loss. This is it, folks. This is the first, last and only weight loss article you will EVER need to read. Only, this is much more than an article. This, my friends, is a guide. How will not following a liquid diet the 2 weeks before weight loss surgery affect my surgery? It surgery is scheduled for Monday, April 25. I was on a week long. ![]() ![]() The Paleo Diet is also known by other names, such as the Paleolithic diet, the Stone Age diet or the caveman diet. There are actually slight variations among versions. Maybe you’ve felt this too. You start out strong. You’re confident “this time” you’re going to lose the weight and keep it off. You pick a “diet” and. ![]() ![]()
0 Comments
On the New Lifestyle Diet, you’ll lose weight fast with delicious low carb, high protein, liquid diet shakes, bars, and gluten free snacks. But beyond just making sure you get your. The ideas of nutrition are changing. A lifestyle with quality plant-based foods can prevent, treat and reverse many major diseases, and improve overall health. Breaking news!!! ![]() Milk- Free Pantry : Non- Dairy Foods Directory. We have found that most raw, natural whole foods like fruits, vegetables, nuts, grains, pasta, and meats are generally safe because they are naturally non- dairy before being processed. When processing foods, manufacturers may introduce milk ingredients in packaged foods. ![]() That goes for everything from trail mix to frozen vegetables to anything with flavor added. Breads, snacks, desserts and ready- made meals are especially prone to containing hidden milk ingredients to improve flavor. Although all low-carb diets. Elimination Diet Overview This is a dietary program based on removing all the foods from our diet that are known to cause food allergies, food sensitivities, and. We think foods without milk should not be without flavor. Only delicious dairy- free foods are approved by the Milk- Free Pantry. Check out our new Non- Dairy Grocery Shopping List that is easy to print out and take to the store. ![]() Song of Myself. Won't you help support Day. Poems? 1. 81. 9- 1. I celebrate myself, and sing myself. And what I assume you shall assume. For every atom belonging to me as good belongs to you. I do not know what it is any more than he. ![]() I do not laugh at your oaths nor jeer you; ). The President holding a cabinet council is surrounded by the great. On the piazza walk three matrons stately and friendly with twined arms. The crew of the fish- smack pack repeated layers of halibut in the hold. The Missourian crosses the plains toting his wares and his cattle. As the fare- collector goes through the train he gives notice by the. The floor- men are laying the floor, the tinners are tinning the. In single file each shouldering his hod pass onward the laborers. Seasons pursuing each other the indescribable crowd is gather'd, it. Seventh- month, (what salutes of cannon and small arms!). Seasons pursuing each other the plougher ploughs, the mower mows. Off on the lakes the pike- fisher watches and waits by the hole in. ![]() The stumps stand thick round the clearing, the squatter strikes deep. Flatboatmen make fast towards dusk near the cotton- wood or pecan- trees. Coon- seekers go through the regions of the Red river or through. Tennessee, or through those of the Arkansas. ![]() ![]() Apr 12, 2012 A Vegan Diet is Not Healthy. I’m mentally preparing myself for this one. Because it’s inevitable I’ll receive at least a few heated comments on. Bald eagle; Adult bald eagle on the Alsek River. Mr Ginseng: Benefits and Virtues of Medicinal Plants: Ginseng, Guarana, Ashwagandha, Rhodiola, Ginkgo, Harpagophytum, Maca, Turmeric, Ginger, Spirulina, Lemon. This was so beautifully and honestly written, thank you. I think by now the whole food blogging world knows why I’m not a vegan. It was a heartbreaking decision but. Torches shine in the dark that hangs on the Chattahooche or Altamahaw. Patriarchs sit at supper with sons and grandsons and great- grandsons. In walls of adobie, in canvas tents, rest hunters and trappers after. The city sleeps and the country sleeps. The living sleep for their time, the dead sleep for their time. The old husband sleeps by his wife and the young husband sleeps by his wife. And these tend inward to me, and I tend outward to them. And such as it is to be of these more or less I am. And of these one and all I weave the song of myself. I resign myself to you also- -I guess what you mean. I behold from the beach your crooked fingers. I believe you refuse to go back without feeling of me. We must have a turn together, I undress, hurry me out of sight of the land. Cushion me soft, rock me in billowy drowse. Dash me with amorous wet, I can repay you. I will accept nothing which all cannot have their. I am possess'd! Iowa, Oregon, California? ![]() Join today and you can easily save your favourite articles, join in the conversation and comment, plus select which news your want direct to your inbox. Join today. O welcome, ineffable grace of dying days! I plead for my brothers and sisters. Comment on Day. Poems? If you are like us, you have strong feelings about poetry, and about each poem you read. Let it all out! Comment on this poem, any poem, Day. Poems, other poetry places or the art of poetry at Day. Poems Feedback. Won't you help support Day. Poems? Click here to learn more about how you can keep Day. Poems on the Web . All rights reserved. The authors of poetry and other material appearing on Day. Poems retain full rights to their work. Any requests for publication in other venues must be negotiated separately with the authors. The editor of Day. Poems will gladly assist in putting interested parties in contact with the authors. ![]() ![]() ![]() The Texarkana Gazette is the premier source for local news and sports in Texarkana and the surrounding Arklatex areas. Please note that once you make your selection, it will apply to all future visits to NASDAQ.com. If, at any time, you are interested in reverting to our default. All rights reserved. To link to this poem, put the URL below into your page: <a href="http:// of Myself by Walt Whitman</a> Plain for. The Curse of Oak Island: Five Theories That Suggest Nothing is There. Animalympics on DVD 1980: voices by Billy Crystal, Gilda Radner, Harry Shearer, This Animated Movie broadcasts the First Animal Olympic Games through the fictional. Texarkana Gazette. Episode 22: 3.40 million viewers (Seventh Episode in the Season) Episode 28: 3.41 million viewers (13th and Last Episode in the Season) The Curse of Oak Island was. Beverly Grove. You claim you love the convenience because it's 20 minutes from everywhere (read: Fox/CBS Radford/Warners/Universal/Paramount), but in.
![]() ![]() Diabetes: type 2 . This is also called impaired glucose tolerance. Initially individuals experience high blood glucose levels after eating and eventually this may lead to constant hyperglycaemia. The metabolic derangement is called insulin resistance because patients require higher levels of insulin to move glucose in the blood to the inside of cells such as muscles, the heart, the liver and the brain where it is needed for functioning of the cells. Insulin resistance is the main metabolic event leading to type 2 diabetes and the reduction of it should therefore also be the major aim of affected individuals and the treating physician or advising dietician. It is the most common form of diabetes and its incidence is rising in all population groups around the world. It is strongly associated with obesity, a sedentary lifestyle, and abnormal lipid levels. Those with a family history of the disease are more at risk than the general population. Symptoms are more those of a high glucose level than those of starving cells and include excessive thirst and urination, whereas weight loss is a late feature suggesting serious deficiency of insulin. The 2016 American Diabetes Association's (ADA's) standards of medical care in diabetes also indicate that a majority of patients with diabetes mellitus have hypertension. NA indicates not applicable. Eligibility data were not collected for nonrandomized screenees. All randomized participants were included in the analyses. The following represent additions to UpToDate from the past six months that were considered by the editors and authors to be of particular interest. Authors: Richards, Duncan; Aronson, Jeffrey Title: Oxford Handbook of Practical Drug Therapy, 1st Edition Copyright  It is treated, and can often be prevented, with a combination of lifestyle changes, diet and drugs – increased levels of exercise and a decrease in the intake of calories and especially lipids being the most important steps to improved health and longevity. There are many potential complications of type 2 diabetes if it is not correctly controlled (such as heart disease), since most organ systems in the body are affected by the disease. Alternative names. Non- insulin dependent diabetes (NIDDM) or adult onset diabetes – now rarely used. What is type 2 diabetes? Type 2 diabetes is the most common variety of diabetes. It is a disorder of carbohydrate metabolism in which the body effectively becomes resistant to the hormone insulin. ![]() Initially, the person with this disorder has impaired tolerance to glucose. This develops into high blood glucose levels after eating and eventually high blood glucose levels even when fasting. However, some people with type 2 diabetes remain relatively sensitive to insulin, while others have little or no insulin sensitivity. This difference affects treatment of the disease. In general, those type 2 diabetics who are not obese retain some sensitivity to insulin. What causes type 2 diabetes? The causes of type 2 diabetes are complex. Insulin resistance is the main metabolic abnormality leading to the development of type 2 diabetes. The most recent research suggests that type 2 diabetes can be seen as a consequence of a series of physiological disruptions, each of which makes the person vulnerable to subsequent disruption of normal glucose metabolism. Insulin resistance is common and is usually caused by obesity. There are effectively three stages in the development of type 2 diabetes: Insulin resistance, for which the body compensates by increasing the secretion of insulin to allow the liver and muscles to continue to function normally. Eventually the pancreas is unable to produce enough insulin to compensate for the insulin resistance. This leads to a sequence of impaired glucose tolerance, high blood glucose after eating (postprandial hyperglycaemia) and finally, high blood glucose levels even when fasting (fasting hyperglycaemia) and worsening postprandially. ![]() These high glucose levels are toxic not only to the large and small blood vessels but also to the cells producing insulin, the so- called beta- cells of the pancreas. This damage to the beta- cells leads to a decline in their function and eventually less insulin is produced as the disease progresses. ![]() The raised fasting and postprandial glucose levels result in complications which affect the small and large blood vessels of the body, and this contributes to renal failure, eye complications and more importantly, accelerated atherosclerosis leading to strokes and heart disease. The artherosclerotic complications are responsible for 8. Who gets type 2 diabetes and who is at risk? The percentage of the population with diabetes is highly variable among geographical regions and populations, so estimates are often inaccurate. A recent figure is 1. There are particular populations with a very high incidence of type 2 diabetes. For example, 4. 0% of Pima Indians in North America have type 2 diabetes. The South African Indian population also have amongst the highest incidence in the world. The risk factors for type 2 diabetes are: Obesity. Lack of exercise. An abnormal lipid profile. A family history of the disease. Who would be the typical person at risk for type 2 diabetes? The typical person would be: an overweight adultolder than 4. In women, persistent vaginal candida may be an early sign of type 2 diabetes, particularly in older women. How is type 2 diabetes diagnosed? Diabetes is diagnosed quite simply by measuring the levels of glucose in the blood. The normal levels are between 3,3 mmol/l and 5,9 mmol/l. The World Health Organisation defines diabetes as being when one or more of the following are present: Fasting blood glucose (blood glucose measured before breakfast) is over 6. Random blood glucose (blood glucose measured at any time) is over 1. Corresponding values for plasma glucose are 7. In some laboratories the glucose level is measured in plasma and not in blood and the concentration of glucose measured in plasma is 1. ![]() What is a glucose tolerance test? After an overnight fast, 7. Blood samples are taken in the fasting state and two hours after the glucose has been taken. It is used to diagnose glucose intolerance. When is glucose tolerance impaired? It is present when the fasting blood glucose is below 6. Corresponding values for plasma glucose are 7. Can type 2 diabetes be prevented? Type 2 diabetes is a disease of lifestyle in most cases, and can thus often be prevented. ![]() There is good evidence to show that controlling weight, getting plenty of exercise and eating a diet low in fats and high in complex carbohydrates – fruit and vegetables – lowers the risk of type 2 diabetes in most people. Many medical authorities recommend that anyone who has a family history of type 2 diabetes should have their blood glucose checked regularly, particularly once they are older than 4. Some doctors recommend that anyone over the age of 4. If impaired glucose tolerance is detected, then early prevention such as weight loss, exercise and a change of diet may well prevent or at least delay the onset of type 2 diabetes. How is type 2 diabetes treated? The mainstay of treatment in type 2 diabetes is lifestyle change – weight loss, a structured exercise programme and a diet low in fat and with plenty of fruit and vegetables. Any diabetic should consult a dietician early in the disease to work out the correct diet for their lifestyle. It is of utmost importance that individuals attempt to stop smoking, and if it is not possible to stop, reduce the habit to an absolute minimum. For prevention and management of diabetes complications in children and adolescents, please refer to Section 12 “Children and Adolescents.” In all patients with. Type 2 diabetes is a disease in which the person initially develops insulin resistance resulting in high glucose levels in the blood. This is also. ![]() However, recent research has shown that in most people, even the correct diet along with exercise will eventually not be sufficient to control their blood glucose and that drugs have to be used. The broad range of metabolic defects present often requires treatment with combinations of more than one drug. Furthermore, with time, as the ability of the pancreas to produce sufficient insulin wanes, increasing doses of medications and insulin injections may be required to control the blood sugar. The blood sugar levels should be reviewed by the patients doctor on a regular basis. The medications used for treating type 2 diabetes have the following aims: To regulate blood sugar levels. To prevent or treat complications due to type 2 diabetes. Medication to lower blood sugar levels Medications available to lower blood sugar can be divided into two groups, namely insulin, which can only be injected or delivered by glucose pump, and all other anti- diabetic medication except insulin. So, if you have been diagnosed with type 2 diabetes, how will your doctor start your medication? This is the step- by- step action plan for type 2 diabetics, based on 2. National Diabetes Advisory Board of SA. Step. 1: Lifestyle modification + metformin (for obese people, 1- 3 doses per day), or. Lifestyle modification + sulphonylureas (for non- obese people). If good blood glucose control is not achieved within 3 months (Hb. A1 > 7%), your doctor will proceed to step 2. A. Step 2. A: Add a second drug from a different class. The second drug may be one of the following: Metformin or sulphonylurea or basal insulin or pioglitazone (a thiazolidinedione). NOTE: Although not incorporated into the 2. Newer medications such as DPP- 4 inhibitors and incretin mimetics (see below) are more and more used as the second drug, while many experts advocate the use of insulin sooner rather than later. Step 2. B: If blood sugar levels are still not controlled within another 3 months, add a third drug from a different class. If blood sugar levels are still not controlled within another 3 months, your doctor will either start biphasic insulin or refer you to a specialist for intensive insulin therapy. Non- insulin medication options Most of these medications are available in tablet format (known as oral hypoglycaemic agents (OHAs), which literally means glucose- lowering medication taken by mouth). However, one of the newer generation anti- diabetic medications is only available as an injection. There is an increasing array of tablets that are now effective in lowering glucose levels in type 2 diabetics. They differ in their modes of action, side- effects, cost and dosing schedule. The choice of the most suitable one needs to be made on an individual basis after a full medical assessment. The main groups of oral blood glucose- lowering tablets are: A. Biguanides (e. g. C. Thiazolidinediones (relatively new)D. Alpha- glucosidase inhibitors (a recently developed class)E. Meglitinides (also new)F. Incretin mimetics (GLP- 1 agonists, also new)G. Diabetic Nephropathy. CLINICAL DIABETESVOL. Winter 2. 00. 0FEATURE ARTICLEDiabetic. Nephropathy. Timothy. C. Evans, MD, Ph. D, and Peter Capell, MDDiabetes is the most. United States today. Screening for the earliest. Diabetes is the most common cause. ESRD) in the United States today. Approximately. 4. ESRD, although the incidence is substantially higher in certain ethnic. This is thought to be a potentially preventable. Sensitive tests are available to identify patients with renal involvement early. For these. reasons, it is imperative that clinicians who care for patients with diabetes be. The pathophysiologic mechanisms of diabetic. The earliest. demonstrable abnormalities include intrarenal hypertension, hyperfiltration (increased. Clinically, the most important. Risk factors for development of diabetic. Key elements in the primary care of diabetes include. In general. the goal for glycemic control is a blood glucose level as close to normal (Hb. A1c. < 7%) as possible without causing dangerous hypoglycemia. Blood pressure control is at. Screening for diabetic nephropathy. DEFINITION OF TERMSFor purposes of. More. specifically, diabetic nephropathy is thought of in stages, the first being that. This may. progress to macroalbuminuria, or overt nephropathy (> 3. Later still, progressive renal functional decline characterized by decreased GFR. ESRD. Glucose combines with many proteins in. AGEs). The best known of these is glycosylated hemoglobin, a. Hemoglobin A1c (Hb. A1c) is a. specific member of this group and is useful as an indicator of average glycemia during the. The assay of Hb. A1c was standardized for the. Diabetes Control and Complications Trial (DCCT) and is now widely accepted as the standard. Other AGEs are presumed to contribute to the. EPIDEMIOLOGYDiabetes and its. United States today. Costs of caring for. Diabetic nephropathy accounts for 3. ESRD in the United States today. Patients with type 1 diabetes are at highest. There is evidence that the incidence of renal failure in type 1 diabetes. The. incidence of renal complications in type 2 diabetes, however, may be increasing. In the San Antonio Heart Study,9 the incidence of new- onset type 2 diabetes. Among non- Hispanic whites, the several- fold increased incidence was borderline. P = 0. 0. 7). Since type 2 diabetes accounts for at least 9. ESRD exceeds. those with type 1 diabetes overall. The prevalence of microalbuminuria in patients with. Hypertension. occurs in 5. Concomitant nephropathy in patients with diabetes and hypertension results in a 3. Important clinical concomitants of diabetic. Nearly all patients with diabetic. This has important implications for. The. reverse is not as frequently true. That is, a much lower percentage of patients with. Diabetic renal disease is also closely. The presence of microalbuminuria is a powerful. Thus, the presence of diabetes, especially. In addition to direct. ETIOLOGYA variety of. By definition, hyperglycemia is a. Most significant, however, is the presence. Genetics and Ethnicity. Although a sizable. ESRD. In. addition to the risks of poor glycemic control and hypertension, a subset of patients may. Familial. clustering of patients with nephropathy may result from similarly poor glycemic or blood. Diabetic siblings of patients with diabetes and. There is a strong concordance of. In a. study of Brazilian families with two or more diabetic members, the presence of diabetic. Postulates have been advanced linking diabetic. In a study of 8. 9. Moreover, the parents of patients with. Familial clustering and the beneficial effects. ACE) inhibition on diabetic nephropathy have also led to. Increased levels of ACE. ACE gene. 2. 0 In a study of type 1 patients with. ESRD compared with type 1 patients with diabetes for at least 1. DD genotype at the ACE locus increased the risk of. ESRD is known to be more prevalent in certain. Native Americans, Mexican Americans, and African Americans—than in. Caucasian Americans. Certainly, there is reason for special vigilance for early signs of. Hyperglycemia. It is well. Nephropathy is uncommon in patients with Hb. A1c consistently. At the very least, glucose is a meaningful. DCCT2. 3 and other treatment trials that demonstrate decreased. Other hyperglycemia- dependent metabolic. AGEs and. polyols. AGEs are the result of nonenzymatic covalent attachment of glucose to proteins. Proteins of many types are affected by this process, and. AGEs have been shown to correlate with microalbuminuria. In a study of low- and high- molecular- weight AGEs in subjects with. AGE content in arterial wall collagen was fourfold higher in. Diabetic patients with ESRD had twice as much tissue AGE as. Circulating AGEs were elevated in patients with diabetes. Flux through the polyol pathway beginning with. Clinical trials of aldose reductase inhibitors. Hypertension. Hypertension is. In the glomerulus, an early. Renal. responsiveness to the renin- angiotensin system may be abnormal in the diabetic kidney. For these reasons, agents that help to correct the abnormal intraglomerular pressures are. ACE inhibitors. specifically decrease the efferent arteriolar pressure, thereby decreasing intraglomerular. Particularly after microalbuminuria is present. Analysis of a number of risk factors showed a 1. PATHOPHYSIOLOGYThe key. With. renal damage, there is progressive thickening of the basement membrane, pathologic change. AGEs, accumulation of polyols via the aldose. C. 2. 2,3. 0,3. 1 Passage of. The renal hemodynamic abnormality is similar in. An early physiologic abnormality is glomerular. This is accompanied by the onset of microalbuminuria, the first practical evidence of. This is a critical time in the evolution of diabetic renal. A clinically asymptomatic period of decline. Once overt nephropathy (macroalbuminuria). GFR of. 2. The rate of decline depends on type of diabetes, genetic. Hypertension is. the single most important cause of progression and point of successful intervention in. Later stages may also be accompanied by clinically significant. Eventually, the characteristic clinical. SCREENINGIt has become clear over time that once overt nephropathy has developed, treatment is a. Though not all patients with early renal. ESRD, the likelihood is much greater among. Ideally, it would be useful to be able to predict which patients. ESRD before onset, but there is currently no way to definitively identify. Consequently, a high priority in the care of patients. For this reason, regular screening. Among the earliest changes demonstrable in. This is accompanied by. Eighty. percent of type 1 diabetes patients with microalbuminuria will progress to overt. Of those, 5. 0% will develop ESRD within 1. Among patients with. Standard urinalysis dipsticks are not. If protein is detectable on a standard urinalysis dipstick. In. type 1 diabetes, annual screening should begin after puberty and 5 years after initial. In type 2 diabetes, because of the likelihood that diabetes has been present. Despite the importance of microalbuminuria. In a study. of more than 1,0. However, only 1. 7% screened type 1. Several methods are available for screening and. The gold standard is the 2. Somewhat more convenient for the patient is the albumin/creatinine ratio on a. Measuring albumin. Clinicians should remember that there is a. Thus, measurement on collections of less than 2. There is also considerable variation from day to day, so three. Median survival after the onset of nephropathy has. Benefits accrue not only in younger patients. Both glycemic control and rigorous control of. Identification of patients with microalbuminuria selects a. Studies in both type 1 and type 2. ACE inhibitors leads to decreased albumin excretion and may. The importance of prevention cannot be. Once overt nephropathy is present, progression cannot be halted. It is much more effective to screen for early nephropathy with sensitive. Additional targets of potential intervention. AGEs, the polyol pathway, and systemic and intrarenal. Earlier trials of inhibitors of the. Glycemic Control. Tight glycemic. control has been shown in several studies to decrease the risk of microvascular disease in. In the DCCT, intensive glucose. In the United. Kingdom Prospective Diabetes Study (UKPDS), there was a 3. The DCCT benefit in type 1 diabetes was. Hb. A1c (9. 0. In the UKPDS. Hb. A1c (7. 9. This suggests. Furthermore, it suggests that this benefit can be attained in patients. Glycemic control remains critical in stabilizing. As noted above, not only was. DCCT, but. also secondary progression from microalbuminuria to macroalbuminuria was slowed. A similar result was found in the Steno studies. Very persuasive was a study. All patients had lesions of diabetic nephropathy, from mild to advanced, at the time of. At 5 years after. At 1. 0 years, however, albumin excretion had returned to normal. In general, the goal for glycemic control is. Specific goals outlined by the American. Diabetes Association (ADA) for optimum glycemic control include preprandial blood glucose. In the. enalapril- treated group during this 4- year period, however, albumin excretion decreased. There was no change in creatinine. Hb. A1c in either group, suggesting that the. ACE inhibitor was independent of its systemic antihypertensive. The debate is expanding to include normotensive. ACE inhibitors in preventing diabetic. In a double- blind. After 6 years, microalbuminuria developed in 1. During this period, creatinine clearance decreased at a rate of 2. Hb. A1c. decreased slightly in both groups, and blood pressure remained normal. If confirmed and. Currently most evidence and published guidelines. ACE inhibitors as first- choice antihypertensives in patients with diabetes. The extent of blood- pressure lowering, however, rather than the class of antihypertensive. Blood pressure. < 1. Hg is associated with preserved renal function. Calcium- channel blocking agents have been shown to have beneficial effects,3. ACE inhibition and calcium- channel blockade have shown positive. Evidence is accumulating that. ![]() ![]() Ways to Identify Gallbladder Disease. Expert Reviewed. Three Methods: Recognizing Common Gallbladder Problems. Identifying Symptoms of Gallbladder Disease. Seeking Medical Treatment. Community Q& AThe gallbladder is a small digestive organ whose primary function is to store bile created by the liver. Sometimes the gallbladder fails to work properly, and can become filled with gallstones. Gallbladder disease is more common in women, overweight people, people with gastro- intestinal problems and those with high blood cholesterol levels. There is a genetic component, as well. Gallstones are the primary cause of gallbladder disease; however, two uncommon causes are gallbladder cancer and gallbladder attack, or Cholecystitis. Identifying the symptoms of and seeking treatment for gallbladder disease can help you avoid discomfort and medical complications. Cholelithiasis is the presence of one or more calculi (gallstones) in the gallbladder. In developed countries, about 10% of adults and 20% of people > 65 yr have.![]() Laparoscopic gallbladder removal is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder. Read medical definition of Biliary sludge. Biliary sludge: A mixture of microscopic particulate matter in bile that occurs when particles of material precipitate. Gallstones and gallbladder disease Highlights Diagnosis. Common symptoms of gallbladder disease include abdominal pain, nausea and vomiting, fever, and yellowing of. Medical Definition of Biliary sludge. Biliary sludge: A mixture of microscopic particulate matter in bile that occurs when particles of material precipitate from bile. Bile is the fluid that is made by the liver. It is stored in the gallbladder until after a meal, when it passes out of the gallbladder and through the common bile duct into the intestine to help digest fat in the meal. The composition of biliary sludge varies. The most common particulate components of biliary sludge are cholesterol crystals and calcium salts. Biliary sludge has been associated with certain conditions including rapid weight loss, fasting, pregnancy, medication use (ceftriaxone, octreotide), and bone marrow or solid organ transplantation.
However it most commonly occurs in individuals with no identifiable condition. Biliary sludge can be looked upon as a condition of microscopic gallstones, although it is not clear at what size the particles in biliary sludge should be considered gallstones. Biliary sludge usually causes no symptoms and may appear and disappear over time. However, there may be intermittent symptoms and, on occasion, the particles may grow in size and become gallstones. The most common symptom of biliary sludge is pain in the abdomen, often associated with nausea and vomiting. This occurs when the particles obstruct the ducts leading from the gallbladder to the intestine. Biliary sludge may cause more serious complications, including inflammation of the pancreas (pancreatitis) and inflammation of the gallbladder (cholecystitis). Biliary sludge can be detected with ultrasound of the abdomen or by directly examining bile contents under a microscope (bile microscopy). If patients with biliary sludge develop symptoms or complications, gallbladder removal (cholecystectomy) is performed as treatment. Last Editorial Review: 5/1. Back to Med. Terms online medical dictionary A- Z List. Need help identifying pills and medications? Use the pill finder tool on Rx. ![]() As has been well documented, the first symptom of an Ebola infection is a fever. ![]() News: latest stories, exclusives, opinion & analysis. This period also saw the rise of anabolic steroids in bodybuilding and many other sports. In bodybuilding lore, this is partly attributed to the rise of "mass. It's a distinctly unsexy message to move more, eat less and eat your greens. But, break down most research about health, nutrition and exercise to its simplest form. Evening primrose oil is the oil from the seed of the evening primrose plant. Evening primrose oil is used for skin disorders such as eczema, psoriasis, and acne. The latest UK and World news, from Mirror Online. Find the best stories, opinion, pictures and video on the day's events. Harris, While any amount of caffeine may have an effect on fertility, women who consume more than 250mg of caffeine per day (approximately 2.5 cups) are at the. Leucaena (Leucaena leucocephala (Lam.) de Wit) is a fast growing, evergreen, thornless shrub, reaching a height of 5 m (Hawaiian type) to 20 m (Hawaiian giant type). An error occurred while setting your user cookie. Please set your. browser to accept cookies to continue. This cookie stores just a. ![]() ![]() ID; no other information is captured. Accepting the NEJM cookie is. ![]() ![]() ![]() John Travolta makes rare appearance with wife Kelly Preston and daughter Ella Bleu as he shares love for son Ben helped heal pain from losing Jett in 2009. ![]() Facts About Magnesium. Magnesium makes up 2 percent of the Earth's crust, but you won't see this silvery, light metal in nature. This versatile element occurs naturally only in combination with other elements, such as carbon, calcium and oxygen, as in the common mineral dolomite. In 1. 83. 1, French chemist Antoine Bussy was the first to create a significant amount of pure magnesium, according to the RSC. 12 Zodiac Animals of China & Japan, Juni Shi, Zodiac Calendar, Lunar Calendar, Yin-Yang, Five Elements - Digital Dictionary of Japanese Buddhism.Magnesium is flammable, so one of its main uses is for flares and fireworks. During World War II, the element was even used to make incendiary bombs. It's the eighth- most abundant element in the universe, according to the U. S. Geological Survey. On Earth, magnesium is found both in the crust and in the mantle; it's also the third- most abundant mineral dissolved in seawater, with a 0. It wasn't until 1. Periodic table of elements with information on chemical elements like gold, silver, iron, neon, helium, chlorine, copper, cobalt, and more. It is low in mercury, a toxic element that occurs naturally in the earth's. PEMF - The Fifth Element (Part 1) Most people know we need food (earth), water (water) and oxygen (air) to survive. And many people also know they need full spectrum. Halt the loss of biodiversity in alkaline fens due to the expansion of species from habitats with lower humidity, such as grasses, trees and shrubs;. Magnesium makes up 2 percent of the Earth's crust, but you won't see this silvery, light metal in nature. This versatile element occurs naturally only in combination. Robert Bunsen (inventor of the Bunsen burner), made industrial production possible. It's part of chlorophyll, the green pigment that plants use to extract energy from sunlight. EARTH FACTS. This page was lost and will be rebuilt again. We will be placing information on the continents, eco system and more. These are accurate facts and as such. What's your true nature: fiery, grounded, fluid, or rational? All of us have many of these traits, but often one stands out. Take a quiz to learn which element (air. Iron is a chemical element with symbol Fe (from Latin: ferrum) and atomic number 26. It is a metal in the first transition series. It is by mass the most common. ![]() The element is also crucial to more than 3. U. S. National Library of Medicine. Adult women should take in about 3. NLM. Fruits, vegetables, nuts, legumes and whole grains are good sources. ![]() Doctors sometime recommend magnesium supplements for a variety of medical conditions, including high blood pressure, premenstrual syndrome and diabetes. Epsom salts, otherwise known as magnesium sulfate. Of that, 8. 8 percent is found in Nevada. Car and appliance manufacturers are increasingly using magnesium in their products, according to Firehouse, an online publication for firefighting news. For firefighters, that means the need for additional training and safety procedures. That's the goal of Tufts University biomedical engineer Fiorenzo Omenetto and his colleagues, who have created an implantable device of silk and magnesium that can knock out a staph infection before dissolving harmlessly inside the body. That means they either become part of the body forever, or they must be removed, a process that can carry risk of infection or other complications. Using a substrate of silk — which is made up of amino acids, the building blocks of protein — and a coil of magnesium, the researchers were able to create a simple miniature heater. Once implanted into the body, the heater can be turned on, increasing the temperature of the tissue just enough to kill Staphylococcus aureus bacteria. After days or weeks, depending on the construction of the silk and the thickness of the magnesium, the device dissolves. Tests in mice found that the device successfully knocked out the bacteria, and that in the aftermath, the tissue was perfectly healthy, with no signs of increased levels of silk proteins or magnesium. The researchers reported their findings in November in the journal Proceedings of the National Academy of Sciences. The recommended daily allowance for magnesium in the diet, according to the Institute of Medicine, is between 3. The heater implant contains a mere 3. ![]() ![]() ![]() ![]() In theory, however, biodegradable silk- and- magnesium devices could also be used for other purposes, like sensors for food to detect spoilage. Follow Live Science @livescience, Facebook & Google+. The 8-Hour Diet: Watch the Pounds Disappear without Watching What You Eat!Can You Lose 6. 0 Lbs. Unless you have a massive amount of weight to lose, though, a 6. To lose 6. 0 pounds in 4 months, you'd need to lose an average of 3 3/4 pounds per week - - a rate that's not readily attainable even with medically supervised very- low- calorie plans. Use the four months to establish healthy habits that help you lose as much as 3. You lose weight when you consume fewer calories than you burn. A pound of fat equals 3,5. To achieve this ins four months, you need to create a deficit of 1,7. ![]() Given that 1,7. 50 calories can be a day's worth of calories for many people, and that it takes more than two hours of running at a 6 mph pace for a 1. To potentially achieve that deficit, you'd need to limit your food intake to near starvation. Consuming fewer than 1,2. You'd have little energy left for the exercise required to meet this ambitious goal, either. ![]() Even if you could exercise and diet enough to create the 1,7. A more reasonable, healthy rate of weight loss is 1 to 2 pounds per week, asserts the Centers for Disease Control and Prevention. This requires a 5. Although still challenging to maintain, this deficit is easier to adhere to for the long term and results in weight loss that you're more likely to keep off. When you lose weight too quickly, it usually returns quickly - - often with a few extra pounds. Trimming calories and limiting portions may help you lose weight, if you're eating exactly enough to maintain your current weight. A revision to your diet, though, creates new habits and fills your plate with foods that offer optimal nutrition and satiation. A mix of low- fat dairy and proteins low in saturated fats, such as fish, beans, tofu, poultry and lean steak as well as fiber- rich fruits, vegetables and whole grains, make up a satisfying diet plan. Limit your intake of empty calorie foods - - those with little nutrition - - such as sugar, white flour products and saturated fat. Cook more meals at home, rather than eating at restaurants, which often feature inflated portions and calories you don't expect in added oils and sugar.
Use cooking methods such as broiling, grilling, baking and stir frying. Ideas for home- created meals that don't take a lot of time or cooking skills include an egg and egg whites scrambled with spinach, mushrooms and a tablespoon or two of low- fat cheese with a whole- grain English muffin; stir- fried chicken breast with mushrooms and snow peas; baked fish with brown rice and steamed asparagus; and a lean roast beef sandwich on whole- wheat bread with mustard, lettuce and tomato with an apple. Snacks consist of mostly unprocessed foods, such as fresh fruit, low- fat yogurt, woven wheat crackers with moderate servings of hummus and low- fat cottage cheese with grapes or blueberries. Without exercise, weight loss is harder and results in a notable loss of muscle mass that slows your metabolism and diminishes your health. Moderate- intensity cardiovascular activity in excess of 2. American College of Sports Medicine. This amounts to a minimum of 5. More intense cardio in the form of jogging, circuit training or cycling may be required to adequately raise the heart rate and break a sweat for some people. Strength training at least twice per week helps you retain lean muscle despite your calorie deficit. You'll also build muscle, not body- builder style, but functionally, so that your metabolism stays revved and weight loss is easier. Aim to work all the major muscle groups, including the back, chest, arms, legs, hips, abs and shoulders. Do at least one set of eight to 1. Over time, add more exercises, greater weight and additional sets to continue to see change. As you lose weight, you may need to adjust your calorie intake and exercise routine to continue to see results because your smaller body requires fewer calories to fuel. For every 5 pounds you lose, you'll need 2. After 4 months and as many as 3. Step up exercise or reduce calories slightly more to keep losing weight at the rate that will help you reach your goal. Remember to not eat fewer than 1,2. Very low- calorie diets are supervised by medical staff and provide just 8. These are only warranted when a person's weight endangers their immediate health. Most medical providers won't put a person on such a low- calorie plan for longer than 1. The possible weight loss is 3 to 5 pounds per week - - with an average loss of 4. Even if you achieve this weight loss in three months, you'd be hard pressed to lose another 1. The program consists of specific meal replacements, often shakes, that are developed to be nutritionally complete. You should never try such a low- calorie plan without a doctor's guidance. ![]() ![]() Your colleagues, family members, or best friends have uttered these words with. The following are 10 unconventional weight loss tips that worked for me. Between January 4, 2006 and March 31, 2006 I lost fifty pounds. These tips work we. ![]() Bluespine Unicornfish - Naso unicornis - Surgeonfishes - . Bluespine unicornfish Add your observation in Fish Watcher. Diet Food items Food consumption Ration. Common names Synonyms Metabolism Predators Ecotoxicology. The unicornfishes â ![]() The Bluespine Unicorn Tang, also known as the Unicorn Tang and Unicornfish, and is blue-green to olive in color, with a blue edge on the dorsal and anal fins. Interesting facts about the behavior and characteristics of the Unicorn Fish. Includes Habitat, Scientific Name, Lifespan, Diet, Predators and Threats. ![]() ![]() ![]() ![]() ![]() ![]() Bluespine Unicornfish. Requires a varied vegetable diet, including Spirulina, zucchini. Naso unicornis. Site Design: Craig Dolphin. Http://animalguide.georgiaaquarium.org/home/galleries. We herein evaluate several reproductive metrics of Hawaiian Archipelagic populations of the bluespine unicornfish (Naso unicornis), an economically and ecologically. 6x2x2 679 Liters 182.9cm x 61cm x 61cm 5 months, 23 days 12; autoclimate pro; 90G LPS 90 Gallons 48'' x 18'' x 24'' 4 years, 5 months. Bluespine Unicornfish Drs. Foster & Smith Educational Staff Naso unicornis. The diet for a mature fish should be supplemented with small shrimp such as brine or. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
September 2017
Categories |