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Stress and a Heart Attack: Is There a Connection?

Stress and a Heart Attack: Is There a Connection? People who experience a lot of stress have likely been told more than once in their lives that stress can kill them. Or, that stress can cut their lives short. But can it really? Can stress lead to heart attacks or other issues that could be dangerous to your health? Well, according to research, it can. Increased psychological stress is associated with cardiovascular health issues, including high blood pressure, heart attack, and stroke. Indeed, psychological stress may be as dangerous to your heart’s health as traditional cardiac risk factors, like: irritability depression anxiety rumination anguish No two causes of stress are the same, and no two people will have the same experience with it. Chronic stress can cause symptoms like:  high blood pressure    increased inflammation Trusted Source  reduced blood flow to the heart  a higher risk of heart attack and stroke What can you do to manage stress in a healthy way? Chronic psychological stress is linked to a greater risk of heart attack and stroke. But positive mental health can help lower your risk of these events. Managing stress is not a one-size-fits-all solution. It may take weeks or months to figure out what types of stress management techniques best help you reign in stress and reverse the physical effects that chronic stress can have on your body. Consider trying these steps to help manage stress in a healthy way:   Move more. Regular exercise helps decrease blood pressure, manage weight, and combat the many cardiovascular risks associated with heart attack, including psychological stress. You don’t have to do a lot of exercise to reap the rewards. Start out with 15 to 20 minutes of walking per day, and build up to a pace and duration that is comfortable for you. Focus on sleep. Sleep and stress have an interconnected relationship. Often, people who are experiencing chronic stress have problems getting enough sleep, which can worsen stress and its symptoms, like irritability and mood swings. Start by creating a room that is conducive to sleep — a cool, dark space with no outside light or noise — and try to avoid interruptions to your sleep cycle, like exercising late in the evening or eating too close to bedtime. Aim for 7 to 8 hours of sleep, and take a short nap if you need to, but not too late in the day. Stay connected. Meeting up with friends or going to dinner with family is about more than just catching up on news or celebrating a birthday. These friendships and relationships can help improve your heart health and reduce your stress levels, too. Be mindful. Meditation, controlled breathing exercises, and gentle forms of exercise like yoga and tai chi all work to activate the body’s parasympathetic nervous system. This part of the body helps calm the brain and reduce the impacts of stress. Distract yourself. A hobby or new pastime won’t end chronic stress, but it can help distract you from negative thoughts and push away worries. When you’re not focused on these issues, your brain and body get a chance to relax. Over time, these distractions may take up more of your brain’s capacity than the stress.

2021

08/19

What is the best treatment for conjunctivitis

Pink eye (conjunctivitis) is the inflammation or infection of the transparent membrane that lines your eyelid and eyeball. It's characterized by redness and a gritty sensation in your eye, along with itching. Often a discharge forms a crust on your eyelashes during the night.   Conjunctivitis can be very scary when you first experience it. You will likely feel itchy and uncomfortable, eyes look crusty and red, and be generally, well, sore. Your conjunctiva (the white part surrounding your iris) turns blood red or entirely pink. But despite temporarily looking like a vampire, you shouldn't worry too much. It tends to go away after a week or so.     How do you get conjunctivitis? Viral conjunctivitis is highly contagious. Most viruses that cause conjunctivitis spread through hand-to-eye contact by hands or objects that are contaminated with the infectious virus. Having contact with infectious tears, eye discharge, fecal matter, or respiratory discharges can contaminate hands.   What is conjunctivitis? For a more precise answer, conjunctivitis is an inflammation of the conjunctiva, the clear membrane that covers our eyes.   Conjunctivitis can stem from either a bacterial or viral infection. Telling the difference between the two isn't always obvious. Bacterial conjunctivitis usually has more crusting form overnight. This will be from an eye discharge. Viral conjunctivitis tends to stay in one eye, while the bacterial form usually spreads to both eyes. You can treat the bacterial form of conjunctivitis with antibiotics. The viral form usually just needs to run its course. But again, if you don't see an improvement after five days, see your doctor.   How contagious is conjunctivitis? We see many social media comments from teens and preteens asking, "How do you get conjunctivitis?" The answer: Conjunctivitis is easy to catch-very easy, in fact. Coughing, sneezing, or touching can spread the infection, and it can take off like wildfire in the right conditions.   So is conjunctivitis contagious? Absolutely!   It is very common among school age children and extremely contagious, which means that you should avoid contact with others as much as possible for the first couple of days after contracting the infection. Covering your mouth and repeatedly washing your hands with hot, soapy water can help limit it from spreading.   If you or your child has conjunctivitis, try to limit contact with others as much as possible. That means no school or work for the first 36 - 48 hours after contracting it, which is generally the bacterial contagious period.   Treatments for conjunctivitis As we said, conjunctivitis usually goes away on its own after a few days. To help usher the bacterial form out the door and get rid of conjunctivitis faster, there are over-the-counter antibiotic drops for conjunctivitis that are available at most chemists.   For natural remedies for conjunctivitis at home, try warm compresses over the eyes. These can help provide some relief, as can rest and relaxation. Try to avoid TV and definitely don't share washcloths with your compresses. This can spread the infection to others-and fast.   As you can imagine, an entire family showing the signs and symptoms of conjunctivitis is not fun at all. As soon as you detect an infection, follow the general steps we listed, visit your family doctor if the condition persists, and you should be on the road to recovery with this annoying, but mostly harmless eye disease.   How Long Does Pink Eye Last? How long pink eye lasts depends on which type you have and how you treat it. Most of the time, pink eye clears up within a few days to two weeks.   There are several types of pink eye, including viral and bacterial:   Viral pink eye is caused by viruses like adenovirus and herpes virus. It usually clears up without treatment in 7 to 14 days. Bacterial pink eye is caused by an infection with bacteria like Staphylococcus aureus or Streptococcus pneumonia. Antibiotics should start clearing up the infection within 24 hours of starting to use them. Even if you don’t use antibiotics, mild bacterial pink eye almost always improves within 10 days. Pink eye is usually contagious for as long as you have symptoms like redness, tearing, and crusting. These symptoms should improve within 3 to 7 days.   Using antibiotics for a bacterial infection clears up symptoms faster, but won’t be useful for treating viral infections or other causes of pink eye.   Pink eye prevention Pink eye is very contagious. To avoid catching or transmitting the infection:   Wash your hands often throughout the day with soap and warm water or use an alcohol-based hand sanitizer. Wash your hands before and after you use eye drops or put in contact lenses. Also wash your hands if you come into contact with an infected person’s eyes, clothes, or other personal items. Don’t touch or rub your eyes. Don’t share personal items such as towels, blankets, pillowcases, makeup, or makeup brushes. Wash bedding, washcloths, and towels in hot water after you use them. Thoroughly clean contact lenses and glasses. If you have pink eye, stay home from school or work until your symptoms clear up.       Pink eye is a common eye infection that’s often caused by bacteria or viruses. Most of the time pink eye is mild and will improve on its own, with or without treatment. More serious cases may need treatment with antibiotics or antiviral medicines. Practicing good hand-washing hygiene and not sharing personal items can prevent the spread of pink eye.   Natural treatments Natural treatments can potentially help prevent viral conjunctivitis. Eating probiotics and a diet rich in vitamins A, K, C, and B can help to improve eye health and ward off infection.   If conjunctivitis already has its pink grip on your peepers and it isn’t a bacterial infection, try these remedies to ease your symptoms.   Wash all of your sheets. Take zinc supplements. Apply cold compresses to your eyes. Flush your eyes out regularly with clean water. Get lots of sleep.     Having pink eye isn’t anyone’s idea of a good time, but it’s easy to treat. You’ll generally be out of commission for about a week. That’s from the first sign of infection until it’s resolved. Prepare to see your doctor by making note of your symptoms, and the timeline in which you contracted the disease.   Once your physician has determined if your infection is viral or bacterial and has prescribed the right medication, you’re well on your way to being clear-eyed and healthy.    

2021

07/23

10 Reasons to Get More Sleep

Getting a good night’s sleep is incredibly important for your health. In fact, it’s just as important as eating a balanced, nutritious diet and exercising.   Though sleep needs vary from person to person, most adults require between 7 and 9 hours of sleep per night. Yet, up to 35% of adults in the United States don’t get enough sleep. Sleep deprivation can put your health and safety at risk, which is why it’s essential that you prioritize and protect your sleep on a daily basis.   This article tells you 9 reasons why you need to get more sleep. 1. May help you maintain or lose weight Numerous studies have associated short sleep — defined as sleeping fewer than 7 hours per night — with a greater risk of weight gain and a higher body mass index (BMI)   In fact, a analysis found that adults who slept fewer than 7 hours per night had a whopping 41% increased risk of developing obesity. Meanwhile, sleeping longer didn’t increase the risk   The effect of sleep on weight gain is believed to be affected by numerous factors, including hormones and motivation to exercise.   For instance, sleep deprivation increases levels of ghrelin and decreases levels of leptin. Ghrelin is a hormone that makes us feel hungry while leptin makes us feel full. This may cause us to feel hungrier and overeat.   This is supported by various studies that have shown that sleep-deprived individuals have a bigger appetite and tend to eat more calories.   What’s more, to compensate for lack of energy, sleep deprivation may make you crave foods that are higher in sugar and fat, due to their higher calorie content.   To make matters worse, feeling tired after a night of too little sleep may leave you feeling unmotivated to hit the gym, go for a walk, or do whichever other physical activity you enjoy.   So, prioritizing sleep may support healthy body weight.   2. Can improve concentration and productivity Sleep is important for various aspects of brain function.   Cognition, concentration, productivity, and performance are all negatively affected by sleep deprivation.   A specific study on overworked physicians provides a good example. It found that doctors with moderate, high, and very high sleep-related impairment were 54%, 96%, and 97% more likely to report clinically significant medical errors.   On a similar note, getting enough sleep can improve academic performance in children, adolescents, and young adults.   Finally, good sleep has been shown to improve problem-solving skills and enhance memory performance in both children and adults.   3. Can maximize athletic performance Sleep has been shown to enhance athletic performance.   Numerous studies have shown that adequate sleep can enhance fine motor skills, reaction time, muscular power, muscular endurance, and problem-solving skills.   What’s more, lack of sleep may increase your risk of injury and lower your motivation to exercise .   So, getting enough sleep may be just the thing you need to take your performance to the next level.   4. May strengthen your heart Low sleep quality and duration may increase your risk of developing heart disease.   One analysis of 19 studies found that sleeping fewer than 7 hours per day resulted in a 13% increased risk of death from heart disease.   Another analysis found that compared with 7 hours of sleep, each 1-hour decrease in sleep was associated with a 6% increased risk of all-cause mortality and heart disease .   What’s more, short sleep appears to increase the risk of high blood pressure, especially in those with obstructive sleep apnea — a condition characterized by interrupted breathing during sleep .   In fact, one study found that people who slept fewer than 5 hours per night had a 61% higher risk of developing high blood pressure than those who slept 7 hours.   Interestingly, excessive sleep in adults — more than 9 hours — was also shown to increase the risk of heart disease and high blood pressure.   5. Affects sugar metabolism and type 2 diabetes risk Short sleep is associated with a greater risk of developing type 2 diabetes and insulin resistance — which is when your body cannot use the hormone insulin properly.   In fact, an analysis of 36 studies in over 1 million participants found that very short sleep of fewer than 5 hours and short sleep of fewer than 6 hours increased the risk of developing type 2 diabetes by 48% and 18%, respectively.   It’s thought that sleep deprivation can cause physiological changes like decreased insulin sensitivity, increased inflammation, and hunger hormone changes, as well as behavioral changes like poor decision making and greater food intake — all of which increase diabetes risk .   Plus, sleep deprivation is associated with a higher risk of developing obesity, heart disease, and metabolic syndrome. These factors also increase your risk of diabetes.   6. Poor sleep is linked to depression Mental health concerns, such as depression, are strongly linked to poor sleep quality and sleeping disorders.   One study in 2,672 participants found that those with anxiety and depression were more likely to report poorer sleep scores than those without anxiety and depression.   In other studies, people with sleeping disorders like insomnia or obstructive sleep apnea also report higher rates of depression than those without.   If you have trouble with sleep and notice your mental health has worsened, it’s important to speak with your healthcare professional.   7. Supports a healthy immune system Lack of sleep has been shown to impair immune function .   In one study, participants who slept fewer than 5 hours per night were 4.5 times more likely to develop a cold compared than who slept more than 7 hours. Those who slept 5–6 hours were 4.24 times more likely.   Some data also suggests that proper sleep may improve your body’s antibody responses to influenza vaccines.   Recently, preliminary data shows that getting enough sleep before and after receiving a COVID-19 vaccination may improve vaccine efficacy. Still, more research is needed to better understand this possible connection.     8. Poor sleep is linked to increased inflammation Poor sleep can have a major effect on inflammation in the body.   Sleep plays a key role in the regulation of our central nervous system. In particular, it’s involved in the stress-response systems known as the sympathetic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis .   Sleep loss, especially from disturbed sleep, is known to activate inflammatory signaling pathways and lead to higher levels of undesirable markers of inflammation, like interleukin-6 and C-reactive protein.   Over time, chronic inflammation can cause the development of many chronic conditions, including obesity, heart disease, certain types of cancer, Alzheimer’s disease, depression, and type 2 diabetes.     9. Affects emotions and social interactions Sleep loss reduces your ability to regulate emotions and interact socially.   When we’re tired, we have a harder time controlling emotional outbursts and our behaviors in front of others. Tiredness may also affect our ability to respond to humor and show empathy.   Plus, those who are chronically sleep-deprived are more likely to withdrawal from social events and experience loneliness.   Prioritizing sleep may be a key way to improve your relationships with others and help you become more social.   If you deal with loneliness or emotional outbursts, don’t be afraid to reach out to a friend, family member, or healthcare professional to get support. To learn more, view this list of resources.     Lack of sleep can be dangerous Not getting enough sleep can be dangerous for yourself and others.   When we’re tired, our ability to focus on tasks, reflexes, and reaction times decreases. In fact, being severely sleep-deprived is comparable to having consumed excess alcohol.   Concerningly, the Centers for Disease Control and Prevention (CDC) reports that 1 in 25 people have fallen asleep at the wheel while driving. Those who slept fewer than 6 hours were most likely to fall asleep while driving.   Further, the CDC reports that staying awake for more than 18 hours is comparable to having a blood alcohol content (BAC) of 0.05%. After 24 hours, this increases to 1.00%, which is over the legal driving limit.   In addition to increased risks associated with driving, lack of sleep may also increase the risk of workplace injury and errors .   All in all, getting proper sleep is important for everyone’s safety.      

2021

05/27

Anesthesia face masks-At your side in the hospital

  Anesthesia is broken down into three main categories: general, regional, and local, all of which affect the nervous system in some way and can be administered using various methods and different medications.   Think of the brain as a central computer that controls all the body's functions and the nervous system as a network that relays messages back and forth from the brain to different parts of the body.   It does this via the spinal cord, which runs from the brain down through the backbone and contains threadlike nerves that branch out to every organ and body part.     What is the Anesthesia face masks?   Anesthesia face masks are rubber or silicone masks that cover both the mouth and nose of the patient.   Face masks are used to deliver O2, N2O-O2, and/or other inhalation anesthetics before, during, and after the anesthetic procedure.   Can anesthesia be given through mask?   General anesthesia can be given through an IV (which requires a needle stick into a vein, usually in the arm) or   by inhaling gases or vapors delivered by a mask or breathing tube.     How do you inflate an anesthesia mask?   If the air cushion does not appear to have the optimal amount of inflation,   use a needle-less syringe with a Luer lock tip to inflate and deflate the cushion through the mask valve.     The types of Anesthesia face masks   Air Cushion Mask   Colored Removable Hook rings for easy size identification and fixation.   Soft inflated cushion for good sealing and patient comfort.     Economy Anaesthesia Mask   Soft anatomical cushion for good seal and patient comfort.                 If your child is having surgery or a procedure, it can help to understand how the various types of anesthesia make the experience more comfortable.     General Anesthesia The goal is to make and keep a person completely unconscious (or "asleep") during the operation, with no awareness or memory of the surgery. General anesthesia can be given through an IV (which requires a needle stick into a vein, usually in the arm) or by inhaling gases or vapors delivered by a mask or breathing tube.   If your child is having general anesthesia, the anesthesiologist will be there before, during, and after the operation to monitor the anesthetic medications and ensure your child is constantly receiving the right dose.   With general anesthesia, the anesthesiologist uses a combination of various medications to:         1.relieve anxiety   2.keep your child asleep   3.minimize pain during surgery and relieve pain afterward (using drugs called analgesics)   4.relax the muscles, which helps to keep your child still   5.block out the memory of the surgery         After surgery, the anesthesiologist reverses the anesthesia process to help your child "wake up." It usually takes about 45 minutes to an hour for kids to   recover from general anesthesia. This recovery period is monitored by specially trained nurses in the post-anesthesia care unit (PACU) or recovery room.   During recovery, your child is still under the care of the anesthesiologist.     Regional Anesthesia   An anesthetic drug is injected near a cluster of nerves, numbing a larger area of the body (such as below the waist). Most children who receive regional anesthesia are deeply sedated or asleep for the procedure. Rarely, older kids or those who might be at risk by being asleep may be awake or lightly sedated for this type of anesthesia.   In kids, regional and general anesthesia are often combined, except in very special circumstances. Regional anesthesia is generally used to make someone more comfortable during and after the surgical procedure. If regional anesthesia is appropriate for your child, you'll discuss this with the anesthesiologist. The time required to recover from the numbing effect will vary depending on the type of regional anesthetic used.    

2021

05/19

10 Ways to Naturally Reduce Anxiety

  Some anxiety is a typical part of life. It’s a byproduct of living in a busy world. Anxiety isn’t all bad, though. It makes you aware of danger, motivates you to stay organized and prepared, and helps you calculate risks. Still, when anxiety becomes a daily recurrence, it’s time to act before it snowballs. Unchecked anxiety may greatly impact your quality of life. Take control by trying out the ideas below.   What is anxiety? Anxiety is your body’s natural response to stress. It’s a feeling of fear or worry that could be caused by a combination of factors that researchers believe range from genetics to environmental to brain chemistry.   Some common symptoms of anxiety include:   increased heart rate rapid breathing restlessness trouble concentrating   However, it’s important to note that anxiety can present itself in different ways for different people. While one person may experience a butterfly feeling in their stomach, another might have panic attacks, nightmares, or painful thoughts.   With that being said, there’s a difference between everyday anxiety and anxiety disorders. Feeling anxious about something new or stressful is one thing, but when it gets to an uncontrollable or excessive point and starts to affect your quality of life, it could be a disorder.   Some anxiety disorders include:   panic disorder post-traumatic stress disorder (PTSD) obsessive-compulsive disorder (OCD) separation anxiety illness anxiety phobia generalized anxiety disorder (GAD) social anxiety disorder How can I treat anxiety? Anxiety can be treated in a variety of ways. One common treatment option is cognitive behavioral therapy (CBT), which helps provide people with tools to cope with anxiety when it occurs.   There are also certain medications, like antidepressants and sedatives, that work to balance brain chemistry and prevent episodes of anxiety. They may even ward off the most severe symptoms.   If you’re looking to go a more natural route, though, there are little and big ways you can help combat anxiety.   You can make adjustments to habits, like exercise, sleep, and diet. You can also try something totally new, like aromatherapy or meditation. No matter what your lifestyle demands, there’s a natural way to help reduce anxiety for everyone.     10 natural remedies for anxiety 1. Stay active Regular exercise isn’t just about physical health — it can be a huge help to your mental health, as well.   A 2013 study found that people with anxiety disorders who reported a high level of physical activity were better protected against developing anxiety symptoms.   This could be for a variety of reasons. Exercise can divert your attention away from something that’s making you anxious.   Getting your heart rate up also changes the brain chemistry to create more space for anti-anxiety neurochemicals, like:   serotonin gamma-aminobutyric acid (GABA) brain-derived neurotrophic factor (BDNF) Endocannabinoids   According to the American Psychological Association (APA), regular exercise leads to an enhancement of concentration and willpower, which can help certain anxiety symptoms.   When it comes to what type of exercise, this is more of a personal preference. If you’re looking to really get your heart rate up, something like a HIIT class (high-intensity interval training) or running is your best bet.   But if you’re looking to start off with something with a little lower impact, workouts, like Pilates and yoga, could also be just as beneficial for your mental health.   2. Steer clear of alcohol Drinking alcohol may take the edge off at first, since it’s a natural sedative. However, research suggests there’s a link between anxiety and alcohol consumption, with anxiety disorders and alcohol use disorder (AUD) occurring hand-in-hand.   A 2017 review that looked at 63 different studies showed that decreasing alcohol intake can improve both anxiety and depression.   Heavy drinking can interfere with the balance of neurotransmitters, which can be responsible for positive mental health. This interference creates an imbalance that may lead to certain symptoms of anxiety.   Anxiety may temporarily increase in early sobriety but can improve in the long run.   Alcohol has also been shown to disrupt your body’s natural ability to sleep by interfering with sleep homeostasis. And as we’ll later point out, a good night’s sleep is incredibly helpful when combating anxiety.   3. Consider quitting smoking cigarettes Smokers often reach for a cigarette during stressful times. Yet, like drinking alcohol, taking a drag on a cigarette when you’re stressed is a quick fix that may worsen anxiety over time.   Research has shown that the earlier you start smoking in life, the higher your risk of developing an anxiety disorder later. Research also suggests nicotine and other chemicals in cigarette smoke alter pathways in the brain linked to anxiety.   If you’re looking to quit, there are lots of different ways you can get started. The Centers for Disease Control and Prevention (CDC)Trusted Source recommends finding a safe substitute for cigarettes, like toothpicks.   You can also take up habits that may distract you in order to create an environment that works for your smoke-free life. Additionally, you can make a plan with a support system who can provide everything from encouragement to distractions.   4. Limit caffeine intake If you have chronic anxiety, caffeine is not your friend. Caffeine may cause nervousness and jitters, neither of which is good if you’re anxious.   Research has shown caffeine may cause or worsen anxiety disorders. It may also cause panic attacks in people with panic disorder. In some people, eliminating caffeine may significantly improve anxiety symptoms.   Similar to alcohol, caffeine and anxiety are often linked, due to caffeine’s ability to alter brain chemistry.   For example, a 2008 study showed that caffeine increases alertness by blocking the brain chemical adenosine, which is what makes you feel tired, while at the same time triggering the release of adrenalin.   With all this being said, a moderate intake of caffeine is safe for most people.   However, if you’re looking to cut back or completely cut out caffeine, you’ll want to start by slowly reducing the amount of caffeine you drink daily.   Start replacing these drinks with water to quench the thirst. This will not only satisfy your body’s need to drink a liquid, but it will also help flush caffeine from your body and keep you hydrated.   Gradually reducing your caffeine over the course of a few weeks can help adjust the habit without the body going through withdrawal.   5. Prioritize getting a good night’s rest Sleep has been proven time and time again to be an important part of good mental health.   Even though a 2012 survey found that nearly a third of adults get less than 6 hours of sleep a night, the CDC recommends that adults get 7 to 9 hours of sleep every day.   You can make sleep a priority by:   only sleeping at night when you’re tired not reading or watching television in bed not using your phone, tablet, or computer in bed not tossing and turning in your bed or going to another room if you can’t sleep avoiding caffeine, large meals, and nicotine before bedtime keeping your room dark and cool writing down your worries before going to bed going to sleep at the same time each night     6. Meditate and practice mindfulness A main goal of meditation is full awareness of the present moment, which includes noticing all thoughts in a nonjudgmental way. This can lead to a sense of calm and contentment by increasing your ability to mindfully tolerate all thoughts and feelings.   Meditation is known to relieve stress and anxiety and is a primary facet of CBT.   Research from John Hopkins suggests 30 minutes of daily meditation may alleviate some anxiety symptoms and act as an antidepressant.   How to meditate There are 9 popular types of meditation:   mindfulness meditation spiritual meditation focused meditation movement meditation mantra meditation transcendental meditation progressive relaxation loving-kindness meditation visualization meditation   Mindfulness meditation is generally the most popular form. To mindfully meditate, you can close your eyes, breathe deeply, and pay attention to your thoughts as they pass through your mind. You don’t judge or become involved with them. Instead, you simply observe them and take note of any patterns.   7. Eat a balanced diet Low blood sugar levels, dehydration, or chemicals in processed foods, such as artificial flavorings, artificial coloring, and preservatives, may cause mood changes in some people. A high-sugar diet may also impact temperament.   If your anxiety worsens after eating, check your eating habits. Stay hydrated, eliminate processed foods, and eat a balanced diet rich in complex carbohydrates, fruits and vegetables, and lean proteins.   8. Practice deep breathing Shallow, fast breathing is common with anxiety. It may lead to a fast heart rate, dizziness or lightheadedness, or even a panic attack.   Deep breathing exercises — the deliberate process of taking slow, even, deep breaths — can help restore normal breathing patterns and reduce anxiety.   9. Try aromatherapy Aromatherapy is a holistic healing treatment that has been used by humans for thousands of years. The practice uses natural plant extracts and essential oils to promote the health and well-being of the mind, body, and spirit. Its goal is to enhance both physical and emotional health.   The essential oils created by the natural plant extracts may be inhaled directly or added to a warm bath or diffuser. Aromatherapy is suggested to:   help you relax help you sleep boost mood reduce heart rate and blood pressure   Some essential oils believed to relieve anxiety are:   bergamot lavender clary sage grapefruit ylang ylang 10. Drink chamomile tea A cup of chamomile tea is a common home remedy to calm frayed nerves and promote sleep.   A 2014 study showed chamomile may also be a powerful ally against GAD. The study found people who took German chamomile capsules (220 milligrams up to five times daily) had a greater reduction in test scores that measure anxiety symptoms than those who were given a placebo.   Another 2005 study found that chamomile extract helped sleep-disturbed rats fall asleep. Researchers believe that the tea may function like benzodiazepine, binding to benzodiazepine receptors and having benzodiazepine-like hypnotic activity.

2020

12/23

Nasal Endotracheal Tube

PVC Medical Grade murphy eyes with balloon Nasal Endotracheal Tube Cuffed   Description of Endotracheal Tube Cuffed:   HENAN AILE INDUSTRIAL CO., LTD is a company for operating medical disposables, and the Endotracheal Tube, which has star lumen tubing and tip-to-tip X-ray line allows for safe positioning control, is one of our productions.   The Nasal Endotracheal Tube is a method of inserting a special endotracheal tube into the trachea or bronchus through the mouth or nasal cavity, And it has different size to adapt to different medical needs,including 2.0mm to 10.0mm. Product composition and function:   Total size of Standard Endotracheal Tube(mm) 3.0/4.0/4.5/5.0/5.5/6.0/6.5/7.0/7.5/8.0/8.5/9.0/9.5/10.0 Murphy Eye Reducing the risk of occlusinon and maintaining airflow Balloon Providing even pressure to maintain good sealing,reducing pressure on the tissues of trachea Wire coil Increasing flexibility, providing effective resistance to kinking Radiopaque Allowing clear identification of the tube on radiographic images 15mm connector Reliable connection to all standard equipment Valve Ensuring continual cuff integrity   Endotracheal Tube Cuffed Application Features : Suitable for both oral and nasal intubation. Tip-to-Tip X-ray line allows for safe positioning control. Murphy eye incorporated as an additional safety feature. Smooth bevelled and carefully moulded hooded tip to assist intubation and to provide high patient safety and comfort. High volume/low pressure cuff helps to ensure an efficient low pressure cuff seal, for intubation during long term ventilation. Intubation depth marks and pre-mounted 15 mm connector. Uses There are a number of indications for placement of an endotracheal tube that can be broken down into a few broad categories. These include: General surgery: With general anesthesia , the muscles of the body including the diaphragm are paralyzed, and placing an endotracheal tube allows the ventilator to do the work of breathing. Foreign body removal: If the trachea is obstructed by a foreign body that is aspirated (breathed in), an endotracheal tube may be placed to help with the removal of the foreign object. To protect the airway against aspiration: If someone has a massive gastrointestinal bleed (bleeding in the esophagus, stomach, or upper intestine) or suffers a stroke, an endotracheal tube may be placed to help prevent the stomach contents from entering the airways. If the stomach contents are accidentally breathed in, a person may develop aspiration pneumonia, a very serious and potentially life-threatening disease. To visualize the airway: If an abnormality of the larynx, trachea, or bronchi is suspected, such as a tumor or a congenital malformation (birth defect), an endotracheal tube may be placed to allow careful visualization of the airways. To support breathing: If someone is having difficulty breathing due to pneumonia, a pneumothorax (collapse of a lung), respiratory failure or impending respiratory failure, heart failure, or unconsciousness due to an overdose, stroke, or brain injury, an endotracheal tube may be placed to support breathing. Intubation During intubation, a physician usually stands at the head of the bed looking towards the patient's feet and with the patient lying flat. The positioning will vary depending on the setting and whether the procedure is being done with an adult or child. With children, a jaw thrust is often used.  The endotracheal tube with the assistance of a lighted laryngoscope (a Glidescope video laryngoscope is particularly helpful for people who are obese or if a patient is immobilized with a suspected injury to the cervical spine) is inserted through the mouth (or in some cases, the nose) after moving the tongue out of the way. lThe scope is then carefully threaded down between the vocal cords and into the lower trachea. When it's thought that the endotracheal tube is in the proper location, the doctor will listen to the patient's lungs and upper abdomen to make sure that the endotracheal tube was not inadvertently inserted into the esophagus. lOther signs that suggest the tube is in the proper position may include seeing chest movement with ventilation and fogging in the tube. When a doctor is reasonably sure the tube is in position, a balloon cuff is inflated to keep the tube from moving out of place. (In infants, a balloon may not be needed). The tube is then taped to the patient's face.                                                    Verifying Proper Placement 1. Once the tube is in place, it's important to verify that it is truly in the proper location to ventilate the patient's lungs. Improper positioning is particularly common in children, especially children who have experienced trauma. 2. In the field, paramedics have a device that allows them to determine if the tube is in the correct position by a color change.5 In the hospital setting, a chest X-ray is often done to ensure good placement, though a 2016 review suggests that a chest X-ray alone is inadequate, as is pulse oximetry and physical examination. 3. In addition to directly visualizing the endotracheal tube pass between the vocal cords with a video laryngoscope, the authors of the study recommended an end-tidal carbon dioxide detector (capnography) in patient's that had good tissue perfusion, with continued monitoring to make sure the tube does not become displaced. 4. In the setting of a cardiac arrest, they recommended using ultrasound imaging or an esophageal detector device. Removing the Endotracheal Tube Before removing an endotracheal tube (extubation) and stopping mechanical ventilation, doctors carefully assess a patient to predict whether or not he or she will be able to breathe on her own. This includes: · Ability to breathe spontaneously: If a patient had anesthesia during surgery, they will usually be allowed to wean off of the ventilator. If an endotracheal tube is placed for another reason, different factors may be used to determine if it is time, such as using arterial blood gasses or looking at peak expiratory flow rate. · Level of consciousness: In general, a higher level of consciousness (Glasgow coma scale over eight) predicts a greater chance that weaning will be successful. If it's thought that the tube can be reasonably removed, the tape holding the endotracheal tube on the face is removed, the cuff is deflated, and the tube is pulled out.   Side Effects After Removal A sore throat after surgery. and hoarseness are common following surgery but usually last only a day or two. Being on a ventilator for surgery is a major risk factor for atelectasis, and having patients cough after surgery and become mobile as soon as possible is important.                  

2020

10/22

Autoimmune Hepatitis

Hepatitis is a general term that means inflammation of the liver. In autoimmune hepatitis, the body's immune system attacks the cells of the liver, which causes the liver to become inflamed. Symptoms of Autoimmune Hepatitis. Most patients with autoimmune hepatitis have no symptoms. The disorder is often first detected through abnormal liver function test results found on blood testing (such as for a life insurance examination). For the more severe disease, the most common symptom is fatigue. Some people also have symptoms of hepatitis, such as fever and jaundice (yellowing of the skin or eyes or dark urine). Other symptoms include itching, skin rashes, joint pain, abdominal discomfort, abnormal blood vessels in the skin, nausea and vomiting, and loss of appetite. In its most advanced form, autoimmune hepatitis can progress to cirrhosis (scarring of the liver). Who Is at Risk of Autoimmune Hepatitis? It is not clear why autoimmune hepatitis develops. Researchers suspect that some people inherit a genetic disposition that could make them more likely to develop it. Sometimes, drugs or infections could trigger the development of the disease. Patients with autoimmune hepatitis may also have other autoimmune disorders, such as thyroiditis (inflammation of the thyroid), ulcerative colitis (inflammation of the bowel), diabetes mellitus, vitiligo (patches of skin discolouration), lupus, or Sjögren's syndrome (inflammation of the salivary and tear glands). There are two main types of autoimmune hepatitis: Type 1 autoimmune hepatitis can affect people of any age or gender. Type 2 autoimmune hepatitis primarily affects girls and young women and is less common. Autoimmune Hepatitis Diagnosis Autoimmune hepatitis is diagnosed through blood tests and a liver biopsy. During a liver biopsy, a small sample of liver tissue is removed with a needle and examined under a microscope. When to Seek Medical Advice? If you display any of the above symptoms, please consult a hepatologist to confirm the diagnosis and manage the condition. Autoimmune Hepatitis Treatment (Provided by NUH) Autoimmune hepatitis is usually treated first with a glucocorticoid (such as prednisone). Prednisolone at a high dosage during long-term treatment can lead to weight gain, bone loss, elevated blood glucose levels (potentially leading to diabetes), an increased risk of infections, cataracts, high blood pressure, and mood and sleep disturbance. Duration of Treatment for Autoimmune Hepatitis. As a general rule, treatment should continue until the disease is in remission. Remission is defined as a lack of symptoms, normal levels of liver blood tests, or absence of liver inflammation. Approximately 65 percent and 80 percent of patients achieve remission within 18 months and three years, respectively. About 50 percent of patients remain in remission or have only mild disease activity for months to years after treatment is stopped. However, patients whose disease relapses or becomes active again may have to restart treatment. Relapse typically occurs within the first 15 to 20 months after treatment is stopped and is more likely in those who are found to have cirrhosis on the initial liver biopsy.

2020

08/18

How to Plan a Diabetes-Friendly Grocery List

    When you have diabetes, your body doesn’t break down food to use as energy the way it should. As of 2017, the Centers for Disease Control and Prevention (CDC)estimates that over 30 million people in the United States have diabetes. A vast majority of those people have type 2 diabetes.   If not managed effectively, diabetes can cause health complications. Common health complications include:   1.kidney disease, which can lead to kidney failure 2.nerve and vessel disease, which can lead to limb amputation 3.eye disease, which can lead to blindness   The good news is that weight loss and exercise have shown enormous potential for preventing, treating, and in some cases reversing type 2 diabetes, according to the American Association of Diabetes Educators (AADE).   Maintaining a diabetes-friendly diet is more complex than just cutting carbs. Don’t let that deter you, though. It’s easy to follow a diabetes-friendly diet, especially if you get in the habit of meal planning.   Planning your meals ahead of time Planning your meals ahead of time may cost you more minutes in the short term, but you’ll reap the rewards later. If you’ve already decided what you’re making each night and have your refrigerator stocked, you’re that much closer to a healthy meal.   Getting into a routine of meal planning can save your body from health complications. Because you’ll be skipping that takeout and those impulse purchases at the grocery store, it can also save your wallet.   Not sure where to start? All it takes is a one-day commitment to get on the right path, says Toby Smithson, MSNW, RDN, LDN, CDE, co-author of Diabetes Meal Planning and Nutrition for Dummies and a former spokesperson for the Academy of Nutrition and Dietetics.   1. Pick one day where you can set aside a couple of hours for meal planning. This could be a weekend day or another nonworking day. If you have children, look for a day when you don’t have to drive them all over town for various activities.   To get started, first write a menu for the week. Scour Pinterest or your favorite foodie blogs for ideas. Write down a shopping list as you go. Then hit the grocery store using your list as a guide.   To shorten this process even further, consider using a meal-planning website such as Plan to Eat. Websites and apps such as this allow you to quickly save and categorize recipes from any website, blog, cookbook, or meal plan. Plan to Eat also automatically creates a grocery list for you. After you’ve done this for several weeks, you’ll have a great database of recipes you enjoy. It’ll become easier to make your plan because you’ll be able to spend less time sourcing recipes. And of course, it’s a good idea to add new recipes so you don’t get bored.   If cooking daily isn’t feasible for you, give yourself a break. Try cooking in bulk when you can. Make double the amount of one meal and eat the leftovers another night or for lunch. You can also look for meals that are easy to freeze. This lets you freeze excess food and have meals already set aside for upcoming weeks.   Fruits and vegetables Here’s your chance to go crazy! Every fruit and vegetable offers its own set of nutrients and health benefits.   Try to choose fruits and vegetables in a range of colors. Include them in every meal and snack. Nonstarchy vegetables are the lowest in calories and carbohydrates. Some great nonstarchy vegetables include:   1.broccoli 2.cauliflower 3.Brussels sprouts 4.green beans 5.eggplant 6.asparagus 7.celery 8.salad greens, such as arugula, kale, or romaine lettuce 9.carrots 10.zucchini     You’ll need to count the carbs in your fruits and starchy vegetables just as you would for any other carbohydrate food group. This doesn’t mean you need to avoid them. Just be sure the amount you’re eating fits into your overall meal plan.   When shopping for fruits and vegetables, look for choices that are in season to save some bucks. Shopping for foods that are in season can also be a great way to try new fruits and vegetables.     Meat and seafood Choose fatty fish for heart health and brain protection. Seafood that contains omega-3 fatty acids, such as salmon or sardines, is a great option because omega-3 fatty acids support a healthy heart. Try to plan at least two servings of fish each week.   Go lean when it comes to other meats. Chicken or turkey breast are good options. Shoot for 3-ounce serving sizes. Aim to fit three servings of lean meat into your meal plan every week.   You may want to consider limiting your red meats overall. They’ve been linked to colon cancer, a condition people with diabetes may have an increased risk for developing.   Legumes The legume family includes the following foods:   1.beans 2.peanuts 3.peas 4.lentils   Aim for at least one to two 1/2-cup servings per day. Although these foods are rich in carbohydrates, they’re one of the highest fiber sources you can eat. They also provide excellent plant protein.   This makes them an ideal carbohydrate choice over other starches such as rice, white pasta, and bread. Choose your legume favorites. You can include any legumes you like in your diet because they’re similar enough in nutrients.   Dairy and dairy alternatives Shoot for one to three low-fat servings per day. Some studies suggest that yogurt is good for people with diabetes and may help prevent it for those at risk. Greek yogurt may be a better option than other yogurts because it’s higher in protein and lower in carbs than traditional yogurt.   Cottage cheese is another great low-carb option that’s also high in protein.   Just watch out for added sugars in yogurts. They can hide in flavorings and add-ins, such as granola or cookie bits. Overall, options that are lower in calories, added sugar, and saturated fat are better for those with diabetes.   Unsweetened soy, flax, almond, or hemp milk and yogurt made from them can provide protein while minimizing carbohydrate content. Learn more about nondairy milks here.   Frozen foods You can stock up on fruits and veggies here, too! Read the nutrient label to avoid products with lots of additives, sugar, or sodium. These are always handy to keep stocked because frozen produce lasts longer than fresh produce and can be great for saving time when you’re pulling together dinner in a pinch.   When you’re hankering for something sweet, there’s no need to ditch dessert altogether. Restrictive diets aren’t a good long-term solution and can often do more harm than good.   Instead, be smart about what you eat. Stick to single-serving desserts and only stock your freezer with one type at a time. This helps you avoid too much temptation.   Breakfast cereals and snacks You’re better off limiting processed foods when you can, but that’s not always feasible. Whether it’s breakfast cereal, crackers, or snack bars, certain keywords can help you find options that are better for you. In general, check the packaging for these words:   “whole grain” “whole wheat” “sprouted grain” “high fiber” Wishnick recommends choosing foods with at least three grams of dietary fiber and fewer than eight grams of sugar per serving.       Instead of buying a lot of processed snack foods, consider reaching for some nuts instead. In addition to heart health benefits, some nuts, such as almonds, may even help increase insulin sensitivity. That’s a good thing for people with diabetes.    

2020

07/23

How to prevent Allergies from children?

Allergies (Child) - What it is? Allergies are some of the most common health problems. Millions of people worldwide are affected by asthma, allergic rhinitis, atopic dermatitis and other allergy-related conditions. Although allergies are more common in children, the onset or recurrence of allergies can take place at any age. Allergies (Child) - Symptoms: Most allergic reactions are easily controlled. But some can lead to an anaphylactic reaction, which is a serious allergic reaction that progresses rapidly and can be fatal. Symptoms may include a combination of rashes, shortness of breath, chest pain or tightness, weak pulse, dizziness, swelling of the eyes, lips or tongue, difficulty swallowing, abdominal cramps or vomiting. An anaphylactic reaction is an emergency, which needs immediate medical attention.   Listed below are some common allergies, their symptoms and triggers. Consult your doctor if your child displays any of these symptoms.   1. Asthma:   Children with asthma often have cough, tight chest or difficulty breathing. These signs are worse in the morning or at night and could also be due to exercise or physical activity. Common triggers include viral infections, cigarette smoke, house dust mites, animal fur, weather changes and even stress.   2. Allergic Rhinitis:   Allergic rhinitis is usually due to inhaling house dust mites, mould and animal dander. The condition can be frustrating to a child as he or she will sneeze often and have an itchy and runny nose, which can get stuffy. The child may start to breathe through the mouth. Often the child also has watery and itchy eyes, which may become red and swollen.   3. Eczema:   In infants, eczema tends to occur on the cheeks, behind the ears and on the thighs. As the child grows, these dry, itchy and red patches are often found in the folds of the neck, arms and legs. Eczema can be worsened by food allergies or contact with allergens such as house dust mites and animal fur.     4. Food allergies:   These can be mild or serious enough to cause an anaphylactic reaction. Common triggers include peanuts, eggs, wheat, soy and shellfish.   5. Contact dermatitis:   Unlike hives, the red itchy patches are confined to areas which have come into direct contact with the allergen, which may include chemicals found in perfumes, cosmetics, detergents or plant substances such as poison ivy. If severe, the rashes may even blister. Allergies (Child) - How to prevent? Prevention of allergies depends on the type of allergy you have. Once you know what triggers your allergic reaction, you should do your best to avoid those triggers. Common triggers include viral infections, cigarette smoke, house dust mites, animal fur, weather changes and even stress. Allergies (Child) - Causes and Risk Factors Causes of Allergies (Child):   What causes allergies is not exactly known. Allergies tend to run in families so if either parent has an allergy, the child has a higher chance of getting allergies. However, some children have allergies even if no one in the family does. There is usually a history of contact with an allergen, which is a substance that can be eaten, inhaled, injected or come into contact with the skin. Common allergens include peanuts, pollen, medicines, insect stings and animal dander.   Risk factors of Allergies (Child):   Children have a higher risk of developing allergies than adults, although some children outgrow their allergies as they get older. A family history of allergies and having asthma also increase the child’s risk of allergies.   Primary risk factors:   Allergies are hereditary and passed from parents to children. So a child with at least one parent with allergies is likely to develop allergies. A child with asthma is also more likely to develop other allergies.   Secondary risk factors:   Exposure to allergens when the body’s immune system is weak, such as after a viral infection, also seems to increase the risk of allergies. Allergies (Child) - Treatments The first and most important step in treatment is to identify and avoid your allergy triggers. Your doctor may also prescribe allergy medications to reduce your symptoms. The medication depends on the type of allergy and can be over-the-counter or prescription drugs in the form of oral medications, nasal sprays or eye drops. In severe allergies, your doctor may suggest allergy shots. Also called immunotherapy, this treatment involves a series of injections of purified allergen extracts, given usually over a period of a few years. Allergies (Child) - Other Information. When To Seek Help: Seek medication attention if your symptoms get worse over a few days, or if they do not improve with treatment. You should see a doctor at once if you suddenly develop severe or rapidly worsening symptoms such as: swelling of the lips, tongue, or throat wheezing, chest tightness, loud breathing, or trouble breathing sweating, nausea, or vomiting widespread rash

2020

05/30

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