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Loneliness

Loneliness really hurts, not only emotionally but also physically, as there is a clear link between loneliness and physical pain. Loneliness can strike at almost any time and the isolation and sadness can be difficult to bear.

Temporary loss of a partner or farther away it can make anyone feel alone. A person may feel alone and without major changes in his life. Anyone can be single or may feel alone, even surrounded by people.

Loneliness is simply the feeling of breaking the other (5-7% of middle-aged adults or older reported the presence of intense or persistent sense of loneliness).

Loneliness and diseases

Loneliness is painful not only emotionally but may even harm a person's health. It is a risk factor for a number of problems such as hypertension, sleep disturbances, decreased ability to cope with everyday stress and body's ability to handle inflammation.

The result is the emergence of diseases such as atherosclerosis, rheumatoid arthritis, tendonitis, low immune system and increased susceptibility to various diseases. Scientists can not identify whether these health problems are triggered specifically health, but can confirm that they can be worsened by loneliness.

Small quantities of chemicals are released into the bloodstream and stress can affect blood vessels throughout the body. Sometimes loneliness is inevitable in life and everyone is normal to fear experienced in this regard. Loneliness should be seen as a thirsty pet may be satisfied through connection with others.

Treatment of loneliness

Scientists believe that loneliness should not be regarded as a state but as a motivation to socialize. Here's how:

- Interact with others - do not have to be the best friend someone to benefit from interaction. Friendship is a relationship where a smile is enough. Awareness of this neighborhood can make a person feel part of a community, for example.

- Be selective when you choose your friends - When a person wants very much to have relationships would be willing to tolerate unacceptable treatment.

- Think positive - Lonely people tend to expect to be rejected, making it more possible. Cognitive psychotherapy can help any person to review how others perceive.

Foods that cause constipation

A diet low in fiber may cause constipation. Sense of rectal blockage and defecation more than 24 hours may increase the risk of developing chronic constipation. Once symptoms occur, consult a doctor first.

Among the factors contributing to constipation installation are: lack of exercise, and routine use of certain drugs. To this, add the wrong food choices and inadequate intake of water.

Foods that constipate

Fiber (both solubtile and insoluble) are parts constituitive of plants, fruits and grains that the body can not digest. Soluble fiber dissolves easily in water and their consistency in the intestine, will be similar to a viscous or gel.

Insoluble fiber passes through the intestine in a state almost unchanged from baseline. Soft texture of fiber help prevent hard, dry stools formation of difficult to remove.

A diet low in fiber is the main cause of constipation among older adults. In this category falls the interest of people to eat, and small income and difficulty walking or present medical conditions underlying various food choices.

Consequently cosuma elderly especially foods low in fiber. In addition, intervening in these cases and swallowing or chewing problems that cause people to eat soft foods old processed or low in fiber.

A diet low in fiber may cause constipation which may include:
- Ice cream
- Cheese
- Meat
- Snacks (pizza, chips)
- Processed foods (potatoes pure frozen instant foods).

Refined and processed foods that cause constipation

Both children and adults consume refined and processed foods frequently in the natural fiber has been removed. In this category fall many prepackaged foods and snacks.

What types of foods do not cause constipation?

Consumption of foods rich in fiber help treat constipation. Here are some suggestions:
Vegetables Fruits Bread, cereals, beans
Apples Broccoli, raw black eye beans, cooked
Peaches Brussels sprouts, raw beans, cooked
Raspberry sprouts, Lima beans raw, cooked
Mandarins Carrots, raw whole grain: bran flakes, oat flakes
Cauliflower, raw
Spinach, cooked
Pumpkin, raw

Vegetables and legumes

Preparation of vegetables and legumes (peas, lentils, beans, chickpeas, etc..) Influences the occurrence of constipation. In general, cooked vegetables contain beta-carbolines which are constipated. Most vegetables contain high amounts of proteins that promote constipation, but it has an important role in the amount of fiber composition of these vegetables.

Dried beans and grains have large amounts of protein and fiber that does not cause constipation but are likely to cause flatulence and cramps. To not have problems with digestion will avoid excessive consumption of foods rich in fiber, especially insoluble.

Delayed puberty

Puberty is the time in a child's body turns into the adult period during which they held a series of changes in the human body.

Thus, girls will notice that their breasts grow, pubic hair appears, the first menstrual cycle and a growth spurt. The general form of the body will change, balances will be large and round body shape will be.

And the boys will grow pubic hair but the face, there is a growth spurt, and pension and testicles will increase in size. Their Constitution will change, and broad shoulders will become more muscular body.

What causes puberty

The changes are caused by sex hormones (testosterone in boys and estrogen in girls) that the body will produce much greater quantities than before. Puberty takes place over several years and the age at which begins and ends vary from person to person.

However, this phase could begin in about 7-13 years to 9-15 years girls and boys. Age variations are normal, both girls and boys. Sometimes, for some people, the normal age of puberty is exceeded expression without changes in the body have their place. In these situations it will be delayed puberty.

What are the causes of delayed puberty

Puberty may be late for several reasons. Most often, one can talk about growth and development model of a family. Boy or girl may find that his parents, uncle, aunt, brothers or cousins ​​developed later than usual. This is called delayed development and usually requires no treatment.

Most of these teenagers will develop normally, ultimately, just as later than their peers. Other causes of delayed puberty may be medical problems. Some people with chronic diseases such as diabetes, cystic fibrosis, kidney disease or asthma may go through puberty at an older age, because these conditions can prevent the body to grow and develop. Proper treatment and under control conditions can increase the chances of developing puberty.

Puberty may be delayed for the following reasons:

1. At the central level (for both sexes):

- Hypothalamic-pituitary axis when it is not affected:

    delayed growth and puberty manifestation of sporadic or familial
    chronic diseases (renal disease, Crohn's disease)
    malnutrition (anorexia nervosa, cystic fibrosis, celiac disease)
    excessive strenuous activities (sports)
    psychosocial deprivation
    hypothyroidism
    treatment with steroids.

- Hypothalamic-pituitary axis when it is impaired:

    tumors hypothalamic-pituitary axis adjacent (Craniopharyngiomas, glioma optical germinoame, astrocytomas, pituitary tumors)
    congenital anomalies (Septo-optic dysplasia, etc.).
    medical treatments involving radiation brain or spinal cord

- Trauma, cranial surgery or injuries to the head

    gonadotropinaluteinizant releasing hormone release by stimulating follicle stimulating hormone deficiency (idiopathic congenital syndrome, Prader-Willi, Bardet-Biedl syndrome, Kallmann syndrome.

2. At the periphery

- Guys

    Bilateral testicular damage (cryptorchidism, orchidopexia failure, atresia, testicular torsion, some types of infections)
    among the syndromes associated with cryptorchidism are Noonan's syndrome, Prader-Willi syndrome
    gonadal dysgenesis (Klinefelter syndrome and other aneuploid sindromame)
    testicular irradiation or total
    use of drugs (cyclophosphamide)

- Girls

    gonadal dysgenesis (Turner syndrome, gonadal dysgenesis pure)
    abdominal irradiation or total
    use of drugs (cyclophosphamide, busulfan)
    intersex disorders such as the androgen insensitivity syndrome (one of the main symptoms is primary amenorrhea), congenital adrenal hyperplasia
    Polycystic ovary syndrome
    toxic disorders (galactosemia, thalassemia).

How can the physician intervene

Delayed puberty can be improved by medical intervention. To this end, the doctor will perform a physical examination, the patient will require details of his medical history, symptoms exhibited, used drugs, but allergies and information about growth patterns of family members.

In some cases, the specialist will recommend including blood tests to check the values ​​of the thyroid, pituitary problems, or other chromosome. It may be necessary including the development of X-rays to determine bone age of the patient - procedure that allows the physician to evaluate whether bone is developing normally.

In many cases, doctors found no physical disorder that could be the basis of delayed puberty. However, if a problem is detected, might require the intervention of a pediatric endocrinologist or other specialist for further tests or treatment.

Some of the teenagers at puberty to be seen which will be difficult to expect its manifestations appear, even though the doctor assured them that these delays are normal. In some cases, specialists may recommend treatments for several months with hormonal drugs to stimulate the onset of puberty. Usually, after treatment is discontinued, adolescent hormones will take over the function of artificial puberty to complete the process.

Dealing with delayed puberty

It can be difficult and unpleasant for a teenager to see how to develop his friends and he does not have the same growth rate as this. May have the feeling that will never be the same as other children his age.

On the other hand, classmates could make inappropriate remarks about delayed development. Even when doctors and parents ensure that things will evolve teenager, waiting to be difficult. If the teen is feeling depressed, you may need the intervention of a psychotherapist to them suggest various ways their fears could be improved. It is important that, in general, delayed puberty is solved in time.

Grapefruit juice may interact with certain medications

A nutraceutical is a food product or part of a natural food product whose use is beneficial to health, both for prevention and treatment of disease. Grapefruit juice contains compounds that have some positive effects in case hardening of the arteries (atherosclerosis) and reduces the risk of cancer.

Grapefruit juice can be considered a classic nutraceutical product. However, for many people, using drugs, drinking grapefruit juice can have consequences not so pleasant. It seems that grapefruit juice may interact directly or indirectly in any significant way with a number of medications.

Grapefruit interaction with medicamantele

Grapefruit juice is consumed by many people at breakfast, when using more drugs. Interaction with drugs of this fruit was discovered accidentally by a group of researchers investigating how alcohol works with felodipine and were used for this purpose a solution of alcohol with grapefruit juice to mask the taste of alcohol used in the study.

Thus they found that blood levels of felodipine were increased several times than in previous studies. This increase amplification to determine the side effects of felodipine. Subsequent research revealed that grapefruit juice itself was one that caused the amount of drugs involved in crestrea study.

Besides grapefruit, including fruits modify drug action include both the Seville oranges and pomelos. Currently there is no evidence that other fruit juice influences the effect of drugs.

When a drug interacts with grapefruit juice?

Interaction between certain types of drug and grapefruit juice may occur even after eating a small amount of juice. However, if a person likes grapefruit juice and wants to continue to enjoy its taste, it is appropriate to require replacing the drug with a doctor who does not interact with grapefruit.

Drugs that interact with grapefruit juice

Here are some of the drugs that interact with grapefruit juice:
- Anxiety - alprazolam, buspirone, triazolam
- Depression - fluvoxamine, sertraline
- Allergies - fexofenadine
- Abnormal heart rhythms - amiodarone, quinidine
- Cardiovascular disease, stroke, blood clots - warfarin
- Epilepsy - carbamazepine
- Cancer - ciclofofamida, ifosfamide
- Cough - dextrometrofan
- Enlarged prostate - finasteride
- Hypertension - carvedilol, felodipine
- Erectile dysfunction - sildenafil citrate
- Astfmemfizem - theophylline
- High cholesterol - simvastatin
- Pain - Fentanyl, alfentanil
- Infection - erythromycin, clarithromycin, sporanox.

Any person who takes medication and grapefruit taste agreaza should discuss with your doctor before including this fruit in his diet.

Diabetes and menopause, a double challenge

Diabetes mellitus includes several related problems due to which the body can not balance the amount of sugar (especially glucose) in blood. Blood glucose provides energy for body activities that a person carries every day.

The liver converts food into glucose consumed by a person, then glucose is released into the bloodstream. In a healthy individual, blood glucose level is regulated by several hormones, primarily insulin. Insulin is produced by the pancreas that produce and other important enzymes that are released into the intestines and help digestion. Insulin is what stimulates glucose to cells throughout the body.

For people diagnosed with diabetes either do not produce enough insulin (type 1 diabetes) or insulin is not used properly (type 2 diabetes), or both situations.

In people with diabetes, blood glucose can not move effectively in the cells so that blood glucose levels remain high. This not only affects the cells that need glucose for energy release including, but affects some organs and tissues exposed to high glucose levels.

How often manifest diabetes

Currently, in Romania, over a million people were diagnosed with type 2 diabetes and approximately 3000 people confirmed type 1 diabetes. Many people suffer from this condition but are unaware of its presence. Of these 3% are children.

Menopause is the period of a woman's life when menstruation and ovulation stops altogether. Menopause is considered complete when menstrual cycle has not been shown at all during the year. Although menopause can occur anytime between 40-58 years, average age is 51 years.

Causes

Natural menopause is a gradual process. The ovaries begin to release smaller amounts of estrogen and other steroid hormones prior to menopause during a phase called perimenopause. When menopause occurs before age 40 is called premature menopause. Premature menopause can settle naturally, but can be influenced by certain factors such as:
- Family history of premature menopause
- Autoimmune diseases
- Abnormalities of chromosomes X
- Medical treatments (pelvic surgery, surgical removal of ovaries, chemotherapy, radiotherapy pelvic)
- Use of drugs that have low levels of progesterone
- Smoking.

Diabetes and menopause

Menopause can be a challenge for women with diabetes mellitus. Diabetes and menopause can have different effects on the body, including:

- Changes in blood sugar levels. Estrogen and progesterone affect how cells respond to insulin. During menopause, hormonal changes can trigger values ​​of blood sugar fluctuations. It may be noted that blood sugar levels will be more difficult to control, its variation is less predictable than before menopause.

- Weight gain. Some women gain weight during the transition period to menopause and after menopause already installed. This may increase the need for insulin or medication used to treat diabetes.

- Infections. After menopause, when there is a decrease in estrogen levels is also easier for bacteria and fungi to multiply in the urinary tract and vagina, increasing the risk of infection.

- Disorders of sleep. After menopause, hot flashes and night sweats due to come and sleep disorders. Sleep deprivation and fatigue can make it difficult to manage blood sugar levels.

- Sexual problems. Diabetes can affect nerves of existing cells in the vagina. Following this, arousal and orgasm will be more challenging. In addition, vaginal dryness (a common symptom of menopause) may worsen the situation, causing pain during intercourse.

What to do

Menopause can make increasingly difficult to control diabetes but there are a number of measures can be taken to manage both diabetes and the menopause.

- Alergeri healthy. Healthy diet and regular exercise are very important in diabetes treatment plan and can make a woman feel better after menopause.

- Measuring the frequency of blood glucose. Glucose will be measured more frequently during the menopause, during the day and occasionally at night. Keep a log will note that blood glucose levels and symptoms manifested. Based on this information, your doctor may change your treatment plan. Also, the specialist may recommend regular testing of glycosylated hemoglobin (A1C) to determine average blood sugar over a period of time (several months before the test).

- Change of treatment for diabetes. If the average blood sugar may need to be reduced or increased dose of medication for diabetes or to be included in a new drug regimen (especially if there is an increase in weight or a decrease in the frequency of operations individuals).

- Medications to reduce cholesterol levels. People with diabetes have an increased risk of heart disease and the risks increase even more after menopause. For this danger will be diminished, it will eat healthy and exercise will be made regularly. Your doctor may recommend including drugs that will keep cholesterol under control.

- Treatment for relief of menopausal symptoms. When hot flashes occur, vaginal dryness, decrease sexual response or specific manifestations of menopause, every woman should know that there are treatments to relieve acestoara. Your doctor may recommend the use of vaginal lubricants to restore vaginal moisture and vaginal estrogen therapy for the treatment of inflamed and thinned vaginal walls (vaginal atrophy). For some women, hormone therapy may be an option.

What is recurrent cancer

When cancers recur after a period of remission is considered that it is a recurrence. Cancer recurrence can be justified by the fact that some cancer cells were not destroyed, despite efforts to treat cancer.

These cells could be located in the same place where cancer was detected the first time or you might find elsewhere in the body. Cells can be found in a latent period but then will continue to multiply, which will cause cancer recurrence.

Usually, recurrent cancer is the same type as that diagnosed and treated earlier. However, in rare cases, may detect a new type of cancer, which could not have any connection with the first type. Where cancer can recur cancer can recur in the same place where it was located initially or migrating to other parts of the body. Recurrence is divided into three categories:

- Local recurrence - refers to the fact that the same type of cancer recurs in the same place or very close to that shown above. Cancer has not spread to lymph nodes or other parts of the body.

- Regional recurrence - cancer involving the lymph nodes and tissue area located near the original cancer.

- Appealed to the distance - refers to cancer that has spread to distant areas of the it was originally located.

Cancer recurrence depends on the type and stage the cancer was initially diagnosed and treated. Some cancers are repeated frequently in specific areas.

What is aerosol therapy

This form of treatment involves the introduction of drugs into the lower airways via aerosol, to obtain topical or systemic effect.

The biggest advantage of this therapy is that using lower doses of medicinal substances and systemic adverse effects are reduced in response to treatment type that is fast. Particle size is important because the administration of the drugs depends to a great extent.

Devices for aerosol

There are several types of devices that can generate aeorsoli:
- Nebulizers
- Dry powder inhaler devices
- Pressurized dose inhalation devices determined.

Using each of these devices has advantages and disadvantages that must be understood to optimize health benefits. Aerosol therapy may be used if mechanical ventilation as part of bronchodilator therapy, anti-inflammatory medications and sometimes antibiotics or Mucolytics instillation.

Knowledge of principles and situations that can be applied in aerosol therapy are essential to effective use for various diseases.

How to get spray in the lungs

As a person breathes, aerosols penetrate the mouth, trachea, bronchi which branch into smaller passages called bronchioles respiratory in turn containing small air sacs (alveoli).

Most often, during treatment with aerosol bronchodilators are used which are designed to relax the airways so they become more spacious, and breathing easier. Most aerosol treatment lasts about 10 minutes and you should be repeated 3-4 times per day.

How does the treatment of aerosol

For aerosol therapy to be effective it is recommended the following steps:
- This is an area comfortable, well lit and close to a power source
- Device connects to the power supply arosoli
- Wash hands thoroughly before fitting parts aerosol device or medication to manipulate.
- Pour medication in aerosol containers of the device
- If the medication is packaged as a correct dose will measure its amount and shall be diluted with saline or water.
- The doctor will provide specific instructions precise quantitative and mixing medications.
- Is attached to the container lid was put drug solution.
- Insert one end of the feeding tube apparatus aerosol container and the other to his unit. They put in another cable outlet aerosol device unit.
- The person who will be laid aserosoli sitting position and will turn on the aerosol. You should be able to see as fine particles released from the nebulizer mouthpiece. If this happens should be reassessed and the amount of drug connections.
- Mouthpiece of the device will be held between the teeth, lips all around them and will breathe normally through your mouth, not nose.
- Normal breathing will not be accelerated because the drug is distributed evenly in the lungs.
- The treatment will be complete and then stops the compressor nebulizer.

How is cancer diagnosed recurrent

Cancer is diagnosed at repeat offenders like any other type of cancer. The doctor may suspect a recurrence of cancer depending on the outcome of certain tests or based on signs and symptoms. After the last stage of treatment, the doctor will recommend the patient to return to the consultation and investigations to verify whether the disease has recurred periodically and will inform about the signs and symptoms that could signal a recurrence.

Investigations that can be done to detect recurrent cancer are different from those involved in the initial cancer. In the case of most forms of cancer, local recurrence may be treatable, so early detection of relapse is very important.

Also, when recurrence is detected in a place far from where the cancer started initially, chances of cure are lower.

Can cancer be treated to recur?

Cancer treatment has evolved quite a bit lately. In many cases, local and regional recurrences can be cured. Even when recurrent cancer can be treated completely, treatment can slow the development of cancer, can relieve pain and other symptoms and may prolong the life of a person.

The type of treatment will be based on the same factors were taken into account at first diagnosis of cancer, but also on patient expectations and his body strength. The doctor will take into account the previous treatment and how the body said to him, to them.

Another alternative would be for the patient to participate in clinical trials, in which may have access to the latest treatments and experimental drugs. However, this option will be chosen only with the doctor.

Natural remedies for urinary tract infections

There are both pros and cons of using natural remedies that can prevent or treat urinary tract infections.

Some doctors believe that using antibiotics increase the risk of urinary tract infection recurrence and that this treatment modality in many bacteria become resistant to medication.

It is therefore necessary to modify lifestyle and to try natural treatments rather, specific homeopathic or other alternative medicine for prevention and cure urinary tract infections.

Alternative treatment

Hydrogen-ion concentration (pH) in the urine is one of the indicators with which one can determine how much urine is an environment favorable for bacterial growth. On a scale from 0 to 14, a level of 7 is alkaline and neutral, and the more urine has a value less than 7 it becomes more acidic.

After research and studies to detect the value at which infection develops found that bacteria do not survive too long in a urine whose pH is alkaline. To create this type of medium and alkalinization of the urine can be used a number of minerals, especially citratii.

A constant dose supplements of calcium or magnesium citrate may be useful in the treatment of bladder infections. Because infected urine that remains in the bladder during the night can cause irritation, mineral supplements should be used before bed, to have optimum effect.

Although some success has been confirmed and natural remedies can be used safely, though it is important to consult your doctor before use. If a UTI is treated improperly can spread to the kidneys, even if symptoms seem to improve.

Remedies

1. Cranberry juice - it has been used for over a century to prevent and treat urinary tract infections. Although in the past it was thought that the positive effect of cranberry production is justified by the acid in the urine, recent evidence suggests that cranberry proantocianinele of composition are designed to prevent adhesion of bacteria to urinary tract walls. Thus, bacteria can be easily removed by urine.

2. Cantaris, Apis mellifica, Staphysagria, sarsasparilla are four most common remedies to treat various symptoms of urinary tract infections.

3. Uva Ursi - is an herb used as folk remedy for certain types of urinary tract infections. The active substance is decomposed and Arbutin which is excreted in the kidneys, where it seems to have antiseptic properties.

Uva ursi contains significant amounts of tannins including that can affect the liver following prolonged use of this plant. Therefore, people with kidney or liver disease, pregnant women, nursing women and children will not use Uva ursi.

Among the side effects that occur following the administration of this plant is also in brown or green colored urine, nausea, ringing in the ears or indigestion. In rare cases, uva ursi was associated with the development of retinal lesions, seizures, cyanosis, cancer or even death when ingested large amounts for long periods of time.