Health and Fitness Article

Obesity Linked To High Exposure To Noise: Study

noreply@blogger.com (Anonymous) — Thu, 28 May 2015 15:02:00 +0000

Obesity
Researchers claim that people who are exposed to excessive noise are more likely to gain fat around their waist. Reuters/Lucas Jackson

A recent Swedish study has revealed that people who live in noisy areas are more likely to have larger waistlines. Sources of noise covered in the study included trains, planes and automobiles.

The researchers believe that stress caused by the exposure to noise pollution could be partially to blame for the excessive weight of those who were studied. According to the Independent, the research “suggest that traffic noise exposure can increase the risk of central obesity.”

During the study, researchers from Norway and Sweden looked at the level of noise exposure experienced by men and women living in Stockholm. The sample population was also monitored for their body mass index (BMI), waist-to-hip ratio and size of the waist.

Nearly two-thirds of the subjects were exposed to noise greater than 45 decibels (dB). Although researchers found no connection between road traffic noise and BMI, they did notice an increased waistline in people who were exposed to noise levels exceeding 45 dB.

The researchers believe that noise disturbs sleep, and also stimulates the production of cortisol, which may lead to accumulation of fat around the waist and abdomen. “This may explain why the effects of noise were mainly seen for markers of central obesity, such as waist circumference and waist-hip ratio, rather than for generalized obesity, measured by BMI,” the researchers explained.

The study has been published in the Occupational & Environmental Medicine journal.

Early Treatment is Effective Against HIV

noreply@blogger.com (Anonymous) — Thu, 28 May 2015 09:56:00 +0000

Global study finds early treatment is effective against HIV

Early antiretroviral treatment after diagnosis of HIV infection significantly reduces the likelihood of getting AIDS or other serious illnesses, according to results from a large international clinical trial published Wednesday.

The study was presented a year earlier than planned after preliminary data showed that people who received treatment from diagnosis were 53 percent less likely to die or develop a serious illness such as AIDS compared to a control group where treatment began later when the immune system is weakened.
Researchers said this data combined with previous studies showing that antiretroviral drugs help prevent HIV transmission to healthy sexual partners indicate that such treatment is beneficial for everyone diagnosed with the virus.

“We now have clear-cut proof that it is of significantly greater health benefit to an HIV-infected person to start antiretroviral therapy sooner rather than later,” said Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

“Moreover, early therapy conveys a double benefit, not only improving the health of individuals but at the same time, by lowering their viral load, reducing the risk they will transmit HIV to others,” he said in a statement.

The study began in 2011 in 35 countries with 4,684 HIV-infected men and women over the age of 18.

An estimated 35 million people are infected with HIV worldwide, while only 13 million people get treatment, according to the latest figures.

The US Centers for Disease Control and Prevention already recommends starting antiretroviral after HIV diagnosis.

Preventing Anemia During Pregnancy

noreply@blogger.com (Anonymous) — Sun, 22 Mar 2015 12:10:00 +0000

Anemia in the first trimester

In the first trimester of pregnancy many red blood cells are used in the formation of the fetus so for those of you who have a history of anemia increases greater than with other pregnant women. In Indonesia seven out of ten women who are pregnant anemic either of the history of congenital disease before pregnancy.

The increase in the second trimester of pregnancy, which are caused due to an unbalanced diet in the first trimester are a lot of health problems such as denial of food intake resulting from the reduction of appetite, nausea and vomiting. Whereas in early pregnancy iron is needed doubled, lack of nutrition factors to be considered. The amount of calories, protein, fat, vitamins and minerals must be fulfilled.

In addition, for those who experience recurrent pregnancy in the near future at a higher risk in improving anemia, this happens because the iron stores more quickly used before your condition recovering from a previous pregnancy. At the age of adolescent high-risk pregnancies and the depressed state (stress) before and during pregnancy.

Symptoms of anemia that may be experienced by pregnant women is characterized by the presence of characteristic feature of experiencing reduced appetite and therefore contributes to reduced stamina, you are more susceptible to infections, sudden dizzy view, some parts of the body such as nails, face, eyelids and lips looked pale. Under conditions of severe anemia fairly weak result in shortness of breath and heart. Anemia resulting in reduced body power caused by the presence of iron dwindling effect on white blood cells so that the forces against microorganisms is reduced. For those office workers the possibility of the symptoms is difficulty focusing. Anemia is very dangerous if left in pregnant women.

The risk of premature babies, miscarriages, birth defects and so on. So it is not only threatened the health of the fetus but also the health of expectant mothers in danger. For those of you who actively work every day are advised to pay attention to nutrition during pregnancy.

Here's how you can take during pregnancy to avoid anemia:

Increase consumption of foods that help treat anemia with iron as derived from red meat, poultry and fish. Vegetables that have dark green leaves, nuts and eggs.
Consumption of vitamin C to help the absorption of iron such as fruits, oranges, strawberries, kiwi and tomato.
Choosing foods with a high content of folic acid such as green leafy vegetables, breads, cereals, dried beans, salmon.
Milk will help relieve the symptoms of milk anemia. Drink regularly during the day and night.
Consult with your doctor if you experience severe anemia enough so you are advised to consume supleman iron / folate or vitamin.
Blood tests are one way for you to know the extent to which reduced hemoglobin content in the body, unisex examination for mengetahuo hematocrit percentage of red blood cells until taken. So that the doctor will determine the cause of the anemia that you experienced.

Food Prevention Anemia During Pregnancy
Anemia during pregnancy is associated with increased risk of premature birth and low birth weight babies. Add foods rich in vitamin C to increase iron absorption and avoid anemia. Should not eat foods that will reduce iron absorption such as tea and coffee. Calcium in milk will also reduce the absorption of iron. Should drink between meals. Here are eight nutritious foods you should include in your diet to treat or prevent anemia.

Bananas are a source of food that is rich in iron and minerals. Eating bananas at breakfast is an ideal choice to treat or prevent anemia during pregnancy.

Dates are able to increase the production of hemoglobin that is useful to carry oxygen to the fetus. It is recommended to take two grains of dates at breakfast and lunch.

Broccoli is a green leafy vegetables should not be avoided, especially when you are pregnant. Broccoli is rich in vitamins, iron and folate.

The inclusion of red meat in the diet helps to get enough iron to combat anemia during pregnancy. Source of iron is absorbed more efficiently than red meat than vegetable sources of iron.

Spinach is a staple food while pregnant. Spinach is an important source of iron and folate to combat anemia during pregnancy.

The yolk contains iron needed by the body. Eating an egg will help you maintain hemoglobin remained normal for iron-very reasonably needed by the body.

Shellfish is food in the top list that contains iron. If you are craving seafood during pregnancy, clams is the right choice. Besides delicious mussels can also cope with anemia.

Honey. if you have anemia during pregnancy drink honey. Honey is a rich source of iron. Honey can be taken raw or mixed with dried fruits or nuts.

Foamy urine

noreply@blogger.com (Anonymous) — Mon, 16 Mar 2015 04:29:00 +0000

Foamy Urine Causes

Foamy urine can be a sign of a variety of medical conditions in the body. It can occur in people who suffer from proteinuria, vesicocolic fistula, or a urinary tract infection, which should be treated immediately. However, foamy urine may also be caused simply because forced urination or mild dehydration.

Bubbles contained in the urine after urination, may cause some people to panic. Urine is the result of the kidney, which contain ingredients excretory waste and water. By producing urine, the body actually trying to eliminate water-soluble substances, which are not needed in the body. Foamy urine indicate that the body is trying to eliminate anything that causes the foam.

Just because you see foam in urine, not sure this is a bad thing. So it does not need to panic! Here are some of the causes that may be the cause of foam in urine.

Actually, foamy urine is not something to be feared. It may only occur as a result when urinating with strong pressure. Become foamy urine due to excess air trapped into the urine. Especially if bubbles appear when someone urinating in the morning, this condition we must understand that in the morning urine is more concentrated and can cause foamy urine. Again this should not be a cause of concern. However, if the urine is foamy quite often, then you need to consult a doctor and find out if the levels of protein in the urine is high or low.

Do not drink adequate amounts of water can lead to a person experiencing mild dehydration. Symptoms of mild dehydration are fatigue, headache, dry mouth, and decreased urine, which sometimes becomes frothy.

When a person is dehydrated lighter, more concentrated urine is formed and it is possible to form a foam. Cases of mild dehydration can often be seen in diabetics. When high blood glucose levels, excess glucose will be excreted
through the urine. This leads to the production of more urine, which resulted in the loss of water. Therefore, it can lead to dehydration. In addition to mild dehydration and the foam in urine, diabetics will also experience frequent urination and excessive thirst. In such cases, one should visit a doctor as soon as possible.

Foamy urine during pregnancy

Foamy urine during pregnancy can also be an indicator of pre-eclampsia. In preeclampsia conditions, the protein will be found in the urine, which produces foam during urination. Preeclampsia is a condition that is alarming. If you find foam in urine along with high blood pressure, visit the gynecologist immediately.

Some women usually experience foamy urine during the initial two days of menstruation. This can occur because of dehydration and not a reason for concern. By drinking plenty of water foam in urine will disappear.

One of the most common causes of bubbles in the urine is proteinuria. Under normal circumstances, a small amount of protein is released into the urine. The presence of protein in the urine can be attributed due to the consumption of foods high in protein, such as meat and fish. When we have excess protein, excess protein is excreted in the urine. However, when a large number of proteins secreted in the urine, a condition called proteinuria. Protein levels will be governed by the glomeruli of the kidney. If the protein has been through the stages of glomerular filtration and urine has been entered, this means that the glomeruli become inflamed. Other symptoms of proteinuria is swelling in the feet, hands, face.

In healthy adults, the urinary tract from any infectious microscopic organism, but sometimes microorganisms managed to sneak into the urinary tract. This condition is called a urinary tract infection. In addition to experiencing a burning sensation and frequent urge to urinate at night, one can experience foamy urine.

Fistula is a term used to refer to an abnormal connection between two cavities formed in the body. Fistula vesicocolic refers to an abnormal relationship formed between the bladder and colon. Vesicocolic fistula is the most common type of fistula formation between the digestive tract and bladder. It occurs more often in men than women. Edema or swelling is formed on the base of the bladder and the fluid will accumulate under the skin. Foam is formed in the urine and can be an indicator of a medical condition such as a tumor and Crohn's disease.

Kidney closely related to the formation of urine. Damage or infection that occurs in the kidney will be generated in the form of the release of the protein in the urine. Leakage of this protein leads to formation of bubbles during urination. Other signs of kidney disease are fatigue, loss of appetite, and high blood pressure.

To check whether a frothy urine due to chemicals or some physiological problems, try to urinate in a sterile glass and check to see if the urine is foamy. If the foam is still there, you should do a urinalysis. The best way to identify the problem is to do a 24 hour urine test, which is more accurate than the dipstick test.

When the Doctor Gives Cancer Diagnosis, Do This 4 Things

noreply@blogger.com (Anonymous) — Sat, 14 Mar 2015 01:44:00 +0000

Talking about cancer, anyone know that cancer is a malignant disease which at times can be fatal someone. Cancer is a disease that will affect anyone, both adults and children. As one of the diseases that are difficult to detect its presence early on, it makes a lot of people have lost their lives in a short time after being diagnosed with advanced cancer.

When the Doctor Gives Cancer Diagnosis, Perform The following 4

If you are someone who is diagnosed with cancer, try to try to always be calm and think positive. When people with cancer think too much because of her illness even think to stress or depression, it can actually worsen the health condition.

Some studies mention that a good mood and strong spirit to recover from cancer patients it is said to be the most potent medication. In addition to remain calm, quoted from page webmd.com, here's some positive behaviors you need to do to fight cancer.

Check in Different Doctors - When you check into a hospital or to a doctor and was diagnosed with cancer, try to calm down and do a re-examination elsewhere. Make sure that you actually have cancer or not. Getting a second opinion this could also be the way you get the proper care and treatment. Check in different doctor is also possible for you to get more accurate information about the disease you are suffering.

Find The Right Treatment - When you absolutely sure that you are indeed suffering from cancer, make sure that you find the right doctor for treatment and medication. Find expert doctor about your cancer pain. Doctors believed experts can help you get a precise and accurate treatment. Choose a treatment that really fit with your health condition. All you need to know, cancer has a different stage. Of course this also requires care and treatment differently.

Set Back Lifestyle - Be sure to rearrange the pattern of your life. Avoid bad habits that can aggravate the condition of your health. Always consumption of healthy foods and beverages. Stay away from anything that contains nicotine, caffeine, heroin and the like. Try to be a quiet person and enjoy the life and do not think too much. Do not forget to exercise enough and sufficient drinking water. Try to consume foods that can inhibit the growth of cancer cells in the body.

Be Strong - Study says that cancer patients who give up easily be difficult to recover from his illness. While those who believe and are sure he will recover, surprisingly slowly recover and heal from cancer. When suffering from cancer, one must be sure and strong undergo and pass through all the treatment. Confidence in themselves be regarded as a natural remedy that can make a person against cancer.

So that's some important things you need and be done by the cancer that malignant disease is not getting worse. During a person's confidence and trust as well as trying to recover from illness, there is no reason that the cure was not forthcoming. Even if the pain is very severe and can not be cured, it can at least help the person has aged a little longer than expected.

Swimmer's Itch Overview

noreply@blogger.com (Anonymous) — Mon, 09 Mar 2015 14:52:00 +0000

Swimmer's itch is an itchy rash that can occur after you go swimming or wading outdoors. Also known as cercarial dermatitis, swimmer's itch is most common in freshwater lakes and ponds, but it occasionally occurs in salt water.

Swimmer's itch is an allergic reaction to microscopic parasites that burrow into your skin. The parasites associated with swimmer's itch normally live in waterfowl and some animals that live near the water. Humans aren't suitable hosts, so the parasites soon die while still in your skin.

Although uncomfortable, swimmer's itch is usually short-lived. The rash typically clears up on its own within a few days. In the meantime, you can control itching with over-the-counter or prescription medications.

Swimmer's Itch Symptoms

The itchy rash associated with swimmer's itch looks like reddish pimples or blisters. It may appear within minutes or days after swimming or wading in infested water.

Swimmer's itch usually affects only exposed skin — skin not covered by swimsuits, wet suits or waders. Signs and symptoms of swimmer's itch typically worsen with each exposure to the parasites.
When to see a doctor

Talk to your doctor if you have a rash after swimming that lasts more than one week. If you notice pus at the rash site, consult your doctor. You might be referred to a doctor who specializes in skin conditions (dermatologist).

Swimmer's Itch Causes

The parasites that cause swimmer's itch live in the blood of waterfowl and in animals that live near ponds and lakes. Examples include:

    Geese
    Ducks
    Gulls
    Beavers
    Muskrats

The parasite's eggs enter the water via their hosts' feces. Prior to infecting birds, animals or people, the hatched parasites must live for a time within a type of snail. These snails live near the shoreline, which explains why infections occur most often in shallow water.

Swimmer's itch isn't contagious from person to person, so you don't need to worry about catching swimmer's itch from someone who has this itchy rash.

Swimmer's Itch Risk factors

The more time you spend in infested water, the higher your risk of swimmer's itch. Children may have the highest risk, since they tend to play in shallow water and are less likely to dry off with a towel.

Some people are more sensitive to swimmer's itch than others are. And, your sensitivity can increase each time you're exposed to the parasites that cause swimmer's itch.

Swimmer's Itch Complications

Swimmer's itch rarely leads to complications, but your skin can become infected if you scratch too vigorously. Try to avoid scratching the rash.

Swimmer's Itch, Doctor Preparing for your appointment

You're likely to start by seeing your family doctor or a general practitioner. However, in some cases when you call to set up an appointment, you may be referred immediately to a specialist in skin conditions (dermatologist).
What you can do

Before your appointment, you might want to write a list of answers to the following questions:

    When did you first begin experiencing symptoms?
    Have you been swimming or wading outdoors recently?
    Did anyone else who went swimming with you develop a rash?
    What medications and supplements do you take regularly?

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:
    Have your symptoms been continuous or occasional?
    What, if anything, seems to improve your symptoms?
    What, if anything, appears to worsen your symptoms?

swimmer's itch Tests and diagnosis

Diagnosing swimmer's itch can be a challenge because the rash can resemble other skin problems, such as poison ivy. There are no specific tests to diagnose swimmer's itch.

swimmer's itch Treatments and drugs
Swimmer's itch typically clears up on its own within a few days, though in some cases the rash can last up to a week. In the meantime, you can control itching with over-the-counter antihistamines or anti-itch creams, such as those that contain calamine lotion. If the itching is severe, your doctor may recommend a prescription medication.

Swimmer's Itch Prevention Lifestyle and home remedies

As much as you're tempted, don't scratch. In addition to a cream or medication to soothe swimmer's itch, it might help to:
    Cover affected areas with a clean, wet washcloth
    Soak in a bath sprinkled with Epsom salts, baking soda or oatmeal
    Make a paste of baking soda and water, and then apply it to the affected areas

Swimmer's Itch Prevention

To reduce the risk of swimmer's itch:

Choose swimming spots carefully. Avoid swimming in areas where swimmer's itch is a known problem or signs warn of possible contamination. Also avoid swimming or wading in marshy areas where snails are commonly found.
Avoid the shoreline, if possible. If you're a strong swimmer, head to deeper water for your swim because you may be more likely to develop swimmer's itch if you spend a lot of time in shallow water.
Rinse after swimming. Rinse exposed skin with fresh water immediately after leaving the water, then vigorously dry your skin with a towel.
Launder your swimsuits often. You might even alternate wearing different swimsuits.

Skip the bread crumbs. Don't feed birds on docks or near swimming areas.

Avoid Sweaty Armpits

noreply@blogger.com (Anonymous) — Sat, 07 Mar 2015 13:33:00 +0000

Overcoming Sweaty armpits certainly important to support our appearance. While Sweating has many benefits, It could be embarrassed when we are going to attend an important event, when we going to shake hands but clothes in the armpit area is sweaty? In addition to making us less confident, others who see will feel uncomfortable to see it.

Causes of excessive sweating?

Overcoming wet armpits to be more efficient and effective, we need to know the cause. Causes sweaty armpits from one person to another person may be different. Here are some causes that are believed to be the cause of wet armpits.

coffee consumption

Caffeine in coffee can stimulate the central nervous system to activate the sweat glands, so the more caffeine consumed, the more you sweat production anyway. And one place is the armpit sweating.

Food and hot drinks

When eating hot food or drink, your body temperature increases and eventually make you sweat more.

Spicy foods

Some people have a reaction to the increased production of sweat when eating spicy foods. The human brain reacts to capsaicin, the substance in chilli is hot which can activate the sweat glands work.

Pre menstruation Syndrome (PMS)

By the time women have Premenstruation Syndrome (PMS), estrogen levels drop to low, causing overheating. It can also occur in women whose hormone levels fluctuate dramatically.

Alcoholic beverages

When consuming alcohol, your body will go through the process of vasodilation, the widening of blood vessels that cause increased skin temperature. So that the brain sends a signal to cool the body by way of sweat.

Cigarette

Nicotine affects hormone levels, skin and brain. Nicotine can increase your heart rate, blood pressure and body temperature, all of which can lead to sweating.

Drug

Certain drugs can make more sweat production, for example, blood pressure medications, antidepressants, anti-inflammatory drugs, and some diabetes medications.

How avoid Sweaty Armpits?

Overcoming wet armpits can be done with a few simple ways. Listed below are a few ways to overcome the wet armpits easy, safe and convenient to do. Check this out!

Adjust your diet

Too often eat spicy foods and drinking a hot beverage is not good, you know, because the food and drinks can trigger the sweat glands to work sweat more.

Use deodorant

Use a deodorant or antiperspirant
It is the most frequently performed to overcome the wet armpits, namely wear deodorant or antiperspirant after bathing. Deodorant can help mask underarm odor, whereas antiperspirants contain ingredients that are designed to stop sweat. It is recommended to avoid deodorant that contains a lot of perfume, because perfume can increase the production of bacteria and sweat in the armpits.

Baking soda

Apply baking soda that has been mixed with water in the ratio of 2: 1 for 25 minutes. Baking soda contains alkaline which can produce gas that reduce sweating in the armpit. Perform routine every day for a week.

Apple cider vinegar or vinegar wheat

Apply apple cider vinegar or vinegar wheat to cover the entire surface of the armpit before bed. Let one night. Vinegar can kill bad bacteria, eliminate odors and eliminate excessive sweating. After that wash underarms with soap water in the morning.

Use comfortable clothes

Use clothing made from natural fabrics, such as cotton, wool or linen. The type of clothing allows the skin to breathe and keep underarms stay dry. Avoid tight clothing.

Reduce stress

Stress can affect the production of sweat becomes more. Try to relax, calm and not easily emotions. A healthy lifestyle can help the body maintain normal fixed sweat. So first way of our avoid sweaty armpits.

How many carbs in a banana?

noreply@blogger.com (Anonymous) — Wed, 25 Feb 2015 13:43:00 +0000

Banana Nutrition Facts

Amount Per 1 medium (7" to 7-7/8" long) (118 g)

Calories 105

How many calories in a banana?

% Daily Value*
Total Fat 0.4 g	0%
Saturated fat 0.1 g	0%
Polyunsaturated fat 0.1 g
Monounsaturated fat 0 g
Cholesterol 0 mg	0%
Sodium 1 mg	0%
Potassium 422 mg	12%
Total Carbohydrate 27 g	9%
Dietary fiber 3.1 g	12%
Sugar 14 g
Protein 1.3 g	2%

Vitamin A	1%	Vitamin C	17%
Calcium	0%	Iron	1%
Vitamin D	0%	Vitamin B-6	20%
Vitamin B-12	0%	Magnesium	8%

*Percent Daily Values are based on a 2,000 calorie diet. Your daily values may be higher or lower depending on your calorie needs.

How Many Carbs in a Banana?

One medium sized banana is 110 calories, 29 grams of carbohydrate, 4 grams of fiber, 0 grams of fat and 1 gram of protein.
100 grams of banana have about 80 calories, carb content approx 12 grams
take a look of table below to check out How many Carbs in a Banana

Raw Bananas
Size	Carbs Count
extra large (> 9")	35 carbs
large (8"- 9")	31 carbs
medium (7"-8")	27 carbs
small (6")	23 carbs
extra small (< 6")	19 carbs
1 ounce/28g	6½ carbs
one cup mashed bananas	51 carbs
one cup sliced bananas	34 carbs

Aside from raw fruit, bananas may be eaten cooked or as part of other prepared foods.

Other Banana-containing Foods
Name	Net Carbs (approx, g)	Sugar (approx, g)	Fiber (approx, g)	Total Carbs (approx, g)
1 Banana, baked	38	26	4	42
1 Red Banana, fried	21	13	3	24
1 Banana Fritter	10	5	1	11
1 Banana, covered with chocolate and nuts	37	27	5	43
Banana Chips, 1 oz	14	10	2	17
Banana Bread, I slice	32	-	1	33
Banana Cream Pie, 1 pc	46	17	1	47
Banana Pudding, 1 oz	6	-	-	6
Banana Nut Muffin, 1 pc	68	43	2	70

find out more about benefits of bananas to brighten the skin So then, How many calories in a banana? there are plus minus 105 Calories

Restless Leg Syndrome

noreply@blogger.com (Anonymous) — Mon, 23 Feb 2015 17:36:00 +0000

It has been several times Andrea feel less sleep. Indeed, she felt very sleepy. When she consulted a doctor, she revealed that she lay down any and going to bed, she felt his legs uncomfortable. she had to move his legs before falling asleep.

Even until she felt she had to walk for a while before going to bed so that sher feet feel comfortable. she might hit aka Restless Leg Syndrome (RLS) or nocturnal myoclonus or akathisia. Restless legs syndrome is a disorder in which there is a desire or need to move the legs to stop uncomfortable sense on foot.

Restless Leg Syndrome Epidemiology and Causes

Restless legs syndrome is still not known by the public and even by physicians themselves, and therefore often less precise diagnosis and treatment. Restless legs syndrome experienced by the majority of young adults commonly already middle-aged. Some studies say stress can aggravate this condition. But unfortunately, most of the cause is unknown.

In the United States, 10% of the population of this syndrome. Restless leg syndrome can be found in people who experience a decrease in the quality of sleep or insomnia. In addition to discomfort in the feet, it will be accompanied by drowsiness, anxiety or depression, confusion, and thought processes are slow.

In addition, restless leg syndrome can also be found in patients with chronic renal failure, diabetes mellitus, anemia deficiency (lack of) iron, Parkinson's disease, peripheral nerve disorders (peripheral neuropathy), osteoarthritis (arthritis), pregnancy, after taking a sedative, in the in therapeutic drugs such as caffeine, calcium channel blockers (one of the hypertension medications such as amlodipine, nifedipine), lithium.

Symptoms Restless Leg Syndrome

Symptoms As experienced Andrea in the illustration above. This syndrome causes discomfort in the lower leg between the knee and ankle joint (ankle). This discomfort arises when lying down or even during the day when we sit too long. It feels like there is an interesting, tingling, no sensation of bubbles, and there is a creep.

The pain lasts can be up to more than 1 hour and can occur not only in the lower limbs, but also arms. After this sense, then we will be there arises a desire to move the legs so that the discomfort is gone. If it happens during sleep, then the patient will be rocking the feet at bedtime or during sleep, which is called periodic limb movement disorder (PLMD).

The symptoms will get worse when under stress. According to the International Restless Legs Syndrome Study Group, restless leg syndrome can be diagnosed when it meets the four criteria below:

you are experiencing urgent in light of the strong desire to move your legs when feet feel uncomfortable.
Complaints worsened at rest, such as sitting and lying down.
These complaints disappear partially or temporarily feel more comfortable if the current activity (eg, walking).
During the move, your feet feels comfortable-uncomfortable alone. Your complaint worsens at night.

Physical education in different countries

noreply@blogger.com (Anonymous) — Fri, 06 Feb 2015 05:29:00 +0000

Physical education in different countries. In France, physical education has been a compulsory subject since 2000 BC and 1000 AD in primary school and 1000 years later, in secondary school. Every week the pupils are taught 3 hours of PE in primary school (Ecole Maternelle et primaire), 4 hours in the first form of secondary school, than 3 hours in the 2d, 3d and 4th form (Collège) and then 2 hours per week in the 5th, 6th and 7th form (Lycée).

In Australia, physical education was first made a compulsory part of the curriculum in Victorian Government primary and secondary schools in 1981. The policy was outlined in a Ministerial Statement to the Victorian Legisaltive Assembly by the Minister for Educational Services, the Honourable Norman Lacy MP on 17 September.

In South Korea, it is mandatory for pupils to take a total of 3 hours of physical education through primary and secondary schools. South Korean educational institutions are criticized for neglecting physical education with an over-emphasis of classroom-based education.

In Portugal, pupils from primary school could optionally join PE as an extra-curricular activity. From middle school to secondary school, pupils must participate in PE classes 2 hours per week.

In Singapore, pupils from primary school through junior colleges are required to have 2 hours of PE every week, except during examination seasons. Pupils are able to play games like football, badminton, captain's ball, and basketball during most sessions. Unorthodox sports such as touchball, fencing, and skateboarding are occasionally played. In more prestigious secondary schools and in junior colleges, sports such as golf, tennis, shooting, and squash are played. A compulsory fitness exam, NAPFA, is conducted in every school once every year to assess the physical fitness of the pupils. Pupils are given a series of fitness tests (Pull-ups/Inclined pull-ups for girls, standing broad jump, sit-ups, sit-and-reach and 1.6 km for primary [10-12 year-olds]/2.4 km for secondary and junior college levels [13-18 year-olds]). Students are graded by gold, silver, bronze or fail. NAPFA for pre-enlistees serves as an indicator for an additional 2 months in the country's compulsory national service if they attain bronze or fail.

In British Columbia, Canada the government has stated in the grade one curriculum that students must participate in physical activity daily five times a week. Also the teacher is responsible for planning Daily Physical Activity (DPA) which is thirty minutes of mild to moderate physical activity a day not including curriculum physical education classes. The curriculum also requires students in grade one to be knowledgeable about healthy living. For example students must be able to describe benefits of regular exercise, identify healthy choices that require them to be more physically active, and describe importance of choosing healthy food.

In Malaysia, pupils from primary schools to secondary schools are expected to do 2 periods or 1 hour of PE throughout the year except a week before examination. In most secondary schools, games like badminton, sepak takraw, football, basketball and tennis are available. Pupils are allowed to bring their own sports equipment to the school with the authorization of the teacher. In most secondary schools, physical exams are rarely done, but schools record pupils' height, weight and number of push-ups they can do.

In Scotland, pupils are expected to do at least two periods of PE in first, second, third and fourth year. In fifth and sixth year, PE is voluntary.

In Ireland, PE is mandatory for all years. Unless, the school gives the option for a student to do the Leaving Certificate Vocational Programme instead for fifth and sixth year.

Indonesian high school students playing the traditional game "Benteng"In Indonesia, students ranging from Kindergarten to High School have PE integrated with their curriculum. Kindergarten until Grade 3 of Elementary students have gymnastics, starting from Grade 4 of Elementary School, students will be introduced into traditional martial arts Pencak Silat and some team games such as badminton, tennis, soccer, futsal, rounders, basketball, etc. Starting from Junior High School, Both gender are separated during PE class. PE find its place in extracurricular forms, where students can specialize themself in one kind of sports they choose. Sport Festival can be held during vacuum period, usually after examination. At this time students can compete each other by bringing own class' flag. Some universities such as ITB include PE in curriculum for freshmen

Some countries include Martial Arts training in school as part of Physical Education class. These Filipino children are doing karate.In the Philippines, some schools have integrated martial arts training into their physical education curriculum.

In England, pupils are expected to do two hours of PE a week in Year 7, 8 and 9 and at least 1 in year 10 and 11.

In Wales, pupils are expected to do only one hour of PE per fortnight.

In Poland, pupils are expected to do at least three hours of PE a week during primary and secondary education.Universities must also organise at least 60 hours of physical education classes at undergraduate courses.

Overtraining Making a Difficult Diagnosis and Implementing Targeted Treatment

noreply@blogger.com (Anonymous) — Tue, 03 Feb 2015 12:17:00 +0000

In Brief: Overtraining syndrome is a serious problem marked by decreased performance, increased fatigue, persistent muscle soreness, mood disturbances, and feeling 'burnt out' or 'stale.' The diagnosis of overtraining is usually complicated, there are no exact diagnostic criteria, and physicians must rule out other diseases before the diagnosis can be made.

An orthostatic challenge shows promise as a diagnostic tool, but the subjective feelings of the patient remain one of the most reliable early warning signs. Prevention is still the best treatment, and certain subjective and objective parameters can be used by athletes and their trainers to prevent overtraining. Further studies are needed to find a reliable diagnostic test and determine if proposed aids to speed recovery will be effective.

Overtraining has for decades been one of the most popular topics in meetings and journals dealing with top-level sports. The problem has been well known for 70 years (1), but many specifics concerning overtraining are still very unclear. Researchers have tried to determine what happens to athletes when they begin to overtrain.

How does the pathologic condition of the whole body progress? If the pathology and physiology of overtraining were better understood, we could have uniform criteria for the early recognition of impending overtraining and should be able to diagnose and cure the overtraining state with greater efficiency. Prevention is still the best cure, and athletes, coaches, and physicians need to recognize the early warning signs.

What Is Overtraining?

In medical literature, the word "overtraining" has had many meanings. It has been used to mean overload training, overreaching, and overtraining syndrome. Overload training, a few days of hard training followed by short-term fatigue, is an essential part of all athletes' training.

The physiologic homeostasis of the body needs to be displaced by intensive training stimuli so that performance capacity can be improved, a process called reaching or supercompensation (2). Several days of intentionally heavy training are followed by some days of less intense training and rest to achieve supercompensation and peak performance.

The time needed for supercompensation is essential to recognize. If an athlete is not allowed to adapt before a new stimulus is given, a greater and progressive imbalance in homeostasis will occur (3). Reaching becomes overreaching when tapering the activity does not yield the desired supercompensation and fatigue is unintentional, resulting in performance decrement with or without other typical stress-related psychological, psychosomatic, and physiologic symptoms and signs.

If the intensity and duration of the training are not reduced, overreaching leads to overtraining and overtraining syndrome, due mainly to long-term imbalance of physical training and recovery (figure 1). Overreaching differs from overtraining in its short recovery time. Recovery from overreaching can take 2 to 3 weeks, a safe time for tapering without a decrease in performance capacity (4). The recovery period in overtraining syndrome can take from many months to years.

Overtraining state can be used as a synonym for overtraining syndrome. Overtraining state, also called athlete's maladaptation state, includes performance decrement with other typical stress-related psychological, psychosomatic, and physiologic symptoms and signs that can be graded from mild to severe. A mild form includes low-grade psychological and psychosomatic symptoms (eg, anger, fatigue, tension, loss of appetite, or sexual unwillingness), some short-term sleep problems, and muscle fatigue.

It can also include immunologic or hormonal disturbances such as menstrual irregularities. A severe form includes symptoms such as depression, severe long-term insomnia, long-term muscle soreness, or some abnormal sense perceptions. It has been proposed that the duration of overloading time that resulted in the overtraining state is directly proportional to recovery time and also to prognosis (5).

Further Definitions

Two types of overtraining states have been presented (6,7): sympathetic and parasympathetic. The sympathetic type is possibly the impending overtraining state, proposed to be identical to acute stress reaction. Individual cases (7) show that the overtraining state seems to develop idiosyncratically due to different training histories and possibly heredity factors. In some cases, the "sympathetic overactivity" phase is missing from the pathophysiologic chain, or could not be detected. The phase slowly progresses to autonomic nervous system exhaustion when intrinsic sympathetic activity presumably decreases in connection with decreased responsiveness of the sympathetic nervous system.

The parasympathetic type can be defined as an advanced overtraining state or an exhaustion state. It could also be called "athlete's burnout." Parasympathetic activity has been proposed to increase with physical endurance-type training, as analyzed by heart rate variability measurements (8-10). Parasympathetic cardiac modulation tends to decrease (7) in all types of the overtraining state (7).

However, there is no real evidence for the aforementioned theories. We do not know in which situations an athlete will demonstrate the sympathetic or parasympathetic type of overtraining state and if these types really exist. Is the type dependent on training modality, training history, individual properties, sex, age, or something else? According to von Israel (6), the sympathetic type appears mainly in sprinters and power athletes and the parasympathetic type in endurance athletes.

It is also possible that young and less experienced athletes tend to react in a "sympathetic" way and experienced athletes in a "parasympathetic" way. We have found both sympathetic and parasympathetic types of overtraining states in endurance athletes (7). It is possible that athletes react individually to overloading and exhaustive training, no matter what kind of training they do. It remains unclear whether athletes reacting in a sympathetic way could develop an exhaustion type of overtraining state if training were continued.

Stress researchers have reported that men and women react differently to physical and mental stress; men favor the sympathetic type (11,12). In my experience this seems to be ambiguously so.
The overtraining state has also been categorized as either peripheral or central (5). The peripheral type can mean local overloading, for example, at a muscle level. The central type, more complex and more severe, includes muscle soreness and fatigue due to changes in the central nervous system.

Overtraining research has been very unsystematic, and the terminology and study protocols have varied from study to study. The different overtraining terms make the analysis of literature more complicated. In many studies the various types have not been differentiated, making results difficult to interpret. Physiologic signs and symptoms can be opposite in so-called sympathetic and parasympathetic states, complicating efforts to set uniform criteria for the overtraining state.

Etiology of Overtraining

Factors that influence vulnerability to the overtraining state can be classified as internal and external (table 1). An athlete's stress tolerance is determined by his or her adaptation capacity, coping strategies, and physiologic properties. The total quantity of internal and external stressors determines how an athlete will react. Some athletes are more vulnerable to "burnout" or overtraining, which makes the role of coaches and the self-knowledge of athletes very important.

TABLE 1. Factors That Can Increase Vulnerability to the Overtraining State

Internal
General health
General nutrition
Mood state
Personality (type A) stressors
Hereditary physiologic factors
Age
Sex
Menstrual cycle
External
Intensity of physical training
Volume of physical training
Social, economic, and psychological stressors
Training history
Environmental conditions and time of year
Food intake
Sleep (quality and quantity)
Infections
Medication, alcohol, tobacco, or other substances
Travel (jet lag, altitude)

Of the internal factors, personality types A and B influence stress tolerance and coping strategies (13,14), but it is not known how personality influences the vulnerability to the overtraining state in athletes. As mentioned before, men and women seem to be different in coping with stress and possibly in stress tolerance. The incidence of overtraining is higher in men (15), but both sexes seem to respond to short-term overload training in similar ways (16). Personal experience during an experimental overtraining study shows that women were more vulnerable to the overtraining state.

Of the external factors, a progressive increase in intensive training volume with a considerable increase in total training volume is the strongest cause, inducing an imbalance between an athlete's adaptive capacity and the recovery time required. It is not known whether the main cause is the increase in intensity or the volume of exercise training. According to Lehmann et al (17), the worst two things are training monotony without recovery or easier training days, and an increase in training volume.

In studies by my colleaques and I (7,8), both an increase in volume of intensive training and an increase in total training volume were needed to induce the overtraining state in endurance athletes. Koutedakis and Sharp (15) reported that the overtraining state appears mainly during precompetition or competition season when increased intensive training volumes occur.
It is obvious that traveling (jet lag) and strong environmental conditions (eg, altitude, cold, or hot weather) are additional stressors for an athlete's body, increasing vulnerability to the overtraining state. A deficient calorie intake seems to decrease stress tolerance (18), and sleep deprivation seems to affect metabolic and endocrine function (19).

Central Adaptation

There are many theories but not much evidence about the origin and the pathophysiologic changes of the overtraining state.
Possible central pathophysiologic changes are hypothalamic dysfunction (20); changes in concentration and function of neurotransmitters (amino acid imbalance theory) (21); changes in the hypothalamic-pituitary-adrenal (HPA) axis and pituitary function, and sensitivity to feedback from the periphery (22-25); decreased central command to skeletal muscles (26); and changes in autonomic nervous system function, which can have both central or peripheral context (7,27-29).

Hypothalamic dysfunction. The role of hypothalamic dysfunction in the pathophysiology, signs, and symptoms of overtraining is appealing; however, only a few studies cite it (20,22,23). Changes in noradrenergic, serotonergic, and/or dopaminergic activity in the brain (specifically in the hypothalamic and suprahypothalamic regions) can cause hypothalamic dysfunction, but the role of neurotransmitter changes in overtraining is unknown.

It is assumed that chronic exercise training and stress may modulate the transmitter activity. The transmitters, especially norepinephrine and serotonin, also regulate pituitary hormone release during stress (30). Serotonin influences mood, sleep, temperature regulation, cardiovascular regulation, and higher brain functions.

Amino acid imbalance. An imbalance in amino acids could, in theory, lead to increased serotonin concentration in the brain. Prolonged and intensive exercise (21) and overloading exercise training periods (31) can increase tryptophan concentration and decrease the blood concentration of free branched-chain amino acids, leading to an increased concentration of brain tryptophan that is converted to serotonin. Some evidence has shown that chronic stress could also increase dopamine synthesis in the brain (30). On the other hand, animal studies have shown that reduction in central dopamine during exercise relates to increased fatigability (32).

Changes in the HPA axis. Sufficient evidence for the changes in HPA axis function and pituitary sensitivity in the overtraining state is missing. A very intensive training period during a normal training schedule seems to reduce maximal exercise-related concentration of adrenocorticotropic hormone (ACTH) and growth hormone and tends to decrease maximal exercise-related cortisol concentration (23).

Conversely, resting ACTH concentration seems to be increased after exhaustive marathon races (33), a finding identical to the increased ACTH seen in exercise-trained rats and their response to acute stress (30). This phenomenon with "normal" cortisol concentration is the supposed result of decreased pituitary sensitivity to cortisol feedback and not decreased adrenal sensitivity to ACTH (25).

Autonomic nervous system dysfunction or imbalance has been presented as one reason for the signs and symptoms of the overtraining state (34). Intrinsic nighttime sympathetic activity has been proposed to decrease following intensive training and in the overtraining state as a compensating response to increased sympathetic activity during daytime activity and exercise training sessions (34).

The increased low-frequency power of R-R-interval variability on electrocardiogram during supine rest in overloaded and overtrained athletes (34,35) refers to their possibly increased sympathetic activity at the cardiac level during daytime (7). Maximal exercise-related sympathetic activity was also found to increase during short, intensive training, as evidenced by increased catecholamine levels (28,29).

Related to the changes in sympathetic activity, physical training has been shown to change adrenoreceptor sensitivity and density (36). This influences plasma catecholamine levels via the feedback loop and responses to interventions such as exercise. These changes have not been demonstrated to progress during the overtraining state.

Peripheral Adaptation

The ability of peripheral organs to receive information from the central nervous system has been proposed to change in the overtraining state (17). Some changes take place with normal physical training, and this phenomenon is called peripheral adaptation. The question is where the limit between normal training and overtraining lies. For example, in overloaded recreational athletes, adrenal sensitivity to ACTH can decrease (37). This could explain some findings of decreased cortisol release in overtrained athletes (20,38,39) during exercise or hypoglycemia.

Peripheral changes related to overtraining could be changes in sensitivity and hormone secretion of peripheral endocrine glands (eg, decreased adrenal sensitivity to ACTH (32) and decreased secretion of thyroid hormones (40)). Peripheral changes might also include decreased glycogen stores (41), decreased neuromuscular excitability (42), changes in adrenoreceptor sensitivity (36), changes in immunologic function (43-46), and, theoretically, heart and skeletal muscle cell dystrophy.

Koutedakis et al (26) found decreased concentric maximal voluntary contractions in quadriceps muscle in presumably overtrained athletes. At the same time, they found no differences in eccentric maximal contractions between overtrained and normally trained endurance athletes. The authors attributed the discrepancy to impaired excitatory central drive to the spinal motoneurons in overtrained athletes. Six weeks of intensive cycle training decreased neuromuscular excitability (42), but recovery had already occurred in 2 weeks, even if the performance capacity remained decreased. Different recovery of peripheral and central mechanisms could explain this finding.

Diagnosis of Overtraining

Unlike with diagnoses of most diseases, physicians have no exact criteria for the overtraining state. The diagnosis is based on three points: (1) patient history, (2) carefully ruling out other diseases, and (3) laboratory findings.

History-taking includes a careful account of symptoms and signs (see table 1). Changes in training regimen are of utmost importance. Performance decrement with an increased feeling of fatigue (subjective and objective evaluation) is the main sign of overtraining.

The overtraining state can only be diagnosed after clinical examination has ruled out other conditions. Diseases such as Addison's disease, anemia and other nutritional deficiencies, asthma and allergies, cardiac diseases (eg, hypertrophic cardiomyopathy), diabetes or glucose intolerance, hypo- and hyperthyroidism, infections, muscle diseases, and psychiatric disorders can mimic overtraining.

Laboratory tests for differential diagnosis (table 2) and laboratory findings that can be connected to decreased performance capacity (table 3) (47-51) are helpful. Several laboratory parameters have been proposed to indicate an impending or actual overtraining state: a decrease in testosterone and increase in cortisol concentration, or a decrease in their ratio (52); decrease in nocturnal catecholamines (27); changes in catecholamine concentration in blood during rest and after exercise (53); decrease in maximal blood lactate concentration (53); decrease in plasma glutamine concentration (43,44); increase in uric acid and creatine kinase concentrations (reflecting overload at the muscle level) (53); decrease in the ratio of blood lactate concentration to ratings of perceived exertion (54); changes in morning heart rate (55); and changes in initial heart rate response to orthostatic stress (56).

TABLE 2. Laboratory Tests for the Differential Diagnosis of the Overtraining State

First Step
Hemoglobin, hematocrit, leukocyte count, thrombocyte count
Erythrocyte sedimentation rate
Blood glucose
Sodium, potassium, calcium
Alanine aminotransferase, alkaline phosphatase
Thyroxine, thyroid-stimulating hormone
Electrocardiograph (ECG)
Cardiac ultrasound
Clinical ergometric/ergospirometric test (ECG, blood pressure, PEF/FEV₁ blood lactate, Borg scale)
Second Step
Differential leukocyte count
Ferritin
Transferrin, albumin
Creatine kinase
Immunoglobulin (IgE)
Orthostatic test and autonomic nervous system function tests
Cortisol and testosterone (free testosterone)
Third Step
Estrogen, follicle-stimulating hormone, luteinizing hormone
Adrenocorticotropic hormone (stimulation test)
Catecholamines (urine) and catecholamine metabolites
Magnesium, zinc
Further specific examinations if needed

PEF/FEV₁ = Peak expiratory flow/one-second forced expiratory volume


TABLE 3. Recommended Parameters for Detecting Signs of Overtraining
Parameter in the Field	Sign of Impending Overtraining

Subjective Psychological Evaluation
Subjective fatigue ratings	Increased feeling of fatigue despite adequate recovery time (easier training of 1 day to 2 wk)
Mood state	Decreased positive and increased negative feelings
Muscle fatigue ratings	Increased despite recovery time (easier training of 1 day to 2 wk)
Perceived exertion during constant exercise load	Increased

Physical Performance Capacity
Heart rate during constant submaximal load	Increased
Time for a given distance with constant submaximal HR	Increased
Time for a given distance during maximal effort + HR_max, or	Increased; HR_max decreased
Time to exhaustion during constant velocity	Decreased
Power during maximal effort	Decreased

Cardiovascular Factors
Resting morning heart rate	Increased or decreased more than normal individual variation
Heart rate response* to orthostatic test in connection with decreased heart rate variability during standing after standing up**	Increased or decreased more than normal individual variation

Other
Weight and nutrition	Increased or decreased more than normal individual variation
Log of external and internal stress factors (other than exercise training)	See table 1

Parameter in the Laboratory	Sign of Impending Overtraining
Mechanical efficiency during submaximal load	Decreased
Maximal performance capacity (W_max, VO₂max, time to exhaustion***)	Stagnant or decreased
Nutrition and health status	See table 2

Rest vs 3 min after standing—mean of a few heart beats, not the single value (66). First standing minute excluded. **Normal variation 2% to 12% in these parameters (74). HR = heart rate; HR_max = maximal heart rate; W_max = maximal workload

There have been many proposals for tools that could be used to diagnose the overtraining state, but psychological symptoms and signs have been among the most sensitive indicators during very short to long-term training periods (16,57,58). Since the 1920s, psychological changes have been thought to be the main reason for the decrease in performance capacity of overtraining. Decreased positive feelings (eg, vigor) and increased negative feelings (eg, tension, depression, anger, fatigue, and confusion) normally appear, even after a few days, during an intensive training period. The most sensitive sign seems to be an increased self-perceived fatigue rating. Furthermore, increased ratings of perceived exertion during exercise after only 3 days of overloading could indicate a central limit of increasing fatigue (58).

Monitoring Training Effects

Athletes often visit their physician after they have suffered from overtraining symptoms for weeks. In that situation, the symptoms and signs can be attributed to overtraining or detraining or both. Many classic overtraining signs, such as those associated with autonomic nervous system function, cannot be detected after a 1-week recovery. Therefore, if possible, training effects should be regularly monitored by certain objective and subjective parameters. Many factors, most of which are reviewed by Tremblay et al (59),have to be controlled when evaluating the importance of changes in follow-up parameters (see table 4).

TABLE 4. Factors That Should Be Controlled When Monitoring Intraindividual Training Effects by Measuring Physiologic Markers

Standardized Conditions
Time of day (47)
Time of year
Testing environment: humidity, temperature, light
Use of caffeine, alcohol, tobacco, or other substances
Nutrition and previous meal
Medication
Actual health
Menstrual cycle
Training history (48)
Training volume and intensity during previous days (49)
Time interval to previous exercise
Quality and quantity of sleep (50)
Stress level (psychological, social, economic)
Methodologic Factors
Posture
Identical collection, transportation, storage, and analysis protocols
Others
Changes in blood volume (51)
Changes in weight

Training history and a sedentary lifestyle have been shown to influence hormonal changes induced by 1 week of intensive training (48). Some training/overtraining studies (22,37,42) have been performed using sedentary people as subjects, but they are not comparable to studies of athletes.

Changes in plasma volume have rarely been taken into consideration when the influences of training and exercise on blood markers have been measured, but the change in plasma volume is considerable during exercise and as a result of exercise training (51). It is one of the main reasons why heart rate, hemoglobin, and hematocrit changes induced by exercise training are detected after a very short period. Some hormonal changes induced by one exercise session, and possibly also by long-term exercise training, can be explained by a change in plasma volume (60).

Concerning some blood markers such as catecholamines, the acute stress of venous puncture increases the values derived from plasma or serum. After the venous puncture, resting for 30 minutes is recommended before blood sampling. If taken sooner, the values should be interpreted to reflect a degree of psychological stress and physical pain.

There are no overtraining studies in which all the aforementioned factors have been considered. The recommendations for follow-up parameters are presented according to the existing information. These markers can be indicators of an athlete's starting to move from adaptation to maladaptation. In that case, coaches and athletes should be careful to limit the dose of exercise training and other stressors.

Physical Parameters

Natural markers of the training state include changes in performance capacity (time to exhaustion, maximal oxygen uptake, maximal lactate, maximal heart rate) and physical performance-related parameters during submaximal exercise (blood lactate, oxygen uptake, heart rate). Which of these parameters first shows adaptation incompetence? Normally, efficient long-term physical training should improve all maximal and submaximal performance-related parameters. Highly trained athletes, however, require a lot of well-planned training to register some improvement.

In a study by Billat et al (29), endurance-trained male athletes showed some improvement of maximal performance (economy, running velocity) during a normal 4-week training period. Overloading did not immediately decrease performance capacity, and 4 weeks of further overload training did not change any maximal physical-performance-related parameters.

Only submaximal heart rate, which already decreased after the normal training session, showed a further decrease (29). This can be partly attributed to increased blood volume and changes in intrinsic heart rate, but also to changes in autonomic nervous system function. Others have reported identical findings of unchanged performance capacity during short-term overloading with a decreased submaximal and/or maximal heart rate (58,59).

The most sensitive physical parameters for follow-up of the training state and overloading seem to be changes in physical efficiency, mechanics, and coordination (16,63) in addition to heart rate changes during submaximal and maximal exercise. Increased submaximal heart rate is a definitive marker of insufficient recovery during a continuing exercise training regimen (detraining excluded). However, results of submaximal exercise tests can be misleading (64).

Low heart rate during submaximal exercise does not exclude the possibility of the overtraining state (65), and low blood lactate during submaximal exercise can be evidence of both increased performance capacity and low muscle glycogen concentration (64,66). Therefore, it is also important to measure maximal physical performance in conjunction with submaximal tests.

Secretory Indicators

Many hormonal changes appear first during exercise or some other intervention rather than during rest. Therefore, the most sensitive parameters of an impending overtraining state could be exercise-related hormone concentrations if monitored in follow-up (39). Hormonal changes have not proven to be sensitive or specific indicators of the overtraining state, but many neuroendocrinologic changes are naturally evident during the overtraining phase. Reliable measures of hormone levels during maximal exercise require appropriate laboratory conditions, which are not always possible. For results to be meaningful, identical collection, transportation, storage, and protocols of analysis must be observed.

Serum testosterone. Concentration of serum testosterone has been shown to directly reflect training volume and intensity but is not specific for the overtraining state (39,67-70). Testosterone concentration has been shown to decrease following endurance exercise training (70); however, decreased testosterone release does not appear to stem from functional changes at the testicular level but rather to changes in the function of the hypothalamus-pituitary-testis axis. Resistance exercise overtraining has not been studied as well, but testosterone concentration seems to increase with heavy training and overreaching in resistance-trained athletes (71).

Cortisol. The concentration of this stress-related hormone in serum can be postulated to change during the overtraining state. Findings concerning the changes of cortisol concentration during overtraining are controversial, reflecting different grades or types of overtraining state and individual differences in reaction types. Cortisol levels should decrease in hypothalamic dysfunction (20). Maximal exercise-induced cortisol rise has been reported to decrease with increasing training load and in the overtraining state (39). Saliva tests are preferred to serum tests if cortisol concentration is measured (25).
Catecholamine concentration. Findings of changes in catecholamine levels during overtraining are controversial. Increase in resting plasma norepinephrine concentration seems to reflect an increase in training load (39) and is not specific for the overtraining state. Intensive endurance training, however, seems to decrease exercise-induced catecholamine concentration (39,53). The behavior of stress hormone levels (maximal cortisol decrease and catecholamine increase) seems to be identical in overreached resistance- and endurance-trained athletes (28,71).
Plasma glutamine. Rowbottom et al (72) proposed an increase in plasma glutamine level to be a marker of long-term balanced training and a decrease in concentration to be an indication of overtraining (43,44). Glutamine is needed for optimal functioning of the immune system. Decreased muscle glutamine concentration, decreased secretory immunoglobulin (IgA) concentration (45), and changes in quality, quantity and function of white blood cells could be reasons for immunosuppression and susceptibility to upper respiratory infections in the overtraining state. However, Shephard and Shek (46) have concluded that immunologic parameters do not seem to be potential markers of the overtraining state in clinical practice.
Uric acid and creatine kinase. Plasma uric acid shows some correlation to anaerobic threshold, but creatine kinase concentrations, while they seem to react to acute overloading, are less reliable as potential indicators of overtraining (72).

Heart Rate

Measures of resting heart rate seem to be insensitive for the overtraining state, but a decreasing trend in heart rate variability during standing, in connection with a significantly increased or decreased heart rate response to standing up (orthostatic challenge), seems to indicate the impending overtraining state (7,65). Heart rate changes during an orthostatic challenge are recommended follow-up parameters of the overtraining state and may be a promising new diagnostic tool. Decreased heart rate variability during standing after standing up seems to be a change common to all types of stress reactions and overtraining states of athletes (7,65). Heart rate variability measurements, however, should be used carefully in individual follow-up because they are seldom reproducible (65) and require carefully standardized conditions. The ability to measure short-term heart rate variability during the challenge increases the sensitivity and specificity of the test for the impending overtraining state.
Contrary to this, heavy but tolerated training in a group of endurance athletes seemed to increase heart rate variability during standing, which strengthens the notion of heart rate variability as a promising diagnostic tool of the overtraining state (8).

Prevention and Treatment of Overtraining

Prevention is the best treatment for the overtraining state. Tapering the training regimen combined with rest, proper nutrition, and sleep help the body heal. Recognition and treatment of depression is important. Therapies such as massage and sauna baths can speed recovery.
Periodization of training with enough recovery should prevent overtraining (73) if other stressors and their influence on recovery are also taken into consideration (see table 1). Periodization means that correct loads of training stimuli are administered followed by adequate recovery periods. Periodization also diminishes the monotony of training when done over the short and long term.
Fifty-two training weeks of the year have been divided into phases of training emphasis called macrocycles. Each training week is called a microcycle (microcycles can be also longer—up to 10 days), and each microcycle includes both strenuous and recovery days in an appropriate proportion. Three or 4 microcycles compose a mezzocycle. Each mezzocycle consists of 2 to 3 microcycles with higher training loads and 1 recovery microcycle. Macrocycles with different training regimens can be classified as preparation, precompetition, competition, and tapering; all preparing for optimal performance in competition. As noted before, careful follow-up of athletes' subjective feelings and some objective parameters (table 4) are also an important part of prevention.
If the overtraining state persists in spite of all efforts to prevent it, effective treatment is needed. The best treatment is to rest and avoid sport activities for approximately 2 weeks. After the resting period, the patient can start light training. Athletes should try different sports, refraining from the training modality and intensity that caused the overtraining state. Training should progress very slowly, with the pace determined by carefully listening to the patient's feelings.
Athletes should forget the past and concentrate on the future. Otherwise, they can easily start comparing their performance and feelings to the time before the overtraining state, inducing a neurotic attempt to recapture the previous feeling. This can delay recovery and highlights the huge role of psychological factors in recovery. Professional psychological help is sometimes recommended for athletes who are seeking to overcome an overtraining problem.
Depression is one of the biggest psychological problems among overtrained athletes, and differentiation between primary depression and overtraining with secondary depression is difficult. Training history, discussions with coaches and other athletes, and a family history can help clarify this question.
Both primary and secondary depression need to be addressed with antidepressants and psychotherapy. Overtrained athletes, however, should get therapy for depression as soon as possible because it can speed recovery. This is only a hypothesis because there are no well-controlled studies about how antidepressant use affects recovery time. In secondary depression, the use of medication needs to be considered very carefully.
Adequate nutrition is one of the most important background factors behind a positive training effect and is also very important for overtrained athletes. If the diet is balanced, additional supplements and nutritional modifications have not been proven to speed recovery. The most common deficiency, especially in female endurance athletes, is iron. Zinc, magnesium, and calcium deficiencies have also been reported in endurance athletes, especially those who deliberately restrict their diets (75). In those cases, supplementation is needed.
The most commonly used supplements are the antioxidant vitamins C and E, but long-term, excessive intake of these vitamins can be harmful. Greater-than-recommended doses are not recommended even for overtrained athletes.
Amino acids are often used as supplements among athletes, but there is no consensus about their benefit. Research has not presented evidence for the benefit of valine, leucine, isoleucine, tryptophan, or glutamine supplementation among overtrained athletes (76). Future research is needed concerning this topic.
Adequate sleep is important during recovery. All additional stressors should be minimized. Traveling can increase tiredness, but in some cases, changing the environment and finding new hobbies can be good for recovery. Increased sexual activity may aid a recovering athlete, as it relaxes and modulates neurotransmitters beneficiently (77).
Massage, cryotherapy, and thermotherapy (including sauna bathing) are widely used to speed recovery. However, if an overtrained athlete feels exhausted and phlegmatic (parasympathetic type of overtraining), it is better to refrain from these therapies for several weeks. Powerful massage is also a type of exertion for muscles and may slow the recovery process. For phlegmatic athletes, caffeine can be used as a stimulant, but no evidence exists for its actual effects on recovery.

An All-Encompassing Approach

Unless tapering and adequate recovery time are built into a training schedule, overreaching can lead to overtraining. Objective markers for diagnosis of the overtraining state are few, but changes in heart rate variability during orthostatic challenge may be a promising new diagnostic tool. The subjective feelings of the athlete are still one of the most reliable indicators of an impending overtraining state. Until further studies reveal specific diagnostic indicators and confirm the efficacy of nutritional supplements, physical therapies, and psychotherapy as treatments, prevention is still the best cure.

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Hackney AC, Fahrner CL, Gulledge TP: Basal reproductive hormonal profiles are altered in endurance trained men. J Sports Med Phys Fitness 1998;38(2):138-141
Fry AC, Kraemer WJ, Ramsey LT: Pituitary-adrenal-gonadal responses to high-intensity resistance exercise overtraining. J Appl Physiol 1998;85(2):2352-2359
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Gotovtseva EP, Surkina ID, Uchakin PN: Potential interventions to prevent immunosuppression during training, in RB Kreider, AC Fry, ML O'Toole, (eds): Overtraining in Sport. Champaign, IL, Human Kinetics Publishers, 1998, pp 243-272.
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Fry RW, Morton AR, Garcia-Webb P, et al: Monitoring exercise stress by changes in metabolic and hormonal responses over a 24-h period. Eur J Appl Physiol Occup Physiol 1991;63(3-4):228-234
VanHelder T, Radomski MW: Sleep deprivation and the effect on exercise performance. Sports Med 1989;7(4):235-247
Kuipers H, Verstappen FT, Keizer HA, et al: Variability of aerobic performance in the laboratory and its physiologic correlates. Int J Sports Med 1985;6(4):197-201

Dr Uusitalo is a sports and exercise medicine physician in the department of clinical physiology and nuclear medicine at Kuopio University Hospital in Kuopio, Finland. Address correspondence to Arja Uusitalo, MD, Dept of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, PO Box 1777, FIN-70211, Kuopio, Finland; e-mail to arja.uusitalo-koskinen@kuh.fi.

Bahaya Flu Babi ( Dangers of Swine Flu )

noreply@blogger.com (Unknown) — Thu, 11 Sep 2014 09:56:00 +0000

Bahaya Flu Pada Manusia

BELUM habis pembicaraan masyarakat tentang flu Singapura, ancaman baru datang dari flu babi. Kecemasan muncul, akankah penyakit yang menelan korban lebih dari 80 warga Meksiko ini menjadi pandemi dunia? Mewabahnya flu babi (swine flu) di Meksiko sejak pertengahan April lalu tengah menjadi hottest issue di berbagai media massa saat ini.

Tak urung, pemerintah dan masyarakat di seluruh dunia siaga satu sekaligus cemas, akankah ini menyebar menjadi masalah global seperti halnya saat pandemi flu yang membunuh jutaan orang di seluruh dunia pada 1918, 1957, dan 1968?

Setelah menginfeksi lebih dari seribu warga Meksiko dan 10 orang di Amerika, WHO mengingatkan bahwa wabah flu babi berpotensi menjadi pandemi dunia. Namun, terlalu dini untuk menarik kesimpulan, dan pemerintah di berbagai negara menyerukan masyarakat untuk tetap tenang dan tidak panik.

Apa dan bagaimana sebetulnya flu babi? Bagaimana bedanya dengan flu biasa, flu burung, ataupun flu singapura yang belum lama ini juga menjadi buah bibir di Indonesia?

Flu, Beda dengan Batuk-Pilek

Orang sering kali salah kaprah menggunakan istilah flu untuk menggambarkan gejala pilek. Padahal, menurut spesialis paru dari Departemen Pulmonologi dan Ilmu Kedokteran Respirasi FKUI Jakarta dr Dianiati Kusumo Sutoyo SpP(K), batuk-pilek yang selama ini dikenal di masyarakat adalah suatu penyakit infeksi virus pernapasan yang tidak berbahaya.

"Dalam dunia medis, gejala ini dikenal dengan istilah common cold," sebutnya. Common cold

Jumlah virus penyebab common cold pun sangat bervariasi, lebih dari 200 jenis atau strainrhinovirus dan coronavirus). Ini berbeda dengan flu, karena flu adalah kependekan dari penyakit influenza yang disebabkan virus influenza tipe A, B, atau C.

Penelitian mendapati bahwa virus-virus influenza yang tadinya tidak menyebabkan penyakit (patogen), setelah bersirkulasi beberapa saat pada populasi peternakan dapat bermutasi menjadi virus yang sangat menular.

Flu Babi, Hibrida Aneka Flu?

Flu babi (swine flu) adalah penyakit pernapasan yang lazim ditemui pada babi yang disebabkan virus influenza A subtipe H1N1. Virus ini dapat ditularkan melalui binatang, terutama babi, kendati ada kemungkinan penularan antara manusia.

Menurut Dirjen Pengendalian Penyakit dan Penyehatan Lingkungan (P2PL) Depkes Prof Dr Tjandra Yoga Aditama SpP MARS, secara umum penyakit flu babi ini mirip dengan influenza (influenza like illness/ILI). Gejala klinisnya antara lain demam, batuk-pilek, lesu, letih, nyeri tenggorokan, napas cepat atau sesak napas, dan terkadang disertai mual, muntah, bahkan diare.

Pada anak, beberapa kondisi yang patut diwaspadai di antaranya napas cepat atau sesak napas, kulit kebiruan, enggan minum banyak cairan, respons lamban atau tidak interaktif, rewel, batuk-pilek, demam disertai kemerahan di kulit (rash). Adapun pada orang dewasa, di samping gejala klinis yang umum, jika ditemui gejala kesulitan bernapas, napas pendek, rasa sakit atau tertekan di dada dan perut, pusing mendadak, bingung, bahkan disertai muntah, hendaknya segera meminta pertolongan medis.

Virus H1N1 sebenarnya biasa ditemukan pada manusia dan hewan, terutama babi, tetapi keduanya memiliki karakteristik yang berbeda. Begitu juga dengan virus flu burung H5N1 meskipun sama-sama virus influenza tipe A. Cara penularan flu babi melalui udara dan dapat juga melalui kontak langsung dengan penderita. Adapun masa inkubasi virus ini berkisar 3-5 hari.

Kepala Divisi Medis Departemen Kesehatan, Australia, Profesor Jim Bishop, mengungkapkan, bukan mustahil virus flu babi yang menginfeksi ribuan warga Meksiko tersebut merupakan hasil perkawinan silang (hibrida) antara flu manusia, flu burung,dan flu babi.

"Kami khawatir hibrida ini akan menghasilkan tipe baru flu yang akan lebih sulit diprediksi, dan tampaknya ada kemungkinan penularan antarmanusia," ujar Bishop seperti dikutip AAP.

Flu Singapura

Flu Singapura sebenarnya adalah penyakit yang dalam dunia kedokteran dikenal sebagai hand, foot, and mouth disease (HFMD) atau penyakit kaki, tangan dan mulut (PKTM). Disebut flu singapura karena konon awalnya dibawa masuk ke Indonesia oleh orang yang baru bepergian atau berlibur dari luar negeri. PKTM merupakan penyakit infeksi yang disebabkan virus RNA seperti enterovirus dan rhinovirus.

Penyakit ini sangat menular dan kerap terjadi pada musim panas dengan masa inkubasi virus 2-5 hari. Anak-anak usia 2 minggu sampai 5 tahun paling rentan terinfeksi. Beberapa gejalanya mirip flu biasa, yakni demam, batuk, pilek, pegal, tidak nafsu makan, dan mudah lelah.

Adapun yang khas adalah pada hari ke-2 atau ke- 3 demam, timbul seriawan, bibir pecah-pecah, lidah dan tenggorokan meradang, bahkan ada yang area mulutnya sampai melepuh atau berlendir. Selain itu, pada kulit timbul bercak lebar berwarna merah, terutama telapak kaki, tangan,dan mukosa mulut. Kendati demikian, biasanya penyakit ini tidak berat. Dengan pengobatan tepat, penderita akan sembuh dalam 7-10 hari.

Flu Burung

Penyakit pernapasan pada unggas (avian influenza) yang dikenal dengan sebutan flu burung disebabkan infeksi oleh virus influenza A subtipe H5N1. Secara umum, gejala klinisnya seperti flu pada umumnya, yaitu demam, batuk, sesak dan sakit tenggorokan, beringus, nyeri otot, sakit kepala, dan lemas.

Namun, dalam tempo singkat kondisi penderita bisa memburuk dengan terjadinya peradangan pada paru-paru (pneumonia), yang mana jika tidak dilakukan tata laksana dengan baik dapat berujung kematian. Hampir separuh kasus flu burung pada manusia menimpa anak-anak, terutama usia kurang dari 12 tahun yang paling rentan terinfeksi.

Hingga kini, tidak ditemukan bukti ilmiah adanya penularan H5N1 antarmanusia. Namun, dengan kondisi lingkungan seperti saat ini, tak mustahil virus flu burung bermutasi dan mengakibatkan penyebaran dari manusia ke manusia. merupakan infeksi saluran napas atas akut yang disebabkan virus, dengan berbagai variasi gejala seperti batuk, ingus encer, dan bening, sakit tenggorokan, bersin, mata berair, hidung tersumbat. Namun, tidak disertai gejala nyeri otot hebat, demam tinggi, apalagi sampai menggigil. (paling sering adalah golongan

Sumber: okezone.com

The Importance of First Impressions A Doctor

noreply@blogger.com (Unknown) — Thu, 11 Sep 2014 09:43:00 +0000

The Importance of First Impressions A Doctor

"The first IMPRESSION so tempting". Perhaps you are already familiar with the tagline popularized a perfume ad. This also applies to the doctors.

Reflecting on the results of research conducted Makoul Gregory and his team from Northwestern University Feinberg School of Medicine, physicians are advised to create a good first impression for the patients. Therefore, there would be no "second chance" to leave a pleasant impression.

The survey revealed that almost all patients want the doctor's name and shake their hands when they first meet. However, most doctors just shake hands without the patient's name. "Greetings may be only a small part of the procession of the patient consultation with her doctor, but the effect can be long-term," said Makoul.

He asserts, first impression is the foundation to build further relationships between doctors and patients. Not only that, respectful manner can also prevent misunderstanding. In the medical world, many cases of errors that occur due to lack of precise handling and approach to the patient's physician.

"It's not just a matter of greeting. There is a relationship between good communication between doctors cure rate of patients with the disease of the patient," said Dr. Sheldon Horowitz of the American Board of Medical Specialties, USA.

Source: okezone.com

Pinched Nerve Therapy Overcoming the Electrical & Herbal godok

noreply@blogger.com (Unknown) — Tue, 29 Apr 2014 10:50:00 +0000

Solid activity makes people tired . Body will feel pain , especially bending or turning . If you feel like it , do not let it . Who knows you pinched nerve . How do I fix this ?

Pinched Nerve Therapy Overcoming the Electrical & Herbs godok

Pinched nerve disorders or in medical terms is called cervical radiculopathy , is a disturbance that causes pain , numbness , sometimes from unknown sources . Such a situation usually occurs because of damage or shifting the composition of the bones or joints ( disc ) , such as the joints in the area around the neck .

Just to note , we collarbone actually composed of numerous vertebrae joints . And in between these segments are bearing joints ( discus ) . In addition to the disc , there are also nerves that move or give a stimulus to some members of the body . If no cushion joints dislocated , which will be pinched nerve .

Causes :

The most common cause is HNP ( Herniasis Nucleua pulposus ) due to traumatic events , such as lifting heavy loads with the wrong body position . For patients with osteoporosis , any movement at all can happen trauma . Sitting with the wrong body position continuously can cause HNP , which means it can happen once , then there is trauma . But it could also run chronic or chronic . Not only that , a pinched nerve can also be caused by hereditary factors .

As many as 80 percent of patients who complain of pain usually linked to spinal problems or back problems , ranging from pinched nerves to the affected joints . Pain in the spine can suffer 2-3 weeks old . The intensity of the pain can be mild , moderate , and severe . If pain is severe , or treatment must be swift action . However , there are times when one can feel the pain much longer , even repeatedly .

Pinched nerve , buried by certain fluids in the body or other objects wedged outside the body , affecting the muscles and nerves . As a result , some syndromes can arise , including carpal canal syndrome , tarsal canal syndrome , syndrome ulnar , radial canal syndrome , and hernia central nervous system .

Carpal canal syndrome occurs due to suppression of sensory nerves in the wrist or carpal tunnel . Nerve median nerve or nerves get in the middle of the palm of the hand between the flexor tendons and the flexor retinaculum . This small cavity is the carpal canal ( carpal tunnel ) . Refinement by fat or fluid surrounding the nerve pressing the median nerve . It can also occur due to complications of pregnancy , oisitas , and rheumatism . Such as carpal canal syndrome , tarsal canal syndrome also have the same symptoms and it happened . It's just this one syndrome could be on your toes . This syndrome usually suffered by men .

In contrast to both the nerve , the ulnar nerve or nerve normally pinched ulna in the elbow area . Symptoms can be removed by surgery nerve to the elbow . The ulnar nerve can also be disrupted if there is prolonged pressure on the palm of the hand . It usually occurs in manual labor or heavy stick due to the pressure in the palm of the hand . Radial canal syndrome occurs because the radial nerve entrance to the tunnel in the forearm muscles stressed muscles . Generally caused by the contraction of the forearm is too strong , such as swinging something . Symptoms such as pain in the back of the forearm just below the elbow . Sometimes pain is also felt in the wrist .

Electricity and Herbal Therapy godok :

To cope with a pinched nerve disorders , alternative medicine can be a pretty effective way out . One alternative treatment can be quite effective way out . One of the alternative treatment is electrical therapy and herbal godok of Ki Wongso . This therapy is accompanied by prayer ( according to the religion of the patient ) .

According to Ki Wongso , essentially a disease caused by junk food long period turns into poison . This poison which occupy different parts of the gut as a digestive system . Therefore , it should be discarded toxins . " Eat sparingly and stop before satiety , " he said in Kaswari Jalan Raya , Bintaro , Tangerang . It is better to eat foods that are not tar contamination by chemicals .

Massage or electrical therapy performed by Ki Wongso the same as shock therapy on the body . Its function is to make a surprise against the veins are weakened nerves , blood circulation is blocked , a collection of veins that move and freeze fat metabolism caused by a disruption of the body as toxins .

The first is done by Ki Wongso before doing the massage is putting all the items that contain magnets . After that Ki Wongso start stepping tool that will supply power to the body . Electricity received by Ki Wongso that will be transferred to the patient's body . Massaging is done usually in the form of nerve pressure points on the patient's body , starting from the neck , shoulders up to the point of pain perceived by the patient . This section is still the early stages of therapy .

Furthermore, patients will be given in the form of herbal concoctions godok to destroy toxins in the body . Potions made by Wongso Ki is derived from roots, leaves , seeds , and stems from a variety of trees , and spices that since the time of the ancestors are believed to have properties . The last step is to pray according to the patient's confidence .

Source: okezone.com

Strawberries Increase Sex Hormones

noreply@blogger.com (Unknown) — Tue, 03 Dec 2013 15:04:00 +0000

Effect Fruit Strawberries

BENEFITS fruit of this one was never in doubt. Strawberries for this is believed to have many health benefits for your body. Vitamin C contained in it will make the body fit and smooth skin. Not surprisingly, the red fruit is widely used as a material body treatments.

In addition to these benefits turned out to strawberries still have tremendous benefits, which increase the production of sex hormones. Vitamin C in fruit with a sour taste also will help blood flow to the sex organs.

For people with low blood? Consumption of fruit that grows in the highlands is very good. Contained anthocyanins in strawberries has the effect of lowering blood pressure and protect against problems caused by diabetes.

Source: okezone.com

Hypnotherapy antidote Vaginismus

noreply@blogger.com (Unknown) — Fri, 29 Nov 2013 05:26:00 +0000

Hypnotherapy and Vaginismus

Hypnotherapy is believed to be a way to momentarily escape from the pressure . This therapy is also able to cure sexual dysfunction in women .

Sexual dysfunction is not only attacking the Adam, women can have the condition. One woman complained of frequent disturbance is vaginismus . Vaginismus is one of the problems experienced by female sexual dysfunction . Those who experience this problem certainly will not be able to satisfy their sexual needs .

Vaginismus can cause adverse effects on the quality of a woman's life . Not only make it difficult to enjoy sex , but the inability to experience penetration made the decision to start a family becomes very difficult .

Vaginismus is a condition in which the muscles of the circle that surrounds the vagina go into spasm , vaginal opening clamped tightly so that penetration by the penis , becomes very painful or even impossible. Women who suffer from vaginismus can not control the spasms that occur . This disorder has absolutely nothing to do with venereal diseases such as bacteria or viruses in the intimate organ .

This disorder is actually a lot associated with psychological problems . First of all , there is a physical problem that causes the penetration of the penis , which is supposed to be very nice , to be something painful , it is recorded in the subconscious mind of the patient. For those of you who have the disorder do not necessarily discouraged . Hipnoterapimungkin you can try.

" Hypnotherapy is a form of therapy to empower the subconscious soul force , in the form of electromagnetic energy beam one octave of Far Infra Red Rays ( FIR ) , which has a wavelength of 6-14 microns . Whatever psychological disorders can be cured , including vaginismus sufferers , " word of Heaven hypnotherapist Hypnotherapy Clinic and Training Indonesia , Achmad Ridwan Sudirjo , SH , CHt , CI , LAPHP .

Hypnotherapy , according to him , could be applied as vaginismus occurs because the causes are in the subconscious mind ( sub counscious mind ) patients . Therapy is given depends on the cause of vaginismus is recorded in the subconscious mind of the patient. This type of therapy for each patient is not the same . To find out, need to approach the individual .

Hypnotherapy process is a process in which the therapist guiding the patient or client to enter the hypnotic state or trance . Where the client is slowly but surely going to focus and achieve a very high concentration .

" At this point the therapist will incorporate suggestions to overcome the problems experienced by his clients , of course after the initial cause of vaginismus is known , " said Ridwan .

Before starting this treatment , usually performed pre -talk or pre - induction interview beforehand . At this stage the therapist opened the conversation to build the trust of his clients , eliminate the fear of hypnotherapy , and answer all questions about hypnotherapy clients .

" In order for a pre - induction process is going well , then before the therapist must be able to recognize the psychological aspects of the client , including the client background , it is desirable , it is not desirable or what is already known to the client to hypnosis , " said hipnotherapist domiciled in Bandung .

The next step is performed on the client , Ridwan said , is suggestibility tests ( test suggestibility ) . This test is important because it determines whether clients include people who easily accept the suggestion or not . "In addition , suggestibility test also serves as a ' warm up ' , and also to eliminate the fear of the process of hypnotherapy . Suggestibility test also helps the therapist to determine the best induction techniques for clients , " he said .

After two initial steps successfully, the new therapist perform induction ( induction ) . Induction is the way it is used a hypnotherapist to bring the mind to move clients from the conscious mind (conscious ) to the subconscious ( sub counscious mind ) in a way to bypass the critical factor of its clients. Hypnotherapy is a technique on the induction progressive relaxation .

" When the body and mind to relax . Currently brainwaves will descend from beta , alpha , theta , and delta . Increasingly down brain waves , the client will be more relaxed so as to be in a trance . Then that suggestion is given , " he said again .

In the process of hypnotherapy , the client is not asleep . If the client is asleep , the therapist will usually do the tapping gently on the forehead clients so that clients can come out little by little from a state of deep trance .

" We recommend that if you want to undergo hypnotherapy , the client is not in a state of very tired or sleepy due to tiredness and sleepiness can cause the client to fall asleep ( sleep naturally ) and if the client is asleep , the suggestion can not be recorded on the client's subconscious mind , " he said again .

The benefits of hypnotherapy for vaginismus sufferers recognized psychologist from the University of Indonesia , Ratna Dewanti . He said the disease or psychiatric disorder of any kind can be cured .

" Vaginismus associated with psychosis . Apart from consulting a psychologist , hypnotherapy therapy can also be used . 's No wonder many psychologists combines the two elements of the treatment , " he said .

Source: okezone.com

Asthma Drugs, Is it safe?

noreply@blogger.com (Unknown) — Wed, 27 Nov 2013 18:49:00 +0000

Asthma Drugs

THE asthmatics should now be careful choosing of asthma medication . Some asthma medications allegedly had side effects . Ironically , side effects such as emotional disorders in addition to depression , can also cause a desire to kill herself .

Asthma medication that the negative effect is the production of drugs Merck & Co. , Astra - Zeneca , and Cornerstone Therapeutics . Based on the results of investigations carried U.S. Food and Drug Administration ( FDA ) for 15 months , found a number of cases of patients who have psychiatric disorders after taking the asthma medication .

" To anticipate, patients and doctors should be more concerned with the potential for neuropsychiatric disorders while taking these drugs , " the FDA wrote in its website . A spokesman for Merck & CO. , Pamela Eisele said , warning of the side effects is already listed in the drug's label production asthma , Singulair . However , since the existence of this warning it will be more emphasis on the dangers of the label .

So is the output AstraZeneca asthma drug . The company claims the dangers of mental disorders has been written in the product label . However , the new so-called side effects of depression and insomnia .

Source: okezone.com

Proper Diet Prevent Less Blood

noreply@blogger.com (Unknown) — Thu, 21 Nov 2013 18:58:00 +0000

Diet

WHO also definitely do not want to suffer from lack of blood disease or anemia . In addition to damaging the productivity and creativity of work , people with anemia are also susceptible to complications of other diseases . That's because the immune system is low compared with those who did not have anemia . Although women are more prone to anemia , do not be discouraged yet . Although prone attacked because of biological factors , such as caused by women menstruate every month , giving birth or abnormal bleeding factor . However , anemia can still be avoided with a healthy diet and the right to the body .

Proper diet to avoid anemia , revealed in a symposium entitled " Anemia and Women " at the Faculty of Medicine, University of Indonesia ( Faculty of medicine ) some time ago . " Anemia is actually the final stage of iron deficiency . Was even after the iron stored in the body's bones as a savings decreases . Till finally there whose name is the prevalence of iron deficiency , " said the lecturer of Faculty of Medicine Dr. MSc PhD Ervina Naidoo .

Actually , a lot of things women can do to avoid anemia . For example, start keeping iron intake consumed be absorbed by the body as much as possible . For example by consuming orange juice after eating and avoid the consumption of tea after the meal . "Tea can be made of iron that we consume with food late and wasted. So the most suitable drink after eating it was orange juice , " said the brown-skinned doctor .

Added Ervina , cleverness around the food consumed can make the body avoid anemia . " For patients with anemia may increase the consumption of foods such as meat , poultry meat is also the origin of sea food . Could well as eating fruits and vegetables , " he stated .

As for those who develop anemia , Ervina advised to limit consumption of foods that can inhibit iron absorption . Among them avoid foods containing phytate as found in nuts , bijibijian , and flour . Avoid the consumption of tea , coffee , and chocolate . " Actually, all the food was good for body. however , avoid taking them before the big meal . Example, drink tea two hours before or after meals . Do not drink tea when eating large it makes the iron soluble , " he stated .

The best strategy to change the diet , Ervina is explained by combining iron in the diet . Eating fruits and vegetables that contain vitamin C at mealtimes . Cooking food is not too long and not consume milk and milk products or tea on a great meal . " If you know how to eat the right foods , it can be reduced anemia , " he said .

Sources : okezone.com

Muscle Cancer, Prone Attack Children

noreply@blogger.com (Unknown) — Mon, 04 Nov 2013 05:41:00 +0000

Muscle Cancer

Cancer does not just affect adults , children can be affected . One of the most frequent cancer is a cancer attacking their muscles .

With a loud voice , Sonia Rahayu singing fun Laskar Pelangi . The 11 -year -old boy looks so excited . Behind cheerfulness , Sonia harbored pain in his body .

Two years ago , doctors pronounced the boy from Pandeglang , West Java , the cancer of the muscle . Perhaps few people know about muscle cancer . Because this cancer is not so often befall .

It is also said to be the Chairman of Education & Extension III Indonesian Cancer Foundation Dr Sumarjati Arjoso , SKM . " Muscle cancer incidence rate in Indonesia is 5 to 9 % of all cancers in children are there , " he said .

Muscle cancer in medical terms is called rabdomyosarkoma . This cancer can affect muscles anywhere. In children are usually in the head , neck , bladder , prostate , and vagina .

" Cancer is a disease of the muscle of malignant tumor that attacks the muscles called rhabdomyosarkoma , " said surgeon Dr. Dharmais Hospital oncology . Denni Joko Purwanto Sp.B ( K ) Onk .

Symptoms of this disease are started differently, depending on its location . In the eye socket , can cause protruding eyes , a lump in the eye .

In the ear causing pain or bleeding from the ear hole . In the urinary tract causing urinary problems . If the limb striated muscle , causing swelling . " Clinical symptoms depend on the location of the cancer grows , " said a doctor who also practices at Omni Hospital Alam Sutera , Tangerang .

Denni said the main complaint that often arises is that generally painless lump , and if it is of course related to the complaint further emphasis on the surrounding tissue . " All ages can develop this disease , " said the doctor graduated from the University of Indonesia .

However , rhabdomyosarkoma is a type of soft tissue sarcoma that is often found in children ( SJLA ) is approximately 60 % on SJLA under 5 years and approximately 23 % in children 15-20 years old , and found to be slightly higher in boys . Former Head of the Division of Hematology Faculty of medicine / RSCM Prof. Billy Djajadiman SpA ( K ) , also said the same thing .

He said , this is indeed a lot of muscle cancer attacking toddler age . Although not known for certain , maybe it was due to the increased activity of a toddler so no interference with the muscles .

" Maybe because it basically has no muscle cancer , coupled with increased activity , then popped the childhood muscle cancer , " said the doctor was born in Jakarta , August 11, 1944 this .

Similarly, at the time of adolescence . Muscle cancer is also a lot going on . Djajadiman said , why toddlers and young age because during rapid bone growth that are also predicted the existence of too rapid muscle development . Just like other cancer-causing , Dr. Denni explained , according to epidemiological data , muscle cancer is also not known for certain causes.

" Cancer is a chronic disease that can be controlled with good treatment . Primary modality is surgery followed by adjuvant chemotherapy and radiotherapy , " said Dr. Denni who practices at the Hospital Karya Bakti , Bogor . Surgery is the main treatment modality .

Surgery in children and the elderly were the same technique. If the cancer attacks the limbs, must be the act of sparring limb salvage operation which is the function Organ . Fortunately, the medical world is so aggressively looking for ways to treat this disease . Such as the discovery of new diagnostic tools such as CT Scanning , MRI and even PET Scanning much help in terms of diagnostic histopathology diagnostic role also .

Further Dr. Denni said , engineering advancement surgery chemotherapy , radiotherapy too much progress . In fact , progress is now being developed biomolecular targeting therapy .

" Cancer can certainly experience a recurrence or distant metastasis . Therefore , the control routine is one of the efforts to prevent it , " he said .

Because the exact cause of this disease is unknown , the things to avoid this disease , prevention should be done is to eliminate risk factors .

" Avoid chemicals , healthy lifestyle and balanced is key to avoid this disease , " message physician who has conducted research on Biomolecular & Cancer Research , Tokyo Medical Dental University , Japan , in 2008

Sources : Okezone.com

Beware of Your Cholesterol

noreply@blogger.com (Unknown) — Mon, 04 Nov 2013 04:52:00 +0000

cholesterol

The title of this article is the health message we often hear these days . And the reason behind it is quite clear.

With high cholesterol levels , a person has the potential to accumulate fat in the blood vessels , making blood cells is difficult to pass through the arteries . When the heart does not get enough oxygen- rich blood cells , it would be a high risk of heart attack . Likewise, the risk of stroke when the brain does not get enough blood flow .

Basically cholesterol is found in every cell of our bodies . Cholesterol is used to form healthy cells and vital hormones . The move followed the cholesterol blood vessels by " piggybacking " on the lipoprotein .

There are two types of lipoproteins , ie, low-density lipoproteins ( LDL ) and high - density lipoproteins ( HDL ) .

LDL cholesterol to function delivered to various organs and tissues of the body . However , when the cholesterol in the body is above the normal level , then it will remain excess cholesterol in the blood . Cholesterol is then oxidized and accumulate in the blood vessel wall . Heaps called plaque has the potential to cause inflammation , hemorrhage , and calcification in blood vessels . Plaques also will fill the space in the blood vessels so that the blood flow and causes coronary artery disease .

When the cholesterol carried by LDL is often called bad cholesterol , HDL cholesterol then known as the good cholesterol . HDL charge of " picking up " the excess cholesterol in the blood and transport it to the liver . The presence of HDL also protects the heart and blood vessels due to the effect of HDL has antioxidant , anti - inflammatory , and anti - blood clotting .

So , good for the body is high while HDL LDL should be low . Normal cholesterol level is 200 mg / dL . For normal LDL levels are 100 mg / dL with normal threshold 130-159 mg / dL . LDL above 160 mg / dL is considered high , while above 190 mg / dL is called very high . Whereas normal HDL levels are 40 mg / dL . HDL levels of 60 mg / dL is believed to protect you from a heart attack .

Beware HD Helps Your Cholesterol

According to The American Journal of Clinical Nutrition, chitosan has effective element in controlling cholesterol levels and inhibiting the absorption of fat in the body but does not cause side effects.

Chitosan is used by High-Desert in the product Trimee II. No wonder when HD Trimee II is the most appropriate health supplements to reduce the risk of heart disease because Trimee HD II help to raise levels of HDL and lower LDL levels.

If you want to keep cholesterol levels, LDL, and HDL normal you, then you should start taking HD Trimee II.

That was the discussion about health issues that occur in our lives, then avoid cholesterol by eating healthy foods and medicines to keep our cholesterol so that we are always healthy. may be useful.

Sources: www.hd.co.id

Overcome Premature Ejaculation

noreply@blogger.com (Unknown) — Sun, 03 Nov 2013 12:23:00 +0000

Not to Overcome Premature Ejaculation Remedy

Actually can be briefly described , that there is no potion that can solve all the problems of premature ejaculation . And not a single herb that has been through the clinical trial process .

Sometimes it was found that the herb sellers claim that their merchandise had been through a " clinical trial " . However , what happens actually is that the herb had been " given to patients at the clinic where he practiced.

This notion is very different from the concept of real clinical trials of a scientific nature , which has rules and standards . Therefore , as consumers , we are required to critically and carefully to the flood of health information .

In fact , not all actors in the health sector to be honest , some even using the ignorance of the community to get their profit.

Dissatisfied Wife

A man called premature ejaculation , according to Prof . DR . Dr.Wimpie Pangkahila , Sp.And . in the book Breaking the Erectile Dysfunction , if he is not able to control ejaculation as they wish or until the partner can achieve orgasm . Of course for the woman who became her partner does not experience sexual dysfunction .

Thus , although a man capable of erections and to ejaculate , he is not necessarily able to give sexual satisfaction to their partners . It is often not realized by the husbands , especially those experiencing premature ejaculation types of light .

Many cases of wives who experience dizziness , migraine , or severe headache , when traced to its source is further indicated dissatisfaction in sexual intercourse , premature ejaculation due to the husband .

Wife orgasm does not happen because it did not receive sufficient sexual stimulation . Stimulus suddenly stops in a short time because the husband had experienced ejaculation , so that an erection was coming to an end .

However , the real discontent not only experienced by the wife . In general, husbands who experience premature ejaculation also feel the same dissatisfaction , plus even embarrassed .

Ejaculation or light weight ?

What causes a man to experience premature ejaculation ? Quoting Prof . Wimpie , there are three things that need to be addressed: 1 ) habits to achieve ejaculation hastily , 2 ) lack of proper functioning of serotonin in the blood , 3 ) an interruption of the nerves that regulate ejaculation .

Habits like these hasty ejaculation generally begins as a teenager . It may be because there are still many parents who instilled in their children that sex is taboo and masturbation is a sin . Consequently , when a teenager , continues to mature , want to masturbate , they are then in a hurry so as not to get caught .

When viewed from the side of lightness or heaviness of the case , there are three categories of premature ejaculation . The first , called severe premature ejaculation if ejaculation had occurred before sexual intercourse takes place . This is the kind which in layman's language is often referred to as " Peltu " , a new stick or touching the vagina is metu or out in the Java language .

The second type is currently premature ejaculation . Being called , because ejaculation occurs after the penis into the vagina . Penetration of the penis into the vagina had occurred , though only for a moment .

The third type is a mild ejaculation . Light on premature ejaculation sexual intercourse has taken place , but did not last long because of imminent ejaculation .

On this kind of light men often do not realize have experienced sexual problems . In layman's understanding of men like these have sexual intercourse qualifies as capable of erection , penetration , and ejaculation .

No wonder if they become confused when , for example , finds that his wife refused to be invited more often to have sex .

Might also wonder why she often cried or turned straight after having sex . They do not know that all of it was a reaction to the perceived dissatisfaction husband and wife due to too rapid ejaculation .

The important thing to understand is , when you or your partner suffer from premature ejaculation , immediately consult a doctor . Not enough to rely solely on healing potions on offer .

Do not delay , because it could bring more severe problems for both men and women partner.

Burn

noreply@blogger.com (Unknown) — Sun, 03 Nov 2013 12:14:00 +0000

Tips to Overcome Burn

DO rash overcome the wounds caused by fire or hot objects hit . Burns on the skin's surface layer can feel more pain from the burns . At the burn , the skin normally has changed colour to white and no pain .

While the burns on the skin's surface usually causes reddish skin and feels sick once . Prior to overcome burns , you should know in advance the types or levels of burns.

Degrees of burns

- Most lightweight , cuts limited to the outermost skin layer .

- Alerts : redness , pain , slight swelling , dry skin but no blisters . Skin in the affected area usually turn pale when pressed . Can heal itself within 5-10 days .

Two -degree burns

- Damage to the skin covering the outer skin ( epidermis ) and part of the skin ( dermis ) .

- Sign : more heavy inflammatory reaction , accompanied skin looks watery blisters ( fluid -filled bubbles ) . Surface wound area is red or pale , often is higher than normal skin .

- Healing time . Two -degree burns are superficial can heal itself within 10-14 days. At two degrees of burn in , that is when the hair follicles, sweat and sebaceous glands affected even if only a small part . Healing over time, can achieve a month .

Three degrees of burns

- It is the heaviest and on all levels of the skin to tissue underneath.

- Sign : no more blisters and do not feel pain because damaged nerve ends . Area affected skin gray and pale , lies lower than normal skin . Hair follicles , sweat glands and sebaceous follow damaged .

- Healing hanging severity . In severe cases , skin grafting can be done to replace the lost skin . But when the wound is not too severe , some first aid measures before going to the doctor .

- The same thing hit or hot melt or burn , you must immediately remove clothing around the burn . Do it as soon as possible , lest things or hot melt on the issue of her clothing could fall into your skin . After that , immediately soak the injured part in water with normal temperature around 5-10 minutes for the temperature of the injured were treated immediately prior to neutral . Remember , the temperature of the injured suffered an increase in temperature .

- After washing the wound with cold water , compress the wound with gauze . Do not use cotton or other materials that should be able to stick to the skin because it can make the wound worse. Try looking for material that does not stick to the skin and safe .

- Do not use toothpaste , butter or ointments anything wrong - wrong because you will be more severe wounds . Enough cold water to ease the pain burns.

- Wash the injured area twice a day with liquid soap . Do not tamper with fluid -filled blisters because protects the skin from infection . When the blister breaks , clean the leather scraps left over and given an antibiotic or antiseptic ointment and cover with a sterile bandage . Replace the bandage every wound cleaned.

- Quickly check for burns to the doctor to avoid bacterial infection . If you are infected with the bacteria , after suffering wounds You'll fever , inflammation and wound you remove the pus .

- If the burn is serious enough , go you go to the doctor or hospital . Because quite likely you will damaged skin tissue and to destroy the working system of the body. You get immediate intensive care .

- Many ways can be done to overcome scorch . If you want to overcome the natural way , you can create scar remover ingredients . The trick , of ordinary rice soak for 15 minutes and a half ounces , lift , then mashed together half ounce kencur or turmeric . Having scrambled over , apply to scar us every day for two weeks. Besides rice , honey bees can also get rid of the scars . Apply honey on a regular basis .

that's just now how to get rid of scars or how to cope with burns on the skin.

may be beneficial for all of you, thank you .

Source: okezone.com

Diet

noreply@blogger.com (Unknown) — Thu, 31 Oct 2013 15:57:00 +0000

Healthy diet Avoid Hypertension

FOOD and health has a close relationship. Unhealthy diet greatly affects a person's health.

Hypertension, for example. Drugs can fix the problem but can not cure hypertension. The diet and physical activity can help maintain blood pressure and prevent hypertension.

Several studies have shown, the consumption of foods low in salt greatly help those who suffer from hypertension. Limit salt intake to 4 grams a day. Keeping the taste of food as natural as possible is the best diet.

Instead, consume fruits and vegetables in sufficient quantities. Choose vegetables that are high in potassium such as nuts, apricots, and others.

Sources: okezone.com

Calcium not only of Milk

noreply@blogger.com (Unknown) — Thu, 31 Oct 2013 10:21:00 +0000

milk

SO the importance of calcium in the formation of the body , then adequate calcium intake need our attention . Pediatrics specialist from Cipto Mangunkusumo Hospital , Dr Rifan Fauzie SpA , said , if the fulfillment of calcium intake is interrupted, it will display the symptoms are caused by lack of calcium in addition to osteoporosis . Of which will be early symptoms such as lethargy, weakness , sweating , muscle cramps , abdominal pain , sleep disturbance , seizures are not optimal for bone formation , and impaired blood clotting process .

Many ways to insufficient calcium intake , including of food , especially milk . " However , calcium is not only found in milk . Moreover it needed to boost calcium intake through food , " said the doctor was born in Jakarta , June 2, 1970 , this . Rifan said , needed to boost calcium intake through food sources or other types . Of which are in the form of snacks that taste appealing , but highly nutritious . For example, ice cream containing flavor and interesting shapes and nutritious so popular with everyone . " Other sources of calcium can be derived from plant sources such as green leafy vegetables , such as broccoli , spinach , mustard greens , papaya , pumpkin leaves or cassava leaves , seeds as well as walnuts , sesame or almond , " said the doctor three children .

Sources of calcium also can come from nuts and processed products such as soybeans , kidney beans also peas . While of animals including meat ( fish , beef , shrimp , goat ) , eggs , and other dairy products such as yogurt , and cheese . " Sun exposure is also great to meet calcium needs , especially to prevent osteoporosis , " said Chairman of the Residents Association Indonesian Healthy Bone ( Perwatusi ) Anita Hutagalung who also attended the event themed " Fresh Milk Just Me " held Tetra and the Department of Agriculture to raise public awareness about the benefits of milk and dairy industry in Indonesia.

Sources : okezone.com

Nasopharyngeal cancer

noreply@blogger.com (Unknown) — Wed, 30 Oct 2013 08:08:00 +0000

Nasopharyngeal Cancer Symptoms Minimal, Difficult Detected

Nasopharyngeal cancer is one of the most deadly diseases suffered by the people of my city. Beware, because the cancer is minimal symptoms and grow in a tough spot detected.

Why is difficult to detect? Therefore, nasopharyngeal cancer usually grows in the cavity behind the nose, or in the back of the oral cavity ceiling. According to the Ear Nose Throat Specialist (ENT) from Dharmais Cancer Hospital Dr. Budianto Komari, KSMF, nasopharyngeal cancer patients detected in an advanced stage.

"This happens because the location of a hidden cancer that is sometimes difficult to detect. Cancer that grows on the side wall of the nasopharynx, in a hidden place that is not easily seen by examination. Additionally, the patient does not complain of pain against bumps that arise," said Budi, Budianto familiar greeting of dr.

He explains, early symptoms in patients with nasopharyngeal cancer, among other things, hearing loss. While he continued disturbance can be felt if the tumor spreads to the brain that can lead to fainting, or if spreads to the lungs can make the patient to cough. "The lump solid and it does not hurt to watch and suspect because if the lump hurt, then it's just a regular infection," said Budi.

Further said, it triggered a patient habits like eating foods that affect the onset of disease, such as salted fish, dried meat in large quantities. "Just like other cancer, nasopharyngeal cancer is also a cancer of unknown cause. However, mentioned that food is food that trigger the onset of nasopharyngeal cancer. Moreover, industrial smoke or incense or incense smoke also affects," he said.

Budi advised, if any man have a hearing loss on one side of the right or left, while removing mucus (snot) there was blood, and generally experienced the Mongoloid race (China), the concerned should immediately see a doctor. "It needs to watch out and do immediately ENT examination," he said.

Meanwhile, one of nasopharyngeal cancer patients, USDI Priatna Jaya (41) recounted his experience when he first declared nasopharyngeal cancer. At that time, in April 2008, USDI rid of phlegm and there were spots of blood in the sputum. "Because I do not know and wondered if it was dangerous spots of blood, so I asked my friend who happened to be a doctor. He said that it was common if not accompanied by a cough," said the father of two children.

Furthermore, USDI also did not do further tests. However, in early November, he felt something strange in the ears. He had an interruption in receiving incoming sound.

"It was like a take in water, inside my ear drum, not on the outside. Ears are closed and I like the old-old deaf," he says.

Not long ago because it was a little disturbed in carrying out daily activities, then he went to the ENT specialty hospitals. From the results of the examination, the doctor said there sores in the ears. Then the doctor took the action with the treatment of ulcers of the stabbing outside. After treatment, a week later, USDI are suggested to do a CT scan and then a biopsy.

"Once the biopsy is performed, and then the doctor said that I had cancer in the back of the nose (nasopharynx)," he said.

Because tumors do not believe, USDI reinvestigate at another hospital. The result turns out she had stage 4 nasopharyngeal cancer in late November last year. "Right now I've been doing radiation to cure cancer. Having said that, if there are symptoms you should immediately inspect it carefully," he advised.

Cat: Products High Desert who suggested to prevent Nasopharyngeal Cancer:

- HD Propolis

- HD Royal Jelly

- HD Pollenergy

Sources: Okezone.com