quinta-feira, 17 de outubro de 2013

10 Tricks To Get A Flat Belly

The 3PM Snack: It is one of the most important tricks that can help get a flat belly easily. No matter what, eat a protein snack like low fat cheese or protein bar around 3pm. This prevents the sugar levels from lowering down. If sugar is low, it lowers insulin also. Insulin in turn starts storing fat deposits. So, snacking at 3pm is important.

Ab Crunches To get a flat belly, you must try this trick. Ab crunches can easily help you burn fat deposits from the belly. You can also use an exercise ball for a weight loss workout!

Go Sugar-free If you want to get a flat belly, you need to follow this long lasting trick. Consuming less sugar helps increase glucagon which is known for converting fat into energy.

Chew Till 
It Softens It is another trick for weight loss. To burn fat deposits from the belly and flatten it, chew the food particles. This prevents bloating and also makes you feel fuller easily. This way you eat less which will lead to flat belly.

Dance Shaking
 your leg to some loud music can help you burn fat deposits from the body. It helps you get in shape and also increases heart beat rate and blood circulation which is good for the overall health.

Small Portions The amount of food you eat matters a lot. Eating small portions of food is the best trick to get in shape.

What You Eat Matters That's true! If you want to get a flat belly, you must not binge on fried foods and junk. Heat healthy and nutritious foods like boiled spinach, cucumber and tomato salad.

Hot Water With Lemon If you want to lose weight or just want to get rid of those belly fat, then drink hot water with lemon in it. It works wonders as it is the best detox drink. Apart from helping burn fat deposits from the body, it also detoxifies the body and cleanses it.

Avoid Beer Beer is your enemy. If you want to get a flat belly, stop drinking beer. Beer is one of the fattening drinks which is a major cause for belly fat!

Have Berries Blueberries is one of the most effective berries that can be consumed to get a flat belly naturally.

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quarta-feira, 16 de outubro de 2013

10 Items Every One Should Have In His Medicine Chest

1: Adhesive Bandages

Adhesive bandages come in a variety of shapes and colors, from clear to camouflage, and there should be a stash in your medicine chest.

Most scrapes do just fine uncovered, but if you cut or scrape yourself in a place where the wound could get dirty (such as a paper cut on your hand), or where your clothing will rub against it (such as a scraped knee), you're smart to cover it with an adhesive bandage.

Have a deep cut or can't stop the bleeding? See a doctor.

2: Nail Clippers

Adopting frequent nail maintenance habits keeps nails healthy and free from infection. Healthy fingernails and toenails are clean, dry and kept short. Nails should be cut straight across to prevent ingrown nails, rounded slightly at the tips and have smooth nail edges to prevent snagging and tearing.

A few helpful hints when performing your routine maintenance: Be sure not to cut nails below the nail bed or pull on hangnails, which should be clipped, not chewed -- either can open the door to bacterial, fungal and viral infections (warts). And don't dig out an ingrown toenail -- go to a dermatologist for treatment.

3: Antiseptic


When you have a minor cut or scrape, how do you clean it out? While soap and water can take care of cleaning most cuts and scrapes, an antiseptic may help reduce the risk of infection. There are many kinds on the market, some with mild anesthetics to reduce the pain. However, two common standbys are hydrogen peroxide and isopropyl alcohol, also known as rubbing alcohol, which kill bacteria on contact.

And having a bottle of isopropyl alcohol around comes in handy for other uses, too -- it'll clean your bathroom fixtures, tweezers and thermometers, remove hairspray from the bathroom mirror and even prevent ring around the collar.

4: Muscle Cream


Having a muscle cream, balm, self-heating wrap or heating pad on hand to soothe sore muscles or ease lower-back pain is a must. In a recent study, anti-inflammatory skin cream reduced soreness by 45 percent in the 48 hours after exercise over pain reliever pills.

The ingredients in topical creams and adhesive patches like Icy Hot and Bengay are absorbed through your skin into your bloodstream, meaning you should be stingy with how frequently you apply them. Many contain an ingredient called methyl salicylate which is similar to aspirin, and just like aspirin, it can be toxic in high doses. Be safe -- use anti-inflammatory treatments in moderation. Or instead try remedies such as Tiger Balm or massage.

5: Tweezers


A pair of fine-tipped tweezers will remove things lodged under your skin and keep you pretty -- quite a multitasker.

Tweezers can swiftly remove stray hairs and shape eyebrows. Tweezing excess facial hair, as opposed to shaving it, removes it from below the skin's surface so the results last several weeks longer.

More importantly, though, keeping tweezers in your at-home treatment kit allows you to remove foreign objects from your skin -- namely, splinters and ticks.

Most splinters have one end sticking out from your skin. Grab that end with your tweezers and pull it out slowly to be sure it doesn't leave any pieces behind.

Tick removal is a little more difficult. Take hold of the tick's head with your tweezers and pull away from your skin. Be slow and gentle to avoid crushing the tick. Ignore the myths about using nail polish, petroleum jelly or hot matches to get ticks out -- you need tweezers for this task.

6: Sterile Gauze and Medical Tape


Sterile gauze (in either pad or roll form) and medical tape are for injuries that require something bigger than an adhesive bandage. To dress a wound with the gauze and tape combination, first cut a piece of the material to fit the size of the wound or wrap gauze around it from the roll. Then secure the material in place with the tape.

Remember to change the bandage if the bandage gets wet or dirty -- and if the gauze sticks to a scab or part of the wound, soak the area in warm water to loosen things up.

7: Fungal Medicine


If you find yourself with athlete's foot, don't let it spread to jock itch. To help prevent it, give your groin first priority: After showing, dry your groin before drying your feet (don't let your towel pass it around).

Getting rid of fungal infections is a tricky business. Treatments can be time-consuming and often need to be continued after the symptoms have disappeared -- and chances of re-infection are high. Fungi overgrowth can cause infections in skin and nails, the vagina, the mouth and the sinuses. These should all be treated by your doctor. However, you can usually treat athlete's foot at home with nonprescription fungal medicines (which come in a variety of forms like cream, spray, gel and powders).

8: Dental Floss


If you brush but don't floss, you're not cleaning 100 percent of bacteria out of your mouth -- in fact, you're missing 40 percent of it. Brushing alone sweeps away plaque but only from the surface of your teeth. Floss removes it from between teeth and from under the gum line and is the easiest way to prevent gingivitis -- an infection that does more than irritate your gums. It can increase your risk of heart attack and stroke.

Gum disease is preventable, yet it's the No. 1 reason adults lose their teeth. Keep your teeth: floss daily, after meals.

9: Calibrated Measuring Spoon


Taking a swig of cough suppressant straight from the bottle or with a soup spoon from your kitchen may not seem like a bad idea when your head is fuzzy from a cold. But it's always important to dispense and take the correct dose of medicine -- the results may not be the same at a different doses and you could run into serious health problems if you take more medicine than you should. Some medicines come packaged with a measuring cup, but since that's not standard practice, a calibrated measuring spoon (or calibrated measuring cup) makes it easy to administer the correct dose of medicine for adults and for kids every time.

10: Thermometer


Everyone should keep a thermometer on hand to check for fevers. What you may not know is what kind of thermometer to have.

Poison control centers around the country receive 15,000 phone calls each year due to broken glass mercury thermometers. Mercury is a neurotoxin that poisons our nervous systems, damaging the brain, spinal cord, kidneys and liver. It also affects our hearing, speech and sight, as well as how we think and feel. Human health isn't the only concern about mercury: It's also bad for the health of our environment.

If you still have one, it's time to switch. Many states offer mercury thermometer exchange programs. Get yourself a safer alternative such as a digital electronic thermometer, a glass alcohol thermometer, a glass gallium-indium-tin (galinstan) thermometer, an ear canal thermometer, or a flexible forehead.

terça-feira, 15 de outubro de 2013

10 Best Fruits For Weight Loss

1- Pineapple
2- Watermelon
3- Banana
4- Apple
5- Orange
6- Kiwi
7- Lemon
8- Berries
9- Peaches
10- Dry Fruits

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segunda-feira, 14 de outubro de 2013

10 Weight Loss Exercises You Can Do At Home

Step Ups 

You don't need a stepper to do this exercise. We all have steps inside or outside out homes. All you have to do is step up and step down on the count. 

Squats 

Squats are usually done without any equipments. Place your hand on your head and slowly lower yourself into a sitting position. Get up quickly without taking any balancing support from your hands.

Crunches 

Crunches are the best exercises to burn belly fat. Lie flat on a floor mat. Place you hands behind your head and slowly pull yourself up without taking support. You must lift yourself from your waist and then go back to the sleeping position.

Push Ups 

Lie flat on your tummy. Lift yourself on your arms and toes. Now bring your nose down to touch the ground and pull yourself back again. This a good exercise for your arms and your chest.

Spot Jogging 

Cardio exercises are very important for weight loss. Even if you do not have a treadmill at home, you can still do cardios. Choose an uncluttered spot in your hall and start jogging on the spot. You will not leave that spot but go through the motions of jogging.

Dancing 

Dancing is one of the best weight loss exercises that work on your entire body. You can move the furniture in your drawing room to one side, put on some peppy music and dance to your heart's content.

Jumping Jack
 

The childhood game of jumping jack can actually be a weight loss exercise for you now. Pick a place that is not cluttered and start jumping there. While you jump, raise your legs horizontally and clap your hands above your head.

Skipping
 

Skipping with a rope is again a childhood pass-time and also a game. You can do skipping in your balcony, garden or terrace. 

Dips Dips
 

are easy to do if you have a small stool for support. Place your legs at high point (on a stool or the sofa) and support yourself on the ground with your hands. Now take 'dips' towards the ground and raise yourself up again.

Burpees


This may seem easy but it is one of the best exercises for weight loss. Lie flat on your tummy. Slowly raise yourself on your hands and toes. Now hang like that in mid air for as long as you can. It works on tightening the muscles in your body.

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domingo, 13 de outubro de 2013

What non-surgeons really think of surgeons

I was asked to see an elderly lady in her nineties with a locally invasive parotid gland malignancy. She had a high grade cancer in the salivary gland. It is never easy to manage cancer, and it is even harder when you consider the context of that cancer in an elderly patient. A senior surgeon reviewed the patient and discussed her case in a multidisciplinary meeting with the expert input of oncologists and radiation oncologists. As a multidisciplinary team, we elected to offer her the option of surgery with curative intent.

What shocked me was what happened after that.

Butchery. The medical team looking after her essentially said, “How could you surgeons butcher a ninety-something year old?” The patient advocate was called in by the medical team, to protect this lady from the butchers’ knives.

As a doctor working with a Head and Neck Cancer unit, I see some truly deforming tumours. Cancer anywhere in the body is bad but to have cancer visibly growing around the Head and Neck is very confronting to the patient and the family. Patients talk about the embarrassment of losing their hair after chemo. Think about what patients feel when they have a fungating tumour growing on their face or neck. Head and neck cancers kill by erosion of the airway (they suffocate and die), erosion of the food pipe (they can’t swallow), erosion of the blood vessels (massive bleed), erosion of soft tissue and bones (horrible facial deformities). Patients and their families are visually reminded of this. The lasting image of their dying parents is that of a face deformed by tumour.

Oftentimes, when head and neck cancer have progressed so badly around the face, patients beg us to cut it out of their face, so they can be rid of the fungating lesion, putrid tumour, and excruciating pain each time they smile, speak or swallow.

The medical teams do not see the horrible effects of a head and neck cancer left alone to run it’s (un)natural course. Doubling time of tumour biology teaches us that a cancer will exponentially grow in size given enough time. Patients will wake up every morning and see with their own eyes the growth of this tumour. Imagine seeing your face being slowly eaten by cancer.

I discussed the options of surgery, radiotherapy and no treatment to the patient and the family. This ninety something year old with a sharp mind smiled and said, “Thank you. I know what I want now.”

The medical team thinks they are being a patient advocate by trying to protect her from the butchers’ knives. The surgeons think that they are being an advocate by offering the patient a surgical option.

The patient advocate asked me this rhetoric question which I absolutely abhor because it is a stupid question, “What would you do if this was your grandmother?”, in essence trying to place guilt upon me for even suggesting the surgical option.

I replied, “I would not change anything because I TREAT EVERY PATIENT AS IF THEY WERE MY FAMILY MEMBERS. I will discuss at MDM, offer them the options and let them chose what is best for them. Don’t you do that?”

Throughout my training I see surgeons agonising over decisions to take patients to theatre. Sometimes, we hate doing it, but it has got to be done, because not operating on them is against the patient wishes and will result in a more horrible outcome. Head and neck operations also carry a different physiological effects on a patient as opposed to an intrathoracic, intracranial or intraabdominal surgeries. One cannot assume that all operations are the same.

There are no 2 patients alike, no 2 diseases alike and no 2 operations alike. To make a decision based on age alone is unfair to the patient. Head and Neck cancer carry a heavier burden of physical appearance, form and function. They affect a patient’s identity: their face, look, smile, voice, speech, swallow, breathing. The patients need to know this too, way ahead of time.

I would never suggest to a medical team when they should chose metoprolol or bisoprolol on their patients. So they should never tell a surgeon when they should or shouldn’t operate. To think that surgeons are butchering their patients is unprofessional and discourteous.

As doctors, we need to serve our patients better by doing what they and their family think is best for them, not what WE THINK is best for them.

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Source

sábado, 12 de outubro de 2013

segunda-feira, 29 de julho de 2013

quarta-feira, 26 de junho de 2013

quinta-feira, 7 de fevereiro de 2013

sábado, 15 de dezembro de 2012

segunda-feira, 10 de setembro de 2012

segunda-feira, 3 de setembro de 2012

Certidões de óbito passam do papel para a Internet


A partir deste mês

Certidões de óbito passam do papel para a Internet

01.09.2012 - 08:40 Por Lusa
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Francisco George destacou a importância da mudança para analisar as causas da mortalidadeFrancisco George destacou a importância da mudança para analisar as causas da mortalidade (Foto: Pedro Cunha)
 Os médicos deverão começar a substituir o registo em papel das certidões de óbito por inscrições numa plataforma na Internet, a partir deste mês, o que permitirá um rápido e permanente acompanhamento dos óbitos e das suas causas.
A nova lei que cria e regula o Sistema de Informação dos Certificados de Óbito (SICO) foi publicada em Diário da República no passado dia 3 de Abril, estando previsto para este mês um período experimental definido no diploma.

Os objectivos desta lei são a desmaterialização dos certificados de óbito, o tratamento estatístico das causas de morte e a actualização da base de dados de utentes do Serviço Nacional de Saúde e do correspondente número de identificação, atribuído no âmbito do Registo Nacional de Utentes. O sistema actual de certificação de óbitos em Portugal tem mais de um século de existência e não permite fazer análises precisas das causas de morte.

Por altura da publicação da lei, o director-geral da Saúde, Francisco George, salientou "os imensos benefícios" que serão alcançados "no plano da análise de informações que se referem às causas de mortalidade", uma vez que apenas os médicos vão passar a preencher os certificados de óbito numa plataforma electrónica. Essa plataforma é assumida pelos serviços da Direcção-Geral da Saúde e permitem acelerar todos os aspectos que dizem respeito à análise da mortalidade em Portugal, sublinhou o responsável.

O SICO irá permitir uma articulação das entidades envolvidas no processo de certificação dos óbitos, com vista a promover uma adequada utilização dos recursos, a melhoria da qualidade e do rigor da informação e a rapidez de acesso aos dados em condições de segurança e no respeito pela privacidade dos cidadãos.

O sistema abrange a certificação dos óbitos ocorridos em território nacional de pessoas falecidas com 28 ou mais dias de idade; crianças nascidas vivas e falecidas antes de completarem 28 dias de vida; fetos mortos de 22 ou mais semanas de gestação; e fetos mortos de idade gestacional inferior a 22 semanas, quando requerido pelas entidades.

A Direcção-Geral da Saúde (DGS) utiliza a informação do SICO para efeitos de registo, de análise e de codificação das causas de morte, de acordo com a classificação internacional de doenças. A codificação é enviada periodicamente pela DGS ao Instituto Nacional de Estatística para fins estatísticos, segundo a legislação.