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Senin, 05 Desember 2011
Causes of Diarrhea
Jumat, 02 Desember 2011
Three Types of Alzheimer's Disease
- Early- onset AD is a rare form of the disease that afflicts people younger than 65. Less than 10% of people with AD have this type. Memory loss, behavior changes, and premature aging characterize this type. Because they experience premature aging, people with Down syndrome are particularly at risk for a form of early onset Alzheimer's disease. Early-onset Alzheimer's appears to be linked with a genetic defect on chromosome 14, to which late-onset Alzheimer's is not linked.
- Late- onset AD, the most common form, accounts for about 90% of cases and usually occurs after age 65. Geneticists are working hard to make the connection between genes and AD. There are several suspect genes. Late-onset dementia is also called sporadic Alzheimer's disease.
- Familial Alzheimer’s disease (FAD). This form is inherited. In affected families, at least two generationshave had the condition. FAD is rare and accounts for less than 1% of all cases of AD. People may display symptoms of FAD as early as age 40. The presence of a positive family history in the late onset cases is considered as a risk factor, but a clear autosomal dominant pattern of inheritance is rare.
Kamis, 01 Desember 2011
Alzheimer's Disease - A Brain of Clumps and Plaques
- Early- onset AD is a rare form of the disease that afflicts people younger than 65. Less than 10% of people with AD have this type. Memory loss,behavior changes, and premature aging characterizethis type.
- Late- onset AD, the most common form, accountsfor about 90% of cases and usually occurs afterage 65. Geneticists are working hard to make the connection between genes and AD. There are severalsuspect genes.
- Familial Alzheimer’s disease (FAD). This form is inherited. In affected families, at least two generationshave had the condition. FAD is rare andaccounts for less than 1% of all cases of AD. People may display symptoms of FAD as early as age 40.
Here are 10 warning signs of Alzheimer's (source: http://www.alz.org) :
- Memory loss that disrupts daily life.
- Challenges in planning or solving problems.
- Difficulty completing familiar tasks at home, at work or at leisure.
- Confusion with time or place.
- Trouble understanding visual images and spatial relationships.
- New problems with words in speaking or writing.
- Misplacing things and losing the ability to retrace steps.
- Decreased or poor judgment.
- Withdrawal from work or social activities.
- Changes in mood and personality.
Rabu, 30 November 2011
General order to do first to stroke patients
- O2 via nasal cannula (routine oxygen delivery in ischemia might improve outcome).
- Intubation may be necessary if the patient shows arterial oxygendesaturation or cannot “protect” their airway from aspiratingsecretions. However, intubation means that the ability to monitorthe neurological exam is lost. The best approach in such patientsis to prepare to intubate immediately, but before doing so, take a moment to be sure the patient does not spontaneously improve or stabilize with good nursing care (suctioning, head position, etc.).
- Consider putting the head of the bed flat. This can significantly help cerebral perfusion.
- Consider normal saline bolus 250–500 mL if blood pressure is low.
- If the blood pressure is high, antihypertensive treatment.
- Determining the exact time of onset is critical for establishing eligibility for acute therapies, especially TPA. It is very important to be a detective. You will usually be told a time by the paramedics or ED triage nurse, but be sure to recheck the information you receive from them. If possible, try to speak personally with first-hand witnesses, nursing home staff, etc.
- In most cases, the onset is not observed – the patient is found with the deficit. In that case, or in patients who awaken with symptoms, the onset time is the time the patient was last seen normal. However, if the patient awoke with symptoms, be sure to ask if the patient was up in the middle of the night for any reason (often to go to the bathroom) – as sometimes this puts the patient in the time window for treatment.
- Examine the patient and do the NIH Stroke Scale. The initial stroke severity is the most important predictor of outcome
- Do a non-contrast head CT. This will immediately rule out hemorrhage as blood is bright on a CT.
- The result will determine the first major branching point in therapeutic decision-making.
- Obtaining the CT is often the major impediment in preparing for thrombolytic therapy, so efforts should be made to shorten “door to CT” time, which should be below 30 minutes.
- In some select centers, emergent MRI can be done very quickly and substitute for CT, but this is the exception.
- If the CT shows no blood, try to get the artery open TPA is the only FDA-approved treatment for ischemic stroke, and you should immediately begin to determine if the patient is eligible for this therapy, and prepare for its administration.
Kamis, 24 November 2011
Stroke 'Mimic' or Real Stroke?
- Seizures. If a seizure has a focal onset in the brain, the patient may be left with weakness, numbness, speech, or vision problems for a period of time (usually less than 24 hours) after the seizure. Patients with seizures at onset are usually excluded from clinical trials of new stroke therapies.
- Migraine. Patients may have unilateral weakness or numbness, visual changes, or speech disturbances associated with a migraine headache (“complicated” or “complex” migraine). The best rule of thumb is not to make the diagnosis of complicated migraine or migrainous stroke unless the patient has a history of previous complicated migraine events similar to the deficit displayed in the emergency department.
- Syncope. This is usually due to hypotension or a cardiac arrhythmia. Stroke rarely presents with syncope alone. Patients with vertebrobasilar insufficiency may have syncope, but there are usually other brainstem or cerebellar findings if syncope is part of the stroke presentation.
- Hypoglycemia. Patients with low blood sugar may have symptoms that exactly mimic a stroke. The important thing is to check the blood sugar and, if low, correct it. If the symptoms do not resolve with correction of the hypoglycemia, the symptoms are probably from a stroke.
- Metabolic encephalopathy. Patients may have confusion, slurred speech, or rarely aphasia with this condition. They usually do not have other prominent focal findings.
- Central nervous system tumor. The location of the tumor would determine the type of signs and symptoms seen. A tumor, unlike a stroke, usually does not present with sudden focal findings, unless accompanied by a seizure.
- Herpes simplex encephalitis (HSE). This infection tends predominantly to affect the temporal lobes, so patients may have signs of aphasia, hemiparesis or visual-field cuts. Onset can be rapid and in its early stages may mimic a stroke, but fever, CSF pleocytosis, seizures and decreased level of consciousness are more prominent with HSE.
- Subdural hematoma. Depending on the location, this may cause contralateral weakness or numbness that may mimic a stroke. A CT scan can make this diagnosis, but the subdural hematoma, if small, may be subtle.
- Bell’s palsy (peripheral seventh nerve palsy). The important point here is that the forehead and eye closure are weak on the same side. One can have a stroke involving the pons and produce a peripheral seventh nerve palsy, but usually there are other signs and symptoms such as weakness, a gaze palsy, or ipsilateral sixth nerve palsy.
- Benign paroxysmal positional vertigo (BPPV). This may cause vertigo, nausea, vomiting, and a sense of imbalance, usually with turning of the head in one direction. This characteristic syndrome is due to labyrinthine dysfunction and not stroke. However, as with syncope, the presence of any brainstem or
cerebellar signs should alert one to the possibility of a stroke. - Conversion disorder. Patients may develop neurological signs or symptoms of weakness, numbness, or trouble talking that are manifestations of stress or a psychiatric illness.
Minggu, 20 November 2011
What Is a Stroke?
Ischemic stroke occurs when a blood vessel that supplies blood to the brain is blocked by a blood clot. This may happen in two ways:
- A clot may form in an artery that is already very narrow. This is called a thrombotic stroke.
- A clot may break off from another place in the blood vessels of the brain, or from some other part of the body, and travel up to the brain. This is called cerebral embolism, or an embolic stroke.
Kamis, 17 November 2011
Efficacy and benefits of soursop fruit
- Hemorrhoid.
Take the ripe soursop fruit. Squeeze to take water as much as 1 cup, and drink 2 times a day, morning and afternoon. - Bladder pain.
Half-ripe soursop fruit, sugar and salt to taste. All material is cooked compote made. Eaten plain, and performed regularly every day for 1 week in a row. - Infant Diarrhoea.
Take the ripe soursop fruit. Soursop fruit is squeezed and filtered to take water, drenched diarrhea in infants as much as 2-3 tablespoons. - Urinary tract infections
Half-ripe soursop and sugar to taste. Soursop peeled and boiled with sugar with 2 cups of water, filtered and drunk. - Back Pain.
20 soursop leaves, boiled with 5 cups water to boiling until tinggal3 glasses, drink 1 a day 3 / 4 cup. - Ulcer
Soursop leaves are still young enough, stick it in a place exposed to ulcers.
What Is Cerebrovascular Disease?
Cerebrovascular disease is the term applied to a large number of diseases with pathology in the blood vessels of the brain or the vessels supplying blood to the brain. Atherosclerosis is one of the conditions that can cause cerebrovascular disease. Another form of cerebrovascular disease includes aneurysms. In females with defective collagen, the weak branching points of arteries give rise to protrusions with a very thin covering of endothelium that can tear to bleed easily with minimal rise of blood pressure. Cerebrovascular disease, including Stroke, is the third-leading cause of death in the United States and a leading cause of disability among older Americans. Below is a simplified classification of cerebrovascular diseases where neuroprotection is required:Global cerebral ischemia due to cardiac arrest
Focal cerebral infarction
Carotid stenosis or occlusion leading to cerebral ischemia
Cerebral hemorrhage
Hemorrhagic infarction
Hypertensive hemorrhage
Hemorrhage due to rupture of intracranial arteriovenous malformations
Subarachnoid hemorrhage due to rupture of intracranial arterial aneuryms
Spinal stroke
Cardiogenic thromboembolism
Hypertensive encephalopathy
Diseases of cerebral blood vessels: e.g., atherosclerosis, vasculitis
Stroke is the term commonly used to describe the sudden onset of focal neurological deficits such as weakness or paralysis due to disturbance of the blood flow to the brain. The term is applied loosely to cover ischemic and hemorrhagic episodes. An ischemic stroke occurs when a thrombus or an embolus blocks an artery to the brain, blocking or reducing the blood flow to the brain and consequently the transport of oxygen and glucose which are critical elements for brain function.
Senin, 14 November 2011
The characteristic symptoms suggestive of asthma
- wheeze
- chest tightness
- shortness of breath and
- cough
- recurrent
- worse at night or in the early morning, or
- obviously triggered by exercise, irritants, allergens or viral infections.
Kamis, 10 November 2011
Lemon for Hemorrhoids Medication
Jumat, 04 November 2011
Garlic as Alternative Treatments for High Cholesterol
Garlic bulbs consist of a few cloves (3-12 cloves) are clustered together to form large bulbs, white and shaped like a top. The name for garlic is very diverse, namely garlic (UK), knoflook (Germany), suan (China), pills (Korea), ninniku (Japan), aglio (Italy), thoam (Arabic), ajo (Spanish).Kamis, 03 November 2011
What you need to know about High Blood Cholesterol
Immunosuppressant Drugs To Prevent Rejection of The New Pancreas Transplantation
- Blood clots (deep venous thrombosis)
- Clotting (thrombosis) of the arteries or veins of the new pancreas
- Development of certain cancers after a few years
- Inflammation of the pancreas (pancreatitis)
- Leakage of fluid from the new pancreas where it attaches to the intestine or bladder
- Rejection
However, transplant surgery is risky. Each person needs to carefully weigh the potential benefits and the risks.
Senin, 31 Oktober 2011
Insulin Therapy for Type 1 Diabetes
Minggu, 30 Oktober 2011
Common Type and Goals of Therapy for Diabetes
- Meal plans therapy, goals of this therapy are, Manage weight, Manage blood glucose levels, Manage blood lipid levels, Reduce chances that you’ll need additional medications
- Exercise plans therapy, the goals are, maintain muscle tone and physical fitness, Lower blood glucose levels, Lower blood lipid levels, Increase sensitivity to medicationsc Aid meal planning in managing weight
- Oral diabetes medications : Reduce blood glucose levels by improving insulin release, reducing available glucose, and/or decreasing insulin resistance
- Insulin injections, the goals are, Make up for the body’s inability to produce insulin, Reduce blood glucose levels by improving insulin action and overcoming insulin resistance
Jumat, 28 Oktober 2011
Things that Cause Allergies
2. Common food allergens
- egg, cow’s milk, soy, wheat (children below 3-years old)
- peanuts, fish, shrimp (children above 3-years old)
About Allergy
The answer is yes.There are the traditional allergy treatment options. At the top of the list is to avoid the cause of your allergic reactions. However, that's often easier said than done.
Kamis, 27 Oktober 2011
Diet as the cause of most children’s diseases
Selasa, 25 Oktober 2011
Common Presenting Symptom of Hemorrhoidal Disease
Senin, 24 Oktober 2011
Cinnamon - Herbal Treatment for diabetes
Kidney Disease - Complications of Diabetes
• Kidney disease/Kidney transplantation
• Eye complications
• Diabetic Neuropathy and nerve damage
• Skin Complications
• Gastroparesis
• Depression
• Approximately 43% of new cases of ESRD are attributed to diabetes.
• The risk of ESRD is 12 times higher in people with type 1 diabetes than in those with type 2.
• In the US, the incidence of ESRD in people with diabetes is more than 4 times higher in African Americans, 4 to 6 times higher in Mexican Americans and 6 times higher in Native Americans than the remaining population of diabetic patients.
Minggu, 23 Oktober 2011
Avoid Diabetes - Treatment of Obesity
Classification of diabetes
● Type 2 diabetes (results from a progressive insulin secretory defect on the background of insulin resistance)
● Other specific types of diabetes due to other causes, e.g., genetic defects in β-cell function, genetic defects in insulin action, diseases of the exocrine pancreas (such as cystic fibrosis), and drugor chemical-induced (such as in the treatment of HIV/AIDS or after organ transplantation)
● Gestational diabetes mellitus (GDM) (diabetes diagnosed during pregnancy that is not clearly overt diabetes)
All people with diabetes have one thing in common. They have too much sugar, or glucose, in their blood. People with very high blood glucose levels share many similar symptoms:
- extreme thirst
- a frequent desire to urinate
- blurred vision
- a feeling of being tired most of the time for no apparent reason
People with type 2 diabetes may also experience leg pain that may indicate nerve damage or poor circulation. Many people with type 1 diabetes and some people with type 2 diabetes also find that they lose weight even though they are hungrier than usual and are eating more.
Know the signs of diabetes disease, you can fight it.
Sabtu, 22 Oktober 2011
Benmari - To Heal or To Recover


















