Tips to keep your heart young and healthy

Here are few tips that will help to keep your heart healthy and young

1. Avoid fried foods.
2. Avoid fatty foods such as beef, pork and mutton.
3. Eat small fish such as sardine that is good for your heart.
4. Take un cooked vegetables daily such as cucumber ,carrot, tomato and onion.
5. Reduce salt intake.
6. Take high fiber diet including green leafy vegetables and legumes such as . Soybeans, fava beans, peas ....
7. Avoid egg yolk which has high cholesterol content.
8. Avoid eating fried foods and salty foods such as chips and corn while reading and watching television.
9. Better avoid milk and dairy products.
10. Avoid hotel foods and if inevitable take only vegetarian food.
11. It is better to prevent diabetes and if already present strict control is necessary.
12. Strict control of blood pressure is advised.
13. If possible avoid using lift and climb the staircase.
14. Better to walk small distances rather than using a vehicle.
15. If your work demands sitting for long hours better to take rest and walk in between.
16. Walk for 40 minutes daily.
17. Avoid smoking and alcohol consumption.
18. Maintain body weight , weight should be in proportion to your height.
19. Better to go to bed early and wake up early in the morning.
21. Even if you have to do heavy work do it systematically and ensure adequate rest and enjoyment in between.
22. It is better to practice yoga and meditation.
23. For a happy family environment healthy sexual life is inevitable, avoid extramarital relationships which is a frequent source of mental stress and risk factor for heart disease.

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How to make your lips most beautiful.

One of the most important factor that determine the beauty of your face is beauty of lips. Application of lipstick alone won't make your lips beautiful. Lip makeup should be done with special care and special attention should be given for lip care otherwise you will loss the beauty of lips due to darkness and dryness. Following tips will help you to get beautiful lips.

For lip makeup you need the following .

Lip balm (Petroleum jelly).
Lipliner.
Lipstick.
Lipgloss.
Brush.

Liquid lipstick with good glowing effect and moisturizing effect is now available so you need not buy lipstick and lip-gloss separate.

Casual makeup.

• After washing your face make it dry, before starting facial makeup apply lip balm, so it will get absorbed.
• Take a lip liner and start outlining from the central part of upper lip and extend to both side and then line the lower lip.
• Those with thin lip should give outlining and for thick lips give inner lining. This will give perfect shape to your lip.
• Shade of lip liner should be a shade darker than lipstick.
• For people with fair complexion
  Peach,coral and pink colors are suitable.
• For medium complexion
  Light brown,strawberry color,brickred are better.
• For dark complexion
  Copper color,bronze color,ruby red color are preferred.

For party makeup

• Do all above then take a brush and fill the lips inside the lining.
• Finally apply lip gloss.
• Shiny metallic lipgloss applied in the middle part of the lips give you a glamorous look this is used for bridal makeup and heavy party makeup.

Special precautions.

1. Choose only branded products.
2. Apply lipstick only after using lip balm.
3. Before applying lipstick test for allergy.
4. Lipgloss contains petroleum jelly so it wont make your lips dry.

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Medical disorders associated with Depression

Depressive disorders occurs in 3.7% to 6.7% of general population. In general medical inpatients, the proportion increases to 10% to 14% and 9% to 16% in general medical outpatients. Major depression is an independent risk factor for mortality in patients hospitalized for heart attack at 6 month follow up. About 47% of depressed patients with acute life threatening medical illnesses, either died or had complications compared to 10% of non depressed patients.

Various forms of distress are common in medically ill people. Unless these are recognized and managed appropriately, medical management alone will be less effective. Depression is not the most common distress state, but the most visible one. It is often not diagnosed and insufficiently treated. It will cause the person for decreased survival, marked disability and increased healthcare cost.

In  physically  ill people  depression

• Can  be a coincidental association.
• Can  be a complication of physical illness.
• Cause or make worse somatic symptoms (such as fatigue, malaise, or pain).

Depressed patients with physical illness 

• Consider  themselves as more sick and visit their doctors more frequently than non-depressed physically ill person.
• Have longer hospital stay.
• Poor compliance with medication and  medical advice.
• They  undergo more medical and surgical procedures.
• Depressive illness may be associated with increased mortality (excluding suicide) in patients with physical illness, such as heart attack.

Specific medical conditions with likelihood of developing depression

• Heart attack.
• End stage kidney disease.
• Cancer.
• Chronic pain.
• Neurological disorders such a stroke, Parkinson’s disease,multiple sclerosis.
• Hormonal disorders.
• HIV.

Features to suggest a medical origin of the psychiatric symptoms are the following

• Late onset of initial presentation of symptoms.
• Known underlying medical condition.
• A typical presentation of a specific psychiatric illness.
• Absence of personal or family history.
• Illicit (forbidden by law)  substance use.
• Medication use.
• Treatment resistance or unusual response.
• Sudden onset of mental symptom.
• Abnormal vital signs.
• Waxing and waning mental status.
• Sphincter disturbances in the form of bowel and bladder dysfunction

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Medicinal effect of garlic in heart patients.

Medicinal effects of Garlic (Allium sativum) is known from the ancient days itself. It is used for treatment and prevention of many disease. Heart attack patients get several benefits with garlic intake. 

Active ingredient is Allicin which is an odorous sulfurous compound that has several medicinal effect. Following are the benefit of Garlic in heart attack patients. The main abnormality in blood vessels in heart attack patients is atherosclerosis. 

• It helps to reduce the blood clotting. It produce irreversible inhibition of platelet aggregation ,which is a blood component. Major action of drugs given in heart attack patients is to inhibit the platelet, which is responsible for blood clotting.
• Reduction of cholesterol and triglycerides levels which is responsible for formation of atherosclerosis and plaque in blood vessels leading to reduction in blood supply.Several studies showed 9 to 12% reduction in cholesterol and moderate reduction of triglycerides levels with its use.
• Help to reduce blood pressure which is also a risk factor for heart attack .There will be an average reduction of 11mm of Hg in systolic and 6.5 mm of Hg diastolic blood pressure.
• Garlic has anti atherosclerosis action,which help to reduce the formation of new atherosclerosis lesion and prevent the progression of older lesions.

Garlic is available as fresh cloves, powders, extract, tablets. At least one-half garlic clove per day  is required for medicinal effects.Although the tablets and powders are convenient, the amount of active ingredient is insufficient.

Some people may experience gut (gastrointestinal system ) symptoms such as flatulence(gas), chest pain and abdominal pain after garlic intake.

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How to avoid pregnancy after unprotected sex ?

Even though there are different effective contraceptive methods 50% of birth occurring in United States are due to unintended pregnancy. Teenage pregnancy is a major public health problem occurrence around 1 million unintended pregnancy each year ,this is very high compared to other developed nations. The term emergency contraception means the various methods used to prevent the pregnancy after unsafe sex.

After unprotected sex without regard to time of month there is about 8%chance of getting pregnant, this can be decreased to 2% by the use of pills.

Time - This tablets should be taken within 72 hour of unprotected sex.

Recommended tablets

1. Ovral.    2 tablets 12 hours apart
2. Lo/Ovral 4 tablets 12 hours apart
3. Preven(50mg ethinyl estrdiol and 0.25mg levonorgestrel)
4. levonorgestrel (0.75mg) 

The above drugs are available for women more than 17 yrs.

1. Levonorgestrel containing tablets are associated with fewer side effects and are more effective than estrogen and progesterone containing tablets.
2. Ulipristal acetate is also approved for avoiding pregnancy after unsafe sex.This tablet give protection up to 5 days.
3. Intrauterine contraceptive device IUCD if used within 5 days also give protection from pregnancy.

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Metabolic syndrome... Who is at risk?

Metabolic syndrome increases the risk of diabetes and insulin resistance. Prevalence of the metabolic syndrome is increasing worldwide. Incidence increases with age. Highest  incidence of metabolic syndrome is seen in native Americans. About 60 percentage of females and 45 percentage of men between 40 to 49 age group are affected. Rising prevalence of obesity also increases the metabolic syndrome.

Following are the risk factors of metabolic syndrome.

1. Overweight and obesity.

2. Sedentary lifestyle.

3. Aging.

4. Diabetes.

5. Coronary heart disease.

6. Lipodystrophy.

Overweight and obesity.

Obesity increases the waist circumference and the risk for metabolic syndrome. But people who are of normal weight can also develop insulin resistance and this syndrome.

Sedentary lifestyle.

It is a predictor of heart disease and related mortality. Sedentary lifestyle is associated with increased risk of central obesity, high triglycerides, low HDL (High dencity lipoprotein) cholesterol, high blood pressure and blood sugar. It has two fold increase incidence in those who watch television or computer more than 4 hours, compared to those who watch it less than 1 hour.

Age

As the age advances the risk of metabolic syndrome is increasing, this tendency is seen worldwide. It is seen in 44 percentage of males more than 50 yrs in USA. Incidence is more common in females.

Diabetes mellitus

There is increased incidence of diabetes and insulin resistance in people with metabolic syndrome. This inturn will increase the risk for heart disease.

Heart disease

People with metabolic syndrome have increased incidence of heart disease. This can be reduced by lifestyle and dietary changes and weight reduction.

Lipodystrophy

Both congenital and acquired is associated with metabolic syndrome.

Related Links

How will you identify that you have metabolic syndrome.

Obesity a rising problem 

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