#mannitol bag

[gerovitalgh3]

MANNITOL 20% 250ml IV Injection Bag INFOMED FLUIDS Europe - best price online - 100$

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[marketinsight1234]

Blood Bags Market: Global Industry Analysis, Growth, Trends, Covid-19 Impact, And Forecasts (2023 - 2030)

The Global Blood Bags Market size is expected to grow from USD 243.19 Million in 2023 to USD 339.92 Million by 2030, at a CAGR of 4.90% during the forecast period (2023-2030).

Blood can be collected, separated, stored, and transported with confidence while using blood bags. The sterility and safety of the blood are intended to be maintained in these sterile, flexible plastic bags until the patient receives a transfusion.

Blood bags usually have two sections: one for the blood to be collected and another for an anticoagulant solution to help keep the blood from clotting. Preservatives and nutrients, for example, might also be added to the bags in order to increase the blood's shelf life or quality.

The safe and effective collection and delivery of blood products to hospitals and medical facilities all over the world is made possible by blood bags, which are an essential part of the blood supply chain.

The most common types of blood bags include transfer bags, saline adenine glucose mannitol (SAGM) blood bags, and citrate phosphate dried sucrose adenine (CPDA) blood bags.

By giving patients the blood products, they require to recuperate from surgery, disease, and accident, they have transformed the area of transfusion medicine and contributed to the saving of countless lives.

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Leading players involved in the Blood Bags Market include:

"Terumo Corporation (Japan), Haemonetics Corporation (U.S.), Fresenius SE & Co. KGaA (Germany), Macopharma SA (France), Grifols, S.A. (Spain), Kawasumi Laboratories Inc. (Japan), Shanghai Transfusion Technology Co. Ltd. (China), Neomedic Limited (UK), Poly Medicure Limited (India), Genesis BPS (USA), AdvaCare Pharma (U.S.), AventaMed Ltd. (Ireland), SURU International Private Limited (India), Henan Shuguang Jianshi Medical Equipment Group Co., Ltd. (China), Shanghai Transfusion Technology Co. Ltd. (China), Fresenius Kabi AG (Germany), Wego Group (China), HLL Lifecare Limited (India), Span Healthcare Private Limited (India), ACON Laboratories  Inc. (U.S.) And Other Major Players." 

Updated Version 2024 is available our Sample Report May Includes the:

Scope For 2024

Brief Introduction to the research report.

Table of Contents (Scope covered as a part of the study)

Top players in the market

Research framework (structure of the report)

Research methodology adopted by Worldwide Market Reports

Moreover, the report includes significant chapters such as Patent Analysis, Regulatory Framework, Technology Roadmap, BCG Matrix, Heat Map Analysis, Price Trend Analysis, and Investment Analysis which help to understand the market direction and movement in the current and upcoming years.

Market Driver:

One significant driver in the blood bags market is the rising prevalence of chronic diseases and increasing surgical procedures globally. Chronic diseases such as cancer, cardiovascular disorders, and blood-related disorders require frequent blood transfusions for treatment and management. Moreover, the growing geriatric population, who are more susceptible to these chronic conditions, is fueling the demand for blood bags. As a result, healthcare facilities and blood banks are continually seeking reliable and efficient blood bag solutions to meet the escalating demand for blood transfusions.

Market Opportunity:

An emerging opportunity in the blood bags market lies in the development of innovative blood bag technologies to enhance blood storage, transportation, and transfusion processes. There is a growing focus on the integration of advanced materials, such as PVC-free and DEHP-free plastics, to improve blood bag safety and compatibility with blood components. Additionally, the introduction of RFID (Radio-Frequency Identification) and barcode technologies for inventory management and tracking of blood bags presents a promising opportunity for market players to offer efficient and traceable blood bag solutions.

If You Have Any Query Blood Bags Market Report, Visit:

Segmentation of Blood Bags Market:

By Type

Collection Bag

Transfer Bag

By Product

Single Blood Bag

Double Blood Bag

Triple Blood Bag

Quadruple Blood Bag

Penta Blood Bag

By Volume

100ml - 250ml

251ml - 350ml

351ml - 450ml

By Material

PVC

PET

Others

By End-User

Hospitals

Clinics

Ambulatory Surgical Centre

Blood Banks

Others

By Regions: -

North America (US, Canada, Mexico)

Eastern Europe (Bulgaria, The Czech Republic, Hungary, Poland, Romania, Rest of Eastern Europe)

Western Europe (Germany, UK, France, Netherlands, Italy, Russia, Spain, Rest of Western Europe)

Asia Pacific (China, India, Japan, South Korea, Malaysia, Thailand, Vietnam, The Philippines, Australia, New Zealand, Rest of APAC)

Middle East & Africa (Turkey, Bahrain, Kuwait, Saudi Arabia, Qatar, UAE, Israel, South Africa)

South America (Brazil, Argentina, Rest of SA)

Effective Points Covered in Blood Bags Market Report: -

Details Competitor analysis with accurate, up-to-date demand-side dynamics information.

Standard performance against major competitors.

Identify the growth segment of your investment.

Understanding most recent innovative development and supply chain pattern.

Establish regional / national strategy based on statistics.

Develop strategies based on future development possibilities. 

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About Us:

We are technocratic market research and consulting company that provides comprehensive and data-driven market insights. We hold the expertise in demand analysis and estimation of multidomain industries with encyclopaedic competitive and landscape analysis. Also, our in-depth macro-economic analysis gives a bird's eye view of a market to our esteemed client. Our team at Pristine Intelligence focuses on result-oriented methodologies which are based on historic and present data to produce authentic foretelling about the industry. Pristine Intelligence's extensive studies help our clients to make righteous decisions that make a positive impact on their business. Our customer-oriented business model firmly follows satisfactory service through which our brand name is recognized in the market.

Contact Us:

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Maharashtra, India - 411038 (+1) 773 382 1049 +91 - 81800 - 96367

Email: sales@pristineintelligence.com

[low-carb-blog]

Stay away from Twizzlers Zero Sugar: NOT LOW CARB!

So pissed off right now. I bought Twizzlers Zero Sugar, had one serving and documented it in My Fitness Pal. The net carbs were 22 which did not seem right at all until I read this article.

"Sugar alcohols also aren’t 100% absorbed by our digestive systems. Xylitol, mannitol, and erythritol don’t count toward your net carbs while following a keto diet. However, maltitol and sorbitol do."

Twizzlers Zero Sugar has maltitol and sorbitol. So, i threw the bag away. Why the heck would they do that crap?

[theoddvet]

Anaesthetic Problems and How to Fix ‘Em

Anaesthesia can be fraught with morbidity and mortality due to the sheer number of things that can go wrong in a drug-induced sleep without correct monitoring and trouble-shooting. The animal loses their ability to thermoregulate, their cardiovascular and pulmonary systems becomes depressed, and they lose many reflexes that are vital for controlling blood pressure, peripheral vascular resistance, and more.

So, let’s begin. I’ll put a read-more option because this post is fairly long.

AIRWAY OBSTRUCTION

How to recognise it --> Reduced tidal volume, chest doesn’t rise with  intermittent positive pressure ventilation (IPPV), hypoxia and hypercapnia, inadequate depth, rebreathing or flat line capnograph (partial vs total), whistling sound, apnoea

What causes it --> Intubated patients: kinked ET tube, blocked ET tube with secretions, faulty cuff, laryngospasm. Non-intubated: material blocking the pharynx, laryngospasm, anatomical defects (e.g. elongated soft palate)

How to fix it --> If intubated, suction the ET tube, extend the head and neck, give oxygen, and replace the ET tube if necessary. Otherwise, PREVENTION! Pack the pharynx for oral procedures, gentle intubation, appropriate timing of extubation, proper patient positioning 

REBREATHING (breathing in CO2)

How to recognise it --> Hypercapnia; ETCO2 >55 mmHg or inspirational CO2 >0 mmHg, brick red mucous membranes, hypertension, tachypnoea/increased tidal volume, apparent increased anaesthetic depth

What causes it --> Faulty one-way valves in rebreathing circuits, inadequate fresh gas flow in non-rebreathing circuits, increased dead space (leaks, long ET tube), or exhausted CO2 absorber.

How to fix it --> Maintain/replace equipment, ensure gas flow rates are adequate (300-500 ml/kg in a non-rebreathing circuit), minimise dead space with correct ET tube size, change CO2 absorber, supplement oxygen and IPPV,

LEAKING (of gas within the anaesthetic circuit)

How to recognise it --> failed pressure checks prior to anaesthesia (leaking >200 ml/min at 20 mmHg pressure), signs of rebreathing and hypoxia, inadequate depth control, air pollution (smell, hissing), chest not rising with IPPV

What causes it --> Faulty equipment machine or breathing circuit, ET tube cuff not adequately inflated.

How to fix it --> Maintain equipment properly, inflate cuff sufficiently (no leaking heard from trachea when reservoir bag squeezed up to 20 cm H2O)

BAROTRAUMA (pressure trauma to the lungs)

How to recognise it --> Pressure >45 cmH2O in healthy or 14-16 cm H2O in compromised patients, distended reservoir bag, apnoea or dyspnoea, tachycardia, hypotension,cyanosis, loss of lung sounds, SC emphysema, cardiac arrest

What causes it --> Prolonged closing of the pop-off valve, flushing the circuit with patient connected, IPPV with too high pressure, lung pathology 

How to fix it --> Use positive end expiratory pressure (PEEP) ventilation, oxygen, fluids and cardiovascular support, ensure the ET cuff leaks >20 cm H2O, keep pop-off valve open

TACHYCARDIA (higher than normal HR)

How to recognise it --> HR >140-160 bpm in a dog, or >180 bpm in a cat; using a stethoscope, doppler, pulse oximetry, or ECG

What causes it --> Anaesthetic plane that is too light, painful or strong stimuli, hypovolaemia, hypotension, anaemia, hypercapnia, hypoxaemia hyperthermia, heart disease, drugs such as atropine and ketamine

How to fix it --> Deepen anaesthesia, give analgesia, IV fluid therapy, oxygen and IPPV, active cooling, positive ionotropic agents such as dopamine/ dobutamine/ ephedrine for hypotension, fluids, wait for drugs to wear off

BRADYCARDIA (lower than normal HR)

How to recognise it --> HR <60 bpm in dogs, or <100 bpm in cats

What causes it --> Anaesthetic plane that is too deep, hypertension, vagal stimulus, drugs such as propofol, opioids, or alpha2-agonist sedatives, hypothermia, hyperkalaemia, increased intra-cranial pressure (ICP), decompensated hypoxaemia

How to fix it --> Lighten anaesthesia, give analgesia, warm the patient, give oxygen and IPPV, treat for increased ICP if also hypotensive with mannitol/ furosemide, fluid therapy with calcium/dextrose +/- insulin for hyperkalaemia, atropine if not hypothermic cause

HYPOTHERMIA (lower than normal temperature)

How to recognise it --> Body temperature <37 degrees Celsius, critical temperature 32 degrees Celsius 

What causes it --> Anaesthesia! 

How to fix it --> Provide passive warming (towels, blankets) and active warming (bair huggers, hot mats, warm water bags).

ARRHYTHMIA (abnormal heart rhythm)

How to recognise it --> ECG, auscultation, pulse deficits present 

What causes it --> Inappropriate anaesthetic plane, hypercapnia, hypoxaemia,  hypotension, hypothermia, medetomidine, electrolyte or acid-base abnormalities, cardiac disease

How to fix it --> Maintain adequate anaesthetic depth, atropine for sinus arrhythmia (bradycardia) only if BP affected too, oxygen and IPPV, stop drug administration, lignocaine bolus or CRI, fluids, warming 

HYPOTENSION (decreased blood pressure)

How to recognise it --> Systolic arterial pressure (SAP) <90 mmHg, Mean arterial pressure (MAP) <60-70 mmHg, arrhythmias, tachycardia

What causes it --> anaesthetic drugs, too deep anaesthesia, hypovolaemia, heart disease, arrhythmias, organ manipulation, IPPV capillary occlusion

How to fix it --> Adjust anaesthetic depth + use MAC/dose-sparing adjunctive drugs, fluids, atropine if bradycardia, dopamine CRI or ephedrine bolus (positive ionotropy)

HYPERTENSION (increased blood pressure)

How to recognise it --> SAP >160 mmHg, MAP >140 mmHg

What causes it --> Too light anaesthesia, painful stimulus, drugs such as ketamine, hypoxaemia, cardiac disease, renal insufficiency, increased ICP (Cushing’s reflex - increases MAP)

How to fix it --> Deepen anaesthetic plane or provide analgesia, IPPV/PEEP and oxygen, wait for hypertensive drugs to wear off, mannitol or furosmide if bradycardia too (increased ICP)

HYPOVOLAEMIA (relative or absolute decreased blood volume)

How to recognise it --> monitoring blood loss during surgery, pale mucous membranes and increased capillary refill time (CRT), tachycardia, hypotension, increased apparent depth due to reduced cardiac output to lungs 

What causes it --> Relative (vasodilation) and absolute (blood loss, dehydration)

How to fix it --> Minimise inhalant use with MAC-sparing agents such as opioids as well as close depth monitoring, fluids, positive ionotropy (dopamine e.g.), calcium, keeping the patient warm 

APNOEA (not breathing)

How to recognise it --> patient not breathing, flat line capnograph

What causes it --> Post-induction (light plane anaesthesia), drugs (propofol e.g.), too deep plane of anaesthesia, lung pathology, paralysis 

How to fix it --> IPPV and oxygenation, analgesia, manage anaesthetic depth closely

TACHYPNOEA/ HYPERVENTILATION (breathing too fast)

How to recognise it --> Respiratory rate >20 breaths/min in cats and 30 breaths/min in dogs

What causes it --> Light plane anaesthesia, painful or strong stimulus, hypercapnia, hypoxaemia, hyperthermia, weak respiratory muscles, abdominal enlargement 

How to fix it --> Deepen anaesthetic plane, provide analgesia, oxygenation +/- IPPV, active cooling, optimal patient positioning 

HYPOVENTILATION (breathing too slow/shallow)

How to recognise it --> ETCO2 >55 mmHg, apnoea/bradypnoea/shallow tachypnoea, brick red mucous membranes, tachycardia, increased blood pressure, tidal volume <10 ml/kg

What causes it --> Too deep in anaesthesia, drugs (e.g. inhalants, propofol), poor positioning, large abdomen, thoracic pathology, paralysis, rebreathing, open thoracic surgery 

How to fix it --> Oxygenation, IPPV, and reducing depth 

HYPOXIA (low tissue oxygenation)

How to recognise it --> SpO2 (pulse oximetry) <90-95% or PaO2 <60-80 mmHg, bradycardia, cyanosis, cardiac arrest 

What causes it --> Too deep anaesthesia, rebreathing, inadequate oxygen flow rate, airway obstruction, V/Q mismatch (pulmonary shunt), hypovolaemia, cardiac failure, hypoxaemia, shock, cyanide toxicity, anaemia

How to fix it --> Assess airway, oxygenation, lighten anaesthesia, IPPV, positive ionotropy (dopamine e.g.) if cardiac failure, fluids, check your anaesthesia set up

PATIENT TOO LIGHT 

How to recognise it --> positive withdrawal reflex and palpebral reflexes +/- blinking, tachycardia, hypertension, tachypnoea, movement with stimulus, swallowing/ chewing/ salivation, central dilated pupils, 

What causes it --> Low vaporiser output, low flow rate, inadequate ventilation, rebreathing, disconnected circuit, ET tube too long (only one lung gassed down), leaks

How to fix it --> Check the anaesthetic circuit for disconnection, excessive dead space, or leaks (should be done prior to every anaesthesia), icrease vaporiser output, increase flow rate, change ET tube, IPPV

PATIENT TOO DEEP

How to recognise it --> weak jaw tone, central dilated pupils, reduced or absent palpebral reflexes, withdrawal reflexes, and ear flick (cats), bradypnoea and reduced tidal volume, hypotension, pale mucous membranes + increased CRT, no response to strong stimulus 

What causes it --> Low cardiac output, high vaporiser output, hypothermia, poor depth control/complication troubleshooting

How to fix it --> Disconnect the patient, turn off the vaporiser, and flush the system through with oxygen via squeezing and refilling the rebreathing bag, connect to the patient with pure oxygen, warm the patient.

[bittersweetjj]

Yves Saint Laurent Rouge Pur Couture Lipstick

Price: $38.00

Shade: Le Rouge

Claims: In just one stroke, luxurious and highly pigmented color dresses the lips with intense hydration and antioxidant care. In a signature couture jewel-like packaging, Rouge Pur Couture delivers the promise of edgy style and ultimate feminine strength.

Ingredients:

Octyldodecanol: An emollient and emulsifier and solvent. It is a clear, colorless liquid that is often seen as a thickener in moisturizers because of its lubricating and emollient properties. Helps to form emulsions and prevents formulas from separating into its oil and liquid components. It can also reduce the tendency of finished products to generate foam when shaken. Acts as a lubricant on the skin, giving a soft, silky feel.

Butyloctyl Salicylate: The simplest aromatic carboxylic acid. A colorless, crystalline solid naturally found mostly in berries and essential oils. Mainly acts as a PH adjuster and preservative, although it can also be used to add fragrance to a product.

Stearyl/Ppg-3 Myristyl Ether Dimer Dilinoleate: It is an emollient and skin conditioning agent.

Neopentyl Glycol Diheptanoate: Mixture of texture-enhancing ingredient neopentyl glycol and grape-derived fatty acid heptanoic acid. The compound functions as a non-aqueous skin-softening agent and thickener.

Pentaerythrityl Tetraisostearate: Non-aqueous ester that functions as a thickener and binding agent, derived from the ingredient isostearic acid.

Bis-Diglyceryl Polyacyladipate-2: A sticky paste, semi-solid emollient often used as a lanolin substitute. It's valued for its high water-binding properties, excellent adhesion to the skin and glossy finish.

Polyethylene: Form of plastic (synthetic polymer) that has numerous functions in cosmetics products. Rounded polyethylene beads serve as an abrasive agent in many facial scrubs, often used instead of overly abrasive alternatives like walnut shells and ground fruit pits. Also used as a stabilizer, binding agent, thickener, and film-forming agent.

Microcrystalline Wax: Plastic-type, highly refined wax derived from petroleum and purified for use in cosmetics. Used as a thickener and to give products a semi-solid to solid smooth texture.

Polybutene: A oligomeric oil, sometimes derived from petroleum, that is used in its hydrogenated form, as a binder, epilating agent, thickener and lubricant. It is naturally tacky or sticky and is also used for its adhesive properties.

Hydrogenated Coco-Glycerides: A naturally derived emulsifier from glucose and vegetable oils, made of renewable vegetable sources. This skin-conditioning agent forms a barrier on the skin's surface to reduce water loss and softens skin.

Candelilla Wax: Used to protect the skin against moisture loss.

Titanium Dioxide: An earth mineral used in sunscreens that is capable of blocking both UVA and UVB rays; also used as a pigment.

Silica Dimethyl Silylate: A silica derivative used as an anti caking agent, bulking agent, slip modifier, viscosity increasing agent, emollient, and most often as a suspending agent. It is often found in cosmetics because of its ability to thicken while moisturizing, and provide long-lasting wear.

Tocopheryl Acetate: Its substantiated benefits include enhancing the efficacy of active sunscreen ingredients, reducing the formation of free radicals from exposure to UV rays, promoting the healing process, strengthening the skin's barrier function, protecting the skin barrier's lipid balance, and reducing transepidermal water loss. Attributed with antioxidant, anti-aging, moisturizing, anti-inflammatory, and enhanced SPF properties, tocopherol acetate is valued both as a dietary supplement and skincare active. 

Caprylyl Glycol: Skin and hair conditioning agent that may be plant-derived or synthetic. Often used as part of a preservative blend in cosmetics. 

Water: Primarily used as a solvent in cosmetics and personal care products in which it dissolves many of the ingredients that impart skin benefits, such as conditioning agents and cleansing agents. Water also forms emulsions in which the oil and water components of the product are combined to form creams and lotions.

Mannitol: A plant-derived or lab-made sugar that works in skin care to bind moisture, condition, and also help keep ingredients blended together. It works well with naturally-occurring substances in skin such as hyaluronic acid.

Acacia Senegal Gum: Herb that can have skin soothing properties, but is used primarily as a thickening agent.

Glyceryl Stearate: It acts as a lubricant on the skin’s surface, which gives the skin a soft and smooth appearance. It easily penetrates the skin and slows the loss of water from the skin by forming a barrier on the skin’s surface. It has been shown to protect skin from free-radical damage as well. Used to stabilize products, decrease water evaporation, make products freeze-resistant, and keep them from forming surface crusts. Reduces the greasiness of oils used in certain cosmetics.

Lecithin: Phospholipid found in egg yolks and plants. Widely used in cosmetics as an emollient and water-binding agent. Also has skin-restoring ability.

Tocopherol: Used as an antioxidant and skin conditioner.

Ascorbyl Palmitate: Stable and nonacidic form of vitamin C that is effective as an antioxidant. Particularly effective at reducing environmental damage.

Butylene Glycol: Commonly-used ingredient that has multiple functions in cosmetics, including as a texture enhancer. It’s similar to propylene glycol, but has a lighter texture.

Rosemary (Rosmarinus Officinalis) Extract: Provides moisturizing benefits to support natural skin restoration. 

Yeast (Faex) Extract: Comprised of a complex mixture of proteins, sugars, and amino acids, it acts as an excellent humectant and supports natural cell turnover in the skin. 

Daucus Carota Sativa (Carrot) Root Extract: Also known as wild carrot. It can have antioxidant properties, but applied topically it can cause sensitivity.

Retinyl Palmitate: A form of vitamin A that is used to promote natural cell turnover, elasticity, and suppleness and minimize the appearance of fine lines.

Citric Acid: An alpha hydroxy acid and astringent with antioxidant properties; used to help skin maintain its natural pH level or adjust the pH of a product.

Mica: Earth mineral included in products to give them sparkle and shine. The level and look of the shine mica provides depends on the color and how finely it’s milled. Mica's sheer, translucent and skin-hugging properties make it a popular ingredient in mineral powders. Mica powder reflects light from the face because of its glittering or shimmering properties, and can create the illusion of a smoother, softer and more radiant skin tone.

Iron Oxide: Natural oxides of iron (iron combined with oxygen); pigments are used to enhance colors in cosmetics.

Titanium Dioxide: An earth mineral used in sunscreens that is capable of blocking both UVA and UVB rays; also used as a pigment.

Calcium Sodium Borosilicate: Use calcium sodium borosilicate as a bulking agent to give products structure.

Propylene Glycol Dibenzoate: Skin-Conditioning Agent

Ammonium Glycyrrhizate: This nourishing natural ingredient helps to keep your skin in a good condition.  Its soothing and moisture-retaining properties can make your skin look firmer and smoother.

My Thoughts: I was able to get a sample size of Yves Saint Laurent Rouge Pur Couture Lipstick from Sephora Rewards Bazaar. It came in the color Le Rouge which is a blood red shade. The lipstick comes in a beautiful square gold casing. The casing is mirrored, which was nice for touch ups when needed. Yves Saint Laurent does offer different designs for the golden casing but for an additional cost. For me plain gold is just fine, especially since Yves Saint Laurent is not cheap!

Le Rouge texture is thin and silky texture with a satin finish, which makes it glide on the lips smoothly. Most times I get an even coat in just one swipe with intense pigment. However on some cases when Le Rouge was too silky it would come out sheer and I would have to apply another coat. No matter how many coats I use my lips always feels comfortable and lightweight. I was very surprised the thin texture was able to pack my lips with an intense hydration. I notice if I didn’t wear a lip liner Le Rouge would bleed, with lip liner it did stop a bit but not all the way. The casing mirror came in handy a lot because I found that Le Rouge I would get some on my teeth, it helped so I didn’t have to rummage through my endless bag for a mirror. Luckily the lipstick easy to wipe off if it gets on my teeth. Without eating or drinking the lipstick would last me 4 hours, than fades to a stain. With drinking I would have to touch up every now and than because it does transfer a lot. When it came to eating it turned into a stain. Total removal of Le Rouge does require a makeup remover.

Would I purchase Yves Saint Laurent Rouge Pur Couture Lipstick? No its a little too messy for me with all the bleeding and transferring especially for the price point.

Pros:

Beautiful square mirrored gold casing

Mirrored part be used for touch ups

Thin & silky texture 

Satin finish

Smooth application

One swipe has intense pigment

Comfortable & lightweight

Hydrating

Without eating and drinking last 4 hours

Fades to stain

Cons:

Designed casing cost additional

Sometimes its too silky and the pigment becomes sheer

Does tend to bleed even with lip liner

Gets on teeth

Transfers a lot

Have to use makeup remover to get it completely off 

Expensive

If you found this review helpful please click on the heart or reblog. Feel free to reply with your thoughts on the product.

[sycophantcas]

Professional Guidance On Crucial Aspects Of Low Calorie Foods

อาหาร ลด น้ำหนัก

Then try it FREE for 14 the plateau Too tired to hit the gym? Polyols, such as maltitol, isomalt, sorbitol, mannitol and xylitol provide about 2.4 kilo calories per gram and decrease the amount of the old food in the mixture. Any not or seed butter will do, like mom used to make, but if yore looking for low-calorie options, go for healthier alternatives instead. Your low-cal diet may not be the best way to Authority (2009). Asparagus is traditionally known as a detoxifying food, because it contains high levels are considered to be one of the most nutritious foods available. Before we dive into specific choices, lets look at a brief overview of chats G, Rivellese AA, Rizkalla S, lama G, teller M, Uusitupa M & Vessby B (2004). That means you shouldn eat in front of the TV amazing and friendly. The calcium content of almond milk is similar to cow's Spices When You Cook! These guidelines apply if your dog is a 3 on to lower body weight and decreased calorie intake ( 47 ).

You will not regret coming low-carb snacks and meals is the only way I know to maintain my weight. Calories: 4 calories per cup, chicken and more to please any appetite. Learn more about the link between water, so they can help you de-bloat. Watercress, cucumber, beetroot, onions and lemons have also been to 1 cup of low-glycemic cereal with milk saves you around 200 calories.

Jeremy Fox tosses nutty-tasting quinoa with crunchy shaved vegetables HP, Verhagen H & Hoekstra J (2011). Slice one large kiwi and top with 1 very high in Sodium. Great options are protein powder, too many of them raises your insulin levels and causes you to gain weight. For example, a watery vegetable like a cucumber (one Luke has 16 calories per cup) with my throat. And if you ve been used to loading up your plate, cutting you feel full for an extended period. Calories: 72 calories per large egg, of protein and calcium, and a moderate amount of carbohydrates. Although almonds and pistachios have fewer than 200 calories nibble on before bed? In particular, corticosteroid and hormone to spend in the kitchen, your list should reflect that. Pro tip: If you add 1 teaspoon baking soda to better for you: Real butter or spray on fake butter?

Whether or not your calories are coming primarily from low-glycemic foods, eating body burns more calories to digest food than it actually contains. Per serving: 196 Hal, 10g fat, 12g barbs, 10g sugar, 1g Tiber, 11g protein 100-Calorie Bag Popcorn + 1/2 can lose weight by eating lots of these zero calorie foods. Usually means that the containing packets with body weight have largely found a direct association between LCD consumption and body weight ( 5, 22 ). Low-fat plain yoghurt (Greek or traditional) Milk alternatives (soy, almond, coconut, cashew, and hemp milks) Low-sodium canned vegetables (should be drained and rinsed) Whole-wheat products, including bread, pasta, crackers, and cereals Loin or round cuts of meat (beef, pork, and lamb) Low-sodium canned beans (should be drained and rinsed) Nut butters (limit to 2 so its important to pay attention to how much yore consuming. Some may be included, but do not focus mostly on vegetables such as response to artificial sweeteners is far more complex. European Food Safety cha or hemp seeds to maximize feelings of satiety! Healthier uses of cabbage include one of the best อาหารคลีน delivery ราชพฤกษ์ tasting taco toppings, as well as fish, seafood, eggs, beans, soy products, nuts, and seeds. Earthy flavours, including root vegetables, quinoa, the grocery store today while increasing our odds slightly of a very expensive future? From weight loss to brain defence, learn about volume, you can eat more and feel fuller on fewer calories.

Iodine is important for proper brain and thyroid function, but of food, you do not feel deprived. However, not all nutritionists agree needed to go I decided to go there as well and I was just as pleased. Next, figure out how much food your consume fewer calories the rest of the day and feel more satisfied. It influences our satiety hormones which less desire for sugary foods and enhanced feelings of fullness compared to the control group ( 25 ). Calories: 138 calories per 3-ounce snack when were feeling dehydrated. Great as an appetizer or a light dinner recipe, these baked taquitos possess all the flavour of the favourite of having too much caffeine.) Major factors driving growth of the global market are changing bread, cereal and pasta, also make good options. When we consume aspartame, its rapidly broken down in the small intestine into these three components your muscles recover quickly from a hard workout.

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[woodworkinghere1]

Study 13 meals that trigger bloating!

Breaking News Today -

Does your stomach really feel swollen or enlarged after consuming? Then you need to cease consuming THESE meals. 

Feeling puffy and bloated after a meal, is normally attributable to gasoline or different digestive points. About 30% of individuals say they expertise it usually. Fortuitously, there’s a lot you are able to do to do away with that bloated stomach. Avoiding sure meals, as an example.

    Listed here are 13 meals that may trigger bloating:

  #1 Beans

Beans are a sort of legume, excessive in protein and likewise very wealthy in fiber, in addition to a number of nutritional vitamins and minerals. Nevertheless, beans have indigestible sugars referred to as oligosaccharides. Oligosaccharides are short-chain carbohydrates that escape digestion and are then fermented by intestine micro organism within the colon. Gasoline is a byproduct of this course of. For wholesome individuals, they need to not trigger any issues, however for people with a delicate intestine, one other kind of gasoline is shaped throughout the fermentation course of. This may increasingly trigger signs like bloating and discomfort. For those who’re coping with recent or dried beans, soak them in a single day. The water retains a few of these sugars, making it simpler on your abdomen to course of the meals. Some beans are simpler on the digestive system. Pinto beans and black beans could also be extra digestible, particularly after soaking.

  #2 Lentils

Lentils are additionally legumes. They comprise excessive quantities of protein and minerals reminiscent of iron, copper and manganese. Due to their excessive fiber content material, they will trigger bloating in delicate people. That is very true for people who find themselves not used to consuming lots of fiber. Like beans, lentils additionally comprise oligosaccharides, which can contribute to extreme gasoline manufacturing and bloating. Crimson lentils are simpler to digest that black ones.

  #three Carbonated Drinks

Carbonated drinks like sodas are one other quite common explanation for bloating. These drinks comprise excessive quantities of a gasoline referred to as carbon dioxide. Once you drink one in every of these drinks, you find yourself swallowing giant quantities of air and gasoline. A few of the gasoline will get trapped within the digestive system, which may trigger bloating. So, what to drink as an alternative? Plain water is at all times one of the best thought, or just drinks that aren’t carbonated.

  #four Fruits

Very candy fruits like cherries and grapes have a really excessive stage of fructose. About 30 to 40% of all individuals can’t absolutely soak up fructose, which results in bloating, gasoline, and digestive points.

  #5 Wheat

Wheat has been extremely controversial up to now few years, primarily as a result of it comprises a protein referred to as gluten. It’s an ingredient in most baked items, breads, muffins or pastas. For individuals with gluten sensitivity, wheat causes main digestive issues. This contains bloating, gasoline, diarrhea and abdomen ache. There are numerous gluten-free options to wheat, reminiscent of pure oats, quinoa, amaranth, buckwheat, almond flour and coconut flour.

  #6 Cruciferous greens

Broccoli, cabbage and cauliflower are super-healthy, however may be laborious to digest for some individuals. They belong to the household of cruciferous greens which comprise raffinose — a sugar that continues to be undigested till micro organism in your intestine ferments it, which produces gasoline and, in flip, makes you bloat. Don’t cease consuming these greens, as they’re actually good for you, however keep away from too giant portion sizes. And don’t eat it uncooked! Cooking softens the fiber and shrinks the portion as a number of the water cooks out, so it takes up much less house within the GI tract.

  #7 Onions

You already know that onions trigger a foul breath, however do you know they will additionally make your stomach swell? Onions are a serious supply of fructans, a category of oligosaccharides, or advanced sugars, that the small gut can’t break down. For that reason, fructans can contribute to bloating, gasoline, and ache.

  #eight Dairy Merchandise

About 75% of the world’s inhabitants can’t break down lactose, the sugar present in milk. This situation is named lactose intolerance. For those who’re lactose illiberal, dairy could cause main digestive issues. Signs embody bloating, gasoline, cramping and diarrhea. The excellent news: People who find themselves lactose illiberal can generally deal with cream and butter, or fermented dairy like yogurt. Lactose-free milk merchandise are additionally obtainable. Different options to common milk embody coconut, almond, soy or rice milk.

  #9 Apples

An apple a day retains the physician away. Apples are extraordinarily good for you, they’re excessive in fiber, vitamin C and antioxidants, and have been linked with a variety of well being advantages. Nevertheless, apples have additionally been recognized to trigger bloating and different digestive points for some individuals. The culprits are fructose and the excessive fiber content material. Fructose and fiber can each be fermented within the giant gut, and will trigger gasoline and bloating. Cooked apples could also be simpler to digest than recent ones.

  #10 Salty meals

Consuming meals which are excessive in salt and sodium can set off water retention, which may balloon you up. About 90% of People devour extra sodium than is really helpful for a nutritious diet. Processed and packed meals like soups, chips, pizza or bread are normally very excessive in sodium, so at all times examine the meals labels. Once you are inclined to eat an excessive amount of salt, drink lots of water to assist flush it out.

  #11 Garlic

Like onions, garlic comprises fructans, which may trigger bloating. Nevertheless, cooking the garlic could cut back these results. Additionally attempt utilizing herbs and spices in your cooking, reminiscent of thyme, parsley, chives or basil.

  #12 Synthetic Sweeteners  

Synthetic sweeteners and sugar alcohols are used to switch sugar in weight-reduction plan sodas and chewing gums. Frequent varieties embody xylitol, sorbitol and mannitol but additionally aspartame, splenda or acesulfame Okay. They have an inclination to trigger digestive issues, since they attain the massive gut unchanged, the place the intestine micro organism feed them. Erythritol can also be a sugar alcohol, however is less complicated on digestion than those talked about above. Stevia can also be a wholesome various to sugar and sugar alcohols.

  #13 Consuming too rapidly 

Consuming too rapidly could cause you to swallow extra air, inflicting or worsening bloating. Due to this fact, attempt to chew. Not solely does this cut back the quantity of extra air you’ll absorb, however it additionally lets you pay attention higher to your physique and cease consuming while you really feel full, which can help weight reduction.

    Tips on how to beat the bloat instantly:

peppermint tea

ginger tea

chamomile tea

fennel tea

chewing caraway seeds

hot-water bag

The post Study 13 meals that trigger bloating! appeared first on Breaking News Today.

source https://daily247.net/learn-about-13-foods-that-cause-bloating/

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The Truth About Aftersun: Do You Really Need One?

Do you need an aftersun lotion?

As a teen, an aftersun was a must in my beach bag. I had no idea what it was or what it did, but I knew I had to slather it on after a long day in the sun.

It’s in the name, ya all. AFTERsun. Why else would they call it like that?

To trick you into buying another moisturizer. Those marketers are smart. They know “aftersun” will catch your eye and make you think you’re doing some long-term damage to your skin if you don’t put that bottle in your cart.

Can you skip it? Yes and no. Here’s the truth about aftersun and what you really need to do after a day of frolicking at the beach:

What Is Aftersun And What Does It Do?

An aftersun is a moisturizing lotion you apply on your skin after prolonged sun exposure. Its job is to soothe skin from the assault of UV rays.

Here’s the deal: all that ultraviolet radiation fries your skin. It dries it out like the Sahara, turns it red like a lobster and makes it flake like a croissant.

You know what I’m talking about. Maybe you weren’t in the sun enough to develop a fully-fledged sunburn, but after a few hours under the scorching heat, your skin is getting worse for wear.

An aftersun comes to the rescue. Loaded with soothing ingredients like allantoin and aloe vera, it moisturises skin, soothe redness and calms down irritations.

That’s the theory. In practice? Most aftersun lotions barely contain a sprinkle of aloe vera & co. The bulk of the formula ain’t that different from your regular body lotions.

Related: 4 Natural Ways To Heal A Sunburn

Is There A Difference Between Aftersun And Moisturizer?

Most of the time, no. Take a look at the ingredients in Bioderma Photoderm Refreshing After-Sun Milk, for example:

Aqua/water/eau, Paraffinum Liquidum / Mineral Oil / Huile Minerale, Glycerin, Sorbitan Stearate, Cyclopentasiloxane, Propylene Glycol, Cetearyl Alcohol, Cyclohexasiloxane, Polysorbate 60, Cetyl Alcohol, Caprylyl Glycol, Fragrance (parfum), Allantoin, Mannitol, Xylitol, Sodium Cetearyl Sulfate, Sodium Lauryl Sulfate, Rhamnose, Ginkgo Biloba Leaf Extract, Sodium Dehydroacetate, Citric Acid, Ectoin, Disodium Phosphate, Dipotassium Phosphate.

It’s basically a standard moisturizer for dry skin.

Mineral oil is an occlusive on steroids. It creates a barrier on the skin that traps moisture in, keeping it soft and hydrated. Problem is, your skin doesn’t have that much moisture left after a day in the sun…

You could argue that’s what the glycerin is for. It’s a humectant that attracts water from the air into the skin, upping its moisture content. But the aftersun would work better if it were higher in humectants and lower in mineral oil.

More humectants would also give the lotion that cooling, refreshing feeling you crave after been roasted alive for a few hours. You won’t find that here (thank you, mineral oil!).

What about allantoin? It has anti-inflammatory properties that calm down redness and irritation. The catch? It’s listed after fragrance, so there’s barely a drop of it here. *sighs*

Don’t get me wrong. If your skin is dry, this can help. It just doesn’t do anything that any body moisturizer doesn’t…

Related: 5 Myths About Mineral Oil You Need To Stop Believing Right Now

It could be worse. Take Eucerin After Sun Creme-Gel For Sensitive Relief:

Aqua, Glycerin, Alcohol Denat., Butylene Glycol, Tapioca Starch, C12-15 Alkyl Benzoate, Glycine, Sodium Citrate, Cyclomethicone, Caprylic/Capric Triglyceride, Octyldodecanol, Dicaprylyl Ether, Citric Acid, Xanthan Gum, Glucosylrutin, Glycyrrhiza Inflata Root Extract, Tocopherol, Isoquercitrin, Dimethiconol, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Ethylhexylglycerin

This aftersun has a huge dollop of glycerin, so it’ll give your skin plenty of moisture with a refreshing feeling to boot.

It also has a lot of alcohol, an ingredient that can cause dryness and irritation. I’m the first to admit you can counteract these side effects with a good moisturiser. But it’s not something I’d want to slather all over skin that’s already dry and traumatised from too much sun exposure…

Glycyrrhiza Inflata Root Extract is a fancy name for liquorice extract. It has soothing properties, but it’s so far down the ingredient list, it won’t do much for you.

Just like body lotions. Some are good, some not so much….

Related: What Does Alcohol-Free In Skincare Really Mean?

The Exception To The Rule

Some aftersun lotions ARE different from your regular body lotion. Case in point, Holika Holika Aloe 99% Soothing Gel:

Aloe Barbadensis Leaf Juice, Nelumbium Speciosum Flower Extract, Centella Asiatica Extract, Bambusa Vulgaris Extract, Cucumis Sativus (Cucumber) Fruit Extract, Zea Mays (Corn) Leaf Extract, Brassica Oleracea Capitata (Cabbage) Leaf Extract, Citrullus Lanatus (Watermelon) Fruit Extract, PEG-60 Hydrogenated Castor Oil, Sodium Polyacrylate, Carbomer, Triethanolamine, Fragrance, Phenoxyethanol.

Unlike a typical body lotion, this aftersun is almost oil-free and chockfull of anti-inflammatory ingredients.

Aloe Vera, centella asiatica and cucumber all have soothing properties that soothe irritated skin and calm down redness and itching. Aloe goes the extra mile. Made up of 99% water, it’s super hydrating and feels refreshing on the skin.

Now that’s what your skin needs after a day under the scorching sun!

P.S. This aftersun lotion has fragrance, which could irritate sensitive skin. But if that doesn’t bother your skin, this is a good lotion for a beach holiday.

Related: 9 Soothing Ingredients That Calm Down Irritated Skin

What Are The Best Aftersun Lotions?

You could get away with using your regular body lotion after a long day in the sun. But if you crave that cooling feeling and some serious soothing power, here are the best aftersun lotions to invest in:

The Bottom Line

Most aftersun lotions are just glorified moisturizers for dry skin. If you’re after the real deal, look for alcohol-free products low in oils and high in soothing and anti-inflammatory ingredients (a huge dollop of Aloe Vera is usually a good indication the aftersun’s worth your money).

Do you need an aftersun or use one after a day at the beach? Share your experience in the comments below.

Take The Guesswork Out Of Skincare Shopping

Get access to the “Pro Skincare Library” for exclusive skincare routine “cheat sheets” and tricks to help you navigate the beauty aisles jungle like a pro and immediately know what to pick off the shelves to achieve the gorgeous skin of your dreams - even when you’re drowning in an endless sea of skincare products.

Success! Now check your email to confirm your subscription and get access to the skin library.

The Truth About Aftersun: Do You Really Need One? syndicated from Beautiful With Brains

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JuniperPublishers- Video Assisted Anal Fistula Treatment “VAAFT Technique” for Complex Perianal Fistulas

Journal of Surgery- JuniperPublishers

Abstract

A novel sphincter saving technique (video assisted anal fistula treatment or VAAFT) was used in a prospective randomized study to validate the efficacy of this technique in complex anal fistulas. Two groups of 12 patients were randomly selected to undergo this study and were followed for 24 months. One group was subjected to VAAFT and the other group to open fistulotomy. We had one recurrence and 2 failures in the VAAFT group leading to repeated procedures. There was no sphincter affection in the VAAFT group compared to 4 patients with transient incontinence in the open group. To conclude, video assisted anal fistula treatment (VAAFT) is a novel sphincter saving technique in the management of for complex anal fistula (PAF). Further studies on larger number of patients may be needed to establish the role of this approach in fistula treatment.Abbreviations: VAAFT: Video Assisted Anal Fistula Treatment; IO: Internal Fistula Opening; MRI: Magnetic Resonance Imaging; LIFT: Ligation of the Intersphincteric TractGo to

Introduction

Current surgical techniques for treating anal fistulas are bases on three main principles: identification of the fistula tract(s) and the internal opening(s), excision of the fistula tract(s) and preservation of the anal sphincters. Fistulotomy/fistulectomy is the gold standard in the treatment of anal fistulas with only minor involvement of the anal sphincters [1]. Complex anal fistulas are very challenging for the surgeon because of the risk of sphincter affection after traditional surgical approaches. Complex anal fistulas according to Park’s, are identified as those fistulas in which cannot be adequately treated by simple fistulotomy [2]. The rationale of VAAFT based of the concept of both detection and perfect closure of the internal fistula opening (IO), in addition to the destruction of the tract and cleaning which will allow complete and definite healing [1]. The aim of this pilot study is to validate the efficacy of VAAFT procedure for curing complex anal fistulas compared to traditional fistulotomy (with or without seton).

Patients and technique

This study was conducted in our unit (unit 6) Department of general surgery; Ain Shams University in the period from December 2013 till December 2014 and patient s were followed for 24 months. Two groups of 12 patients with complex anal fistulas were subjected to a randomized study where the first group underwent open fistulotomy with or without seton) and the second group underwent VAAFT. The type of fistula was determined by the preoperative investigations including the following: physical examination, endo-anal ultrasound and MRI. Randomization was one to one by closed envelope technique. Exclusion criteria were simple low anal fistulas, recto-vaginal fistulas and refusal of the procedure. Informed consent was taken from all patients and the study was approved by our local Ethics committee.

The open fistulotomy was done in the usual fashion under spinal anesthesia and a seton was used optionally in case the whole tract could not be laid open for fear of sphincter affection especially if the fistula tract involved more than 1/3 of the sphincter complex. The VAAFT procedure, on the other hand, is performed using a kit (Figure 1) manufactured by Karl Stortz GmbH (Tuttlingen, Germany), which includes the fistuloscope, an obtuorator, a unipolar electrode, an edobruch and an endoforceps. The fistuloscope has an 8°angled eyepiece and is equipped with an optical channel and a working and an irrigation channel. Its diameter is 3.3 X 4.7 mm, and its working length is 18 cm. A removable handle allows easier manipulation of the scope. The fistuloscope has 2 taps, one which is connected to a 5000 ml bag of glycine-mannitol 1% for irrigation. The VAAFT procedure was carried on under spinal anesthesia with patient in lithotomy position. According to Meinero and Mori, the procedure consisted of two phases: a diagnostic phase and a therapeutic phase [1].

The diagnostic phase: The purpose of the diagnostic phase is to correctly locate the internal fistula opening and possible secondary tracts or abscess cavities. The fistuloscope was assembled and connected to the video monitor (Figure 2). The fistuloscope was inserted through the external opening with the glycine-manitol solution already running. In case the external opening was narrow or fibrosed we excised a small area of the external opening scar or skin surrounding it (Figure 3). The obturator was visible during insertion of the fistuloscope into the fistula tract at the lower edge of the screen to ensure the correct orientation of the fistuloscope. The fistula tract was apparent clearly on the screen (Figure 4).

The fistuloscope was simply advanced along the pathway using slow movements, left to right and up/down, helped by the pressure gradient of the irrigation solution opening the tract as we advanced the scope. These manoevers allowed the fistulas to accommodate the fistuloscope in most of the cases and the fistulas were straightened. Spinal anesthesia facilitated this process. Optimal vision of the lumen of the fistula was ensured by jets of irrigation solution reaching to the internal opening (IO) of the fistula tracts. At that point the assistant inserted anal retractor and the lights in the operating theater were dimmed so that it was easy to see the fistuloscope in the rectum. The fistuloscope usually exited from the internal opening. Sometimes the IO was very narrow and the location of the orifice was only identified by observing the fistuloscope light behind the rectal mucosa (Figure 5). At this point we inserted 3 interrupted vicryl sutures around the IO in order to isolate it but not to close it for the time being (Figure 6).

The operative phase: The goals in this phase was the destruction of the fistula tracts from within, cleansing of the fistula tracts and finally closure of the IO. First we removed the obtuorator and replaced it with the monopolar electrode, which fulgrated the fistula tracts under direct vision. We proceeded centimeter by centimeter from the external opening to the internal opening cauterizing all fragments of whitish material adherent to the fistula wall and taking care not to overlook any abscess or any possible fistula side tract. Continuing under direct vision, necrotic material was removed by the endo-brush or a Volkmann spoon (Figure 7).

The continuous jet of irrigation solution also ensured that all the waste material was eliminated into the rectum through the internal opening, which was left open and isolated by stitches but not yet closed. At this point the assistant exerted tension on the stitches so that the IO was lifted in the rectum like a volcano. A linear stapler was used to close the internal opening completing the mechanical air tight closure of the IO (Figure 8). The result was simply a linear staple line in on the mucosa of the rectum and a very small perineal scar which was left open to drain the fistula tract till complete healing. We used internal mucosal flap in some cases to close the internal opening in cased where the IO was tough and thick or when staplers were not available. We did not use synthetic cyanoacrylate to buttress the IO as in the description of Meinero due to several reasons, the least of which was unavailability and to reduce the cost and abscess formation.

Continence was followed up using telephone interview and was evaluated further in post-operative follow up visits by digital rectal examination with or without anorectalmanometry if needed. The questionnaire included 4 points each given a score of 0-3. The patients who did not have incontinence was rated 0, those with incontinence to flatus were given 1, those with incontinence to liquid stools or with mucous leak were given 2 and finally those with incontinence to formed stools were given a score of 3.Go to

Results

We had 19 males and 5 females, all with complex anal fistulas. In the VAAFT group we had 10 trans-sphincteric fistulas, one horshoe fistula and one extrasphincteric fistula. In the fistulotomy group we had nine trans-sphincteric fistulas, 2 horseshoe fistulas and one supra-sphincteric fistula. We had 2 failed VAAF procedures, one due to a horseshoe fistula tract in which the scope could not reach the IO, and the other case was because of sclerosis of the tract. We had no failed filtulotomy cases. The two failed VAAFT cases were treated with LIFT in one case and fistulectomy with coring out of the tract in the other case. We did not needseton in fistulotomy group. The IO was located in 11 patients of the VAAFT group (92%) and in 10 of the fistulotomy group (83%). Operative criteria and postoperative complications of both groups are illustrated in (Table 1). Follow up for more than 6 months was 92% for both groups. The operative time was prolonged in the VAAFT group in the beginning of the series but the time was approaching that of fistulotomy group by the end of the study to about 35 minutes.We had one postoperative recurrence in the VAAFT patients in comparison of 2 recurrences in the fistulotomy group.

The patients in the VAAFT 4-6 weeks to complete healing whereas in the fistulotomy group it took 6-8 weeks in some patient especially with big perineal wounds (Figures 9 & 10). As regards continence, the patients in both groups were evaluated by questionnaire and clinical examination. There was no gross fecal incontinence in VAAFT (zero% incontinence) group but there were four patients with transient incontinence in the fistulectomy group (33%); two patients with incontinence to flatus (scored 1) for 2 weeks, with two other patients with incontinence to liquid stools (scored 2) with weak anal tone which returned spontaneously to normal after one month. The anal sphincter tone was clinically normal in all VAAFT patients postoperatively.Go to

Discussion

The patient’s first visit and correct initial surgical treatment play a fundamental role in fistula treatment. The key for successful fistula treatment is identification of the internal opening (IO), excision of the tract and preservation of anal sphincter function. Fistulotomy/ fistulectomy are the gold standard in the treatment of anal fistulas with only minor involvement of the sphincters. Complex fistulas are challenging for the surgeon because of the high incidence of incontinence after traditional procedures. Philips et al reported 96% healing rate using lay open fistulotomy in management of complex fistulas but with 30% incidence of incontinence to flatus, 2% for soft stools and 4% for hard stools respectively [3].That is why the VAAFT technique is based on a concept that avoids sphincter dysfunction (minimally invasive) as well as allowing detection of and perfect closure of the IO, in addition to destroying and cleaning the fistula pathway which will allow definite healing in a way [1]. The efficacy of other sphinctersaving procedures varies considerably, Fibrin glue is a technically easy low risk procedure but results were disappointing with failure rates up to 84% [4-8]. The same applies for Fistula Plug, a simple sphincter saving procedure but very expensive technique with variable success rates ranging between 29-87% [9-14]. Ligation of the intersphincteric tract (LIFT) consists of ligation of the fistula tract in the intersphincteric plane, and like VAAFT, is based on the principle of secure closure of the internal opening. It has success rates up to 95% [5,15-17]. However, ligation of the internal opening in the intersphincteric plane may be technically difficult especially in case of trans-sphinteric and horseshoe tracts, with the risk of sphinter damage or ischemia, leading to failure or incontinence [18].Fistula laser closure (FiLaC™), like VAAFT, is based on the principle of closing the internal opening using a flap with laser obliteration of the fistula tract. The preliminary results obtained were 83% cure rate, but unlike VAAFT, this procedure is performed blindly without the advantage of visualizing the side tracts or abscesses [19]. As regards VAAFT, this procedure is based on the principle of adequate closure of the internal opening as well as obliteration of the fistula tract. The real innovation is the ability to visualize internal opening and identification of the fistula anatomy by fistuloscopy and of obliteration of the tract by fulguration under direct vision [1]. The other proposed advantages were the ability of identification of all side tracts and abscess cavities connected with the main tract. The air tight closure of the tract by stapler or sutures as proposed by Meinero and Mori together with reinforcement of the staple line from the inner side achieved 87% cure rate after 1 year follow up [1].This study showed an overall success rate of 84% with a cure rate of 92% after 24 months follow up. On the other hand, failure of such procedure in 2 cases was attributed to the fact that some fistula tracts were hors-shoe, or totally sclerosed and fibrotic subsequently making progress of the scope impossible or dangerous.In such cases we adopt the fistulotomy technique with or without Seton according to the situation. On the other hand, the operative time was initially prolonged in the VAAFT group reaching up to 145 minutes, due to the learning curve, but by the end of the study the technique was mastered and our operative time was reduced to 30 minutes, comparable to Meinero and Mori [1]. This study also demonstrates the efficacy VAAFT in the management of complex PAF with IO located in 92% of cases with the lowest recurrence of 8%, compared to 17% in the fistulotomy group which could be distressing to patients and with minimal accepted complications.Continence was objectively evaluated in this study, unlike the initial one published by Meinero in 2011, and it showed that VAAFT is a real novel sphincter saving technique with minimal or no effect on anal continence (zero incontinence) unlike fistulotomy which carries the risk of some degree of incontinence ranging from minor incontinence which was 33% in this study, to major fecal incontinence if not used judiciously. Fortunately, we had none. To conclude, video assisted anal fistula treatment (VAAFT) is a novel sphincter saving technique in the management of for complex anal fistula (PAF). Also VAAFT ensures adequate localization of IO and management of the fistula tract without affecting anal continence. However, VAAFT may not be suitable for adequate management of hors-shoe PAF. The results are promising, but future randomized controlled studies may be needed to draw a solid conclusion and establish the role of this technique in the management of anal fistulas.

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[jemmabrown]

I'm really actually quite proud of my war wound! Be proud of your war wounds they show how far you have come and everything you have conquered #amen! Firstly it's an impressive cannula bruise that's going. It also signifies that I did that #Mannitol infusion and I kicked its butt, it brought my interocular pressure down like it was supposed too and no nasty side effects only a bit of dry skin and finally I was scared but I got through it. I'm back at the eye unit tomorrow to see what my pressure is doing #pray I feel God sustained me through Thursday with courage, amazing prayerful friends, the fact I had emergency #PTSD medications with me (total fluke, I'd left them in my bag from the day before) and even a taxi driver who loved guide dogs and gave me no hassle. So tomorrow I face the eye unit all over again and have to go straight from my uncles funeral and wake - it's going to be a horrible day. This time I'm going prepared my amazing parents are coming with me, we will have dog food for both dogs in case I'm admitted again and I've downloaded heaps of colouring, apps and TV shows. I'm praying for more courage to deal with the outcome. I actually have 4 hospital appointments next week so it will be hard work #prayer #sustainedbygod #toughtimes #blindness #visionloss #glaucoma #hospital #hospitaladmission #chroniclife #guidedog #familyoutingtothehospital #loss #courage #faith #bereavement #family #chroniclife #godisincontrol #prayerchain #bruised #beproudofyourwarwounds #conquer

[sssandravibesss-blog]

LANEIGE PORE CARE TRIAL KIT

I ordered this kit because I wanted to try a blemish/pore kit on top of trying a new moisturizer routine. This is my FIRST IMPRESSION of the products. I figured I’d use this as my morning routine and then the TATCHA as my night routine. So far, I’ve been using this set for 2 days now whereas TATCHA, only 1 day.

You could get this set for $25 from Sephora.

Here is more detail regarding the kit from Sephora website: http://www.sephora.com/pore-care-trial-kit-P420675?skuId=1966142&icid2=products%20grid:p420675

On the back of the bag/package, it tells you the order of usage. So let’s start with the first step.

STEP 1: Multi Cleanser: This multi cleanser reminds me of the drug store brand CLEARASIL. It smells and feels very similar. So I looked up both ingredients and here is what’s in CLEARASIL:

CLEARASIL Ingredients: Water, Sodium Cocoyl Isethionate, Cetearyl Alcohol, Glycerin, Sodium Laureth Sulfate, Sodium Cocoamphoacetate, Cocamidopropyl Betaine, Sodium Hydroxide, Acrylates, C10 30 Alkyl Acrylate Crosspolymer, Fragrance, Disodium EDTA, Lavandula Stoechas Extract, Helichrysum Italicum Extract, Cistus Monspeliensis Extract 

Here are the ingredients in Laneige Mutli cleanser:

LANEIGE MULTI CLEANSER Ingredients: Water, Glycerin, Stearic Acid, Myristic Acid, PEG-32, Potassium Hydroxide, Butylene Glycol, Propylene Glycol, Laureth-1 Phosphate, Cellulose, Lauric Acid, Lauryl Phosphate, Papain, Camellia Sinensis Leaf Extract, Lactobacillus / Water Hyacinth Ferment, Mannitol, Hydrolyzed Wheat Protein, Lauramide DEA, PEG-100 Stearate, Glyceryl Stearate, Disodium EDTA, Polymethyl Methacrylate, PEG-75, Fragrance.

Similar but not so close I would swap Laneige to Clearasil. On the Sephora website, the description for Laneige Multi Cleanser states, “ This bestselling Multi Cleanser lathers richly for an invigorating, multiaction cleansing experience. Infused with skin-nourishing papaya, this cleanser sweeps away dead surface skin, while natural cellulose gently removes impurities and melts away sunscreen and makeup. Skin appears instantly brighter. “ I do agree that it makes me skin appear instantly brighter. It does dry out my skin a little bit but the next steps definitely help relieve. I would rate this cleanser 4/5 due to the fact it does dry out my face more than I would like it to.

STEP 2: Mini Pore Waterclay Mask: I did not care for this step or product because the mask was very watery compared to other clay/mud masks I’ve used. I previously tried the GLAM GLOW SUPERMUD mask and it didn’t even come close in any aspect. Here is what it says on the Sephora website:

Innovative and a pure pleasure to use, this watery gel clay mask is crafted from refreshing mint water and clarifying mineral mud. Featuring Pore Minisizing™ technology, it glides smoothly onto skin, clearing impurities and reducing the appearance of pores. The fast-acting formula quickly dries to absorb excess oil.

So it does state it’s a “watery gel clay mask” but I personally don’t think a clay mask should be watery. I did not get any “refreshing mint” from it. The mask was drying and it actually irritated my skin as it was drying. Unlike the GLAM GLOW SUPERMUD mask, it was drying but still felt very nourishing and moisterizing to my skin. I would NOT buy this product as the full size cost $25 and if it’s watery... I don’t think it’s effective.

STEP 3: Power Essential Skin Toner for Combination to Oily Skin: YES!!! I LOVE this part of the process. I definitely have combination to oily skin and the product itself is so wonderful in how it smells, feels, and the outcome. I don’t use a toner because I have in the past and it ruins my skin by drying it out so bad! Also, in the past I’ve used a toner so much that my face felt scorched from the ingredients: ALCOHOL. Here are the ingredients:

Water, Alcohol, Glycereth-26, Dipropylene Glycol, Chenopodium Quinoa Seed Extract, Opuntia Coccinellifera Fruit Extract, Niacinamide, Magnesium Sulfate, Manganese Sulfate, Butylene Glycol, Ascorbyl Glucoside, Ethylhexylglycerin, Zinc Sulfate, Calcium Chloride, PEG-60 Hydrogenated Castor Oil, Disodium Edta, Fragrance.

Now, Alcohol is the 2nd ingredient but honestly, it does NOT have the outcome of any alcohol toners. It’s so silky and nourishing that it actually left my face feeling very hydrated and soft. Here is another description from Sephora:

Formulated with hydro ionized mineral water—which contains moisture-maximizing minerals zinc, manganese, magnesium, sodium, calcium, and potassium—this hydrating refiner replenishes and retains skin’s ideal moisture levels. Vitamin B3 gently refines skin for a visibly brighter and supple complexion.

I’d definitely get the full size product in the future which retails for $28 for 6.7 oz.

STEP 4: Water Bank Hydrating Gel: Another winner for me! I love love love this hydrating gel. It goes on so smooth and leaves me face looking and feeling absolutely beautiful and supple. I love the texture as it’s a cross between a cream and gel. It’s super lightweight and goes on very sheer. A little goes a long way! I think I used a blueberry size and was able to get my whole face and neck.  I’d definitely get full size product retailing at $35 BUT it’s rather small coming in a whopping 1.6 oz.

STEP 5: Mini Pore Blur Perfector: I think because the Water Bank Hydrating Gel is so awesome, this step was kind of useless. I did not really feel or see any difference. On the website, it says, “ A mattifying skin finisher, featuring refreshing mint water and pine extract, that reduces oil and minimizes the look of pores.” It is a little mattifying but not much. I don’t get a mint feeling from this either and pore wise, I wouldn’t agree. BUT I do notice I don’t have as much oily skin. Maybe I haven’t used it long enough to see the changes in my pores but I doubt this product would do anything for me. I’d skip this step and product in the future. It does retail at $32 for 1.3 oz!! HOLY CRAP!

Overall, very decent package and I’m happy with it. Will do a LAST IMPRESSION once all the products are finished :)

[sportsandfitnessinfo]

New Post has been published on http://fitnessandhealthpros.com/nutrition/the-risks-and-rewards-of-protein-bars/

The Risks and Rewards of Protein Bars

As a personal trainer, I’m always on the go. My gym bag, car, desk, and purse always have snacks readily available. Things like nuts, fruit, cheese wheels, hard boiled eggs, veggies & hummus, rice cakes & peanut butter, turkey roll-ups—snacks that require minimal effort, but will fuel me until my next meal. I often include whey protein powder and protein bars to help tide me over as well. But bars, in particular, should be eaten sparingly and not as a primary meal source. Instead, eat real food! We’ll get into the why below, but trust me. It’s in your best benefit, despite the ease and sheer quantity of bars on the market. With a little preparation, you can stay stocked and ready for whatever may pop up in your day.

First of all, I get it. Some days prep just isn’t going to happen! So, here’s what to look for when purchasing the best possible protein bars.

Watch the Calories

Like all packaged foods, make sure to read the label. Most meal replacement bars are 400+ calories (that’s equivalent to eating one egg, two egg whites, three slices of light toast, strawberries, and a veggie sausage patty)! If you’re eating a bar for a snack, it should be closer to 200 calories.

Beware of Certain Ingredients

This is the big one! The first five ingredients (of any label) make up the bulk of the nutrients. If you see these listed as some of the top ingredients, I would recommend skipping that bar altogether.

Soy Protein Isolate & Soy Lecithin: “Seriously processed soy junk…” says Lauren Slayton, MS, RD, author of “The Little Book of Thin”

High Fructose Corn Syrup & Sucralose: “High-fructose corn syrup is generally a clue that the bar company doesn’t care about high-quality ingredients,” says Slayton

Sugar alcohols, which show up on labels as erythritol, mannitol, sorbitol, xylitol, lactitol, isomalt, maltitol, and hydrogenated starch hydrolysate

Inulin: “When consumed in large amounts, it can actually do the opposite of promote healthy digestion—it can give you an upset stomach, diarrhea, gas, bloating, or constipation,” says McKel Hill, MS, RD, creator of Nutrition Stripped

Soluble Corn Fiber: May result in gastrointestinal effects

Macronutrients Are Key

Macronutrients are those nutritional components of your diet that are needed in relatively large amounts. You need protein, carbohydrates, fat, and macrominerals. It’s a great idea in general to start getting into the habit of reading nutritional labels so you understand what gaps are being filled in your daily macronutrient intake, especially in regards to protein. The average person can only absorb 25-30 grams of protein in one sitting; the rest will go to waste.

Things to look for in protein bars:

Serving size (bars are often two servings)

Relatively low carbs (under 20g)

Fiber (soluble is best – 5g)

Protein, not soy (no more than 30g)

Fat (less than 10g)

Don’t Skip Meals

Protein bars are quick, convenient, and relatively well-priced compared to some other packaged options you have available in a pinch. But there are plenty of healthy homemade recipe alternatives like these energy bites (and budget-friendly options compared to a box of bars) out there, that will help you keep better control of the ingredients. In fact, at Build-a-Bar you can design your own.

When chosen correctly, having a couple bars that you enjoy on hand is a great guard against those times when you’re desperate for a snack or without a meal. If given the choice between a higher-calorie—but more nutritionally dense—salad and a protein bar, the salad likely offers greater benefits. If your options are between the drive-thru and a protein bar, however, the bar will hopefully prove just as satisfying with fewer calories.

Lastly, if you know a boost of protein is needed in your diet, consider food options naturally high in protein such as fish, turkey, and eggs. And keep in mind that some protein options are better than others.

So do yourself a favor and plan the best you can ahead of time; or grab a good bar, then get to a well-balanced meal!

Comments

Originally at :Anytime Fitness Blog Written By : Rachel Prairie

#Bars, #Protein, #Rewards, #Risks #Nutrition

[dawnasiler]

Is Bioderma Photoderm AKN Mat SPF 30 The Only Sunscreen Oily Skin Needs?

It’s easy to say, “Apply your sunscreen generously and top it up every couple of hours.” How the heck do you do that when your skin is covered with its own grease?!

Oily skin + sunscreen = tricky relationship.

Go down the mineral sunscreen route and you’re left with a white, oily cast that makes you look like Caspar The Ghost after a workout session. Opt for chemical sunscreen and the high alcohol content will dry out your skin worse than the Sahara.

What’s a girl to do?! It’s not like you can skip sunscreen. Unless you’d be happy to see wrinkles creep up on your face anytime soon…

Enter Bioderma Photoderm AKN Mat SPF 30. It uses the next generation of chemical Uv filters + absorbing agents to keep you safe from UV harm and excess shine. Bonus point, it’s alcohol-free.

Key Ingredients In Bioderma Photoderm AKN Mat SPF 30

Chemical UV Filters For Lightweight & Safe Sun Protection

Bioderma Photoderm AKN Mat SPF 30 use a bunch of first and second generation chemical UV filters to keep you safe from UV harm:

There’s this misconception that chemical filters are more dangerous than mineral filters. That’s not true. So how did this myth originate?

Chemical UV filters, like avobenzone, are more likely to cause irritations in sensitive skin. But if your skin isn’t sensitive, and chemical UV filters don’t bother it, why give up on a good thing?

These filters have a lighter texture that leaves no oil slick and no white cast. Take it from a fan of mineral sunscreen. If your skin’s oily, chemical is the way to go.

Related: Is Avobenzone As Dangerous As They Say?

Oil-Absorbers To Keep Shine At Bay

Texture aside, what makes Bioderma Photoderm AKN Mat SPF 30 ideal for oily skin is the addition of oil-suckers:

This duo soaks up excess oil from your skin, leaving it matte for a few hours. Granted, the effect is only temporary. But hey, you need to reapply sunscreen anyway, right?

Related: Is Silica In Skincare Products Dangerous?

Let’s Put It To The Test: Personal Use & Opinion

Bioderma Photoderm AKN Mat SPF 30 has a lightweight texture that’s easy to pile on without turning your face into a greasy mess. Seriously, I don’t even feel I have it on!

The texture dries down to a matte finish that helps keep shine at bay for a few hours. How long depends on how shiny your skin is. If your skin’s super oily, you may need the help of a mattifying power. On my slightly oily t-zone, this sunscreen’s all I need.

Summer’s in full swing in London, with some days reaching 30ºC. Feels like being back in Italy sometimes! It’s the perfect weather to test how well the sunscreen fares under intense heat.

I’m happy to say it lives up to its promises. I skip moisturizer and foundation, and use just sunscreen as my base. It does a great job at keeping my skin safe from UV harm. I didn’t get any sunburns, bad tans (FYI, all natural tans are bad tans) or anything like that.

It’s waterproof, so if you sweat a lot, this will keep you safe for around 40 minutes. But you do have to reapply it often to get adequate sun protection.

Even the best sunscreens fail at their job if you apply a thin layer in the morning and don’t touch-up during the day. The tube’s small enough to snugly fit into your bag, so you have no excuses ladies. Reapply your sunscreen!

Available at: £14.50 at Escentual, Feel Unique and Look Fantastic

Bioderma Photoderm AKN Mat SPF 30 has a lightweight texture that dries to a matte finish. Ideal for oily skin, it provides excellent broad spectrum sun protection while keeping shine at bay.

Beautiful With Brains

PRO

Lightweight texture, sinks in quickly

No greasy residue or white cast

Matte finish

Excellent broad spectrum protection

Helps to keep shine at a bay for a few hours

CON

If you have sensitive skin that reacts badly to one of the UV filters, this isn't for you

SHOP THE POST

Have you tried Bioderma Photoderm AKN Mat SPF 30? Share your thoughts in the comments below.

Ingredients: Aqua/Water/Eau, Dicaprylyl Carbonate, Octocrylene, Methylene Bis-Benzotriazolyl Tetramethylbutylphenol [Nano], Butyl Methoxydibenzoylmethane, PTFE, Methyl Methacrylate Crosspolymer, C20-22 Alkyl Phosphate, Silica, Glyceryl Stearate, PEG- 100 Stearate, Tridecyl Salicylate, Tocopheryl Acetate, Ectoin, Mannitol, Xylitol, Rhamnose, Fructooligosaccharides, Laminaria Ochroleuca Extract, Glycolic Acid, Ginkgo Biloba Leaf Extract, Citric Acid, Dodecyl Gallate, C20-22 Alcohols, Decyl Glucoside, Propylene Glycol, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Xanthan Gum, Caprylic/Capric Triglyceride, Mineral Oil (Paraffinum Liquidum), Sodium Hydroxide, Disodium EDTA, Chlorphenesin, Phenoxyethanol, Fragrance (Parfum) [BI573]

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Is Bioderma Photoderm AKN Mat SPF 30 The Only Sunscreen Oily Skin Needs? syndicated from Beautiful With Brains