#or the difference between hypotension and hypertension

[webvampzz]

i love rambling about things i like but everytime i do i lose 10 points of mysteriousness so i have to refrain from doing it as much as possible

[starlightshadowsworld]

Differences between Bsd Fifteen (Light Novel) and Bsd Fifteen (subbed anime, season 3 episodes 1-4.)

Tw for suicidal ideation because this is Dazai's introduction.

In both works Mori is talking about the disaster of a situation they're in, what with late shipments and such. Before turning to Dazai.

Anime:

Mori asks Dazai if he thinks they are cut out for this after all.

Dazai, while mixing medication says "come now Mori-san. Not having money, not having intel, not having the trust of your subordinates. You knew it would be like this from the beginning."

Mori calls him mean and questions why he's mixing hypertension and hypotension medication together.

Light Novel:

Mori asks if Dazai's listening to him. Dazai, while mixing medication says he isn't because "your stories are always so boring!"

He than tells Mori he should've seen this all coming from the start. Mori scratches his head in a troubled manner and questions why Dazai's mixing medication.

Anime:

Dazai says he's mixing medication because he thought it would be a comfortable way to die.

Light Novel:

Dazai says he thought it would be amazing if he drank them together and died easily. Mori tells him he won't die, implying it wouldn't kill him. And questions how Dazai got into his medicine cabinet.

Dazai flaps his hands and says "I want to die! I'm so bored, I want to die as easily and simply as possible. By any means, Mori-san!"

Mori tells him if he's a good, mature kid than he'll teach Dazai how to mix the back medicine.

"Lies! You already told me that. A year ago that was the only thing that made me think so hard, and you still never told me! At this rate, I'll betray the organisation." Replies Dazai.

Mori tells him to stop thinking of such ideas "you're a smart kid. If you betray them you know you won't die easily." He also can't help but laugh at that.

"Ah I'm do bored, the world is so boring" Says Dazai. And we're told Dazai is not a subordinate of Mori nor the Port Mafia, nor a hidden child, or an orphan or a medical assistant.

Both:

The only thing that comes close to describing Dazai and Mori's relationship is that it was a fateful encounter.

Mori tells Dazai that he was the only one there when he inherited the previous Boss's seat. "You're a witness to his will, I can't have you dying so frivolously."

Anime:

Flashback to the former Port Mafia Boss's death. That he was giving ridiculous orders and out of his mind. Mori killed him and framed it as the Boss succumbing to his illness.

Stating the man's last order was for Mori to inherit his position. And Dazai was the only witness to this so called exchange.

Both:

Dazai tells Mori he made an error.

Anime:

Mori says that he made no error, that he and Dazai were successful in their mission together.

Dazai says that "the mission isn't complete until those were involved in the assassination are all silenced.

To that end I was the perfect accomplice. Even if I ended my life in a suicide of unknown motivation after you became Boss thanks to my testimony, no one would suspect a thing."

There's a silence between them before Mori tells Dazai he reminds him of someone.

Light Novel:

Mori asks Dazai what he means by him making an error. Dazai tells him he was smart to choose a suicidal accomplice "but even after a year I am still alive. Thanks to you, the seeds of anxiety won't dissappear."

For a moment Mori feels like ice is being pressed against his internal organs. He asks Dazai once again, what he means.

"I know there's a certain anxiety, anxiety about whether the previous Boss's assassination was leaked." All through this conversation Dazai's expression is unreadable.

Mori argues that they worked out a great strategy together a year ago. Also comments he'd never do it again because it was difficult.

Dazai says the strategy isn't complete until the person involved with the strategy and the forgery's mouth is sealed.

Mori feels like Dazai can see through him, there's terror inside of him that he's made a miscalculation: that Dazai should never have been made his accomplice.

"Right? To that end I was the perfect accomplice. Even if I ended my life in a suicide of unknown motivation after you became Boss thanks to my testimony, no one would suspect a thing."

They stare at each other in silence before Dazai says "what? It's fun to annoy authorities with troubling ideas, it's my new entertainment" with a silent, haunted look.

Mori observes him before unintentionally saying "you remind me of someone."

Both:

Dazai asks who and Mori doesn't answer him.

Anime:

"If I was going to silence you. I would have done it long ago. If you really want I can prepare something that'll end your life comfortably." Says Mori.

"Really?" Asks Dazai as Mori opens up a drawer "in exchange, I want to ask you to do a quick investigation."

Light Novel:

Mori gave a small smile and lowered his head slightly. "Don't tease your horns and make fun of adults. Have I sealed you up? I don't think so. If I was going to do that, I would have done it already.

It's easier than breathing. How many times do you think I stopped your suicide attempts this year? That's hard you know. Have you done something similar to the hero of a movie and released a bomb under a chair?"

Mori's inner monologue is just "Dazai can't die" because their are those in the Port Mafia who still support the previous Boss. And their are rumours his death was planned.

Mori tells Dazai that if you want it that much, he can give him some medicine that will give him comfortable death. "But I want to ask for a little research."

Both:

Mori writes something down and tells Dazai that it's not a big job and there is no danger. But that Dazai is the only one he can ask.

Dazai says it sounds sketchy.

Mori tells him that he's sure Dazai knows of Suribachi city. A certain someone has emerged in this vicinity. And he wants Dazai to investigate said rumour, giving him what is known as the Silver Oracle/Silver Messenger.

Something that if shown to any Port Mafia member, they will do whatever he asks. Dazai questions who this person is and Mori tells him to guess.

Anime:

Dazai says "a rumour that's harmful just by spreading... I see. So that's what going on, it's the previous Boss isn't it?

Light Novel:

Dazai stared at Mori for a while before speaking. "... There's no doubt that the Mafia's highest authority is worried about the rumour of the city.

It's an important rumour that cannot be thrown away. And if it's a rumour bad enough for the Silver Oracle to be used, it's probably the rumours themselves not the people spreading them.

Rumours where the truth must be confirmed and the source must be crushed. Rumours that do harm just by spreading.

And if the reason is to use me than an excellent subordinate, there can only be one person. What appeared was the previous Boss?"

Both:

Mori confirms his answer and remarks that some people can't be allowed to rise from the grave. Dazai takes the Silver Oracle, tells Mori to make him that medicine and is officially welcomed to the Port Mafia.

Light Novel:

Mori tells Dazai he reminds him of himself with vague sadness. And thinks about needing an assistant.

He was a secretary, a sword, an excellent right arm. And above all what you needed to be a street doctor, traitor and a power snatcher was a trusted subordinate.

One who didn't keep secrets, who understands himself, who keeps waving alone at the top of the iceberg. A mistake called Dazai invited by Mori.

He remarks to himself errors aren't always had, as Dazai was intended to be a disposable stone but has turned out to be oversized.

Anime:

Dazai asks who he reminds Mori of, Mori smirks says myself.

Both scenes end with Mori asking Dazai why it is he wants to die. To which Dazai replies "tell me this. Do you truly believe there's any value in the act of living?"

[headpainmigraine]

This was a pretty interesting article, not only about the difference between vasovagal syncope and POTS,

But ALSO about the poor practice of relying solely on a tilt table test to diagnose POTS.

The # of times I've heard from other ppl with POTS that the TTT is the definitive word, and the importance of heart rate, it made me doubt the very firm diagnosis from my neurocardiologist.

I know, too, that there are people here who have POTS, but who are hypertensive instead of hypotensive. I hope this info helps you and anyone else with less 'clear cut' POTS who might bee doubting their diagnosis.

[charliemaybeghost]

Adding on to this, in slightly more detail cos I don't often get a chance to talk about it : PoTS is a dysfunction of the autonomic nervous system (making it a form of dysautonomia).

the autonomic nervous system regulates involuntary physiological proccesses such as

blood pressure & heart rate

bladder regulation

gut movement & digestion

sweating

temperature control

stress responses (fight, flight, freeze)

respiration

PoTS itself stands for Postural (posture related) orthostatic (standing up) Tachycardia (fast heart rate) Syndrome. Diagnostically, your heart rate must increase by >30bpm for 10mins after standing, or >40bpm if you're between 12-19yo, for it to be PoTS.

Orthostatic hypotension (low blood pressure, judged by a 10mm Hg drop in diastolic or 20mm Hg drop in systolic blood pressure during the first 3 minutes if standing), is usually tested for alongside PoTS, and may be co-occurring. PoTS can also cause Orthostatic Hypertension, where your blood pressure instead rises.

What does it mean to be dizzy upon standing up? This is called pre-syncope (before fainting): feeling tingly, lightheaded, or cold, having brain fog, stuttering, or dots in vision and/or complete vision loss, all count as "dizzy".

These same symptoms are often experienced just as severely at the cessation of an activity, such as stopping walking or cycling, or when exercising hard or when standing for a long time. They are worse when you are tired, hungry, dehydrated, hot, or low in salt.

(If you experience these or similar symptoms at the sight of blood, when experiencing emptional distress, or in pain, it is a different condition to PoTS, called VVS - vasovagal syncope. Usually, this coincides with a lowered heart rate (bradycardia), not an elevated one - think of fainting goats or animals playing dead.)

PoTS can also cause chronic brain-fog (feeling confused, forgetful, hard to think), fatigue, random heart palpitations (racing) which can last hours at a time, itself leading to feeling shaky, unbalanced, slow, impaired motor control, etc.

BUT WHYYYYYY???? (Causes of PoTS) :

The short answer is we don't really know, and it varies person to person, but the main reasons and types (which can be co-occurring in a person) are:

Neuropathic POTS - damage to nerves that constrict blood vessels in the limbs and abdomen (allows pooling of blood there instead of it going to your brain)

Hyperadrenergic POTS - assosciated with higher levels of stress hormones epinephrine and norepinephrine- usually when released, they constrict the blood vessels, causing blood pressure and heart rate increase. in Potsies, it keeps being released, this causes the heart palpitations, arythmias (skipped heart beats, or a beat out of rythym) Shakiness and chest pain. also associated with anxiety. ✨️

Hypovolemic POTS - not enough blood in the body :( for this one having enough water+salt is really really important cause it increases blood volume, iron & vitamin C supplements also help your body create more hemaglobin for new blood. This is why symptoms might worsen during menstruation

Secondary POTS - part of the reason it's important to see a doctor, to check there isn't another underlying condition. Diabetes, Lyme disease, or autoimmune disorders such as lupus can all also be causes of POTS. It can also develop after a period of illness, notable recently in people with long-covid. Dysautonomia conditions of all kinds have also been found more common in those who are neurodivergent.

Treatment for PoTS, and related autonomic dysfunction, is usually lifestyle based, focusing on minimising symptoms and risk, although medications exist. Things such as :

Sitting yourself down if you feel dizzy (to avoid falling) and standing up slowly

drinking enough water

adding more salt to your diet

making sure you eat enough every day

be aware that alcohol, sugar, caffeine, cannabis and other stimulants will temporarily worsen symptoms bcos they dehydrate you and elevate heart rate. it is especially important to drink water and watch your symptoms when consuming these, or you can avoid them.

taking deep breaths, which will suck more blood into your heart, increase the "stroke volume" (amount of blood pumped at a time) and should slow your heart

excersise (this helps but is difficult when it also will temporarily worsen symptoms: you can focus on floor-exercises which will help strengthen your heart & increase stroke volume w/o making you dizzy)

PoTS is a chronic condition and is never life threatening, although it can be incredibly fucking annoying and in its more severe forms really disheartening and challenging. It is worst from ages 16-30, and symptoms should lessen or even completely go away as one ages, depending on severity. It can be familial, so if you often have family members who "stood up too fast," it could be PoTS!

I THINK I HAVE POTS, WHAT SHOULD I DO?

Visit your local GP, they'll probably take an ECG to check for arythmias, do a sitting-standing test or a tilt-table test, and see if you match the diagnostic criteria. they might also check for vitamin deficiencies and your cortisol levels, by organising a blood test. You may be referred to a cardiologist who can prescribe specific medication for your symptoms, and help watch and manage your health.

in the meantime, regardless of the cause exercise, water, and a balanced diet will almost always help.

Note: if at any time a doctor tells you that its "common for girls to faint" or "everything seems fine just keep dealing with it" - seek a secondary opinion. Some doctors haven't heard of PoTS, so you can also directly ask them to check for it.

& If anyone ever wants to talk about PoTS, VVS or dysautonomia in general :) please feel free to talk to me!

further reading

Reblog to hopefully help someone who might have POTS realize they might have POTS.

POTS is, in simple terms, characterized as the lack of response to a chemical we produce that gets blood back up to the brain and heart when it all rushes to our feet when we stand up, making people with it very dizzy when standing up and sometimes fainting.

But it also has to do with not being able to control body temperature as well. So all those times I just thought my feet and hands were FREEZING for no reason while @dragonthefnafanimatronic48's hands were hot, might of well been because of POTS.

There's also exercise intolerance, overreactive bladders, shoulder/neck pain, lack of breath even when getting enough air, ✨insomnia✨ [not being able to sleep (this is an issue)], hiccups, nausea, and malaise (unease, feeling sick constantly).

So, yeah. I hope you learned something from this.

[genericbucket03]

What is Cenforce 100?

Cenforce 100 mg is a medication used to treat impotence in men. It works by boosting the flow of blood to the penile region of the body. This aids men in gaining and maintaining an erection. It's one of a class of drugs called phosphodiesterase type 5 (PDE 5) inhibitors. 

Researchers accidentally discovered the ability of PDE 5 inhibitors to improve erectile dysfunction in men while examining its potential use for hypertension and angina.

You can take it on an empty stomach or with a meal. You should take this medicine as prescribed by your doctor. Take it approximately an hour before any sexual activity. Although working time varies from person to person, it usually takes between 30 and 1 hour. 

Once you are sexually stimulated, this drug will assist you in acquiring an erection. However, this medicine will not help without any sexual stimulation. Do not take this drug more than once a day. If you are using ED tablets for the first time, start with a lower dose, such as  25 mg or 50 mg, and gradually increase to 100 mg of Cenforce.

Cenforce 100 pills are not for females. Taking it alongside nitrate-based medicines can be harmful (often given for chest pain or angina). Avoid taking this medicine if you have serious heart or liver issues, recently had a stroke or heart attack, or have hypotension (low blood pressure). Avoid driving after taking this medicine, as this medicine can make you dizzy. While taking this medicine, avoid consuming alcohol since it raises the risk of adverse effects.

What is the use of Cenforce 100 mg?

This medicine is used to treat erectile dysfunction (impotence). Erectile dysfunction is a sexual dysfunction in men who cannot gain an erection firm enough for sexual intercourse. 

This drug is a PDE 5 inhibitor that blocks PDE 5 enzymes that cause the penis to go flaccid. It relaxes the blood vessels, improving the blood flow to the penile region.

How does Cenforce 100 mg work?

Cenforce 100 mg blue pill has an active compound called Sildenafil Citrate. Sildenafil treats erectile dysfunction by inhibiting the activity of phosphodiesterase type-5, a substance that is naturally present in the penis. 

While engaging in sexual activity, Sildenafil Citrate assists in widening (relaxing) the blood vessels. Consequently, there is an increase in the volume of blood flowing through the penile area of the body. This mechanism assists men in getting and maintaining a solid erection.

Dosage

This medicine's dosage will vary depending on the patient. Follow your doctor's orders or label's instructions. Only the average dosages are included in the following information. If your dose differs, do not alter it unless your doctor instructs you to.

For oral administration (tablets):

Adults up to 65 years of age- Take this drug once a day, 1 hour before sexual intercourse, as a single dosage. The drug can also be administered 30 minutes to 4 hours before sexual activity. If necessary, your doctor may change your dosage by increasing or decreasing the strength of the medicine.

Adults above 65 years of age- Usually, a smaller dose is given to patients above 65 once a day, 1 hour before sexual intercourse. Your doctor may advise you to take Cenforce 100 mg or a weaker version of this medicine based on your health conditions. The drug can also be administered 30 minutes to 4 hours before sexual activity. If necessary, your doctor may alter your dosage.

It is not suggested for children or teens to use. 

If you suspect that you might need a more potent dose of Cenforce, you can increase your dose to 120 mg, 130 mg, 150 mg, or 200 mg. However, thoroughly consult with your doctor before increasing the strength of the medicine. 

Food and beverage interactions:

Alcohol - Cenforce 100 mg can potentially lower your blood pressure, and alcohol can enhance that effect. Taking alcohol with Sildenafil can be problematic for you, increasing the side effects. Therefore, while taking this medicine, avoid alcohol at all costs. 

Grapefruit - If you're using Sildenafil, you should avoid eating or drinking excessive grapefruits or grapefruit juice daily. Grapefruit might raise the levels of sildenafil citrate in your body, causing the medicine to take longer to act. Do not change the quantity of grapefruit products in your diet without consulting your doctor beforehand.

Side effects of Cenforce 100

Common side effects of Cenforce 100 may include:

Flushing (warmth, redness, or tingly feeling)

Headache or dizziness

Heartburn, nausea, or upset stomach

Abnormal vision (blurred vision, changes in color vision)

Runny or stuffy nose, nosebleeds

Sleep problems (insomnia)

Muscle pain or back pain

This is not a complete list of possible adverse effects; more may arise. For medical advice on side effects, contact your doctor.

Stop taking sildenafil and get medical help if you have:

Heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating

Vision changes or sudden vision loss

Erection is painful or lasts longer than 4 hours (prolonged erection can damage the penis)

Ringing in your ears, or sudden hearing loss

Irregular heartbeat

Swelling in your hands, ankles, or feet

Shortness of breath

Seizure (convulsions)

[mindclassic]

Blood Pressure - Check Regularly for Preventative Care

The importance of regular blood pressure checks is beyond any doubt. It is a critical part of preventative healthcare. A regular BP check is a vital source of information on a person's relative health. It also alerts the patient and their doctor to any risk factors or underlying problems. From a young age, the benefits of regular BP checks can help detect any health problems that may arise. Failure to do so could lead to serious and potentially fatal consequences. Making regular checks is an invaluable part of any health regime. So, what are the benefits of regular blood pressure checks? It can help detect and prevent issues like high cholesterol, high blood sugar, and hypertension, ultimately allowing for a longer, healthier life. It's no surprise that getting regular BP checks has a plethora of preventative benefits. From monitoring physical health to preventing complications due to undiagnosed hypertension, getting regular checks can help you stay on top of your well-being. Seven Reasons to Get Regular BP Checks - Firstly, regular checks can detect asymptomatic hypertension that can lead to serious cardiac risks. - Secondly, it helps to monitor the effectiveness of any medications or lifestyle changes you may be on. - Thirdly, it can detect conditions such as atrial fibrillation, heart valve diseases, and kidney problems. - Fourthly, it can help detect the onset of stroke and heart attack, and help with early diagnosis to treat them more effectively. - Fifthly, it provides information on how stress can affect your BP and what measures you can take to reduce it. - Sixthly, it helps to identify the risk of developing chronic health conditions such as diabetes and metabolic syndrome. - Lastly, regular checks can identify any dangerous changes in BP that need addressing before they become a serious problem. With all these benefits of regular BP checks, it's easy to see why they are an important part of preventative care. 1. Types of Blood Pressure It is a measure of the force exerted by the blood against the walls of the blood vessels. There are two primary types of blood pressure: Systolic Blood Pressure (SBP) Systolic BP is the higher number in reading and represents the pressure exerted on the arterial walls when the heart contracts and pumps blood into circulation. The measurement is in millimeters of mercury (mmHg) from the number where the BP reading starts. Diastolic Blood Pressure (DBP) Diastolic blood pressure is the lower number in a BP reading and represents the pressure exerted on the arterial walls when the heart is at rest between beats. Its measurement is also in millimeters of mercury (mmHg) to the second number in a BP reading. When BP is measured, both systolic and diastolic pressures are recorded as a ratio, with systolic pressure over diastolic pressure (e.g., 120/80 mmHg). It's important to note that BP can fall into different ranges, indicating various levels of health or risk. General Categories for BP Levels - Normal Blood Pressure: A normal BP reading is typically around 120/80 mmHg or lower. - Elevated Blood Pressure: American Heart Association introduced this category in 2017 to identify individuals at risk of developing hypertension. Elevated BP is defined as systolic pressure between 120-129 mmHg and diastolic pressure below 80 mmHg. - Hypertension (High Blood Pressure): Hypertension is a condition characterized by consistently elevated BP levels. It is further classified into two stages: - Stage 1 hypertension: Systolic pressure between 130-139 mmHg or diastolic pressure between 80-89 mmHg. - Stage 2 hypertension: Systolic pressure of 140 mmHg or higher or diastolic pressure of 90 mmHg or higher. - Hypotension (Low Blood Pressure): Hypotension is when BP is consistently lower than normal levels. It is generally defined as systolic pressure below 90 mmHg or diastolic pressure below 60 mmHg. It's important to note that these categories are general guidelines, and blood pressure targets may vary based on an individual's age, underlying health conditions, and other factors. Consultation with a healthcare professional is crucial for accurate assessment, diagnosis, and management of BP-related concerns. 2. Cardiovascular Disease Cardiovascular disease is a major public health issue - in fact, it is the number one cause of death globally. Regular BP checks can help prevent it, but what are the best ways to lower it naturally? According to the Centers for Disease Control and Prevention, there are various healthy lifestyle changes that can help reduce high BP. These include regular exercise, maintaining a healthy weight, reduced salt intake, and moderating alcohol consumption. Additionally, consider adding certain foods to your diet - such as garlic, salmon, and bananas. These have proven beneficial effects on lowering BP naturally. Ultimately, regular BP checks and following these guidelines can help you stay healthy and avoid cardiovascular disease. 3. Health Benefits Regular blood pressure checks bring many health benefits from increased energy to reduced risk of stroke or heart attack. Knowing your BP helps you spot changes early for quick treatment. It's important to become aware of any associated risks. Getting regular checks ensures you stay healthy and benefit from associated advantages. Understand the reasons for regular BP checks to better your overall well-being. 4. High Blood Pressure Regular blood pressure checks are essential for protecting your health and well-being, regardless of age. From lifestyle choices to genetics, there are many risk factors that can lead to high BP with life-threatening consequences. Fortunately, studies have shown that blood pressure can be managed with lifestyle changes and, in some cases, medications. This can reduce the risk of heart attack, stroke, and other cardiovascular diseases. It's important to detect hypertension early and start preventative care. 5. Regular Check-Ups Regular blood pressure checks are essential for good health. They can help you detect potential risks early and avoid serious medical issues like heart attack, stroke, or even death. Don't feel intimidated - visiting the doctor for a check-up is easy. Make an appointment, and they'll take your blood pressure and ask you questions about your lifestyle and medical history. Ask questions, express any worries, and take control of your health during check-ups. 6. Know Your Numbers It's essential to know our numbers when it comes to health, including BP. A regular check-up can alert us to issues and help us take the necessary steps to stay healthy. Knowing your blood pressure can save you from needing medical treatment later on. Most adults should get their BP checked every two years. Those with risk factors should do so more often. It only takes minutes, yet it could save your life! Remember to get your BP checked and stay informed. 7. Take Action Taking action is key to preventative care, and regular blood pressure checks are essential. Get your BP checked at least annually and take steps to monitor and maintain it in between. Here are seven top reasons why: - 1. Reduce the risk of stroke and cardiovascular disease. - 2. Stay aware of potential health issues. - 3. Spot changes in your condition before serious problems arise. - 4. Detect underlying conditions that could be causing other symptoms. - 5. Get a clearer picture of your overall health status. - 6. Keep your doctor up to date on any changes in your health. - 7. Keep your heart healthy and increase your quality of life. Take action and get your blood pressure checked today! In a Nutshell Regular BP checks are essential for preventative care. Taking care of your body and health by regularly checking your BP is a proactive approach to maintaining your quality of life. Doing so can help identify any potential health risks, alert you to any potential issues, and help you to take the necessary measures to prevent them. Knowing your numbers is key to maintaining good health. Don't forget to make sure you have your BP checked regularly to ensure your good health and well-being for years to come. Image by gpointstudio on Freepik Read the full article

[ed-fast-delivery]

What is Cenforce 200?

Cenforce 200 mg is a medicine that helps treat male impotence. It works by increasing blood flow to the penile area of the body. This helps men in getting and maintaining an erection. It belongs to a class of medications known as phosphodiesterase type 5 (PDE 5) inhibitors. Researchers unintentionally found its capacity to treat ED in men while investigating the possible use of PDE 5 inhibitors for hypertension and angina.

You can take this medicine on an empty stomach or with food. Take it about an hour before engaging in any sexual activities. Although working time varies between individuals, it usually takes 30 minutes to an hour.If you are taking ED pills for the first time, you can take a smaller dose instead like 25 mg, 50 mg, or 100 mg, and work your way up to 200 mg of Cenforce. When sexually stimulated, this medicine will help you achieve an erection. Cenforce 200 will make you last longer once sexually stimulated. You should not take this medicine more than once per day. You must take this medication exactly as directed by your doctor.

Cenforce 200 is not suitable for women. Taking it with nitrate-based medications can be dangerous (often given for chest pain or angina). If you have major heart or liver problems, have recently had a stroke or heart attack, or have hypotension (low blood pressure), avoid using this medication.Avoid driving after taking this medication since it might make you dizzy. Avoid drinking alcohol while taking this medication since it increases the chance of having side effects.

Use of Cenforce 200 mg pills

This drug treats erectile dysfunction (impotence). Erectile dysfunction is a sexual disorder in males in which they are unable to achieve a hard enough erection for sexual intercourse.Cenforce, as a PDE 5 inhibitor, inhibits the PDE 5 enzymes that cause the penis to become flaccid. It dilates blood vessels, increasing blood flow to the penile area.

Mechanism of this ED pill

Sildenafil is the main ingredient in this drug. Sildenafil works to treat erectile dysfunction by reducing the action of phosphodiesterase type-5 (PDE 5), a naturally occurring chemical in the penis.Sildenafil Citrate aids in the widening (relaxation) of blood vessels during sexual activity. As a result, the volume of blood circulating through the penile region of the body increases. This process aids men in achieving and maintaining a strong erection.

Dosage

Cenforce medicine's dosage will vary depending on the patient. Follow your doctor's orders or label's instructions. Only the average dosages are included. If your dose differs, do not alter it unless your doctor instructs you to.

For oral administration (tablets):

Adults above 65 years of age- Usually, a smaller dose is given to patients above 65 once a day, an hour before sexual intercourse. Your doctor may advise you to take Cenforce 200 mg or a weaker version of this drug based on your health. The drug can also be administered 30 minutes to 4 hours before sexual activity. Adults up to 65 years of age- Take it once a day, 1 hour before sexual intercourse, as a single dosage. The drug can also be administered 30 minutes to 4 hours before sexual activity.

Children and teens should avoid using this medicine.

Your doctor may alter your dosage depending on your health condition and the severity of the problem you are facing. If you feel 200 mg is a heavy dose for you, you can try milder doses of 120 mg, 130 mg, or 150 mg of this medication.If you're wondering how long Sildenafil lasts, the half-life is around 4 hours. Sildenafil will be reduced by half in your bloodstream every four hours.

Food and beverage interactions:

Alcohol - This medicine can potentially lower your blood pressure, and alcohol can enhance that effect. Taking alcohol with Sildenafil can be problematic for you, increasing the side effects. Therefore, while taking Cenforce, avoid alcohol at all costs. Grapefruit - If you're using Sildenafil, you should avoid eating or drinking excessive grapefruits or grapefruit juice daily. Grapefruit might raise the levels of sildenafil citrate in your body, causing the medicine to take longer to act. Do not change the quantity of grapefruit products in your diet without consulting your doctor beforehand.

Storage

Keep this medicine away from moisture, heat, and direct light in a closed container at room temperature. Keep out of children's reach. Do not store expired medications.

Side effects

Although Cenforce 200 is safe to use, it does have certain side effects, just like any other medication. Common side effects may include:

Headache or dizziness

Flushing (warmth, redness, or tingly feeling)

Abnormal vision

Heartburn, nausea, or upset stomach

Sleep problems (insomnia)

Muscle pain or back pain

Runny or stuffy nose

This is not a thorough list of possible adverse effects; more may arise. For medical advice on side effects, contact your doctor.

Heart attack symptoms like chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating . The erection lasts longer than 4 hours

[valgasnewsthings]

Healing vegetables.

 Since spring to autumn end we are preparing and growing different vegetables and fruits, that we are eating natural  products, and receiving lots of vitamins, that am to share with you about why they are benefit and how to cure theirs.

By Dina Baljasova, Herbalist.

 Rhubarb.

And young leafs beginning on summer beginning, when berries and fruits are less, that in petioles  are lots of vitamins C, B calium, mg, mineral salts, organic acids, as apple, and sorrel, like sweet-sour apple by taste, thus eat theirs raw, cook compotes, soup of leafs , but till July middle , and in petioles  old and leafs to summer middle are filling lots of harmful sorrel acid.

Petioles of rhubarb  on any kind benefit in hypoavitaminosis, lowering appetite, atherosclerosis, hypertension, in weak digestion, appetite, low acidity gastritis, chronic hard stool, atonic of gall bladder.

In hypoavitaminosis, atherosclerosis.

Eat on 0.5-2/3 glass o chopped petioles of rhubarb in a day, theirs can soak in sugar syrup is very taste.

In hypertension, edemas of heart origin, chronic hard stool, are 2 tbl.sp.  Petioles chopped add in glass of the hot water, keep on weak fire for 5-7 min, infuse half hours, filter, press of his infusion,  and his you can add in soup, or vegetable ragout, on 1/4 glass infusion for 2-3 times/day.

Avoiding abundant eating rhubarb in sugar diabetes, gout, rheumatism, acuting gastritis, and stomach, bowel ulcer, hemmorhoid  bleeding, oxalate stones kidneys, pregnancy, osteoporosis.

Dill.

Fresh dill is a best smell, every gardener growing his, every soup, young boiled potato, salad are need in dill. And he is true healer.

Diuretic, hypotensive, lactagogue, laxative, expectorant, cardiovascular, anti farting, calming, seeds and green improving digestion, lowering fermention procerss and rotting  in stomach, bowel, rise libido,useful in atherosclerosis, hypertension, spasms bowel, disbacteriosis, meteorism, hypovitaminosis, for all healthy peoples.

In appetite bad, hypovitaminosis, potency lowering, dress dishes as first and second with one tbl.sp. chopped green.

In cold with cough use2 tbl.sp. fresh herb in glass of hot water , infuse half hours, filter, use one tbl.sp. for 4 times/day before meal, or between meal time.

In cystitis  one tbl.sp. fresh herb of dill, and one tbl.sp. dried inflorescences of chamomile pharmacy add in glass of the hot water, infuse for hour, filter, use 1/4 glass of infusion for 3 times/day before a meal half hours.

In meteorism grind seeds of dill, and dress are first or second dishes as 0.5-1 tea.sp. powder for portion.

In hypertension begin stage, atherosclerosis, heart failure.

2 tbl.sp. dill seed  add in 0.5 l. of hot water in thermos, infuse hour ,filter, use 0.5 glass infusion before a meal for 3-4 times/day, course a cure are 1.5 months.

from Valga s health news,gardening,and cooking ,and beauty . https://ift.tt/OEyKSBk via https://ift.tt/0khDpYd

[cuntess-carmilla]

hi, you talk a lot about salting your drink and how important it is to get electrolytes to manage orthostatic intolerance. im pretty sure i have eds and some kind of orthostatic intolerance to go along with it and im thinking of replacing water mostly or completely with coconut water since its an electrolyte. i cant really figure out if that will help though? when i try to google it i cant really find much about adding salt to my diet and im not really sure the best way to manage it since i dont have a diagnosis. i started adding salt to the other things i drink like my tea and juice and i think it helped but i just started so im not sure yet.

(this is petewentzisblack1312 btw this is my main. thank you for indulging my fob talk)

(Hi again, sweetie! Talking to you was a pleasure.)

If you have EDS you have a 90% chance of having orthostatic intolerance (POTS being by far the most likely type) and an 89% chance of having MCAS, so be reassured in your suspicion there. It's WAY more likely to be correct than not.

Orthostatic intolerance can be a little different for everyone who struggles with it so if you're still unsure of how much salting your drinks/having electrolyte drinks could help you, you can go testing little by little, playing around with the balance between salt and water. For example, I have to keep different regimes for the cold season vs the hot season because sweating dehydrates me and heat dilates blood vessels, so orthostatic intolerance is bound to get worse during those months.

If you can get a blood pressure monitor you could have an even easier time finding your own balance with salt/electrolytes and water. I have a rather cheap one that goes on the wrist and it works great for me. It's helped me a lot, especially at finding what my ideal blood pressure + heart rate is. Usually for most people they consider it low blood pressure if it's below 120/80 (approximately) but that for me is already too low, I need to be at least at around 135/95 or my brain turns into pudding. My heart rate is a lost cause so as long as I'm not above 105 I can deal.

As for not having an easy time finding information about it, that's sadly to be expected. The medical field runs on a lot of dogma because reductive thinking is convenient. It's much easier to make blanket statements for all bodies than to make individualized recommendations taking into account the nuances of different bodies. Same as how most sources tell people to avoid all sugars and fats at all costs always despite that being bad for literally everyone, they do the same with salt, and since the medical establishment sees hypertension as bad (which it is) but hypotension as either neutral or good (WHICH IT ISN'T) they tell everyone to just avoid salt or anything else that can increase blood pressure, and drink gallons of plain water. There's not enough information readily available for orthostatic intolerance either so you have to dig or ask the right people.

The best info on this subject will come from people with orthostatic intolerance. If you use Twitter or are willing to create an account, I recommend you check the #NEISvoid tag which is a community for chronically ill people to vent, ask each other questions and just chat. I've learned a lot from the folks who post there and asked some questions myself.

The reason increasing salt/electrolyte intake instead of drinking too much water with not enough electrolytes in your diet helps with orthostatic intolerance is because the more pressure there is, the more oxygenated blood reaches your peripheral blood vessels and your brain, bringing to our cells the oxygen that they need in order to metabolize energy from the carbs we ingest. Oxygen is the "spark" that ignites the carb-based energy process. With lower blood pressure the blood doesn't move around enough and it stays mostly wherever the force of gravity and immediacy will take it.

We need oxygenated blood irrigation to keep our bowels moving (if you don't go for number 2 often enough, orthostatic intolerance might be the reason), our cells alive for longer and working properly, our muscles in less or no pain, our cognitive functions at best capacity, and so much more.

Another alternative or extra help for orthostatic intolerance is compression garments. There's knee-high socks, thigh-high socks, leggings and tights. The more your legs are covered by the garment, the more efffective they'll be, but they'll also be more uncomfortable. Not TERRIBLY, but it's not as breezy as wearing nothing and the hotter and more humid the weather the more you should be wearing them if you're using those as a treatment option. They're not hard to find online but they can be very medical-looking/ugly, there's some much cuter socks available but those are more expensive.

[macgyvermedical]

Omg I know probably everyone has seen this by now but I just watched it for the first time and... it’s amazing. It is the most accurate to medical drama thing I have ever seen. I have watched it like 6 times now and I’m dying laughing.

So the non-med-people can enjoy this as much as I did:

“We have a 35 year old male- he was at the gym, he got hypertensive”

Hypertensive means high blood pressure. Most people at the gym are doing something strenuous and therefore have blood pressure that would be considered really, really high if they had it at rest. So unless this guy was having chest pain or a bad headache or confusion or some other symptom of hypertension that was causing damage, which in report they should have lead with, in other words... he’s totally fine.

“They were able to monitor everything on his apple watch” / “We’re just going to monitor everything right through the apple watch”

I know they’re referring to a very specific episode of a very specific show but I’m blanking right now on what it was (New Amsterdam, maybe?). Also the apple watch can monitor pulse, sense falls, and record a 1-lead EKG (with an app that can be downloaded separately) that can detect a heart rhythm called sinus rhythm (normal) and atrial fibrillation (generally not life threatening), but nothing else, meaning this does not explain literally anything they talk about in this video.

“He had a blood pulse that was really really high”

They’d just say something like “his heart rate was _____ bpm” which everyone in the room would know how to interpret. Also it’s just a pulse or heart rate, not a “blood pulse”.

“Can we go ahead and start fluids? Let’s go with Jevity 1.5 Cal” / “I’m just gonna run this straight through the IV pump”

Jevity 1.5 Cal is a type of tube feed (that has 1.5 calories per milliliter) that would go through a feeding tube. You cannot put this through an IV (it would kill the patient), and you can’t run it on an IV pump (none of the tubes or connectors can connect to each other as a safety feature... so you don’t accidentally run it through an IV and kill someone).

“We’re gonna need access to his cardiovascular system- I think I’m going to have to put in a peripheral IV right at the bedside since the ORs are busy.”

A peripheral IV is just what you think of as an IV. They’re almost always put in at the bedside (meaning they can be put in right in the patient’s room).

“Does someone want to call family and get consent?”

There’s no indication that this patient cannot give their own consent, and if he was unconscious and consent was implied (we assume you would want to be helped if you were in medical distress so bad you were unconscious), they wouldn’t waste time getting the family’s consent for something as small as an IV. Which was probably already put in by the paramedics on the way there.

“I’ll go ahead and get gowned up”

IVs are a “clean” but not “sterile” procedure, meaning that we don’t need to wear a gown for them (unless there’s another reason we should be wearing one, like contact precautions for infectious disease). Also he is wearing the gown backwards.

“I’m not seeing anything, he’s so hypertensive.”

HYPERtension (high blood pressure) generally does not make a difference in how difficult it is to find veins, in fact, it might make it a little easier. HYPOtension (low blood pressure) does make it harder to find veins to put IVs in.

“If I do this right there is going to be a flash”

A “flash” in the context of an IV start is a small amount of blood that pops into a window in the IV start device, which tells you the IV catheter is in the vein. It is not a literal flash of light. Little misinterpretations of things like this are everywhere in medical fiction.

“It is in the femoral artery, we now have access to his cardiovascular system”

The femoral artery is in the leg and it is not something you put a peripheral IV in. A central line maybe, but that actually would be done in an OR as a sterile procedure.

“The bladder scanner’s reading 0, we need to go ahead and place a foley”

A bladder scanner is used to determine if a patient is keeping urine in their bladder even after they urinate. A reading of 0 is ideal because that means there is no urine in the bladder. You would not place a foley (a catheter that goes in the bladder and continuously drains urine out) for this patient, because they’re voiding fine on their own. Medical dramas misinterpret test results like this all the time, or use tests that don’t make sense (like this guy’s bladder scan for hypertension).

*hooks up foley to suction*

Urine drains out of foleys to gravity, it does not need to be hooked up to suction. When you’re watching medical dramas they do a lot of “hook it up wherever, the audience won’t know the difference” which is what they’re poking fun at here.

“Patient’s still in tachycardia, I need to go ahead and begin mild compressions”

Tachycardia just means a heart rate above 100 (or 120 depending on your hospital). The only thing you’d do for this (assuming sinus tach) is figure out what’s causing it (dehydration, anxiety, pain, fever, etc...) and correct that. If it’s something called supraventricular tachycardia, you might give a drug called adenosine or try having the patient bear down, but you would never start compressions for tachycardia unless the patient’s heart was beating so fast they lost a pulse. And there’s no such thing as “mild compressions”- it’s compressions or no compressions. There’s nothing in between.

“This is Blake on 4b, we’re calling a supercode.”

The term “megacode” is sometimes used (especially in training) to refer to a code where you’re using the whole algorithm for a cardiac arrest to work the patient. There is nothing called a “supercode”, though a lot of times they’ll say random words with Code attached to sound medical in medical dramas but that don’t mean anything.

“We just got an alert he’s in V-fib, we can stop compressions”

V-fib, or ventricular fibrillation, is a pulseless rhythm, and that’s when you would START compressions typically. Also, an apple watch cannot sense v-fib.

“The patient’s desatting- he’s not tolerating room air oxygenation”

This would actually be said “the patient’s desatting (the percentage of the patient’s hemoglobin molecules that have oxygen attached to them are dropping), he’s not tolerating room air” So there’s just a few extra words here that make the character look like he’s never been in a hospital before.

“I think we need to go ahead and intubate with a bag mask”

Intubation (putting a tube down a person’s throat to deliver air/O2 directly into their lungs) is a different thing than oxygenating with a bag valve mask (basically just pushing air into the patient’s lungs without a tube). Then he goes ahead and puts a non-rebreather (type of oxygen mask that doesn’t have anything to do with either of the two things he just mentioned) on the patient upside down. He then hooks the oxygen tubing up to the same suction he attached the foley to earlier.

“The bag’s not inflating all the way- I think I’m going to have to go in manually”

Squeezing the bag on a non-rebreather does nothing useful. Swearsies.

“Good news- his oxygen is coming down and his BP’s going up”

He’s here for... hypertension, right? Like, we want the opposite of that to happen.

*on the phone with x-ray* “The blood in his body is going clockwise???”

This is both not a result you can get, and also not a result you’d get from x-ray anyway, which is something that happens all the time in medical fiction. Random results that don’t make sense from departments they wouldn’t have come from.

“Team- everything we learned in school- throw it out the window, we’ve gotta save this guy!”

No one is that dramatic irl. You’d get laughed out of the room.

“His potassium level is 10.8- we’re gonna go ahead and we’re gonna need more potassium!”

10.8 is an absurdly lethally high amount of potassium. No wonder that guy is in v-fib. You would not put more potassium in this guy. You would be getting the insulin and D50 out of the Pyxis (med machine) and frantically paging anyone with an MD or DO after their name for an order to give it to bring the potassium down.

“Someone get me a banana” *spikes the banana like it’s an IV bag* “I know they didn’t teach us this in school, but it’s all we have”

I feel like that’s referencing the scene in Off the Map where they spike the coconut. Which, turns out, actually a thing. Unlike the banana.

Also they’re in a hospital. There are many forms of potassium in a hospital, which is a misconception you also see a lot in medical fiction- improvisation when it’s completely unnecessary.

“Sir, this may burn a little bit”

Oh, hey, something they got right! Potassium does burn given IV! Just like in medical fiction, they’ll get one little thing bizzarly correct in the midst of all that.

“The apple watch is dying! Does anyone have a charger??”

Another moment of “we definitely don’t need to be improvising this... we’re in a hospital” which I could totally see them doing in a medical drama.

“I think we have to open up his airway- we need an incentive spirometer chest tube”

Like when they were talking about intubating him with the “bag mask” he’s talking about two completely different things. A chest tube is a tube that goes into the chest and drains air or fluid so the lungs can expand fully. An incentive spirometer is a device used to encourage deep breathing in patients (which prevents fluid from building up in the lungs). What’s shown in the video is an incentive spirometer that’s apparently been hooked up to the chest tube. Which is another excellent misinterpretation that I could totally see being made from google research.

“I’m going to go ahead and check for PERRLA” *looks in mouth*

PERRLA is an acronym for an assessment of the pupils and how they react to light and accommodate distance. While you might want to check it in a code, you would not look in the mouth...

“We can cancel the supercode, also there’s no need for the MRSA nasal swab”

In the context of transferring him to the floor instead of the ICU, you genuinely wouldn’t do the nasal swab for MRSA (more necessary in an ICU setting, and many ICUs require one (and put anyone who comes up positive in isolation) to prevent spread of antibiotic resistant infection). HOWEVER, this is another thing that hospital shows do where they misunderstand the importance of certain things, or what would be deliberately ordered versus be a part of a routine order set that wouldn’t even really get mentioned. Like the MRSA swab for the ICU.

Nurse Blake really hit the nail on the head with this. I love it to pieces!

[dmedrrt]

Dear you! This is for you that might help you also.

I knew that memorizing is always matter and many student are easily get confuse and do not know how to remember properly. I'm also a student, I do not get high grades or being constant at my grades. I hope this will help you a lot to remember everything not just memorizing.

But let me tell you that studying a lesson is not just one day you'll remember everything after you seat and study for 6 hrs or more than that! You'll just get stressed!

1. To understand and to recall

Before you memorize, you need to understand everything and so in that case you can recall! Focus on the topic that you do not understand.

2. Get a retention and test yourself

In order to get retention you need to keep reading it! Always read! And test yourself. Use Quizlet and make flashcards (You are single! No one will help you! For short wala kang jowa! 😂)

3. Voice record

Try this one! It will also help you a lot! You can make a voice record questions and save it on your phone and there you may test yourself and so fort.

4. Choose time wisely!

Morning or evening? You can choose what time you are effectively can memorize more and study! (pero sa panahon ngayon di na uso yon, kasi lagi kang magisa 😂 basa kana lang besh! Wag mo na hintaying replyan ka!)

5. Use Mnemonics

This is so fun! Like you are just playing! (ito na lang paglaruan mo wag puso nya!) for example

He - Heart

Lay - Lung

Down - Diaphragm

Life - Large intestines

Sacrifices - Stomach

Gift - Gall bladder

6. Create matching types for note taking. (baka wala kang jowa dito kana lang mag match wag na sa dating app.) for ex.

Possible reactions of contrast agents

Mild - chills, flushing, etc.

Moderate - hypertension, mild hypotension, etc.

Severe - covulsions, unresponsiveness, etc.

7. Choose the difference (wag ka papaloko.) must know the diff.

For ex.

*which have a threshold levels of radiation dose (stochastic)

*which have definite threshold levels of radiation dose. (deterministic)

Is it Non stochastic/deterministic or Stochastic/probabilistic?

Note: the tip#7 choose the difference, understand them both but choose to memorize the other one so you won't be confused if what is the difference between the two.

Godblessed you I hope it will help you. More prayer, seek God first! Always start your day with the Lord.

[cardiothoracics-blog]

cardiothoracic

Can you know what is HEART?

The heart is an organ that circulates blood by acting as a pump. It can be a simple tube, like in spiders and annelid worms, or a more complex structure, like in mollusks, with one or more receiving chambers (atria) and the main pumping chamber (ventricle). The heart of a fish is a folded tube with three or four swollen areas that correspond to mammalian chambers. The heart of animals with lungs, such as amphibians, reptiles, birds, and mammals, has evolved from a single pump to a double pump that circulates blood to the lungs and the whole body. The heart is a four-chambered double pump at the middle of the circulatory system in humans, other mammals, and birds. It lies on the diaphragm, the muscular partition between the chest and the abdominal cavity, in humans. It is located between the two lungs and slightly to the left of the heart, behind the breastbone.

Blood vessel:

A blood vessel is a blood vessel in the human or animal body that circulates blood. Arteries are the blood vessels that carry blood away from the heart, and arterioles are the small branches that branch out from them. Venules are very small branches that gather blood from different organs and sections and join to form veins, which return the blood to the heart. Capillaries are tiny thin-walled vessels that bind the arterioles and venules; nutrients and wastes are shared between the blood and body tissues through the capillaries. The endothelium is a thin layer of cells that lines the inner surface of every blood vessel. The endothelium is separated from the vessel's tough exterior layers by the basal lamina, an extracellular matrix produced by surrounding epithelial cells.The endothelium is responsible for regulating the flow of substances into and out of the bloodstream, including nutrients and waste products. Angiogenesis is a mechanism in which tissues develop new blood vessels in response to certain conditions. Angiogenesis is necessary for the replacement of damaged tissue, but it also happens in abnormal circumstances, such as tumor growth and progression.

  What is cardiology, exactly?

The term cardiology comes from the Greek terms "cardia," which means "heart," and "logy," which means "study of." Cardiology is a field of medicine that deals with heart problems and disorders, which may range from congenital abnormalities to acquired conditions like coronary artery disease and congestive heart failure. Cardiologists are physicians who specialize in cardiology and are responsible for the medical treatment of multiple heart diseases. Cardiac surgeons are doctors who specialize in treating heart problems by surgery.

 Heart failure:

Because of the effectiveness of thrombolysis and primary angioplasty, the survival rate for myocardial infarction (MI) has improved dramatically in recent years. However, the resulting heart disease epidemic has become a significant public health problem. According to data from the United Kingdom, heart disease affects around 2% of the population. Furthermore, since chronic heart failure (CHF) has a worse prognosis, a patient admitted to the hospital with pulmonary edema has a worse prognosis than a patient with carcinoma in any organ other than the lung.

 Congenital heart disease in adults:

Congenital heart and cardiovascular system defects affect about 1% of live births, with around half of these children requiring medical or surgical intervention during their childhood. A further 25% of people would need surgery in the first decade to sustain or boost their quality of life. Just ten percent of adolescents survive puberty without surgery; however, many of these ten percent lead normal lives for years before their abnormality is discovered.

  Hypertension

Since most patients are asymptomatic and care is preventative rather than palliative, hypertension is a difficult condition to handle. One of the problems facing clinicians working to reduce cardiovascular morbidity and mortality caused by high blood pressure is persuading patients of the need for poorly tolerated medication in the face of good health (BP). Renal disorder, myocardial infarction (MI), and cerebrovascular accident are all severe consequences of untreated hypertension. However, many patients do not receive aggressive enough care.

What exactly does cardiology entail?

A cardiologist will conduct a physical examination and review the patient's medical history. They can perform tests to check the person's weight, pulse, lungs, blood pressure, and blood vessels.

Tests:

They can also perform or order the following tests,

·       ECG or EKG

·       Ambulatory ECG

·       An exercise test or stress test

·       Echocardiogram

·       Echocardiography

·       Cardiac Catheterization

·       Nuclear cardiology

ECG or EKG:

ECG or EKG monitors the heart's electrical activity.

Ambulatory ECG:

Ambulatory ECG is a form of ECG that tracks heart rhythms when a person is exercising or going about their daily activities. Small metal electrodes are adhered to the chest and wired to a Holter monitor, which monitors the heart rhythms.

An exercise test or stress test:

An exercise test, also known as a stress test, depicts the changes in heart rhythm that occur during rest and exercise. It assesses the heart's capabilities and weaknesses.

Echocardiogram:

An echocardiogram is a form of ultrasound that shows the anatomy of the heart chambers and surrounding areas, as well as how well the heart is functioning.

Echocardiography:

The cardiac output of the heart, as measured by echocardiography, is a measure of how efficiently the heart pumps blood. It can detect pericarditis or inflammation around the heart. It can also detect systemic heart valve defects or infections.

Cardiac Catheterization:

A short tube in or near the heart collects data and can help alleviate a blockage during cardiac catheterization. It will take pictures and test the heart's and electrical system's functionality. Congenital cardiac, valvular, and coronary artery conditions can all be treated with catheter-based procedures and fluoroscopy.

Nuclear cardiology:

In nuclear cardiology, radioactive materials are used to research cardiovascular conditions and diseases in a non-invasive manner. Infarction imaging, single-photon-emission computed tomography, planar imaging, and myocardial perfusion imaging are all examples of this form of imaging.

  What types of diagnostic tests should be carried out?

The physical examination does not reveal any new findings that support the atrial tachycardia diagnosis. The discovery of tachycardia (heart rate >100 beats per minute) with no reasonable physiologic explanation raises concern. Valsalva maneuvers, carotid sinus massage, and cold drinks, among others, may stop a tachycardia and indicate a diagnosis of supraventricular tachycardia, but they have no bearing on the precise diagnosis of atrial tachycardia. With gradual deceleration/acceleration of the heart rate, sinus tachycardia slows with vagal maneuvers. Hypotension, hypoxia, symptoms of inflammation/infection, pallor, abdominal distention, or tenderness, among other physical exam findings, may explain physiologic sinus tachycardia.

[wisdomrays]

TAFAKKUR: Part 237

WILL AND BALANCE IN NOURISHMENT

Once, Shaykh ‘Abdul-Qadir al-Jilani, one of the greatest poles of spirituality, may God sanctify his holiness, had a pupil who was the only child of an old, anxious woman. That respected woman went to visit her son only to find him eating a piece of dry, black bread. His physical weakness that was a result of this asceticism aroused his mother’s compassion. Pitying his condition, the woman went to al-Jilani to complain, and saw that the respected Shaykh was eating fried chicken. She said to him, “O master! My son is nearly dying of hunger, but you are eating chicken!” Whereupon, the renowned Spiritual Pole said to the chicken, “Rise up, by God’s leave!” Many truthful, trustworthy, and reliable people narrated that the bones of the chicken brought themselves together and jumped off the dish as a live chicken. The holy Spiritual Pole responded to the woman, “When your son reaches this level, then he too can eat chicken!”

With this act, the holy Pole meant, “Whenever your son’s spirit prevails over his body, and his heart over his carnal soul, and his intellect over his stomach, and he demands pleasure for the sake of thankfulness, then he can eat delicious things.”

I too witnessed a similar incident thirty years ago. With a large group of friends from university I was invited to visit a well-known scholar for whom I had a deep respect. We had the opportunity to attend a dinner with him and among the food served were some delicious cherries. My inner voice said, “If I sit near him, I will not be comfortable enough to eat as many of those cherries as I like.” This was exactly what happened. While I was thinking about how to get a chance to eat more of the cherries, that respected person took one of the cherries, excused himself, and left the table. I still cannot forget how ashamed I was of my thoughts at that time.

As a result of the story of Abdul-Qadir Jilani and my own experience, I started to ponder the activities that function so well in the human body. In medicine, the dynamic balance that entirely governs the body during eating, drinking and digestion is known as homeostasis. The most crucial body fluid in this balance is the blood. All the agents in the blood have a fixed quantity, a fixed measure and are supplied at a constant rate. Blood pressure is stabilized according to the characteristics of each vein. For instance, the average blood pressure of large arteries is about 100 mmHg. If the pressure exceeds this figure, then the result is hypertension. Hypertension can lead to cerebral hemorrhages, paralysis, renal failure, cardiac expansion, cardiac failure and heart attacks, all of which can result in death. As for hypotension, this is when the flow of the blood to the organs, mainly the brain, lessens. Another example of the importance of maintaining balance is that the agents which are responsible for maintaining the concentration of sugar in the blood (glycemia) must be kept at a suitable balance. If the ratio of the blood sugar (glycemia) rises, the person may go into a sugar coma, which is life threatening. However, if the ratio of blood sugar drops, the organs, in particular the brain, are deprived of energy. A hypoglycemia coma (when blood sugar is too low) is even more dangerous for the brain than hyperglycemia (when blood sugar is too high). The concentration of sodium, potassium, chlorine, calcium and fatty acids present in the blood, like sugar, are kept in a dynamic balance. If this concentration is upset, the result may be disease or even death. The Owner of Absolute Will and Infinite Mercy keeps all these in balance thanks to the marvelous mechanisms that He has placed in our bodies. However, we are free as far as actions like eating and drinking are concerned, for we are granted the willpower to choose our actions.

BALANCE IN NOURISHMENT

One of the most often discussed medical subjects in recent years is obesity. This is an important health problem that poses a threat to life, and it is related to diabetes, hardening of the arteries (arteriosclerosis), fatty liver, cirrhosis, cardiac failure and heart failure. Apart from using one’s own will power and eating less, doctors have presented other harmless ways that are appropriate to human nature to treat obesity. Being overweight constrains the ability of a person to move (exercise) and this inactivity, in turn, leads to more and more weight gain. God has enabled us to seek nourishment wherever we like, within certain parameters. Naturally, our stomach has a certain capacity and when this capacity is met, we feel full and do not need to eat any more. Yet, even though we feel full and should not eat, as this is what is necessary for the health of our body, we are overcome by our lower self and tend to overeat extravagantly. The problem of obesity seems to be greater in developed countries.

Our Creator has not put any restrictions on the absorption of food into the blood. All the food we eat is taken into the intestines so that the nutrients can pass into the bloodstream. If the dynamic balance (homeostasis) were to be maintained here as well then the body would take as much as it needed and the surplus of food would be evacuated from the body without going into the blood; as a result, obesity would not be a concern, however much a person might eat. But by allowing all the food we eat to pass into the bloodstream, the Absolute Ruler has set a test for us, challenging our wills and warning us about self-control.

Most of the activity during digestion and absorption takes place in the small intestine. Our small intestine is a duct which consists of three parts, namely the duodenum, jejunum and ileum, each having different functions and structures. The length of the intestine is 3–4 meters, and it measures 2–4 centimeters in diameter, varying according to the position in the body. The area of the inner surface of this cylindrical structure is 1,600 cm2 (0.16m2) at its maximum. The inner perimeter of the intestine is not like a flat tube, but rather it has folds, each measuring about 8 millimeters, that stretch over the inner parts of the canal. These folds allow the absorption surface to be increased about threefold. If the inner surface of this structure were flat, the absorption capacity of the small intestine would not be more than 1/600 of its present capacity. The surface of these folds is also not flat, but covered with protrusions called villi that are shaped like a finger; these stretch into the vacuum of the canal by about 1 millimeter. There are between 20 and 40 villi to every square centimeter on the surface of the intestine. These villi allow for there to be a tenfold increase in surface absorption. The surface of the villi has cylindrical cells that are arranged in a single row and these help in absorption. The surface of these cells has extensions that are quite thin and dense, known as microvilli, or epithelial cells. Thanks to these cells with a brush border surface, the absorption surface can increase by about twenty times. Thus, although the surface area of a flat canal of the same size should be approximately 3,300 cm2, thanks to surface folds, villi and bushy edges, the total absorption surface of the small intestine increases to 2 million cm2 (200 m2). Moreover, some research has suggested that the total increase could be even greater (about 1,000 times as much). Normally, 100 grams of fat, 50–100 grams of amino acid, 50–100 grams of iodine, and 7–8 liters of water (consisting mostly of fluids produced within the body) are absorbed by the intestines daily. Furthermore, if one eats or drinks too much, the maximum capacity of the system allows the absorption of several kilograms of carbohydrates, a half to one kilogram of fat, a half to one kilogram of protein and twenty liters of water per day. Our intestines have been created with the capacity to transfer all this food into the bloodstream. If we do not control our eating, this capacity is abused and we can face conditions like obesity.

In this life, one of whose tests is in our body, and in which we are required to strive hard using our willpower, there is no limit to the absorption of foods that have high calories (lipid, carbohydrate, and protein), and this can lead to being overweight, as mentioned above. However, in the absorption of minerals, which are not normally considered as making up the basic components of nourishment, but which are of the utmost importance for the human body (in all the operations of the nerves, muscles, bones and in the balance of all the electrolytes), the rules of dynamic balance occur in our intestines, regardless of our will, by the help and mercy of God. For instance, hemoglobin, which is found in the red blood cells (giving the blood its red color) and is charged with the task of transporting oxygen, contains iron. When there is surplus iron in the body, hemosiderosis occurs, which leads to the destruction of organs such as the liver and the pancreas, or cardiac failure. If there is an iron deficiency, then a person suffers from anemia. It is for this reason that a quite sensitive iron-absorption balance exists in our intestines. Here, it is evident without question that there is Divine Aid and Mercy. The same mechanism works for substances like calcium.

Prophet Muhammad’s, peace be upon him, advice to stop eating before feeling full is a significant measure against obesity, for it eliminates “false” appetite. This has a psychological truth, for the brain responds to the feel of fullness a short time after eating. In fact, we all know by experience that we actually feel full a short while (fifteen–twenty minutes) after we stop eating even if it is a small meal.

To conclude, the Almighty One warns us against extravagance and orders us to use our willpower. At this point, we can see how important a role the blessing of religious belief and the training of the soul and the will play in eating habits. Likewise, the principles of Islam, which is in perfect keeping with human nature, are crucial for the well-being of the community as a whole; charitable alms and fasting, which urge us to help and think about those with less, are obligatory and all kinds of charity and good deeds are encouraged. In Islam extravagance is prevented, not only in eating and drinking.

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Blood Pressure - Check Regularly for Preventative Care

The importance of regular blood pressure checks is beyond any doubt. It is a critical part of preventative healthcare. A regular BP check is a vital source of information on a person's relative health. It also alerts the patient and their doctor to any risk factors or underlying problems. From a young age, the benefits of regular BP checks can help detect any health problems that may arise. Failure to do so could lead to serious and potentially fatal consequences. Making regular checks is an invaluable part of any health regime. So, what are the benefits of regular blood pressure checks? It can help detect and prevent issues like high cholesterol, high blood sugar, and hypertension, ultimately allowing for a longer, healthier life. It's no surprise that getting regular BP checks has a plethora of preventative benefits. From monitoring physical health to preventing complications due to undiagnosed hypertension, getting regular checks can help you stay on top of your well-being. Seven Reasons to Get Regular BP Checks - Firstly, regular checks can detect asymptomatic hypertension that can lead to serious cardiac risks. - Secondly, it helps to monitor the effectiveness of any medications or lifestyle changes you may be on. - Thirdly, it can detect conditions such as atrial fibrillation, heart valve diseases, and kidney problems. - Fourthly, it can help detect the onset of stroke and heart attack, and help with early diagnosis to treat them more effectively. - Fifthly, it provides information on how stress can affect your BP and what measures you can take to reduce it. - Sixthly, it helps to identify the risk of developing chronic health conditions such as diabetes and metabolic syndrome. - Lastly, regular checks can identify any dangerous changes in BP that need addressing before they become a serious problem. With all these benefits of regular BP checks, it's easy to see why they are an important part of preventative care. 1. Types of Blood Pressure It is a measure of the force exerted by the blood against the walls of the blood vessels. There are two primary types of blood pressure: Systolic Blood Pressure (SBP) Systolic BP is the higher number in reading and represents the pressure exerted on the arterial walls when the heart contracts and pumps blood into circulation. The measurement is in millimeters of mercury (mmHg) from the number where the BP reading starts. Diastolic Blood Pressure (DBP) Diastolic blood pressure is the lower number in a BP reading and represents the pressure exerted on the arterial walls when the heart is at rest between beats. Its measurement is also in millimeters of mercury (mmHg) to the second number in a BP reading. When BP is measured, both systolic and diastolic pressures are recorded as a ratio, with systolic pressure over diastolic pressure (e.g., 120/80 mmHg). It's important to note that BP can fall into different ranges, indicating various levels of health or risk. General Categories for BP Levels - Normal Blood Pressure: A normal BP reading is typically around 120/80 mmHg or lower. - Elevated Blood Pressure: American Heart Association introduced this category in 2017 to identify individuals at risk of developing hypertension. Elevated BP is defined as systolic pressure between 120-129 mmHg and diastolic pressure below 80 mmHg. - Hypertension (High Blood Pressure): Hypertension is a condition characterized by consistently elevated BP levels. It is further classified into two stages: - Stage 1 hypertension: Systolic pressure between 130-139 mmHg or diastolic pressure between 80-89 mmHg. - Stage 2 hypertension: Systolic pressure of 140 mmHg or higher or diastolic pressure of 90 mmHg or higher. - Hypotension (Low Blood Pressure): Hypotension is when BP is consistently lower than normal levels. It is generally defined as systolic pressure below 90 mmHg or diastolic pressure below 60 mmHg. It's important to note that these categories are general guidelines, and blood pressure targets may vary based on an individual's age, underlying health conditions, and other factors. Consultation with a healthcare professional is crucial for accurate assessment, diagnosis, and management of BP-related concerns. 2. Cardiovascular Disease Cardiovascular disease is a major public health issue - in fact, it is the number one cause of death globally. Regular BP checks can help prevent it, but what are the best ways to lower it naturally? According to the Centers for Disease Control and Prevention, there are various healthy lifestyle changes that can help reduce high BP. These include regular exercise, maintaining a healthy weight, reduced salt intake, and moderating alcohol consumption. Additionally, consider adding certain foods to your diet - such as garlic, salmon, and bananas. These have proven beneficial effects on lowering BP naturally. Ultimately, regular BP checks and following these guidelines can help you stay healthy and avoid cardiovascular disease. 3. Health Benefits Regular blood pressure checks bring many health benefits from increased energy to reduced risk of stroke or heart attack. Knowing your BP helps you spot changes early for quick treatment. It's important to become aware of any associated risks. Getting regular checks ensures you stay healthy and benefit from associated advantages. Understand the reasons for regular BP checks to better your overall well-being. 4. High Blood Pressure Regular blood pressure checks are essential for protecting your health and well-being, regardless of age. From lifestyle choices to genetics, there are many risk factors that can lead to high BP with life-threatening consequences. Fortunately, studies have shown that blood pressure can be managed with lifestyle changes and, in some cases, medications. This can reduce the risk of heart attack, stroke, and other cardiovascular diseases. It's important to detect hypertension early and start preventative care. 5. Regular Check-Ups Regular blood pressure checks are essential for good health. They can help you detect potential risks early and avoid serious medical issues like heart attack, stroke, or even death. Don't feel intimidated - visiting the doctor for a check-up is easy. Make an appointment, and they'll take your blood pressure and ask you questions about your lifestyle and medical history. Ask questions, express any worries, and take control of your health during check-ups. 6. Know Your Numbers It's essential to know our numbers when it comes to health, including BP. A regular check-up can alert us to issues and help us take the necessary steps to stay healthy. Knowing your blood pressure can save you from needing medical treatment later on. Most adults should get their BP checked every two years. Those with risk factors should do so more often. It only takes minutes, yet it could save your life! Remember to get your BP checked and stay informed. 7. Take Action Taking action is key to preventative care, and regular blood pressure checks are essential. Get your BP checked at least annually and take steps to monitor and maintain it in between. Here are seven top reasons why: - 1. Reduce the risk of stroke and cardiovascular disease. - 2. Stay aware of potential health issues. - 3. Spot changes in your condition before serious problems arise. - 4. Detect underlying conditions that could be causing other symptoms. - 5. Get a clearer picture of your overall health status. - 6. Keep your doctor up to date on any changes in your health. - 7. Keep your heart healthy and increase your quality of life. Take action and get your blood pressure checked today! In a Nutshell Regular BP checks are essential for preventative care. Taking care of your body and health by regularly checking your BP is a proactive approach to maintaining your quality of life. Doing so can help identify any potential health risks, alert you to any potential issues, and help you to take the necessary measures to prevent them. Knowing your numbers is key to maintaining good health. Don't forget to make sure you have your BP checked regularly to ensure your good health and well-being for years to come. Image by gpointstudio on Freepik Read the full article

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What is Cenforce 200?

Cenforce 200 mg is a medicine that helps treat male impotence. It works by increasing blood flow to the penile area of the body. This helps men in getting and maintaining an erection.

It belongs to a class of medications known as phosphodiesterase type 5 (PDE 5) inhibitors. Researchers unintentionally found its capacity to treat ED in men while investigating the possible use of PDE 5 inhibitors for hypertension and angina.

You can take this medicine on an empty stomach or with food. Take it about an hour before engaging in any sexual activities. Although working time varies between individuals, it usually takes 30 minutes to an hour.If you are taking ED pills for the first time, you can take a smaller dose instead like 25 mg, 50 mg, or 100 mg, and work your way up to 200 mg of Cenforce.

When sexually stimulated, this medicine will help you achieve an erection. Cenforce 200 will make you last longer once sexually stimulated. You should not take this medicine more than once per day. You must take this medication exactly as directed by your doctor.

Cenforce 200 is not suitable for women. Taking it with nitrate-based medications can be dangerous (often given for chest pain or angina). If you have major heart or liver problems, have recently had a stroke or heart attack, or have hypotension (low blood pressure), avoid using this medication.

Avoid driving after taking this medication since it might make you dizzy. Avoid drinking alcohol while taking this medication since it increases the chance of having side effects.

Use of Cenforce 200 mg pills

This drug treats erectile dysfunction (impotence). Erectile dysfunction is a sexual disorder in males in which they are unable to achieve a hard enough erection for sexual intercourse.

Cenforce 200, as a PDE 5 inhibitor, inhibits the PDE 5 enzymes that cause the penis to become flaccid. It dilates blood vessels, increasing blood flow to the penile area.

Mechanism of this ED pill

Cenforce 200 Sildenafil is the main ingredient in this drug. Sildenafil works to treat erectile dysfunction by reducing the action of phosphodiesterase type-5 (PDE 5), a naturally occurring chemical in the penis.Sildenafil Citrate aids in the widening (relaxation) of blood vessels during sexual activity. As a result, the volume of blood circulating through the penile region of the body increases. This process aids men in achieving and maintaining a strong erection.

Dosage

This medicine's dosage will vary depending on the patient. Follow your doctor's orders or label's instructions. Only the average dosages are included. If your dose differs, do not alter it unless your doctor instructs you to.

For oral administration (tablets)

Cenforce 200 doctor may alter your dosage depending on your health condition and the severity of the problem you are facing. If you feel 200 mg is a heavy dose for you, you can try milder doses of 120 mg, 130 mg, or 150 mg of this medication.

If you're wondering how long Sildenafil lasts, the half-life is around 4 hours. Sildenafil will be reduced by half in your bloodstream every four hours.

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Healing vegetables.

 Since spring to autumn end we are preparing and growing different vegetables and fruits, that we are eating natural  products, and receiving lots of vitamins, that am to share with you about why they are benefit and how to cure theirs.

By Dina Baljasova, Herbalist.

 Rhubarb.

And young leafs beginning on summer beginning, when berries and fruits are less, that in petioles  are lots of vitamins C, B calium, mg, mineral salts, organic acids, as apple, and sorrel, like sweet-sour apple by taste, thus eat theirs raw, cook compotes, soup of leafs , but till July middle , and in petioles  old and leafs to summer middle are filling lots of harmful sorrel acid.

Petioles of rhubarb  on any kind benefit in hypoavitaminosis, lowering appetite, atherosclerosis, hypertension, in weak digestion, appetite, low acidity gastritis, chronic hard stool, atonic of gall bladder.

In hypoavitaminosis, atherosclerosis.

Eat on 0.5-2/3 glass o chopped petioles of rhubarb in a day, theirs can soak in sugar syrup is very taste.

In hypertension, edemas of heart origin, chronic hard stool, are 2 tbl.sp.  Petioles chopped add in glass of the hot water, keep on weak fire for 5-7 min, infuse half hours, filter, press of his infusion,  and his you can add in soup, or vegetable ragout, on 1/4 glass infusion for 2-3 times/day.

Avoiding abundant eating rhubarb in sugar diabetes, gout, rheumatism, acuting gastritis, and stomach, bowel ulcer, hemmorhoid  bleeding, oxalate stones kidneys, pregnancy, osteoporosis.

Dill.

Fresh dill is a best smell, every gardener growing his, every soup, young boiled potato, salad are need in dill. And he is true healer.

Diuretic, hypotensive, lactagogue, laxative, expectorant, cardiovascular, anti farting, calming, seeds and green improving digestion, lowering fermention procerss and rotting  in stomach, bowel, rise libido,useful in atherosclerosis, hypertension, spasms bowel, disbacteriosis, meteorism, hypovitaminosis, for all healthy peoples.

In appetite bad, hypovitaminosis, potency lowering, dress dishes as first and second with one tbl.sp. chopped green.

In cold with cough use2 tbl.sp. fresh herb in glass of hot water , infuse half hours, filter, use one tbl.sp. for 4 times/day before meal, or between meal time.

In cystitis  one tbl.sp. fresh herb of dill, and one tbl.sp. dried inflorescences of chamomile pharmacy add in glass of the hot water, infuse for hour, filter, use 1/4 glass of infusion for 3 times/day before a meal half hours.

In meteorism grind seeds of dill, and dress are first or second dishes as 0.5-1 tea.sp. powder for portion.

In hypertension begin stage, atherosclerosis, heart failure.

2 tbl.sp. dill seed  add in 0.5 l. of hot water in thermos, infuse hour ,filter, use 0.5 glass infusion before a meal for 3-4 times/day, course a cure are 1.5 months.

from Valga s health news,gardening,and cooking ,and beauty . https://ift.tt/OEyKSBk via https://ift.tt/6Ql2rMV